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León Méndez M, Padrón I, Fumero A, Marrero RJ. Effects of internet and smartphone addiction on cognitive control in adolescents and young adults: A systematic review of fMRI studies. Neurosci Biobehav Rev 2024; 159:105572. [PMID: 38320657 DOI: 10.1016/j.neubiorev.2024.105572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 02/01/2024] [Accepted: 02/02/2024] [Indexed: 02/08/2024]
Abstract
BACKGROUND Internet Addiction (IA) refers to excessive or uncontrolled behaviors related to Internet access, causing impairment or distress. Similarly, Smartphone Addiction (SPA) involves the excessive use of smartphones, disrupting users' daily lives. Cognitive control plays a relevant role in the development of IA and SPA, with executive functions and rewards processing being particularly important. OBJECTIVE This study aims to provide a synthesis of scientific evidence on the differential effects of IA and SPA on cognition in young adults and adolescents, using fMRI. METHODS Relevant articles published between 2013 and May 2023 were identified following the PRISMA protocol. RESULTS Included studies (n = 21) revealed that both behavioral addictions were associated with impairments in cognitive control related to reward processing (ACC, insula, amygdala) and executive function (DLPFC, frontal, parietal lobes) in adolescents and young adults. CONCLUSION These findings provide evidence for neuroanatomical similarities between IA and SPA in young adults and adolescents related to executive functions and rewards processing. However, differential effects of SPA and IA on cognitive control were not found in this study. Future research should explore the relationship between these addictions with other cognitive domains to further expand our understanding within this field. While both IA and SPA involve the excessive use of online technology, SPA could involve a higher risk, given that smartphones allow internet connectivity anytime.
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Affiliation(s)
- M León Méndez
- Instituto Universitario de Neurociencia, Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife 38200, Spain.
| | - I Padrón
- Instituto Universitario de Neurociencia, Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife 38200, Spain; Department of Developmental Psychology and Education, Spain.
| | - A Fumero
- Instituto Universitario de Neurociencia, Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife 38200, Spain; Department of Clinical Psychology, Psychobiology, and Methodology, Spain.
| | - R J Marrero
- Instituto Universitario de Neurociencia, Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife 38200, Spain; Department of Clinical Psychology, Psychobiology, and Methodology, Spain.
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Viña C, Herrero M, Rivero F, Álvarez-Pérez Y, Fumero A, Bethencourt JM, Pitti C, Peñate W. Changes in brain activity associated with cognitive-behavioral exposure therapy for specific phobias: searching for underlying mechanisms. Rev Neurol 2020; 71:391-398. [PMID: 33205385 DOI: 10.33588/rn.7111.2019487] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
INTRODUCTION The current evidence collected consistent results about morphological and functional brain changes produced by psychological treatment. Exposure cognitive-behavioral therapy (CBT) is currently the most effective psychological treatment for phobias. AIMS To explore the brain activation and self-reported changes in patients with specific phobias to small animals who underwent a CBT exposure program and to prove if the CBT program made phobic patients process feared stimuli similarly to non-phobic persons. SUBJECTS AND METHODS The sample consisted of 32 adults, of which 16 (5 males and 11 females; mean age: 38.08) had specific phobia to small animals and 16 (4 males and 12 females; mean age: 21.81) had no phobias. A univariate before-and-after treatment design were used. In addition, the scores of the non-phobic group in self-reports and brain activity were compared with the post-treatment scores of the phobic group. RESULTS Data show significant changes in brain activity, and improvements in self-reported measures because of applying CBT to specific phobias. As a highlight, participants showed a greater activation in points of the precuneus after receiving CBT. Also, when compared with non-phobic participants, phobic patients still remain with both fear and defensive responses to phobic stimuli. CONCLUSIONS The precuneus seems to be a regulator that reorganizes the processing of phobic stimuli. It can imply as CBT/ exposure also active acceptance, self-awareness, and self-efficacy mechanisms.
