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Trajectories of treatment response in late-life depression: psychosocial and clinical correlates.

The authors examined the effect of psychosocial and clinical variables on treatment response trajectory in elderly patients with major depressive disorder. Three studies provided data on treatment response in 360 elderly depressed subjects who participated in protocols using either nortriptyline or paroxetine as monotherapy or, in 2 studies, combined with interpersonal psychotherapy. Treatment response was assessed with the Hamilton Rating Scale for Depression-17 Item (HRSD-17) score over 12 weeks of acute treatment in each study. The mixture-modeling method of trajectory analysis was used to identify different subpopulations of response, and to determine whether baseline HRSD-17 score, depressive illness course (single or recurrent), current episode duration, Interpersonal Self Evaluation List-Self-esteem factor, age at study entry, and medical burden were risk factor covariates associated with response trajectory. As a contrast, logistic regression was used to assess the association between the same covariates and the probability of response (defined as HRSD-17 < or =10 and 50% reduction from baseline). In each study, there were 2 response trajectories with similar course, but with different speed. We classified the trajectories as "rapid response" and "slower response." Baseline HRSD-17 score was a significant predictor of response trajectory, with higher initial score related to slower response trajectory. Higher self-esteem was associated with more rapid response trajectory. In the logistic regression analysis, in two of the studies, higher baseline HRSD-17 score was a significant risk factor for nonresponse. In the study without psychotherapy, higher self-esteem was associated with responding to treatment. Thus, trajectory analysis can identify different trajectories of responders and determine psychosocial and clinical variables associated with response trajectory in the acute treatment of geriatric depression. Further study focusing on risk factors associated with slower response may help optimize treatment in elderly patients who do not respond quickly to first-line therapies.

Age Factors↗

Quantitative examinations of internal representations for arm trajectory planning: minimum commanded torque change model.

Quantitative examinations of internal representations for arm trajectory planning: minimum commanded torque change model. A number of invariant features of multijoint planar reaching movements have been observed in measured hand trajectories. These features include roughly straight hand paths and bell-shaped speed profiles where the trajectory curvatures between transverse and radial movements have been found to be different. For quantitative and statistical investigations, we obtained a large amount of trajectory data within a wide range of the workspace in the horizontal and sagittal planes (400 trajectories for each subject). A pair of movements within the horizontal and sagittal planes was set to be equivalent in the elbow and shoulder flexion/extension. The trajectory curvatures of the corresponding pair in these planes were almost the same. Moreover, these curvatures can be accurately reproduced with a linear regression from the summation of rotations in the elbow and shoulder joints. This means that trajectory curvatures systematically depend on the movement location and direction represented in the intrinsic body coordinates. We then examined the following four candidates as planning spaces and the four corresponding computational models for trajectory planning. The candidates were as follows: the minimum hand jerk model in an extrinsic-kinematic space, the minimum angle jerk model in an intrinsic-kinematic space, the minimum torque change model in an intrinsic-dynamic-mechanical space, and the minimum commanded torque change model in an intrinsic-dynamic-neural space. The minimum commanded torque change model, which is proposed here as a computable version of the minimum motor command change model, reproduced actual trajectories best for curvature, position, velocity, acceleration, and torque. The model's prediction that the longer the duration of the movement the larger the trajectory curvature was also confirmed. Movements passing through via-points in the horizontal plane were also measured, and they converged to those predicted by the minimum commanded torque change model with training. Our results indicated that the brain may plan, and learn to plan, the optimal trajectory in the intrinsic coordinates considering arm and muscle dynamics and using representations for motor commands controlling muscle tensions.

Adult↗

Trajectory formation based on physiological characteristics of skeletal muscles.

