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Brugnera A, Remondi C, La Tona A, Nembrini G, Lo Coco G, Compare A, Cardinali A, Scollato A, Marchetti F, Bonetti M, Pigozzi MG. Quality of Life and Its Psychosocial Predictors among Patients with Disorders of Gut-Brain Interaction: A Comparison with Age- and Sex-Matched Controls. Healthcare (Basel) 2024; 12:757. [PMID: 38610179 PMCID: PMC11011672 DOI: 10.3390/healthcare12070757] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Revised: 02/07/2024] [Accepted: 03/28/2024] [Indexed: 04/14/2024] Open
Abstract
The disorders of gut-brain interaction (DGBIs) are a heterogeneous group of chronic conditions that greatly reduce patients' quality of life (QoL). To date, biopsychosocial factors (such as gastrointestinal symptoms, alexithymia, and interpersonal problems) are believed to contribute to the development and maintenance of DGBIs, but their role in affecting patients' QoL is still under investigation. Out of 141 patients seeking treatment for their gastrointestinal symptoms, 71 were diagnosed with a DGBI (47 females, 66.2%; Mage: 41.49 ± 17.23 years) and were age- and sex-matched to 71 healthy controls (47 females, 66.2%; Mage: 40.45 ± 16.38 years) without any current gastrointestinal symptom or diagnosis. Participants completed a sociodemographic and clinical questionnaire and a survey investigating several psychosocial risk factors. We found greater symptom severity and difficulties in identifying feelings among patients compared to controls. Further, multiple linear regression analyses evidenced that, among patients, higher expressive suppression of emotions, difficulties in identifying feelings and interpersonal problems, and a lower cognitive reappraisal of emotions predicted lower QoL. Data suggest that the QoL of patients with DGBIs is affected not only by common risk factors (e.g., interpersonal problems) but also by specific difficulties in processing and regulating emotions. The implications of these findings are discussed.
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Affiliation(s)
- Agostino Brugnera
- Department of Human and Social Sciences, University of Bergamo, 24129 Bergamo, Italy
| | - Chiara Remondi
- Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy;
| | - Antonino La Tona
- Department of Human and Social Sciences, University of Bergamo, 24129 Bergamo, Italy
| | - Greta Nembrini
- Department of Human and Social Sciences, University of Bergamo, 24129 Bergamo, Italy
| | - Gianluca Lo Coco
- Department of Psychological Sciences, University of Palermo, 90133 Palermo, Italy
| | - Angelo Compare
- Department of Human and Social Sciences, University of Bergamo, 24129 Bergamo, Italy
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Lo Coco G, Brugnera A, Salerno L, Compare A, Tasca GA, Kivlighan DM. Group member attachment style interacts with actor and partner helping alliance to predict decreasing binge eating episodes. Psychother Res 2024:1-15. [PMID: 38451851 DOI: 10.1080/10503307.2024.2325509] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 02/26/2024] [Indexed: 03/09/2024] Open
Abstract
OBJECTIVE An individual's attachment style may impact how they interact with their therapy group. This study examined the moderating role of a group member's attachment on the dynamic relationships between that group member's (actor) and other group members' (partner) therapeutic alliances and symptom outcomes. Method: This is a secondary analysis of data from a trial testing the outcome of emotionally-focused group therapy for binge-eating disorder. The sample consisted of 2,360 sessions nested within 118 group members who attended a 20-session treatment. Patients recorded binge eating episodes (BEE), their body weight and an alliance measure session-by-session. RESULTS Dynamic structural equation modelling showed decreases in BEE and weight over the therapy. When attachment style was not included in the model, higher-than-average partner's alliance scores in the previous session were related to decreases in BEE in the current session. Attachment style moderated these actor and partner effects. For patients with preoccupied attachments, higher-than-average actor alliance in the previous session was related to subsequent decreases in BEE. For patients with dismissing or disorganized attachments, higher partner alliance in the previous session was related to subsequent decreases in BEE. CONCLUSION Group members' attachment characteristics can play a role in the development of alliance-outcome patterns in group therapy.
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Aas M, Sideli L, Franceschini C, Alameda L, Trotta G, Coco GL, Musetti A, Schimmenti A. The role of interpersonal trauma and substance use in mental health: A large population-based study. Psychiatry Res 2024; 333:115712. [PMID: 38219350 DOI: 10.1016/j.psychres.2023.115712] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Revised: 12/19/2023] [Accepted: 12/30/2023] [Indexed: 01/16/2024]
Abstract
Both interpersonal trauma (IPT) and substance use are linked to mental health problems, however their interplay is understudied. This study will investigate the relationship between IPT, substance use and mental health in a large population-based sample. Participants included 3756 individuals, mainly young university students using a snowball sampling method. History of IPT was collected retrospectively using the Traumatic Experiences Checklist. Substance use was examined using the World Health Organization's Alcohol, Smoking and Substance Involvement Screening Test. Mental health symptoms were assessed by the DSM-5 Level 1 Cross-Cutting Symptom Measure. Moderation analyses were performed investigating the relationship between IPT, substance use, and mental health symptoms. Participants exposed to IPT had a higher prevalence of substance use (cannabis, alcohol, tobacco) and had more severe mental health problems than people without IPT. Substance use was associated with a blunted increase of depression, anxiety, and anger in trauma victims. A history of abuse was more strongly linked to substance use than neglect. Moderation analyses further revealed that cannabis use increased psychotic symptoms and psychotic symptoms increased cannabis use in participants with high levels of IPT. Our findings indicate that substance use worsens psychotic symptoms in IPT victims whilst dampening other mental health symptoms.
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Affiliation(s)
- Monica Aas
- Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, England, UK; Department of Behavioural Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway.
| | - Lucia Sideli
- Department of Human Science, LUMSA University, Rome, Italy
| | | | - Luis Alameda
- Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, England, UK; Service of General Psychiatry, Treatment and Early Intervention in Psychosis Program, Lausanne, University Hospital (CHUV), Lausanne, Switzerland; Centro Investigacion Biomedica en Red de Salud Mental (CIBERSAM); Instituto de Biomedicina de Sevilla (IBIS), Hospital Universitario Virgen del Rocio, Departamento de Psiquiatria, Universidad de Sevilla, Sevilla, Spain
| | - Giulia Trotta
- Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Alessandro Musetti
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Parma, Italy
| | - Adriano Schimmenti
- Faculty of Human and Social Sciences, UKE - Kore University of Enna, Enna, Italy
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Martino G, Viola A, Vicario CM, Bellone F, Silvestro O, Squadrito G, Schwarz P, Lo Coco G, Fries W, Catalano A. Psychological impairment in inflammatory bowel diseases: the key role of coping and defense mechanisms. Res Psychother 2023; 26:731. [PMID: 38224215 PMCID: PMC10849073 DOI: 10.4081/ripppo.2023.731] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 11/09/2023] [Indexed: 01/16/2024]
Abstract
A comprehensive investigation of psychological features in chronic patients is very important for tailoring effective treatments. In this study we tested anxiety, depression, health related quality of life (HR-QoL), alexithymia, coping styles, and defense mechanisms, in eighty-four patients with Crohn disease (CD) and ulcerative colitis (UC). Participants reported low to moderate HRQoL and anxiety, apart from alexithymia. Women experienced lower QoL and higher levels of anxiety and depressive symptoms. Coping and defense strategies were related to distress symptoms and QoL. Positive attitude and principalization, showed negative associations with depression, anxiety and alexithymia and were also found to be associated with mental health. CD patients used significantly more turning against objects (p=0.02) and projections (p=0.01) and UC patients used more reversal (p=0.04). Elderly women showed higher anxiety symptoms and lower perceived QoL. Multiple regression analysis revealed anxiety and depression were independently associated with QoL. Significant differences emerged in defense styles among CD and UC. CD participants used more maladaptive coping and defense styles which were related to mental distress, depression and anxiety, together with higher level of alexithymia. Findings suggest that psychological aspects play a key role in mental health in patients suffering from inflammatory bowel diseases. A multi-integrated clinical strategy including psychotherapeutic interventions should be considered in treating CD and UC.
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Affiliation(s)
- Gabriella Martino
- Department of Clinical and Experimental Medicine, University of Messina.
| | - Anna Viola
- Department of Clinical and Experimental Medicine, University of Messina.
| | - Carmelo Mario Vicario
- Department of Cognitive Science, Psychology, Education and Cultural Studies, University of Messina.
| | | | - Orlando Silvestro
- Department of Health Sciences, University Magna Graecia of Catanzaro.
| | - Giovanni Squadrito
- Department of Clinical and Experimental Medicine, University of Messina.
| | - Peter Schwarz
- Department of Endocrinology and Metabolism, Rigshospitalet, Copenhagen.
| | - Gianluca Lo Coco
- Psychological, Pedagogical, Exercise and Training Sciences, University of Palermo.
| | - Walter Fries
- Department of Clinical and Experimental Medicine, University of Messina.
| | - Antonino Catalano
- Department of Clinical and Experimental Medicine, University of Messina.
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Benzi IMA, Compare A, Tona AL, Di Nuovo S, Lazzari D, Lingiardi V, Coco GL, Parolin L. PsyCARE study: assessing impact, cost-effectiveness, and transdiagnostic factors of the Italian ministry of health's "psychological bonus" policy. BMC Psychol 2023; 11:306. [PMID: 37798802 PMCID: PMC10557166 DOI: 10.1186/s40359-023-01345-6] [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: 06/27/2023] [Accepted: 09/25/2023] [Indexed: 10/07/2023] Open
Abstract
BACKGROUND The prevalence of anxiety and depression disorders is surging worldwide, prompting a pressing demand for psychological interventions, especially in less severe cases. Responding to this need, the Italian government implemented the "Psychological Bonus" (PB) policy, allotting 25 million euros for mental health support. This policy entitles individuals to a minimum of four to twelve psychological sessions. In collaboration with the National Board of Italian Psychologists, our study assesses this policy's effectiveness. Indeed, the PsyCARE study aims to examine the utilization of the Psychological Bonus, evaluate its impact on adult and adolescent participants' psychological well-being through pre- and post-intervention assessments and six-month follow-up, and conduct a longitudinal cost-effectiveness analysis of this policy. A secondary aim is to investigate the influence of these interventions on transdiagnostic factors, including emotion regulation and epistemic trust. METHODS The study involves licensed psychotherapists and their patients, both adults and adolescents, benefiting from the Psychological Bonus. Data collection is underway and set to conclude in December 2023. Psychotherapists will provide diagnostic information and assess patient functioning. In addition, patients will be evaluated on mental health aspects such as clinical symptoms, emotion regulation, epistemic trust, and quality of life. We will employ linear mixed-effects models to analyze the outcomes, accounting for both fixed and random effects to capture the hierarchical structure of the data. DISCUSSION We anticipate the study's findings will highlight reduced psychological distress and improved quality of life for participants and demonstrate the Psychological Bonus policy's cost-effectiveness. The study will gather data on the role of specific versus nonspecific therapeutic factors in psychotherapy while adopting a patient-tailored approach to identify effective therapeutic elements and examine transdiagnostic factors. Overall, this study's findings will guide future measures within the Italian healthcare system, fostering a psychological health culture and providing valuable insights to the broader public. STUDY REGISTRATION https://osf.io/6zk2j.
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Affiliation(s)
- Ilaria M A Benzi
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - Angelo Compare
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Antonino La Tona
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Santo Di Nuovo
- Department of Science of Education, University of Catania, Catania, Italy
| | - David Lazzari
- National Board of Italian Psychologists (CNOP), Rome, Italy
| | - Vittorio Lingiardi
- Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
| | | | - Laura Parolin
- National Board of Italian Psychologists (CNOP), Rome, Italy.
- Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, Milan, 20126, Italy.
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Bonfanti RC, Sideli L, Teti A, Musetti A, Cella S, Barberis N, Borsarini B, Fortunato L, Sechi C, Micali N, Lo Coco G. The Impact of the First and Second Wave of the COVID-19 Pandemic on Eating Symptoms and Dysfunctional Eating Behaviours in the General Population: A Systematic Review and Meta-Analysis. Nutrients 2023; 15:3607. [PMID: 37630798 PMCID: PMC10458761 DOI: 10.3390/nu15163607] [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: 07/26/2023] [Revised: 08/11/2023] [Accepted: 08/15/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND The aim of this systematic review and meta-analysis was to examine the prevalence of feeding and eating disorder (FED) symptoms or dysfunctional eating behaviours (DEB) in the general population during the COVID-19 outbreak. METHOD We searched eligible articles in biomedical databases from 1 January 2020 to 31 March 2022. Prevalence rates of FED or DEB changes between pre-pandemic and pandemic time and correlation with psychological distress were pooled with a meta-analysis using a random-effects model. Heterogeneity was tested using I-squared (I2) statistics. A total of 186 studies with 406,076 participants met the inclusion criteria. RESULTS The more prevalent FED or DEB during the COVID-19 outbreak were: body image concerns (52%, 95% CI 0.38, 0.66), binge eating (40%, 95% CI 0.25, 0.55), and overeating (40%, 95% CI = 0.32-0.48). Pooled data of longitudinal studies (k = 8) only showed a significant difference in the prevalence of weight gain from pre-pandemic to the pandemic time. Finally, increased levels of psychological distress (k = 35) positively correlated with some ED symptoms. CONCLUSION This meta-analysis evidenced a negative impact of the pandemic on eating symptoms and DEB in the general population.
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Affiliation(s)
| | - Lucia Sideli
- Department of Human Science, LUMSA University, 00193 Rome, Italy;
| | - Arianna Teti
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy; (A.T.); (L.F.); (G.L.C.)
| | - Alessandro Musetti
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, 43121 Parma, Italy
| | - Stefania Cella
- Observatory on Eating Disorders, Department of Psychology, University of Campania “Luigi Vanvitelli”, 81100 Caserta, Italy;
| | - Nadia Barberis
- Department of Health Sciences, Magna Graecia University of Catanzaro, 88100 Catanzaro, Italy;
| | - Bianca Borsarini
- Mental Health Services in the Capital Region of Denmark, Eating Disorders Research Unit, Psychiatric Centre Ballerup, 2750 Ballerup, Denmark; (B.B.); (N.M.)
| | - Lucia Fortunato
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy; (A.T.); (L.F.); (G.L.C.)
| | - Cristina Sechi
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy;
| | - Nadia Micali
- Mental Health Services in the Capital Region of Denmark, Eating Disorders Research Unit, Psychiatric Centre Ballerup, 2750 Ballerup, Denmark; (B.B.); (N.M.)
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy; (A.T.); (L.F.); (G.L.C.)