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Affiliation(s)
- C Viña
- Universidad de La Laguna, 38320 La Laguna, España
| | - M Herrero
- Universidad de La Laguna, 38320 La Laguna, España
| | - F Rivero
- Universidad de La Laguna, 38320 La Laguna, España
| | - Y Álvarez-Pérez
- Servicio de Evaluación y Planificación. Gobierno de Canarias, Tenerife, España
| | - A Fumero
- Universidad de La Laguna, 38320 La Laguna, España
| | | | - C Pitti
- Dirección General de Salud Pública. Gobierno de Canarias, Tenerife, España
| | - W Peñate
- Universidad de La Laguna, 38320 La Laguna, España
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Fonseca-Pedrero E, Debbané M, Ortuño-Sierra J, Chan RCK, Cicero DC, Zhang LC, Brenner C, Barkus E, Linscott RJ, Kwapil T, Barrantes-Vidal N, Cohen A, Raine A, Compton MT, Tone EB, Suhr J, Muñiz J, Fumero A, Giakoumaki S, Tsaousis I, Preti A, Chmielewski M, Laloyaux J, Mechri A, Lahmar MA, Wuthrich V, Larøi F, Badcock JC, Jablensky A. The structure of schizotypal personality traits: a cross-national study. Psychol Med 2018; 48:451-462. [PMID: 28712364 DOI: 10.1017/s0033291717001829] [Citation(s) in RCA: 86] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND Schizotypal traits are considered a phenotypic-indicator of schizotypy, a latent personality organization reflecting a putative liability for psychosis. To date, no previous study has examined the comparability of factorial structures across samples originating from different countries and cultures. The main goal was to evaluate the factorial structure and reliability of the Schizotypal Personality Questionnaire (SPQ) scores by amalgamating data from studies conducted in 12 countries and across 21 sites. METHOD The overall sample consisted of 27 001 participants (37.5% males, n = 4251 drawn from the general population). The mean age was 22.12 years (s.d. = 6.28, range 16-55 years). The SPQ was used. Confirmatory factor analysis (CFA) and Multilevel CFA (ML-CFA) were used to evaluate the factor structure underlying the SPQ scores. RESULTS At the SPQ item level, the nine factor and second-order factor models showed adequate goodness-of-fit. At the SPQ subscale level, three- and four-factor models displayed better goodness-of-fit indices than other CFA models. ML-CFA showed that the intraclass correlation coefficients values were lower than 0.106. The three-factor model showed adequate goodness of fit indices in multilevel analysis. The ordinal α coefficients were high, ranging from 0.73 to 0.94 across individual samples, and from 0.84 to 0.91 for the combined sample. CONCLUSIONS The results are consistent with the conceptual notion that schizotypal personality is a multifaceted construct and support the validity and utility of SPQ in cross-cultural research. We discuss theoretical and clinical implications of our results for diagnostic systems, psychosis models and cross-national mental health strategies.
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Affiliation(s)
- E Fonseca-Pedrero
- Department of Educational Sciences,University of La Rioja,Logroño, Spain
| | - M Debbané
- Faculty of Psychology and Educational Sciences,University of Geneva,Geneva, Switzerland
| | - J Ortuño-Sierra
- Department of Educational Sciences,University of La Rioja,Logroño, Spain
| | - R C K Chan
- Neuropsychology and Applied Cognitive Neuroscience Laboratory,CAS key Laboratory of Mental Health,Beijing,China
| | - D C Cicero
- Department of Psychology,University of Hawaii at Manoa,Honolulu, HI, USA
| | - L C Zhang
- Department of Psychology,University of British Columbia,Vancouver, BC, Canada
| | - C Brenner
- Department of Psychology,University of British Columbia,Vancouver, BC, Canada
| | - E Barkus
- School of Psychology, University of Wollongong,Wollongong,Australia
| | - R J Linscott
- Department of Psychology,University of Otago,Dunedin, New Zealand
| | - T Kwapil
- Department of Psychology,University of North Carolina at Greensboro,Greensboro, NC, USA
| | - N Barrantes-Vidal
- Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - A Cohen
- Department of Psychology,Louisiana State University,Louisiana, LA, USA
| | - A Raine
- Departments of Criminology,Psychiatry and Psychology, University of Pennsylvania,Philadelphia, PA, USA
| | - M T Compton
- Department of Psychiatry,Lenox Hill Hospital,New York, NY, USA
| | - E B Tone
