scholarly journals Common Mental Disorders among Occupational Groups: Contributions of the Latent Class Model

2016 ◽  
Vol 2016 ◽  
pp. 1-7
Author(s):  
Kionna Oliveira Bernardes Santos ◽  
Fernando Martins Carvalho ◽  
Tânia Maria de Araújo
Keyword(s):  
Mental Disorders ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Common Mental Disorders ◽  
Latent Class Model ◽  
Class Analysis ◽  
Class Iii ◽  
Occupational Groups ◽  
Informal Workers ◽  
Self Reporting Questionnaire

Background. The Self-Reporting Questionnaire (SRQ-20) is widely used for evaluating common mental disorders. However, few studies have evaluated the SRQ-20 measurements performance in occupational groups. This study aimed to describe manifestation patterns of common mental disorders symptoms among workers populations, by using latent class analysis.Methods. Data derived from 9,959 Brazilian workers, obtained from four cross-sectional studies that used similar methodology, among groups of informal workers, teachers, healthcare workers, and urban workers. Common mental disorders were measured by using SRQ-20. Latent class analysis was performed on each database separately.Results. Three classes of symptoms were confirmed in the occupational categories investigated. In all studies, class I met better criteria for suspicion of common mental disorders. Class II discriminated workers with intermediate probability of answers to the items belonging to anxiety, sadness, and energy decrease that configure common mental disorders. Class III was composed of subgroups of workers with low probability to respond positively to questions for screening common mental disorders.Conclusions. Three patterns of symptoms of common mental disorders were identified in the occupational groups investigated, ranging from distinctive features to low probabilities of occurrence. The SRQ-20 measurements showed stability in capturing nonpsychotic symptoms.

scholarly journals Mental disorders pattern in staff of a military unit in Iran: the role of metabolic syndrome on latent class membership

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abbas Abbasi-Ghahramanloo ◽  
Mohammadkarim Bahadori ◽  
Esfandiar Azad ◽  
Nooredin Dopeykar ◽  
Parisa Mahdizadeh ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Mental Disorders ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Adult Population ◽  
Class Analysis ◽  
Class Membership ◽  
Anthropometric Measures ◽  
Military Unit

Abstract Introduction Mental disorders are among the most prevalent health problems of the adult population in the world. This study aimed to identify the subgroups of staff based on mental disorders and assess the independent role of metabolic syndrome (MetS) on the membership of participants in each latent class. Methods This cross-sectional study was conducted among 694 staff of a military unit in Tehran in 2017. All staff of this military unit was invited to participate in this study. The collected data included demographic characteristics, anthropometric measures, blood pressure, biochemical parameters, and mental disorders. We performed latent class analysis using a procedure for latent class analysis (PROC LCA) in SAS to identify class membership of mental disorders using Symptom Checklist-90. Results Three latent classes were identified as healthy (92.7%), mild (4.9%), and severe (2.4%) mental disorders. Having higher age significantly decreased the odds of belonging to the mild class (adjusted OR (aOR = 0.21; 95% confidence interval (CI): 0.05–0.83) compared to the healthy class. Also, obesity decreased the odds of membership in mild class (aOR = 0.10, 95% CI: 0.01–0.92) compared to healthy class. On the other hand, being female increased the odds of being in severe class (aOR = 9.76; 95% CI: 1.35–70.65) class in comparison to healthy class. Conclusion This study revealed that 7.3% of staff fell under mild and severe classes. Considering educational workshops in the workplace about mental disorders could be effective in enhancing staff’s knowledge of these disorders. Also, treatment of comorbid mental disorders may help reduce their prevalence and comorbidity.

Delirium superimposed on dementia: defining disease states and course from longitudinal measurements of a multivariate index using latent class analysis and hidden Markov chains

2011 ◽  
Vol 23 (10) ◽  
pp. 1659-1670 ◽  
Author(s):  
Antonio Ciampi ◽  
Alina Dyachenko ◽  
Martin Cole ◽  
Jane McCusker
Keyword(s):  
Mental Disorders ◽  
Markov Chains ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Hidden Markov ◽  
The Elderly ◽  
Population Heterogeneity ◽  
Class Analysis ◽  
Hidden Markov Chains ◽  
Time Point

