A multi-level decomposition of variance in somatic symptom reporting in families with adolescent children

OBJECTIVES: This paper examines four different levels of possible variation in symptom reporting: occasion, day, person and family. DESIGN: In order to rule out effects of retrospection, concurrent symptom reporting was assessed prospectively using a computer-assisted self-report method. METHODS: A decomposition of variance in symptom reporting was conducted using diary data from families with adolescent children. We used palmtop computers to assess concurrent somatic complaints from parents and children six times a day for seven consecutive days. In two separate studies, 314 and 254 participants from 96 and 77 families, respectively, participated. A generalized multilevel linear models approach was used to analyze the data. Symptom reports were modelled using a logistic response function, and random effects were allowed at the family, person and day level, with extra-binomial variation allowed for on the occasion level. RESULTS: Substantial variability was observed at the person, day and occasion level but not at the family level. CONCLUSIONS: To explain symptom reporting in normally healthy individuals, situational as well as person characteristics should be taken into account. Family characteristics, however, would not help to clarify symptom reporting in all family members.

Exhibit: “Tumult and Tragedy: Michigan’s 1913-1914 Copper Strike”

Tumult and Tragedy: Michigan’s 1913-14 Copper Strike chronicles one of the greatest upheavals in Michigan’s history. The determination, conflict, sorrow, and tragedy of this epic confrontation changed the Copper Country for decades and memories of conflict remain to this day. This traveling exhibit explores the story of this remarkable period in Michigan history.

Exhibit: “Tumult and Tragedy: Michigan’s 1913-1914 Copper Strike”

Tumult and Tragedy: Michigan’s 1913-14 Copper Strike chronicles one of the greatest upheavals in Michigan’s history. The determination, conflict, sorrow, and tragedy of this epic confrontation changed the Copper Country for decades and memories of conflict remain to this day. This traveling exhibit explores the story of this remarkable period in Michigan history.

Break

Coffee, tea, and snacks will be available for attendees during this break.

Break

Coffee, tea, and snacks will be available for attendees during this break.

Exhibit: “Tumult and Tragedy: Michigan’s 1913-1914 Copper Strike”

Tumult and Tragedy: Michigan’s 1913-14 Copper Strike chronicles one of the greatest upheavals in Michigan’s history. The determination, conflict, sorrow, and tragedy of this epic confrontation changed the Copper Country for decades and memories of conflict remain to this day. This traveling exhibit explores the story of this remarkable period in Michigan history.

Nordic Film Series: "To My Son in Spain: Finnish Canadians in the Spanish Civil War"

Finlandia University's Nordic Film Series, a free event open to the public, will feature two viewings of "To My Son in Spain: Finnish Canadians in the Spanish Civil War," with writer Dr. Saku Pinta available for questions. This documentary features the story of Jules Päiviö (1916-2013), who was the last surviving Canadian volunteer of the Mackenzie-Papineau Battallion of the “International Brigades”.

Nordic Film Series: "To My Son in Spain: Finnish Canadians in the Spanish Civil War"

Finlandia University's Nordic Film Series, a free event open to the public, will feature two viewings of "To My Son in Spain: Finnish Canadians in the Spanish Civil War," with writer Dr. Saku Pinta available for questions. This documentary features the story of Jules Päiviö (1916-2013), who was the last surviving Canadian volunteer of the Mackenzie-Papineau Battallion of the “International Brigades”.

Q & A

Question and answer session with presenters Roger Burt, Peter V. Krats, Paul Lubotina.

Q & A

Question and answer session with presenters John Beck, Thomas Mackaman, and Erik Nordberg.

Q & A

Question and answer session with presenters Sarah Fayen Scarlett and Peter V. Krats.