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Lo Coco G, Salerno L, Albano G, Pazzagli C, Lagetto G, Mancinelli E, Freda MF, Bassi G, Giordano C, Gullo S, Di Blasi M. Psychosocial predictors of trajectories of mental health distress during the COVID-19 pandemic: A four-wave panel study. Psychiatry Res 2023; 326:115262. [PMID: 37270863 PMCID: PMC10205647 DOI: 10.1016/j.psychres.2023.115262] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 05/21/2023] [Accepted: 05/22/2023] [Indexed: 06/06/2023]
Abstract
Previous research suggested that during the COVID-19 pandemic, mental distress did not affect all people equally. This longitudinal study aims to examine joint trajectories of depressive, anxiety, and stress symptoms in a sample of Italian adults during the pandemic, and to identify psychosocial predictors of distress states. We analyzed four-wave panel data from 3,931 adults who had received assessments of depressive, anxiety and stress symptoms between April 2020 and May 2021. Trajectories of individual psychological distress were identified by Latent Class Growth Analysis (LCGA) with parallel processes, and multinomial regression models were conducted to identify baseline predictors. Parallel process LCGA identified three joint trajectory classes for depression, anxiety and stress symptoms. Most individuals (54%) showed a resilient trajectory. However, two subgroups showed vulnerable joint trajectories for depression, anxiety and stress. Expressive suppression, intolerance to uncertainty, and fear of COVID-19 were risk characteristics associated with vulnerable trajectories for mental health distress. Moreover, vulnerability to mental health distress was higher in females, younger age groups and those unemployed during the first lockdown. Findings support the fact that group heterogeneity could be detected in the trajectories of mental health distress during the pandemic and it may help to identify subgroups at risk of worsening states.
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Affiliation(s)
- Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.
| | - Laura Salerno
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Gaia Albano
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Chiara Pazzagli
- Department of Philosophy, Social Sciences and Education, University of Perugia, 06123 Perugia, Italy
| | - Gloria Lagetto
- Department of History, Society and Human Studies Studium 2000, University of Salento, Edificio 5, Via di Valesio, 24-73100, Lecce, Italy
| | - Elisa Mancinelli
- Department of Developmental and Socialization Psychology, University of Padova, Via Venezia 8-35132, Padova, Italy; Digital Health Lab, Centre for Digital Health and Wellbeing, Fondazione Bruno Kessler, Via Sommarive 18-38123, Trento, Italy
| | | | - Giulia Bassi
- Department of Developmental and Socialization Psychology, University of Padova, Via Venezia 8-35132, Padova, Italy; Digital Health Lab, Centre for Digital Health and Wellbeing, Fondazione Bruno Kessler, Via Sommarive 18-38123, Trento, Italy
| | - Cecilia Giordano
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Salvatore Gullo
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Maria Di Blasi
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
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Salerno L, Pepi A, Graffeo MT, Albano G, Giordano C, Lo Coco G, Di Blasi M. Understanding Problematic Gaming During the Covid-19 Pandemic in Adolescents and Adults: A Systematic Review of the Literature. Clin Neuropsychiatry 2023; 20:370-387. [PMID: 37791083 PMCID: PMC10544249 DOI: 10.36131/cnfioritieditore20230418] [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] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/05/2023]
Abstract
Objective A growing body of evidence suggests that online gaming increased during the COVID-19 outbreak. This systematic review aims to summarize extant literature that reported on problematic gaming among both adolescents and adults during the pandemic and to identify available research on the bidirectional association between problematic gaming and mental health outcomes. Method A systematic search was carried out through PubMed, Web of Knowledge and AGRIS, Embase, Medline, PsychINFO (from January 2020 to January 2023), using keywords related to problematic gaming and mental health outcomes. Both cross-sectional and longitudinal empirical studies which used validated measures of problematic gaming and mental health outcomes during the COVID-19 pandemic were included. Results Twenty-five empirical articles were eligible for the current review, comprising 28,978 participants. The majority of the selected studies had cross-sectional designs. Overall, most eligible studies showed significant association between problematic gaming and negative mental health outcomes during the pandemic. Correlations were mostly found between problematic gaming, depression and anxiety. Conclusions Future research focusing on the relationship between problematic gaming and mental health outcomes should go beyond the considerable weaknesses due to methodological limitations of cross-sectional design, sampling and measures.
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Affiliation(s)
- Laura Salerno
- Department of Psychology, Educational Science and Human Movement, University of OPEN ACCESS
| | - Alessandro Pepi
- Department of Psychology, Educational Science and Human Movement, University of OPEN ACCESS
| | - Maria Teresa Graffeo
- Department of Psychology, Educational Science and Human Movement, University of OPEN ACCESS
| | - Gaia Albano
- Department of Psychology, Educational Science and Human Movement, University of OPEN ACCESS
| | - Cecilia Giordano
- Department of Psychology, Educational Science and Human Movement, University of OPEN ACCESS
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of OPEN ACCESS
| | - Maria Di Blasi
- Department of Psychology, Educational Science and Human Movement, University of OPEN ACCESS
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Fortunato L, Lo Coco G, Teti A, Bonfanti RC, Salerno L. Time Spent on Mobile Apps Matters: A Latent Class Analysis of Patterns of Smartphone Use among Adolescents. Int J Environ Res Public Health 2023; 20:6439. [PMID: 37568981 PMCID: PMC10418827 DOI: 10.3390/ijerph20156439] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 05/25/2023] [Accepted: 07/20/2023] [Indexed: 08/13/2023]
Abstract
The aims of the present study are: (1) to determine classes of adolescents with homogeneous patterns of smartphone or social media use; and (2) to examine the level of distress across the empirically derived profiles. Three hundred and forty adolescents (Mage = 15.61, SD = 1.19; 38.2% females) participated in a cross-sectional survey. Participants provided objective trace data on time spent on smartphones and applications, as well as self-reported social media addiction, social media use intensity, online social comparison, emotion dysregulation, and psychological distress. Latent class analysis (LCA) with total smartphone use categorized participants into three classes. Participants in Class 3 (19%) showed a more impaired functioning profile, with a tendency towards social media addiction and greater levels of distress. LCAs with the amount of time devoted to specific applications are more heterogeneous, and results showed that heavy use of social media apps was not consistently connected to the most impaired psychosocial profiles. Although the amount of mobile screen time can be a characteristic of problematic users, the link between social media usage and an adolescent's psychological characteristics is mixed. More research is needed to explore the interplay between mobile screen time and social media usage among adolescents.
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Affiliation(s)
| | | | | | | | - Laura Salerno
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy; (L.F.); (G.L.C.); (A.T.); (R.C.B.)
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Diller SJ, Hämpke J, Lo Coco G, Jonas E. Unveiling the influence of the Italian mafia as a Dark Triad threat on individuals' affective states and the power of defense mechanisms. Sci Rep 2023; 13:11986. [PMID: 37491557 PMCID: PMC10368718 DOI: 10.1038/s41598-023-38597-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Accepted: 07/11/2023] [Indexed: 07/27/2023] Open
Abstract
The present research investigated whether the Italian mafia as a Dark Triad threat increased threat-related affective states and explored how thinking about defense mechanisms may help to reduce these states. For this, we conducted a multi-method experimental study with Italians (N = 253). The quantitative results show that the mafia as a threat manipulation increased threat-related affective states in terms of higher behavioral inhibition (BIS) and lower behavioral activation (BAS). The qualitative results further depict proximal and distal defense mechanisms to reduce this threat, which can be categorized into models of threat and defense. Exploratory analyses indicate that naming distal defenses positively affected the increase of BAS. Additionally, when participants had higher levels of BIS after the threat, naming more defenses and proximal defenses positively affected the decrease of BIS. Further qualitative results provide valuable information on effective personal and societal buffers for the perceived threat of the Italian mafia.
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Affiliation(s)
- Sandra J Diller
- Seeburg Castle University, Seekirchen am Wallersee, Austria.
- LMU Center for Leadership and People Management, Munich, Germany.
| | | | | | - Eva Jonas
- University of Salzburg, Salzburg, Austria
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Martino G, Bellone F, Vicario CM, Gaudio A, Corica F, Squadrito G, Lund-Jacobsen T, Schwarz P, Lo Coco G, Morabito N, Catalano A. Interrelations between clinical-psychological features and bone mineral density changes in post-menopausal women undergoing anti-osteoporotic treatment: a two-year follow-up. Front Endocrinol (Lausanne) 2023; 14:1151199. [PMID: 37229451 PMCID: PMC10203700 DOI: 10.3389/fendo.2023.1151199] [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] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Accepted: 04/17/2023] [Indexed: 05/27/2023] Open
Abstract
Introduction Psychological features have been bidirectionally associated with osteoporosis, but it is still unclear whether patient's anxiety fluctuations during the anti-osteoporotic treatment can have an impact on bone mineral density (BMD) variation. The aim of this study was to investigate the interrelations between psychological distress features, such as anxiety, depression, health-related QoL (HRQoL) and bone health in women receiving anti-osteoporotic treatment. Methods 192 post-menopausal osteoporotic women were treated with alendronate or risedronate according to the standard procedure. The levels of anxiety, depression, and perceived HRQoL, along with BMD, were assessed at baseline and at a 2-year follow-up. Results At the end of the study, the patients showed a statistically significant increase of both psychic and somatic anxiety (p<0.0001) and exhibited a worsening of depressive symptoms (p<0.0001), whereas HRQoL showed no change. BMD improved and no incident fractures occurred. BMD variation (ΔBMD) at lumbar spine was significantly associated with anxiety levels (r=0.23, p=0.021). Multiple regression analysis showed that both patients' worsening anxiety levels (β = -0.1283, SE=0.06142, p=0.04) and their treatment adherence (β=0.09, SE=0.02, p=0.0006) were independently associated with ΔBMD. Discussion The findings of the current follow-up study suggest that BMD in post-menopausal women undergoing anti-osteoporotic treatment was predicted by treatment adherence and anxiety change over time.
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Affiliation(s)
- Gabriella Martino
- Department of Clinical and Experimental Medicine, University Hospital of Messina, Messina, Italy
| | - Federica Bellone
- Department of Clinical and Experimental Medicine, University Hospital of Messina, Messina, Italy
| | - Carmelo Mario Vicario
- Department of Cognitive Sciences, Psychology, Education and Cultural Studies, University of Messina, Messina, Italy
| | - Agostino Gaudio
- Department of Clinical and Experimental Medicine, University Hospital of Catania, Catania, Italy
| | - Francesco Corica
- Department of Clinical and Experimental Medicine, University Hospital of Messina, Messina, Italy
| | - Giovanni Squadrito
- Department of Clinical and Experimental Medicine, University Hospital of Messina, Messina, Italy
| | - Trine Lund-Jacobsen
- Department of Endocrinology, Centre for Cancer and Organ Diseases, The Copenhagen University Hospital, Rigshospitalet and Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Peter Schwarz
- Department of Endocrinology, Centre for Cancer and Organ Diseases, The Copenhagen University Hospital, Rigshospitalet and Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement- University of Palermo, Palermo, Italy
| | - Nunziata Morabito
- Department of Clinical and Experimental Medicine, University Hospital of Messina, Messina, Italy
| | - Antonino Catalano
- Department of Clinical and Experimental Medicine, University Hospital of Messina, Messina, Italy
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Bonfanti RC, Salerno L, Ruggieri S, Lo Coco G. Interplay Between Fear of Missing Out and Loneliness: A Three-Wave Panel Study During the COVID-19 Pandemic. Cyberpsychol Behav Soc Netw 2023. [PMID: 37057987 DOI: 10.1089/cyber.2022.0182] [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] [Subscribe] [Scholar Register] [Indexed: 04/15/2023]
Abstract
Although the concept of Fear of Missing Out (FoMO) is permeated with individual fears about the lack of social connection, the relationship between FoMO and feelings of loneliness has been the subject of limited research. The aim of this study was to examine bidirectional associations between FoMO and loneliness via a three-wave, random intercept, cross-lagged panel model. Drawing on a survey with 494 adult participants across three waves (45.3 percent participated in Time 2 and 38.7 percent participated at Time 3) during the COVID-19 pandemic, we found that participants with higher FoMO also reported heightened levels of loneliness across the three waves, at a between-person level. Furthermore, loneliness had significant negative cross-lagged associations with subsequent FoMO, at within-person level. The cross-lagged paths between FoMO and subsequent loneliness were not significant. Participants who usually spend more daily time using social media reported higher levels of FoMO. The findings of the study contribute to clarifying the temporal relationship between FoMO and loneliness, by suggesting that FoMO may not represent a risk factor for heightened feelings of loneliness, but it can be triggered by feelings of social isolation and lack of relationships.
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Affiliation(s)
- Rubinia Celeste Bonfanti
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Laura Salerno
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Stefano Ruggieri
- Faculty of Human and Social Sciences, Kore University of Enna, Enna, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
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13
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La Tona A, Tagini S, Brugnera A, Poletti B, Aiello EN, Lo Coco G, Del Piccolo L, Compare A. Italian validation of the Clinical Outcomes in Routine Evaluation 10 (CORE-10): a short measure for routine outcome monitoring in clinical practice. RES PSYCHOTHER-PSYCH 2023; 26. [PMID: 37017222 DOI: 10.4081/ripppo.2023.671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 03/12/2023] [Indexed: 04/05/2023]
Abstract
The customization of the intervention using patient feedback is an evidence-based practice aimed at the continuous evaluation, during the course of treatment, of the patient's change at a clinical level. There are few easy-to-use tools for common assessment of psychological distress, designed to be used for screening and during treatment to monitor progress. The CORE-10 is definitely one of them. Thus, the aim of the present study was to examine the psychometric properties of the Italian version of the Clinical Outcomes in Routine Evaluation - 10 (CORE-10). A sample of 548 participants (females, N = 463, 84,5%; mean age 23.29 ± 7.21 years) was recruited in the study and filled out a battery of measures. The internal validity of the CORE-10 was investigated through a confirmatory factor analysis (CFA) which evidenced a good fit to the data, suggesting a unidimensional factorial structure of the measure. Further, the scale had a good internal reliability and was significantly associated with other measures of distress, interpersonal problems, wellbeing, and insecure attachment. Finally, it showed excellent diagnostic accuracy, as well as intrinsic and post-test diagnostics. Given its validity and reliability, the CORE-10 may be adopted by Italian-speaking psychotherapists and researchers to evaluate the outcomes of mental health interventions as well as to track the session-to-session changes over time in psychological distress among patients.
