Representative Community Sample Research Articles

A multi-site 99mTc-HMPAO SPECT study of cerebral blood flow in a community sample of patients with major depression

Prior regional Cerebral Blood Flow (rCBF) studies in Major Depressive Disorder (MDD) have been limited by small, highly selective, non-representative samples that have yielded variable and poorly replicated findings. The aim of this study was to compare rCBF measures in a large, more representative community sample of adults with MDD and healthy control participants. This is a cross-sectional, retrospective multi-site cohort study in which clinical data from 338 patients 18–65 years of age with a primary diagnosis of MDD were retrieved from a central database for 8 privately owned, private-pay outpatient psychiatric centers across the United States. Two 99mTc-HMPAO SPECT brain scans, one at rest and one during performance of a continuous performance task, were acquired as a routine component of their initial clinical evaluation. In total, 103 healthy controls, 18–65 years old and recruited from the community were also assessed and scanned. Depressed patients had significantly higher rCBF in frontal, anterior cingulate, and association cortices, and in basal ganglia, thalamus, and cerebellum, after accounting for significantly higher overall CBF. Depression severity associated positively with rCBF in the basal ganglia, hippocampus, cerebellum, and posterior white matter. Elevated rCBF was especially prominent in women and older patients. Elevated rCBF likely represents pathogenic hypermetabolism in MDD, with its magnitude in direct proportion to depression severity. It is brain-wide, with disproportionate increases in cortical and subcortical attentional networks. Hypermetabolism may be a reasonable target for novel therapeutics in MDD.

Mask-Wearing Behavior Among Individuals Newly Diagnosed With Type 2 Diabetes: Insights From Community Health Screenings During the COVID-19 Pandemic in Indonesia

The coronavirus disease 2019 (COVID-19) pandemic has had a severe impact on people with type 2 diabete (T2D) and their health behaviors. This study investigated the associations between T2D status and mask-wearing behaviors in public settings during the first wave of COVID-19 among community residents in Yogyakarta, Indonesia. Outreach health checkups and self-report questionnaires were cross-sectionally conducted to measure for mask-wearing behavior, T2D status, and sociodemographic characteristics. Chi-square tests, bivariate, and multivariate logistic regression were performed for data analysis. Out of 254 total participants, nearly one forth (24%) of them were newly diagnosed with T2D, while 15% of them reported that they had ever been diagnosed as T2D before. There were no statistically significant associations between mask-wearing behavior and T2D status in bivariate and multivariate logistic regression models. However, Chi-square test results showed significant differences (P=0.02) in percentages of inconsistent mask-wearing behavior among those who were newly diagnosed as T2D (19.4%), those who had known as T2D (7.9%), and those who had no T2D (7.1%). This discrepancy in the results suggests the need for further investigations using larger sample size and more representative community samples to examine the associations between mask-wearing behaviors and T2D. Early diagnostic services and the awareness education for T2D is imperative to reduce the disease severity and mortality for future pandemic particularly among undiagnosed individuals who are unaware of their T2D status,

