Engineering Papers⌕ Search

SEARCH · Engineering Papers

Results for “risk score”

Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 109 records · Page 6

Proteogenomic characterization of difficult-to-treat breast cancer with tumor cells enriched through laser microdissection

Abstract Background Breast cancer (BC) is the most commonly diagnosed cancer and the leading cause of cancer death among women globally. Despite advances, there is considerable variation in clinical outcomes for patients with non-luminal A tumors, classified as difficult-to-treat breast cancers (DTBC). This study aims to delineate the proteogenomic landscape of DTBC tumors compared to luminal A (LumA) tumors. Methods We retrospectively collected a total of 117 untreated primary breast tumor specimens, focusing on DTBC subtypes. Breast tumors were processed by laser microdissection (LMD) to enrich tumor cells. DNA, RNA, and protein were simultaneously extracted from each tumor preparation, followed by whole genome sequencing, paired-end RNA sequencing, global proteomics and phosphoproteomics. Differential feature analysis, pathway analysis and survival analysis were performed to better understand DTBC and investigate biomarkers. Results We observed distinct variations in gene mutations, structural variations, and chromosomal alterations between DTBC and LumA breast tumors. DTBC tumors predominantly had more mutations inTP53,PLXNB3, Zinc finger genes, and fewer mutations inSDC2,CDH1,PIK3CA,SVIL, andPTEN. Notably, Cytoband 1q21, which contains numerous cell proliferation-related genes, was significantly amplified in the DTBC tumors. LMD successfully minimized stromal components and increased RNA–protein concordance, as evidenced by stromal score comparisons and proteomic analysis. Distinct DTBC and LumA-enriched clusters were observed by proteomic and phosphoproteomic clustering analysis, some with survival differences. Phosphoproteomics identified two distinct phosphoproteomic profiles for high relapse-risk and low relapse-risk basal-like tumors, involving several genes known to be associated with breast cancer oncogenesis and progression, includingKIAA1522,DCK,FOXO3,MYO9B,ARID1A,EPRS,ZC3HAV1, andRBM14. Lastly, an integrated pathway analysis of multi-omics data highlighted a robust enrichment of proliferation pathways in DTBC tumors. Conclusions This study provides an integrated proteogenomic characterization of DTBC vs LumA with tumor cells enriched through laser microdissection. We identified many common features of DTBC tumors and the phosphopeptides that could serve as potential biomarkers for high/low relapse-risk basal-like BC and possibly guide treatment selections.

Oncology↗

Dataset of mechanically induced thermal runaway measurement and severity level on Li-ion batteries

The deployment of Li-ion batteries covers a wide range of energy storage applications, from mobile phones, e-bikes, electric vehicles (EV) and stationary energy storage systems. However, safety issue such as thermal runaway is always one of the most important concerns to prevent Li-ion batteries from further market penetration. A standardized single-side indentation test protocol was developed to mechanically induce an internal short-circuit. The cell voltage, compressive load, indenter stroke, and temperature at the indentation point are measured in time series. The test data of each cell, along with cell parameters such as dimensions, mass, chemistry, state of charge (SOC), capacity, are integrated together to calculate a thermal runaway severity score from 0 to100. Complete data collection process including the original measured record, test method, severity score calculation scheme is presented in this article. The thermal runaway severity analysis and the more than 100 tested Li-ion battery records provide a good data source for further comparison and ranking of thermal runaway risks.

25 ENERGY STORAGE↗

Developing Technology Performance Level Assessments for Early-Stage Wave Energy Converter Technologies: Preprint

The advantage of using Technology Performance Level (TPL) in conjunction with Technology Readiness Level (TRL) assessments in guiding technology development trajectories to successful outcomes in less time, at less overall cost, and with less encountered risk has been well articulated in the literature. In partnership with industry and international collaborators, a TPL assessment methodology for grid-connected applications has been developed through the application of the systems engineering approach. Metrics under seven different categories have been developed, weighted based on their relative relevance, and combined to yield a composite score. The methodology has been implemented in a spreadsheet tool plus a web application specifically aimed at assessing early stage (TRL 1-3) concepts. The target use cases are (a) technology developers improving their design, to find fatal flaws early, to get feedback on current design, to identify areas of improvement that will yield the highest return on investment, (b) reviewers assessing technologies in competitions or for making funding decisions, (c) investor or project developer doing due diligence, (d) policy makers landscaping the technology domain for formulating R&D strategy. The methodology and the tools are undergoing continuous improvement based on the experience and lessons learnt from applying it to internal and external marine energy technology development projects. The methodology is also being adapted for assessing WECs servicing markets outside the continental grid - broadly categorized as Powering the Blue Economy (PBE) applications. Such applications have vastly different functional requirements entailing a modification of the methodology to account for their higher risk tolerance, reduced price sensitivities, lower power needs, different permitting protocols, etc. This paper presents the latest status of the TPL assessment methodology and tools, describes its adaptation to select PBE markets, and explores its extension to other domains where it could provide a comprehensive and holistic measure of a nascent or disruptive technology's technoeconomic performance potential.

