Measurement Scale Research Articles

Empathic Conversational Agent Platform Designs and Their Evaluation in the Context of Mental Health: Systematic Review.

The demand for mental health (MH) services in the community continues to exceed supply. At the same time, technological developments make the use of artificial intelligence-empowered conversational agents (CAs) a real possibility to help fill this gap. The objective of this review was to identify existing empathic CA design architectures within the MH care sector and to assess their technical performance in detecting and responding to user emotions in terms of classification accuracy. In addition, the approaches used to evaluate empathic CAs within the MH care sector in terms of their acceptability to users were considered. Finally, this review aimed to identify limitations and future directions for empathic CAs in MH care. A systematic literature search was conducted across 6 academic databases to identify journal articles and conference proceedings using search terms covering 3 topics: "conversational agents," "mental health," and "empathy." Only studies discussing CA interventions for the MH care domain were eligible for this review, with both textual and vocal characteristics considered as possible data inputs. Quality was assessed using appropriate risk of bias and quality tools. A total of 19 articles met all inclusion criteria. Most (12/19, 63%) of these empathic CA designs in MH care were machine learning (ML) based, with 26% (5/19) hybrid engines and 11% (2/19) rule-based systems. Among the ML-based CAs, 47% (9/19) used neural networks, with transformer-based architectures being well represented (7/19, 37%). The remaining 16% (3/19) of the ML models were unspecified. Technical assessments of these CAs focused on response accuracies and their ability to recognize, predict, and classify user emotions. While single-engine CAs demonstrated good accuracy, the hybrid engines achieved higher accuracy and provided more nuanced responses. Of the 19 studies, human evaluations were conducted in 16 (84%), with only 5 (26%) focusing directly on the CA's empathic features. All these papers used self-reports for measuring empathy, including single or multiple (scale) ratings or qualitative feedback from in-depth interviews. Only 1 (5%) paper included evaluations by both CA users and experts, adding more value to the process. The integration of CA design and its evaluation is crucial to produce empathic CAs. Future studies should focus on using a clear definition of empathy and standardized scales for empathy measurement, ideally including expert assessment. In addition, the diversity in measures used for technical assessment and evaluation poses a challenge for comparing CA performances, which future research should also address. However, CAs with good technical and empathic performance are already available to users of MH care services, showing promise for new applications, such as helpline services.

Strain-specific effects of probiotics on depression and anxiety: a meta-analysis

IntroductionDepression and anxiety are pervasive mental health disorders with substantial global burdens. Probiotics, live microorganisms known for their health benefits, have emerged as a potential therapeutic intervention for these conditions. This systematic review and meta-analysis aim to evaluate the strain-specific effects of probiotics on relieving depressive and anxiety symptoms while elucidating underlying mechanisms.MethodsEMBASE, Cochrane CENTRAL and PubMed/Medline were systematically queried to identify studies released until May 15, 2024. Randomized Controlled Trials (RCTs) that employed standardized assessment tools for depression and anxiety namely Beck Depression Inventory (BDI), Hamilton Depression Rating Scale (HAMD), Depression Anxiety Stress Scales (DASS), or Montgomery-Asberg Depression Rating Scale (MADRS) were included.Results12 RCTs involving 707 participants were included. Seven RCTs utilizing the BDI questionnaire demonstrated a significant decrease in depressive symptoms favoring probiotics containing strains such as Lactobacillus acidophilus, Lactobacillus paracasei, Lactobacillus casei, Lactobacillus plantarum, Lactobacillus salivarius, Bifidobacterium bifidum, Bifidobacterium lactis, Bifidobacterium breve, and Bifidobacterium longum (MD: -2.69, CI95%: -4.22/-1.16, p value: 0.00). Conversely, RCTs using HAMD showed a non-significant reduction in depressive symptoms (MD: -1.40, CI95%: -3.29/0.48, p value: 0.14). RCTs employing DASS and MADRS scales also showed no significant differences.ConclusionThis meta-analysis offers valuable insights into the strain-specific effects of probiotics containing Lactobacillus and Bifidobacterium species on depressive and anxiety symptoms. While our findings suggest a significant reduction in depressive symptoms based on the BDI scale favoring probiotics, the lack of significant effects observed on the HAMD, DASS, and MADRS scales underscores the complexity inherent in these conditions. It is imperative to acknowledge the mixed results across different measurement scales, indicating the need for cautious interpretation. Therefore, we advocate for a nuanced understanding of probiotics’ impacts on various dimensions of mood, emphasizing the necessity for further research.