Parent - Young Adult Relationship with Self-esteem among Undergraduate Students

Worldwide, there are over 1.8 billion young people living today and 90 % of who live in developing countries1. Parent–child relationships are central to psychological development and several studies have shown that suboptimal parenting is an important risk factor for psychological disorder in clinical and representative community samples.2 This study is an insight to know the Parent - Young Adult Relationship in the current generation of young adult and its impact on Self - esteem. Research results carried out on this topic suggest & promote Parents and Young Adult to have a better relationship. The aim of the study was to correlate relationship between Parent - Young Adult with Self-esteem among undergraduate students in selected college at Puducherry. Methods: A Quantitative Descriptive Research Design was used to assess the correlation between Parent - Young Adult Relationship with Self-esteem among undergraduate students in selected college at Puducherry. After taking a written consent, both male and female (117) undergraduate students (18 - 21 years) were selected using Simple Random Sampling Technique. The Parent - Young Adult Relationship among undergraduate students was assessed by Parent Adult Child Relationship Questionnaire (PACQ) and level of Self esteem was assessed by Rosenberg's Self - esteem Scale. The data was analyzed by using frequency, percentage, mean and Standard Deviation. Correlate the relationship between Parent - Young Adult Relationship and Self – esteem was analyzed by using Pearson’s correlation coefficient test. The association between the demographic variables between Parent - Young Adult Relationship and Self – esteem was analyzed by using Fisher’s exact test Result: The results show the correlation between Parent - Young Adult Relationship with Self-esteem among 117 undergraduate students. The mean self esteem score was 19.26 ± 3.791 and it ranged from 6 to 29. The level of self - esteem among nursing college students was normal, high and low, for 88.0%, 5.1% and 6.9%, respectively. There was a weak negative correlation observed between Parent - Young Adult relationship (Father) with Self - esteem in control aspect which implies greater the control by father lower the Self - esteem of the students. There was no statistically significant correlation was observed between Parent-Young Adult Relationship (Mother) with self -esteem at the significance level of p>0.05. Statistically significant association was found between Parent-Young Adult Relationship (Father - Regard) with gender, (Father -control) with Occupation, (Father - Responsibility) with feels more attached. Statistically significant association was noted between Parent-Young Adult Relationship (Mother - Responsibility) with year of studying implying B.Sc (N) - II Year and with area of residence, (Mother - Regard) with time spent every day (1-2 hours). Borderline statistically significant association was found in (Father - Control) with feels more attached & area of residence and (Mother - Responsibility) with Occupation. Conclusion: The findings of the study reflect that the Undergraduate relationship with both of their parents and majority Undergraduate students had normal self - esteem. The way parents raise their children influences the development of their self-esteem. Stronger relationship with parents boosts the self-esteem level in an individual. The study participants get benefited by participating in the study. Conducting this research in another society and with a greater sample size and in different setting may generate different results.

Does cognitive impairment moderate the relationship between social isolation and anxiety? A 5-year longitudinal study of a nationally representative sample of community residing older adults

BackgroundAnxiety is common in older adults and social isolation is one of the leading factors associated with their anxiety. However, what is unknown is how the relationship between social isolation and anxiety differs by cognitive status. Therefore, this study was conducted to (1) compare the level of social isolation and anxiety in older adults who developed probable dementia and mild cognitive impairment (MCI) to those who maintained normal cognitive function over 5 years; and (2) determine if cognitive impairment moderates the relationship between changes in social isolation and changes in anxiety over 5 years.MethodsA secondary data analysis was conducted using the National Social Life, Health, and Aging Project (NSHAP): Wave 2 (2010–2011) and Wave 3 (2015–2016). The participants were categorized into three groups: Participants who developed probable dementia over 5 years (4.3%), developed probable MCI (19.1%), or maintained normal cognitive function (76.6%). Weighted linear regression analyses with a group interaction were used to examine the moderating effect of cognitive impairment on the relationship between changes in social isolation and anxiety.ResultsAt the 5-year follow up, there were statistically significant differences in social isolation between the three groups (p = 0.043). Regression analyses showed that increased social isolation over time was related to increased anxiety over 5 years regardless of cognitive status after controlling for covariates (p = 0.017).ConclusionsThe relationship between social isolation and anxiety was a universal phenomenon regardless of cognitive status. Tailored interventions targeting both people with or without cognitive impairment are needed to lessen social isolation and anxiety.

P154: Mild Behavioral Impairment (MBI) in a sample of general population aged > 55: associations with degree of cognitive impairment.