- Department of Psychology,Georgia State University,Atlanta, GA, USA
| | - J Suhr
- Department of Psychology,Ohio University,Athens, OH, USA
| | - J Muñiz
- Center for Biomedical Research in the Mental Health Network (CIBERSAM),Oviedo, Spain
| | - A Fumero
- Department of Psychology,University of La Laguna,Santa Cruz de Tenerife, Spain
| | - S Giakoumaki
- Department of Psychology,University of Crete,Rethymno,Greece
| | - I Tsaousis
- Department of Psychology,University of Crete,Rethymno,Greece
| | - A Preti
- Genneruxi Medical Center,Cagliari,Italy
| | - M Chmielewski
- Department of Psychology,Southern Methodist University,Dallas, TX, USA
| | - J Laloyaux
- Department of Biological and Medical Psychology,University of Bergen,Bergen,Norway
| | - A Mechri
- Psychiatry Department,University Hospital of Monastir, Monastir,Tunisia
| | - M A Lahmar
- Psychiatry Department,University Hospital of Monastir, Monastir,Tunisia
| | - V Wuthrich
- Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia
| | - F Larøi
- Department of Biological and Medical Psychology,University of Bergen,Bergen,Norway
| | - J C Badcock
- Centre for Clinical Research in Neuropsychiatry, Division of Psychiatry, Faculty of Health and Medical Sciences, University of Western Australia, Perth, Australia
| | - A Jablensky
- Centre for Clinical Research in Neuropsychiatry, School of Psychiatry and Clinical Neurosciences, University of Western Australia,Perth,Australia
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Peñate W, Fumero A, Viña C, Herrero M, Marrero R, Rivero F. A meta-analytic review of neuroimaging studies of specific phobia to small animals. The European Journal of Psychiatry 2017. [DOI: 10.1016/j.ejpsy.2016.12.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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Roncero C, De Miguel A, Fumero A, Grau-López L, Martin R, Rodriguez-Cintas L, Bethencourt J, Bachiller D, Tarifa N, Beneria A, Casas M, Martínez C, Daigre C. Anxiety and Depression in Drug-dependents Patients with Cluster C Personality Disorders. Eur Psychiatry 2015. [DOI: 10.1016/s0924-9338(15)32061-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Fumero A, De Miguel A, Marrero R, Carballeira M. Entrepreneurial potential in adolescents. Personality and Individual Differences 2014. [DOI: 10.1016/j.paid.2013.07.238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Benussi S, Pozzoli A, Fumero A, Schiavi D, Alfieri O. 323-I * STAND-ALONE MINIMALLY INVASIVE MAZE SURGERY WITH BIPOLAR RADIOFREQUENCY. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt372.323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Grimaldi A, Vermi AC, Pappalardo F, Benussi S, Fumero A, Maisano F, Colombo A, La Canna G, Alfieri O. The pivotal role of echocardiography in the assessment of multivalvular heart disease. Minerva Cardioangiol 2013; 61:229-242. [PMID: 23492606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Multivalvular heart disease (MHD) accounts for approximately 15% of the patients undergoing valve surgery in the EuroHeart Survey and for 8.6% of all valvular surgical interventions. Most clinical studies on valvular heart disease are focused on single-valve disease and very few data stress the difficulties encountered in the diagnostic assessment and clinical decision making of multiple defects, also concerning the reciprocal hemodynamic influence or the overlap of surgical indications. Many fields related to multiple valve disease are not encountered in the European Guidelines on Valvular Heart Disease (ESC) or the American College of Cardiology/American Heart Association (ACC/AHA). Increasing age and new trends of mixed population have newly aroused interest in multivalvular heart disease in the developed countries, still in need of new clinical insights. According to the high comorbidities of candidates, the appropriate diagnostic framework necessary for the correct diagnosis and best clinical outcome may still be challenging. The paper reviews multivalvular heart disease (except congenital heart disease) from aetiology and background definition to surgical outcome, with special emphasis on echocardiographic assessment and clinical interpretation.
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Affiliation(s)
- A Grimaldi
- Cardiovascular and Thoracic Department, Università Vita-Salute, Milan, Italy.
