Negative Trajectories Research Articles

Impact of Solar Radiation Management on Andean glacier-wide surface mass balance

Solar Radiation Management (SRM) is a climate intervention strategy aimed at mitigating global warming by reducing incoming solar radiation. We investigate the potential influence of SRM on Andean glacier-wide surface mass balance, as glaciers are crucial for downstream ecological functions along the west coast of South America. We numerically simulate the surface mass balance response of thousands of glaciers to SRM and other climate change scenarios throughout the 21st century. Results indicate Pan-Andean negative mass balance, irrespective of the scenario or glacier-climate regimes. However, SRM tends to modify interannual variability and temperature sensitivity in several regions. Our findings also suggest that if SRM had been implemented in the late 1980’s, it would have been effective in avoiding the negative trajectory seen today. The Andes feature nearly all mountain hydroclimatic regimes, representing a globally relevant example of SRM impacts. These findings emphasize the urgency of drastic emissions reduction.

Social identity development and religious discrimination among Muslim American youth.

The present study investigated the development of social identity centrality dimensions (i.e., Muslim, ethnic, and American identity centrality) among Muslim American youth as well as associations between religious discrimination and social identity centrality trajectories. Data were collected once annually from 2015 to 2017 with 220 Muslim American youth (M = 14.20, SD = 0.94) in the Midwest United States (girls = 53.2%; boys = 42.3%; missing = 4.5%). Participants were Arab (62.3%), Somali (15.9%), and African American (8.6%), among other ethnic groups (less than 2%). Latent growth curve models indicated that Muslim and ethnic identity centrality displayed negative trajectories and that American identity centrality increased over time. Surprisingly, religious discrimination was not associated with social identity centrality trajectories. This research suggests that Muslim American youths' minoritized social identities develop similarly, whereas youths' American social identity develops differently than these identities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Entropy-extreme model for predicting the development of cyber epidemics at early stages

The approaches used in biomedicine to analyze epidemics take into account features such as exponential growth in the early stages, slowdown in dynamics upon saturation, time delays in spread, segmented spread, evolutionary adaptations of the pathogen, and preventive measures based on universal communication protocols. All these characteristics are also present in modern cyber epidemics. Therefore, adapting effective biomedical approaches to epidemic analysis for the investigation of the development of cyber epidemics is a promising scientific research task. The article is dedicated to researching the problem of predicting the development of cyber epidemics at early stages. In such conditions, the available data is scarce, incomplete, and distorted. This situation makes it impossible to use artificial intelligence models for prediction. Therefore, the authors propose an entropy-extreme model, defined within the machine learning paradigm, to address this problem. The model is based on estimating the probability distributions of its controllable parameters from input data, taking into account the variability characteristic of the last ones. The entropy-extreme instance, identified from a set of such distributions, indicates the most uncertain (most negative) trajectory of the investigated process. Numerical methods are used to analyze the generated set of investigated process development trajectories based on the assessments of probability distributions of the controllable parameters and the variability characteristic. The result of the analysis includes characteristic predictive trajectories such as the average and median trajectories from the set, as well as the trajectory corresponding to the standard deviation area of the parameters’ values. Experiments with real data on the infection of Windows-operated devices by various categories of malware showed that the proposed model outperforms the classical competitor (least squares method) in predicting the development of cyber epidemics near the extremum of the time series representing the deployment of such a process over time. Moreover, the proposed model can be applied without any prior hypotheses regarding the probabilistic properties of the available data.

Factors associated with non-response and nutrional status of non-responders at 6-month post-discharge: a cohort study nested in a MUAC-based nutrition programme for acutely malnourished children in Mirriah, Niger.