Objective:The present study aims to determine the prevalence estimates of MBI and specific MBI domains in a large sample of the general population, by degree of cognitive impairment (CI).Method:A representative community sample of individuals aged 55+ (n=4803) (ZARADEMP Study) was studied. MBI, and specific MBI domains, were assessed according to ISTAART-AA MBI criteria, using the Geriatric Mental State (GMS). In accordance with these criteria, clinically significant anxiety, depression, and dementia were excluded. For the standardized degree of CI Perneczky et al. ́s criteria were applied: normal (MMSE 30), questionable (MMSE 26-29), mild CI (MMSE 21-25), moderate-severe CI (MMSE <21).Results:The prevalence of MBI, and specifically the domain Decrease Motivation (DM), increased progressively and significantly by degree of CI, the differences being significant between all cognitive groups. After control by age and education, DM was 2- and 4.5-times more frequent in subjects with mild CI (10.6%) and moderate-severe CI (18.3%), respectively, than in cognitive normal (5.8%). Affective Dysregulation (AD) was 1.7-times more frequent in mild CI (26.4%) (vs 20.4% in normal). Impulsive Dyscontrol (ID) was 2- and 7.9-times more frequent in mild CI (8%) and moderate-severe CI (23.5%) than in cognitive normal (4.7%). And Abnormal Perception and Thoughts (APT) was 6-times more frequent in moderate-severe CI (10%) (vs 1.4% in cognitive normal).Conclusion:Our results confirm an increase of MBI prevalence across the spectrum of CI. However, each specific domain of MBI shows a different pattern of association with CI. Our results support the relevance of studying MBI domains independently.

Shotgun metagenomes from productive lakes in an urban region of Sweden

Urban lakes provide multiple benefits to society while influencing life quality. Moreover, lakes and their microbiomes are sentinels of anthropogenic impact and can be used for natural resource management and planning. Here, we release original metagenomic data from several well-characterized and anthropogenically impacted eutrophic lakes in the vicinity of Stockholm (Sweden). Our goal was to collect representative microbial community samples and use shotgun sequencing to provide a broad view on microbial diversity of productive urban lakes. Our dataset has an emphasis on Lake Mälaren as a major drinking water reservoir under anthropogenic impact. This dataset includes short-read sequence data and metagenome assemblies from each of 17 samples collected from eutrophic lakes near the greater Stockholm area. We used genome-resolved metagenomics and obtained 2378 metagenome assembled genomes that de-replicated into 514 species representative genomes. This dataset adds new datapoints to previously sequenced lakes and it includes the first sequenced set of metagenomes from Lake Mälaren. Our dataset serves as a baseline for future monitoring of drinking water reservoirs and urban lakes.

P074 Sleep-Related Predictors of Road and Workplace Safety in Young Adults: Results from a Community Representative Sample

Abstract Young adults are at increased risk of road and workplace incidents. Sleep-related predictors of increased risk include short sleep duration, sleep disorders and shift work. It is unknown which predictors are the most impactful, or whether they are interrelated. To address this, sleep-related predictors were concurrently examined in young adults. Participants were young adults (22 years) from the Raine Study, who were employed, assessed for common sleep disorders (obstructive sleep apnoea by polysomnography, insomnia and restless legs syndrome symptoms by validated questionnaires), provided information on shift work status and habitual sleep duration. Two sub-groups were analysed: participants with a driver’s licence and self-reported information on road incidents (n=519) and those with information on workplace incidents, regardless of driver’s license status (n=575). Poisson regression models adjusted for sex and comorbidities were used to examine sleep-related predictors of road and workplace incidents. A total of 15% reported ever falling asleep behind the wheel and 23% reported ever having at least one near-miss road accident due to sleepiness. Diagnosis of a sleep disorder predicted near-miss road accidents (risk ratio, 3.0; 95%CI 1.7–5.3), independent of sleep duration and shift work. A total of 11% reported ever falling asleep on the job and 12% reported ever having an accident at work that required seeing a doctor or nurse, neither of these were associated with sleep duration, sleep disorders or shift work status. Sleep disorder diagnosis may be important in young adults given road incidents are strongly associated with the presence of a sleep disorder.

Socioeconomic status and morbidity: Are stress exposure, stress reactivity, or both the key mediators?

