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Cerea S, Iannattone S, Mancin P, Bottesi G, Marchetti I. Eating disorder symptom dimensions and protective factors: A structural network analysis study. Appetite 2024; 197:107326. [PMID: 38552742 DOI: 10.1016/j.appet.2024.107326] [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: 11/29/2023] [Revised: 03/07/2024] [Accepted: 03/26/2024] [Indexed: 04/14/2024]
Abstract
Eating Disorders (EDs) and related symptoms pose a substantial public health concern due to their widespread prevalence among both genders and associated negative outcomes, underscoring the need for effective preventive interventions. In this context, deepening our understanding of the interplay between ED symptoms and related protective factors appears crucial. Therefore, this study employed a structural network analysis approach considering both ED symptom dimensions (i.e., drive for thinness, bulimic symptoms, and body dissatisfaction) and related protective factors (i.e., body and functionality appreciation, intuitive eating, and self-esteem) to shed light on how these factors are interrelated. A community sample of 1391 individuals (34.4% men; Mage = 26.4 years) completed a socio-demographic schedule and self-report questionnaires. The network showed that the nodes with the highest positive expected influence were body and functionality appreciation, while those with the highest negative expected influence were eating for physical rather than emotional reasons and unconditional permission to eat (i.e., two components of intuitive eating). Crucially, the most relevant bridges between the conceptual communities "ED symptom dimensions" and "Protective factors" were the negative relations between (a) eating for physical rather than emotional reasons and bulimic symptoms, (b) unconditional permission to eat and drive for thinness, and (c) body appreciation and body dissatisfaction. Finally, age, gender, and body mass index did not moderate any edge in the network. The practical implications of these findings are discussed, especially in terms of preventive interventions for ED symptoms.
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Affiliation(s)
- Silvia Cerea
- Department of General Psychology, University of Padova, Italy; Department of Biomedical Sciences, University of Padova, Italy.
| | - Sara Iannattone
- Department of General Psychology, University of Padova, Italy
| | - Paolo Mancin
- Department of General Psychology, University of Padova, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Italy
| | - Igor Marchetti
- Department of Life Sciences, University of Trieste, Italy
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Jekauc D, Gürdere C, Englert C, Strobach T, Bottesi G, Bray S, Brown D, Fleig L, Ghisi M, Graham J, Martinasek M, Tamulevicius N, Pfeffer I. The contribution and interplay of implicit and explicit processes on physical activity behavior: empirical testing of the physical activity adoption and maintenance (PAAM) model. BMC Public Health 2024; 24:1239. [PMID: 38711051 DOI: 10.1186/s12889-024-18589-5] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Accepted: 04/14/2024] [Indexed: 05/08/2024] Open
Abstract
The adoption and maintenance of physical activity (PA) is an important health behavior. This paper presents the first comprehensive empirical test of the Physical Activity Adoption and Maintenance (PAAM) model, which proposes that a combination of explicit (e.g., intention) and implicit (e.g., habit,, affect) self-regulatory processes is involved in PA adoption and maintenance. Data were collected via online questionnaires in English, German, and Italian at two measurement points four weeks apart. The study included 422 participants (Mage= 25.3, SDage= 10.1; 74.2% women) from Germany, Switzerland, Italy, Canada, and the U.S. The study results largely supported the assumptions of the PAAM model, indicating that intentions and habits significantly mediate the effects of past PA on future PA. In addition, the effect of past PA on future PA was shown to be significant through a mediation chain involving affect and habit. Although the hypothesis that trait self-regulation moderates the intention-behavior relationship was not supported, a significant moderating effect of affect on the same relationship was observed. The results suggest that interventions targeting both explicit and implicit processes may be effective in promoting PA adoption and maintenance.
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Affiliation(s)
- Darko Jekauc
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.
| | - Ceren Gürdere
- Department of Psychology, Bilkent University, Ankara, Turkey
| | - Chris Englert
- Institute of Sports Sciences, Goethe University Frankfurt, Frankfurt, Germany
| | - Tilo Strobach
- Medical School Hamburg, Institute of Cognitive and Affective Neuroscience (ICAN), Hamburg, Germany
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy
- U.O.C. Hospital Psychology, University-Hospital of Padova, Padova, Italy
| | - Steven Bray
- Department of Kinesiology, McMaster University, Hamilton, Canada
| | - Denver Brown
- Department of Psychology, The University of Texas at San Antonio, San Antonio, USA
| | - Lena Fleig
- Medical School Berlin, Department of Psychology, Berlin, Germany
| | - Marta Ghisi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Jeffrey Graham
- Department of Kinesiology, Recreation, and Sport Studies, The University of Tennessee, Knoxville, USA
| | - Mary Martinasek
- Department of Health Sciences and Human Performance, The University of Tampa, Tampa, USA
| | - Nauris Tamulevicius
- Department of Health Sciences and Human Performance, The University of Tampa, Tampa, USA
| | - Ines Pfeffer
- Medical School Hamburg, Institute of Cognitive and Affective Neuroscience (ICAN), Hamburg, Germany
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Sica C, Caudek C, Bottesi G, Colpizzi I, Malerba A, Patrick CJ. Triarchic Model of Psychopathy and Intimate Partner Violence: An Empirical Study on the Italian Community. J Interpers Violence 2024; 39:1448-1472. [PMID: 37876207 DOI: 10.1177/08862605231207620] [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] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
Abstract
Intimate partner violence (IPV) is a serious and recurrent phenomenon in many societies with severe physical and psychological consequences. In the present study, we aimed to explore the role of triarchic dimensions of psychopathy (disinhibition, boldness, and meanness) across gender in this occurrence. A questionnaire on inflicted (self) and experienced (partner) IPV and the Triarchic Psychopathy Measure were administered to a sample of 1,149 individuals from the Italian community. In general, self and partner IPV were moderately correlated. Bayesian regression analysis showed that disinhibition was positively correlated to both self and partner IPV (psychological and physical). In addition, boldness was negatively associated with perpetrated psychological IPV. Interactions by gender showed that meanness was positively related to perpetrated IPV in women (psychological and physical), whereas men with disinhibition features inflicted more physical violence than women. A high externalizing tendency (i.e., disinhibition) is therefore an important correlate of both perpetrated and reported IPV; moreover, boldness was associated with less psychological violence in general, whereas the effect of meanness depended on the gender of the individuals involved. Interestingly, the association between IPV and self-reported delinquent activities was low in magnitude (Spearman's Rho around .20) suggesting limited overlap between these two constructs.
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Iannattone S, Mignemi G, Pivetta E, Gatta M, Sica C, Cardi V, Canale N, Spoto A, Bottesi G. Are anxiety, depression, and stress distinguishable in Italian adolescents? an examination through the Depression Anxiety Stress Scales-21. PLoS One 2024; 19:e0299229. [PMID: 38412147 PMCID: PMC10898757 DOI: 10.1371/journal.pone.0299229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Accepted: 02/05/2024] [Indexed: 02/29/2024] Open
Abstract
The adolescents' ability to discriminate between different negative emotional states is still under debate. The Depression Anxiety Stress Scales-21 (DASS-21) serves as a useful tool to unravel this issue, yet the literature on its structural validity in young people is ambiguous. Therefore, this study aimed to expand knowledge on the emotional experience of youth by investigating the factor structure and psychometric properties of the DASS-21 in Italian adolescents. Six hundred fifty-five students (60.6% girls) aged 14-18 (M = 16.3 ± 1.29) completed an online survey containing the DASS-21 and Positive and Negative Affect Schedule (PANAS). To evaluate the factor structure of the DASS-21, several alternative models were tested, also adopting an Exploratory Structural Equation Modeling (ESEM) procedure. Measurement invariance, reliability, validity, and latent means differences were addressed. The ESEM model with three correlated factors of Depression, Anxiety, and Stress yielded the best fit to the data, supporting a hierarchical structure of the DASS-21. In addition, this model was invariant across sex and age groups. The Anxiety scale predicted both positive and negative affect, while Depression predicted positive affect only. Finally, girls scored higher than boys on Anxiety and Depression, but no age differences emerged. Overall, our results indicate that anxiety, depression, and stress are distinguishable in Italian adolescents but, simultaneously, share an underlying condition of general distress, which may explain the comorbidity between internalizing problems. Such findings are discussed in terms of clinical and preventive implications for the adolescent population.
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Affiliation(s)
- Sara Iannattone
- Department of General Psychology, University of Padova, Padova, Italy
| | - Giuseppe Mignemi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Erika Pivetta
- Department of Developmental and Social Psychology, University of Padova, Padova, Italy
| | - Michela Gatta
- Woman and Child's Health Department, Padova University Hospital, Padova, Italy
| | - Claudio Sica
- Department of Health Sciences, University of Firenze, Firenze, Italy
| | - Valentina Cardi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Natale Canale
- Department of Developmental and Social Psychology, University of Padova, Padova, Italy
| | - Andrea Spoto
- Department of General Psychology, University of Padova, Padova, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy
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Iannattone S, Spaggiari S, Di Riso D, Bottesi G. Profiles of intolerance of uncertainty, separation anxiety, and negative affectivity in emerging adulthood: A person-centered approach. J Affect Disord 2024; 345:51-58. [PMID: 37875226 DOI: 10.1016/j.jad.2023.10.108] [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: 05/15/2023] [Revised: 09/07/2023] [Accepted: 10/15/2023] [Indexed: 10/26/2023]
Abstract
BACKGROUND Although Intolerance of uncertainty (IU), separation anxiety, and negative affectivity seem theoretically interrelated, no empirical study has considered them jointly so far. However, deepening this topic is clinically relevant, especially during the delicate phase of emerging adulthood. This study aimed to pinpoint psychological profiles based on IU, separation anxiety symptoms, and negative affectivity in a group of Italian non-clinical emerging adults. Such profiles were then compared in terms of key psychological and psychosocial characteristics. METHODS 868 young adults (73 % women) aged 18-26 years entered the study. They completed a socio-demographic survey and self-report tools assessing IU, separation anxiety symptomatology, and personality traits. Subgroups exhibiting distinctive patterns of IU, separation anxiety symptoms, and negative affectivity were identified using latent profile analysis. To deepen disparities in psychological and psychosocial features by profile, analyses of variance and chi-square tests were performed. RESULTS Three profiles were detected, respectively with high, low, and moderate levels of the variables considered. In each profile, IU, separation anxiety symptoms, and negative affectivity had a consistent trend. The "High-level" profile had the greatest proportion of women and people who had not spent infancy with both parents. LIMITATIONS The sample included mainly women and university students, and data were collected using self-report questionnaires only. CONCLUSIONS IU, separation anxiety symptoms, and negative affectivity can co-occur, highlighting the importance of transdiagnostic interventions. Preventive efforts should be directed to emerging adult women and those who did not spend infancy with both parents, as they may be particularly vulnerable to internalizing distress.
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Affiliation(s)
- Sara Iannattone
- Department of General Psychology, University of Padova, Padova, Italy.
| | - Silvia Spaggiari
- Department of Developmental Psychology and Socialisation, University of Padova, Padova, Italy.
| | - Daniela Di Riso
- Department of Developmental Psychology and Socialisation, University of Padova, Padova, Italy.
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy.
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Iannattone S, Mezzalira S, Bottesi G, Gatta M, Miscioscia M. Emotion dysregulation and psychopathological symptoms in non-clinical adolescents: The mediating role of boredom and social media use. Child Adolesc Psychiatry Ment Health 2024; 18:5. [PMID: 38184635 PMCID: PMC10771649 DOI: 10.1186/s13034-023-00700-0] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 12/27/2023] [Indexed: 01/08/2024] Open
Abstract
BACKGROUND Emotion dysregulation, boredom, and problematic social media use are well-known vulnerability factors for psychopathology during adolescence; nevertheless, the interplay between these factors remains underinvestigated in the literature. Therefore, the present cross-sectional study aimed to explore the mediating role of boredom and problematic social media use in the relations between emotion dysregulation and both internalizing and externalizing problems in a non-clinical group of Italian adolescents. METHOD 721 students (64.6% girls; Mage = 15.49 years ± 1.82) were involved and completed self-report tools assessing emotion dysregulation, boredom, problematic social media use, and psychopathological symptoms. Path analysis was used to test whether boredom and problematic social media use mediated the relation between emotion dysregulation and psychopathology, distinguishing between internalizing and externalizing problems. RESULTS Path models showed that emotion dysregulation predicted both internalizing and externalizing problems, as well as boredom and problematic social media use. Importantly, boredom mediated the associations between emotion dysregulation and both psychopathological dimensions, while problematic social media use mediated only the relation with externalizing problems. CONCLUSIONS Our results highlight that the influence of emotion dysregulation on psychopathology can manifest through different paths, leading to specific symptomatology based on interactions between various variables. In particular, boredom seems to be a transdiagnostic factor for psychopathology in adolescence, whereas problematic social media use would be a dimension-specific factor. The practical implications of these findings are discussed.