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McCabe M, Alcaraz-Ibanez M, Markey C, Sicilia A, Rodgers RF, Aimé A, Dion J, Pietrabissa G, Lo Coco G, Caltabiano M, Strodl E, Bégin C, Blackburn MÉ, Castelnuovo G, Granero-Gallegos A, Gullo S, Hayami-Chisuwa N, He Q, Maïano C, Manzoni GM, Mellor D, Probst M, Fuller-Tyszkiewicz M. A longitudinal evaluation of a biopsychosocial model predicting BMI and disordered eating among young adults. Australian Psychologist 2023. [DOI: 10.1080/00050067.2023.2181686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/14/2023]
Affiliation(s)
- Marita McCabe
- School of Health Sciences, Swinburne University, Hawthorn, Australia
| | - Manuel Alcaraz-Ibanez
- Health Research Center and Department of Education, University of Almeria, Almeria, Spain
| | - Charlotte Markey
- Department of Psychology, Health Sciences Centre, Rutgers University, Camden, NJ, USA
| | - Alvaro Sicilia
- Health Research Center and Department of Education, University of Almeria, Almeria, Spain
| | - Rachel F. Rodgers
- Department of Applied Psychology, North Eastern University, Boston, MA, USA
- Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, Montpellier, France
| | - Annie Aimé
- Department of Psychoeducation and Psychology, Université du Québec en Outaouais, Saint-Jérôme, Canada
| | - Jacinthe Dion
- Department of Health Sciences, Université du Québec á Chicoutimi, Chicoutimi, Canada
| | - Giada Pietrabissa
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, S. Giuseppe Hospital, Oggebbio-Piancavallo, Italy
- Department of Psychology, Catholic University of Milan, Milan, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Palermo, Italy
| | - Marie Caltabiano
- School of Psychology, James Cook University, Smithfield, Australia
| | - Esben Strodl
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Australia
| | | | | | - Gianluca Castelnuovo
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, S. Giuseppe Hospital, Oggebbio-Piancavallo, Italy
- Department of Psychology, Catholic University of Milan, Milan, Italy
| | | | - Salvatore Gullo
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Palermo, Italy
| | | | - Qiqiang He
- School of Health Sciences, Wuhan University, Wuhan, PR China
| | - Christoph Maïano
- Department of Psychoeducation and Psychology, Université du Québec en Outaouais, Saint-Jérôme, Canada
| | - Gian Mauro Manzoni
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, S. Giuseppe Hospital, Oggebbio-Piancavallo, Italy
| | - David Mellor
- School of Psychology, Deakin University, Burwood, Australia
| | - Michel Probst
- Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
| | - Matthew Fuller-Tyszkiewicz
- School of Psychology, Deakin University, Burwood, Australia
- Center for Social and Early Emotional Development, Deakin University, Burwood, Australia
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Monteleone AM, Cascino G, Salerno L, Albano G, Barone E, Cardi V, Lo Coco G. The interplay between emotion regulation, interpersonal problems and eating symptoms in individuals with obesity: A network analysis study. J Affect Disord 2023; 324:61-67. [PMID: 36565965 DOI: 10.1016/j.jad.2022.12.056] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 12/13/2022] [Accepted: 12/15/2022] [Indexed: 12/24/2022]
Abstract
INTRODUCTION A complex and bidirectional relationship between eating and psychological symptoms in individuals with obesity has been proposed. This study aims to identify the specific processes playing a role in this association, using a data-driven approach. METHODS Two hundred ninety-four adults with obesity, including 106 (36 %) with binge-eating disorder, were consecutively admitted to a specialized public center. They completed self-report questionnaires to assess emotion regulation, interpersonal problems, self-esteem, binge-eating symptoms, and expectancies regarding eating behaviors. To assess the interplay among eating and psychological variables, a network analysis was used. The bridge function analysis was also performed to identify the bridge nodes among three communities (eating symptoms, interpersonal and emotional problems). RESULTS The network was stable. Limited access to emotion regulation strategies, eating helps manage negative affect, and non-assertiveness were the nodes with the highest strength centrality. Lack of emotional clarity, non-assertiveness, socially inhibition, and binge-eating were the nodes with the highest bridge strength. LIMITATIONS The main limitation of the study is the cross-sectional nature of the findings which prevents to infer causality regarding the association between symptoms in the network. DISCUSSION An interplay between eating symptoms and affective and interpersonal factors characterizes individuals with obesity. Across the variety of psychological problems associated with obesity, the present study suggests specific psychological variables and their connections that could be addressed to improve treatment outcome.
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Affiliation(s)
| | - Giammarco Cascino
- Department of Medicine, Surgery and Dentistry 'Scuola Medica Salernitana', Section of Neurosciences, University of Salerno, Salerno, Italy
| | - Laura Salerno
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Palermo, Italy
| | - Gaia Albano
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Palermo, Italy
| | - Eugenia Barone
- Department of Psychiatry, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Valentina Cardi
- Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; Department of General Psychology, University of Padova, Padova, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Palermo, Italy
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Markey CH, Strodl E, Aimé A, McCabe M, Rodgers R, Sicilia A, Coco GL, Dion J, Mellor D, Pietrabissa G, Gullo S, Granero‐Gallegos A, Probst M, Maïano C, Bégin C, Alcaraz‐Ibáñez M, Blackburn M, Caltabiano ML, Manzoni GM, Castelnuovo G, Hayami‐Chisuwa N, He Q, Fuller‐Tyszkiewicz M. A survey of eating styles in eight countries: Examining restrained, emotional, intuitive eating and their correlates. Br J Health Psychol 2023; 28:136-155. [PMID: 35942590 PMCID: PMC10086804 DOI: 10.1111/bjhp.12616] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [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: 01/01/2022] [Accepted: 07/05/2022] [Indexed: 01/10/2023]
Abstract
INTRODUCTION Restrained, emotional and intuitive eating were examined in relation to each other and as correlates of participants' weight status, body image and self-esteem. In some past research, restrained and emotional eating have been associated with higher weight status and poorer mental health, while intuitive eating is more frequently linked to lower weight status and more positive well-being. However, these eating styles have rarely been examined together and never in a large cross-country sample. METHOD Six-thousand two-hundred and seventy-two (6272) emerging adults (M age = 21.54 years, SD = 3.13) completed scales from the Three-Factor Eating Questionnaire, the Eating Disorders Examination Questionnaire, the Intuitive Eating Scale-2, the Multidimensional Body Self Relations Questionnaire, the Rosenberg Self-Esteem Scale, and provided weight and height information that was used to calculate body mass index (BMI). Participants resided in Australia, Belgium, Canada, China, Italy, Japan, Spain and the United States and provided information using an online survey. RESULTS Path analyses for the entire sample revealed significant pathways between higher intuitive eating and higher body satisfaction and self-esteem, and lower BMIs among participants. Higher levels of restrained and emotional eating were associated with lower body satisfaction and self-esteem, and higher BMIs among participants. Minor cross-country differences were evident in these patterns of relations, but intuitive eating emerged as a consistent predictor across countries. CONCLUSION Overall, findings suggest that efforts should be made to increase intuitive eating among emerging adults and to support individual and macrolevel interventions to decrease restrained and emotional eating behaviours.
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Affiliation(s)
- Charlotte H. Markey
- Department of Psychology, Health Sciences CenterRutgers UniversityCamdenNew JerseyUSA
| | - Esben Strodl
- School of Psychology and CounsellingQueensland University of TechnologyBrisbaneQldAustralia
| | - Annie Aimé
- Department of Psychoeducation and PsychologyUniversité du Québec en OutaouaisSaint‐JérômeQCCanada
| | - Marita McCabe
- School of Health SciencesSwinburne UniversityMelbourneVic.Australia
| | - Rachel Rodgers
- Department of Applied PsychologyNorth Eastern UniversityBostonMassachusettsUSA
- Department of Psychiatric Emergency & Acute CareLapeyronie Hospital, CHRU MontpellierMontpellierFrance
| | - Alvaro Sicilia
- Health Research Centre and Department of EducationUniversity of AlmeriaAlmeriaSpain
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human MovementUniversity of PalermoPalermoItaly
| | - Jacinthe Dion
- Department of Health SciencesUniversite du Quebec a ChicoutimiChicoutimiQCCanada
| | - David Mellor
- School of PsychologyDeakin UniversityMelbourneVic.Australia
| | - Giada Pietrabissa
- Istituto Auxologico Italiano, IRCCS, San Giuseppe HospitalOggebbioItaly
- Department of PsychologyCatholic University of MilanMilanItaly
| | - Salvatore Gullo
- Department of Psychology, Educational Science and Human MovementUniversity of PalermoPalermoItaly
| | | | - Michel Probst
- Department of Rehabilitation SciencesKU LeuvenLeuvenBelgium
| | - Christophe Maïano
- Department of Psychoeducation and PsychologyUniversité du Québec en OutaouaisSaint‐JérômeQCCanada
| | | | | | | | | | - Gian Mauro Manzoni
- Istituto Auxologico Italiano, IRCCS, San Giuseppe HospitalOggebbioItaly
- Department of PsychologyCatholic University of MilanMilanItaly
| | - Gianluca Castelnuovo
- Istituto Auxologico Italiano, IRCCS, San Giuseppe HospitalOggebbioItaly
- Department of PsychologyCatholic University of MilanMilanItaly
| | - Naomi Hayami‐Chisuwa
- Graduate School of Human Life and EcologyOsaka Metropolitan UniversityOsakaJapan
| | - Qiqiang He
- School of Health SciencesWuhan UniversityWuhanChina
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Brugnera A, Zarbo C, Scalabrini A, Compare A, Mucci C, Carrara S, Tasca GA, Hewitt P, Greco A, Poletti B, Esposito R, Cattafi F, Zullo C, Lo Coco G. Attachment anxiety, reflective functioning and well-being as predictors of burn-out and psychological distress among psychotherapists: A longitudinal study. Clin Psychol Psychother 2023. [PMID: 36610037 DOI: 10.1002/cpp.2823] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 12/09/2022] [Accepted: 01/04/2023] [Indexed: 01/09/2023]
Abstract
OBJECTIVE This study aims to longitudinally investigate the effects of individual's factors on subsequent burn-out/psychological distress in a sample of mental health practitioners, testing if higher attachment anxiety and avoidance and lower reflective functioning (i.e., certainty and uncertainty of mental states) and well-being at baseline may lead to a greater psychological distress and burn-out 1 year later. METHODS The sample consisted of 40 experienced psychotherapists (females: 72.5%; mean age: 47.40 ± 9.48 years) who completed a battery of questionnaires at baseline and 1 year later. Statistical analyses were conducted with Bayesian multiple linear regressions. RESULTS Greater attachment anxiety and certainty about mental states and lower individual's well-being at baseline predicted greater burn-out 1 year later. Similarly, greater attachment anxiety and lower individual's well-being at baseline predicted psychological distress at 1 year follow-up. Of note, uncertainty of mental states and avoidant attachment were not associated with outcomes. CONCLUSION These findings suggest that the levels of burn-out and psychological distress among psychotherapists may be alleviated with interventions targeting attachment insecurity, specific aspects of reflective functioning (i.e., certainty about mental states) and well-being.
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Affiliation(s)
- Agostino Brugnera
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Cristina Zarbo
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Andrea Scalabrini
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Angelo Compare
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Clara Mucci
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Silvia Carrara
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | | | - Paul Hewitt
- University of British Columbia, Vancouver, British Columbia, Canada
| | - Andrea Greco
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Barbara Poletti
- Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy
| | - Rosy Esposito
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Francesco Cattafi
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Claudio Zullo
- U.O.C. of Clinical Psychology, Local Health Authority 1 of Naples, Naples, Italy
| | - Gianluca Lo Coco
- Department of Psychological Sciences, University of Palermo, Palermo, Italy
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18
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Albano G, Salerno L, Cardi V, Brockmeyer T, Ambwani S, Treasure J, Lo Coco G. Patient and mentor language style matching as a predictor of working alliance, engagement with treatment as usual, and eating disorders symptoms over the course of an online guided self-help intervention for anorexia nervosa. Eur Eat Disord Rev 2023; 31:135-146. [PMID: 35983983 PMCID: PMC10087304 DOI: 10.1002/erv.2948] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Revised: 06/29/2022] [Accepted: 08/07/2022] [Indexed: 12/13/2022]
Abstract
OBJECTIVE The aim of this study was to examine the processes involved in a guided self-help (GSH) pre-treatment intervention (RecoveryMANTRA) for patients with anorexia nervosa (AN), by measuring the levels of patient/mentor Language Style Matching (LSM). RecoveryMANTRA was supported by student mentors or peer mentors (recovered individuals) over six weekly chat-based sessions. We examined whether LSM during RecoveryMANTRA predicted patients'working alliance with the clinic therapist, motivation, eating disorder (ED) and general psychopathology. A further aim was to examine differences in LSM between student mentors and peer mentors. METHOD 87 AN adults received RecoveryMANTRA plus treatment as usual. The LSM algorithm was used to calculate verbal attunement between patient and mentor. Participants were assessed at baseline and at the end of the intervention. RESULTS Both early (1st session) and late (6th session) LSM predicted higher working alliance with the clinic therapist. Moreover, late LSM predicted lower EDs symptoms at the end of the RecoveryMANTRA intervention. Patient/peer mentor dyads showed higher late verbal attunement than patient/student mentor dyads. CONCLUSIONS These findings suggests that in the early phase of treatment relational aspects can impact on engagement with treatment. Verbal attunement in a GSH for AN is associated with working alliance and better clinical outcome.
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Affiliation(s)
- Gaia Albano
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Laura Salerno
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Valentina Cardi
- Department of Psychological Medicine, King's College London, London, UK.,Department of General Psychology, University of Padova, Padova, Italy
| | - Timo Brockmeyer
- Department of Psychosomatic Medicine and Psychotherapy, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany
| | - Suman Ambwani
- Department of Psychology, Dickinson College, Carlisle, Pennsylvania, USA
| | - Janet Treasure
- Department of Psychological Medicine, King's College London, London, UK
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
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19
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Di Blasi M, Salerno L, Albano G, Caci B, Esposito G, Salcuni S, Gelo OCG, Mazzeschi C, Merenda A, Giordano C, Lo Coco G. A three-wave panel study on longitudinal relations between problematic social media use and psychological distress during the COVID-19 pandemic. Addict Behav 2022; 134:107430. [PMID: 35870439 PMCID: PMC9287460 DOI: 10.1016/j.addbeh.2022.107430] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 07/11/2022] [Accepted: 07/13/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND It still remains unclear whether problematic social media use (PSMU) is a cause or a consequence of psychological distress. The present study aimed to investigate the temporal relationships between PSMU and psychological distress through a three-wave panel study (between April and July 2020, with an interval of 1 month between each period of time). METHODS 3,912 adult Italian participants were surveyed during the COVID-19 pandemic for psychological distress (Depression, Anxiety and Stress Scale) and PSMU (Bergen Social Media Addiction Scale). Random-Intercept Cross-Lagged Panel Models were applied to disaggregate between-person from within-person associations as regards PSMU and an individual's distress. RESULTS On a between-person level we found that adults with higher PSMU also reported heightened levels of psychological distress across the three waves. However, on a within-person level, no cross-lagged associations were found between changes in distress and subsequent changes in PSMU and vice versa. The results were largely unchanged with the inclusion of participants' gender and age or COVID-19-related fears as covariates, and when the three subscales of depression, anxiety and stress were examined in separate models. CONCLUSIONS The current study suggests that the link between PSMU and psychological distress is mainly driven by trait-like differences and not by state-like individual changes over time.
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Affiliation(s)
- Maria Di Blasi
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy.
| | - Laura Salerno
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy
| | - Gaia Albano
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy
| | - Barbara Caci
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy
| | - Giovanna Esposito
- Department of Humanities, University of Napoli Federico II, Via Porta di Massa, 1, 80133 Napoli, Italy
| | - Silvia Salcuni
- Department of Developmental and Social Psychology, University of Padova, Via Venezia 12, 35132 Padova, Italy
| | - Omar Carlo Gioacchino Gelo
- Department of History, Society and Human Studies, Studium 2000- University of Salento, Edificio 5, Via di Valesio, 24, 73100 Lecce, Italy; Faculty of Psychotherapy Science, Sigmund Freud University Vienna, Freudplatz 1, 1020 Vienna, Austria
| | - Claudia Mazzeschi
- Department of Philosophy, Social & Human Sciences and Education, University of Perugia, P.zza Ermini 1, 06123 Perugia, Italy
| | - Aluette Merenda
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy
| | - Cecilia Giordano
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy
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20
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Salerno L, Alquitran A, Alibrahim N, Lo Coco G, Di Blasi M, Giordano C. Evaluating Gender Differences in Problematic Smartphone Use. European Journal of Psychological Assessment 2022. [DOI: 10.1027/1015-5759/a000730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Abstract. The Smartphone Addiction Inventory (SPAI) is widely used to measure problematic smartphone use (PSU). Although the SPAI has been translated and validated in different countries, its measurement invariance across gender has received little research attention. This study aimed to examine whether men and women interpreted the Italian version of the SPAI (SPAI-I) similarly and, consequently, whether the observed gender differences in SPAI scores, which have been shown in previous studies, could be due to true differences, rather than to differences in measurement. Six hundred nineteen Italian young adults ( Mage = 22.02 ± 2.63; 55.7% women) took part in the study and completed the SPAI-I. Multigroup CFA was applied to test the measurement invariance across gender, and the item parameter invariance was investigated with the item-response theory (IRT) differential item functioning (DIF) method for multidimensional models. Evidence of measurement invariance across gender was found. Only one item (i.e., item 14, “The idea of using smartphone comes as the first thought on mind when waking up each morning”) out of 24 items of the SPAI-I showed DIF with a large effect size. Gender-related differences found with the SPAI-I reflect true differences in smartphone overuse rather than specific characteristics of the measure.