Human arm trajectories in natural unrestricted reaching movements were studied. They have particular properties such that a hand path is a rather simple straight or curved line, and a tangential velocity profile of hand is bell-shaped. Also these properties are invariant, independent of movement duration and hand-held load. In this study, trajectory formation is investigated on the basis of physiological characteristics of skeletal muscles, and a criterion prescribed by a derivative of isometric muscle torque is proposed. Subsequently, optimal trajectories are formulated under various conditions of movement to account for a planning strategy of human arm trajectories. In addition to such a theoretical approach, human arm trajectories are experimentally observed by a measuring system which provides a visual sensor and a target tracking device, enabling totally unrestricted movements. Then, optimal trajectories are quantitatively evaluated in comparison with experimental data in which essential properties of human arm trajectories are demonstrated. These results support the idea that human arm trajectories are planned in order to minimize the proposed criterion which is determined from physiological aspects. Finally, the physiological advantages of human arm trajectories are discussed with regard to the analysis of observed and optimal trajectories.

Arm↗

Discrimination between myocardial infarct and ventricular tachycardia patients using magnetocardiographic trajectory plots and iso-integral maps.

Magnetocardiograms were recorded from 30 normal (N) subjects, 15 myocardial infarct (MI) patients, and 15 ventricular tachycardia (VT) patients. Discrimination between the groups was affected by iso-integral magnetic field mapping (MFM) and trajectory plotting of MFM extrema. Iso-integral MFM for the QRST, QRS, and ST-T intervals was created for each test group member. A polarity score, based on the number of extrema features present, was assigned to each iso-integral MFM. Differences in group mean integral of QRST map polarity scores were significant (p less than 0.05) between MI and N, between VT and N (p less than 0.005), and between MI and VT (p less than 0.05) subjects. integral of ST-T map polarity scores were significantly (p less than 0.0001) different between VT and N and between MI and VT (p less than 0.001) subjects. Discrimination between MI and VT patients, based on polarity score difference, was 56% accurate using integral of QRS maps and 73% accurate using integral of ST-T maps. For each subject, time-normalized MFM was used to construct trajectory plots of the maxima and minima in the QRS and ST-T intervals. Discrimination between MI and VT patients was based upon intergroup differences in fragmented trajectory plots. When the number of discrete trajectories and/or the total number (F) of trajectory points at which discrete trajectories coexist were considered, QRSmin trajectory plots were significantly (p less than 0.05) different for VT and N, but not for MI and N subjects. The significant (p less than 0.05) difference between MI and VT trajectory plots enabled 76% accuracy for MI and VT identification. ST-Tmax trajectory plots show significantly (p less than 0.0001) higher F values for VT patients facilitating accurate (87%) discrimination between MI and VT patients. These results suggest that the abnormalities of repolarization processes, displayed by MFM as multipolar integral of ST-T maps and/or as fragmented trajectory plots of ST-T extrema, may be useful indicators of the arrhythmia substrate/processes that characterize VT and vulnerable MI patients.

Diagnosis, Differential↗

Virtual trajectories, joint stiffness, and changes in the limb natural frequency during single-joint oscillatory movements.

In the framework of the equilibrium-point hypothesis, virtual trajectories and patterns of joint stiffness were reconstructed during voluntary single-joint oscillatory movements in the elbow joint at a variety of frequencies and against two inertial loads. At low frequencies, virtual trajectories were in-phase with the actual joint trajectories. Joint stiffness changed at a doubled frequency. An increase in movement frequency and/or inertial load led to an increase in the difference between the peaks of the actual and virtual trajectories and in both peak and averaged values of joint stiffness. At a certain, critical frequency, virtual trajectory was nearly flat. Further increase in movement frequency led to a 180 degree phase shift between the actual and virtual trajectories. The assessed values of the natural frequency of the system "limb + manipulandum" were close to the critical frequencies for both low and high inertial loads. Peak levels and integrals of the electromyograms of two flexor and two extensor muscles changed monotonically with movement frequency without any special behavior at the critical frequencies. Nearly flat virtual trajectories at the natural frequency make physical sense as hypothetical control signals, unlike the electromyographic recordings, since a system at its natural frequency requires minimal central interference. Modulation of joint stiffness is assumed to be an important adaptive mechanism attenuating difference between the system's natural frequency and desired movement frequency. Virtual trajectory is considered a behavioral observable. Phase transitions between the virtual and actual trajectories are illustrations of behavioral discontinuities introduced by slow changes in a higher level control parameter, movement frequency. Relative phase shift between these two trajectories may be considered an order parameter.