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Affiliation(s)
- Sara Iannattone
- Department of General Psychology, University of Padua, via Venezia 8, Padua, 35131, Italy.
| | - Selene Mezzalira
- Department of Engineering, University of Basilicata, Potenza, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padua, via Venezia 8, Padua, 35131, Italy
| | - Michela Gatta
- Department of Women's and Children's Health, University of Padua, Padua, Italy
| | - Marina Miscioscia
- Department of Developmental Psychology and Socialization, University of Padua, Padua, Italy
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Bottesi G, Caudek C, Malerba A, Caselli G, Gallo G, Melli G, Marsigli N, Offredi A, Sica C. Agreement and discrepancies in patient-clinician reports of DSM-5-TR section III maladaptive personality traits: A study on a mixed outpatient sample. Personal Disord 2024; 15:94-99. [PMID: 37498699 DOI: 10.1037/per0000639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/29/2023]
Abstract
The assessment of personality pathology based on dimensional models may improve self-other agreement, but previous research mainly adopted a categorical approach and overlooked the role of the person of the therapist. Our study examined patient-clinician agreement in a mixed sample of Italian outpatients using the Personality Inventory for DSM-5 (PID-5) and the PID-5-Informant Form (PID-5-IRF). Moreover, the role of clinician personality traits on agreement was preliminary explored. Sixty-eight outpatients (51.4% male, M = 30.30, SD = 12.05 years) and their treating clinicians (N = 22; 77.3% female, M = 43.77 ± 8.45 years) entered the study. Patients completed the PID-5, whereas clinicians filled-in the PID-5-Brief Form (PID-5-BF) and the PID-5-IRF for each patient they involved. A multilevel Bayesian analysis showed that rank-order agreement was large for domains (mean r = .60) and moderate for facets (mean r = .44). As regards mean-level agreement, patient ratings on cognitive/perceptual dysregulation, distractibility, eccentricity, and emotional lability were higher than clinician ratings, whereas patients' scores on depressivity were lower than clinicians' ones. Scores on the PID-5-BF detachment positively predicted agreement on anhedonia, anxiousness, depressivity, distractibility, separation insecurity, and suspiciousness, while scores on the PID-5-BF negative affectivity, antagonism, and disinhibition negatively predicted agreement on few specific facets. Current findings suggest that clinician personality traits may contribute to agreement on maladaptive personality traits, but areas of discrepancies remain in case of low observable internal ones. Since patient-clinician agreement is crucially involved in therapeutic alliance, further research on this issue is highly encouraged. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
- Gioia Bottesi
- Department of General Psychology, University of Padua
| | - Corrado Caudek
- Department of Neurosciences, Psychology, Drug Research, and Child Health, University of Florence
| | - Anna Malerba
- Department of General Psychology, University of Padua
| | | | - Gabriella Gallo
- UOC Psicologia Territoriale, DSM-DP Azienda Unita Sanitaria Locale Bologna
| | - Gabriele Melli
- Institute of Behavioral and Cognitive Psychology and Psychotherapy
| | - Nicola Marsigli
- Institute of Behavioral and Cognitive Psychology and Psychotherapy
| | | | - Claudio Sica
- Department of Health Sciences, University of Florence
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Natali L, Cardi V, Lunghi M, Ferrara R, Marconi L, Bottesi G. The Acceptability of a Psychoeducation and Skill-Based Training for Carers and Teachers to Cope with Risky Behaviours in Adolescence. Children (Basel) 2023; 11:38. [PMID: 38255352 PMCID: PMC10814090 DOI: 10.3390/children11010038] [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] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 12/21/2023] [Accepted: 12/26/2023] [Indexed: 01/24/2024]
Abstract
Childhood and adolescence psychopathology is associated with an increased risk of psychological difficulties in adulthood. Early interventions for youth should provide carers and teachers with knowledge and skills to respond to adolescents' risky behaviours. This study evaluated the acceptability and effectiveness of a single 3-h workshop, combining psychoeducation and skills training to promote knowledge about, and confidence to address, adolescents' risky behaviours in carers and teachers of adolescents aged 10-14. Demographics and perceived self-efficacy in the parental or teaching role were collected at baseline using self-report questionnaires. Motivation and confidence to respond to adolescents' risky behaviours were measured before and after the workshop using motivational rulers. Participants provided written feedback about their experience about the workshop. Twenty-seven carers and 27 teachers attended the workshops. Teachers reported a significant increase in both importance (p = 0.021) and confidence (p < 0.001) to respond to risky behaviours following the workshop. This change was associated with baseline self-efficacy levels (importance: p = 0.011; confidence: p = 0.002). Carers also reported greater confidence to address risky behaviours following the workshop (p = 0.002). Participants found the contents and methods of the workshop highly acceptable. Online and multiple-session workshops might increase reach and effectiveness.
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Affiliation(s)
- Ludovica Natali
- Centro di Ateneo Servizi Clinici Universitari Psicologici, University of Padova, 35131 Padova, Italy; (L.N.); (V.C.); (M.L.); (R.F.); (L.M.)
- Department of General Psychology, University of Padova, 35131 Padova, Italy
| | - Valentina Cardi
- Centro di Ateneo Servizi Clinici Universitari Psicologici, University of Padova, 35131 Padova, Italy; (L.N.); (V.C.); (M.L.); (R.F.); (L.M.)
- Department of General Psychology, University of Padova, 35131 Padova, Italy
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London SE5 8AF, UK
| | - Marco Lunghi
- Centro di Ateneo Servizi Clinici Universitari Psicologici, University of Padova, 35131 Padova, Italy; (L.N.); (V.C.); (M.L.); (R.F.); (L.M.)
- Department of Developmental Psychology and Socialisation, University of Padova, 35131 Padova, Italy
| | - Rosanna Ferrara
- Centro di Ateneo Servizi Clinici Universitari Psicologici, University of Padova, 35131 Padova, Italy; (L.N.); (V.C.); (M.L.); (R.F.); (L.M.)
| | - Linda Marconi
- Centro di Ateneo Servizi Clinici Universitari Psicologici, University of Padova, 35131 Padova, Italy; (L.N.); (V.C.); (M.L.); (R.F.); (L.M.)
| | - Gioia Bottesi
- Centro di Ateneo Servizi Clinici Universitari Psicologici, University of Padova, 35131 Padova, Italy; (L.N.); (V.C.); (M.L.); (R.F.); (L.M.)
- Department of General Psychology, University of Padova, 35131 Padova, Italy
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Bottesi G. Why we should focus more attention on uncertainty distress and intolerance of uncertainty in adolescents and emerging adults. Eur Child Adolesc Psychiatry 2023:10.1007/s00787-023-02343-0. [PMID: 38055055 DOI: 10.1007/s00787-023-02343-0] [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: 08/24/2023] [Accepted: 11/28/2023] [Indexed: 12/07/2023]
Abstract
Sivertsen et al. (2023) showed that adolescents endorsing high levels of internalizing and externalizing symptoms are at risk of increased mental health problems during emerging adulthood and suggested the existence of both homotypic and heterotypic continuities of mental disorders over time. Since adolescence and emerging adulthood are transition periods highly intertwined with uncertainty, the present perspective contextualizes the findings by Sivertsen et al. (2023) in relation to the extant literature on intolerance of uncertainty and the recently developed Uncertainty Distress Model. Moreover, it claims for further research addressing the way adolescents and emerging adults process and deal with uncertainty. Indeed, focusing more attention on the implications of trans-situational and trans-diagnostic constructs such as uncertainty distress and intolerance of uncertainty in these life stages may hold great promise to design and implement effective mental health prevention programs.
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Affiliation(s)
- Gioia Bottesi
- Department of General Psychology, University of Padova, Via Venezia 8, 35131, Padua, Italy.
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Panzeri A, DeVita M, Di Rosa E, Bottesi G, Brundisini V, Guarrera C, Ravelli A, Ponza I, Cattelan A, Volpe B, Iannizzi P, Ghisi M, Schiavo R, Mapelli D. Trauma Shaping the Psychopathological Correlates of Patients with Long-COVID: A 6-Months Longitudinal Study with Repeated Measures Mixed Models. Psychiatry Res 2023; 330:115609. [PMID: 38006716 DOI: 10.1016/j.psychres.2023.115609] [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: 07/10/2023] [Revised: 11/09/2023] [Accepted: 11/12/2023] [Indexed: 11/27/2023]
Abstract
This research aimed at investigating how the experience of trauma can influence the psychological correlates of long-COVID over time in a clinical sample of patients hospitalized because of COVID-19. Through a longitudinal research design, 70 post-acute patients with COVID-19 were followed-up after hospital discharge in 3-time points up to 6 months and completed the Post-traumatic Stress Disorder Checklist for DSM-5 (PCL-5) and the Symptoms Checklist-90-Revised (SCL-90 R). Repeated measures mixed models with random intercept were used to evaluate the effect of trauma (yes/no) over time (T1, T2, T3) on the SCL-90-R scales. Results showed that patients with trauma display significantly worse psychological outcomes in all the SCL-90-R dimensions [all padj < .05 for the principal effects of trauma(y)], especially in symptoms of depression [time 2 vs time 1*trauma(y): b = -3.86, 95%CI (-7.18, -0.53), padj = .035; time 3 vs time 1*trauma(y): b = -4.77, 95%CI (-8.10, -1.45), padj = .011], anxiety [time 3 vs time 1*trauma(y): b = -4.54, 95%CI (-7.72, -1.37), padj = .011], and obsessive-compulsive difficulties [time 3 vs time 1*trauma(y): b = -4.03, 95%CI (-7.20, -0.86), padj = .027]. These findings shed light on the long-term psychological consequences of COVID-19 among hospitalized patients and highlight the key role of trauma, suggesting its assessment to tailor psychological interventions.
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Affiliation(s)
- Anna Panzeri
- Department of General Psychology, University of Padua, Italy.
| | - Maria DeVita
- Department of General Psychology, University of Padua, Italy; Geriatrics Division, Department of Medicine, University of Padua, Italy
| | - Elisa Di Rosa
- Department of General Psychology, University of Padua, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padua, Italy
| | - Virginia Brundisini
- Unità Operativa Complessa (UOC) Hospital Psychology, Padua University Hospital, Padua, Italy
| | - Claudia Guarrera
- Unità Operativa Complessa (UOC) Hospital Psychology, Padua University Hospital, Padua, Italy
| | - Adele Ravelli
- Geriatrics Division, Department of Medicine, University of Padua, Italy
| | - Isabella Ponza
- Unità Operativa Complessa (UOC) Hospital Psychology, Padua University Hospital, Padua, Italy
| | - Annamaria Cattelan
- Infectious and Tropical Diseases Unit, Padua University Hospital, Padua, Italy
| | - Biancarosa Volpe
- Unità Operativa Complessa (UOC) Hospital Psychology, Padua University Hospital, Padua, Italy
| | | | - Marta Ghisi
- Department of General Psychology, University of Padua, Italy; Unità Operativa Complessa (UOC) Hospital Psychology, Padua University Hospital, Padua, Italy
| | - Rossana Schiavo
- Unità Operativa Complessa (UOC) Hospital Psychology, Padua University Hospital, Padua, Italy
| | - Daniela Mapelli
- Department of General Psychology, University of Padua, Italy
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Moroni L, Bottesi G, Bertolotti G, Cangiano A, Rizza C, Malerba A, Picozzi A, Burro R. Measuring pandemic-related anxiety and confidence in care in chronic patients using the Psychological Consequences of a Pandemic Event (PCPE) questionnaire. Stress Health 2023. [PMID: 38015464 DOI: 10.1002/smi.3349] [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: 05/18/2023] [Revised: 10/22/2023] [Accepted: 11/12/2023] [Indexed: 11/29/2023]
Abstract
The COVID-19 pandemic has determined a considerable increase in psychological distress worldwide. Compared with the general population, patients with chronic conditions experience higher stress levels due to the increased risk of worse health outcomes from COVID-19 infection. Worries and fear of contagion could cause them to avoid going to their health facilities for medical examinations, which results in higher risks of morbidity and mortality. The present study aimed to develop and validate the Psychological Consequences of a Pandemic Event (PCPE) self-report questionnaire, and to assess the psychological effects of exposure to a pandemic on mood and on treatment adherence appropriate for patients with chronic diseases. Data were analysed with Rasch analysis after an Exploratory Factor Analysis and a Confirmatory Factor Analysis. We identified a final set of 10 items, divided into two independent factors labelled "pandemic-related anxiety" and "confidence in care". Finally, we transformed the raw scores of both factors into two interval scales (two rulers) that met the requirements of the fundamental measurement. The PCPE questionnaire has demonstrated to be a short and easy-to-administer measure, with valid and reliable psychometric properties, capable of assessing pandemic-related anxiety and confidence in care in patients with chronic clinical conditions.