In the treatment of acute malnutrition (AM), non-response is considered a treatment failure for not meeting recovery criteria within a therapeutic window of 12-16 weeks, but this category of children is misunderstood. As current research emphasizes ways to simplify and optimize treatment protocols, non-response emerges as a new issue to enhance program efficiency. A prospective cohort study was conducted from 2019 to 2020 at two health centres in Mirriah, Niger among children aged 6-59 months with uncomplicated AM treated under the Optimising treatment for Acute MAlnutrition (OptiMA) protocol. Children who did not meet recovery criteria by 12 weeks (mid-upper arm circumference (MUAC) ≥125 mm without oedema for two consecutive weeks) were classified as non-responders. Non-responders received a home visit six-months post-discharge. Logistic regression was used to analyze factors associated with non-responders compared with children who recovered. Of the 1,112 children enrolled, 909 recovered and 139 were non-responders, of which 127 (80.6%) had significant MUAC gain (mean: +9.6 mm, sd = 5.1) at discharge. Girls (adjusted hazard ratio (aHR) = 2.07, 95% CI 1.33-3.25), children <12 months of age (aHr = 4.23, 95% CI 2.02-9.67), those with a MUAC <115 mm (aHR = 11.1, 95% CI 7.23-17.4) or severe stunting (aHR = 2.5, 1.38-4.83) at admission and a negative or flat MUAC trajectory between admission and week 4 (aHR = 4.66, 95% CI 2.54-9.13) were more likely to be non-responders. The nutritional status of non-responders had generally improved 6 months after discharge, but only 40% had achieved MUAC ≥125 mm. Non-responders are not a homogeneous group; while most children ultimately show significant nutritional improvement, rapid hospital referral is crucial for those not gaining MUAC early in treatment. As efforts to expand MUAC-based programming progress, adapting exit criterion and/or providing additional food supplementation with smaller daily ration for children with risk factors discussed here may help improve programme efficiency without adding to the cost of treatment.

Spatially organized striatal neuromodulator release encodes trajectory errors.

Goal-directed navigation requires animals to continuously evaluate their current direction and speed of travel relative to landmarks to discern whether they are approaching or deviating from their goal. Striatal dopamine and acetylcholine are powerful modulators of goal-directed behavior, but it is unclear whether and how neuromodulator dynamics at landmarks incorporate relative motion for effective behavioral guidance. Using optical measurements in mice, we demonstrate that cue-evoked striatal dopamine release encodes bi-directional 'trajectory errors' reflecting relationships between ongoing speed and direction of locomotion and visual flow relative to optimal goal trajectories. Striatum-wide micro-fiber array recordings resolved an anatomical gradient of trajectory error signaling across the anterior-posterior axis, distinct from trajectory error independent cue signals. Dynamic regression modeling revealed that positive and negative trajectory error encoding emerges early and late respectively during learning and over different time courses in the medial and lateral striatum, enabling region specific contributions to learning. Striatal acetylcholine release also encodes trajectory errors, but encoding is more spatially restricted, opposite polarity, and delayed relative to dopamine, supporting distinct roles in modulating striatal output and behavior. Dopamine trajectory error signaling and task performance were reproduced in a reinforcement learning model incorporating a conjunctive state space representation, suggesting a potential neural substrate for trajectory error generation. Our results establish region specific neuromodulator signals positioned to guide the speed and direction of locomotion to reach goals based on environmental landmarks during navigation.

Trajectories of negative affect prior to and following disordered eating behaviors among women with eating disorder pathology: An examination of the role of state-interoception

ObjectiveAffect regulation theories of eating disorders (ED) posit that negative affect increases in the hours before and decreases following disordered eating behaviors (DEBs) in daily life, yet findings from studies assessing affective changes post-DEBs are mixed. This inconsistency may be due to the previously unassessed role of other transdiagnostic processes in these associations, such as interoception (the ability to sense and integrate information from bodily sensations). To address this research gap, the present study examined whether different interoception dimensions moderated negative affect trajectories surrounding DEBs in the natural environment. Method150 women with ED pathology (Mage = 21.0, SD = 4.1) completed 4 surveys targeting affect and DEBs each day for a 10-day ecological momentary assessment period. Polynomial multilevel models examined negative affect trajectories pre- and post-DEBs (dietary restriction, overeating, loss of control eating), and whether these trajectories varied based on daily interoception dimensions (not distracting, self-regulation, body listening and trust). ResultsNegative affect increased prior to loss of control eating—but not dietary restriction or overeating—and decreased following all DEBs. Further, the magnitude of the decrease in negative affect that emerged post-dietary restriction decreased in strength as daily “not distracting” interoception increased. The other interoception dimensions did not moderate negative affect trajectories surrounding DEBs. ConclusionsAllowing oneself to experience (vs. distract from) uncomfortable bodily sensations may weaken affect dysregulation processes that follow dietary restriction in daily life and are theorized to maintain DEBs. These results provide insight that may strengthen EDs theories, research, and inform interoception-focused interventions.