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Affiliation(s)
- Laura Salerno
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Italy
| | - Analyn Alquitran
- Department of Research Methods and Information Science, Morgridge College of Education, University of Denver, Denver, CO, USA
| | - Noor Alibrahim
- Department of Research Methods and Information Science, Morgridge College of Education, University of Denver, Denver, CO, USA
| | - Gianluca Lo Coco
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Italy
| | - Maria Di Blasi
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Italy
| | - Cecilia Giordano
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Italy
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Van Daele T, Mathiasen K, Carlbring P, Bernaerts S, Brugnera A, Compare A, Duque A, Eimontas J, Gosar D, Haddouk L, Karekla M, Larsen P, Lo Coco G, Nordgreen T, Salgado J, Schwerdtfeger AR, Van Assche E, Willems S, De Witte NA. Online consultations in mental healthcare: Modelling determinants of use and experience based on an international survey study at the onset of the pandemic. Internet Interv 2022; 30:100571. [PMID: 36105006 PMCID: PMC9465436 DOI: 10.1016/j.invent.2022.100571] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 08/22/2022] [Accepted: 08/29/2022] [Indexed: 11/12/2022] Open
Abstract
INTRODUCTION While online consultations have shown promise to be a means for the effective delivery of high-quality mental healthcare and the first implementations of these digital therapeutic contacts go back nearly two decades, uptake has remained limited over the years. The onset of the COVID-19 pandemic dramatically altered this relative standstill and created a unique turning point, with a massive amount of both professionals and clients having first hands-on experiences with technology in mental healthcare. OBJECTIVE The current study aimed to document the uptake of online consultations and explore if specific characteristics of mental health professionals across and beyond Europe could predict this. METHODS An international survey was designed to assess mental health professionals' (initial) experiences with online consultations at the onset of the pandemic: their willingness to make use of them and their prior and current experiences, alongside several personal characteristics. Logistic mixed-effects models were used to identify predictors of the use of online consultations, personal experience with this modality, and the sense of telepresence. RESULTS A total of 9115 healthcare professionals from 73 countries participated of which about two-thirds used online consultations during the initial COVID-19 outbreak. The current study identifies multiple determinants relating to the use and experience of online consultations, including the professionals' age, experience with the technology before the outbreak, the professional context, and training. CONCLUSIONS Despite strong evidence supporting the relevance of training in digital mental health, this is clearly still lacking. Nevertheless, the COVID-19 pandemic presented a first, and potentially transformative, experience with online consultations for many healthcare professionals. The insights from this study can help support professionals and, importantly, (mental) healthcare organisations to create optimal circumstances for selective and high-quality continued use of online consultations.
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Affiliation(s)
| | - Kim Mathiasen
- Department of Clinical Medicine, University of Southern Denmark, Denmark,Centre for Digital Psychiatry, Mental Health Services of Southern Denmark, Denmark
| | - Per Carlbring
- Department of Psychology, Stockholm University, Stockholm, Sweden,Corresponding author at: Department of Psychology, Stockholm University, SE-106 91 Stockholm, Sweden.
| | | | - Agostino Brugnera
- Department of Human & Social Sciences - University of Bergamo, Bergamo, Italy
| | - Angelo Compare
- Department of Human & Social Sciences - University of Bergamo, Bergamo, Italy
| | - Aranzazu Duque
- Universidad Internacional de Valencia, Valencia, Spain,Cibersalud, Mallorca, Spain
| | - Jonas Eimontas
- Department of Clinical Psychology, Institute of Psychology, Vilnius University, Vilnius, Lithuania
| | - David Gosar
- Department of Child, Adolescent & Developmental Neurology, University Children's Hospital, University Medical Centre Ljubljana, Slovenia
| | - Lise Haddouk
- Department of Psychology, University of Rouen, France
| | - Maria Karekla
- Department of Psychology, University of Cyprus, Cyprus
| | - Pia Larsen
- Mental Health Services in the Region of Southern Denmark, Vejle, Denmark
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement- University of Palermo, Italy
| | - Tine Nordgreen
- Haukeland University Hospital, University of Bergen, Bergen, Norway
| | - João Salgado
- University of Maia, Portugal & Center of Psychology at University of Porto, Portugal
| | | | | | - Sam Willems
- Thomas More University of Applied Sciences, Belgium
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22
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Aloi M, Lo Coco G, Carcione A, Nicolò G, Tasca GA, Segura-Garcia C. Editorial: Psychosocial Risk Factors in the Development and Maintenance of Eating Disorders. Front Psychol 2022; 13:964626. [PMID: 35911003 PMCID: PMC9328156 DOI: 10.3389/fpsyg.2022.964626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 06/29/2022] [Indexed: 11/30/2022] Open
Affiliation(s)
- Matteo Aloi
- Outpatient Unit for Clinical Research and Treatment of Eating Disorders, University Hospital “Mater Domini”, Catanzaro, Italy
- Department of Health Sciences, University “Magna Graecia” of Catanzaro, Catanzaro, Italy
- *Correspondence: Matteo Aloi
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Antonino Carcione
- Third Centre of Cognitive Psychotherapy—Italian School of Cognitive Psychotherapy (SICC), Rome, Italy
| | - Giuseppe Nicolò
- Third Centre of Cognitive Psychotherapy—Italian School of Cognitive Psychotherapy (SICC), Rome, Italy
| | | | - Cristina Segura-Garcia
- Outpatient Unit for Clinical Research and Treatment of Eating Disorders, University Hospital “Mater Domini”, Catanzaro, Italy
- Department of Medical and Surgical Sciences, University “Magna Graecia” of Catanzaro, Catanzaro, Italy
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23
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Franchina V, Bonfanti RC, Lo Coco G, Salerno L. The Role of Existential Concerns in the Individual's Decisions regarding COVID-19 Vaccine Uptake: A Survey among Non-Vaccinated Italian Adults during the Third Wave of the Pandemic. Vaccines (Basel) 2022; 10:1079. [PMID: 35891243 PMCID: PMC9319079 DOI: 10.3390/vaccines10071079] [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] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 06/28/2022] [Accepted: 06/30/2022] [Indexed: 11/17/2022] Open
Abstract
Recent studies have suggested that health constructs embraced by the Terror Management Theory (TMT) and the Basic Psychological Needs Theory (BPNT) may drive individuals' COVID-19 health-related decisions. This study examines the relationships between existential concerns (ECs; within the TMT), basic psychological needs (BPNs; within the BPNT) and COVID-19 vaccine hesitancy (VH), as well as the mediating role of negative attitudes toward COVID-19 vaccines. A cross-sectional survey was carried out from April to May 2021 on a sample of two hundred and eighty-seven adults (Mage = 36.04 ± 12.07; 59.9% females). Participants provided information regarding existential concerns, basic psychological needs, attitudes toward COVID-19 vaccines and vaccine hesitancy for Pfizer-BioNTech and AstraZeneca vaccines separately. Higher vaccine hesitancy (32.1%) and vaccine resistance (32.8%) rates were found for AstraZeneca than for Pfizer-BioNTech COVID-19 vaccine (22.3% and 10.1%, respectively). Structural equation modeling showed that existential concerns were related to Pfizer-BioNTech and AstraZeneca vaccine hesitancy both directly and indirectly through negative attitudes toward potential side effects of COVID-19 vaccines. The findings of the study confirm that the TMT is efficient in explaining COVID-19 vaccine hesitancy. Targeted efforts are needed to increase the acceptance of COVID-19 vaccines.
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Affiliation(s)
- Vittoria Franchina
- Department of Psychology, University of Salzburg, 5020 Salzburg, Austria;
| | - Rubinia Celeste Bonfanti
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy; (R.C.B.); (G.L.C.)
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy; (R.C.B.); (G.L.C.)
| | - Laura Salerno
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy; (R.C.B.); (G.L.C.)
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24
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Gullo S, Lo Coco G, Leszcz M, Marmarosh CL, Miles JR, Shechtman Z, Weber R, Tasca GA. Therapists’ perceptions of online group therapeutic relationships during the COVID-19 pandemic: A survey-based study. Group Dynamics: Theory, Research, and Practice 2022. [DOI: 10.1037/gdn0000189] [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: 11/08/2022]
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25
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Lo Coco G, Gullo S, Albano G, Brugnera A, Flückiger C, Tasca GA. The alliance-outcome association in group interventions: A multilevel meta-analysis. J Consult Clin Psychol 2022; 90:513-527. [PMID: 35575726 DOI: 10.1037/ccp0000735] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [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: 11/08/2022]
Abstract
OBJECTIVE The therapeutic alliance has been studied in group interventions, but its relationship to patient outcome is still controversial. This study systematically reviewed the association of both the member-leader and member-group alliance with patient outcomes, and assessed the effects of several theoretically informed moderators. METHOD A three-level meta-analysis was conducted on 57 studies to disentangle within- and between-study variability in the alliance-outcome association. RESULTS The overall effect size of the unconditional model was r = -.259 (95% CI: -.302, -.214; p < .001), whereas the correlation between alliance and outcome based on the three-level meta-analytic model was r = -.215 (95% CI: -.252, -.178; p < .001) indicating a medium effect. Meta-regressions of moderators showed that the alliance-outcome correlation was higher when patients reported on their alliance with the group/other members compared with when they rated the alliance with the leader. Outcome type, rating perspective, theoretical orientation, treatment length, and year of publication were significant moderators of the relationship between alliance and outcome. CONCLUSIONS The current meta-analysis highlighted that the therapeutic alliance, especially with other group members, is a significant predictor of outcomes in group therapies even after controlling for several moderators and adopting more conservative statistical modeling. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Affiliation(s)
- Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement
| | - Salvatore Gullo
- Department of Psychology, Educational Science and Human Movement
| | - Gaia Albano
- Department of Psychology, Educational Science and Human Movement
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26
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Gullo S, Gelo OCG, Bassi G, Lo Coco G, Lagetto G, Esposito G, Pazzagli C, Salcuni S, Freda MF, Mazzeschi C, Giordano C, Di Blasi M. The role of emotion regulation and intolerance to uncertainty on the relationship between fear of COVID-19 and distress. Curr Psychol 2022; 42:1-12. [PMID: 35496361 PMCID: PMC9037968 DOI: 10.1007/s12144-022-03071-5] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/30/2022] [Indexed: 11/27/2022]
Abstract
The COVID-19 pandemic is increasing negative consequences on mental health around the globe. To date, research on what psychological factors could influence individuals' distress is still scarce. The current study aims to test a multiple mediation model to examine the role of Intolerance of Uncertainty (IU) and emotional regulation (i.e., expressive suppression and cognitive reappraisal) as joint factors, which can increase understanding of psychological distress due to the COVID-19 outbreak. An online survey measuring fear of COVID-19, IU, emotional regulation, and psychological distress was administered to 3863 Italian adults (females 73.3%; M age = 36.44; SD = 14.74) during lockdown. Results showed that IU partially mediated the effect of fear of COVID-19 on depression, anxiety and stress. Moreover, individuals with difficulties in managing the uncertainties due to their fear of COVID-19 may be at risk for heightened use of expressive suppression and depression. However, individuals with both higher IU and expressive suppression showed lower level of stress. High cognitive reappraisal has a mediational effect on the relationship between fear of COVID-19, IU, and lower psychological distress. Findings suggest that IU and emotional regulation should be targeted for informing the development of tailored treatments to reduce the negative consequences of the outbreak. Supplementary Information The online version contains supplementary material available at 10.1007/s12144-022-03071-5.
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Affiliation(s)
- Salvatore Gullo
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, edificio 15–90128, Palermo, Italy
| | - Omar Carlo Gioacchino Gelo
- Present Address: Faculty of Psychotherapy Science, Sigmund Freud University Vienna, Freudplatz 1–1020, Vienna, Austria
- Department of History, Society and Human Studies Studium 2000, University of Salento, Edificio 5, Via di Valesio, 24–73100, Lecce, Italy
| | - Giulia Bassi
- Department of Developmental and Socialization Psychology, University of Padova, Via Venezia 8–35132, Padova, Italy
- Digital Health Lab, Centre for Digital Health and Wellbeing, Fondazione Bruno Kessler, Via Sommarive 18–38123, Trento, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, edificio 15–90128, Palermo, Italy
| | - Gloria Lagetto
- Department of History, Society and Human Studies Studium 2000, University of Salento, Edificio 5, Via di Valesio, 24–73100, Lecce, Italy
| | - Giovanna Esposito
- Department of Humanities, University of Naples Federico II, Via Porta di Massa–80133, Naples, Italy
| | - Chiara Pazzagli
- Department of Philosophy, Social Sciences and Education, University of Perugia, P.zza Ermini 1–06123, Perugia, Italy
| | - Silvia Salcuni
- Department of Developmental and Socialization Psychology, University of Padova, Via Venezia 8–35132, Padova, Italy
| | - Maria Francesca Freda
- Department of Humanities, University of Naples Federico II, Via Porta di Massa–80133, Naples, Italy
| | - Claudia Mazzeschi
- Department of Philosophy, Social Sciences and Education, University of Perugia, P.zza Ermini 1–06123, Perugia, Italy
| | - Cecilia Giordano
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, edificio 15–90128, Palermo, Italy
| | - Maria Di Blasi
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, edificio 15–90128, Palermo, Italy
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27
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Remondi C, Compare A, Tasca GA, Lo Coco G, Chiozza V, Favini A, Carrara S, Greco A, Poletti B, Zarbo C, Brugnera A. The Effects of Attachment, Temperament, and Self-Esteem on Technology Addiction: A Mediation Model Among Young Adults. Cyberpsychol Behav Soc Netw 2022; 25:258-263. [PMID: 35213256 DOI: 10.1089/cyber.2021.0237] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Excessive use of technology has become a worldwide problem due to its high prevalence, fast growth rate, and undesirable consequences. However, little is known about underlying psychological mechanisms that maintain excessive use of technology. We investigated the mediating role of self-esteem, novelty seeking, and persistence on the relationship between attachment dimensions and technology addiction among young adults. Data were collected from 727 young adults (females, N = 478; 66.3 percent), aged 23.44 ± 3.02 years. Participants completed self-report measures of secure and insecure attachment dimensions, personality, and temperament characteristics (i.e., self-esteem, novelty seeking, and persistence), technology addiction and frequency of technology use (i.e., own technology use, perceived use by peers and parents). The mediation model was tested through a path analysis. The effects of attachment insecurity on technology addiction were partially mediated by the levels of persistence and self-esteem, whereas the effects of attachment security on technology addiction were fully mediated. The effects remained robust even after controlling for the frequency of technology use. The model was gender and age invariant, suggesting that the mediation worked in a similar way for both men and women and across ages. Findings suggest that attachment dimensions exert not only a direct but also an indirect effect on technology addiction through self-esteem and persistence. Such findings may help to develop psychosocial interventions that are sensitive to young adults' attachment, personality, and temperament characteristics.