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Affiliation(s)
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy
| | | | | | | | - Anna Malerba
- Department of General Psychology, University of Padova, Padova, Italy
| | | | - Roberto Burro
- Department of Human Sciences, University of Verona, Verona, Italy
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12
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Mihić L, Janičić B, Marchetti I, Novović Z, Sica C, Bottesi G, Belopavlović R, Jakšić N. Comorbidity among depression, anxiety and stress symptoms in naturalistic clinical samples: A cross-cultural network analysis. Clin Psychol Psychother 2023. [PMID: 37940606 DOI: 10.1002/cpp.2927] [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: 11/01/2022] [Revised: 10/11/2023] [Accepted: 10/13/2023] [Indexed: 11/10/2023]
Abstract
Comorbidity between depression and anxiety is well-established across various settings and cultures. We approached comorbidity from the network psychopathology perspective and examined the depression, anxiety/autonomic arousal and stress/tension symptoms in naturalistic clinical samples from Serbia, Italy and Croatia. This was a multisite study in which regularized partial correlation networks of the symptoms, obtained via self-reports on the Depression Anxiety and Stress Scales-21 (DASS-21) in three cross-cultural, clinical samples (total N = 874), were compared with respect to centrality, edge weights, community structure and bridge centrality. A moderate degree of similarity in a number of network indices across the three networks was observed. While negative mood emerged to be the most central node, stress/tension nodes were the most likely bridge symptoms between depressive and anxiety/autonomic arousal symptoms. We demonstrated that the network structure and features in mixed clinical samples were similar across three different languages and cultures. The symptoms such as agitation, restlessness and inability to relax functioned as bridges across the three symptom communities explored in this study. Important theoretical and clinical implications were derived.
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Affiliation(s)
- Ljiljana Mihić
- Department of Psychology, Faculty of Philosophy, University of Novi Sad, Novi Sad, Serbia
| | - Bojan Janičić
- Department of Psychology, Faculty of Philosophy, University of Novi Sad, Novi Sad, Serbia
| | - Igor Marchetti
- Department of Life Sciences, University of Trieste, Trieste, Italy
| | - Zdenka Novović
- Department of Psychology, Faculty of Philosophy, University of Novi Sad, Novi Sad, Serbia
| | - Claudio Sica
- Department of Health Sciences, University of Florence, Florence, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Radomir Belopavlović
- Department of Psychology, Faculty of Philosophy, University of Novi Sad, Novi Sad, Serbia
| | - Nenad Jakšić
- Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
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13
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Cusin S, Lucidi D, Azzolina D, Parini S, Verdi D, Bottesi G, Spolverato G. The impact of Covid-19 pandemic on Italian surgeons: a national survey. Eur J Surg Oncol 2023. [PMCID: PMC9941288 DOI: 10.1016/j.ejso.2022.11.574] [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: 02/23/2023]
Affiliation(s)
- Sofia Cusin
- University of Padova, Department of Surgical- Oncological and Gastroenterological Sciences, Padova, Italy
| | - Daniela Lucidi
- University of Modena and Reggio Emilia, Department of Otolaryngology - Head and Neck Surgery, Modena, Italy
| | - Danila Azzolina
- University of Ferrara, Department of Medical Sciences, Ferrara, Italy
| | - Sara Parini
- University of Turin, Division of Thoracic Surgery- Ospedale Maggiore della Carità, Novara, Italy
| | - Daunia Verdi
- Mirano Hospital, Department of Surgery, Mirano, Italy
| | - Gioia Bottesi
- University of Padova, Department of General Psychology, Padova, Italy
| | - Gaya Spolverato
- University of Padova, Department of Surgical- Oncological and Gastroenterological Sciences, Padova, Italy
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14
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Bottesi G, Iannattone S, Carraro E, Lauriola M. The assessment of Intolerance of uncertainty in youth: An examination of the Intolerance of Uncertainty Scale-Revised in Italian nonclinical boys and girls. Res Child Adolesc Psychopathol 2023; 51:209-222. [PMID: 35779168 PMCID: PMC9867688 DOI: 10.1007/s10802-022-00944-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/01/2022] [Indexed: 01/26/2023]
Abstract
Intolerance of Uncertainty (IU) is a transdiagnostic factor involved in several psychological disorders. Adolescence is characterized by elevated uncertainty and psychopathological vulnerability, but insufficient attention has been paid to IU at this age. This study aimed to investigate the factor structure and psychometric properties of the Intolerance of Uncertainty Scale-Revised (IUS-R) in Italian preadolescents and adolescents. 862 Italian students (57.3% girls) aged 11-17 (M = 14.8 ± 1.91) completed the IUS-R and measures of internalizing and externalizing symptoms, and psychological well-being. To test the factor structure of the IUS-R, one-factor, two-factor, and bifactor models were compared; measurement invariance, reliability, and validity were also addressed. Results showed that the bifactor model outperformed alternative factor models, and a general factor was needed to model the IUS-R. Bifactor model indices supported using the total score to assess IU reliably. Configural and metric invariance by age and sex were fully supported, while the IUS-R achieved partial scalar invariance. Significant correlations emerged for the IUS-R total score with psychopathological constructs, while no relationships with psychological well-being were found. Compared to adult normative data, higher total IUS-R scores were detected, suggesting that IU may be a phase-specific characteristic of adolescence. Our findings support using the IUS-R to measure IU across the lifespan. The recommended use of the total score and its associations with psychopathological dimensions highlight the transdiagnostic nature of IU in adolescence. Therefore, including IU when implementing interventions to prevent maladaptive outcomes in teenagers would be beneficial.
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Affiliation(s)
- Gioia Bottesi
- grid.5608.b0000 0004 1757 3470Department of General Psychology, University of Padova, via Venezia 8, 35131 Padova, Italy
| | - Sara Iannattone
- grid.5608.b0000 0004 1757 3470Department of General Psychology, University of Padova, via Venezia 8, 35131 Padova, Italy
| | - Eleonora Carraro
- grid.5608.b0000 0004 1757 3470Department of General Psychology, University of Padova, via Venezia 8, 35131 Padova, Italy
| | - Marco Lauriola
- grid.7841.aDepartment of Psychology of Developmental and Socialisation Processes, Sapienza University of Rome, via dei Marsi 78, 00185, Rome, Italy
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15
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Malerba A, Iannattone S, Casano G, Lauriola M, Bottesi G. The Trap of the COVID-19 Pandemic: Italian Adolescents Fare Well at First, Maybe Thanks to Protective Trait Expression. Children (Basel) 2022; 9:1631. [PMID: 36360359 PMCID: PMC9688502 DOI: 10.3390/children9111631] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Revised: 10/22/2022] [Accepted: 10/24/2022] [Indexed: 10/26/2023]
Abstract
Abundant research indicates that the COVID-19 pandemic has been negatively affecting mental health in adolescence. Few works, however, benefit from data from the same sample before and after the onset of the pandemic. The present longitudinal study involved a non-clinical group of 136 Italian adolescents (Mage = 16.3 years ± 1.08, 67% girls) to investigate their psychological response to the first lockdown and explore the role of a protective trait (i.e., Positivity) in moderating the effect of Intolerance of Uncertainty (IU) on internalizing symptoms before and during the COVID-19 outbreak. Participants completed self-report questionnaires assessing psychopathological symptoms, psychological well-being, IU, and Positivity on three separate occasions: October 2019 (T1), January 2020 (T2), and April 2020 (T3). The results showed that internalizing and externalizing symptoms as well as psychological well-being did not vary significantly over time. Positivity was found to significantly moderate the relationship between IU and internalizing symptoms at T3 (i.e., during the COVID-19 lockdown) only. Overall, our findings suggest that the teenagers' good adjustment to the initial phase of the pandemic might have been associated with the enhanced weight of the Positivity trait, which may have encouraged a positive attitude towards self, life, and the future.
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Affiliation(s)
- Anna Malerba
- Department of General Psychology, University of Padova, 35131 Padova, Italy
| | - Sara Iannattone
- Department of General Psychology, University of Padova, 35131 Padova, Italy
| | - Giorgia Casano
- Department of General Psychology, University of Padova, 35131 Padova, Italy
| | - Marco Lauriola
- Department of Developmental and Social Psychology, Sapienza University of Rome, 00185 Rome, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, 35131 Padova, Italy
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16
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Cerea S, Doron G, Manoli T, Patania F, Bottesi G, Ghisi M. Cognitive training via a mobile application to reduce some forms of body dissatisfaction in young females at high-risk for body image disorders: A randomized controlled trial. Body Image 2022; 42:297-306. [PMID: 35908296 DOI: 10.1016/j.bodyim.2022.07.010] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 07/05/2022] [Accepted: 07/14/2022] [Indexed: 11/18/2022]
Abstract
Body dissatisfaction has been related to Body Image Disorders (BIDs) such as Eating Disorders (EDs) and Body Dysmorphic Disorder (BDD). This study investigates the efficacy of a mHealth app in reducing body dissatisfaction, BDD/ED symptoms and related features. Ninety-five women who were identified as high-risk of developing BIDs (using the Structured Clinical Interview for DSM-5) were randomized into: immediate-use App (iApp group; n = 47) and delayed-use App (dApp group; n = 48). The iApp group started using the app at baseline for 16 days (T1). The dApp group started using the app at T1 for 16 days. Participants completed questionnaires at baseline (T0), 16 days from baseline (T1), and 32 days from baseline (T2). Repeated measure Multivariate Analysis of Variance (MANOVA) showed Group (iApp vs. dApp) × Time (T0 vs. T1) interactions indicating decrease in BDD symptoms and body dissatisfaction related to EDs in the iApp group at T1. The Reliable Change Index indicated changes on extreme body dissatisfaction/BDD symptoms for 34.74% of participants. Although preliminary, these findings highlight that a mHeatlh app might reduce BDD symptoms and body dissatisfaction related to EDs in women at high-risk for BIDs. Effects on ED symptoms and associated features seem more limited.
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Affiliation(s)
- Silvia Cerea
- Department of General Psychology, University of Padova, Padova, Italy.
| | - Guy Doron
- Baruch Ivcher School of Psychology, Reichman University (IDC) Herzliya, Israel.
| | - Teresa Manoli
- Department of General Psychology, University of Padova, Padova, Italy
| | - Federica Patania
- Department of General Psychology, University of Padova, Padova, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Marta Ghisi
- Department of General Psychology, University of Padova, Padova, Italy; U.O.C. Hospital Psychology, University-Hospital of Padova, Padova, Italy
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17
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Cerea S, Giraldo M, Caudek C, Bottesi G, Paoli A, Ghisi M. Validation of the Muscle Dysmorphic Disorder Inventory (MDDI) among Italian Women Practicing Bodybuilding and Powerlifting and in Women Practicing Physical Exercise. IJERPH 2022; 19:ijerph19159487. [PMID: 35954842 PMCID: PMC9368146 DOI: 10.3390/ijerph19159487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 07/29/2022] [Accepted: 07/31/2022] [Indexed: 12/10/2022]
Abstract
Studies pertaining to muscle dysmorphia (MD) have concentrated the most on males. However, a new body ideal for women is emerging: a very toned, athletic body with flat, smooth muscles. The emphasis on the level of muscularity represents a contribution to the growth of MD symptoms in women. The aim of this study was to evaluate the factorial structure and psychometric properties of the muscle dysmorphic disorder inventory (MDDI) in two samples of physically active Italian women. One-hundred and sixty-five women practicing non-competing bodybuilding/powerlifting and 353 women practicing physical exercise completed the MDDI and measures of features associated with MD. Findings of the confirmatory factor analysis showed a three-factor structure with acceptable fit and invariant across groups. Omega coefficients revealed adequate internal consistency for all the scales and for the total score of the MDDI. Furthermore, convergent and divergent validity as well as retest reliability emerged to be good. MDDI represents a reliable measure of MD symptoms in physically active Italian women.
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Affiliation(s)
- Silvia Cerea
- Department of General Psychology, University of Padova, 35131 Padova, Italy; (M.G.); (G.B.); (M.G.)
- Department of Biomedical Sciences, University of Padova, 35131 Padova, Italy;
- Correspondence: ; Tel.: +39-049-827-6918
| | - Matteo Giraldo
- Department of General Psychology, University of Padova, 35131 Padova, Italy; (M.G.); (G.B.); (M.G.)
| | - Corrado Caudek
- Neurosciences, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, 50139 Florence, Italy;
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, 35131 Padova, Italy; (M.G.); (G.B.); (M.G.)
| | - Antonio Paoli
- Department of Biomedical Sciences, University of Padova, 35131 Padova, Italy;
| | - Marta Ghisi
- Department of General Psychology, University of Padova, 35131 Padova, Italy; (M.G.); (G.B.); (M.G.)