Association of Baseline Depression and Anxiety with Longitudinal Health Outcomes in Parkinson's Disease.

Anxiety and depression are common non-motor symptoms in Parkinson's disease (PD) but remain under-recognized and under-treated. To evaluate functional outcomes associated with baseline anxiety or depression and effects related to the initiation of new psychiatric treatment. We analyzed 7 years of data from patients with de novo PD enrolled in the Parkinson's Progression Markers Initiative. Longitudinal regression models evaluated the association between baseline anxiety and depression with Schwab and England (SE) and MDS-UPDRS total scores over time. Cox proportional hazard models assessed effects of baseline anxiety and depression on time to initiation of dopaminergic therapy. Piecewise linear regression models examined the association of treatment initiation for anxiety and depression with SE and MDS-UPDRS. 490 participants with baseline depression and anxiety data were included. Anxiety and depression were associated with lower SE (anxiety: β = -1.31, P = 0.038, depression: β = -1.96, P = 0.012, co-morbid: β = -2.70, P = 0.003) and higher MDS-UPDRS scores (anxiety: β = 5.37, P < 0.001, depression: β = 9.17, P < 0.001, co-morbid: β = 10.50, P < 0.001) longitudinally. Anxiety was associated with faster time to dopamine replacement therapy initiation (HR 1.30, 95% CI 1.03-1.66, P = 0.03). 16 participants with anxiety initiated treatment for anxiety, which was associated with subsequent lower levodopa daily dose (slope change = -218.49, P = 0.018). 10 participants with depression initiated treatment of depression, which was associated with reduced MDS-UPDRS total scores (slope change = -8.3, P < 0.001) and higher SE scores (slope change = 5.99, P = 0.004). Anxiety and depression at PD onset are associated with multiple negative longitudinal trajectories. However, preliminary findings suggest that anxiety and depression treatment may be linked with improved motor and non-motor outcomes.

Social support as perceived, provided and needed by family-members of migrants with type 2 diabetes – a qualitative study

BackgroundSocial support provided by a family member has been found to have a buffering effect on distress and is associated with better diabetes self-care. This study explores the meaning of social support, as described by close family members of foreign-born people living with type 2 diabetes (PWDM) in Sweden. It also explores the support provided by family members, and the support they need to be able to support the PWDM.MethodsQualitative explorative study, semi-structured interviews for data collection. Qualitative content analysis based on a theoretical framework on social support. Purposive sample of 13 family members, 18–52-years-old, born in countries in the Middle East, Africa, and Russia.ResultsThe meaning of support was described as social and emotional. Most participants described a stressful situation; feelings of sadness/worry about the risk of the PWDM developing complications added to a strained life situation from which one could not opt out. Frequent daily contacts in a family network were evident, particularly by children trained as healthcare professionals. Caring for a family member was considered a filial piety, but it was also a chance to reciprocate. The support provided was mainly informational (e.g., reminders about nutritional intake), but it was also instrumental/practical (administering medicines, helping with economy/logistics, planning/cooking meals, basic care) and emotional (sharing meals, thoughts, and activities). The support the family members needed was getting first-hand information by attending the physician visits, being able to book appointments themselves at suitable times, and preventing the withholding of important information about the PWDM. They also desired an open telephone-line, oral and written information, particularly on diet.ConclusionsTo family-members, supporting the PWDM was normal and a filial piety. Support provided and needed was not only informational but also instrumental/practical and emotional. In diabetes care, addressing foreign-born individuals, diabetes education needs to be developed, also including family members. Informational material, particularly on diet, and improved access to healthcare and information about the healthcare system have the potential to increase family members’ control over the situation and prevent a negative trajectory in caregiving with perceived demands causing high levels of stress.

Low resilience is associated with worse health-related quality of life in caregivers of service members and veterans with traumatic brain injury: a longitudinal study.