ABSTRACTBackground: The study of mental disorders in the elderly presents substantial challenges due to population heterogeneity, coexistence of different mental disorders, and diagnostic uncertainty. While reliable tools have been developed to collect relevant data, new approaches to study design and analysis are needed. We focus on a new analytic approach.Methods: Our framework is based on latent class analysis and hidden Markov chains. From repeated measurements of a multivariate disease index, we extract the notion of underlying state of a patient at a time point. The course of the disorder is then a sequence of transitions among states. States and transitions are not observable; however, the probability of being in a state at a time point, and the transition probabilities from one state to another over time can be estimated.Results: Data from 444 patients with and without diagnosis of delirium and dementia were available from a previous study. The Delirium Index was measured at diagnosis, and at 2 and 6 months from diagnosis. Four latent classes were identified: fairly healthy, moderately ill, clearly sick, and very sick. Dementia and delirium could not be separated on the basis of these data alone. Indeed, as the probability of delirium increased, so did the probability of decline of mental functions. Eight most probable courses were identified, including good and poor stable courses, and courses exhibiting various patterns of improvement.Conclusion: Latent class analysis and hidden Markov chains offer a promising tool for studying mental disorders in the elderly. Its use may show its full potential as new data become available.

Politieke voorkeur en antwoordgedrag van respondenten in politieke opiniepeilingen

Res Publica ◽  
1994 ◽  
Vol 36 (2) ◽  
pp. 143-152
Author(s):  
Geert Loosveldt
Keyword(s):  
Latent Class Analysis ◽  
Latent Class ◽  
Latent Class Model ◽  
Response Category ◽  
The Political ◽  
Class Analysis ◽  
Background Characteristics ◽  
Class Model ◽  
Political Preference

In this article a typology of respondent's ability to participate in a survey interview is created by means of a latent class analysis. The indicators in the analysis are: the interviewer's evaluation of the respondent's ability, the use of the "don't know" response category and inconsistent answers. It was possible to fit a latent class model with three classes or types of respondents. The three types are clearly differentiated concerning ability. As expected, this typology is related to respondent's education and age. Ability to participate is higher for better educated and younger respondents. Given the fact that political preference is also related to these two background characteristics, there is a relationship between the respondent's typology and the political preference of the respondents.

scholarly journals Using Latent Class Analysis to Identify Different Risk Patterns for Patients With Masked Hypertension

2021 ◽  
Vol 8 ◽  
Author(s):  
Ming Fu ◽  
Xiangming Hu ◽  
Shixin Yi ◽  
Shuo Sun ◽  
Ying Zhang ◽  
...  
Keyword(s):  
High Risk ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Latent Class Model ◽  
Fasting Blood Glucose ◽  
Low Risk ◽  
Biological Information ◽  
Masked Hypertension ◽  
Class Analysis ◽  
The Impact

Background: There is controversy whether masked hypertension (MHT) requires additional intervention. The aim of this study is to evaluate whether MHT accompanied with high-risk metabolic syndrome (MetS), as the subphenotype, will have a different prognosis from low-risk MetS.Methods: We applied latent class analysis to identify subphenotypes of MHT, using the clinical and biological information collected from High-risk Cardiovascular Factor Screening and Chronic Disease Management Programme. We modeled the data, examined the relationship between subphenotypes and clinical outcomes, and further explored the impact of antihypertensive medication.Results: We included a total of 140 patients with MHT for analysis. The latent class model showed that the two-class (high/low-risk MetS) model was most suitable for MHT classification. The high-risk MetS subphenotype was characterized by larger waist circumference, lower HDL-C, higher fasting blood glucose and triglycerides, and prevalence of diabetes. After four years of follow-up, participants in subphenotype 1 had a higher non-major adverse cardiovascular event (MACE) survival probability than those in subphenotype 2 (P = 0.016). There was no interaction between different subphenotypes and the use of antihypertensive medications affecting the occurrence of MACE.Conclusions: We have identified two subphenotypes in MHT that have different metabolic characteristics and prognosis, which could give a clue to the importance of tracing the clinical correlation between MHT and metabolic risk factors. For patients with MHT and high-risk MetS, antihypertensive therapy may be insufficient.

scholarly journals Applying latent class analysis in the identification of occupational accident patterns

2020 ◽  
Vol 2020 (146) ◽  
pp. 339-355
Author(s):  
Marzena NOWAKOWSKA ◽  
◽  
Michał PAJĘCKI ◽  
Keyword(s):  
Latent Class Analysis ◽  
Latent Class ◽  
Latent Class Model ◽  
Severe Accident ◽  
Occupational Accidents ◽  
Occupational Accident ◽  
Class Analysis ◽  
Data Set ◽  
Pilot Studies ◽  
Individual Record