Low socioeconomic status (SES) is robustly associated with higher risks of morbidity and early mortality. Two intermediate mechanisms—stress exposure and stress reactivity—have been proposed to explain this association. However, few studies have formally examined the mediation roles of these two processes in the SES-health link, particularly using a longitudinal design. This study, therefore, aimed to test the intermediate role of stress exposure (i.e., the total number of stressors, stress severity) and stress reactivity (i.e., emotional reactivity, stress appraisal) in contributing to SES disparities in morbidity over a 10-year period. Data were drawn from a subsample of 1,522 middle-aged and older adults (34-83 years of age, 57.2% female, 83.5% White) from the Midlife in the United States study, a nationally representative community sample. SES was assessed in 2003-2004. Stress exposure and stress reactivity were assessed using an 8-day daily stress assessment in 2004-2009. Morbidities (i.e., 26 chronic medical conditions) were assessed in 2003-2004 and 2013-2014. Participants from low socioeconomic status reported a faster increase in the total number of morbidities from 2003-2004 and 2013-2014 than their high-SES counterparts. Mediation analyses showed that the association between SES and morbidities was partially mediated by stress reactivity, or specifically, negative emotional reactivity, but not by stress exposure. These findings highlight the intermediate role of stress reactivity in contributing to SES disparities in morbidities, suggesting the importance of developing interventions focusing on strengthing stress reactivity to promote health in middle-aged and older US adults with low SES.

Community awareness and use of anti-Müllerian hormone testing in Australia: a population survey of women.

What is the anti-Mullerian hormone (AMH) test usage, awareness, and perceived reasons for testing in a representative community sample of women in Australia? : Among women aged 18-55 years, 13% had heard about AMH testing and 7% had had an AMH test, with the top three reasons for testing including due to infertility investigations (51%), considering pregnancy and wanting to understand their chances (19%) or to find out if a medical condition had affected fertility (11%). The growing availability of direct-to-consumer AMH testing has raised concerns about overuse, however as most AMH tests are paid for privately by consumers, data on test usage is not publicly available. National cross-sectional survey of 1773 women, conducted in January 2022. Females aged 18-55 years were recruited from the representative 'Life in Australia' probability-based population panel and completed the survey online or by telephone. Main outcome measures included if and how participants had heard about AMH testing, whether they had ever had an AMH test, main reason for testing and test access. Of the 2423 women who were invited 1773 responded (73% response rate). Of these, 229 (13%) had heard about AMH testing and 124 (7%) had had an AMH test. Testing rates were highest among those currently aged 35-39 years (14%) and associated with educational attainment. Almost all accessed the test through their general practitioner or fertility specialist. Reasons for testing were: part of an infertility investigation (51%), considering pregnancy and wanting to understand chances of conceiving (19%), finding out if a medical condition had affected fertility (11%), curiosity (9%), considering egg freezing (5%), and considering delaying pregnancy (2%). Although the sample was large and mostly representative, it was over-represented by people holding a university degree and under-represented by people aged 18-24, however, we used weighted data where possible to account for this. All data were self-reported so there is a risk of recall bias. The number of survey items was also restricted, so the type of counselling women received prior to testing, reasons for declining an AMH test or test timing were not measured. Whilst most women reported having an AMH test for appropriate reasons, about one third had it for reasons not supported by evidence. Public and clinician education about the lack of utility of AMH testing for women not undergoing infertility treatment is needed. This project was supported by a National Health and Medical Research Council (NHMRC) Centre for Research Excellence grant (1104136) and Program grant (1113532). T.C. is supported by an NHMRC Emerging Leader Research Fellowship (2009419). B.W.M. reports research funding, consultancy and travel support from Merck. D.L. is the Medical Director of City Fertility NSW and reports consultancy for Organon, Ferring, Besins and Merck. The authors have no other competing interests. N/A.