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Affiliation(s)
- Chiara Remondi
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | - Angelo Compare
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | | | - Gianluca Lo Coco
- Department of Clinical Psychology, University of Palermo, Palermo, Italy
| | - Valeria Chiozza
- Department of Psychology of Developmental and Socialisation Processes, Sapienza University of Rome, Rome, Italy
| | - Ainzara Favini
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | - Silvia Carrara
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Andrea Greco
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Barbara Poletti
- Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy
| | - Cristina Zarbo
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Agostino Brugnera
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
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28
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Pišot S, Šimunič B, Gentile A, Bianco A, Coco GL, Pišot R, Drid P, Milovanović I. The differences of Slovenian and Italian daily practices experienced in the first wave of covid-19 pandemic. BMC Public Health 2022; 22:326. [PMID: 35172773 PMCID: PMC8848827 DOI: 10.1186/s12889-022-12664-5] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 01/24/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic situation with the lockdown of public life caused serious changes in people's everyday practices. The study evaluates the differences between Slovenia and Italy in health-related everyday practices induced by the restrictive measures during first wave of the COVID-19 pandemic. METHODS The cross-sectional cohort study examined changes through an online survey conducted in nine European countries from April 15-28, 2020. The survey included questions from a simple activity inventory questionnaire (SIMPAQ), the European Health Interview Survey, and some other questions. To compare difference in changes between European countries we examined Italy with severe and its neighbour country Slovenia with low incidence and victims of COVID-19 epidemic. 956 valid responses from Italy (N = 511; 50% males) and Slovenia (N = 445; 26% males) were investigated. RESULTS During the survey, there was a 4.7-fold higher incidence and 12.1-fold more deaths (per 100,000) in Italy than in Slovenia. Barring periods and measures were similar, the latter more stringent in Italy. We found more changes in Italy than in Slovenia: physical inactivity increased (Italy: + 65% vs. Slovenia: + 21%; p < 0.001), walking time decreased (Italy: -68% vs. Slovenia: -4.4%; p < 0.001); physical work increased by 38% in Slovenia (p < 0.001), and recreation time decreased by 37% in Italy (p < 0.001). Italians reported a decrease in quality of general health, fitness level, psychological well-being, quality of life and care for own health (p < 0.001); Slovenians showed a decline in psychological well-being and quality of life (p < 0.001) but generally had a higher concern for their own health (p = 0.005). In pooled participants, changes in eating habits (meal size and consumption of unhealthy food), age and physical inactivity were positively correlated with increases in body mass, while changes in general well-being and concern for health were negatively correlated. CONCLUSION The study shows that the negative impact of COVID -19 measures is greater in Italy where the pandemic COVID -19 was more prevalent than in Slovenia with low prevalence. Additional consideration should be given to the negative impact of COVID-19 measures on some health-related lifestyle variables when implementing further measures to mitigate the COVID-19 pandemic.
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Affiliation(s)
- Saša Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia.
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Ambra Gentile
- Department of Psychology, Educational Science and Human Movement, Università Degli Studi Di Palermo, Palermo, Italy
| | - Antonino Bianco
- Department of Psychology, Educational Science and Human Movement, Università Degli Studi Di Palermo, Palermo, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, Università Degli Studi Di Palermo, Palermo, Italy
| | - Rado Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper, Slovenia
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Ivana Milovanović
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
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29
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Albano G, Bonfanti RC, Gullo S, Salerno L, Lo Coco G. The psychological impact of COVID-19 on people suffering from dysfunctional eating behaviours: a linguistic analysis of the contents shared in an online community during the lockdown. Res Psychother 2021; 24:557. [PMID: 35047429 PMCID: PMC8715260 DOI: 10.4081/ripppo.2021.557] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 09/08/2021] [Indexed: 12/15/2022]
Abstract
The coronavirus disease 2019 (COVID-19) spread several months ago from China and it is now a global pandemic. The experience of lockdown has been an undesirable condition for people with mental health problems, including eating disorders. The present study has the aim of understanding the impact of the first wave of the COVID-19 pandemic on people with selfreported disordered eating behaviours. A linguistic analysis was carried out with regard to the online posts and comments published by 1971 individuals (86% women) in a Facebook online community focusing on EDs during the lockdown. A total of 244 posts and 3603 comments were collected during the 56 days of lockdown (from the 10th of March until the 4th of May 2020) in Italy and were analysed by Linguistic Inquiry and Word Count (LIWC) software. The results showed that words related to peer support decreased in posts over time, and that anxiety and anger increased in the published comments. Moreover, greater feelings of negativity and anxiety were found in posts and comments throughout the COVID-19 pandemic, as well as lesser use of words related to positive emotions. Thematic qualitative analysis revealed eight themes that described the main subjective components of ED symptomatology and distress during the first COVID-19 lockdown. The current findings can help in delivering tailored treatments to people with eating disorders during the COVID-19 pandemic.
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Affiliation(s)
- Gaia Albano
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Rubinia Celeste Bonfanti
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Salvatore Gullo
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Laura Salerno
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
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30
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Mannino G, Salerno L, Bonfanti RC, Albano G, Lo Coco G. The impact of Facebook use on self-reported eating disorders during the COVID-19 lockdown. BMC Psychiatry 2021; 21:611. [PMID: 34876064 PMCID: PMC8651245 DOI: 10.1186/s12888-021-03628-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Accepted: 11/02/2021] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND The social isolation due to the COVID-19-related lockdown has had an impact on social media consumption around the world. This study examines the relationship between fear of COVID-19, Facebook use and disordered eating. METHODS Structural Equation Modeling was used to analyse two-wave survey data (T0: Italian first lockdown; T1: after two months) during the pandemic. Young adults with self-reported dysfunctional eating behaviors (N = 115; 91.3% females; mean age = 28.60 ± 7.31) were recruited to complete an online survey at T0; 66 participants (92.4% females; mean age = 28.85 ± 7.85) completed the survey at T1. They were assessed on Facebook use, dysfunctional eating cognitions, and fear of COVID-19. RESULTS Participants' disordered eating cognitions increased during the pandemic. At T0, higher fear of COVID-19 was positively associated to time spent on Facebook, which in turn predicted disordered eating cognitions at T1. Moreover, maladaptive Facebook use mediated the relationship between daily time on Facebook and Shape concerns. CONCLUSIONS The findings of this study suggest an influence of dysfunctional Facebook use in increasing disordered eating cognitions during the pandemic.
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Affiliation(s)
| | - Laura Salerno
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128, Palermo, Italy.
| | - Rubinia Celeste Bonfanti
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128, Palermo, Italy
| | - Gaia Albano
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128, Palermo, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128, Palermo, Italy
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Di Blasi M, Albano G, Bassi G, Mancinelli E, Giordano C, Mazzeschi C, Pazzagli C, Salcuni S, Lo Coco G, Gelo OCG, Lagetto G, Freda MF, Esposito G, Caci B, Merenda A, Salerno L. Factors Related to Women's Psychological Distress during the COVID-19 Pandemic: Evidence from a Two-Wave Longitudinal Study. Int J Environ Res Public Health 2021; 18:11656. [PMID: 34770172 PMCID: PMC8583639 DOI: 10.3390/ijerph182111656] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 11/03/2021] [Accepted: 11/04/2021] [Indexed: 12/23/2022]
Abstract
BACKGROUND A growing body of research has highlighted the negative effects of the COVID-19 pandemic on women's mental health. Previous studies showed that women have higher levels of depression, anxiety and PTSD, and worse psychological adjustment than men, which also persisted after the earlier phase of the pandemic. This study aimed to evaluate changes in women's psychological distress during the pandemic and to evaluate the factors that have a more significant impact in predicting women's psychological distress. METHODS This two-wave longitudinal study (T1 = Italian first lockdown, and T2 = second phase, when the restrictive measures were eased) involved 893 women (Mage = 36.45, SD = 14.48). Participants provided demographic and health data as well as measures of psychological distress, emotion regulation processes, and ability to tolerate uncertainty. RESULTS No significant changes were found in women's psychological distress between T1 and T2, i.e., during and after the first lockdown. Lower social stability status and higher maladaptive emotional coping predicted high psychological distress. CONCLUSIONS Results showed that modifiable psychological variables play a central role in predicting distress and indicated that emotion regulation interventions might be helpful in increasing psychological resilience and mitigating the adverse impacts of the COVID-19 pandemic within the female population.
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Affiliation(s)
- Maria Di Blasi
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy; (C.G.); (G.L.C.); (B.C.); (A.M.); (L.S.)
| | - Gaia Albano
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy; (C.G.); (G.L.C.); (B.C.); (A.M.); (L.S.)
| | - Giulia Bassi
- Department of Developmental and Social Psychology, University of Padova, 35132 Padova, Italy; (G.B.); (E.M.); (S.S.)
- Digital Health Lab, Fondazione Bruno Kessler, 38122 Trento, Italy
| | - Elisa Mancinelli
- Department of Developmental and Social Psychology, University of Padova, 35132 Padova, Italy; (G.B.); (E.M.); (S.S.)
- Digital Health Lab, Fondazione Bruno Kessler, 38122 Trento, Italy
| | - Cecilia Giordano
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy; (C.G.); (G.L.C.); (B.C.); (A.M.); (L.S.)
| | - Claudia Mazzeschi
- Department of Philosophy, Social & Human Sciences and Education, University of Perugia, 06123 Perugia, Italy; (C.M.); (C.P.)
| | - Chiara Pazzagli
- Department of Philosophy, Social & Human Sciences and Education, University of Perugia, 06123 Perugia, Italy; (C.M.); (C.P.)
| | - Silvia Salcuni
- Department of Developmental and Social Psychology, University of Padova, 35132 Padova, Italy; (G.B.); (E.M.); (S.S.)
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy; (C.G.); (G.L.C.); (B.C.); (A.M.); (L.S.)
| | - Omar Carlo Gioacchino Gelo
- Department of History, Society and Human Studies, University of Salento, 73100 Lecce, Italy; (O.C.G.G.); (G.L.)
- Faculty of Psychotherapy Science, Sigmund Freud University Vienna, 1020 Vienna, Austria
| | - Gloria Lagetto
- Department of History, Society and Human Studies, University of Salento, 73100 Lecce, Italy; (O.C.G.G.); (G.L.)
| | - Maria Francesca Freda
- Department of Humanities, University of Napoli Federico II, 80133 Napoli, Italy; (M.F.F.); (G.E.)
| | - Giovanna Esposito
- Department of Humanities, University of Napoli Federico II, 80133 Napoli, Italy; (M.F.F.); (G.E.)
| | - Barbara Caci
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy; (C.G.); (G.L.C.); (B.C.); (A.M.); (L.S.)
| | - Aluette Merenda
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy; (C.G.); (G.L.C.); (B.C.); (A.M.); (L.S.)
| | - Laura Salerno
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy; (C.G.); (G.L.C.); (B.C.); (A.M.); (L.S.)
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Sideli L, Lo Coco G, Bonfanti RC, Borsarini B, Fortunato L, Sechi C, Micali N. Effects of COVID-19 lockdown on eating disorders and obesity: A systematic review and meta-analysis. Eur Eat Disord Rev 2021; 29:826-841. [PMID: 34460991 PMCID: PMC8652707 DOI: 10.1002/erv.2861] [Citation(s) in RCA: 85] [Impact Index Per Article: 28.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 07/27/2021] [Accepted: 08/09/2021] [Indexed: 12/15/2022]
Abstract
OBJECTIVE This systematic review and meta-analysis aimed to examine: the pooled prevalence of symptomatic behaviours and mental health deterioration amongst individuals with eating disorders (EDs) and obesity during the COVID-19 confinement. Moreover, we examined changes in EDs and distress before and during the confinement, and the association between psychosocial factors and EDs symptoms. METHOD A systematic search was carried out in biomedical databases from January 2020 to January 2021. Both cross-sectional and longitudinal studies that used quantitative measures of ED symptoms and psychological distress during and after the COVID-19 confinement were included. RESULTS A total of 26 studies met inclusion criteria (n = 3399, 85.7% female). The pooled prevalence of symptomatic deterioration in EDs was 65% (95% CI[48,81], k = 10). The pooled prevalence of increased weight in obesity was 52% (95% CI[25,78], k = 4). More than half of the participants experienced depression and anxiety. Moreover, at least 75% of the individuals with EDs reported shape and eating concerns, and increased thinking about exercising. However, the pooled analyses of longitudinal studies showed no significant differences from pre-pandemic levels to the first lockdown phase in Body Mass Index and ED symptoms, whereas only few studies suggested increased distress, particularly among individuals with anorexia nervosa. CONCLUSIONS The majority of individuals with EDs and obesity reported symptomatic worsening during the lockdown. However, further longitudinal studies are needed to identify vulnerable groups, as well as the long-term consequences of COVID-19.
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Affiliation(s)
- Lucia Sideli
- Department of Human ScienceLUMSA UniversityRomeItaly
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human MovementUniversity of PalermoPalermoItaly
| | - Rubinia Celeste Bonfanti
- Department of Psychology, Educational Science and Human MovementUniversity of PalermoPalermoItaly
| | - Bianca Borsarini
- Department of PsychiatryFaculty of MedicineUniversity of GenevaGenevaSwitzerland
| | - Lucia Fortunato
- Department of Psychology, Educational Science and Human MovementUniversity of PalermoPalermoItaly
| | - Cristina Sechi
- Department of Pedagogy, Psychology, PhilosophyUniversity of CagliariCagliariItaly
| | - Nadia Micali
- Department of PsychiatryFaculty of MedicineUniversity of GenevaGenevaSwitzerland
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Salerno L, Craxì L, Amodio E, Lo Coco G. Factors Affecting Hesitancy to mRNA and Viral Vector COVID-19 Vaccines among College Students in Italy. Vaccines (Basel) 2021; 9:vaccines9080927. [PMID: 34452052 PMCID: PMC8402724 DOI: 10.3390/vaccines9080927] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 08/09/2021] [Accepted: 08/12/2021] [Indexed: 01/27/2023] Open
Abstract
Vaccine hesitancy (VH) may be significant in jeopardizing efforts to mass containment of COVID-19. A cross-sectional survey was carried out on a sample of 2667 Italian college students, before the COVID-19 vaccines became available for this age group (from 7 May to 31 May 2021). An online survey was created to obtain information about socio-demographic, health-related, and psychological factors linked to mRNA and viral vector COVID-19 vaccines. Statistically significant higher VH (30.4%) and vaccine resistance (12.2%) rates were found for viral vector than mRNA COVID-19 vaccines (7.2% and 1.0%, respectively; p < 0.001). Factors related to viral vector VH were partially different from those related to mRNA VH. Students with greater endorsement on conspiracy statements and negative attitudes toward the vaccine had higher odds of being vaccine-hesitant or -resistant. Students who had received a previous COVID-19 test and who scored higher on the agreeableness personality dimension had lower odds to be vaccine-hesitant or -resistant. The willingness to choose the vaccine was related to the viral vector but not to the mRNA VH. Taking into consideration the factors involved in vaccine hesitancy/resistance in college students could represent a key public health strategy to increase vaccine coverage and reduce viral spreading.