Purpose: The objective of the study is to use selected data mining techniques to discover patterns of certain recurring mechanisms related to the occurrence of occupational accidents in relation to production processes. Design/methodology/approach: The latent class analysis (LCA) method was employed in the investigation. This statistical modeling technique enables discovering mutually exclusive homogenous classes of objects in a multivariate data set on the basis of observable qualitative variables, defining the class homogeneity in terms of probabilities. Due to a bilateral agreement, Statistics Poland provided individual record-level real data for the research. Then the data were preprocessed to enable the LCA model identification. Pilot studies were conducted in relation to occupational accidents registered in production plants in 2008-2017 in the Wielkopolskie voivodeship. Findings: Three severe accident patterns and two light accident patterns represented by latent classes were obtained. The classes were subjected to descriptive characteristics and labeling, using interpretable results presented in the form of probabilities classifying categories of observable variables, symptomatic for a given latent class. Research limitations/implications: The results from the pilot studies indicate the necessity to continue the research based on a larger data set along with the analysis development, particularly as regards selecting indicators for the latent class model characterization. Practical implications: The identification of occupational accident patterns related to the production process can play a vital role in the elaboration of efficient safety countermeasures that can help to improve the prevention and outcome mitigation of such accidents among workers. Social implications: Creating a safe work environment comprises the quality of life of workers, their families, thus affirming the enterprises' principles and values in the area of corporate social responsibility. Originality/value: The investigation showed that latent class analysis is a promising tool supporting the scientific research in discovering the patterns of occupational accidents. The proposed investigation approach indicates the importance for the research both in terms of the availability of non-aggregated occupational accident data as well as the type of value aggregation of the variables taken for the analysis.

scholarly journals Estimating the Concomitant-Variable Latent-Class Model With the EM Algorithm

1996 ◽  
Vol 21 (3) ◽  
pp. 215-229 ◽  
Author(s):  
Peter G. M. van der Heijden ◽  
Jos Dessens ◽  
UIf Bockenholt
Keyword(s):  
Latent Class Analysis ◽  
Latent Variable ◽  
Latent Class ◽  
Latent Class Model ◽  
Estimation Procedure ◽  
Class Analysis ◽  
Class Model ◽  
Explanatory Variables ◽  
Concomitant Variable ◽  
The Em Algorithm

Latent class analysis assumes the existence of a categorical latent variable that explains the relations between a set of categorical manifest variables. Simultaneous latent class analysis deals with sets of multiway contingency tables simultaneously. In this way an explanatory categorical grouping variable is related to latent class results. In this article we discuss a tool called the concomitant-variable latent-class model, which generalizes this work to continuous explanatory variables. An EM estimation procedure to estimate the model is worked out in detail, and the model is applied to an example on juvenile delinquency.

scholarly journals Internal consistency of the self-reporting questionnaire-20 in occupational groups

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Kionna Oliveira Bernardes Santos ◽  
Fernando Martins Carvalho ◽  
Tânia Maria de Araújo
Keyword(s):  
Mental Disorders ◽  
Internal Consistency ◽  
Common Mental Disorders ◽  
The Self ◽  
Alternative Methods ◽  
Cronbach’S Alpha ◽  
Occupational Groups ◽  
Cronbach's Alpha ◽  
Homogeneity Assessment ◽  
Self Reporting Questionnaire

ABSTRACT OBJECTIVE To assess the internal consistency of the measurements of the Self-Reporting Questionnaire (SRQ-20) in different occupational groups. METHODS A validation study was conducted with data from four surveys with groups of workers, using similar methods. A total of 9,959 workers were studied. In all surveys, the common mental disorders were assessed via SRQ-20. The internal consistency considered the items belonging to dimensions extracted by tetrachoric factor analysis for each study. Item homogeneity assessment compared estimates of Cronbach’s alpha (KD-20), the alpha applied to a tetrachoric correlation matrix and stratified Cronbach’s alpha. RESULTS The SRQ-20 dimensions showed adequate values, considering the reference parameters. The internal consistency of the instrument items, assessed by stratified Cronbach’s alpha, was high (> 0.80) in the four studies. CONCLUSIONS The SRQ-20 showed good internal consistency in the professional categories evaluated. However, there is still a need for studies using alternative methods and additional information able to refine the accuracy of latent variable measurement instruments, as in the case of common mental disorders.

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