To determine the prevalence of some major mental disorders among adolescents living in a residential group home and the distribution of these disorders by gender.
Method
The participants included 183 adolescents (13–17 years old) living in residential group homes of the Child Welfare System in the county of Bouches-du-Rhône (South of France). A structured psychiatric Diagnostic Interview Schedule for Children was used to assess the existence of Anxiety Disorder (AD), Major Depression (MD), Conduct Disorder (CD), Eating Disorder (ED), Enuresia (En), Psychosis Screen (PS) and Attention Deficit Hyperactivity Disorder (ADHD) among the study participants over the six-month period before the assessment was taken. The existence of Suicide Attempts (SA) during the lifetime of each child was also assessed.
Results
Of the youths qualified, 48.6% as having at least one psychiatric disorder during the last six months (AD: 28.4%; CD: 15.3%; MD: 14.8%; PS: 18.6%; ADHD: 3.8%), and SA have been reported in 23% of them. Females were more affected than boys (p < 0.001) with 64.9% having at least one disorder compared to 36.8% of boys; AD: 49.3% vs. 13.2%; and MD: 27.3% vs. 5.6%.
Conclusion
Adolescents living in residential group homes of the Child Welfare System in France have notably high rates of mental disorder (about three times more than those of the general population of the same age), similar to the patterns found in adolescents in North America and Europe. These data are the first of their kind in France and will guide necessary changes to the child welfare system. 相似文献
To investigate the perception of emotional facial expressions, researchers rely on shared sets of photos or videos, most often
generated by actor portrayals. The drawback of such standardized material is a lack of flexibility and controllability, as
it does not allow the systematic parametric manipulation of specific features of facial expressions on the one hand, and of
more general properties of the facial identity (age, ethnicity, gender) on the other. To remedy this problem, we developed
FACSGen: a novel tool that allows the creation of realistic synthetic 3D facial stimuli, both static and dynamic, based on
the Facial Action Coding System. FACSGen provides researchers with total control over facial action units, and corresponding
informational cues in 3D synthetic faces. We present four studies validating both the software and the general methodology
of systematically generating controlled facial expression patterns for stimulus presentation. 相似文献
Probabilistic Relational Models (PRMs) are a framework for compactly representing uncertainties (actually probabilities). They result from the combination of Bayesian Networks (BNs), Object-Oriented languages, and relational models. They are specifically designed for their efficient construction, maintenance and exploitation for very large scale problems, where BNs are known to perform poorly. Actually, in large-scale problems, it is often the case that BNs result from the combination of patterns (small BN fragments) repeated many times. PRMs exploit this feature by defining these patterns only once (the so-called PRM’s classes) and using them through multiple instances, as prescribed by the Object-Oriented paradigm. This design induces low construction and maintenance costs. In addition, by exploiting the classes’ structures, PRM’s state-of-the-art inference algorithm “Structured Variable Elimination” (SVE) significantly outperforms BN’s classical inference algorithms (e.g., Variable Elimination, VE; Local Conditioning, LC). SVE is actually an extension of VE that simply exploits classes to avoid redundant computations. In this article, we show that SVE can be enhanced using LC. Although LC is often thought as being outperformed by VE-like algorithms in BNs, we do think that it should play an important role for PRMs because its features are very well suited for best exploiting PRM classes. In this article, relying on Faÿ and Jaffray’s works, we show how LC can be used in conjunction with VE and deduce an extension of SVE that outperforms it for large-scale problems. Numerical experiments highlight the practical efficiency of our algorithm. 相似文献
Cocaine use is highly prevalent and a major public health problem. While some studies have reported frequent comorbidity problems among cocaine users, few studies have included evaluation of gambling problems. This study aimed to estimate the prevalence of gambling problems and compare those who were at-risk gamblers with non-problem gamblers in terms of mental health problems, substance use problems, and some risk factors (i.e. family antecedents, erroneous perceptions and coping strategies) among individuals who smoke or inject cocaine. A total of 424 smoked or injected cocaine users recruited through community-based programs in Montreal (Quebec) completed the questionnaire, including the Canadian Pathological Gambling Index, the Composite International Diagnostic Interview, the CAGE, and the Severity Dependence Scale. Of the sample, 18.4 % were considered at-risk gamblers, of whom 7.8 % had problems gambling and 10.6 % were moderate-risk gamblers. The at-risk group was more likely to have experienced a recent phobic disorder and alcohol problems than the non-problem group. A multivariate analysis showed that, compared to those who were non-problem gamblers, the at-risk ones were more likely to have lost a large sum of money when they first started gambling, believed that their luck would turn, and gambled in reaction to painful life events. These results indicate the need to include routines for screening to identify gambling problem among cocaine users. 相似文献