Adult↗

A via-point time optimization algorithm for complex sequential trajectory formation.

In our previous research, we proposed a method for the reproduction of complex movement trajectories and robot arm control that could mimic fast, skilled human movements. That method is based on bi-directional theory and uses a representation of a set of via-points as boundary conditions or control variables to perform robot arm trajectory control. The via-points are extracted from human movement data and the resultant via-point representation is able to regenerate handwritten characters, control a Kendama toy, and perform a tennis serve. The via-point information contains both spatial and temporal information, that is, the position on the trajectory and the time of passing through the via-point position, respectively. Trajectory generation is performed using the trajectory formation model based on the optimal criterion, namely, the smoothness criterion, for which the boundary conditions are both the position and the timing of the via-point information. However, generating a smooth trajectory at different movement speeds is quite difficult if the time of passing through the via-point position is unknown or different from the extracted via-point time. In this paper, we therefore propose a new algorithm which can determine temporal via-point information. Our proposed algorithm can generate roughly the same trajectory as the measured human trajectory from only the spatial information of via-point locations. The optimality and the convergence of the new algorithm are investigated theoretically, and the trajectory generated by the algorithm is shown in numerical experiments. It is shown that starting from arbitrary temporal information the proposed algorithm can produce an appropriate trajectory.

Algorithms↗

Trajectories of drinking from 18 to 26 years: identification and prediction.

OBJECTIVE: To identify developmental trajectories of drinking between the ages of 18 and 26 years and to identify variables, amenable to policy influence, which predict these trajectories. DESIGN: Longitudinal data were analysed using latent class mixture modelling. SETTING: Participants were interviewed in a central location. PARTICIPANTS: Provincial city birth cohort, cross-national studies suggest findings are generalizable to other similar market economies. MEASUREMENTS: The frequency of drinking over the past year and the typical quantity consumed per drinking occasion were computed from five location-specific questions. Measures used to predict membership of trajectory groups were ease of access to alcohol, drinking on licensed premises, response to alcohol advertising, educational achievement, parental consumption, age of onset of regular drinking and living arrangements. RESULTS: Three trajectories of quantities consumed showed reduced consumption after age 21 but one trajectory showed marked increases. Three trajectories of frequency of drinking increased or remained stable over time. Access to licensed premises at age 18 had the most significant impact on membership of the trajectory groups and educational achievement had a significant impact on membership of the heavier quantity trajectory groups. Parental alcohol consumption, access to alcohol at 15 years, liking for alcohol advertising, living arrangement and age of onset of regular drinking also influenced trajectory membership. CONCLUSIONS: Quantity and frequency of drinking in adolescence and early adulthood had different trajectories. Membership of heavier drinking groups was affected by environmental influences which are subject to policy change, particularly that of earlier access to licensed premises. In a small group high-quantity consumption did not decrease at age 26.

Adolescent↗

Predicting girls' conduct disorder in adolescence from childhood trajectories of disruptive behaviors.