TikTok live Streaming: The Role of Influencers in Shaping Consumer Purchase Decision

This study aims to determine the role of influencers in TikTok live streaming, promotion and trust in purchase urchase intention. The research method used in this research is descriptive quantitative. The sample in this study were 100 people. The sampling technique used is nonprobability sampling with saturated sampling. The approach used in this study was accidental sampling. The types of data used in this study are primary data and secondary data, where secondary data is used to strengthen the background of the problem. The measurement scale used is a questionnaire with a Likert scale of 1-5. The tests carried out in this study are validity and reliability tests, hypothesis testing, inner model, outer model and r square. The tool used to test the hypothesis is the Structural Equation Model (SEM) with the SPSS. The results of this study are that promotion and trust have a positive and significant effect on TikTok Live influencers in Yogyakarta, while promotion and trust have a positive effect on TikTok consumer buying interest, while the Influencer variable mediates the relationship between promotion and consumer buying interest TikTok Live in Yogyakarta.

Assessing Participation in Stroke Survivors: Psychometric Properties of the Participation Measurement Scale (PM-Scale) Brazil.

Initial evidence supports the reliability of the Participation Measurement Scale (PM-Scale) in Brazil, but further exploration of its psychometric properties is needed for Brazilian stroke survivors. The aim of the study is to analyze the reliability, convergent validity, internal consistency, and accuracy of the PM-Scale Brazil. A methodological study involved three assessments over intervals of 7-14 days. Reliability was evaluated through the Intraclass Correlation Coefficient. Convergent validity was assessed using Spearman's correlation coefficient to evaluate the alignment of the PM-Scale Brazil with the SATIS-Stroke. Internal consistency was assessed through Cronbach's α. Accuracy was estimated by calculating the area under the receiver operating characteristic curve. The study involved 110 stroke survivors, revealing adequate intra-rater and inter-rater reliability. A significant weak correlation was observed between the PM-Scale and SATIS-Stroke. Internal consistency and accuracy were adequate. The PM-Scale Brazil demonstrates good reliability, internal consistency, and sensitivity. However, its weak correlation with SATIS-Stroke suggests limited convergent validity.

Spatial consistency of co-exposure to air and surface water pollution and cancer in China

Humans can be exposed to multiple pollutants in the air and surface water. These environments are non-static, trans-boundary and correlated, creating a complex network, and significant challenges for research on environmental hazards, especially in real-world cancer research. This article reports on a large study (377 million people in 30 provinces of China) that evaluated the combined impact of air and surface water pollution on cancer. We formulate a spatial evaluation system and a common grading scale for co-pollution measurement, and validate assumptions that air and surface water environments are spatially connected and that cancers of different types tend to cluster in areas where these environments are poorer. We observe “dose–response” relationships in both the number of affected cancer types and the cancer incidence with an increase in degree of co-pollution. We estimate that 62,847 (7.4%) new cases of cancer registered in China in 2016 were attributable to air and surface water pollution, and the majority (69.7%) of these excess cases occurred in areas with the highest level of co-pollution. The findings clearly show that the environment cannot be considered as a set of separate entities. They also support the development of policies for cooperative environmental governance and disease prevention.

Cross-cultural adaptation and validation of a French version of the Measure of Stroke Environment (MOSE) in stroke survivors in Sub-Saharan Africa

Purpose To investigate the psychometric properties of the MOSE-Benin, a French-language version of the Measure of Stroke Environment (MOSE) for Sub-Saharan Africa. Materials and methods The original English version of the MOSE has been translated into French following the guidelines for cross-cultural adaptation. The resulting questionnaire (MOSE-Benin) was administered to a convenience sample of participants recruited in Benin, a French-speaking country. Results Eighty-two stroke survivors (41 females; mean ± SD: 54.94 ± 11.6 years old) participated in the study. Internal consistency of each domain of the MOSE-Benin and the overall questionnaire was high (Cronbach’s α: 0.78 to 0.92). Test-retest reliability was excellent (n = 31; ICC: 0.977 to 0.998). Overall, the standard error of measurement (SEM) and the minimum detectable change (MDC) showed very low values (SEM = 0.85; MDC = 2.35). Convergent validity demonstrated moderate correlations for the three domains in separate comparison respectively with the ACTIVLIM-Stroke questionnaire, the Participation Measurement Scale, and the communication domain of the Stroke Impact Scale (r or ρ: 0.42 to 0.54; p < 0.0001). Conclusion MOSE-Benin has good evidence regarding psychometric properties (i.e., content validity, convergent validity, internal consistency, and test-retest reliability) that can support its use for the assessment of perceived environmental barriers after stroke in a French-speaking Sub-Saharan African country, such as Benin.