Prevalence of suicidality and associated factors of suicide risk in a representative community sample of families in three East African refugee camps

PurposeTo assess the prevalence of suicidality and associated factors of suicide risk in a sample of Burundian refugee families living in three refugee camps in Tanzania.MethodsChildren (n = 230) and their parents (n = 460) were randomly selected and interviewed about suicidality (suicidal ideation, plans, and attempts) and a range of sociodemographic, psychological, and environmental factors. Multinomial logistic regression analyses were conducted to examine factors associated with children and parents’ lower and moderate or high current suicide risk.ResultsPast-month prevalence of suicidal ideation, plans, and attempts were 11.3%, 0.9% and 0.9%, respectively, among children; 37.4%, 7.4% and 5.2%, respectively, among mothers; and 29.6%, 4.8% and 1.7%, respectively, among fathers. Older age in years (aORlower = 2.20, 95% CI 1.38–3.51; aORmoderate/high = 3.03, 95% CI 1.15–7.99) and higher levels of posttraumatic stress disorder symptoms (aORlower = 1.64, 95% CI 1.05–2.57; aORmoderate/high = 2.30, 95% CI: 1.02–5.16), internalizing (aORmoderate/high = 2.88, 95% CI 1.33–6.26) and externalizing problems (aORlower = 1.56, 95% CI: 1.06–2.31; aORmoderate/high = 3.03, 95% CI 1.42–6.49) were significantly positively associated with children’s current suicide risk. For mothers, higher perceived instrumental social support (aORmoderate/high = 0.05, 95% CI < 0.01–0.58) was significantly negatively related to suicide risk, whereas exposure to community violence (aORlower = 1.97, 95% CI 1.30–2.99; aORmoderate/high = 1.59, 95% CI 1.00–2.52), living in larger households (aORlower = 1.74, 95% CI 1.17–2.57), and higher psychological distress (aORmoderate/high = 1.67, 95% CI 1.05–2.67) were significantly positively associated with suicide risk. For fathers, higher perceived instrumental social support (aORmoderate/high = 0.04, 95% CI < 0.01–0.44) and having more years of formal education (aORmoderate/high = 0.58, 95% CI 0.34–0.98) were significantly negatively and exposure to war-related trauma (aORmoderate/high = 1.81, 95% CI 1.03–3.19) was significantly positively associated with suicide risk.ConclusionPrevention programs should target psychopathology, community violence and social support to mitigate children and parents’ current suicide risk.

0930 What explains high self-reports of poor sleep quality in Native Hawaiian/Pacific Islanders?

Abstract Introduction High rates of poor sleep quality have been reported among patients of Native Hawaiian/Pacific Islander (NHPI) race. Unrestful sleep might be attributable to short sleep times or to elevated rates of obstructive sleep apnea among NHPIs. We aimed to evaluate factors associated with self-reported poor sleep quality among NHPIs in a nationwide, representative community sample. Methods Using the 2014 National Health Interview Survey (NHIS), we used logistic regression to model the odds of individuals reporting that they did not awake feeling rested at least two out of the prior seven days. NHPIs from the NHPI-NHIS and non-NHPIs from the general sample were compared. Age, sex, BMI, smoking status, report of heavy drinking, employment status, marital status, and reported average hours of sleep time were evaluated in terms of their effects on self-reported sleep quality. Results Data from 36,697 non-NHPI and 2,590 NHPI individuals was available for analysis. There were significant differences in age, BMI, marital and current employment status between NHPIs vs. non-NHPIs. NHPI patients reported less sleep (mean 6.86±1.41 hours) in contrast to non-NHPIs (mean 7.12±1.42 hours) (P&amp;lt; 0.001). NHPIs were more likely to report two or more days awakening not feeling rested (Odds Ratio (OR) 1.22, 95% confidence interval (95CI) 1.12–1.32) as compared to non-NHPIs. After adjusting for demographics, BMI, alcohol, smoking, and marital and employment status, the relationship persisted (OR 1.17, 95CI 1.07-1.28). When additionally controlling for sleep time, which was strongly associated with the likelihood of awakening unrested (OR 3.1 95CI 2.9-3.2 for six or fewer average hours of sleep), there was no significant relationship between race and likelihood of awakening unrested (OR 1.02, 95CI 0.93-1.13). Findings were similar when evaluating different thresholds of unrestful nights per week. Conclusion NHPIs are more likely to awake feeling unrested than non-NHPIs. The higher rate of unrestful sleep is associated with higher reports of short (6 hours or less) sleep time. Therefore, future research to improve sleep quality in NHPIs should also investigate the cultural and social factors leading to short sleep time. Support (if any) BWL: NIH Ruth L. Kirschstein National Research Service Award 5T32HL105321 and the ATS ASPIRE Fellowship