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Grimaldi A, Olivotto I, Figini F, Pappalardo F, Capritti E, Ammirati E, Maisano F, Benussi S, Fumero A, Castiglioni A, De Bonis M, Vermi AC, Colombo A, Zangrillo A, Alfieri O. Dynamic assessment of 'valvular reserve capacity' in patients with rheumatic mitral stenosis. Eur Heart J Cardiovasc Imaging 2011; 13:476-82. [DOI: 10.1093/ejechocard/jer269] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Fumero A, Santamaría C, Navarrete G. [Predisposition to alcohol and drug consumption in schizophrenia-vulnerable people]. Rev Neurol 2009; 49:8-12. [PMID: 19557693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
INTRODUCTION A large amount of current schizophrenia research has been centered on the understanding of its etiological mechanisms and the detection of vulnerability markers in people at risk. This vulnerability called schizotypy can be identified in people not affected by the illness at the clinical level. AIM To check if the schizotypic personality disorder as a vulnerability marker of the disorders in the schizophrenic spectrum predicts the presence of psychopathologic symptoms and alcohol and drugs intake. SUBJECTS AND METHODS From a population of 442 university students tested with the Schizotypy Personality Questionnaire (SPQ), it was selected a sample including people scoring on the 20% superior and inferior for the characteristic factors of schizophrenia corresponding to positive symptoms (cognitive-perceptual), negative symptoms (interpersonal) and thought disorder (disorganized). Furthermore, it was evaluated the presence of psychopathological problems and symptoms. Also, the participants gave information about alcohol and drugs intake as a passive coping strategy with stress. RESULTS Compared with the low scored, subjects with high scores in the schizotypic personality disorder showed a significant increase in the presence of psychopathological problems and symptoms and a higher alcohol and drugs intake. That occurs mainly when those scores are found in symptoms associated to thought disorder and negative symptoms as lack of interest in social activities and emotional flattening. CONCLUSIONS The schizotypic personality disorder, in accordance with its role as vulnerability factor, seems to co-occur with a higher volume of somatic and psychopathologic symptoms, and alcohol and drugs intake.
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Affiliation(s)
- A Fumero
- Departamento de Personalidad, Evaluación y Tratamiento Psicológicos, Facultad de Psicología, Campus de Guajara, Universidad de La Laguna, Tenerife, España.
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Di Martino ES, Guadagni G, Fumero A, Ballerini G, Spirito R, Biglioli P, Redaelli A. Fluid-structure interaction within realistic three-dimensional models of the aneurysmatic aorta as a guidance to assess the risk of rupture of the aneurysm. Med Eng Phys 2001; 23:647-55. [PMID: 11755809 DOI: 10.1016/s1350-4533(01)00093-5] [Citation(s) in RCA: 181] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Abdominal aortic aneurysm (AAA) disease is a degenerating process whose ultimate event is the rupture of the vessel wall. Rupture occurs when the stresses acting on the wall rise above the strength of the AAA wall tissue. The complex mechanical interaction between blood flow and wall dynamics in a three dimensional custom model of a patient AAA was studied by means of computational coupled fluid-structure interaction analysis. Real 3D AAA geometry is obtained from CT scans image processing. The results provide a quantitative local evaluation of the stresses due to local structural and fluid dynamic conditions. The method accounts for the complex geometry of the aneurysm, the presence of a thrombus and the interaction between solid and fluid. A proven clinical efficacy may promote the method as a tool to determine factual aneurysm risk of rupture and aid the surgeon to refer elective surgery patients.
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Affiliation(s)
- E S Di Martino
- Department of Bioengineering, Politecnico of Milano, Milan, Italy
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Alamanni F, Fumero A, Parolari A, Trabattoni P, Cannata A, Berti G, Biglioli P. Sutureless double-patch-and-glue technique for repair of subacute left ventricular wall rupture after myocardial infarction. J Thorac Cardiovasc Surg 2001; 122:836-7. [PMID: 11581629 DOI: 10.1067/mtc.2001.115415] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- F Alamanni
- Department of Cardiac Surgery, University of Milano, Centro Cardiologico Monzino IRCCS, Milan, Italy
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Dainese L, Polvani GL, Fumero A, Spirito R, Alamanni F, Agrifoglio M, Parolari A, Biglioli P. [Glucose-insulin-potassium (GIK) in the reduction of acute myocardial ischemia after an aortocoronary bypass intervention]. G Ital Cardiol 1999; 29:575-9; discussion 580-2. [PMID: 10367228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Affiliation(s)
- L Dainese
- Cattedra di Cardiochirurgia, Università degli Studi di Milano, Centro Cardiologico Fondazione Monzino, IRCCS
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