OBJECTIVE: To examine girls' developmental trajectories of disruptive behaviors during the elementary school years and to predict conduct disorder symptoms and diagnosis in adolescence with trajectories of these behaviors. METHOD: The sample was 820 girls from the province of Quebec followed over 10 years (1986-1996). A semiparametric mixture model was used to describe girls' developmental trajectories of teacher-rated disruptive behaviors between the ages of 6 and 12 years. The trajectories were used to predict conduct disorder symptoms and diagnosis when the girls were on average 15.7 years. RESULTS: Four groups of girls following trajectories with distinct levels of disruptive behaviors were identified: a low, medium, medium-high, and high trajectory. Prediction with the trajectories indicated that girls on the medium, medium-high, and high trajectories reported a significantly higher number of conduct disorder symptoms in adolescence. However, only the girls on the medium-high and high trajectories were at significantly higher risk to meet DSM-III-R criteria for conduct disorder, compared with girls in the low group (odds ratio: 4.46). More than two thirds of the girls with conduct disorder were in the medium or higher-level trajectories. CONCLUSION: The results suggest that there is an early-onset type of conduct disorder in girls.

Adolescent↗

Peroperative determination of safe superior transarticular screw trajectory through the lateral mass.

STUDY DESIGN: Computerized anatomic reconstruction of the dry axis vertebra was performed to determine radiologic guidelines for safe superior transarticular screw trajectory. OBJECTIVES: To reconstruct the transarticular screw trajectory, using computer-aided design techniques, and develop a technique that provides real-time intraoperative guidance during screw placement. SUMMARY OF BACKGROUND DATA: A recent osteometric study of 50 dry specimens of the axis noted significant vertebral artery groove anomalies in 22% of specimens. There are presently no anatomic or radiologic guidelines to help surgeons avoid an enlarged vertebral groove, despite the fact that a safe screw trajectory through the lateral mass is primarily dependent on the its depth and the internal height of the lateral mass. METHODS: Using computer-aided design techniques, we re-analyzed the vertebral grooves of 50 dry specimens and mapped minimum and corrected safe superior trajectories for any given depth of this groove. This knowledge was extrapolated to spiral computed tomographic scan data, which was used to develop the clinical method for safe superior trajectory. Real-time fluoroscopy was used to apply the method intraoperatively. RESULTS: Internal height less than 2.1 mm or values less than 0.85 for the ratio of the mean internal height over the mean vertebral groove depth would result in unacceptable risk to vertebral artery injury and improper screw purchase. With every 0.5-mm increase in groove depth, the angle of trajectory increases by 1 degree at a pedicle length of 30 mm. There is an inverse linear relation between the superior angle of trajectory and the pedicle length (2 degrees = 5 +/- 0.5 mm). Screw diameter-dependent trajectory correction is required (3.5 mm = 7 degrees). CONCLUSIONS: Before atlantoaxial transarticular surgery, vertebral groove depth should be evaluated and a safe screw trajectory angle should be plotted to determine anatomic suitability. This trajectory angle can be used with intraoperative real-time fluoroscopy to guide the surgeon during screw insertion.

Atlanto-Axial Joint↗

Fast three-dimensional k-space trajectory design using missile guidance ideas.

Three-dimensional (3D) k-space trajectories are needed to acquire volumetric images in MRI. While scan time is determined by the trajectory efficiency, image quality and distortions depend on the shape of the trajectories. There are several 3D trajectory strategies for sampling the k-space using rectilinear or curve schemes. Since there is no evidence about their optimality in terms of image quality and acquisition time, a new design method based on missile guidance ideas is explored. Since air-to-air missile guidance shares similar goals and constraints with the problem of k-space trajectory design, a control approach for missiles is used to design a 3D trajectory. The k-space is divided into small cubes, and each one is treated as a target to be sampled. The main goal is to cover the entire space as quickly and efficiently as possible, with good performance under different conditions. This novel design method is compared to other trajectories using simulated and real data. As an example, a trajectory that requires 0.11 times the number of shots needed by the cylindrical 3DFT acquisition was designed. This trajectory requires more shots (1.66 times) than the stack of spirals, but behaves better under nonideal conditions, such as off-resonance and motion.

Algorithms↗

Formation and control of optimal trajectory in human multijoint arm movement. Minimum torque-change model.

