Giani, L., Michelini, G., Nobile, M., Ajmone, P., Vizziello, P., & Scaini, S. (2022). Behavioral markers of social anxiety in Cornelia de Lange Syndrome: a brief systematic review. Journal of Affective Disorders, 299, 636-643.
There is evidence that social impairments in Cornelia de Lange Syndrome (CdLS) differ from those observed in idiopathic autism as they are characterized mainly by social anxiety. However, the knowledge of the fundamental features of social anxiety symptoms in this target population is limited. This brief systematic review aims to investigate the relationship between social anxiety and CdLS through multiple cross-sectional comparisons.
PRISMA-P guidelines were followed, and the literature research was conducted in Pubmed, EBSCOhost, Google Scholar, and ScienceDirect using “Cornelia de Lange Syndrome” or “CdLS” and “social anxiety” as search terms.
Six articles met the eligibility criteria. Results show that heightened levels of social anxiety in CdLS individuals occur before and after the social engagement and are mediated by both the nature of the social demand and the familiarity of the examiner they interact with.
The interpretation of results is limited by the wide heterogeneity of patients’ age and sample size across the reviewed studies, and by the absence of a unique observational procedure to detect behaviors indicative of social anxiety in syndromic individuals.
These findings have considerable clinical implications for intervention planning which might be generalized to all people with intellectual disability linked to a genetic syndrome.
Riboli G., Nese, M., Brighetti, G., Caselli, G., Sassaroli, S., & Borlimi, R. (2022). Network Analysis of the psychological distress in non-binary young adults: Implications for Counselors. Journal of LGBTQ Issues in Counseling
This study presents an analysis of the psychological distresses commonly affecting non-binary young adults. An online questionnaire was used to collect data from a sample of non-binary young adults on the most common risk factors and psychological symptoms reported in prevailing scientific literature. A network analysis was carried out to highlight the reciprocal interconnections between the dimensions considered. Depression, anxiety, interpersonal sensitivity, and body dissatisfaction emerged as key elements of distress. Counselors can use the reciprocal interconnections between dimensions in their assessment and treatment of non-binary people.
Caserini C, Ferro M, Nobile M, Scaini S, Michelini G. (2022). Shared genetic influences between depression and conduct disorder in children and adolescents: A systematic review. Journal of Affective Disorders Nov 8;322:31-38.
The co-occurrence between major depression disorder (MDD) and conduct disorder (CD) is common across development and represents a significant risk factor for future psychiatric problems and long-term impairment. Large-scale quantitative genetic studies suggest that the MDD-CD co-occurrence may be partly explained by shared genetic vulnerability factors, in line with transdiagnostic models of psychopathology, but no systematic synthesis of the literature is currently available.
We therefore conducted a systematic review of the available genetic literature on the co-occurrence between MDD and CD in children and adolescents. We identified 10 eligible studies, including 5 cross-sectional bivariate/multivariate twin studies, 3 longitudinal bivariate/multivariate twin studies, and 2 latent profile/trajectory twin studies.
Most of the reviewed studies found a strong contribution of shared genetic factors on the covariation between depression and conduct problems, in line with the prominent effect of a common genetic liability across development.
The scientific literature on this psychiatric comorbidity is still limited, as it solely consists of twin studies from high income countries.
Considering the joint burden of MDD and CD on youth, families and society worldwide, future studies are needed to better investigate the shared risk processes of these frequently co-occurring conditions, in order to inform new treatments through personalized medicine
Misitano A, Moro AS, Ferro M, Forresi B. (2022). The Dissociative Subtype of Post-Traumatic Stress Disorder: A Systematic Review of the Literature using the Latent Profile Analysis. Journal Trauma Dissociation. Sep 4:1-17
A PTSD subtype with dissociative symptoms (D-PTSD) was included in the DSM-5 recognizing the existence of a more severe form of PTSD, associated to past trauma, high comorbidity, and complex clinical management. As research is rapidly growing and results are inconsistent, a better investigation of this subtype is of primary importance. We conducted a systematic review of studies using Latent Profile Analysis to investigate the existence of a D-PTSD subtype. Covariates of D-PTSD were included, to understand additional symptoms, risk factors and comorbidities. The search was performed on PubMed, EBSCOHost, and PTSDPubs according to 2020 PRISMA guidelines. Eligible articles assessed trauma exposure, PTSD symptoms and diagnosis, and dissociation, in adult samples. 13 of 165 articles met the inclusion criteria. All identified a dissociative subtype of PTSD, mainly characterized by higher levels of depersonalization and derealization. D-PTSD profile sometimes presented other dissociative symptoms, such as gaps in awareness and memory, other comorbid disorders, and a history of abuse. Despite some limitations, this review supports the existence of a dissociative subgroup of individuals among those with PTSD. More rigorous studies are needed to clarify these findings and their clinical implications.
Lamanna J, Ferro M, Spadini S, Malgaroli A. (2022). Exploiting the molecular diversity of the synapse to investigate neuronal communication: A guide through the current toolkit. Eur J Neurosci. 2022 Oct 14. doi: 10.1111/ejn.15848. PMID: 36239030.