Survey and Analysis of Postoperative Quality of Life in Gynaecological Oncology Patients

Goal: To investigate the current status of quality of life of postoperative patients with gynaecological tumours, and to analyse the relevant factors affecting the quality of life of postoperative patients with gynaecological tumours. Method: One hundred and fifty-three postoperative gynecological oncology patients who attended the gynaecology and oncology departments of three tertiary hospitals in Henan Province from June 2023 to March 2024 were investigated by convenience sampling method. The patients' postoperative survival quality was investigated through the General Information Survey Scale and Quality of Life Score Scale. Results: The quality of life measurement scale score of postoperative gynaecological oncology patients in this study was (121.27±10.87), in which there was a difference in the quality of life of postoperative gynaecological oncology patients of different age, education level, marital status, and per capita monthly income of the family, p&lt;0.05. Conclude: The quality of life level of postoperative gynaecological oncology patients is generally good, and age, literacy, marital status, and per capita monthly family income are important factors in the postoperative quality of life of gynaecological oncology patients. Healthcare professionals should focus on patients with older age, lower education level, unstable marital status, and poor economic status, and provide personalised targeted interventions to improve their quality of life.

Enhancing human well-being through cognitive and affective pathways linking landscape sensation to cultural ecosystem services

ContextLandscape sensation is essential for the delivery of cultural ecosystem services (CESs), yet the pathways through which these services are delivered remain inadequately understood. Exploring how people obtain CESs from landscapes facilitates better understanding of the tradeoffs and synergies between ecosystem services and landscape sustainability.ObjectivesThis study aimed to elucidate the sensory pathways that links landscape attributes to CESs, focusing on the roles of cognitive and affective experiences.MethodsWe analyzed social media comments for the measurement scale of cognition. We employed partial least squares structural equation modeling to integrate sensation, cognition, affect, and satisfaction, using questionnaire data (n = 503).ResultsCognitive comprehensions and affective responses play a crucial role in interpreting CESs while sensory experiences do not directly determine people’s satisfaction with CESs. The effective pathways are achieved through the sole mediator of cognition or by serial mediators of cognition and affect. Of the two mediators, cognition has a more profound mediating effect than affect.ConclusionsBoth physical and biological components, such as landscape sensory attributes, as well as cognitive and affective responses, influence human-nature interactions. These components should be considered when promoting the sustainability of human-dominated landscapes.

Developing a reference method for indirect measurement of pasture evapotranspiration at sub-meter spatial resolution

To establish an indirect method for estimating and partitioning pasture evapotranspiration, it is vital to develop a direct reference method that aligns with the required temporal and spatial resolution. An evapotranspiration chamber offers an effective solution as it is easy to deploy and operates at an appropriate measurement scale. In this study, we prepared and tested a closed hemispherical chamber for on-site measurements of evaporation and/or transpiration. Advanced data monitoring and logging techniques were integrated to enhance the precision and reliability of direct in-field evapotranspiration measurements. During laboratory testing, vapor accumulation within the chamber was monitored to identify the best representative segment of the vapor accumulation curve. Results indicated that the instrument stabilizes its readings within 5 to 10 s post-deployment in laboratory settings. The subsequent 15 s produce stable readings that best represent actual vapor accumulation. The optimal fan speed, producing an air speed of 5.36 ms−1 at the vicinity of the fan within the chamber, paired with a wire mesh above the vapor-producing surface, yielded the best results. The study established a calibration factor (C) of 1.02 based on the actual water loss and vapor accumulation readings from the sensors at this fan speed. Advanced data analytics were applied to derive the calibration factor and to calculate the values of evapotranspiration from the changing microclimate within the chamber. Direction towards complete automation and the limitations of the chamber in field measurement are provided. The chamber was also tested under field conditions, and the paper examines its practical application and necessary adjustments for field measurements.