Symptoms and levels of ICD-11 Prolonged Grief Disorder in a representative community sample of UK adults.

Prolonged Grief Disorder (PGD) is a new disorder included in ICD-11 (WHO, 2018). There is a growing body of literature surrounding the prevalence and correlates of ICD-11 PGD symptoms as assessed using various measures. This study was the first to assess levels of ICD-11 PGD symptoms as measured by the International Prolonged Grief Disorder Scale (IPGDS), a self-report scale directly aligned with the ICD-11 definition of PGD, among the United Kingdom adult general population, and identify correlates. Participants included 2025 adults who participated in Wave 5 of the COVID-19 Psychological Research Consortium Study (C19PRC-UK). Prevalence rates of PGD were estimated based on two commonly used algorithms defined as 'strict' and 'moderate'. Sociodemographic, loss-related, and mental health correlates (i.e., anxiety, depression, mental health treatment seeking, loneliness) of strict and moderate PGD were then examined using multinomial logistic regressions. It was found that 2.4% (n = 43) of participants met probable caseness for PGD using the strict criteria while 7.9% (n = 140) met probable caseness for PGD using the moderate criteria. Multinomial logistic regression analysis results showed, as predicted, that income, time since bereavement, death of a child, religiosity, and depression were associated with both moderate and strict PGD. Correlates of moderate PGD included country of residence, urbanicity, younger age of bereaved, and loneliness. This study highlights that some symptoms of PGD are commonly reported in the general population, although relatively few meet the criteria for clinical significance. The routine assessment for PGD following a bereavement is discussed and the development of appropriate interventions are recommended.

The use of representative community samples to assess SARS-CoV-2 lineage competition: Alpha outcompetes Beta and wild-type in England from January to March 2021.

Genomic surveillance for SARS-CoV-2 lineages informs our understanding of possible future changes in transmissibility and vaccine efficacy and will be a high priority for public health for the foreseeable future. However, small changes in the frequency of one lineage over another are often difficult to interpret because surveillance samples are obtained using a variety of methods all of which are known to contain biases. As a case study, using an approach which is largely free of biases, we here describe lineage dynamics and phylogenetic relationships of the Alpha and Beta variant in England during the first 3 months of 2021 using sequences obtained from a random community sample who provided a throat and nose swab for rt-PCR as part of the REal-time Assessment of Community Transmission-1 (REACT-1) study. Overall, diversity decreased during the first quarter of 2021, with the Alpha variant (first identified in Kent) becoming predominant, driven by a reproduction number 0.3 higher than for the prior wild-type. During January, positive samples were more likely to be Alpha in those aged 18 to 54 years old. Although individuals infected with the Alpha variant were no more likely to report one or more classic COVID-19 symptoms compared to those infected with wild-type, they were more likely to be antibody-positive 6 weeks after infection. Further, viral load was higher in those infected with the Alpha variant as measured by cycle threshold (Ct) values. The presence of infections with non-imported Beta variant (first identified in South Africa) during January, but not during February or March, suggests initial establishment in the community followed by fade-out. However, this occurred during a period of stringent social distancing. These results highlight how sequence data from representative community surveys such as REACT-1 can augment routine genomic surveillance during periods of lineage diversity.