To examine [a] the association of caregiver health-related quality of life (HRQOL) and service member/veteran (SMV) neurobehavioral outcomes with caregiver resilience; [b] longitudinal change in resilience at the group and individual level; and [c] the magnitude of change at the individual level. Caregivers (N = 232) of SMVs with traumatic brain injury completed a resilience measure, and 18 caregiver HRQOL and SMV neurobehavioral outcome measures at a baseline evaluation and follow-up evaluation three years later. Caregivers were divided into two resilience groups at baseline and follow-up: [1] Low Resilience (≤ 45T, baseline n = 99, follow-up n = 93) and [2] High Resilience (> 45T, baseline n = 133, follow-up n = 139). At baseline and follow-up, significant effects were found between Low and High Resilience groups for the majority of outcome measures. There were no significant differences in resilience from baseline to follow-up at the group-mean level. At the individual level, caregivers were classified into four longitudinal resilience groups: [1] Persistently Low Resilience (Baseline + Follow-up = Low Resilience, n = 60), [2] Reduced Resilience (Baseline = High Resilience + Follow-up = Low Resilience, n = 33), [3] Improved Resilience (Baseline = Low Resilience + Follow-up = High Resilience, n = 39), and [4] Persistently High Resilience (Baseline + Follow-up = High Resilience, n = 100). From baseline to follow-up, approximately a third of the Reduced and Improved Resilience groups reported a meaningful change in resilience (≥ 10T). Nearly all of the Persistently High and Persistently Low Resilience groups did not report meaningful change in resilience (< 10T). Resilience was not a fixed state for all caregivers. Early intervention may stall the negative caregiving stress-health trajectory and improve caregiver resilience.

Explorative study on lower inflection point dynamics during cardiopulmonary resuscitation: Potential implications for airway management

IntroductionIn patients undergoing cardiopulmonary resuscitation (CPR) after an Out-of-Hospital Cardiac Arrest (OHCA), intrathoracic airway closure can impede ventilation, adversely affecting patient outcomes. This explorative study investigates the evolution of intrathoracic airway closure by analyzing the lower inflection point (LIP) during the inspiration phase of CPR, aiming to identify the potential thresholds for alveolar recruitment. Methods and materialsEleven OHCA patients undergoing CPR with endotracheal intubation and manual bag ventilation were included. Flow and pressure measurements were obtained using Sensirion SFM3200AW and Wika CPT2500 sensors attached to the endotracheal tube, connected to a Surface Go Tablet for data collection. Flow data was analyzed in Microsoft Excel, while pressure data was processed using the Wika USBsoft2500 application. Analysis focused on the inspiration phase of the first 6–8 breaths, with an additional 2 breaths recorded and analyzed at the end of CPR. ResultsAcross the cohort, the median tidal volume was 870.00 milliliter (mL), average flow was 31.90 standard liters per minute (slm), and average pressure was 17.21 cmH2O. The calculated average LIP was 31.47 cmH2O. Most cases (72.7%) exhibited a negative trajectory in LIP evolution during CPR, with 2 cases (18.2%) showing a positive trajectory and 1 case remaining inconclusive. The average LIP in the first 8 breaths was significantly higher than in the last 2 breaths (p = 0.018). No significant correlation was found between average LIP and return of spontaneous circulation (ROSC), compression depth, frequency, or end-tidal CO2 (EtCO2). However, a significant negative correlation was observed between the average LIP of the last 2 breaths and CPR duration (p = 0.023). Validation: LIP calculation in low-flow ventilations using the novel mathematical method yielded values consistent with those reported in the literature. Discussion/conclusionThese explorative data demonstrate a predominantly negative trajectory in LIP evolution during CPR, suggesting potential challenges in maintaining airway patency. Limitations include a small sample size and sensor recording issues. Further research is warranted to explore the evolution of LIP and its implications for personalized ventilation strategies in CPR.

