Negative Symptoms, Neurological Signs and Neuropsychological Impairments in 204 Hong Kong Chinese Patients with Schizophrenia

1996 ◽  
Vol 168 (2) ◽  
pp. 227-233 ◽  
Author(s):  
E. Y. H. Chen ◽  
L. C. W. Lam ◽  
R. Y. L. Chen ◽  
D. G. H. Nguyen
Keyword(s):  
Hong Kong ◽  
Negative Symptoms ◽  
Discriminant Validity ◽  
Wisconsin Card Sorting Test ◽  
Cross Cultural ◽  
Hong Kong Chinese ◽  
Chinese Patients ◽  
Neurological Signs ◽  
Neuropsychological Impairments ◽  
The Relationship

BackgroundStudies of the relationship between negative symptoms, neuropsychological impairments and neurological signs in schizophrenia have yielded inconsistent results. In addition, little attention has been directed to address the extent of cultural modulation of negative symptoms.MethodWe carried out cross-cultural validation of the High Royds Evaluation of Negativity Scale (HEN) in 50 Hong Kong Chinese patients with schizophrenia. We then investigated the relationship between negative symptoms, neurological signs and neuropsychological impairment in 204 patients.ResultsGood interrater reliability, internal reliability, convergent and discriminant validity were found with the HEN. The HEN contained four factors corresponding to ‘behaviour‘, ‘functioning‘, ‘thought’ and ‘appearance’. Negative symptoms were correlated with semantic fluency but not with Wisconsin Card Sorting Test performance or sustained attention. Negative symptoms were also correlated with tardive dyskinesia and catatonia but not with soft neurological signs.ConclusionsCross-cultural robustness of the negative symptoms construct is supported. Association of negative symptoms with a specific profile of neurocognitive impairment suggests diversity within deficit domains in schizophrenia.

scholarly journals Factorial Structure and Cross-Cultural Invariance of the Parenting Stress Index-Short Form in Hong Kong and Thailand

2021 ◽  
Vol 12 ◽  
Author(s):  
Xiaozi Gao ◽  
Kerry Lee
Keyword(s):  
Hong Kong ◽  
Parenting Stress ◽  
Discriminant Validity ◽  
Short Form ◽  
Belief Systems ◽  
Cross Cultural ◽  
Stress Index ◽  
Partial Metric ◽  
Factorial Structure ◽  
Parenting Stress Index

With increasing attention on the role of parenting stress on family functioning and children’s development, one area that has been neglected is how such relations differ across cultures. Although sometimes viewed as homogeneous, Asian countries often have markedly different belief systems. Cross-cultural studies require instruments that have been validated in different socio-cultural contexts. The widely used parenting stress index-short form (PSI-SF) has been used in several locations. However, results regarding its factorial structure have been mixed. Furthermore, there are only a few cross-cultural comparison studies. This study examined the factorial structure of an abridged version of the PSI-SF with data from Hong Kong (N = 258) and Thailand (N = 190). The results from confirmatory factor analyses indicated that, in both cultures, a three-factorial structure provides the best model fit. Furthermore, we found evidence for partial metric invariance, suggesting that the test scores can be compared directly. Tests for convergent and discriminant validity revealed that the three factors were correlated with parent general distress, authoritative, authoritarian, and permissive parenting behaviors, in both cultures. These findings suggest that the abridged PSI-SF can provide a meaningful comparison of parenting stress between Hong Kong and Thailand.

Predictors of pre-hospital delay in Hong Kong Chinese patients with acute myocardial infarction

2017 ◽  
Vol 17 (1) ◽  
pp. 75-84 ◽  
Author(s):  
Polly WC Li ◽  
Doris SF Yu
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Hong Kong ◽  
Barriers To Care ◽  
Female Gender ◽  
Perceived Barriers ◽  
Hong Kong Chinese ◽  
Chinese Patients ◽  
Care Seeking ◽  
Symptom Presentation

Background: The pre-hospital delay to seek care remains the most significant barrier for effective management of acute myocardial infarction. Many of the previous studies mainly took place in Western countries. Few data are available about the care-seeking behavior of Hong Kong Chinese. Aim: The purpose of this study was to identify the predictors of pre-hospital delay in care seeking among Hong Kong Chinese patients with acute myocardial infarction. Methods: Adult Chinese patients ( n=301) with a confirmed diagnosis of acute myocardial infarction were recruited from the cardiac units of three regional hospitals in Hong Kong. Various socio-demographic, clinical, symptom presentation characteristics and patient perceptual factors were considered as potential predictors. Multivariate analysis was conducted to identify the independent predictors with pre-hospital delay in care-seeking among acute myocardial infarction patients. Results: Perceived barriers to care seeking constituted the most significant predictor for longer pre-hospital delay in acute myocardial infarction patients. Female gender was also significant in predicting longer delay, whereas a greater extent of symptom congruence and a greater extent of typical symptom presentation were significantly associated with a shorter delay. The final model accounted for 49.6% of the variance in pre-hospital delay as a whole. Conclusion: The most prominent predictors of pre-hospital delay are modifiable in nature, including the perceived barriers to care seeking and symptom congruence. Other sociodemographic and clinical factors also influence patients’ decision. Although these are non-modifiable, our findings provide important insight for educating high-risk individuals.

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