Drivers of the taxonomic and functional structuring of aquatic and terrestrial floodplain bird communities

ContextThere has been a limited amount of research which comparatively examines the local and landscape scale ecological determinants of the community structure of both riparian and aquatic bird communities in floodplain ecosystems.ObjectivesHere, we quantified the contribution of local habitat structure, land cover and spatial configuration of the sampling sites to the taxonomical and functional structuring of aquatic and terrestrial bird communities in a relatively intact floodplain of the river Danube, Hungary.MethodsWe used the relative abundance of species and foraging guilds as response variables in partial redundancy analyses to determine the relative importance of each variable group.ResultsLocal-scale characteristics of the water bodies proved to be less influential than land cover and spatial variables both for aquatic and terrestrial birds and both for taxonomic and foraging guild structures. Purely spatial variables were important determinants, besides purely environmental and the shared proportion of variation explained by environmental and spatial variables. The predictability of community structuring generally increased towards the lowest land cover measurement scales (i.e., 500, 250 or 125 m radius buffers). Different land cover types contributed at each scale, and their importance depended on aquatic vs terrestrial communities.ConclusionsThese results indicate the relatively strong response of floodplain bird communities to land cover and spatial configuration. They also suggest that dispersal dynamics and mass-effect mechanisms are critically important for understanding the structuring of floodplain bird communities, and should therefore be considered by conservation management strategies.

Digital transformation in human resources management and work-at-home

Purpose Based on the ability, motivation and opportunity (AMO) theory, this study aims to investigate the role of digital human resources management (digital-HRM) practices in influencing hotel employee behaviors, especially their adoption of work-at-home (WAH). Design/methodology/approach The study was conducted in two stages in hotels in Vietnam. Stage 1 used a mixed method to develop an instrument to measure digital-HRM practices. In Stage 2, through a survey of 303 respondents, the research investigated digital-HRM practices’ additive and interactive effects on WAH. Findings The study shows that digital-HRM comprised five factors. Except for digital recruitment, the other digital-HRM practices significantly affected WAH. In addition, the research suggests that digital training and employee involvement should be combined to enhance employee willingness for WAH. Research limitations/implications Drawing on the AMO theory, this study constructs a digital-HRM measurement scale to study the antecedents and consequences of these practices to improve employees’ digital work efficiency. In addition, through both additive and combinative (a two-way interaction) models, the study enhances the HRM and hotel management theory by understanding why digital-HRM practices are essential to boost employees’ digital competencies to adopt remote working. Practical implications By investigating the role of digital-HRM practices in improving employees’ adoption of WAH, this study provides empirical implications for hotels to manage digital-HRM practices better and thus makes remote working effective. Originality/value The existing literature reveals the lack of a deep understanding of how HRM practices can promote digital devices and services and their influence on employee behaviors, especially in the hotel sector. To the best of the authors’ knowledge, this study is unique in extending the AMO theory into the digital context to illuminate components of digital-HRM practices and clarify how digitalizing HRM practices can motivate hotel employees to accept WAH.

Examining Buyers’ Attitudes Toward Climate Change Policy and Their firms’ Corporate Reputation: The Serial Mediation Effect of Suppliers’ Engagement and Commitment

ABSTRACT Purpose Given the dangers of climate change, a nascent body of research emphasises the significance of business-to-business (B2B) firms’ views on implementing climate change policies (CCP) and its links to corporate reputation. Firms are implementing CCP, but face a range of challenges from various stakeholders. We examine the importance of buyers’ attitudes toward CCP implementation as a driver of corporate reputation using legitimacy theory as a theoretical lens. Design/methodology/approach A serial mediation model considering the engagement and commitment of suppliers was explored to assess the proposed relationship. In a two-stage quantitative research design executed in India, data was collected from 109 buyers from B2B firms to refine the measurement scales and then from 503 buyers from B2B firms to test the research model. Findings Using SPSS macro-PROCESS (Model-6), we found both the engagement and commitment of suppliers to be independent mediators of the relationship between the buyers’ attitude toward CCP implementation and their firms’ corporate reputation. Moreover, the engagement and commitment of suppliers toward CCP implementation partially mediated this relationship serially. Policy implications are presented that can be useful in developing corporate strategies to reduce environmental risks and improve the company’s reputation, bringing more business in the long run. Originality/value The study is significant as we conducted it when the United Nations called on all organizations to participate in the Race to Zero, intending to build sustainable businesses. This study contributes original value by demonstrating how buyer attitudes toward CCP implementation, mediated by supplier engagement and commitment, significantly influence corporate reputation, thereby offering actionable insights for developing sustainability strategies in B2B contexts.