In this paper, we study trajectory planning and control in voluntary, human arm movements. When a hand is moved to a target, the central nervous system must select one specific trajectory among an infinite number of possible trajectories that lead to the target position. First, we discuss what criterion is adopted for trajectory determination. Several researchers measured the hand trajectories of skilled movements and found common invariant features. For example, when moving the hand between a pair of targets, subjects tended to generate roughly straight hand paths with bell-shaped speed profiles. On the basis of these observations and dynamic optimization theory, we propose a mathematical model which accounts for formation of hand trajectories. This model is formulated by defining an objective function, a measure of performance for any possible movement: square of the rate of change of torque integrated over the entire movement. That is, the objective function CT is defined as follows: (formula; see text) We overcome this difficult by developing an iterative scheme, with which the optimal trajectory and the associated motor command are simultaneously computed. To evaluate our model, human hand trajectories were experimentally measured under various behavioral situations. These results supported the idea that the human hand trajectory is planned and controlled in accordance with the minimum torque-change criterion.

Arm↗

Trajectory formation and handwriting: a computational model.

This paper proposes a computational model for different aspects of trajectory formation, from point-to-point movements to handwriting. The proposed model is based on a mechanism of composition of basic curve elements (strokes) which separates the spatial and the temporal aspects of trajectory formation. At the same time, the model suggests a method for storing and describing arm movements, as a list of stroke descriptors. Experimental trajectories were digitized and analyzed with regard to several types of movements: i) point-to-point trajectories, ii) closed trajectories, iii) trajectories with inflection points, iv) spiral-like trajectories, v) handwritten trajectories. Velocity and curvature profiles were computed for the trajectories and the model was fitted to the data. The implications of the model and its "credibility" in the general context of motor control are discussed.

Arm↗

Three dimensional k-space trajectory design using genetic algorithms.

Image quality and total scan time in MRI are determined in large part by the trajectory employed to sample the Fourier space. Each trajectory has different properties like coverage of k-space, scan time, sensitivity to off-resonance conditions, etc. These properties are often contradictory, therefore a universal optimal trajectory does not exist and ultimately, it will depend on the image characteristics sought. Most trajectories used today are designed based on intuition and k-space analysis more than with optimization methods. This work presents a 3D k-space trajectory design method based on Genetic Algorithm optimization. Genetic Algorithms have been chosen because they are particularly good for searching large solution spaces. They emulate the natural evolutionary process allowing better offsprings to survive. The objective function searches the maximum of the trajectory's k-space coverage subject to hardware constraints for a fixed scanning time using the trajectory's torsion as its optimization variable. The method proved to be effective for generating k-space trajectories. They are compared with well-established trajectories. The results of simulated experiments show that they can be appropriate for image acquisition under certain special conditions, like off-resonance and undersampling. This design method can be extended to include other objective functions for different behaviors.

Algorithms↗

A three-dimensional weighted cone beam filtered backprojection (CB-FBP) algorithm for image reconstruction in volumetric CT under a circular source trajectory.

