Social Determinants of Health: Associations Between Dichotomous Versus Dimensional Scores, Neuropsychological Test Performance, and Psychiatric Symptoms.

Autor: Shields AN; University of Illinois College of Medicine, Chicago, USA.; Northwestern University, Evanston, IL, USA., Chang F; University of Illinois College of Medicine, Chicago, USA.; University of Illinois Chicago, USA., DeBoer AB; University of Illinois College of Medicine, Chicago, USA.; Wheaton College, IL, USA., Ka Yin Tse P; University of Illinois College of Medicine, Chicago, USA.; Chicago School of Professional Psychology, IL, USA., Wisinger AM; University of Illinois College of Medicine, Chicago, USA.; Chicago School of Professional Psychology, IL, USA., Basurto KS; University of Illinois College of Medicine, Chicago, USA., Bing-Canar H; University of Illinois College of Medicine, Chicago, USA.; University of Illinois Chicago, USA., Khan H; University of Illinois College of Medicine, Chicago, USA.; Illinois Institute of Technology, Chicago, USA., Lapitan-Moore F; University of Illinois College of Medicine, Chicago, USA.; Roosevelt University, Chicago, IL, USA., Stocks JK; University of Illinois College of Medicine, Chicago, USA.; Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Pliskin NH; University of Illinois College of Medicine, Chicago, USA., Song W; University of Illinois College of Medicine, Chicago, USA., Soble JR; University of Illinois College of Medicine, Chicago, USA., Resch ZJ; University of Illinois College of Medicine, Chicago, USA.
Jazyk: angličtina
Zdroj: Assessment [Assessment] 2024 Mar; Vol. 31 (2), pp. 263-276. Date of Electronic Publication: 2023 Mar 10.
DOI: 10.1177/10731911231157629
Abstrakt: This study examined the utility of dichotomous versus dimensional scores across two measures of social determinants of health (SDOH) regarding their associations with cognitive performance and psychiatric symptoms in a mixed clinical sample of 215 adults referred for neuropsychological evaluation ( M age = 43.91, 53.5% male, 44.2% non-Hispanic White). Both dimensional and dichotomous health literacy scores accounted for substantial variance in all cognitive outcomes assessed, whereas dimensional and dichotomous adverse childhood experience scores were significantly associated with psychiatric symptoms. Tests of differences between correlated correlations indicated that correlations with cognitive and psychiatric outcomes were not significantly different across dimensional versus dichotomous scores, suggesting that these operationalizations of SDOH roughly equivalently characterize risk of poorer cognitive performance and increased psychiatric symptoms. Results highlight the necessity of measuring multiple SDOH, as different SDOH appear to be differentially associated with cognitive performance versus psychiatric symptoms. Furthermore, results suggest that clinicians can use cut-scores when characterizing patients' risk of poor cognitive or psychiatric outcomes based on SDOH.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE
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