From policy stringency to environmental resilience: Unraveling the dose-response dynamics of environmental parameters in OECD countries

In the pursuit of sustainable development and the mitigation of negative externalities arising from environmental stressors, a multitude of member countries within the Organization for Economic Co-operation and Development (OECD) have embraced various environmental policies. Nevertheless, previous empirical research has largely overlooked investigating the causal relationship between the Environmental Policy Stringency (EPS) and environmental indicators. To bridge this gap, we conduct an empirical study to examine the dose-response relationship between EPS, as a continuous treatment variable, and selected environmental indicators. Our findings reveal evidence of a mixed treatment effect of policy stringency on the environment. Notably, the implementation of EPS leads to a reduction in carbon emissions per capita and an overall decline in ecological footprint. However, despite OECD countries moving towards a negative trajectory to preserve the environment, carbon intensity remains steadfastly on a positive path. Moreover, the intensification of policy stringency demonstrates positive effects on total renewable energy production, encompassing solar, wind, and eco-innovation. Building upon these empirical results, we offer several policy implications for the adoption and implementation of environmental policies within OECD countries.

Implicit relational aspects of the therapeutic relationship in psychoanalytic treatments: an examination of linguistic style entrainment over time

Objective: In an attempt to operationalize an implicit aspect of the therapeutic relationship, this study assesses reciprocal linguistic style entrainment (rLSM) between the patient and therapist. rLSM is defined as the dynamic adjustment of function word usage to synchronize or to be in rhythm with another person as they change over time. Method: In this exploratory study, levels of rLSM per talk turn were analyzed for 540 sessions of 27 long-term psychoanalytic treatments in relation to treatment outcomes. Results: Within sessions, rLSM appeared to decrease by the end of sessions and followed a negative linear trajectory, βlinear = −0.0002, SE < .001, t = −13.04, p < .001. Between sessions, rLSM showed significant variability such that neither a linear, nor a quadratic, nor a cubic trend line fit the session-by-session change over treatment. On average, therapist talk turns had significantly lower rLSM than patient talk turns, while accounting for the nested nature of the data using multilevel models βSpeakerT = −0.033, SE = 0.009, t = −3.65, p < .001. Levels of rLSM did not relate to treatment outcome. Conclusion: Most of the rLSM variance was at the within-patient and within-session level. rLSM was no indicator of psychoanalytic treatment outcomes.

Editorial perspective: protective factors following cumulative childhood adversity.

Adverse childhood experiences can have a significant impact on adult psychosocial outcomes. However, negative outcomes are not inevitable, and protective factors can interrupt the realisation of negative developmental trajectories and result in positive adaptation in spite of childhood adversity. Interventions that promote social support, encourage education and academic achievement, and address specific personality and dispositional factors are likely to beneficial for those with experience of childhood adversity. Holistic assessment that considers both neurodevelopmental conditions and trauma symptoms is also important for promoting resilience and avoiding assumptions that mental and behavioural problems in children with cumulative adversity are purely 'social'.

Longitudinal Trajectories of Social Mobility Beliefs among Chinese Adolescents: The Protective Roles of Parental Academic Involvement and Adolescent Future Orientation.

Social mobility beliefs play a significant role in shaping adolescents' adaptive developmental outcomes, including well-being and academic functioning. Nevertheless, existing research may not cast light on the distinct trajectories and potential protective factors of social mobility beliefs. The present study aims to identify heterogeneity in trajectory patterns of social mobility beliefs among Chinese adolescents (Mage = 12.45, SDage = 2.60; 55.1% boys; 40.0% rural adolescents) in a four-wave (i.e., fall 2017, fall 2018, spring 2019, and fall 2019) longitudinal design, and examines the protective roles of parental academic involvement and adolescent future orientation. Three distinct trajectories of social mobility beliefs were identified: high-increasing (35.1%; a positive trajectory with the best developmental outcomes, including the lowest problem behaviors and depression symptoms, and the highest life satisfaction and academic competence), moderate-stable (49.8%), and low-decreasing (15.1%; a negative trajectory with the worst developmental outcomes, including the highest problem behaviors and depression symptoms, and the lowest life satisfaction and academic competence). Apart from the main effects of parental academic involvement and future orientation, a significant interaction effect of these two protective factors and adolescent group was detected, and only rural adolescents who reported both high levels of parental academic involvement and future orientation have a greater chance of being placed in the high-increasing trajectory than the low-decreasing trajectory. These findings highlight the significance of clarifying individual differences in the dynamic process of social mobility beliefs during adolescence, and elucidate rural-urban disparities in the influences of protective factors on social mobility beliefs trajectories, and inform individualized intervention strategies.