metrics↗

Developing Technology Performance Level Assessments for Early-Stage Wave Energy Converter Technologies

The advantage of using Technology Performance Level (TPL) in conjunction with Technology Readiness Level (TRL) assessments in guiding technology development trajectories to successful outcomes in less time, at less overall cost, and with less encountered risk has been well articulated in the literature. In partnership with industry and international collaborators, a TPL assessment methodology for grid-connected applications has been developed through the application of the systems engineering approach. Metrics under seven different categories have been developed, weighted based on their relative relevance, and combined to yield a composite score. The methodology has been implemented in a spreadsheet tool plus a web application specifically aimed at assessing early stage (TRL 1-3) concepts. The target use cases are (a) technology developers improving their design, to find fatal flaws early, to get feedback on current design, to identify areas of improvement that will yield the highest return on investment, (b) reviewers assessing technologies in competitions or for making funding decisions, (c) investor or project developer doing due diligence, (d) policy makers landscaping the technology domain for formulating R&D strategy. The methodology and the tools are undergoing continuous improvement based on the experience and lessons learnt from applying it to internal and external marine energy technology development projects. The methodology is also being adapted for assessing WECs servicing markets outside the continental grid - broadly categorized as Powering the Blue Economy (PBE) applications. Such applications have vastly different functional requirements entailing a modification of the methodology to account for their higher risk tolerance, reduced price sensitivities, lower power needs, different permitting protocols, etc. This paper presents the latest status of the TPL assessment methodology and tools, describes its adaptation to select PBE markets, and explores its extension to other domains where it could provide a comprehensive and holistic measure of a nascent or disruptive technology's technoeconomic performance potential.

metrics↗

Stable Parallel Training of Wasserstein Conditional Generative Adversarial Neural Networks : *Full/Regular Research Paper submission for the symposium CSCI-ISAI: Artificial Intelligence

We use a stable parallel approach to train Wasserstein Conditional Generative Adversarial Neural Networks (W-CGANs). The parallel training reduces the risk of mode collapse and enhances scalability by using multiple generators that are concurrently trained, each one of them focusing on a single data label. The use of the Wasserstein metric reduces the risk of cycling by stabilizing the training of each generator. We apply the approach on the CIFAR10 and the CIFAR100 datasets, two standard benchmark datasets with images of the same resolution, but different number of classes. Performance is assessed using the inception score, the Fréchet inception distance, and image quality. An improvement in inception score and Fréchet inception distance is shown in comparison to previous results obtained by performing the parallel approach on deep convolutional conditional generative adversarial neural networks (DC-CGANs). Weak scaling is attained on both datasets using up to 100 NVIDIA V100 GPUs on the OLCF supercomputer Summit.

Lupo Pasini, Massimiliano↗

AbBERT: Learning Antibody Humanness via Masked Language Modeling

Understanding the degree of humanness of antibody sequences is critical to the therapeutic antibody development process to reduce the risk of failure modes like immunogenicity or poor manufacturability. We introduce AbBERT, a transformer-based language model trained on up to 20 million unpaired heavy/light chain sequences from the Observed Antibody Space database. We first validate AbBERT using a novel “multi-mask” scoring procedure to demonstrate high accuracy in predicting complementary determining regions—including the challenging hypervariable H3 region. We then demonstrate several uses of AbBERT at various points along the antibody design process. AbBERT enhances in silico antibody optimization via deep reinforcement learning by utilizing its learned embeddings as additional observations during optimization. Within a larger computational antibody design platform, AbBERT has been successfully applied as an additional design objective, where it displays strong correlations with computational tools predicting antibody structural stability. Finally, mutant antibody sequences that have been scored as unfavorable by AbBERT have shown corresponding low yields when expressed in cells. These use cases demonstrate the power of language modeling within computational antibody design.