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Affiliation(s)
- Laura Salerno
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy; (L.S.); (G.L.C.)
| | - Lucia Craxì
- Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, 90127 Palermo, Italy
- Correspondence:
| | - Emanuele Amodio
- Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy;
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy; (L.S.); (G.L.C.)
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Albano G, Cardi V, Kivlighan DM, Ambwani S, Treasure J, Lo Coco G. The relationship between working alliance with peer mentors and eating psychopathology in a digital 6-week guided self-help intervention for anorexia nervosa. Int J Eat Disord 2021; 54:1519-1526. [PMID: 34042206 PMCID: PMC8453826 DOI: 10.1002/eat.23559] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2021] [Revised: 05/14/2021] [Accepted: 05/14/2021] [Indexed: 12/11/2022]
Abstract
OBJECTIVE The quality of working alliance (WA) is associated with treatment outcomes across several types of psychiatric disorders and psychological interventions. This study examined the role of WA with peer mentors (people with lived experience of illness) and student mentors (graduated psychology students) in a 6-week, digital, guided self-help (GSH) intervention for anorexia nervosa. METHOD Ninety-nine patients rated weekly, for 6 weeks: (a) eating psychopathology using the short version of the Eating Disorder Examination Questionnaire (EDE-QS) and (b) WA with a student mentor (n = 14) or a peer mentor (n = 10). WA was assessed by asking patients the extent to which they felt comfortable working with their mentor and the extent to which they agreed with them on the goals for support. WA with mentors and the association with eating psychopathology change were measured on a session-by-session basis. The analysis involved a random intercepts cross-lagged panel model. RESULTS WA with peer mentors was slightly higher than WA with students (ES = 0.3). Peer mentors' WA in the previous session was significantly associated with eating psychopathology ratings in the next session. No significant relationship was found between the previous session's EDE-QS scores and peer mentor alliance in the following session. In the student mentor group, there were no session-by-session associations between WA and eating psychopathology. However, greater WA with the student mentor across sessions was associated with less eating psychopathology. DISCUSSION These findings suggest that clinical outcomes are in part associated with the characteristics of the mentor delivering guidance in an online GSH for eating disorders.
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Affiliation(s)
- Gaia Albano
- Department of Psychology, Educational Science and Human MovementUniversity of PalermoPalermoItaly
| | - Valentina Cardi
- Department of Psychological MedicineKings College LondonLondonUK,Department of General PsychologyUniversity of PadovaPadovaItaly
| | - Dennis M. Kivlighan
- Department of Counseling, Higher Education and Special EducationUniversity of MarylandCollege ParkMarylandUSA
| | - Suman Ambwani
- Department of PsychologyDickinson CollegeCarlislePennsylvaniaUSA
| | - Janet Treasure
- Department of Psychological MedicineKings College LondonLondonUK
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human MovementUniversity of PalermoPalermoItaly
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De Luca R, Lo Coco G, Addeo R, Fattoruso SIS, Auriemma A, Paci R, Mistretta O, Epifanio MS, Salvato A, D'Agostino A, Cicero G. Quality of Life in Patients With Severe Skin Reactions in Course of First-Generation Epidermal Growth Factor Receptor Inhibitors Monoclonal Antibodies (Our Experience With Cetuximab). World J Oncol 2021; 12:104-110. [PMID: 34349854 PMCID: PMC8297050 DOI: 10.14740/wjon1381] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Accepted: 05/20/2021] [Indexed: 11/11/2022] Open
Abstract
Background Metastatic colorectal cancer (mCRC) with wild type expression of RAS and RAF genes can be treated with anti-epidermal growth factor receptor (EGFR) monoclonal antibodies, such as cetuximab, in combination with chemotherapy. Skin toxicity represents the most serious and frequent side effect in these patients. Skin manifestations occur in approximately 80% of patients. In this study, we investigated the consequences on body image and quality of life (QoL) of patients with severe skin toxicity. Methods One hundred patients were enrolled with mCRC. All patients signed informed consent and completed questionnaires to assess QoL and body discomfort. Toxicity was assessed on Common Terminology Criteria for Adverse Events (CTCAEs). Results The greatest impact on QoL was represented by difficulties in managing skin rash-related side effects. Data showed a significant impact in psychological sphere and social relationships. Conclusions Skin side effects, particularly rash, influence QoL and social relationships, compromising therapeutic compliance.
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Affiliation(s)
- Rossella De Luca
- Department of Surgical, Oncological and Oral Sciences, Section of Medical Oncology, University of Palermo, Palermo, Italy
| | - Gianluca Lo Coco
- Department of Psychology and Educational Sciences, University of Palermo, Palermo, Italy
| | - Raffaele Addeo
- Oncology Operative Unit, Hospital of Frattamaggiore (NA), ASLNA2NORD, Italy
| | | | | | - Roberta Paci
- Department of Surgical, Oncological and Oral Sciences, Section of Medical Oncology, University of Palermo, Palermo, Italy
| | - Ornella Mistretta
- Department of Surgical, Oncological and Oral Sciences, Section of Medical Oncology, University of Palermo, Palermo, Italy
| | - Maria Stella Epifanio
- Department of Psychology and Educational Sciences, University of Palermo, Palermo, Italy
| | - Angela Salvato
- Oncology Operative Unit, Hospital of Frattamaggiore (NA), ASLNA2NORD, Italy
| | - Alberto D'Agostino
- Surgery Unit and Trauma Center, AORN Sant'Anna e San Sebastiano, Caserta, Italy
| | - Giuseppe Cicero
- Department of Surgical, Oncological and Oral Sciences, Section of Medical Oncology, University of Palermo, Palermo, Italy
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Di Blasi M, Gullo S, Mancinelli E, Freda MF, Esposito G, Gelo OCG, Lagetto G, Giordano C, Mazzeschi C, Pazzagli C, Salcuni S, Lo Coco G. Psychological distress associated with the COVID-19 lockdown: A two-wave network analysis. J Affect Disord 2021; 284:18-26. [PMID: 33582428 PMCID: PMC8771473 DOI: 10.1016/j.jad.2021.02.016] [Citation(s) in RCA: 70] [Impact Index Per Article: 23.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2020] [Revised: 01/14/2021] [Accepted: 02/01/2021] [Indexed: 12/20/2022]
Abstract
BACKGROUND Although preliminary research has evidenced negative psychological consequences of the COVID-19 pandemic among the general population, little research has been carried out examining the interplay among the broader dimensions and correlates of individual distress. Via network analysis, the current study investigated the pathways that underlie some components of psychological distress and their changes over time (during and post COVID-19-related lockdown). METHODS 1,129 adult participants (79.1% women) completed a two-wave online survey during and after the lockdown, and reported on variables such as depression, anxiety, stress, fear of COVID, intolerance of uncertainty, emotion regulation and social support. The networks were estimated via Gaussian Graphical Models and their temporal changes were compared through the centrality measures. RESULTS Depression, stress, anxiety and fear of COVID formed a spatially contiguous pattern, which remained unchanged in both the two waves. After the lockdown, the fear of COVID node reduced its strength in the network, whereas inhibitory intolerance of uncertainty and emotion suppression were associated with depression. Emotion regulation was connected to depression, but not to stress and anxiety during both waves. Perceived emotional support had few connections to the other nodes. LIMITATIONS Only 32.7% of participants provided complete responses for both waves. CONCLUSION The COVID-19 outbreak has had a significant psychosocial impact on adults. In the context of the network approach, depressive symptoms had the highest strength and their associations to other dimensions of individual distress may be key factors in understanding the influence of exposure to the COVID-19 outbreak on mental health.
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Affiliation(s)
- Maria Di Blasi
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, 90128 Palermo, Italy.
| | - Salvatore Gullo
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, 90128 Palermo, Italy
| | - Elisa Mancinelli
- Department of Developmental and Social Psychology, University of Padova, 35132 Padova, Italy
| | | | - Giovanna Esposito
- Department of Humanities, University of Napoli Federico II, 80133 Napoli, Italy
| | - Omar Carlo Gioacchino Gelo
- Department of History, Society and Human Studies, Studium 2000- University of Salento, 73100 Lecce, Italy; Faculty of Psychotherapy Science, Sigmund Freud University Vienna, 1020, Vienna, Austria
| | - Gloria Lagetto
- Department of History, Society and Human Studies, Studium 2000- University of Salento, 73100 Lecce, Italy
| | - Cecilia Giordano
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, 90128 Palermo, Italy
| | - Claudia Mazzeschi
- Department of Philosophy, Social & Human Sciences and Education, University of Perugia, 06123 Perugia, Italy
| | - Chiara Pazzagli
- Department of Philosophy, Social & Human Sciences and Education, University of Perugia, 06123 Perugia, Italy
| | - Silvia Salcuni
- Department of Developmental and Social Psychology, University of Padova, 35132 Padova, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, 90128 Palermo, Italy
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Lo Coco G, Gentile A, Bosnar K, Milovanović I, Bianco A, Drid P, Pišot S. A Cross-Country Examination on the Fear of COVID-19 and the Sense of Loneliness during the First Wave of COVID-19 Outbreak. Int J Environ Res Public Health 2021; 18:2586. [PMID: 33807549 PMCID: PMC7967533 DOI: 10.3390/ijerph18052586] [Citation(s) in RCA: 38] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 02/26/2021] [Accepted: 03/01/2021] [Indexed: 12/15/2022]
Abstract
The aim of the current study is to examine gender, age. and cross-country differences in fear of COVID-19 and sense of loneliness during the lockdown, by comparing people from those countries with a high rate of infections and deaths (e.g., Spain and Italy) and from countries with a mild spread of infection (e.g., Croatia, Serbia, Slovakia, Slovenia, and Bosnia and Herzegovina). A total of 3876 participants (63% female) completed an online survey on "Everyday life practices in COVID-19 time" in April 2020, including measures of fear of COVID-19 and loneliness. Males and females of all age groups in countries suffering from the powerful impact of the COVID-19 pandemic reported greater fear of COVID-19 and sense of loneliness. In less endangered countries, females and the elderly reported more symptoms than males and the young; in Spanish and Italian samples, the pattern of differences is considerably more complex. Future research should thoroughly examine different age and gender groups. The analysis of emotional well-being in groups at risk of mental health issues may help to lessen the long term social and economic costs due to the COVID-19 outbreak.
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Affiliation(s)
- Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy; (A.G.); (A.B.)
| | - Ambra Gentile
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy; (A.G.); (A.B.)
| | - Ksenija Bosnar
- Faculty of Kinesiology, University of Zagreb, 10000 Zagreb, Croatia;
| | - Ivana Milovanović
- Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia; (I.M.); (P.D.)
| | - Antonino Bianco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy; (A.G.); (A.B.)
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia; (I.M.); (P.D.)
| | - Saša Pišot
- Institute for Kinesiology Research, Science and Research Center Koper, 6000 Koper, Slovenia;
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Gullo S, Kivlighan DM, Giordano C, Di Blasi M, Giannone F, Lo Coco G. Bond and work ruptures in group counseling. Group Dynamics: Theory, Research, and Practice 2021. [DOI: 10.1037/gdn0000136] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Aloi M, Rania M, Carbone EA, Caroleo M, Calabrò G, Zaffino P, Nicolò G, Carcione A, Coco GL, Cosentino C, Segura-Garcia C. Metacognition and emotion regulation as treatment targets in binge eating disorder: a network analysis study. J Eat Disord 2021; 9:22. [PMID: 33588943 PMCID: PMC7885411 DOI: 10.1186/s40337-021-00376-x] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Accepted: 02/03/2021] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND This study aims to examine the underlying associations between eating, affective and metacognitive symptoms in patients with binge eating disorder (BED) through network analysis (NA) in order to identify key variables that may be considered the target for psychotherapeutic interventions. METHODS A total of 155 patients with BED completed measures of eating psychopathology, affective symptoms, emotion regulation and metacognition. A cross-sectional network was inferred by means of Gaussian Markov random field estimation using graphical LASSO and the extended Bayesian information criterion (EBIC-LASSO), and central symptoms of BED were identified by means of the strength centrality index. RESULTS Impaired self-monitoring metacognition and difficulties in impulse control emerged as the symptoms with the highest centrality. Conversely, eating and affective features were less central. The centrality stability coefficient of strength was above the recommended cut-off, thus indicating the stability of the network. CONCLUSIONS According to the present NA findings, impaired self-monitoring metacognition and difficulties in impulse control are the central nodes in the psychopathological network of BED whereas eating symptoms appear marginal. If further studies with larger samples replicate these results, metacognition and impulse control could represent new targets of psychotherapeutic interventions in the treatment of BED. In light of this, metacognitive interpersonal therapy could be a promising aid in clinical practice to develop an effective treatment for BED.
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Affiliation(s)
- Matteo Aloi
- Outpatient Unit for Clinical Research and Treatment of Eating Disorders, University Hospital "Mater Domini", Catanzaro, Italy.,Department of Health Sciences, University "Magna Graecia" of Catanzaro, Catanzaro, Italy
| | - Marianna Rania
- Outpatient Unit for Clinical Research and Treatment of Eating Disorders, University Hospital "Mater Domini", Catanzaro, Italy.,Department of Health Sciences, University "Magna Graecia" of Catanzaro, Catanzaro, Italy
| | - Elvira Anna Carbone
- Outpatient Unit for Clinical Research and Treatment of Eating Disorders, University Hospital "Mater Domini", Catanzaro, Italy.,Department of Health Sciences, University "Magna Graecia" of Catanzaro, Catanzaro, Italy
| | - Mariarita Caroleo
- Outpatient Unit for Clinical Research and Treatment of Eating Disorders, University Hospital "Mater Domini", Catanzaro, Italy.,Department of Health Sciences, University "Magna Graecia" of Catanzaro, Catanzaro, Italy
| | - Giuseppina Calabrò
- Outpatient Unit for Clinical Research and Treatment of Eating Disorders, University Hospital "Mater Domini", Catanzaro, Italy.,Department of Health Sciences, University "Magna Graecia" of Catanzaro, Catanzaro, Italy
| | - Paolo Zaffino
- Department of Experimental and Clinical Medicine, School of Computer and Biomedical Engineering, University "Magna Graecia" of Catanzaro, Catanzaro, Italy
| | - Giuseppe Nicolò
- Third Centre of Cognitive Psychotherapy - Italian School of Cognitive Psychotherapy (SICC), Rome, Italy
| | - Antonino Carcione
- Third Centre of Cognitive Psychotherapy - Italian School of Cognitive Psychotherapy (SICC), Rome, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Carlo Cosentino
- Department of Experimental and Clinical Medicine, School of Computer and Biomedical Engineering, University "Magna Graecia" of Catanzaro, Catanzaro, Italy
| | - Cristina Segura-Garcia
- Outpatient Unit for Clinical Research and Treatment of Eating Disorders, University Hospital "Mater Domini", Catanzaro, Italy. .,Department of Medical and Surgical Sciences, University "Magna Graecia" of Catanzaro, Catanzaro, Italy.