- Hospital Psychology Unit, University-Hospital of Padova, 35128 Padova, Italy
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18
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Drislane LE, Sica C, Lowman KL, Colpizzi I, Joyner KJ, Bottesi G, Patrick CJ. Latent variable model of triarchic psychopathy constructs in an incarcerated offender sample: Factor reliability and validity. Psychol Assess 2022; 34:899-911. [PMID: 35849405 DOI: 10.1037/pas0001158] [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 triarchic model of psychopathy posits that three distinct trait dispositions-disinhibition, meanness, and boldness-contribute to the interpersonal, affective, and impulsive-unrestrained features of this condition and is represented to varying degrees in all conceptualizations and measures of psychopathy. Using data for incarcerated males (n = 273) and females (n = 83) from 10 different prisons in Italy, we specified a latent variable model of the triarchic trait constructs in which scale measures of disinhibition, meanness, and boldness composed of items from the following inventories served as indicators: Triarchic Psychopathy Measure, Psychopathic Personality Inventory-Revised, Minnesota Multiphasic Personality Inventory-2 Restructured Form, and NEO Five Factor Inventory. A correlated three-factor solution evidenced adequate model fit, with individual triarchic trait scales loading strongly onto their target factors. The model exhibited comparable fit and factor loadings when specified using data for males only, and its factors showed expected relations with pertinent criterion variables, including measures of normative personality and clinical dysfunction along with staff ratings of prison behavior and release prognosis. Extending prior research with nonclinical participants from the U.S., present study results demonstrate the viability of a latent variable model of the triarchic traits in an incarcerated offender sample from a separate culture (Italy). The significance of this work lies in the potential of the triarchic traits to serve as conceptual-empirical points of reference for integrating findings across studies of psychopathy employing diverse samples and assessment measures. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Panzeri A, Bettinardi O, Bottesi G, Bertolotti G, Brambatti L, Monfredo M, Mignemi G, Bruno G, Vidotto G, Spoto A, Frattola P, Chiesa S. Assessment of perceived support in the context of emergency: Development and validation of the psycho-social support scale. Curr Psychol 2022; 42:1-12. [PMID: 35789631 PMCID: PMC9243771 DOI: 10.1007/s12144-022-03344-z] [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] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/09/2022] [Indexed: 11/29/2022]
Abstract
In research and clinical contexts, it is important to briefly evaluate perceived Psychological and Social Support (PSS) to plan psychological interventions and allocate efforts and resources. However, an appropriate brief assessment tool for PSS was lacking. This study aimed at developing a brief and accurate scale to specifically measure PSS in clinical and emergency contexts, with specific, relevant, targeted, and irredundant items. Experienced clinicians developed the perceived Psycho-Social Support Scale (PSSS) and administered it to a clinical sample (N = 112) seeking psychological help during the COVID-19 emergency. A Confirmatory Factor Analysis examined the PSSS internal structure, and a Multiple Indicator and Multiple Causes model investigated its association with the number of sessions and emotional symptoms. The PSSS showed good psychometric properties and the Confirmatory Factor Analysis provided acceptable fit indexes for a unidimensional structure. The Multiple Indicators and Multiple Causes revealed that more sessions and emotional symptoms were associated with lower PSSS scores. The PSSS is a reliable brief tool to measure PS and could be useful to individualize treatments (i.e., number of sessions) to efficiently allocate efforts and resources in clinical contexts and emergencies (e.g., earthquake, COVID-19 pandemic). Supplementary Information The online version contains supplementary material available at 10.1007/s12144-022-03344-z.
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Affiliation(s)
- Anna Panzeri
- Department of General Psychology, University of Padua, via Venezia 8, Padua, PD Italy
| | - Ornella Bettinardi
- Department of Mental Health AUSL of Piacenza, Via Anguissola, 15 Piacenza, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padua, via Venezia 8, Padua, PD Italy
| | | | - Luca Brambatti
- Hospital Guglielmo da Saliceto, Via Taverna 49, Piacenza, Italy
| | - Michela Monfredo
- Primary Care Department, AUSL of Piacenza, Via Anguissola 15, Piacenza, Italy
| | - Giuseppe Mignemi
- Department of General Psychology, University of Padua, via Venezia 8, Padua, PD Italy
| | - Giovanni Bruno
- Department of General Psychology, University of Padua, via Venezia 8, Padua, PD Italy
| | - Giulio Vidotto
- Department of General Psychology, University of Padua, via Venezia 8, Padua, PD Italy
| | - Andrea Spoto
- Department of General Psychology, University of Padua, via Venezia 8, Padua, PD Italy
| | - Paola Frattola
- Hospital Guglielmo da Saliceto, Via Taverna 49, Piacenza, Italy
| | - Silvia Chiesa
- Hospital Guglielmo da Saliceto, Via Taverna 49, Piacenza, Italy
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20
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Sica C, Latzman RD, Caudek C, Cerea S, Colpizzi I, Caruso M, Giulini P, Bottesi G. Facing distress in Coronavirus era: The role of maladaptive personality traits and coping strategies. Pers Individ Dif 2021; 177:110833. [PMID: 34776570 PMCID: PMC8570824 DOI: 10.1016/j.paid.2021.110833] [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: 11/20/2020] [Revised: 02/13/2021] [Accepted: 03/08/2021] [Indexed: 10/28/2022]
Abstract
The aim of the current study was to investigate the intersecting roles of dysfunctional personality traits and coping styles in relation to psychological distress during the Italian national lockdown caused by the COVID-19 pandemic. Participants included 633 adults who completed questionnaires of maladaptive personality traits, coping styles, and psychological distress. Results indicated that all the maladaptive traits were associated with psychological distress with magnitude of associations strongest for Negative Affect and weakest for Antagonism. Maladaptive traits were also generally positively associated with avoidant/maladaptive and negatively associated with acceptance and positive reframing, forms of coping. A series of path analyses further demonstrated that coping strategies partially explained associations between maladaptive personality traits and psychological distress. All told, results suggest that during an unprecedented stressful time, associations between maladaptive personality traits and psychological distress may be, at least in part, explained by maladaptive coping strategies.
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Affiliation(s)
- Claudio Sica
- Department of Health Sciences, Psychology Section, University of Firenze, Via San Salvi, 12, 50135, Firenze, Italy, Italy
| | - Robert D Latzman
- Department of Psychology, Georgia State University, 33 Gilmer Street SE, Atlanta, USA
| | - Corrado Caudek
- Department of Neurosciences, Psychology, Drug Research, and Child Health, University of Firenze, Via San Salvi, 12, 50135 Firenze, Italy
| | - Silvia Cerea
- Department of General Psychology, University of Padova, via Venezia, 8, 35131 Padova, Italy
| | - Ilaria Colpizzi
- Department of Health Sciences, Psychology Section, University of Firenze, Via San Salvi, 12, 50135, Firenze, Italy, Italy
| | - Maria Caruso
- Department of Health Sciences, Psychology Section, University of Firenze, Via San Salvi, 12, 50135, Firenze, Italy, Italy
| | - Paolo Giulini
- Department of Health Sciences, Psychology Section, University of Firenze, Via San Salvi, 12, 50135, Firenze, Italy, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, via Venezia, 8, 35131 Padova, Italy
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21
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Cerea S, Lovetere G, Bottesi G, Sica C, Ghisi M. The relationship between body dysmorphic disorder symptoms and 'not just right' experiences in a sample of individuals seeking cosmetic surgery and aesthetic medicine procedures. Clin Psychol Psychother 2021; 29:1034-1049. [PMID: 34723408 DOI: 10.1002/cpp.2683] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 09/22/2021] [Accepted: 10/26/2021] [Indexed: 11/09/2022]
Abstract
BACKGROUND Body dysmorphic disorder (BDD) is characterized by concerns for perceived defects in physical appearance that appear to others as mild or unobservable. Individuals with BDD frequently refer concerns with their physical appearance being 'not right' (not just right experiences; NJREs), and BDD-related behaviours may be performed until their appearance is perceived as 'right'. The aim of the study was to explore the relationship between BDD and NJREs in cosmetic surgery and aesthetic medicine settings. METHODS Individuals requesting cosmetic procedures with BDD symptoms (BDD-symptoms group; n = 24), without BDD symptoms (cosmetic intervention [CI] group; n = 45), and individuals that have never required these procedures (no cosmetic intervention [NCI] group; n = 53) entered the study. RESULTS Results showed a greater number of past-month NJREs, higher NJREs severity, higher drive for thinness, and greater general distress in the BDD-symptoms group. Pertaining to features associated with NJREs (perfectionism and obsessive-compulsive disorder symptoms) and ED core features, the BDD-symptoms group scored higher only with respect to NCI. Regression analyses showed that BDD symptoms were predicted by age, NJREs severity, and drive for thinness above and beyond general distress, perfectionism, obsessive-compulsive disorder symptoms, bulimia, and body dissatisfaction related to weight and shape in the BDD-Symptoms group (in comparison with the CI and NCI groups). CONCLUSIONS NJREs may represent a potential vulnerability factor for BDD symptoms in cosmetic settings.
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Affiliation(s)
- Silvia Cerea
- Department of General Psychology, University of Padova, Padova, Italy
| | | | - Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Claudio Sica
- Department of Health Sciences, Psychology Section, University of Firenze, Firenze, Italy
| | - Marta Ghisi
- Department of General Psychology, University of Padova, Padova, Italy.,U.O.C. Hospital Psychology, University-Hospital of Padova, Padova, Italy
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22
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Pascual-Vera B, Akin B, Belloch A, Bottesi G, Clark DA, Doron G, Fernández-Alvarez H, Ghisi M, Gómez B, Inozu M, Jiménez-Ros A, Moulding R, Ruiz MA, Shams G, Sica C. Maladaptive Consequences of Mental Intrusions with Obsessive, Dysmorphic, Hypochondriac, and Eating-disorders Related Contents: Cross-cultural Differences. Int J Clin Health Psychol 2021; 22:100275. [PMID: 34703466 PMCID: PMC8517547 DOI: 10.1016/j.ijchp.2021.100275] [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: 06/17/2021] [Accepted: 08/10/2021] [Indexed: 11/07/2022] Open
Abstract
Background/Objective Unwanted mental intrusions (UMIs) with contents related to Obsessive-Compulsive Disorder (OCD), Body Dysmorphic Disorder (BDD), Illness Anxiety Disorder (IAD), and Eating Disorders (EDs) are highly prevalent, independently of the cultural and/or social context. Cognitive-behavioral explanations for these disorders postulates that the escalation from common UMIs to clinically relevant symptoms depends on the maladaptive consequences (i.e., emotions, appraisals, and control strategies) of experiencing UMIs. This study examines, from a cross-cultural perspective, the cognitive-behavioral postulates of the maladaptive consequences of having UMIs. Method Non-clinical 1,473 participants from Europe, the Middle-East, and South America completed the Questionnaire of Unpleasant Intrusive Thoughts to assess the maladaptive consequences of experiencing highly disturbing OCD, BDD, IAD, and EDs-related UMIs. Results Findings revealed main effects for both the country and the consequences associated with the four UMI contents. Interaction effects between the consequences of each UMI content and the sample location were also observed. Conclusions Cognitive-Behavioral models for OCD, BDD, IAD, and EDs should be implemented along with socio-cultural variables that increase the understanding of the role of these variables in the phenomenology of UMIs and their associated consequences.