Teachers’ attitudes towards SDG-12: responsible consumption and production. Development and validation of a measurement scale

Although Sustainable Development Goals (SDG) were stablished in 2015, there is still a scarcity of scientific literature focused on how they are being worked on in compulsory education curricula, perhaps due to a lack of suitable assessment tools. Hence, this study aims to design and validate a scale for assessing teachers’ attitudes towards responsible consumption and production (SDG-12), and to understand how they incorporate these concepts into their classroom practices. 400 primary and secondary school teachers participated in the study. The scale showed reliable psychometric properties. Although most participants had a favourable attitude towards SDG-12, only 28% of them had received training on this topic. Responsible consumption is occasionally addressed in the classroom, generally through ICT resources or specific activities. Primary teachers showed more favourable attitudes and engagement in teaching this topic in their classrooms than secondary teachers. Therefore, the proposed scale is a simple tool to find out how SDG-12 is addressed across different educational stages. It is important to measure these questions in order to guide the educational practices aimed at promoting responsible consumption.

Diffusion Tensor Imaging of Rat Rotator Cuff Muscle with Histopathological Correlation: An Exploratory Study.

Diffusion tensor imaging (DTI) is a magnetic resonance imaging (MRI) technique that can be used to assess microstructural features of skeletal muscle that are related to tissue function. Although widely used, direct correlations between DTI derived metrics such as fractional anisotropy and spatially matched tissue microstructure assessed with histology have not been performed. This study investigated the relationship between scalar-based DTI measurements and histologically derived muscle microstructural measurements in rat rotator cuff muscles. Despite meticulous co-localization of MRI and histology data, negligible correlations were found between DTI metrics and histological measurements including muscle fiber diameter, cross-sectional area, and surface-to-volume ratio. These findings highlight the challenges in validating DTI with histology due to requirements in anatomical co-localization, necessity of high-quality histology, and consideration of diffusion measurement scales. Our findings underscore the need for further research with optimized imaging parameters to enhance our knowledge regarding the sensitivity of DTI to important features of muscle microstructure.

Pengaruh Pengetahuan Investasi, Persepsi Return dan Persepsi Risiko Terhadap Minat Berinvestasi di Platform Bibit: Studi pada Mahasiswa UBP Karawang

This research aims to find out the influence of investment knowledge, perception of return and risk perception on the investment interest of students of Buana University of Karawang Struggle in the Plant Platform partially and simultaneously. The population includes the entire UBP Karawang student recorded on the 2023 forlap with a sample of 100 respondents, and the sample is calculated using the Slovin formula. Purposive sampling is used as a sampling technique. The Likert scale is used as a measurement scale on questionnaires in data collection. For instrument analysis, validity and reliability tests are used. The data analysis method applied is the double regression analysis, which is supported by the classical assumption test as well as the hypothesis test of the t test, the f test and the R2 test using the SPSS 26 program. This research results in whether investment knowledge, perception of return and risk perception significantly influence the investment interest of UBP Karawang students in the Bibit platform partially and simultaneously. Three free variables in this study influenced the interest of UBP Karawang students in investing in Bibit platforms (only 55,%) that means, many other free variable that can affect the interest investing UBP karawang students on Bibit Platform.

Pengaruh Karakteristik Pekerjaan dan Budaya Kerja Terhadap Work Life Balance pada Karyawan Yoehan Busana Purwasukasi

This study investigates the influence of job characteristics and work culture on work-life balance among Yoehan Busana Purwasukasi employees. The research method employed is a quantitative descriptive approach. This study's data collection method uses a questionnaire with a Likert measurement scale. The population in this study included 84 employees of Yoehan Busana Purwasukasi. In this study, sampling used Random Sampling with Slovin 5%, resulting in 69 samples for data analysis research—multiple Linear Regression Analysis Technique with a significance level of 0.05. The overall calculation of the analysis used the SPSS version 25 program. The results of the research revealed that (1) Partially Job Characteristics had a significant and positive impact on Work-Life Balance in Yoehan Busana Purwasukasi employees (2) Partially Work Culture had a significant and negative impact on Work-Life Balance in Yoehan Busana Purwasukasi employees (3) Simultaneously Job Characteristics and Work Culture have a significant and positive impact on Work-Life Balance for Yoehan Busana Purwasukasi employees.

