Reliabilities of Discrepancy Scores and Supplemental Tables for the WASI–II

We analyzed data from the WASI–II manual to determine discrepancy score reliabilities of the Verbal Comprehension (VCI) and Perceptual Reasoning (PRI) indexes and the four subtests in the child and adult standardization samples. Reliabilities of the VCI–PRI discrepancy scores range from .78 to .86 for children and .82 to .89 for adults and generally are large enough to justify hypothesis generation. Discrepancy score reliabilities of the subtests range from .64 to .82 and .66 to .84 for children and adults, respectively, and therefore must be considered on a score-by-score basis in formulating hypotheses. Tables are provided to identify significant differences between pairs of subtests and to determine ipsative strengths and weaknesses when each subtest is compared to the mean of four subtests. The use of confidence intervals for the interpretation of discrepancy scores is presented. If additional discrepancy score reliabilities and cut-offs are desired, the necessary formulas are provided.

Reliabilities of WMS–IV Discrepancy Score Comparisons for Subtests, Indexes, and Selected WAIS–IV Composites

This investigation provides internal consistency reliabilities for the Wechsler Memory Scale–Fourth Edition (WMS–IV) subtest and index discrepancy scores using the standardization samples of the Adult and Older Adult batteries. Subtest reliabilities ranged from .00 to .93 for Adults and .25 to .94 for Older Adults. Three of 91 Adult coefficients and three of 24 Older Adult coefficients reached the recommended level (≥ .90). Index reliabilities ranged from .46 to .94 for 100 Adult Battery comparisons and .19 to 93 for 36 Older Adult Battery comparisons. Each battery had 10 coefficients ≥ .90. Ability–memory discrepancies were reported using WAIS–IV VCI, PRI, WMI, and GAI as intelligence standards. Ability–memory comparisons for the Adult Battery ranged from .82 to .93 with 12 of 20 comparisons ≥ .90; Older Adult Battery reliabilities ranged from .85 to .94 with six of 16 comparisons ≥ .90. In terms of discrepancy score reliabilities, the WMS–IV represents a marked improvement over the WMS–III.

Metacognition in adult ADHD: subjective and objective perspectives on self-awareness of cognitive functioning

Although attention deficit hyperactivity disorder (ADHD) in adulthood is associated with marked cognitive impairment, research on metacognition in adult ADHD is scarce. Deficits in metacognition may have a negative impact on treatment adherence, functional outcomes, and everyday life. This study explores metacognition, specifically self-awareness of cognitive performance, in adults with ADHD by combining objective and subjective assessments. Forty-seven patients with ADHD and 47 control individuals completed a neuropsychological assessment battery including tests for attention, executive functions and memory (objective assessment), as well as questionnaires for cognitive functioning and symptom severity (subjective assessment; self- and informant-report). Participants evaluated their test performance of the objective assessment after test completion by selecting a percentile rank which was subtracted from their normed test result, yielding a discrepancy score. Compared to controls, adults with ADHD showed impairments in attention (medium effects) and memory (small and medium effects), but not in executive functions. The discrepancy scores between self-evaluation and cognitive performance revealed deficits in self-awareness of attentional functions (small effects), but not in executive functions and memory in patients with ADHD compared to controls. Discrepancy scores between self- and informant-reports of cognitive functioning revealed no significant differences. Adults with ADHD show impairments in metacognition in attentional functions, but may have intact metacognitive abilities in other domains. Patients with ADHD tend to overestimate their abilities, especially in attentional functions. Subjective and objective measures of metacognition may not correspond, highlighting the need for clinicians to not solely rely on patients’ self-report in their assessment.

Faculty Versus Resident Self-Assessment Using Pathology Milestones: How Aligned Are We?