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Affiliation(s)
- Belén Pascual-Vera
- Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Universidad Nacional de Educación a Distancia (UNED), Spain
| | - Burcin Akin
- Department of Psychology, Başkent University, Ankara, Turkey
| | - Amparo Belloch
- Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Universidad de Valencia, Spain
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Italy
| | - David A Clark
- Department of Psychology, University of New Brunswick, Canada
| | - Guy Doron
- Department of Psychology, Interdisciplinary Center Herzliya, Tel Aviv, Israel
| | | | - Marta Ghisi
- Department of General Psychology, University of Padova, Italy
| | | | - Mujgan Inozu
- Department of Psychology, Hacettepe University, Ankara, Turkey
| | - Antonia Jiménez-Ros
- Psychology Research Centre (CIP/UAL) & Universidade do Algarve, Faro, Portugal
| | - Richard Moulding
- Department of Psychology, Deakin University, Melbourne, Australia
| | - M Angeles Ruiz
- Universidad Nacional de Educación a Distancia UNED, Madrid, Spain
| | - Giti Shams
- Department of Psychiatry, Tehran University of Medical Science, Roozbeh Hospital, Tehran, Iran
| | - Claudio Sica
- Department of Human Health Science, University of Firenze, Italy
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Lowman KL, Patrick CJ, Perkins ER, Bottesi G, Caruso M, Giulini P, Sica C. Evaluating the validity of brief prototype-based informant ratings of triarchic psychopathy traits in prisoners. Behav Sci Law 2021; 39:641-662. [PMID: 34658071 PMCID: PMC9297945 DOI: 10.1002/bsl.2542] [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] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Revised: 09/13/2021] [Accepted: 09/27/2021] [Indexed: 06/13/2023]
Abstract
The validity of self-report psychopathy assessment has been questioned, especially in forensic settings where clinical evaluations influence critical decision-making (e.g., institutional placement, parole eligibility). Informant-based assessment offers a potentially valuable supplement to self-report but is challenging to acquire in under-resourced forensic contexts. The current study evaluated, within an incarcerated sample (n = 322), the extent to which brief prototype-based informant ratings of psychopathic traits as described by the triarchic model (boldness, meanness, disinhibition; Patrick et al., 2009) converge with self-report trait scores and show incremental validity in predicting criterion measures. Self/informant convergence was robust for traits of boldness and disinhibition, but weaker for meanness. Informant-rated traits showed incremental predictive validity over self-report traits, both within and across assessment domains. These findings indicate that simple prototype-based informant ratings of the triarchic traits can provide a useful supplement to self-report in assessing psychopathy within forensic-clinical settings.
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Affiliation(s)
- Kelsey L. Lowman
- Department of PsychologyFlorida State UniversityTallahasseeFloridaUSA
| | | | - Emily R. Perkins
- Department of PsychologyFlorida State UniversityTallahasseeFloridaUSA
| | - Gioia Bottesi
- Department of General PsychologyUniversity of PadovaPadovaItaly
| | - Maria Caruso
- Department of Health SciencesPsychology SectionUniversity of FirenzeFirenzeItaly
| | - Paolo Giulini
- Department of Health SciencesPsychology SectionUniversity of FirenzeFirenzeItaly
| | - Claudio Sica
- Department of Health SciencesPsychology SectionUniversity of FirenzeFirenzeItaly
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24
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Bottesi G, Marino C, Vieno A, Ghisi M, Spada MM. Psychological distress in the context of the COVID-19 pandemic: the joint contribution of intolerance of uncertainty and cyberchondria. Psychol Health 2021; 37:1396-1413. [PMID: 34279150 DOI: 10.1080/08870446.2021.1952584] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
OBJECTIVE To explore the direct and indirect associations between intolerance of uncertainty, health anxiety (HA), and psychological distress through problematic internet use (PIU) and cyberchondria, both before and during the first months of the COVID-19 pandemic. DESIGN Two Italian samples were enrolled via an online questionnaire. Sample 1 (N = 556; 69.3% females, Mage 29.6 years, SD = 13.2) was recruited in non-pandemic times, whereas Sample 2 (N = 575; 74% females, Mage 31.9 years, SD = 13.4) was recruited during the COVID-19 lockdown. MAIN OUTCOME MEASURES Self-report measures assessing HA and psychological distress. RESULTS Two distinct path analyses showed that intolerance of uncertainty was directly associated with HA and psychological distress in both samples. Moreover, cyberchondria partially mediated the relationship between intolerance of uncertainty and HA and PIU partially mediated the relationship between intolerance of uncertainty and psychological distress in both samples. The link between cyberchondria and psychological distress was significant in Sample 2 but non-significant in Sample 1. The model accounted for a substantial variance of HA and psychological distress in both samples. CONCLUSION Our findings suggest that problematic online behaviors might exacerbate the negative consequences of intolerance of uncertainty in terms of higher levels of HA and psychological distress both in pandemic and non-pandemic contexts.
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Affiliation(s)
- Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Claudia Marino
- Department of Developmental and Socialization Psychology, University of Padova, Padova, Italy.,Division of Psychology, School of Applied Sciences, London South Bank University, London, UK
| | - Alessio Vieno
- Department of Developmental and Socialization Psychology, University of Padova, Padova, Italy
| | - Marta Ghisi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Marcantonio M Spada
- Division of Psychology, School of Applied Sciences, London South Bank University, London, UK
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25
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Bottesi G, Stefanelli A, Ambroso G, Baratto G, Carraro E, Cristaudo A, Giuntoli L, Maramaldi G, Meneghin M, Pozzati G, Semenzato A, Togni S, Vidotto G. The Relevance of Assessing Subjective Experiences of Skin Toxicity During Adjuvant Radiotherapy for Breast Cancer. Front Oncol 2021; 11:645921. [PMID: 33937053 PMCID: PMC8083130 DOI: 10.3389/fonc.2021.645921] [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: 01/04/2021] [Accepted: 03/15/2021] [Indexed: 11/13/2022] Open
Abstract
Purpose Radiodermatitis is likely to be an inevitable side effect of radiotherapy (RT) but experiencing pain relief during RT might contribute making treatment more acceptable and less impairing. The current study aimed to assess the subjective perceptions and experiences of skin toxicity in a sample of women undergoing adjuvant RT for breast cancer. Methods Eighty patients were randomly assigned to one out of two groups: treatment (i.e., a newly developed topical product) and control (i.e., standard-of-care). Patients underwent adjuvant RT for 3 weeks. Clinical assessment of radiodermatitis and self-reported levels of pain, relief, and perceptions of treatment response were collected at the initiation of RT (T1), during RT (T2 and T3), and 2 weeks after treatment completion (T4). To assess changes in skin-related QoL, a subgroup of patients completed the Padua Skin-Related QoL questionnaire at T0 (before the initiation of RT) and at T4. Results A comparable timing of onset and severity of radiodermatitis during treatment was observed in both groups. The treatment group reported lower levels of pain and higher levels of relief compared to the control group when skin toxicity was at its highest levels (T2 and T3). Independent of the group, levels of perceived improvements in clinical status increased over time, whereas skin-related QoL worsened from T0 to T4. Conclusion Current findings outline the relevance of integrating clinical evaluations of radiodermatitis with patients’ subjective experiences of skin toxicity in interventional studies. Moreover, they provide preliminary evidence about the soothing effect of a newly developed topical product, thus supporting its usefulness of as a supportive care.
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Affiliation(s)
- Gioia Bottesi
- Department of General Psychology, University of Padua, Padua, Italy
| | | | | | | | - Eleonora Carraro
- Department of General Psychology, University of Padua, Padua, Italy
| | | | - Laura Giuntoli
- Department of General Psychology, University of Padua, Padua, Italy
| | | | | | | | - Alessandra Semenzato
- Department of Pharmaceutical and Pharmacological Sciences, University of Padua, Padua, Italy
| | | | - Giulio Vidotto
- Department of General Psychology, University of Padua, Padua, Italy
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26
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Bottesi G, Candini V, Ghisi M, Bava M, Bianconi G, Bulgari V, Carrà G, Cavalera C, Conte G, Cricelli M, Ferla MT, Iozzino L, Macis A, Stefana A, de Girolamo G. Personality, Schizophrenia, and Violence: A Longitudinal Study: The Second Wave of the VIORMED Project. J Pers Disord 2021; 35:236-254. [PMID: 31609185 DOI: 10.1521/pedi_2019_33_436] [Citation(s) in RCA: 6] [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] [Indexed: 11/20/2022]
Abstract
This study investigated the association between maladaptive personality traits, personality disorders (PDs), schizophrenia, and the risk of aggressive behavior. Ninety-four patients with a history of violence and 92 patients with no history of violence underwent a multidimensional baseline assessment. Aggressive behavior was monitored during a 1-year follow-up through the Modified Overt Aggression Scale. The Violent group scored significantly higher than the Control group on the Millon Clinical Multiaxial Inventory (MCMI-III) Antisocial, Sadistic, Borderline, and Paranoid personality scales. Irrespective of any history of violence, patients with PD as a primary diagnosis displayed more aggressive behaviors than those with a primary diagnosis of schizophrenia during the follow-up. Furthermore, the most significant predictor of aggressive behaviors over time was endorsing a primary diagnosis of PD. Identifying the crucial risk factors for violent recidivism would contribute to reducing aggressive behavior in this population.
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Affiliation(s)
- Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Valentina Candini
- Department of General Psychology, University of Padova, Padova, Italy.,Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy
| | - Marta Ghisi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Mattia Bava
- Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy
| | - Giorgio Bianconi
- Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.,Department of Mental Health, ASST Ovest Milanese, Milano, Italy
| | - Viola Bulgari
- Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy
| | - Giuseppe Carrà
- Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.,Division of Psychiatry, University College London, London, UK
| | - Cesare Cavalera
- Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.,Department of Psychology, Catholic University of the Sacred Heart, Milano, Italy
| | - Giovanni Conte
- Department of Mental Health, ASST Spedali Civili of Brescia, Italy
| | - Marta Cricelli
- Department of Mental Health, Asst-Rhodense G. Salvini di Garbagnate, Milano, Italy
| | - Maria Teresa Ferla
- Department of Mental Health, Asst-Rhodense G. Salvini di Garbagnate, Milano, Italy
| | - Laura Iozzino
- Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy
| | - Ambra Macis
- Unit of Statistics, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy
| | - Alberto Stefana
- Department of Mental Health, ASST Spedali Civili of Brescia, Italy
| | - Giovanni de Girolamo
- Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy
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Sica C, Caudek C, Cerea S, Colpizzi I, Caruso M, Giulini P, Bottesi G. Health Anxiety Predicts the Perceived Dangerousness of COVID-19 over and above Intrusive Illness-Related Thoughts, Contamination Symptoms, and State and Trait Negative Affect. Int J Environ Res Public Health 2021; 18:1933. [PMID: 33671223 PMCID: PMC7922316 DOI: 10.3390/ijerph18041933] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [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: 01/10/2021] [Revised: 02/03/2021] [Accepted: 02/12/2021] [Indexed: 02/07/2023]
Abstract
This study sought to evaluate the specificity of health anxiety, relative to other forms of psychopathology, in perceptions of COVID-19 as dangerous. Measures of health anxiety, COVID-19 perceived dangerousness, negative affect, anxiety, depression, stress, contamination-related obsessions and compulsions, and intrusive illness-related thoughts were administered online to 742 community individuals during the Italian national lockdown. Results showed that, after controlling for demographic variables and other internalizing problems, health anxiety was the single most important factor associated with the perceived dangerousness of COVID-19. Moreover, a comparison between the current sample's scores on various symptom measures and scores from prepandemic Italian samples revealed that, whereas other internalizing symptoms increased by a large or very large magnitude during the pandemic, levels of health anxiety and negative affect increased by a medium amount. This result may indicate that health anxiety is relatively trait-like, increasing the likelihood that our correlational data support the model of health anxiety as a vulnerability rather than an outcome. Together, these results indicate that health anxiety may be a specific risk factor for COVID-related maladjustment and support the distinction of health anxiety from other psychological problems.
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Affiliation(s)
- Claudio Sica
- Department of Health Sciences, Psychology Section, University of Firenze, Via San Salvi, 12, 50135 Firenze, Italy; (C.S.); (I.C.); (M.C.); (P.G.)
| | - Corrado Caudek
- Department of Neurosciences, Psychology, Drug Research, and Child Health, University of Firenze, Via San Salvi, 12, 50135 Firenze, Italy;
| | - Silvia Cerea
- Department of General Psychology, University of Padova, Via Venezia, 8, 35131 Padova, Italy;
| | - Ilaria Colpizzi
- Department of Health Sciences, Psychology Section, University of Firenze, Via San Salvi, 12, 50135 Firenze, Italy; (C.S.); (I.C.); (M.C.); (P.G.)
| | - Maria Caruso
- Department of Health Sciences, Psychology Section, University of Firenze, Via San Salvi, 12, 50135 Firenze, Italy; (C.S.); (I.C.); (M.C.); (P.G.)
| | - Paolo Giulini
- Department of Health Sciences, Psychology Section, University of Firenze, Via San Salvi, 12, 50135 Firenze, Italy; (C.S.); (I.C.); (M.C.); (P.G.)