Bioinformatics↗

Survival outcomes of patients with head and neck squamous cell cancer with hepatitis B virus infection: An analysis from an endemic tertiary center

Abstract Background Hepatitis B virus (HBV) affects the occurrence and survival outcome of various malignant disorders. The study aimed to evaluate the survival outcome of head and neck squamous cell cancer (HNSCC) patients with or without HBV infection. Methods This study included patients with HNSCC who visited Taichung Veterans General Hospital from 2007 to 2015. HBV infection was defined by hepatitis B surface antigen (HBsAg) seropositivity. By propensity score matching, we compared survival outcomes, including progression‐free survival (PFS) and overall survival (OS), among patients with or without HBV infection. Results The prevalence of HBV infection in our cohort was 12.3%. Among the 1,015 patients included in the matched analysis, a higher risk of baseline liver cirrhosis (11.3% vs. 3.4%, p < 0.001) and initial hepatic dysfunction (10.8% vs. 5.4%, p = 0.005) rates were observed than those without HBV infection at baseline. The 5‐year OS was 43.1% and 53.2% ( p < 0.001) and the 5‐year PFS was 37.4% and 42.3% ( p = 0.007) in patients with and without HBV infection, respectively. The incidence of subsequent hepatic dysfunction showed no difference between patients with and without HBV infection (29.6% vs. 26.8%, p = 0.439). Conclusions Patients with HNSCC and HBV infection were younger and had a higher risk of cirrhosis compared to those without HBV infection. Moreover, HBV infection significantly influenced the OS and PFS outcomes but not subsequent hepatic dysfunction in patients with HNSCC.

Lai, Cheng‐Lun↗

Mechanically induced thermal runaway severity analysis of Li-ion batteries and continuous energy release monitoring

The large-scale deployment of Li-ion batteries in stationary energy storage and electrical vehicle applications demands a strong focus on safety, particularly on the thermal runaway risk and severity evaluation. A standardized single-side mechanical indentation test protocol was developed to induce an internal short-circuit (ISC) and evaluate cells' thermal runaway severity at different state of charge (SOC). The observed hazard severity (OHS in five categories) and evaluated scores in this work have a comprehensive consideration of each cell's capacity, initial voltage, SOC, temperature and voltage change, allowing a better evaluation of the cells' thermal runaway potential. This method was applied to about 200 Li-ion batteries in order to build an extensive thermal runaway database covering various SOCs, capacities and chemistries. In this study, we monitored the transitions of stored electrochemical energy and applied mechanical energy into both thermal energy and acoustic emissions (AE). The surface temperature and mechanical failures were monitored by infrared imaging and AE to capture critical events within battery cells throughout the mechanical indentation tests. Furthermore, the initial temperature maps can predict two types of follow-up events: thermal runaway or gradual heat release via conduction. Analyzing each cell's severity, AEs, and leveraging the evolving database offer insights into predicting occurrences of thermal runaway. The test method, thermal runaway severity evaluation and prediction, and the corresponding database provide battery designers, manufacturers, and end-users a clear overview of Li-ion batteries' thermal runaway potential under mechanical abuse, advancing the safety design of Li-ion batteries.

Acoustic emission↗

Male Runners With Lower Energy Availability Have Impaired Skeletal Integrity Compared to Nonathletes

Abstract Context Female athletes, particularly runners, with insufficient caloric intake for their energy expenditure [low energy availability (EA) or relative energy deficiency] are at risk for impaired skeletal integrity. Data are lacking in male runners. Objective To determine whether male runners at risk for energy deficit have impaired bone mineral density (BMD), microarchitecture, and estimated strength. Design Cross-sectional. Setting Clinical research center. Participants 39 men (20 runners, 19 controls), ages 16–30 years. Main Outcome Measures Areal BMD (dual-energy x-ray absorptiometry); tibia and radius volumetric BMD and microarchitecture (high-resolution peripheral quantitative computed tomography); failure load (microfinite element analysis); serum testosterone, estradiol, leptin; energy availability. Results Mean age (24.5 ± 3.8 y), lean mass, testosterone, and estradiol levels were similar; body mass index, percent fat mass, leptin, and lumbar spine BMD Z-score (−1.4 ± 0.8 vs −0.8 ± 0.8) lower (P < .05); and calcium intake and running mileage higher (P ≤ .01) in runners vs controls. Runners with EA <median had lower lumbar spine (−1.5 ± 0.7, P = .028), while runners with EA ≥median had higher hip (0.3 ± 0.7 vs −0.4 ± 0.5, P = .002), BMD Z-scores vs controls. After adjusting for calcium intake and running mileage, runners with EA <median had lower mean tibial total and trabecular volumetric BMD, trabecular bone volume fraction, cortical porosity, and apparent modulus vs controls (P < .05). Appendicular lean mass and serum estradiol (R ≥ 0.45, P ≤ .046), but not testosterone, were positively associated with tibial failure load among runners. Conclusions Despite weight-bearing activity, skeletal integrity is impaired in male runners with lower caloric intake relative to exercise energy expenditure, which may increase bone stress injury risk. Lower estradiol and lean mass are associated with lower tibial strength in runners.