One year follow-up of participants in a randomised controlled trial of a CBT-based group therapy programme for adolescents diagnosed with ADHD

Background Adolescents with ADHD often struggle on many areas of their lives and have a high risk of adverse outcomes and negative life trajectories. Multimodal treatment including psychosocial interventions is recommended but evidence regarding effect of such interventions is still limited. Materials and methods This study was a follow-up study of adolescents participating in a randomised controlled trial (RCT) of a group intervention based on cognitive behavioural therapy (CBT). Participants were adolescents diagnosed with ADHD and still impaired by their symptoms after standard treatment including psychoeducation and medication. All participants were interviewed by telephone one year after inclusion, and outcome measures included both quantitative and qualitative measures. Results There were 100 adolescents included in the study. We found no significant differences between treatment and control group on measures of ADHD-symptoms, self-efficacy, overall problems, global psychosocial functioning, or symptom severity at one-year follow-up. Still, participants in the intervention group reported on positive gains and that they learned a lot about ADHD and themselves. Conclusions The intervention delivered in this trial failed to show a treatment effect on symptom level when added to standard care. Participants did however report on positive gains and felt they learned a lot. More research is needed to explore how the programme and delivery of treatment might be improved, and which patients might benefit the most from this type of interventions.

Threats to the persistence of sugar pine (Pinus lambertiana) in the western USA

This study assesses how numerous stressors shape the vital rates (survival, growth, and fecundity) of sugar pine across the vast majority of its range. Sugar pine (Pinus lambertiana Dougl.) is the largest Pinus species, an important timber species, and a component of several dry conifer forest types of western North America, in particular the extensive Sierra Nevada mixed conifer forest. The species faces several challenges in the Anthropocene, including a disrupted fire regime, an invasive pathogen, forest structure changes, and drought with ensuing bark beetle epidemics. Managers are concerned about the conservation outlook for sugar pine, but it is unclear where and how to best invest conservation resources. Using data from the US Forest Service’s Forest Inventory and Analysis program, we estimate the parameters for the vital rate functions and use these to construct an integral projection model which predicts the effects of various stressors on the asymptotic population growth rate. The asymptotic population growth rate is near or slightly below one even under reference conditions, and the actual abundance (in terms of both stem density and basal area) slightly declined over the duration of the study (2001–2019). The analysis reveals that wildfire, white pine blister rust, and forest density are key drivers of the demographic rates of sugar pine across its range. Drought and site dryness had lesser, but still meaningful, effects. Fire has strong negative effects on survival, resulting in a strongly negative population trajectory on burned sites. Conversely, lower than average forest density (plot-level basal area) results in a positive population growth rate via beneficial effects on individual growth. These results highlight the value of fire hazard mitigation, particularly where it also reduces forest density, in the conservation of this important species.

Investigating Trajectories of Negative Emotionality in Early Childhood and First-Grade Outcomes

This study investigated Korean children’s negative emotionality trajectories from infancy to age 4 and their learning (i.e., executive functioning), behavioral, and self-esteem outcomes in first grade. Using nationally representative data from the Panel Study on Korean Children, negative emotionality trajectories were explored to determine whether patterns emerged over time (N = 2,149, boys = 50.7%) and whether different negative emotionality patterns were associated with specific first-grade outcomes (i.e., teacher-reported executive function difficulties, parent-reported behavioral problems, and child-reported self-esteem). According to latent class growth analysis, Korean children developed one of three negative emotionality patterns from infancy to age 4: Low stable (28.0%), moderate (57.9%), and intense and increasing (14.1%). First-grade outcomes, including executive functioning and behavior problems, were associated with negative emotionality trajectories. No association was found between the negative emotionality trajectories and child-reported self-esteem. First graders who developed and maintained intense negative emotionality until age 4 were regarded as the most vulnerable group in executive functioning difficulties and risk of behavioral problems. Impact Statement Negative emotionality in early childhood is an important predictor of future difficulties, and more research is needed in terms of patterns of emotionality, stability over time, and associated outcomes for different patterns. In this study, children developed one of three negative emotionality patterns from infancy to age 4: Low stable (28.0%), moderate (57/9%), and intense and increasing (14.1%). First graders who developed intense negative emotionality until age 4 were the most vulnerable group for executive function difficulties and risk of behavioral problems.