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Via Venezia, 8, 35131 Padova, Italy;
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28
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Sica C, Perkins ER, Latzman RD, Caudek C, Colpizzi I, Bottesi G, Caruso M, Giulini P, Cerea S, Patrick CJ. Psychopathy and COVID-19: Triarchic model traits as predictors of disease-risk perceptions and emotional well-being during a global pandemic. Pers Individ Dif 2021; 176:110770. [PMID: 33612905 PMCID: PMC7879152 DOI: 10.1016/j.paid.2021.110770] [Citation(s) in RCA: 6] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 01/30/2021] [Accepted: 02/08/2021] [Indexed: 11/28/2022]
Abstract
This study extended recent research showing that perceptions of disease risk are associated with emotional well-being during COVID-19 by examining how psychopathic traits of boldness, meanness, and disinhibition influence these perceptions and psychological outcomes. During the Italian national lockdown, a large community sample (M age = 31.3 years) completed online questionnaire measures of the triarchic psychopathic traits, perceptions of disease susceptibility and danger, and recent well-being. Path analyses revealed differing roles for the triarchic traits: boldness and meanness predicted greater well-being (lower stress, higher positive affect) and disinhibition predicted lower well-being. Further, boldness and meanness were linked to well-being through distinct indirect pathways of low perceived susceptibility to infection (boldness) and low perceived dangerousness of COVID-19 (boldness and meanness). Findings speak to the triarchic model's utility in explaining socioemotional phenomena during times of crisis and support the distinct biobehavioral conceptualizations of boldness as low threat sensitivity, meanness as low affiliative capacity, and disinhibition as deficient affective and behavioral control.
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Affiliation(s)
- Claudio Sica
- Department of Health Sciences, Psychology Section, University of Firenze, Via San Salvi, 12 Firenze, Italy
| | - Emily R Perkins
- Department of Psychology, Florida State University, 1107 W. Call St., Tallahassee, FL, United States
| | - Robert D Latzman
- Department of Psychology, Georgia State University, 140 Decatur St., Atlanta, GA, United States
| | - Corrado Caudek
- Department of Neurosciences, Psychology, Drug Research, and Child Health, University of Firenze, Via San Salvi, 12 Firenze, Italy
| | - Ilaria Colpizzi
- Department of Neurosciences, Psychology, Drug Research, and Child Health, University of Firenze, Via San Salvi, 12 Firenze, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Via Venezia, 8 Padova, Italy
| | - Maria Caruso
- Department of Health Sciences, Psychology Section, University of Firenze, Via San Salvi, 12 Firenze, Italy
| | - Paolo Giulini
- Department of Health Sciences, Psychology Section, University of Firenze, Via San Salvi, 12 Firenze, Italy
| | - Silvia Cerea
- Department of General Psychology, University of Padova, Via Venezia, 8 Padova, Italy
| | - Christopher J Patrick
- Department of Psychology, Florida State University, 1107 W. Call St., Tallahassee, FL, United States
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29
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Cerea S, Ghisi M, Bottesi G, Manoli T, Carraro E, Doron G. Cognitive Behavioral Training Using a Mobile Application Reduces Body Image-Related Symptoms in High-Risk Female University Students: A Randomized Controlled Study. Behav Ther 2021; 52:170-182. [PMID: 33483115 DOI: 10.1016/j.beth.2020.04.002] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [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: 11/22/2019] [Revised: 03/29/2020] [Accepted: 04/06/2020] [Indexed: 12/12/2022]
Abstract
Body dissatisfaction is prevalent in young women, and is associated with symptoms of body dysmorphic disorder (BDD) and eating disorders (EDs). The aim of the study was to assess the efficacy of a mobile application, based on cognitive behavioral principles, in reducing body dissatisfaction and BDD/ED symptoms in female university students considered at high-risk of developing body image disorders (BIDs). Fifty university students at high-risk of developing BIDs (using self-report questionnaires assessing BIDs and the Structured Clinical Interview for DSM-5 Clinical Version) were randomized in two groups: immediate-use App group (iApp group; n = 25) and delayed-use App group (dApp group; n = 25). The iApp group started using the app at baseline for 16 days (T0 to T1). The dApp group waited for 16 days before starting to use the app (T1 to T2). Participants completed questionnaires at baseline (T0), 16 days from baseline (T1), and 32 days from baseline (T2). Repeated measure Analyses of Variance (ANOVAs) showed a Group (iApp vs. dApp) × Time (T0 vs. T1) interaction on BDD symptoms indicating medium effect size (partial eta squared) reductions in the iApp group compared to dApp group at T1; post-intervention means for BDD symptoms were under the cut-off for extreme body dissatisfaction/BDD symptoms in both groups. Pertaining to ED symptoms, no significant Group × Time interaction was detected. Training 3 minutes a day for 16 days with a CBT-based mobile application may lead to reductions in some forms of body dissatisfaction, including BDD symptoms in female university students at high-risk of developing BIDs. On the other hand, effects of the intervention on ED symptoms seem more limited.
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Affiliation(s)
| | | | | | | | | | - Guy Doron
- Baruch Ivcher School of Psychology, Interdisciplinary Center Herzliya.
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30
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Bottesi G, Tesini V, Cerea S, Ghisi M. Are difficulties in emotion regulation and intolerance of uncertainty related to negative affect in borderline personality disorder? CLIN PSYCHOL-UK 2020. [DOI: 10.1111/cp.12163] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy,
| | - Veronica Tesini
- Department of General Psychology, University of Padova, Padova, Italy,
| | - Silvia Cerea
- Department of General Psychology, University of Padova, Padova, Italy,
| | - Marta Ghisi
- Department of General Psychology, University of Padova, Padova, Italy,
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31
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Cerea S, Ghisi M, Bottesi G, Carraro E, Broggio D, Doron G. Reaching reliable change using short, daily, cognitive training exercises delivered on a mobile application: The case of Relationship Obsessive Compulsive Disorder (ROCD) symptoms and cognitions in a subclinical cohort. J Affect Disord 2020; 276:775-787. [PMID: 32738662 DOI: 10.1016/j.jad.2020.07.043] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [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: 12/17/2019] [Revised: 05/26/2020] [Accepted: 07/05/2020] [Indexed: 12/19/2022]
Abstract
BACKGROUND Relationship Obsessive Compulsive Disorder (ROCD) is a presentation of OCD centering on interpersonal relationships. The aim of this Randomized Control Trial (RCT) was to assess the efficacy of short, game like, daily cognitive interventions delivered via mobile application in reducing subclinical ROCD symptoms and associated phenomena. METHODS Fifty university students identified as having subclinical levels of ROCD symptoms (using the Structured Clinical Interview for DSM-5 Clinical Version) were randomized into: immediate-use group (iApp group; n = 25) and delayed-use group (dApp group; n = 25). The iApp group started using the evaluated cognitive-behavioral training application at baseline for 15 days (T0 to T1). The dApp group commenced using the application at T1 for 15 days (T1 to T2). All participants completed questionnaires at baseline (T0), 15 days from baseline (T1), and 30 days from baseline (T2). RESULTS Repeated measure MANOVAs showed significant Group (iApp vs. dApp) × Time (T0 vs. T1) interactions. These interactions indicated greater decrease in ROCD symptoms, OCD beliefs and social anxiety symptoms, as well as a greater increase in self-esteem in the iApp group compared to dApp group at T1. Moreover, the Reliable Change Index (RCI) indicated reliable change on ROCD symptoms for a significant portion of participants (42-52%). LIMITATIONS Sample size and the use of self-report measures limits the generalizability of the results. CONCLUSIONS Short, daily cognitive training interventions delivered via mobile applications may be useful in reducing subclinical ROCD symptoms and associated features. Further testing is needed for clinical populations.
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Affiliation(s)
- Silvia Cerea
- Department of General Psychology, University of Padova, Via Venezia, 8, 35131 Padua, Italy.
| | - Marta Ghisi
- Department of General Psychology, University of Padova, Via Venezia, 8, 35131 Padua, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Via Venezia, 8, 35131 Padua, Italy
| | - Eleonora Carraro
- Department of General Psychology, University of Padova, Via Venezia, 8, 35131 Padua, Italy
| | - Denise Broggio
- Department of General Psychology, University of Padova, Via Venezia, 8, 35131 Padua, Italy
| | - Guy Doron
- Baruch Ivcher School of Psychology, Interdisciplinary Center Herzliya, PO Box 167, Herzliya 46150, Israel.
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Flesia L, Cavalieri F, Angelini S, Bottesi G, Ghisi M, Tonon E, Roldan AP, Di Nisio A, Garolla A, Ferlin A, Foresta C. Health-Related Lifestyles, Substance-Related Behaviors, and Sexual Habits Among Italian Young Adult Males: An Epidemiologic Study. Sex Med 2020; 8:361-369. [PMID: 32389594 PMCID: PMC7471067 DOI: 10.1016/j.esxm.2020.03.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [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: 10/28/2019] [Revised: 03/05/2020] [Accepted: 03/24/2020] [Indexed: 01/31/2023] Open
Abstract
INTRODUCTION Young adult males are more likely to demonstrate health-risk behaviors than other individuals. The use of specific data about health-risk behaviors within this population might be important to promote effective preventive psychosocial and educational programs and interventions. AIM To provide a detailed description of health-related lifestyles, substance-related behaviors, and sexual habits that can negatively affect fertility, sexual sphere, and health in a large sample of Italian young adult males. METHODS A sample comprising 2,170 males aged 18-21 years, attending the last year of high school, was administered an online questionnaire made up of 39 multiple-choice questions. The questionnaire explored health-related lifestyles, substance-related behaviors, and sexuality and sexual habits. Descriptive analyses were conducted. MAIN OUTCOME MEASURE The outcome measures included data about health-related lifestyles, substance-related behaviors, and sexuality and sexual habits reported by Italian young adult males. RESULTS Health-related lifestyles: 92.9% of the sample reported practicing some physical activity during the week. 90.3% declared a Mediterranean diet and 8.1% a hyperproteic diet. Substance-related behaviors: 33.8% of the sample reported having smoked tobacco at least once in their lives; among them, 71% reported current daily smoking. 40.2% declared drinking alcohol from 5 to 7 days in a week. 32.9% of the sample reported currently using a substance. Sexuality and sexual habits: 97.1% of the sample self-defined themselves as heterosexual. 73.3% of participants rated their knowledge about sexuality as "excellent/good," 58.7% about sexually transmitted infections. Only 4.8% reported having had a seminal liquid examination. Half of the sample (52.2%) declared having had sexual intercourses, in the largest proportion protected sex. 14.7% of the sample reported having at least one sexual dysfunction. 88.6% of participants reported having used pornography, 18.7% every day. CONCLUSION The present study highlighted the need to empower the number and efficacy of preventive interventions to promote health-related behaviors among Italian young male population. Flesia L, Cavalieri F, Angelini S, et al. Health-Related Lifestyles, Substance-Related Behaviors, and Sexual Habits Among Italian Young Adult Males: An Epidemiologic Study. Sex Med 2020;8:361-369.
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Affiliation(s)
- Luca Flesia
- Unit of Andrology and Reproductive Medicine, Department of Medicine, University of Padova, Padova, Italy.
| | - Francesca Cavalieri
- Unit of Andrology and Reproductive Medicine, Department of Medicine, University of Padova, Padova, Italy
| | - Stefano Angelini
- Unit of Andrology and Reproductive Medicine, Department of Medicine, University of Padova, Padova, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Marta Ghisi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Enrico Tonon
- Unit of Andrology and Reproductive Medicine, Department of Medicine, University of Padova, Padova, Italy
| | - Agustina Perez Roldan
- Unit of Andrology and Reproductive Medicine, Department of Medicine, University of Padova, Padova, Italy
| | | | - Andrea Garolla
- Unit of Andrology and Reproductive Medicine, Department of Medicine, University of Padova, Padova, Italy
| | - Alberto Ferlin
- Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
| | - Carlo Foresta
- Unit of Andrology and Reproductive Medicine, Department of Medicine, University of Padova, Padova, Italy
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33
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Freeston M, Tiplady A, Mawn L, Bottesi G, Thwaites S. Towards a model of uncertainty distress in the context of Coronavirus (COVID-19). Cogn Behav Therap 2020; 13:e31. [PMID: 34191941 PMCID: PMC7426588 DOI: 10.1017/s1754470x2000029x] [Citation(s) in RCA: 83] [Impact Index Per Article: 20.8] [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: 04/09/2020] [Revised: 06/19/2020] [Accepted: 06/27/2020] [Indexed: 12/11/2022]
Abstract
The paper forms part of a series of papers outlining the theoretical framework for a new model of uncertainty distress (this paper), treatment implications arising from the model, and empirical tests of the model. We define uncertainty distress as the subjective negative emotions experienced in response to the as yet unknown aspects of a given situation. In the first paper we draw on a robust body of research on distinct areas including: threat models of anxiety, perceived illness uncertainty and intolerance of uncertainty. We explore how threat and uncertainty are separable in anxiety and how we can understand behaviours in response to uncertainty. Finally, we propose a clinically, theoretically and empirically informed model for uncertainty distress, and outline how this model can be tested. Caveats, clinical applications and practitioner key points are briefly included, although these are more fully outlined in the treatment implications article. While we outline this model in the context of novel coronavirus (COVID-19), the model has broader applications to both mental and physical health care settings. KEY LEARNING AIMS (1)To define the concept of uncertainty distress.(2)To understand the role of threat, over-estimation of threat, perceived uncertainty, actual uncertainty, and intolerance of uncertainty in distress maintenance.(3)To understand how people may behave in response to uncertainty distress.(4)To describe a model of uncertainty distress.