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Giordano C, Lo Coco G, Salerno L, Di Blasi M. The role of emotion dysregulation in adolescents’ problematic smartphone use: A study on adolescent/parents triads. Computers in Human Behavior 2021. [DOI: 10.1016/j.chb.2020.106632] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Pišot S, Milovanović I, Šimunič B, Gentile A, Bosnar K, Prot F, Bianco A, Lo Coco G, Bartoluci S, Katović D, Bakalár P, Kovalik Slančová T, Tlučáková L, Casals C, Feka K, Christogianni A, Drid P. Maintaining everyday life praxis in the time of COVID-19 pandemic measures (ELP-COVID-19 survey). Eur J Public Health 2021; 30:1181-1186. [PMID: 32750114 PMCID: PMC7454518 DOI: 10.1093/eurpub/ckaa157] [Citation(s) in RCA: 56] [Impact Index Per Article: 18.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The extreme social circumstances caused by declared COVID-19 pandemic deeply intervene people's everyday life and should not be neglected but seen through the view of social reality pinpointing the 'ordinary' people. In this article, authors explored basic segments of everyday and their subjective perception to what extent sleeping habits, physical inactivity, physical activity, nutritional habits and smoking have changed. METHODS The online survey was conducted in nine European countries (Bosnia and Herzegovina, Croatia, Greece, Kosovo*, Italy, Serbia, Slovakia, Slovenia and Spain) in 4108 participants, aged 15-82 years. The survey took place 30-40 days after World Health Organization declared COVID-19 pandemic state, from 15 April to 3 May 2020. RESULTS The results have shown 30 min longer sleeping time, 50% longer physical inactivity time, 65% longer screen time, 43% shorter walking time, 24% shorter sport time and 37% longer physical work time. Additionally, body mass gains (0.3 kg) could be explained in 20.6% with meals sizes, unhealthy food consumption, screen time and sport time. Further, respondents reported more regular meals (44%) and healthier meals with less alcohol consumption and less smoking, which have been positive outcomes of home confinement. CONCLUSION The findings draw attention to negative changes in everyday praxis (inactivity, body mass gain) after such a short period. Because of possible risk to population's health (especially of countries such as Italy and Spain with serious threat and more stringent measures), findings enable development of recommendations for maintaining healthy lifestyle habits with minimal negative health consequences in similar pandemic circumstances.
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Affiliation(s)
- Saša Pišot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper 6000, Slovenia
| | - Ivana Milovanović
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad 21000, Serbia
| | - Boštjan Šimunič
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper 6000, Slovenia
| | - Ambra Gentile
- Department of Psychology, Educational Science and Human Movement, Università degli Studi di Palermo, Palermo 90128, Italy
| | - Ksenija Bosnar
- Faculty of Kinesiology, University of Zagreb, Zagreb 10000, Croatia
| | - Franjo Prot
- Institute for Kinesiology Research, Science and Research Centre Koper, Koper 6000, Slovenia
| | - Antonino Bianco
- Department of Psychology, Educational Science and Human Movement, Università degli Studi di Palermo, Palermo 90128, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, Università degli Studi di Palermo, Palermo 90128, Italy
| | | | - Darko Katović
- Faculty of Kinesiology, University of Zagreb, Zagreb 10000, Croatia
| | - Peter Bakalár
- Faculty of Sports, University of Presov, Prešov 080 01, Slovakia
| | | | - Lenka Tlučáková
- Faculty of Sports, University of Presov, Prešov 080 01, Slovakia
| | - Cristina Casals
- MOVE-IT Research Group and Department of Physical Education, Faculty of Education Sciences, University of Cadiz, Cádiz 11003, Spain.,Biomedical Research and Innovation Institute of Cadiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cadiz, Cádiz 11003, Spain
| | - Kaltrina Feka
- Department of Psychology, Educational Science and Human Movement, Università degli Studi di Palermo, Palermo 90128, Italy
| | | | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad 21000, Serbia
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Aimé A, Fuller-Tyszkiewicz M, Dion J, Markey CH, Strodl E, McCabe M, Mellor D, Granero Gallegos A, Pietrabissa G, Alcaraz-Ibánez M, Bégin C, Blackburn MÈ, Caltabiano M, Castelnuovo G, Gullo S, Hayami-Chisuwa N, He Q, Lo Coco G, Manzonie GM, Probst M, Rodgers RF, Sicilia A, Maïano C. Assessing positive body image, body satisfaction, weight bias, and appearance comparison in emerging adults: A cross-validation study across eight countries. Body Image 2020; 35:320-332. [PMID: 33189052 DOI: 10.1016/j.bodyim.2020.09.014] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 09/20/2020] [Accepted: 09/30/2020] [Indexed: 01/19/2023]
Abstract
Positive body image refers to individuals' ability to conceptualize their bodies with love, respect, and appreciation. The study of positive body image is relatively new, and instruments used to investigate this multi-faceted construct have received limited use in non-English speaking countries. Thus, the aim of this investigation is to consider four measures that are associated with positive body image across eight different countries. Participants (n = 6272) completed the Body Appreciation Scale-2, the Body Areas Satisfaction Scale, the Physical Appearance Comparison Scale, and the Weight Bias Internalization Scale. Multi-group confirmatory factor analyses (MG-CFAs) and item-response theory (IRT) models were used to examine the measurement invariance of these surveys. Our results generally suggest that positive body image, weight bias, and appearance comparison can be assessed using brief assessments and that these four instruments can be used in different countries, but care should be taken to consider individuals' gender, BMI, and socio-economic position.
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Affiliation(s)
- Annie Aimé
- Department of Psychoeducation and Psychology, Université du Québec en Outaouais, Saint-Jérôme, Québec, Canada.
| | | | - Jacinthe Dion
- Department of Health Sciences, Université du Québec à Chicoutimi, 555, boul. De l'Université, Chicoutimi, Quebec, G7H 2BI, Canada.
| | - Charlotte H Markey
- Department of Psychology, Health Sciences Centre, Rutgers University, Camden, NJ, 08102, USA.
| | - Esben Strodl
- School of Psychology and Counselling, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, Queensland, 4059, Australia.
| | - Marita McCabe
- School of Health Sciences, Swinburne University, Burwood Road, Hawthorn, 3122, Australia.
| | - David Mellor
- School of Psychology, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia.
| | - Antonio Granero Gallegos
- Health Research Center and Department of Education, University of Almeria, Ctra de Sacramento s/n, 04120, Almeria, Spain.
| | - Giada Pietrabissa
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, S. Giuseppe Hospital, Oggebbio-Piancavallo (VB), Italy; Department of Psychology, Catholic University of Milan, Largo Agostino Gemelli, 1, 20123, Milan, Italy.
| | - Manuel Alcaraz-Ibánez
- Health Research Center and Department of Education, University of Almeria, Ctra de Sacramento s/n, 04120, Almeria, Spain.
| | - Catherine Bégin
- School of Psychology, Laval University, 2325 Allée des Bibliothèques, Québec, GIV 0A6, Canada.
| | - Marie-Ève Blackburn
- ECOBES-Research and Transfer, Cégep de Jonquiere, 2505, Saint-Hubert Street, Jonquière, Québec, Canada.
| | - Marie Caltabiano
- School of Psychology, James Cook University, McGregor Road, Smithfield, Queensland, 4870, Australia.
| | - Gianluca Castelnuovo
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, S. Giuseppe Hospital, Oggebbio-Piancavallo (VB), Italy; Department of Psychology, Catholic University of Milan, Largo Agostino Gemelli, 1, 20123, Milan, Italy.
| | - Salvatore Gullo
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, viale delle Sciennze edificio 15, 90128, Palermo, Italy.
| | - Naomi Hayami-Chisuwa
- Graduate School of Human Life Sciences, Osaka City University, 3-3-138 Sugimoto Sumiyoshi-ku, Osaka, 558-8585, Japan.
| | - Qiqiang He
- School of Health Sciences, Wuhan University, PR China.
| | - Gianluca Lo Coco
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, viale delle Sciennze edificio 15, 90128, Palermo, Italy.
| | - Gian Mauro Manzonie
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, S. Giuseppe Hospital, Oggebbio-Piancavallo (VB), Italy; Faculty of Psychology, eCampus University, Novedrate (CO), Italy.
| | - Michel Probst
- Departement of Rehabilitation Sciences, KU Leuven, O&N4Herestraat 49, 3000, Leuven, Belgium.
| | - Rachel F Rodgers
- Department of Applied Psychology, North Eastern University, 360 Huntington Ave, Boston, MA, 02115, USA; Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHRU Montpellier, Montpellier, France.
| | - Alvaro Sicilia
- Health Research Center and Department of Education, University of Almeria, Ctra de Sacramento s/n, 04120, Almeria, Spain.
| | - Christophe Maïano
- Department of Psychoeducation and Psychology, Université du Québec en Outaouais, Saint-Jérôme, Québec, Canada.
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Sicilia A, Fuller-Tyszkiewicz M, Rodgers RF, Granero-Gallegos A, Lo Coco G, Dion J, McCabe M, Strodl E, Markey CH, Aimé A, Gullo S, Mellor D, Castelnuovo G, Probst M, Maïano C, Manzoni GM, Beginr C, Blackburn ME, Pietrabissa G, Hayami-Chisuwa N, He Q, Caltabiano M, Alcaraz-Ibánez M. Cross-Country Measurement Invariance and Effects of Sociodemographic Factors on Body Weight and Shape Concern-Related Constructs in Eight Countries. Body Image 2020; 35:288-299. [PMID: 33181385 DOI: 10.1016/j.bodyim.2020.09.015] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 08/31/2020] [Accepted: 09/30/2020] [Indexed: 01/24/2023]
Abstract
The aim of this study was to examine the cross-country invariance of five well-established measures of body weight and shape concern-related attitudes and behaviors (i.e., drive for leanness, drive for muscularity, strategies to increase muscle, strategies to lose weight, and weight and shape concerns). A secondary objective was to examine the effects of several sociodemographic factors (age, BMI, socioeconomic status, and gender) on item and latent factor scores of these constructs. A total of 6272 emerging adults (4218 women; Mage = 21.46, SD = 3.11) from Australia, Belgium, Canada, China, Italy, Japan, Spain, and the U.S. completed a self-report online survey as part of a larger study. Overall, support for partial invariance both across countries and in terms of the considered sociodemographic factors was found for reduced versions of the five measures. Significant differences in latent means were found across countries, these being of greater magnitude for drive for leanness and strategies to lose weight. The considered sociodemographic factors (most notably BMI and gender) were associated with the latent mean scores of the assessed constructs. The present study contributes to current literature by providing cross-cultural invariant versions of several measures of relevance in the field of body image.
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Affiliation(s)
- Alvaro Sicilia
- Health Research Centre and Department of Education, University of Almeria, Ctra de Sacramento, s/n, 04120, Almeria, Spain.
| | | | - Rachel F Rodgers
- Department of Applied Psychology, North Eastern University, 360 Huntington Ave., Boston, MA, 02115, USA and Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHRU Montpellier, France.
| | - Antonio Granero-Gallegos
- Health Research Centre and Department of Education, University of Almeria, Ctra de Sacramento, s/n, 04120, Almeria, Spain.
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Sciennze edificio 15, 90128, Palermo, Italy.
| | - Jacinthe Dion
- Department of Health Sciences, Universite du Quebec a Chicoutimi, 555, boul. De l'universite, Chicoutimi, Quebec, G7H 2BI, Canada.
| | - Marita McCabe
- School of Health Sciences, Swinburne University, Burwood Road, Hawthorn, 3122, Australia.
| | - Esben Strodl
- School of Psychology and Counselling, Queensland University of Technology, Victoria Park Rd., Kelvin Grove, Queensland, 4059, Australia.
| | - Charlotte H Markey
- Department of Psychology, Health Sciences Center, Rutgers University, Camden, NJ, 08102, USA.
| | - Annie Aimé
- Department of Psychoeducation and Psychology, Université du Québec en Outaouais, 5, Rue Saint-Joseph, Saint-Jérôme, Québec, J7Z 0B7, Canada.
| | - Salvatore Gullo
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Sciennze edificio 15, 90128, Palermo, Italy.
| | - David Mellor
- School of Psychology, Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia.
| | - Gianluca Castelnuovo
- Istituto Auxologico Italiano, IRCCS, San Giuseppe Hospital, Strada Cadorna 90, 28824, Oggebbio, VB, Italy; Department of Psychology, Catholic University of Milan, Largo Agostino Gemelli, 1, 20123, Milan, Italy.
| | - Michel Probst
- Dept of Rehabilitation Sciences, KU Leuven, O&N 4 Herestraat 49, 3000, Leuven, Belgium.
| | - Christophe Maïano
- Department of Psychoeducation and Psychology, Université du Québec en Outaouais, 5, Rue Saint-Joseph, Saint-Jérôme, Québec, J7Z 0B7, Canada.
| | - Gian Mauro Manzoni
- Department of Psychology, eCampus University, Novedrate, CO, Italy; Istituto Auxologico Italiano, IRCCS, San Giuseppe Hospital, Strada Cadorna 90, 28824, Oggebbio, VB, Italy.
| | - Catherine Beginr
- School of Psychology, Laval University, 2325 Allee des Bibliotheques, Quebec, GIVOA6, Canada.
| | - Marie-Eve Blackburn
- ECOBES-Research and Transfer, Cegep de Jonquiere, 2505, Saint-Hubert Street, Jonquiere, Quebec, Canada.
| | - Giada Pietrabissa
- Istituto Auxologico Italiano, IRCCS, San Giuseppe Hospital, Strada Cadorna 90, 28824, Oggebbio, VB, Italy; Department of Psychology, Catholic University of Milan, Largo Agostino Gemelli, 1, 20123, Milan, Italy.
| | - Naomi Hayami-Chisuwa
- Graduate School of Human Life Sciences, Osaka City University, 3-3-138 Sugimoto Sumiyoshi-ku, Osaka, 558-8585, Japan.
| | - Qiqiang He
- School of Health Sciences, Wuhan University, PR China.
| | - Marie Caltabiano
- School of Psychology, James Cook University, McGregor Road, Smithfield, Queensland, 4870, Australia.
| | - Manuel Alcaraz-Ibánez
- Health Research Centre and Department of Education, University of Almeria, Ctra de Sacramento, s/n, 04120, Almeria, Spain.
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Strodl E, Markey C, Aimé A, Rodgers RF, Dion J, Coco GL, Gullo S, McCabe M, Mellor D, Granero-Gallegos A, Sicilia A, Castelnuovo G, Probst M, Maïano C, Manzoni GM, Begin C, Blackburn ME, Pietrabissa G, Alcaraz-Ibánez M, Hayami-Chisuwa N, He Q, Caltabiano ML, Fuller-Tyszkiewicz M. A cross-country examination of emotional eating, restrained eating and intuitive eating: Measurement Invariance across eight countries. Body Image 2020; 35:245-254. [PMID: 33147542 DOI: 10.1016/j.bodyim.2020.09.013] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [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] [Received: 01/21/2020] [Revised: 08/28/2020] [Accepted: 09/30/2020] [Indexed: 01/19/2023]
Abstract
This study examined the measurement invariance of three scales that assessed emotional eating, restrained eating, and intuitive eating across eight countries (Australia, Belgium, Canada, China, Italy, Japan, Spain and the United States) in order to determine their suitability for cross-country body image research. A total of 6272 young adults took part in this study. Participants completed an online survey including the Emotional Eating subscale of the Three Factor Eating Questionnaire-Revised 21, the Restraint subscale of the Eating Disorder Examination Questionnaire, and the Reliance on Hunger and Satiety Cues subscale of The Intuitive Eating Scale-2. Multi-group confirmatory factor analysis was used to evaluate potential cross-country differences in functioning of the measures. Partial invariance for all three scales was found, with only minor levels of non-invariance identified. Multiple indicator multiple cause models identified BMI and gender as potential influences on scores for these measures. Sources of invariance across groups are discussed, as well as implications for further substantive research across countries involving these measures.