The objective of this paper is to extend the surrogate endpoint validation methodology proposed by Buyse et al. (2000) to the case of a longitudinally measured surrogate marker when the endpoint of interest is time to some key clinical event. A joint model for longitudinal and event time data is required. To this end, the model formulation of Henderson et al. (2000) is adopted. The methodology is applied to a set of two randomized clinical trials in advanced prostate cancer to evaluate the usefulness of prostate-specific antigen (PSA) level as a surrogate for survival. 相似文献
Urbanisation constitutes one of the most rapid human-induced environmental changes, developing at the expense of natural and semi-natural habitats. It often implies alterations of many abiotic and biotic factors and contributes to create new environmental conditions, including temperature, food resources, competition and predation. Despite increasing empirical evidence of intra-specific divergence in phenotypic traits (e.g., physiological, behavioural or morphological) between urban and rural individuals, such patterns have often remained disconnected from the underlying mechanisms involved. In the current study, we tested for divergence in functional morphological traits that are related to feeding ecology (i.e., bill morphology, body mass and condition) and/or to the locomotory performance in escaping from predators (i.e., wing, tarsus and tail morphology, body mass and condition) along a chronological gradient of urbanisation (old urban, recent urban and rural areas), using the New Zealand fantail, an endemic insectivorous passerine species. We found divergences in phenotypic traits related to bill morphology along the urban–rural gradient: birds inhabiting the old urban area had stubbier bills (i.e., shorter, deeper and wider bills) than those inhabiting the recent urban and rural areas. We did not detect any difference in locomotion-related morphological traits. Our results suggest the urbanisation-induced alteration in food resources may drive morphological divergence in bird populations. We emphasized the need for mechanistic and experimental studies, with a particular focus on resource-based mechanisms, to identify more precisely the morphological responses of urban populations to changes in food composition, and the resulting implications for communities in urban ecosystems.
We design a probability distribution for ordinal data by modeling the process generating data, which is assumed to rely only on order comparisons between categories. Contrariwise, most competitors often either forget the order information or add a non-existent distance information. The data generating process is assumed, from optimality arguments, to be a stochastic binary search algorithm in a sorted table. The resulting distribution is natively governed by two meaningful parameters (position and precision) and has very appealing properties: decrease around the mode, shape tuning from uniformity to a Dirac, identifiability. Moreover, it is easily estimated by an EM algorithm since the path in the stochastic binary search algorithm can be considered as missing values. Using then the classical latent class assumption, the previous univariate ordinal model is straightforwardly extended to model-based clustering for multivariate ordinal data. Parameters of this mixture model are estimated by an AECM algorithm. Both simulated and real data sets illustrate the great potential of this model by its ability to parsimoniously identify particularly relevant clusters which were unsuspected by some traditional competitors. 相似文献
This article examines the recent rise in the sex ratio at birth in Vietnam and relates its emergence to kinship systems and ethnic composition using 2009 census micro-data. Presentation of the main socioeconomic and ethnic differentials in birth masculinity is followed by a review of the three intermediate factors leading to increases in the sex ratio at birth: prenatal technology, declining fertility, and gender bias. An indirect measurement of fertility behavior is used to demonstrate the close association between levels of the sex ratio at birth and the intensity of son preference. Data on household composition indicate that Vietnam is characterized by the co-existence of kinship patterns typical of East and Southeast Asia. Son preference in Vietnam is found to be related to the prevalence of more traditional patrilineal systems. The article concludes by considering the implications of the cultural dimensions of prenatal sex selection for policy responses and for the likely future change in the sex ratio at birth. 相似文献
ABSTRACTIn this paper, we introduce a new class of (probability) distributions, based on a cosine-sine transformation, obtained by compounding a baseline distribution with cosine and sine functions. Some of its properties are explored. A special focus is given to a particular cosine-sine transformation using the exponential distribution as baseline. Estimations of parameters of a particular cosine-sine exponential distribution are performed via the maximum likelihood estimation method. A simulation study investigates the performances of these estimates. Applications are given for four real data sets, showing a better fit in comparison to some existing distributions based on some goodness-of-fit tests. 相似文献