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Affiliation(s)
- Mark Freeston
- School of Psychology, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK
| | - Ashley Tiplady
- Newcastle Hospitals Occupational Health Service, Regent Point, Regent Farm Road, GosforthNE3 3HD, UK
| | - Lauren Mawn
- School of Psychology, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK
- Psychology in Healthcare, Royal Victoria Infirmary, Queen Victoria Road, Newcastle Upon TyneNE1 4LP, UK
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, via Venezia 8, 35131Padova, Italy
| | - Sarah Thwaites
- School of Psychology, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK
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Bottesi G, Ouimet AJ, Cerea S, Granziol U, Carraro E, Sica C, Ghisi M. Comprehensive Behavioral Therapy of Trichotillomania: A Multiple-Baseline Single-Case Experimental Design. Front Psychol 2020; 11:1210. [PMID: 32587552 PMCID: PMC7298435 DOI: 10.3389/fpsyg.2020.01210] [Citation(s) in RCA: 4] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Accepted: 05/11/2020] [Indexed: 12/03/2022] Open
Abstract
Despite rapidly increasing knowledge about Trichotillomania (TTM), no gold-standard evidence-based psychological intervention has been identified. In the current study, we evaluated the potential efficacy of an eight-session psychological intervention for TTM, namely the Comprehensive Behavioral Model (ComB) treatment, using a multiple-baseline single-case experimental design with three Italian women with TTM. The study included three phases: baseline, intervention, and 3-month follow-up. We assessed the intervention using daily self-monitoring of number of hair-pulling episodes, number of pulled hairs per episode, degree of resistance to pulling urges, and degree of associated distress. We also assessed for reliable improvement in general distress from baseline to post-intervention. All participants completed treatment and showed improvements on those symptom measures that were most relevant to their individualized case conceptualization. However, no participants recovered completely or demonstrated reliable improvement in general distress. Our results provide initial evidence for the utility of the ComB treatment for TTM in an Italian clinical setting. Furthermore, they support the delivery of individualized and flexible psychological treatments when treating TTM.
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Affiliation(s)
- Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy.,Centro di Ateneodei Servizi Clinici Universitari Psicologici (SCUP), University of Padova, Padova, Italy
| | | | - Silvia Cerea
- Department of General Psychology, University of Padova, Padova, Italy.,Centro di Ateneodei Servizi Clinici Universitari Psicologici (SCUP), University of Padova, Padova, Italy
| | - Umberto Granziol
- Department of General Psychology, University of Padova, Padova, Italy
| | - Eleonora Carraro
- Department of General Psychology, University of Padova, Padova, Italy.,Centro di Ateneodei Servizi Clinici Universitari Psicologici (SCUP), University of Padova, Padova, Italy
| | - Claudio Sica
- Department of Health Sciences, University of Firenze, Firenze, Italy
| | - Marta Ghisi
- Department of General Psychology, University of Padova, Padova, Italy.,Centro di Ateneodei Servizi Clinici Universitari Psicologici (SCUP), University of Padova, Padova, Italy
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Marino C, Fergus TA, Vieno A, Bottesi G, Ghisi M, Spada MM. Testing the Italian version of the Cyberchondria Severity Scale and a metacognitive model of cyberchondria. Clin Psychol Psychother 2020; 27:581-596. [PMID: 32167214 DOI: 10.1002/cpp.2444] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [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: 10/23/2019] [Revised: 03/02/2020] [Accepted: 03/02/2020] [Indexed: 01/19/2023]
Abstract
Cyberchondria refers to the tendency to excessively and compulsively search for online medical information despite the distress experienced, with consequent impairment of daily-life activities. The current two studies sought to explore (i) the factor structure of the Italian version of the Cyberchondria Severity Scale (CSS) and (ii) a metacognitive model of cyberchondria. Participants were Italian community adults who reported using the Internet to search for health-related information (Study 1: N = 374, Study 2: N = 717). Results from Study 1 supported the Italian version of the CSS exhibiting a five-factor structure, with the resulting scales demonstrating good internal consistency, 5-week test-retest reliability, and generally strong correlations with indices of health anxiety. In Study 2, results of a path analysis showed that the negative metacognitive belief domain ("thoughts are uncontrollable") shared the strongest direct association with each of the five dimensions of cyberchondria, followed by beliefs about rituals. Consistently, the strongest indirect associations were found between "thoughts are uncontrollable" and all the five cyberchondria dimensions via beliefs about rituals. These results provide support for an Italian version of the CSS and the metacognitive conceptualization of cyberchondria.
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Affiliation(s)
- Claudia Marino
- Department of Developmental and Social Psychology, University of Padova, Padova, Italy.,Division of Psychology, School of Applied Sciences, London South Bank University, London, UK
| | - Thomas A Fergus
- Department of Psychology and Neuroscience, Baylor University, Waco, Texas, USA
| | - Alessio Vieno
- Department of Developmental and Social Psychology, University of Padova, Padova, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Marta Ghisi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Marcantonio M Spada
- Division of Psychology, School of Applied Sciences, London South Bank University, London, UK
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Bottesi G, Granziol U, Forza G, Volpe B, Feltrin A, Battermann F, Cavalli C, Cillo U, Gerosa G, Fraiese A, Rea F, Loy M, Maiorano D, Rizzi I, Leandro G, Ferraro C, Biasi C, Donato D, Vidotto G, Maldonado JR. The Psychosocial Assessment of Transplant Candidates: Inter-Rater Reliability and Predictive Value of the Italian Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT). Psychosomatics 2020; 61:127-134. [DOI: 10.1016/j.psym.2019.11.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Revised: 11/25/2019] [Accepted: 11/25/2019] [Indexed: 10/25/2022]
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Boggian I, Lamonaca D, Ghisi M, Bottesi G, Svettini A, Basso L, Bernardelli K, Merlin S, Liberman RP. "The Italian Study on Recovery 2" Phase 1: Psychometric Properties of the Recovery Assessment Scale (RAS), Italian Validation of the Recovery Assessment Scale. Front Psychiatry 2020; 10:1000. [PMID: 32119004 PMCID: PMC7013090 DOI: 10.3389/fpsyt.2019.01000] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2019] [Accepted: 12/17/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The achievement of recovery is related to the notion of developing personal potential and restoring a legitimate social role, even against the backdrop of mental illness limitations. It is still difficult to fully understand this highly subjective and dynamic process. Therefore, in order to test the recovery process, specific tools, still only marginally used in our country, are needed. AIMS The Italian Study on Recovery is the first study aimed at confirming the validity of the Italian version of the Recovery Assessment Scale (RAS), an instrument developed with the goal of detecting recovery among patients. METHOD This multicentric research involved several Mental Health Services from various parts of Italy. The first phase of the study consisted in the administration of the Italian translation of RAS, previously used in a pilot study conducted in 2009. RAS was administered to 219 patients diagnosed with psychosis, whose mental disorder lasted for at least 5 years. RESULTS Findings supported the good psychometric properties of the Italian version of RAS, demonstrating its capability of identifying patients matching the "in recovery" operational criteria. CONCLUSIONS In consideration of the results highlighting the good psychometric properties of RAS, the present study may contribute to the diffusion of instruments to be included in Mental Health Service planning in the Italian context, in order to start a recovery-oriented transformation.
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Affiliation(s)
- Ileana Boggian
- Center for Mental Health, Psychiatry 3, AULSS 9 Scaligera, Verona, Italy
| | - Dario Lamonaca
- Center for Mental Health, Psychiatry 3, AULSS 9 Scaligera, Verona, Italy
| | - Marta Ghisi
- Department of Psychology, University of Padua, Padua, Italy
| | - Gioia Bottesi
- Department of Psychology, University of Padua, Padua, Italy
| | | | - Luigi Basso
- Psychiatric Service, Health Trust of Bolzano, Bolzano, Italy
| | - Katia Bernardelli
- Center for Mental Health, Psychiatry 3, AULSS 9 Scaligera, Verona, Italy
| | - Silvia Merlin
- Center for Mental Health, Psychiatry 3, AULSS 9 Scaligera, Verona, Italy
| | - Robert Paul Liberman
- UCLA Psych REHAB program, University of California, Los Angeles, Los Angeles, CA, United States
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Bottesi G, Gürdere C, Cerea S, Sica C, Ghisi M. Familial Patterns of Intolerance of Uncertainty: Preliminary Evidence in Female University Students. Int J Cogn Ther 2019. [DOI: 10.1007/s41811-019-00063-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Bottesi G, Spoto A, Trevisson E, Zuccarello D, Vidotto G, Cassina M, Clementi M. Dysfunctional coping is related to impaired skin-related quality of life and psychological distress in patients with neurofibromatosis type 1 with major skin involvement. Br J Dermatol 2019; 182:1449-1457. [PMID: 31329288 DOI: 10.1111/bjd.18363] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/13/2019] [Indexed: 12/19/2022]
Abstract
BACKGROUND Low skin-related quality of life (QoL) is usually associated with low levels of self-confidence and self-esteem and with high levels of anxiety and depression symptoms. The way patients cope with a physical disease impacts significantly on their psychosocial adjustment to the disorder and on their emotional functioning. OBJECTIVES To explore how coping strategies, skin-related QoL, psychological distress and self-esteem interact in a sample of individuals with neurofibromatosis type 1 (NF1). METHODS Seventy-two adult patients with NF1 completed the following questionnaires: Coping Orientation to Problem Experiences (COPE), Skindex-29, Padua Skin-Related QoL questionnaire (PSRQ), State-Trait Anxiety Inventory-X2 form (STAI-X2), Depression Questionnaire (DQ) and Rosenberg Self-Esteem Scale (RSES). The k-modes algorithm was used to identify clusters of patients based on four variables: sex, NF1 severity, number and distribution of cutaneous neurofibromas. Individuals in different clusters were compared with regard to their scores; correlations between scores were analysed within each cluster. RESULTS Two main clusters were identified: individuals in Cluster 1 had a larger number and more widespread distribution of neurofibromas compared with Cluster 2. Patients in Cluster 1 scored higher only on several PSRQ and Skindex-29 scales. Among patients in Cluster 1, the COPE 'avoidance strategies' scale was significantly correlated with the PSRQ 'physical distress and impairments' scale, the Skindex-29 'physical symptoms' and 'functioning' scales, the STAI-X2, the DQ and the RSES. CONCLUSIONS Patients with major skin involvement have reduced skin-related QoL. Among them, current findings tentatively suggest that the higher the use of dysfunctional coping, the more impaired are QoL, psychological distress and self-esteem. What's already known about this topic? Neurofibromatosis type 1 (NF1) can affect the quality of life (QoL) in adolescent and adult patients. Low skin-related QoL is usually associated with low levels of self-confidence and self-esteem and with high levels of anxiety and depression symptoms. Questionnaires evaluating skin-related QoL, anxiety, depression, self-esteem and coping are available. What does this study add? Patients with a large number and a widespread distribution of cutaneous neurofibromas have reduced skin-related QoL compared with patients with minor skin involvement. The newly developed Padua Skin-Related QoL questionnaire allows the simultaneous evaluation of discomfort and comfort skin-related QoL dimensions in patients with NF1. Among patients with major skin involvement, the higher the use of dysfunctional coping, the more impaired are skin-related QoL, psychological distress and self-esteem. Our data suggest that patients with NF1 with major skin involvement who endorse dysfunctional beliefs about their own coping abilities might benefit from psychological counselling and coping skills treatments aiming to both improve perceived self-efficacy and learn more adaptive coping strategies.
