Coarsely grouped counts or frequencies are commonly used in the behavioral sciences. Grouped count and grouped frequency (GCGF) that are used as outcome variables often violate the assumptions of linear regression as well as models designed for categorical outcomes; there is no analytic model that is designed specifically to accommodate GCGF outcomes. The purpose of this dissertation was to compare the statistical performance of four regression models (linear regression, Poisson regression, ordinal logistic regression, and beta regression) that can be used when the outcome is a GCGF variable. A simulation study was used to determine the power, type I error, and confidence interval (CI) coverage rates for these models under different conditions. Mean structure, variance structure, effect size, continuous or binary predictor, and sample size were included in the factorial design. Mean structures reflected either a linear relationship or an exponential relationship between the predictor and the outcome. Variance structures reflected homoscedastic (as in linear regression), heteroscedastic (monotonically increasing) or heteroscedastic (increasing then decreasing) variance. Small to medium, large, and very large effect sizes were examined. Sample sizes were 100, 200, 500, and 1000. Results of the simulation study showed that ordinal logistic regression produced type I error, statistical power, and CI coverage rates that were consistently within acceptable limits. Linear regression produced type I error and statistical power that were within acceptable limits, but CI coverage was too low for several conditions important to the analysis of counts and frequencies. Poisson regression and beta regression displayed inflated type I error, low statistical power, and low CI coverage rates for nearly all conditions. All models produced unbiased estimates of the regression coefficient. Based on the statistical performance of the four models, ordinal logistic regression seems to be the preferred method for analyzing GCGF outcomes. Linear regression also performed well, but CI coverage was too low for conditions with an exponential mean structure and/or heteroscedastic variance. Some aspects of model prediction, such as model fit, were not assessed here; more research is necessary to determine which statistical model best captures the unique properties of GCGF outcomes.

Cognitive function is multidimensional and complex, and research indicates that it is impacted by age, lifetime experience, and ovarian hormone milieu. One particular domain of cognitive function that is susceptible to age-related decrements is spatial memory. Cognitive practice can affect spatial memory when aged in both males and females, and in females alone ovarian hormones have been found to alter spatial memory via modulating brain microstructure and function in many of the same brain areas affected by aging. The research in this dissertation has implications that promote an understanding of the effects of cognitive practice on aging memory, why males and females respond differently to cognitive practice, and the parameters and mechanisms underlying estrogen's effects on memory. This body of work suggests that cognitive practice can enhance memory when aged and that estrogen is a probable candidate facilitating the observed differences in the effects of cognitive practice depending on sex. This enhancement in cognitive practice effects via estrogen is supported by data demonstrating that estrogen enhances spatial memory and hippocampal synaptic plasticity. The estrogen-facilitated memory enhancements and alterations in hippocampal synaptic plasticity are at least partially facilitated via enhancements in cholinergic signaling from the basal forebrain. Finally, age, dose, and type of estrogen utilized are important factors to consider when evaluating estrogen's effects on memory and its underlying mechanisms, since age alters the responsiveness to estrogen treatment and the dose of estrogen needed, and small alterations in the molecular structure of estrogen can have a profound impact on estrogen's efficacy on memory. Collectively, this dissertation elucidates many parameters that dictate the outcome, and even the direction, of the effects that cognitive practice and estrogens have on cognition during aging. Indeed, many parameters including the ones described here are important considerations when designing future putative behavioral interventions, behavioral therapies, and hormone therapies. Ideally, the parameters described here will be used to help design the next generation of interventions, therapies, and nootropic agents that will allow individuals to maintain their cognitive capacity when aged, above and beyond what is currently possible, thus enacting lasting improvement in women's health and public health in general.

Mediation analysis is a statistical approach that examines the effect of a treatment (e.g., prevention program) on an outcome (e.g., substance use) achieved by targeting and changing one or more intervening variables (e.g., peer drug use norms). The increased use of prevention intervention programs with outcomes measured at multiple time points following the intervention requires multilevel modeling techniques to account for clustering in the data. Estimating multilevel mediation models, in which all the variables are measured at individual level (Level 1), poses several challenges to researchers. The first challenge is to conceptualize a multilevel mediation model by clarifying the underlying statistical assumptions and implications of those assumptions on cluster-level (Level-2) covariance structure. A second challenge is that variables measured at Level 1 potentially contain both between- and within-cluster variation making interpretation of multilevel analysis difficult. As a result, multilevel mediation analyses may yield coefficient estimates that are composites of coefficient estimates at different levels if proper centering is not used. This dissertation addresses these two challenges. Study 1 discusses the concept of a correctly specified multilevel mediation model by examining the underlying statistical assumptions and implication of those assumptions on Level-2 covariance structure. Further, Study 1 presents analytical results showing algebraic relationships between the population parameters in a correctly specified multilevel mediation model. Study 2 extends previous work on centering in multilevel mediation analysis. First, different centering methods in multilevel analysis including centering within cluster with the cluster mean as a Level-2 predictor of intercept (CWC2) are discussed. Next, application of the CWC2 strategy to accommodate multilevel mediation models is explained. It is shown that the CWC2 centering strategy separates the between- and within-cluster mediated effects. Next, Study 2 discusses assumptions underlying a correctly specified CWC2 multilevel mediation model and defines between- and within-cluster mediated effects. In addition, analytical results for the algebraic relationships between the population parameters in a CWC2 multilevel mediation model are presented. Finally, Study 2 shows results of a simulation study conducted to verify derived algebraic relationships empirically.

For this thesis a Monte Carlo simulation was conducted to investigate the robustness of three latent interaction modeling approaches (constrained product indicator, generalized appended product indicator (GAPI), and latent moderated structural equations (LMS)) under high degrees of nonnormality of the exogenous indicators, which have not been investigated in previous literature. Results showed that the constrained product indicator and LMS approaches yielded biased estimates of the interaction effect when the exogenous indicators were highly nonnormal. When the violation of nonnormality was not severe (symmetric with excess kurtosis < 1), the LMS approach with ML estimation yielded the most precise latent interaction effect estimates. The LMS approach with ML estimation also had the highest statistical power among the three approaches, given that the actual Type-I error rates of the Wald and likelihood ratio test of interaction effect were acceptable. In highly nonnormal conditions, only the GAPI approach with ML estimation yielded unbiased latent interaction effect estimates, with an acceptable actual Type-I error rate of both the Wald test and likelihood ratio test of interaction effect. No support for the use of the Satorra-Bentler or Yuan-Bentler ML corrections was found across all three methods.