Anticipating environmental losses: Effects on place attachment and intentions to move

Environmental change is often accompanied by non-tangible, non-economic losses, including loss of valued attributes, connection to place, and social cohesion through migration in the face of such changes. Over two studies we sought to test whether imagining the loss of valued environmental characteristics influences intentions to migrate elsewhere and/or engage in place-protective actions, and whether this can be accounted for by changes to place attachment, using the city of Perth, Western Australia as a case study. In Study 1 (N = 148) we found imagined environmental loss significantly increased intentions to move away, and significantly decreased place attachment. There was no influence of imagining loss on place-protective action intentions. We replicated these findings in a representative community sample (Study 2: N = 333). In addition, we found that changes to moving intentions and place attachment related to the type of valued characteristic imagined loss, with characteristics that went beyond the explicitly environmental to encompass social relationships and lifestyle dimensions related to a tendency to stay, and lower reductions to place attachment. The implications of these findings include the inseparability of responses to environmental changes and perceptions of socio-cultural loss.

Comparison and Assessment of the Power Distance Index in Generation Z in Türkiye and Poland

The concept of power distance, one of Hofstede's cultural dimensions, is important from the perspective of influencing the behavior of societies and individuals. It also determines, to a certain degree, the successes and failures of companies. Consequently, ignoring cultural aspects, including power distance, in addressing management issues is a serious problem affecting organizational performance. In practice, however, unfortunately, it still often occurs. The aim of this study is to compare and assess the power distance index among representatives of academic communities of Türkiye and Poland (representatives of Generation Z) and to present conclusions and recommendations resulting from the research. The countries in which the comparative analysis was carried out were selected on the basis of significant cultural differences between them. In order to achieve the goal set out in the study, data were collected from representative samples of both communities (more than 430 people in total), and then power distance indices were calculated, assessed and interpreted using quantitative analysis methods. The data were collected at the turn of 2019/2020 with the application of the CAWI technique, and the online survey involved individuals belonging to Generation Z. The survey findings were first assessed in terms of demographic characteristics, and subsequently, power distance indices were established and compared between the two samples. It was found that there was a certain similarity in the values of the power distance index in both countries, with a higher ratio in the case of the Polish study participants. One of the limitations of the study was the size of the sample. However, it is important to indicate that the survey involved the most active representatives of Generation Z. The research into the power distance index in the regional analyses for Generation Z in crisis conditions: the COVID-19 pandemic, the highest inflation in this part of the world and a specific political situation (growing authoritarianism) may be seen as an undeniable achievement of the work. The study of power distance in times of crisis attempts to fill, at least to a certain degree, an existing research gap. The findings of this study may prove useful for business managers, especially in the context of international cooperation between Poland and Turkey. They may also be seen as an important source of new knowledge for researchers dealing with the impact of cultural factors on organizational management.

Evidence of method effects in the authoritarianism-conservatism-traditionalism scales

Right-wing authoritarianism (RWA) is notoriously complex, multifaceted, and difficult to measure as a psychological construct. Recently, Duckitt et al. developed the ACT scales, offering theoretical refinement of the RWA construct. Although the validity of the ACT scales had been supported by a considerable body of research, shortcomings in previous analyses cannot rule out the existence of possible method effects. In the present research, we sought to test for the presence of such effects in a representative community sample of adults in Singapore (N = 738). We re-evaluated the factor structure of the ACT scales by assessing four separate models using an item-based approach in our confirmatory factor analyses. Results found significant method effects associated with both the pro-trait and con-trait items in the ACT scales. The implications of these results and possible strategies for controlling method effects in the ACT scales are discussed.