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Affiliation(s)
- G Bottesi
- Department of General Psychology, University of Padova, Via Giustiniani 3, 35128, Italy
| | - A Spoto
- Department of General Psychology, University of Padova, Via Giustiniani 3, 35128, Italy
| | - E Trevisson
- Clinical Genetics Unit, Department of Women's and Children's Health, University of Padova, Via Giustiniani 3, 35128, Padova, Italy
| | - D Zuccarello
- Clinical Genetics Unit, Department of Women's and Children's Health, University of Padova, Via Giustiniani 3, 35128, Padova, Italy
| | - G Vidotto
- Department of General Psychology, University of Padova, Via Giustiniani 3, 35128, Italy
| | - M Cassina
- Clinical Genetics Unit, Department of Women's and Children's Health, University of Padova, Via Giustiniani 3, 35128, Padova, Italy
| | - M Clementi
- Clinical Genetics Unit, Department of Women's and Children's Health, University of Padova, Via Giustiniani 3, 35128, Padova, Italy
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Sica C, Caudek C, Belloch A, Bottesi G, Ghisi M, Melli G, García-Soriano G, Olatunji BO. Not Just Right Experiences, Disgust Proneness and Their Associations to Obsessive–Compulsive Symptoms: A Stringent Test with Structural Equation Modeling Analysis. Cogn Ther Res 2019. [DOI: 10.1007/s10608-019-10029-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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Pascual-Vera B, Akin B, Belloch A, Bottesi G, Clark DA, Doron G, Fernández-Alvarez H, Ghisi M, Gómez B, Inozu M, Jiménez-Ros A, Moulding R, Ruiz MA, Shams G, Sica C. The cross-cultural and transdiagnostic nature of unwanted mental intrusions. Int J Clin Health Psychol 2019; 19:85-96. [PMID: 31193125 PMCID: PMC6517647 DOI: 10.1016/j.ijchp.2019.02.005] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [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: 11/06/2018] [Accepted: 02/11/2019] [Indexed: 12/26/2022] Open
Abstract
Background/Objective Unwanted mental intrusions (UMIs), typically discussed in relation to Obsessive-Compulsive Disorder (OCD), are highly prevalent, regardless of the specific nationality, religion, and/or cultural context. Studies have also shown that UMIs related to Body Dysmorphic Disorder (BDD), Illness anxiety/Hypochondriasis (IA-H), and Eating Disorders (EDs) are commonly experienced. However, the influence of culture on these UMIs and their transdiagnostic nature has not been investigated. Method Participants were 1,473 non-clinical individuals from seven countries in Europe, the Middle-East, and South America. All the subjects completed the Questionnaire of Unpleasant Intrusive Thoughts, which assesses the occurrence and discomfort of four UMI contents related to OCD, BDD, IA-H, and EDs, and symptom questionnaires on the four disorders. Results Overall, 64% of the total sample reported having experienced the four UMIs. The EDs intrusions were the most frequently experienced, whereas hypochondriacal intrusions were the least frequent but the most disturbing. All the UMIs were significantly related to each other in frequency and disturbance, and all of them were associated with clinical measures of OCD, BDD, IA-H, and EDs. Conclusions UMIs are a common phenomenon across different cultural contexts and operate transdiagnostically across clinically different disorders.
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Affiliation(s)
| | - Burcin Akin
- Department of Psychology, Hacettepe University, Turkey
| | - Amparo Belloch
- Department of Personality Psychology, Universidad de Valencia, Spain
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Italy
| | - David A Clark
- Department of Psychology, University of New Brunswick, Canada
| | - Guy Doron
- Department of Psychology, Interdisciplinary Center Herzliya, Israel
| | | | - Marta Ghisi
- Department of General Psychology, University of Padova, Italy
| | | | - Mujgan Inozu
- Department of Psychology, Hacettepe University, Turkey
| | | | | | - M Angeles Ruiz
- Universidad Nacional de Educación a Distancia UNED, Spain
| | - Giti Shams
- Department of Psychiatry, Tehran University of Medical Science, Roozbeh Hospital, Iran
| | - Claudio Sica
- Department of Human Health Science, University of Firenze, Italy
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Bottesi G, Noventa S, Freeston MH, Ghisi M. Seeking certainty about Intolerance of Uncertainty: Addressing old and new issues through the Intolerance of Uncertainty Scale-Revised. PLoS One 2019; 14:e0211929. [PMID: 30742694 PMCID: PMC6370219 DOI: 10.1371/journal.pone.0211929] [Citation(s) in RCA: 50] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Accepted: 01/24/2019] [Indexed: 01/30/2023] Open
Abstract
Intolerance of Uncertainty is a trans-diagnostic process that spans a range of emotional disorders and it is usually measured through the Intolerance of Uncertainty Scale-12. The current study aims at investigating some issues in the assessment of Intolerance of Uncertainty (IU) through the Italian Intolerance of Uncertainty Scale-Revised, a measure adapted from the Intolerance of Uncertainty Scale-12 to assess IU across the lifespan. In particular we address the factor structure among a large community sample, measurement invariance across gender, age, and over time, together with reliability and validity of the overall scale and its subscales. The questionnaire was administered to community (N = 761; mean age = 35.86 ± 14.01 years) and undergraduate (N = 163; mean age = 21.16 ± 2.64 years) participants, together with other self-report measures assessing constructs theoretically related to IU. The application of a bifactor model shows that the Italian Intolerance of Uncertainty Scale-Revised possesses a robust general factor, thus supporting the use of the unit-weighted total score of the questionnaire as a measure of the construct. Furthermore, measurement invariance across gender, age, and over time is supported. Finally, the Italian Intolerance of Uncertainty Scale-Revised appears to possess adequate reliability and validity. These findings support the unidimensionality of the measure, a conceptually reasonable result in line with the trans-diagnostic nature of Intolerance of Uncertainty. In addition, this study and comparison with published factor structures of the Intolerance of Uncertainty Scale-12 and of the Intolerance of Uncertainty Scale-Revised identify some issues for the internal structure of the measure. In particular, concern is expressed for the Prospective IU subscale. In light of the promising psychometric properties, the use of the Italian Intolerance of Uncertainty Scale-Revised as a univocal measure is encouraged in both research and clinical practice.
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Affiliation(s)
- Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy
- * E-mail:
| | | | - Mark H. Freeston
- School of Psychology, Newcastle University, Newcastle upon Tyne, United Kingdom
| | - Marta Ghisi
- Department of General Psychology, University of Padova, Padova, Italy
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Bottesi G, Carraro E, Martignon A, Cerea S, Ghisi M. “I’m Uncertain: What Should I Do?”: an Investigation of Behavioral Responses to Everyday Life Uncertain Situations. Int J Cogn Ther 2019. [DOI: 10.1007/s41811-019-00040-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
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Cerea S, Bottesi G, Grisham JR, Ghisi M. Body dysmorphic disorder and its associated psychological and psychopathological features in an Italian community sample. Int J Psychiatry Clin Pract 2018; 22:206-214. [PMID: 29069974 DOI: 10.1080/13651501.2017.1393545] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [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: 10/18/2022]
Abstract
OBJECTIVE Body Dysmorphic Disorder (BDD) is a psychiatric condition characterized by preoccupation with perceived defects in physical appearance that are not observable or appear slight to others, along with low self-esteem, high perfectionism, and high comorbidity. Little is known about BDD prevalence and phenomenology in the Italian context, and no data are currently available on BDD prevalence using DSM-5 criteria in the Italian context. The aims of the current study were to explore the prevalence and the phenomenology of BDD and its associated psychological and psychopathological features such as self-esteem, perfectionistic traits, social anxiety, depressive, and obsessive-compulsive symptoms in a community sample. METHODS Six hundred and fifteen community individuals completed a battery of self-report questionnaires. RESULTS 10 (1.63%) individuals met DSM-5 diagnostic criteria for BDD; hair, nose and teeth were the most common areas of concern. Individuals with BDD reported also lower levels of self-esteem, more severe social anxiety symptomatology, general distress, depression and obsessive-compulsive features than people without BDD. CONCLUSIONS BDD is not a rare condition in the Italian context and it emerged to be associated with significant morbidity.
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Affiliation(s)
- Silvia Cerea
- a Department of General Psychology , University of Padua , Padua , Italy
| | - Gioia Bottesi
- a Department of General Psychology , University of Padua , Padua , Italy
| | - Jessica R Grisham
- b School of Psychology , University of New South Wales , Sydney , Australia
| | - Marta Ghisi
- a Department of General Psychology , University of Padua , Padua , Italy
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Cerea S, Bottesi G, Grisham JR, Ghisi M. Non-weight-related body image concerns and Body Dysmorphic Disorder prevalence in patients with Anorexia Nervosa. Psychiatry Res 2018; 267:120-125. [PMID: 29886274 DOI: 10.1016/j.psychres.2018.05.068] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [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: 11/27/2017] [Revised: 05/22/2018] [Accepted: 05/26/2018] [Indexed: 01/08/2023]
Abstract
Patients with Anorexia Nervosa (AN) and patients with Body Dysmorphic Disorder (BDD) are both characterized by body image disturbance and dissatisfaction; furthermore, these disorders share clinical features and frequently co-occur. However, few studies have explored the relation between AN and BDD. Therefore, the first aim of the study was assessing the prevalence of BDD and presence of non-weight-related body image concerns in patients with AN. Second, we were interested in comparing patients with AN and non-weight-related body image concerns, patients with weight-related body image concerns only, and a healthy control group with respect to several psychological and psychopathological features. Sixty-one female patients with AN were divided in two subgroups: 39 with non-weight-related body image concerns and 22 with weight-related body image concerns only. Sixteen (26.23%) patients with AN had probable comorbid BDD. Moreover, patients with AN and non-weight-related body image concerns reported, overall, greater psychopathology than patients with AN and weight-related body image concerns only, with the exception of AN core features and general distress. In conclusion, patients with AN and non-weight-related body image concerns showed a more severe body image disturbance unrelated to a more severe eating disorder pathology.
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Affiliation(s)
- Silvia Cerea
- Department of General Psychology, University of Padova, Padova, Italy.
| | - Gioia Bottesi
- Department of General Psychology, University of Padova, Padova, Italy
| | - Jessica R Grisham
- School of Psychology, University of New South Wales, Sydney, Australia
| | - Marta Ghisi
- Department of General Psychology, University of Padova, Padova, Italy
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Candini V, Ghisi M, Bottesi G, Ferrari C, Bulgari V, Iozzino L, Boero ME, De Francesco A, Maggi P, Segalini B, Zuccalli V, Giobbio GM, Rossi G, de Girolamo G. Personality, Schizophrenia, and Violence: A Longitudinal Study. J Pers Disord 2018; 32:465-481. [PMID: 28758886 DOI: 10.1521/pedi_2017_31_304] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The aims of this study were (a) to investigate the presence of clinically significant personality traits and personality disorders (PD) in patients living in residential facilities, with or without a history of violence (69 and 46, respectively); and (b) to investigate any associations between clinically significant personality traits and PDs, aggression, impulsivity, hostility, and violent behavior during a 1-year follow-up. The most frequent primary diagnoses were schizophrenia (58.3%) and PD (20.9%). Those with a history of violence demonstrated more antisocial and alcohol dependence features and lower depressive PD symptoms than the control group. Hostility levels, antisocial symptoms, and drug dependence, as well as a Structured Clinical Interview for DSM-IV Axis II diagnosis of PD, predicted aggressive and violent behavior during follow-up. The study confirms the relevance of assessing PDs both to evaluate the risk of violent behavior and to plan appropriate preventive and treatment intervention.
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Affiliation(s)
- Valentina Candini
- IRCCS St. John of God Fatebenefratelli, Brescia, Italy.,Department of General Psychology, University of Padua, Italy
| | - Marta Ghisi
- Department of General Psychology, University of Padua, Italy
| | - Gioia Bottesi
- Department of General Psychology, University of Padua, Italy
| | | | - Viola Bulgari
- IRCCS St. John of God Fatebenefratelli, Brescia, Italy.,PhD School in Psychology, Catholic University of the Sacred Heart, Milan, Italy
| | - Laura Iozzino
- IRCCS St. John of God Fatebenefratelli, Brescia, Italy.,Department of Neuroscience, Biomedicine, and Movement Science, University of Verona, Italy
| | - Maria Elena Boero
- Rehabilitation Hospital Beata Vergine della Consolata, Torino, Italy
| | | | - Paolo Maggi
- IRCCS St. John of God Fatebenefratelli, Brescia, Italy
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47
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Bottesi G, Ghisi M, Martignon A, Sica C. Self-other agreement in DSM-5 Section III Dimensional Personality Traits: A study on Italian community individuals. Personality and Individual Differences 2018. [DOI: 10.1016/j.paid.2018.04.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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48
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Bottesi G, Martignon A, Cerea S, Ghisi M. Worry and associated cognitive features in Italian university students: Does gender make a difference? Personality and Individual Differences 2018. [DOI: 10.1016/j.paid.2018.01.016] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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49
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Bottesi G, Gion A, Baratto G, Semenzato A, Vidotto G. The assessment of skin-related QOL in individuals dissatisfied with their skin: Factor structure and responsiveness of the Padua Skin-Related QOL Questionnaire. J Evid-Based Psychot 2018. [DOI: 10.24193/jebp.2018.1.7] [Citation(s) in RCA: 2] [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: 11/06/2022]
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50
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Granziol U, Bottesi G, Serra F, Spoto A, Vidotto G. New perspectives on the assessment of the Social Anxiety Disorder: The Formal Psychological Assessment. J Evid-Based Psychot 2017. [DOI: 10.24193/jebp.2017.2.3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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