Competent physicians must be able to self-assess skill level; however, previous studies suggest that medical trainees may not accurately self-assess. We utilized Pathology Milestones (PM) data to determine whether there were discrepancies in self- versus Clinical Competency Committee (CCC) ratings by sex, program year (PGY), time of evaluation, and question category (Patient Care, Medical Knowledge, Systems-Based Practice [SBP], Practice-Based Learning and Improvement [PBL], Professionalism [PRO], and Interpersonal and Communication Skills) and Residency In-Service Examination (RISE) score. We completed retrospective analyses of PM evaluation scores from 2016 to 2019 (n = 23 residents) 2 times per year. Discrepancies in evaluation scores were calculated by subtracting CCC scores from resident self-evaluation scores. There was no significant difference in discrepancy scores between male versus female residents (P = .94). Discrepancy scores among all PGYs were significantly different (P < .0001), with PGY1 tending to overrate the most, followed by PGY2. PGY3 and PGY4 underrated themselves on average compared to CCC ratings, with PGY4 having significantly lower self-ratings than CCC compared to any other PGY. In January, residents underscored themselves and in July residents overscored themselves compared to CCC (P < .0001 for both). Question types resulted in variable discrepancy scores, with SBP significantly lower than and PRO significantly higher than all other categories (P < .05 for both). Increases in RISE score correlated to increases in self- and CCC-scoring. These discrepancies can help trainees improve self-assessment. Discrepancies indicate potential areas for amelioration, such as curriculum adjustments or Milestone’s verbiage.

PARENTAL INVOLVEMENT IN YOUTH SPORTS: PERCEIVED AND DESIRED BEHAVIOUR BY CHILDREN

<p>Little is known about parent support and perceived pressures in sport. Therefore, we assessed the perceived and desired parental involvement by children and examined their satisfaction or dissatisfaction with any specific behaviour. By Parental Involvement in Sport Questionnaire (PISQ), discrepancy scores revealed that children reported excessive Active Involvement and Pressure, insufficient Praise and Understanding but satisfactory Directive Behaviour from their parents. Findings suggest that excessive parental involvement could be a source of pressure among children that would rather have greater parental participation characterized by praise and understanding. Thus, parents should be advised on how to support their children in a positive and non-invasive way, preventing burnout and dropout.</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0656/a.php" alt="Hit counter" /></p>

The effect of viewing idealised smile images versus nature images via social media on immediate facial satisfaction in young adults: A randomised controlled trial

Introduction: The objective of this randomised controlled trial (RCT) is to investigate the effect of a social networking site (SNS) on body dissatisfaction, facial and smile dissatisfaction, and face-related discrepancy, and whether these effects differ from the use of appearance-neutral Instagram images. We also aimed to investigate whether there are trends in increased self-reported use of social media and increased body dissatisfaction, facial and smile dissatisfaction, and face-related discrepancy. Methods: Undergraduate students were randomly allocated to an experimental group with idealised smile images or to a control group with neutral nature images. They completed pre-exposure questionnaires, then perused for 5 min their allocated images on individual Apple iPads via the Instagram application. Participants then completed the post-exposure surveys. The main outcome was facial dissatisfaction. Body dissatisfaction and total facial and body dissatisfaction were secondary outcomes. Simple randomisation was achieved with a computerised random number generator. Data were analysed using repeated measures ANOVA and multivariate regression analyses. Results: A total of 132 participants (mean age = 20.50 ± 2.21 years) were randomised to either the experimental group with idealised smile images (n=71) or the control group with neutral nature images (n=61). Baseline characteristics were similar between groups and no participants were lost. Exposure to ‘ideal’ facial images on social media decreases facial satisfaction (95% confidence interval [CI] = 0.85–1.05; P < 0.0001). Individuals with high baseline self-discrepancy scores are less satisfied with their facial features and body appearance (95% CI = 0.04–1.16; P = 0.036). Conclusion: This study shows that viewing SNSs with high visual media reduces satisfaction with facial appearance in the short term in men and women. This effect is greater in those with high self-discrepancy scores. Increased media usage was not correlated with increased dissatisfaction. Wearing braces or having had braces was shown not to influence post-exposure dissatisfaction.

A Novel Mobile Tool (Somatomap) to Assess Body Image Perception Pilot Tested With Fashion Models and Nonmodels: Cross-Sectional Study