The Occurrence and Co-Occurrence of Harsh Parenting and Family Conflict in Hong Kong

The violation of children's right to a safe home environment is a major public health problem in need of serious attention. Evidence has been limited about the family characteristics that go with the co-occurrence of harsh parenting and family conflict. By using a representative community sample of Hong Kong families, this study aims to examine the prevalence and risk factors of harsh parenting and family conflict. This study was conducted using a secondary analysis obtained from the 2017 Hong Kong Family Survey with a sample size of 1926 respondents who have children. Results showed that participants' ages are negatively related to the occurrence and co-occurrence of harsh parenting and/or family conflict. Married mothers reported less family conflict. Fathers with lower education levels reported more experiences of family violence. Mothers reporting a higher level of family satisfaction were less associated with harsh parenting. This study provides insights into the unique and shared familial elements that prevent harsh parenting and family conflict and help facilitate the development of effective intervention strategies for family violence co-occurrence. Family-based prevention for family violence may screen for the presence of harsh parenting and family conflict and take into consideration these signals to better support families in need.

1.66 Rates of Self-Reported Childhood Trauma in Youth Who Are Psychiatrically Hospitalized: Comparisons to a Population-Based Representative Community Sample

Youth who are psychiatrically admitted often underreport traumatic experiences during clinical interviews. To guide trauma-informed care (TIC) on a child and adolescent psychiatric inpatient unit, rates of self-reported trauma were compared to a community sample. We hypothesized that psychiatrically admitted youth will report higher rates of childhood emotional, physical, and sexual abuse than youth from a matched community sample, including those with clinically significant psychiatric symptoms.

Autonomy versus support: self-reliance and help-seeking for mental health problems in young people

PurposeMany young people with mental ill-health do not seek support, and developmental growth in self-reliance may be a barrier to help-seeking. Increasing autonomy is a positive developmental task for youth and a key aspect of resilience. This study examined the influence of perceived social support and resilience on the previously unexamined relationship between self-reliance and intentions to seek help from informal, professional, and self-help sources for mental health problems.MethodsAn online survey was completed by a representative Australian community sample of 5,203 young people aged 12–25 years (half female), in May–June 2020.ResultsPath analysis showed the hypothesised conceptual model did not fit the data well, but a modified model was a good fit. Higher self-reliance was associated with lower intentions to seek informal and professional help, as expected, but not with greater intentions for self-help. The relationship between self-reliance and informal help-seeking intentions was fully mediated by perceived social support, whereas the relationship between self-reliance and professional help-seeking was also direct. Perceived social support fully mediated the relationship between self-reliance and resilience. Intentions to use self-help were not influenced by variables in the study, but higher self-help intentions were associated with higher professional help-seeking intentions. Associations were consistent across age and gender groups.ConclusionThe results show the critical role of social support for combating some of the unhelpful aspects of self-reliance for mental health help-seeking in young people. Future research should explore how self-reliance can hinder or be harnessed to facilitate accessing appropriate mental health.

Are effort-based decision-making tasks worth the effort?-A study on the associations between effort-based decision-making tasks and self-report measures.

Amotivation is a common symptom in various mental disorders, including psychotic or depressive disorders. Effort-based decision-making (EBDM)-tasks quantifying amotivation at a behavioral level have been on the rise. Task performance has been shown to differentiate patient groups from healthy controls. However, findings on indicators of construct validity, such as the correlations between different tasks and between tasks and self-reported/observer-rated amotivation in clinical and healthy samples have been inconclusive. In a representative community sample (N=90), we tested the construct validity of the Deck Choice Task, the Expenditure for Rewards Task and the Balloon Task. We calculated correlations between the EBDM-tasks and between the EBDM-tasks and self-reported amotivation, apathy, anticipatory pleasure, and BIS/BAS. Correlations between tasks were low to moderate (0.198≤r≤0.358), with the Balloon Task showing the largest correlations with the other tasks, but no significant correlations between any EBDM-task and the self-report measures. Although different EBDM-tasks are conceptualized to measure the same construct, a large part of what each task measures could not be accounted for by the other tasks. Moreover, the tasks did not appear to substantially capture what was measured in established self-report instruments for amotivation in our sample, which could be interpreted as questioning the construct validity of EBDM-tasks.