Haines, Melanie S. (ORCID:0000000310024754)↗

COVID-19 Evidence Accelerator: A parallel analysis to describe the use of Hydroxychloroquine with or without Azithromycin among hospitalized COVID-19 patients

Background: The COVID-19 pandemic remains a significant global threat. However, despite urgent need, there remains uncertainty surrounding best practices for pharmaceutical interventions to treat COVID-19. In particular, conflicting evidence has emerged surrounding the use of hydroxychloroquine and azithromycin, alone or in combination, for COVID-19. The COVID-19 Evidence Accelerator convened by the Reagan-Udall Foundation for the FDA, in collaboration with Friends of Cancer Research, assembled experts from the health systems research, regulatory science, data science, and epidemiology to participate in a large parallel analysis of different data sets to further explore the effectiveness of these treatments. Methods: Electronic health record (EHR) and claims data were extracted from seven separate databases. Parallel analyses were undertaken on data extracted from each source. Each analysis examined time to mortality in hospitalized patients treated with hydroxychloroquine, azithromycin, and the two in combination as compared to patients not treated with either drug. Cox proportional hazards models were used, and propensity score methods were undertaken to adjust for confounding. Frequencies of adverse events in each treatment group were also examined. Results: Neither hydroxychloroquine nor azithromycin, alone or in combination, were significantly associated with time to mortality among hospitalized COVID-19 patients. No treatment groups appeared to have an elevated risk of adverse events. Conclusion: Administration of hydroxychloroquine, azithromycin, and their combination appeared to have no effect on time to mortality in hospitalized COVID-19 patients. Continued research is needed to clarify best practices surrounding treatment of COVID-19.

60 APPLIED LIFE SCIENCES↗

Personal Resiliency Index

A plethora of information exists in literature focusing on different aspects of personal resilience. There are a number of questionnaires available to measure resilience in different aspects of an individual’s life, such as mental health. However, there is a lack of comprehensive information on the subject of personal resilience to natural and man-made disasters. A Personal Resiliency Index identifying four key areas of resilience related to natural and man-made disasters will help fill this gap by providing individuals an idea of where the stand comparatively to their peers on this topics. As an increasing amount of man-made disasters, natural disasters and pandemics occur, we realize that preparation is key.?“Crisis can be experienced at individual, group and mass levels and at local, regional, national or supra-national levels.” 1? Dr. Ron Fisher, the principal investigator has over 20 years’ critical infrastructure protection including developing vulnerability assessment methodology, risk and resiliency analyses and infrastructure interdependencies. Dr. Fisher and his team will research and develop a voluntary survey which evaluates the user’s personal resilience level to natural and man-made disasters. The research team is focusing on 4 main categories:? financial resilience, cyber security, physical and mental health, and emergency preparedness.?The web based application will?provide a resilience score for each of the categories and also a comprehensive personal resiliency score based on the voluntary survey. The application will also provide feedback to the user on actions to take to become more resilient to natural and man-made disasters. Through this effort, we will also be able to identify the areas where participants are excelling as well as opportunities for improvement in terms of resilience. This information will provide insight into areas of further investigation and identify potential areas of support needed for the general public to adopt strategies to become more resilient. 1 Lynott, William. “Surviving a Natural (or Man-Made) Disaster: How to Prepare for and Bounce Back? from a Crisis in Your Business | 2018-02-01 | NOLN.” Home Page, NOLN, 1 Feb. 2018, https://www.noln.net/articles/2683-surviving-a-natural-or-man-made-disaster-how-to-prepare-for-and-bounce-back-from-a-crisis-in-your-business.