Background Distorted perception of one’s body and appearance, in general, is a core feature of several psychiatric disorders including anorexia nervosa and body dysmorphic disorder and is operative to varying degrees in nonclinical populations. Yet, body image perception is challenging to assess, given its subjective nature and variety of manifestations. The currently available methods have several limitations including restricted ability to assess perceptions of specific body areas. To address these limitations, we created Somatomap, a mobile tool that enables individuals to visually represent their perception of body-part sizes and shapes as well as areas of body concerns and record the emotional valence of concerns. Objective This study aimed to develop and pilot test the feasibility of a novel mobile tool for assessing 2D and 3D body image perception. Methods We developed a mobile 2D tool consisting of a manikin figure on which participants outline areas of body concern and indicate the nature, intensity, and emotional valence of the concern. We also developed a mobile 3D tool consisting of an avatar on which participants select individual body parts and use sliders to manipulate their size and shape. The tool was pilot tested on 103 women: 65 professional fashion models, a group disproportionately exposed to their own visual appearance, and 38 nonmodels from the general population. Acceptability was assessed via a usability rating scale. To identify areas of body concern in 2D, topographical body maps were created by combining assessments across individuals. Statistical body maps of group differences in body concern were subsequently calculated using the formula for proportional z-score. To identify areas of body concern in 3D, participants’ subjective estimates from the 3D avatar were compared to corresponding measurements of their actual body parts. Discrepancy scores were calculated based on the difference between the perceived and actual body parts and evaluated using multivariate analysis of covariance. Results Statistical body maps revealed different areas of body concern between models (more frequently about thighs and buttocks) and nonmodels (more frequently about abdomen/waist). Models were more accurate at estimating their overall body size, whereas nonmodels tended to underestimate the size of individual body parts, showing greater discrepancy scores for bust, biceps, waist, hips, and calves but not shoulders and thighs. Models and nonmodels reported high ease-of-use scores (8.4/10 and 8.5/10, respectively), and the resulting 3D avatar closely resembled their actual body (72.7% and 75.2%, respectively). Conclusions These pilot results suggest that Somatomap is feasible to use and offers new opportunities for assessment of body image perception in mobile settings. Although further testing is needed to determine the applicability of this approach to other populations, Somatomap provides unique insight into how humans perceive and represent the visual characteristics of their body.

A-67 Where the Test of Premorbid Functioning (TOPF) Goes, the Hopkins Adult Reading Test (HART) may (not) Follow

Objective To determine if significant differences exist in estimates of premorbid intellectual functioning between the Test of Premorbid Functioning (TOPF) and Hopkins Adult Reading Test (HART) in a diverse sample of U.S. Veterans. Method Retrospective analysis of data obtained for routine clinical purposes. 102 Veterans (16% female), predominantly self-identified as African American (53.9%), with an average age of 61.79 years (SD = 13.29, range = 21-90 years) and an average education level of 14.45 years (SD = 2.73, range = 9-20 years); 48% received a neurocognitive diagnosis and 72.5% a psychiatric diagnosis. TOPF and HART standard scores and demographically predicted IQ scores were compared in terms of their linear relationship, absolute agreement, absolute magnitude of change, and discrepancy scores, including the degree to which discrepancy was affected by specific demographic factors. Results Despite strong Pearson correlations, concordance correlation coefficients (CCC) showed poor strength of agreement. Root-mean-squared differences (RMSD) was 10.284 (SD = 5.903) between standard scores and 9.948 (SD = 8.183) between predicted IQ scores. Discrepancy scores indicated 41.2% (46.1% for predicted IQ) performed equally well, with 58.8% (53.9%) performing significantly better on one measure than the other. Demographic comparisons for predicted IQ found those who performed better on the HART were older and those who performed better on the TOPF had more years of education. Conclusions The TOPF and HART have a strong linear relationship but insufficient agreement when differences in mean and standard deviation are taken into consideration. Estimates are inconsistent and not interchangeable, especially among older individuals and those with more education.

The Relationship Between School Administrator and Teacher Ratings of Classroom Practices and Student Achievement in High-Poverty Schools

This study examined the relationship of school administrator and teacher self-ratings of instructional and behavioral management practices to student growth on statewide achievement tests (Partnership for Assessment of Readiness for College and Career [PARCC]). The study included 78 teachers and 1,594 students from fourth through eighth grades in nine high-poverty charter schools. Observation scores completed by school administrator and teacher self-ratings were collected on the Classroom Strategies Assessment System (CSAS), an observational assessment that reports outcomes as discrepancy scores: differences between recommended frequency and observed frequency of specific instructional and behavior management strategies for teachers. Correlations revealed negative relations between both informants’ discrepancy scores and PARCC growth scores, demonstrating that teachers with lower discrepancy scores tended to have students with greater PARCC growth scores. Hierarchical multiple regression analyses revealed school administrator and teacher CSAS total discrepancy scores were related to student performance on PARCC mathematics, but not English Language Arts (ELA), and teachers’ CSAS Total discrepancy scores explained an additional 4.8% of variance in PARCC mathematics. Implications of findings for professional development and research are offered.