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Affiliation(s)
- Esben Strodl
- School of Psychology and Counselling, Queensland University of Technology, Victoria Park Rd, Kelvin Grove, Queensland, 4059, Australia.
| | - Charlotte Markey
- Department of Psychology, Health Sciences Centre, Rutgers University, Camden, NJ 08102, USA.
| | - Annie Aimé
- Department of Psychoeducation and Psychology, Université du Québec en Outaouais, Saint-Jérôme (Québec), Canada.
| | - Rachel F Rodgers
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, MA, USA; Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHRU Montpellier, France.
| | - Jacinthe Dion
- Department of Health Sciences, Université du Quebec a Chicoutimi, 555, boul. De l'universite, Chicoutimi, Quebec, G7H 2BI, Canada.
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, edificio 15 Palermo 90128, Italy.
| | - Salvatore Gullo
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Viale delle Scienze, edificio 15 Palermo 90128, Italy.
| | - Marita McCabe
- School of Health Sciences, Swinburne University, Burwood Road, Hawthorn, 3122, Australia.
| | - David Mellor
- Deakin University, 1 Gheringhap Street, Geelong, Victoria, 3220, Australia.
| | - Antonio Granero-Gallegos
- Health Research Centre and Department of Education, University of Almería, Ctra de Sacramento, s/n, 04120 Almería, Spain.
| | - Alvaro Sicilia
- Health Research Centre and Department of Education, University of Almería, Ctra de Sacramento, s/n, 04120 Almería, Spain.
| | - Gianluca Castelnuovo
- Istituto Auxologico Italiano, IRCCS, San Giuseppe Hospital, Strada Cadorna 90, 28824, Oggebbio (VB), Italy; Department of Psychology, Catholic University of Milan, Largo Agostino Gemelli, 1, 20123, Milan, Italy.
| | - Michel Probst
- Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, O&N4Herestraat 49, 3000, Leuven, Belgium.
| | - Christophe Maïano
- Department of Psychoeducation and Psychology, Université du Québec en Outaouais, Saint-Jérôme, Canada.
| | - Gian Mauro Manzoni
- Istituto Auxologico Italiano, IRCCS, San Giuseppe Hospital, Strada Cadorna 90, 28824, Oggebbio (VB), Italy; Department of Psychology, eCampus University, Via Isimbardi, 10, 22060, Novedrate (CO), Italy.
| | - Catherine Begin
- School of Psychology, Université Laval, 2325 Allee des Bibliotheques, Quebec, GIV OA6, Canada.
| | - Marie-Eve Blackburn
- ECOBES-Research and Transfer, Cegep de Jonquiere, 2505, Saint-Hubert Street, Jonquiere, Quebec, Canada.
| | - Giada Pietrabissa
- Istituto Auxologico Italiano, IRCCS, San Giuseppe Hospital, Strada Cadorna 90, 28824, Oggebbio (VB), Italy; Department of Psychology, Catholic University of Milan, Largo Agostino Gemelli, 1, 20123, Milan, Italy.
| | - Manuel Alcaraz-Ibánez
- Health Research Centre and Department of Education, University of Almería, Ctra de Sacramento, s/n, 04120 Almería, Spain.
| | - Naomi Hayami-Chisuwa
- Graduate School of Human Life Sciences, Osaka City University, 3-3-138 Sugimoto Sumiyoshi-ku, Osaka, 558-8585, Japan.
| | - Qiqiang He
- School of Health Sciences, Wuhan University, PR China.
| | - Marie L Caltabiano
- School of Psychology, James Cook University, McGregor Road, Smithfield, Queensland, 4870, Australia.
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Ruggieri S, Ingoglia S, Bonfanti RC, Lo Coco G. The role of online social comparison as a protective factor for psychological wellbeing: A longitudinal study during the COVID-19 quarantine. Pers Individ Dif 2020; 171:110486. [PMID: 33169042 PMCID: PMC7610095 DOI: 10.1016/j.paid.2020.110486] [Citation(s) in RCA: 41] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Revised: 10/21/2020] [Accepted: 10/28/2020] [Indexed: 12/16/2022]
Abstract
During the COVID-19 pandemic crisis, the experience of quarantine has been an undesirable condition for people and it can have a negative impact on mental health and psychological wellbeing. Social isolation has led to an increase in time spent on social network sites, with people interacting more frequently with each other, and comparing online the way in which they are experiencing the same state of home confinement. Our study aimed to investigate the role of online social comparison on individuals' psychological distress and life satisfaction during the COVID-19-related quarantine. Specifically, a cross-lagged panel study at three-waves was conducted in Italy in order to examine the change in psychosocial distress levels (e.g. depression, anxiety, stress, loneliness, low life-satisfaction) from before the quarantine for a period of one month, as well as the predictive role of online social comparison to ameliorate individual distress. An online survey was distributed through a social media platform three times after the initial lockdown and at the epidemic's peak two and five weeks later. A total of 113 participants participated in an online survey between the 7th of March and 14th of April 2020. The results showed an increase in the levels of loneliness, depression, stress, anxiety and a decrease in the level of life satisfaction in the pre/post quarantine comparison. Our cross-lagged results also showed that online social comparison at T1 and T2 predicted the individual's improvement in levels of anxiety, stress, loneliness and life satisfaction over time. Overall, the results of the current study underline the positive effects of online social comparison on the reduction of psychological distress during the COVID-19 quarantine.
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Affiliation(s)
- Stefano Ruggieri
- Faculty of Human and Social Sciences, Kore University of Enna, Italy
| | - Sonia Ingoglia
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
| | | | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy
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Lo Coco G, Salerno L, Ingoglia S, Tasca GA. Self-esteem and binge eating: Do patients with binge eating disorder endorse more negatively worded items of the Rosenberg Self-Esteem Scale? J Clin Psychol 2020; 77:818-836. [PMID: 33037628 DOI: 10.1002/jclp.23065] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2020] [Revised: 09/14/2020] [Accepted: 09/21/2020] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Self-esteem is a core aspect of eating disorder symptomatology. This study aims to examine whether method effects associated with negatively worded items of the Rosenberg Self-Esteem Scale (RSES) may interact the negative self-evaluations experienced by patients with obesity and binge eating disorder (BED). We also examined whether negatively worded items were associated with psychological distress and eating symptoms. METHOD Five hundred thirty three female outpatients (mean age: 42.59) with BED (n = 160) or obesity without BED (n = 373) completed the RSES and measures of interpersonal problems, psychological distress, and eating symptoms. RESULTS Patients with BED responded more strongly to the negatively worded items of the RSES than those with obesity. The RSES negatively worded item factor was negatively associated with higher interpersonal problems, psychological distress, and binge eating. CONCLUSIONS Patients with BED may be more responsive to negatively phrased items on the RSES consistent with their negative self-evaluations and self-perceptions.
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Affiliation(s)
- Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Laura Salerno
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Sonia Ingoglia
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
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Giannone F, Guarnaccia C, Gullo S, Di Blasi M, Giordano C, Lo Coco G, Burlingame G. Italian adaptation of the Group Questionnaire: validity and factorial structure. Res Psychother 2020; 23:443. [PMID: 33024720 PMCID: PMC7513611 DOI: 10.4081/ripppo.2020.443] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Accepted: 05/21/2020] [Indexed: 11/22/2022]
Abstract
The Group Questionnaire (GQ) is a measure recently developed by Krogel et al. (2013) for the evaluation of the therapeutic relationship in group. The GQ identifies a three-factor model of the relationship that allows to measure quality (Positive Bonding, Positive Working and Negative Relationship) and structure (member-member, member-leader and member-group), dimensions in group. This work shows the results of a first study on the Italian validation of the GQ. In this study the GQ was administered to 536 subjects from 32 non-clinical groups of undergraduate students. The cross-cultural validity of the GQ in the Italian population has been examined by comparing the psychometric properties and equivalence in factor structure and scores of the Italian GQ with the original American version. Multilevel confirmatory factor analysis was used to examine both the between- and within-group structures. Data concerning reliability and validity of GQ and the results for different SEM in Multilevel CFA confirm the three factors structure of the GQ. Data from the Italian population have a good fit with the original proposed model. Finally, we discuss the importance of an instrument like GQ, short but consistent, for the evaluation of the therapeutic relationship in clinical and training group.
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Affiliation(s)
- Francesca Giannone
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Cinzia Guarnaccia
- Université Rennes 2, LP3C, Laboratoire de Psychologie: Cognition, Comportement, Communication, Rennes, France
| | - Salvatore Gullo
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Maria Di Blasi
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Cecilia Giordano
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy
| | - Gary Burlingame
- Department of Psychology, Brigham Young University, Provo, USA
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48
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Lo Coco G, Salerno L, Franchina V, La Tona A, Di Blasi M, Giordano C. Examining bi-directionality between Fear of Missing Out and problematic smartphone use. A two-wave panel study among adolescents. Addict Behav 2020; 106:106360. [PMID: 32135397 DOI: 10.1016/j.addbeh.2020.106360] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [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: 01/18/2020] [Revised: 02/16/2020] [Accepted: 02/18/2020] [Indexed: 02/06/2023]
Abstract
BACKGROUND In recent years, the Fear of Missing Out (FoMO) construct has been the object of growing attention in digital technology research with previous studies finding support for the relationship between FoMO and problematic smartphone use (PSU) among adolescents and young adults. However, no previous studies clarified the causal link between FoMO and PSU using a longitudinal design. METHODS An auto-regressive, cross-lagged panel design was tested by using a longitudinal dataset with two waves of data collection (T0 and T1, one year apart). Participants included two hundred and forty-two adolescents (109 males and 133 females), with a mean age of 14.16 years, who filled out the Fear of Missing Out scale (FoMOs) and the Smartphone Addiction Scale (SAS). Moreover, participants filled out the Difficulties in Emotion Regulation Scale (DERS), at the first time-point of data collection. RESULTS The findings of the study show that FoMO (both FoMO-Fear and FoMO-Control subscales) and PSU are positively related at both time-points (i.e. at a cross-sectional level). However no cross-lagged associations between them were longitudinally supported. Females and older adolescents show higher FoMO-Fear at T1. CONCLUSIONS The findings of the present study suggest caution when causal links between FoMO and PSU are inferred.
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Affiliation(s)
- Gianluca Lo Coco
- University of Palermo, Department of Psychology, Educational Science and Human Movement, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy.
| | - Laura Salerno
- University of Palermo, Department of Psychology, Educational Science and Human Movement, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy.
| | | | - Antonino La Tona
- University of Palermo, Department of Psychology, Educational Science and Human Movement, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy.
| | - Maria Di Blasi
- University of Palermo, Department of Psychology, Educational Science and Human Movement, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy.
| | - Cecilia Giordano
- University of Palermo, Department of Psychology, Educational Science and Human Movement, Viale delle Scienze, Edificio 15, 90128 Palermo, Italy.
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49
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Kivlighan DM, Gullo S, Giordano C, Di Blasi M, Giannone F, Lo Coco G. Group as a social microcosm: The reciprocal relationship between intersession intimate behaviors and in-session intimate behaviors. J Couns Psychol 2020; 68:208-218. [PMID: 32538642 DOI: 10.1037/cou0000495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The social microcosm is defined as group members replicating their everyday (intersession) interpersonal behaviors in group sessions and new behaviors, learned in the group (in-session), replicating in the members' everyday life. We examined intersession and in-session intimate behaviors, at the within-member (differences in intimate behaviors between weeks/sessions), between-member (average differences in intimate behaviors between group members) and between-groups (group-level differences in intimate behaviors). Participants were 178 graduate students (86% identifying as women and 14% as men) participating in 10 5-session growth groups led by experienced group therapists. Before group sessions, group members completed the Interpersonal Relations Scale Checklist (IRScl; Shadish, 1984) indicating their number of intersession intimate behaviors for the previous week and, at the end of group sessions, they filled in the IRScl to indicate their in-session intimate behaviors. A 3-level HLM analysis (sessions, members, groups) predicting in-session intimate behaviors from previous week intersession intimate behaviors showed significant within-member, between-member, and between-groups effects. A second 3-level HLM analysis (sessions, members, groups), predicting following week intersession intimate behaviors from in-session intimate behaviors, showed significant between-member and between-groups effects. Between-member and within-member in-session intimate behaviors interacted to predict intersession intimate behaviors. Group members who generally had a low number of in-session intimate behaviors engaged in more intersession intimate behaviors in weeks following sessions with higher than average in-session intimate behaviors. These results provide support for the social microcosm proposition that members' trait-like everyday behaviors are replayed in the group. However state-like and other-member everyday behaviors also contribute to members' social microcosm. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
- Dennis M Kivlighan
- Department of Counseling, Higher Education, and Special Education, University of Maryland, College Park
| | - Salvatore Gullo
- Department of Psychology, Educational Sciences, and Human Movement, University of Palermo
| | - Cecilia Giordano
- Department of Psychology, Educational Sciences, and Human Movement, University of Palermo
| | - Maria Di Blasi
- Department of Psychology, Educational Sciences, and Human Movement, University of Palermo
| | - Francesca Giannone
- Department of Psychology, Educational Sciences, and Human Movement, University of Palermo
| | - Gianluca Lo Coco
- Department of Psychology, Educational Sciences, and Human Movement, University of Palermo
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Brugnera A, Zarbo C, Compare A, Talia A, Tasca GA, de Jong K, Greco A, Greco F, Pievani L, Auteri A, Lo Coco G. Self-reported reflective functioning mediates the association between attachment insecurity and well-being among psychotherapists. Psychother Res 2020; 31:247-257. [PMID: 32429777 DOI: 10.1080/10503307.2020.1762946] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Abstract
Objective: Subjective well-being is a crucial variable for mental health practitioners. This study examines the influence of therapists' attachment dimensions and self-reported reflective functioning on their perceived well-being. Further, it examines if reflective functioning mediates the association between attachment insecurity and well-being. Method: A total of 416 experienced psychotherapists were enrolled in this cross-sectional study, and completed self-report measures of attachment insecurity, reflective functioning, and well-being. We tested the hypothesized mediation model with path analysis that examined indirect effects. Results: Both attachment anxiety and avoidance dimensions had a significant negative association with perceived well-being with small to medium effects. "Certainty" in reflective functioning had a small positive effect on therapist well-being. Reflective functioning mediated the association between insecure attachment dimensions and well-being, suggesting that therapist's lower ability to mentalize may partially account for the effects of higher attachment insecurity on lower well-being. Conclusion: The well-being of psychotherapists with greater insecure attachment may deserve special attention, and therapists' mentalizing capacities may be targeted by researchers and trainers as a core ability to be cultivated in order to preserve therapists' professional and personal resources.
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Affiliation(s)
- Agostino Brugnera
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Cristina Zarbo
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy.,Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy
| | - Angelo Compare
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Alessandro Talia
- Institute for Psychosocial Prevention, Heidelberg University Hospital, University of Heidelberg, Heidelberg, Germany
| | | | - Kim de Jong
- Institute of Psychology, Leiden University, Leiden, Netherlands
| | - Andrea Greco
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | | | - Luca Pievani
- Scuola di Psicoterapia Integrata, Bergamo, Italy
| | - Adalberto Auteri
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Gianluca Lo Coco
- Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Palermo, Italy
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