99 GENERAL AND MISCELLANEOUS↗

Molten Salt vs. Liquid Sodium Receiver Selection Using the Analytic Hierarchy Process

An international team led by NREL analyzed the favorability of two alternative liquid receiver designs for a 700+ degrees C receiver under the Gen3 CSP Liquid Pathway project. The competing liquid heat transfer fluids were a ternary chloride salt and liquid-metal sodium. The team applied a facilitated analytic hierarchy process (AHP) to arrive at a recommended alternative and set a path forward for the project. The AHP criteria were formulated, weighted, and scored by the project leadership team and technical advisory committee consisting of energy industry and CSP experts. The six- month process culminated with a two-day workshop where the sodium alternative was deemed to have both a significantly higher benefit (19.3%) and a lower LCOE (11.4%), with only a slightly higher risk (~3%) than the salt alternative. Consequently, a sodium-receiver design was selected for the Liquid Pathway project, where it will be used to charge a two- tank chloride salt thermal energy storage system.

analytic hierarchy process↗

Development and Validation of the Near-Miss Safety Score (NMSS) Framework for Heavy-Duty Vehicle Safety Assessment

Heavy-duty commercial vehicles present unique safety challenges due to their size, articulation dynamics, and operational complexity. As Advanced Driver Assistance Systems (ADAS) and Automated Driving Systems (ADS) become more common in Class 8 tractor-trailers, traditional crash-based metrics are no longer sufficient to evaluate safety performance. This study introduces the Near-Miss Safety Score (NMSS)—a quantitative, physics-informed framework developed as a leading indicator of safety for advanced commercial vehicle technologies. NMSS quantifies how close a vehicle or operator comes to a collision or safety-critical event by integrating vehicle kinematics (relative distance, velocity, and acceleration) with driver or system response latency and time-to-collision. A modifier function adjusts the base score for vehicle-specific and environmental factors such as trailer articulation, load distribution, braking condition, and roadway environment. The framework enables systematic evaluation of ADAS/ADS performance under a range of operational and degraded conditions. By capturing near-miss dynamics rather than relying on crash data, NMSS provides a proactive approach to risk assessment, accelerates technology validation, and enhances interpretability for regulators and fleet operators. The proposed NMSS was validated using data collected from a motorcoach platform, demonstrating the framework’s applicability to heavy-duty safety evaluation and performance benchmarking. Results and key insights are presented in this paper.

Siekmann, Adam [ORNL] (ORCID:0000000284653935)↗

Molten Salt vs. Liquid Sodium Receiver Selection Using the Analytic Hierarchy Process: Preprint

An international team led by NREL analyzed the favorability of two alternative liquid receiver designs for a 700+ °C receiver under the Gen3 CSP Liquid Pathway project. The competing liquid heat transfer fluids were a ternary chloride salt and liquid-metal sodium. The team applied a facilitated analytic hierarchy process (AHP) to arrive at a recommended alternative and set a path forward for the project. The AHP criteria were formulated, weighted, and scored by the project leadership team and technical advisory committee consisting of energy industry and CSP experts. The six-month process culminated with a two-day workshop where the sodium alternative was deemed to have both a significantly higher benefit (19.3%) and a lower LCOE (11.4%), with only a slightly higher risk (~3%) than the salt alternative. Consequently, a sodium-receiver design was selected for the Liquid Pathway project, where it will be used to charge a two-tank chloride salt thermal energy storage system.

41 EE - Solar Energy Technologies Office (EE-4S)↗

Molten Salt vs. Liquid Sodium Receiver Selection Using the Analytic Hierarchy Process

An international team led by NREL analyzed the favorability of two alternative liquid receiver designs for a 700+ degrees C receiver under the Gen3 CSP Liquid Pathway project. The competing liquid heat transfer fluids were a ternary chloride salt and liquid-metal sodium. The team applied a facilitated analytic hierarchy process to arrive at a recommended alternative and set a path forward for the project. The AHP criteria were formulated, weighted, and scored by the project leadership team and technical advisory committee consisting of energy industry and CSP experts. The six-month process culminated with a two-day workshop where the sodium alternative was deemed to have both a significantly higher benefit (19.3%) and a lower LCOE (11.4%), with only a slightly higher risk (~3%) than the salt alternative. Consequently, a sodium-receiver design was selected for the Liquid Pathway project, where it will be used to charge a two-tank chloride salt thermal energy storage system.

central receiver↗

Uncertainty in Synthetic Tropical Cyclone Hazard and Risk Estimates: Insights from RAFT, CHAZ, MIT, STORM, and CLIMADA