The original FDK algorithm proposed for cone beam (CB) image reconstruction under a circular source trajectory has been extensively employed in medical and industrial imaging applications. With increasing cone angle, CB artefacts in images reconstructed by the original FDK algorithm deteriorate, since the circular trajectory does not satisfy the so-called data sufficiency condition (DSC). A few 'circular plus' trajectories have been proposed in the past to help the original FDK algorithm to reduce CB artefacts by meeting the DSC. However, the circular trajectory has distinct advantages over other scanning trajectories in practical CT imaging, such as head imaging, breast imaging, cardiac, vascular and perfusion applications. In addition to looking into the DSC, another insight into the CB artefacts existing in the original FDK algorithm is the inconsistency between conjugate rays that are 180 degrees apart in view angle (namely conjugate ray inconsistency). The conjugate ray inconsistency is pixel dependent, varying dramatically over pixels within the image plane to be reconstructed. However, the original FDK algorithm treats all conjugate rays equally, resulting in CB artefacts that can be avoided if appropriate weighting strategies are exercised. Along with an experimental evaluation and verification, a three-dimensional (3D) weighted axial cone beam filtered backprojection (CB-FBP) algorithm is proposed in this paper for image reconstruction in volumetric CT under a circular source trajectory. Without extra trajectories supplemental to the circular trajectory, the proposed algorithm applies 3D weighting on projection data before 3D backprojection to reduce conjugate ray inconsistency by suppressing the contribution from one of the conjugate rays with a larger cone angle. Furthermore, the 3D weighting is dependent on the distance between the reconstruction plane and the central plane determined by the circular trajectory. The proposed 3D weighted axial CB-FBP algorithm can be implemented in either the native CB geometry or the so-called cone-parallel geometry. By taking the cone-parallel geometry as an example, the experimental evaluation shows that, up to a moderate cone angle corresponding to a detector dimension of 64 x 0.625 mm, the CB artefacts can be substantially suppressed by the proposed algorithm, while advantages of the original FDK algorithm, such as the filtered backprojection algorithm structure, 1D ramp filtering and data manipulation efficiency, are maintained.

Algorithms↗

Post-spike distance-to-threshold trajectories of neurones in monkey motor cortex.

A recently developed method permits calculation of the post-spike distance-to-threshold trajectory from an extracellularly recorded spontaneous spike train, using a transform of the interspike interval histogram. We applied this method to 61 single neurones recorded from the primary motor cortex of an awake behaving monkey; 39 cells were antidromically identified as pyramidal tract neurones (PTNs). The cells fell into three categories. Fifty-three trajectories (37 from PTNs) had statistically significant peaks 10-60 ms after the preceding spike. Six neurones (2 PTNs) had non-peaked trajectories which rose exponentially towards threshold. Two cells (both unidentified) had trajectories which declined monotonically away from threshold with increasing post-spike latency. The peaked trajectories were unlikely simply to be an artefact of changing firing rate, which potentially can invalidate this method. Firstly, computer simulations confirmed that the method could accurately re-create both exponential and peaked trajectories, even in the presence of the same rate modulation as seen experimentally. Secondly, the responses of eight cells to weak single pulse intracortical microstimulation (20 microA) through a nearby electrode were measured. For each cell, including representatives of all three trajectory shapes, the modulation of response probability with post-spike latency was consistent with the trajectory computed from the spontaneous discharge. We also demonstrated that cells showed a peaked trajectory during periods with either high or low spontaneous network oscillations, so that the peaks were likely to be generated in part by single cell properties rather than exclusively by network activity. We conclude that many single neurones in motor cortex have an increased probability of firing a spike around 30 ms after the previous action potential. This could act to enhance synchronized oscillatory discharge among populations of cells at functionally relevant frequencies.

Action Potentials↗

Rapid adaptation to Coriolis force perturbations of arm trajectory.