The Cardiorespiratory Fitness of Children and the Anthropometric Determinants During Late Childhood Within South East Wales: Potential Implications for Future Health.

Objective. This study investigated cardiorespiratory fitness (CRF) levels and the relationship with field-based measures of anthropometry in children aged 10 to 11 years. Methods. A total of 288 boys and 257 girls participated in the study. CRF (20 m shuttle run) and several field-based measures of anthropometry were assessed. Multiple regression was utilized for all data analysis. Results. Boys performed significantly better than girls on the CRF test (P < .001) and achieved higher classifications of CRF based on centile norms compared to girls. All measures of anthropometry were significant predictors of CRF, (P < .001), and each measure was significant in predicting a negative trajectory of CRF performance when they increased in value (P < .05). Conclusion. The study findings add to the international reporting of CRF and the use of simple field-based measures of anthropometry alongside the use of BMI to predict CRF for health with Welsh school children (UK).

Tracking depressive and anxious symptoms during the first year of COVID‐19: The search for moderators

AbstractA growing body of research suggests that the COVID‐19 pandemic did not cause the severe and extensive mental health crisis predicted by some experts. However, this does not mean that everyone was resilient. The purpose of this study was to try to identify subgroups of people that may have experienced more severe and negative trajectories of symptoms during this time. To this end, we examined a host of individual difference factors (e.g., age, gender, race, country, parental status, medical conditions, lost wages, perceived support, initial symptom levels, and cognitive vulnerability) using a 1‐year longitudinal design with 8 time points and participants (n = 233) from over 20 countries. We were unable to identify a single moderator associated with a robust and increasingly negative trajectory of depressive and anxious symptoms throughout the COVID interval. These results underscore the need for better theories of mental illness, stronger research designs that do not rely on simple cross‐sectional between‐group comparisons, and more caution when predicting mental health crises.

Caregiver burden and mental health: Parent perspectives when raising a child with developmental coordination disorder

BackgroundChildren with Developmental Coordination Disorder (DCD) are at high risk for mental health disorders, stemming from challenges participating in motor activities. Parents of children with DCD report increased caregiver burden exacerbated by insufficient support and services for their child. A paucity of literature exists on parent and child mental health associated with a DCD diagnosis. AimsTo explore parent perceptions of their child’s mental health, and the impact of DCD on family and parental mental health. Methods and proceduresImplementation of a secondary analysis using the impACT for DCD, a cross-sectional online survey of parents of children with self-reported suspected or confirmed diagnosis of DCD living in British Columbia, Canada. Data analysis included descriptive and inferential statistics and content analysis. Outcomes and resultsOf the 237 participants, more than one third of parents (36%) rated their own mental health to be fair or poor, and the majority (90%) expressed concern for their child’s mental health. Themes emerged on the impact of DCD on child, parent, and family, influenced by access to resources. Conclusions and implicationsStandard of care for DCD needs to include services and supports that address caregiver burden and mental health of children with DCD and their families. What this paper addsThis paper explores parent perceptions of their child(ren)'s and their own mental health when raising a child with DCD in British Columbia (BC). In BC, there is a lack of research on the mental health challenges families face when their child has a diagnosis of DCD. Amongst health care providers, there tends to be a focus on DCD as a motor disorder, with limited understanding and acknowledgement of the mental health component for children and their families. Thus, this study will inform health-care providers, parents, educators, and policy makers on parent-identified mental health needs and the essential services and supports. Unique to this study was the inclusion of a descriptive and exploratory content analysis, providing a holistic understanding of parents’ perceptions regarding the impact of DCD on their children and themselves. Our results revealed that parents perceive significant inter-connected impacts of DCD on the child, parents, and family, leading to poor mental health for parents and their child(ren). Limited access to resources and supports results in a negative trajectory for family mental health and well-being. Study results indicate the critical importance of addressing mental health, in addition to motor challenges. Healthcare providers need to adopt a family-centred approach to address the physical and psychosocial impairments associated with DCD, ensuring positive outcomes for children and their families.