We synthesize five complementary tropical cyclone (TC) hazard frameworks—RAFT (physics-based machine learning), CHAZ and MIT (statistical–dynamical), STORM (fully statistical), and CLIMADA (observation-driven resampling)—to characterize uncertainty in wind-related TC metrics relevant to energy applications. All datasets and the IBTrACS observational record are harmonized to a common 6-hourly, 2.5° grid. We compare basin-wide and coastal properties using consistent definitions for TC frequency, mean and maximum intensity, 24-hour intensification, and 6-hour translation speed, and quantify agreement with Pearson r, RMSE, and Kling–Gupta efficiency (KGE) alongside resampling-based confidence intervals. CLIMADA is included for basin context but excluded from coastal skill scoring because it resamples historical IBTrACS; if supplied with projected future tracks from an external hazard model, CLIMADA can be used to simulate future TC scenarios. Results show robust, cross-model signals: (i) a corridor of activity from the tropical Atlantic through the Caribbean into the Bahamas and western subtropical Atlantic; (ii) a meridional dipole in 24-hour intensification (low-latitude strengthening, subtropical weakening); and (iii) a transition from slower tropical motion to faster midlatitude translation. Coastal winds (mean and maximum) consistently cluster from the eastern Gulf into the Bahamas–western Atlantic transition. The largest structural spread occurs in the amplitude and footprint of lifetime maximum intensity and, secondarily, in translation speed; intensification exhibits similar central behavior across frameworks with variability in extremes. Translation speed shows the most uniform coastal agreement. These findings provide a decision envelope for wind-focused risk screening and clarify where uncertainty should be carried forward; wind-only results represent a lower bound on total hazard, motivating integration of surge and rainfall modules and a companion, asset-level damage analysis.

24 POWER TRANSMISSION AND DISTRIBUTION↗

Evaluating Supply Prioritization Strategies for Risk-Informed Decision Making in an Arbitrary Gas Network

Supply disruptions and infrastructure failures in natural gas networks present critical challenges to energy reliability and risk-informed planning. This study evaluates two supply prioritization strategies, Maximum Delivery Prioritization (MDP) and Demand-Based Prioritization (DBP), within an arbitrary natural gas network under conditions of supply shortage. Model performance under both strategies is assessed in response to node and edge failure using demand satisfaction metrics, system-wide and localized dependency scores, and geographic information system (GIS)-based spatial analysis. Results show that DBP better preserves supply for high-demand nodes, while MDP offers broader coverage. The underlying network topology plays a critical role in shaping prioritization outcomes. Integrated GIS visualization enhances the interpretability of vulnerability assessments, revealing structurally critical components and localized vulnerabilities. The proposed framework supports scalable, data-driven decision-making for infrastructure planners and engineers, enabling improved disruption recovery and efficiency in constrained natural gas networks. These insights contribute to the development of more robust energy systems capable of withstanding stress and disruptions.

Peterson, Steven [ORNL] (ORCID:0000000287672998)↗

Psychometric property study of the Affective Lability Scale-short form in Chinese patients with mood disorders

Introduction This study aimed to investigate the psychometric properties of the Affective Lability Scale-short form (ALS-SF) among Chinese patients with mood disorders, and to compare ALS-SF subscale scores between patients with major depressive disorder (MDD) and patients with bipolar disorder (BD) depression. Methods A total of 344 patients with mood disorders were included in our study. Participants were measured through a set of questionnaires including the Chinese version of ALS-SF, Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder 7-item (GAD-7), and NEO-Five Factor Inventory (NEO-FFI). Exploratory factor analysis and confirmatory factor analysis were applied to examine the psychometric properties of ALS-SF. Besides, correlation and regression analyses were performed to explore the relationship between affective lability and depression, anxiety, and neuroticism. Independent samples t -tests were used to compare the subscale scores of ALS-SF between the MDD and BD depression groups. Results Results of factor analysis indicated that the model of ALS-SF was consistent with ALS-SF. The ALS-SF showed a solid validity and high internal consistency (Cronbach’s alpha = 0.861). In addition, each subscale of ALS-SF was significantly correlated with PHQ-9, GAD-7, and NEO-FFI neuroticism subscale, except for the anger subscale showed no significant correlation with PHQ-9. Besides, the depression/elation and anger factor scores in patients with BD depression were higher than in patients with MDD. Conclusion Our study suggests that the Chinese version of ALS-SF has good reliability and validity for measuring affective lability in Chinese patients with mood disorders. Assessing affective lability would assist clinicians to distinguish between MDD and BP depression and may decrease the risks of misdiagnosis.

Ma, Mohan↗