1. Forward reaching movements made during body rotation generate tangential Coriolis forces that are proportional to the cross product of the angular velocity of rotation and the linear velocity of the arm. Coriolis forces are inertial forces that do not involve mechanical contact. Virtually no constant centrifugal forces will be present in the background when motion of the arm generates transient Coriolis forces if the radius of body rotation is small. 2. We measured the trajectories of arm movements made in darkness to a visual target that was extinguished as movement began. The reaching movements were made prerotation, during rotation at 10 rpm in a fully enclosed rotating room, and postrotation. During testing the subject was seated at the center of the room and pointed radially. Neither visual nor tactile feedback about movement accuracy was present. 3. In experiment 1, subjects reached at a fast or slow rate and their hands made contact with a horizontal surface at the end of the reach. Their initial perrotary movements were highly significantly deviated relative to prerotation in both trajectories and end-points in the direction of the transient Coriolis forces that had been generated during the reaches. Despite the absence of visual and tactile feedback about reaching accuracy, all subjects rapidly regained straight movement trajectories and accurate endpoints. Postrotation, transient errors of opposite sign were present for both trajectories and endpoints. 4. In a second experiment the conditions were identical except that subjects pointed just above the location of the extinguished target so that no surface contact was involved. All subjects showed significant initial perrotation deviations of trajectories and endpoints in the direction of the transient Coriolis forces. With repeated reaches the trajectories, as viewed from above, again became straight, but there was only partial restoration of endpoint accuracy, so that subjects reached in a straight line to the wrong place. Aftereffects of opposite sign were transiently present in the postrotary movements. 5. These observations fail to support current equilibrium point models, both alpha and lambda, of movement control. Such theories would not predict endpoint errors under our experimental conditions, in which the Coriolis force is absent at the beginning and end of a movement. Our results indicate that detailed aspects of movement trajectory are being continuously monitored on the basis of proprioceptive feedback in relation to motor commands. Adaptive compensations can be initiated after one perturbation despite the absence of either visual or tactile feedback about movement trajectory and endpoint error. Moreover, movement trajectory and end-point can be remapped independently.(ABSTRACT TRUNCATED AT 400 WORDS)

Acceleration↗

Severe loss of positional information when detecting deviations in multiple trajectories.

Human observers can simultaneously track up to five targets in motion (Z. W. Pylyshyn & R. W. Storm, 1988). We examined the precision for detecting deviations in linear trajectories by measuring deviation thresholds as a function of the number of trajectories (T ). When all trajectories in the stimulus undergo the same deviation, thresholds are uninfluenced by T for T <or= 10. When only one of the trajectories undergoes a deviation, thresholds rise steeply as T is increased [e.g., 3.3 degrees (T = 1), 12.3 degrees (T = 2), 32.9 degrees (T = 4) for one observer]; observers are unable to simultaneously process more than one trajectory in our threshold-measuring paradigm. When the deviating trajectory is cued (e.g., using a different color), varying T has little influence on deviation threshold. The use of a different color for each trajectory does not facilitate deviation detection. Our current data suggest that for deviations that have low discriminability (i.e., close to threshold) the number of trajectories that can be monitored effectively is close to one. In contrast, when the stimuli containing highly discriminable (i.e., substantially suprathreshold) deviations are used, as many as three or four trajectories can be simultaneously monitored (S. P. Tripathy, 2003). Our results highlight a severe loss of positional information when attempting to track multiple objects, particularly in a threshold paradigm.

Attention↗

Developmental trajectories of physical aggression from school entry to late adolescence.

The developmental perspective applied to psychopathology has led to the concept of early- and late-onset disorders. This study explores the application of the early- and late-onset concepts of antisocial behavior to physical aggression. Are there two categories of chronically physically violent adolescents: those who are physically aggressive throughout childhood and those who start being physically aggressive during adolescence? The estimation of developmental trajectories for repeated measures of two different response variables physical aggression in childhood as measured by teacher reports and physical aggression in adolescence as measured by self-reported violent delinquency is achieved with a semi-parametric, group-based method. This new method is applied to a large sample of males from Montreal who have been assessed repeatedly since kindergarten. Several salient findings emerge from the analysis. First, we find considerable change in the levels of childhood and adolescent physical aggression. Thus, there is little evidence of stability of behavior in an absolute sense. A second key finding concerns the connection of childhood aggression to adolescent aggression. Boys with higher childhood physical aggression trajectories are far more likely to transition to a higher-level adolescent aggression trajectory than boys from lower childhood physical aggression trajectories. However, for all childhood physical aggression trajectory levels the modal transition is to a relatively low-level adolescent aggression trajectory. Third, we find little evidence of "late onset" of high-level physical aggression. Specifically, the joint trajectory analysis finds no evidence of transition from a low physical aggression trajectory in childhood to a high trajectory in adolescence.

Adolescent↗