The Influence of Work Morale, Work Environment and Self-Efficacy on the Performance of Balangan Regency Library and Archives Service Employees

This research aims to determine and analyze the influence simultaneously and partially of Work Morale, Work Environment and Self-Efficacy on the Performance of Balangan Regency Library and Archives Service employees. This type of research uses descriptive quantitative with a survey approach where questionnaires will be distributed to all research respondents, where the population in this research is the Balangan Regency Library and Archives Service Employees totaling 230. Determining the number of samples used in the author's research uses the Slovin formula, namely 70 Service Employees Balangan Regency Library and Archives. Data collection techniques use questionnaires and interviews. The measurement scale uses a Likert scale with a preference level of 1 to 5. Data analysis uses multiple linear regression analysis. The test results show that simultaneously and partially Work Morale, Work Environment and Self-Efficacy have a significant effect on the Performance of Balangan Regency Library and Archives Service Employees. The work environment has a dominant influence on the performance of Balangan Regency Library and Archives Service employees.

Influence of marital status on persuasion strategies in advertising regarding intention to purchase

This study has three chief objectives. Firstly, it aims to identify individual susceptibility to Cialdini’s persuasion strategies among consumers with different marital status. Secondly, it focuses on determining the susceptibility of each family member to persuasive strategies. Finally, the study examines the purchasing funnel among consumers with different marital status and different family roles. Two measurement scales are applied: the STPS questionnaire to establish susceptibility to persuasion strategies and the purchase funnel hierarchy model. The results of the first analysis of variance (ANOVA) show that divorced/separated users are susceptible to the principle of liking and authority, and married users – to commitment/consistency and social proof. The second variance analysis found the susceptibility of the children in the family: the first child was affected by liking, the second child – by scarcity, and the third – by commitment/consistency. Analysis of covariance (ANCOVA) of a family member with age differences as the covariate shows that consumers of advertising exhibit a strong sensitivity to the principle of unity, which affects widowed husbands or wives. In the second covariance analysis, a strong sensitivity to product preferences was observed for single husbands over 25 and for young adults under 25 for divorced/separated people. These scientific findings may be valuable to various specialists in social psychology, consumer behavior, and those interested in the dynamics of family purchases.

The Influence of Work Motivation and Work Discipline on the Performance of Employees of PT. Penjaminan Kredit Daerah Kalimantan Selatan

This research aims to determine and analyze the simultaneous and partial influence of work motivation and work discipline on employee performance at PT Penjaminan Kredit Daerah Kalimantan Selatan. This type of research uses descriptive quantitative with a survey approach where questionnaires will be distributed to all research respondents, where the population in this research is employees of PT Penjaminan Kredit Daerah Kalimantan Selatan, numbering . 36 were used as samples. Data collection techniques use questionnaires and interviews. The measurement scale uses a Likert scale with a preference level of 1 to 5. Data analysis uses multiple linear regression analysis. The test results show that work motivation and work discipline have a significant effect simultaneously and partially on employee performance at PT Penjaminan Kredit Daerah Kalimantan Selatan. Work motivation is a variable that has a dominant influence on employee performance at PT Penjaminan Kredit Daerah Kalimantan Selatan. The work environment has a dominant influence on the performance of Balangan Regency Library and Archives Service employees.

Factors associated with psychological distress in patients with amyotrophic lateral sclerosis: A retrospective medical records study

ObjectiveAlthough psychological distress is a prevalent issue among patients with amyotrophic lateral sclerosis (ALS) and can impact survival, the risk factors contributing to this distress remain insufficiently understood. MethodsPatients with ALS who completed the Profile of Mood States (POMS) between June 2017 and March 2022 were included. Participants with moderate to severe cognitive decline were excluded, resulting in the recruitment of 121 patients. The associations between POMS profiles and clinical characteristics were analyzed. Physical motor symptoms were evaluated using the Revised ALS Functional Rating Scale (ALSFRS-R) for objective measurement and the 40-item ALS Assessment Questionnaire (ALSAQ-40) for subjective assessment. ResultsOur model, employing the ALSFRS-R, revealed significant factors associated with overall psychological distress, as assessed by the POMS, including upper limb symptoms, the presence of sleep apnea syndrome, older age at onset, and male sex, with an inverse association with tracheostomy. The POMS subscale scores revealed that anger and depression were significantly associated with upper limb symptoms. The second model, which employed subjective scales, yielded similar results, reinforcing the robustness of our findings. Moreover, subjective bulbar symptoms on the ALSAQ-40 were significantly associated with psychological distress, particularly in female patients. ConclusionThis study identified the main clinical characteristics significantly associated with psychological distress in patients with ALS. Our findings may be useful in developing individualized psychological management strategies for these patients.