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Research Design & Analysis 2: Class 16 Announcements: Faculty job interviews Ex-Post-Facto designs (continued) • Breast cancer relative risks A comparison of Prospective & Retrospective data • Review for Midterm Colloquium Series: Job Candidate Margo Watt St. Francis Xavier Learning History Origins of Anxiety Sensitivity Monday, March 13, 2000, 3:30 p.m. HSH 202 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 2 Lifetime Risks of Developing Breast Cancer (US study published in Science ‘93) 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 3 Top 10 Women’s Cancers 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 4 Incidence of Breast Cancer by Stage 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 5 Incident & Mortality Rate Trends 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 6 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 7 penny 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 8 Relative Risk Ratios for Breast Cancer * * * relative risk >4 * * relative risk of 2- 4 * relative risk of 1.1-1.9 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 9 Putting risk of Breast Cancer in Perspective One woman in 9 in whom breast cancer will develop, has a 50% chance of receiving the diagnosis after age 65 and a 60% chance of surviving that cancer and dying of other causes Risk of breast cancer in any given decade never exceeds 1 in 34 (at 30 is 1 in 250) Based on editorial in NEJM 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 10 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 11 Cyclic Moods? How many believe their moods vary with: • Days of the week? • Lunar cycle? • Menstrual cycle? How would you study this? 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 12 Raging female hormones in the courts Macleans, June 15, 1981 Treatment for PMS ordered as stabber put on probation Globe and Mail, Feb 10, 1987 Women’s violence blamed on period Toronto Star, August 25th 1978 Woman’s syndrome brings leniency Vancouver Sun, February 10th, 1987 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 13 Politics of PMS • 1929 term “premenstrual tension” Dr. Robert Frank • Since 1970’s Dr. Katherine Dalton supports progesterone therapy • estimates of prevalence 6-95% • 150 somatic and psychological symptoms associated with PMS • According to some, PMS is a social and political construct 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 14 Hormonal Changes Over Menstrual Cycle 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 15 Premenstrual Dysphoric Disorder Criteria A: At least five of the following, present during last week of luteal phase, remit within days of follicular phase onset and absent week postmenses (1) markedly depressed mood, feelings of hopelessness. or self deprecating thoughts (2) marked anxiety, tension, feelings of being "keyed up.' or "on edge" (3) marked affective lability, (e.g.. feeling suddenly sad or tearful or increased sensitivity to rejection) (4) persistent and marked anger or irritability or increased interpersonal conflicts (5) decreased interest in usual activities (e.g., work, school, friends, hobbies) 5/24/2017 from DSM IV Psyc2023 Class#16 (c) Peter McLeod 16 Premenstrual Dysphoric Disorder Criteria Continued: (6) subjective sense of difficulty in concentrating (7) lethargy, easy fatigability or marked lack of energy (8)marked change in appetite, overeating, or specific food cravings (9) hypersomnia or insomnia (10) a subjective sense of being overwhelmed or out of control (11) other physical symptoms, such as breast tenderness or swelling, headaches, joint or muscle pain, a sensation of "bloating," Weight gain from DSM IV 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 17 Premenstrual Dysphoric Disorder Criteria 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 18 Comparing Retrospective and Prospective Data Mood Fluctuations: Women versus men and menstrual versus other cycles Jessica McFarland, et. al. 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 19 McFarland et.al. Methodological problems with existing literature: • demand characteristics (expectations of participants, bias, volunteers) • Measured negative moods (truncated range) • Retrospective reports • No control groups • No assessment of “normal” range of moods 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 20 McFarland et.al. Data suggest menstrual cycle related mood effects are not an issue, yet the belief is there Why? • The methodological flaws mentioned • Women believe they have menstrual mood fluctuations when they do not. Two questions of interest: • Do women have classic cyclic mood fluctuation? • Are women’s moods more labile than men’s 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 21 McFarland et.al. Methods: Studies both prospectively and retrospectively Participants blind to purpose Recorded moods for 70n days (at least 2 cycles) 3 groups: 1) normally cycling women, 2) women on O.C.s and 3) men 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 22 Mood grid 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 23 Mood Pleasantness Women: NC Women: OC Men 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 24 Arousal Levels: women only concurrent vs. retrospective reports Concurrent reports Retrospective reports 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 25 Mood Pleasantness: women only: concurrent vs. retrospective reports Concurrent reports Retrospective reports 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 26 Mood Pleasantness Ratings by days of the Week Concurrent reports Retrospective reports 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 27 Data on Prevalence of PMS Symptoms • In surveys, most women report being more emotional premenstrually • With prospective studies, most women do not show any relationship between mood and “time of month” • Of those who report PMS symptoms, only 50% actually have these mood fluctuations • Significant positive correlation between a woman’s belief in PMS prevalence and the extent of her retrospective bias. 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 28 Midterm Review • Factorial Experiments: Advantages • Factorial designs: terminology – #levels IV1 x #levels IV2 x etc. • Interpreting data from factorial experiments and experiments with three or more levels of one (ANOVA outputs & from data) • Ex-post-facto designs: prospective and retrospective designs - advantages disadvantages • Problems & Partial solutions: 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 29 Midterm Review • DVs used in Ex-post-facto studies • Time-series designs, small-n designs – A-B studies (e.g., homicides after prize fights, JFK’s assassination etc.) – multiple baseline designs – non-equivalent control group – replication within- and between-subjects • reliability and generalizability • Assessing external and ecological validity • Volunteers 5/24/2017 Psyc2023 Class#16 (c) Peter McLeod 30