Chemical synapses are tiny and overcrowded environments, deeply embedded inside brain tissue and enriched with thousands of protein species. Many efforts have been devoted to developing custom approaches for evaluating and modifying synaptic activity. Most of these methods are based on the engineering of one or more synaptic protein scaffolds used to target active moieties to the synaptic compartment or to manipulate synaptic functioning. In this review, we summarize the most recent methodological advances and provide a description of the involved proteins as well as the operation principle. Furthermore, we highlight their advantages and limitations in relation to studies of synaptic transmission in vitro and in vivo. Concerning the labelling methods, the most important challenge is how to extend the available approaches to the in vivo setting. On the other hand, for those methods that allow manipulation of synaptic function, this limit has been overcome using optogenetic approaches that can be more easily applied to the living brain. Finally, future applications of these methods to neuroscience, as well as new potential routes for development, are discussed.
doi: 10.1111/ejn.15848. PMID: 3623903016
Lamanna J, Isotti F, Ferro M, Spadini S, Racchetti G, Musazzi L, Malgaroli A. (2022). Occlusion of dopamine-dependent synaptic plasticity in the prefrontal cortex mediates the expression of depressive-like behavior and is modulated by ketamine. Scientific Reports Jun 30;12(1):11055.
Unpredictable chronic mild stress (CMS) is among the most popular protocols used to induce depressive-like behaviors such as anhedonia in rats. Differences in CMS protocols often result in variable degree of vulnerability, and the mechanisms behind stress resilience are of great interest in neuroscience due to their involvement in the development of psychiatric disorders, including major depressive disorder. Expression of depressive-like behaviors is likely driven by long-term alterations in the corticolimbic system and by downregulation of dopamine (DA) signaling. Although we have a deep knowledge about the dynamics of tonic and phasic DA release in encoding incentive salience and in response to acute/chronic stress, its modulatory action on cortical synaptic plasticity and the following implications on animal behavior remain elusive. Here, we show that the expression of DA-dependent synaptic plasticity in the medial prefrontal cortex (mPFC) is occluded in rats vulnerable to CMS, likely reflecting differential expression of AMPA receptors. Interestingly, such difference is not observed when rats are acutely treated with sub-anesthetic ketamine, possibly through the recruitment of dopaminergic nuclei such as the ventral tegmental area. In addition, by applying the synaptic activity sensor SynaptoZip in vivo, we found that chronic stress unbalances the synaptic drive from the infralimbic and prelimbic subregions of the mPFC toward the basolateral amygdala, and that this effect is counteracted by ketamine. Our results provide novel insights into the neurophysiological mechanisms behind the expression of vulnerability to stress, as well as behind the antidepressant action of ketamine.
doi: 10.1038/s41598-022-14694-w. PMID: 35773275; PMCID: PMC9246912.
Ajmone, P.F., Giani, L., Allegri, B., Michelini, G., Dall’ara, F., Rigamonti, C., Monti, F., Vizziello, P.G., Selicorni, A., Milani, D., Scaini, S., & Costantino, A. (2022). The developmental trajectories of the behavioral phenotype and neuropsychiatric functioning in Cornelia de Lange and Rubinstein Taybi Syndromes: A longitudinal study. American Journal of Medical Genetics: Part A, 191(2), 424-436.
Several changes in the behavioral phenotype arise with the growth of children affected by Cornelia de Lange Syndrome (CdLS) and Rubinstein-Taybi Syndrome (RSTS). However, previous research relied on a cross-sectional study design turning into age-related comparisons of different syndromic cohorts to explore age-dependent changes. We aim to outline the variating pathways of the neuropsychiatric functioning across the lifespan in CdLS and RSTS, through the setting up of a longitudinal study design. The sample included 14 patients with CdLS and 15 with RSTS. The assessments were carried out in two different timepoints. Our findings highlight that the cognitive profile of CdLS is subjected to a worsening trend with decreasing Intellectual Quotient (IQ) scores from T0 to T1, whereas RSTS shows a stable IQ over time. Patients affected by RSTS show greater improvements compared to CdLS in communication, daily living skills, social abilities, and motor skills across the lifespan. Both syndromes report an upward trend in behavioral and emotional difficulties even if CdLS exhibit a significant and major deterioration compared to individuals with RSTS. Being aware of the early dysfunctional patterns which might pave the way for later neuropsychiatric impairments is the first step for planning preventive interventions.
Caputi, M., Forresi, B., Giani, L., & Scaini, S. (2022). Cooperation with teachers as a mediator of the relationship between family conflict and children’s psychological difficulties. International Journal of Environmental Research and Public Health, 19(20), 13151.
Parent–child conflict can have a series of negative consequences concerning youth emotional and behavioral development. The link between family conflict and children’s externalizing symptoms is well established, whereas the association with internalizing symptoms is less explored. Within the school context, children are engaged in other meaningful relationships (i.e., with teachers and peers) which contribute to their growth. This cross-sectional study aimed at understanding whether a cooperative behavior with the teachers is able to mediate the association between parent–child conflict and children’s psychopathological symptoms. We recruited 319 (150 boys) school-aged children (M = 11.3 years; SD = 1.8 years) and their parents and teachers. Children self-reported on their internalizing symptoms, whereas parents completed a questionnaire concerning their relationship with the child, and teachers rated children’s behavior and internalizing/externalizing symptoms. Analyses conducted through Hayes’ PROCESS tool showed that cooperation with the teacher partially mediated the association between parent–child conflict and child-reported depressive symptoms. Notably, cooperative behavior fully mediated the link between parent–child conflict and children’s internalizing and externalizing symptoms reported by teachers. Difficulties exhibited at school partly derive from a conflictual home environment. Our findings showed that such problems can be reduced thanks to a cooperative relationship with the teacher
Giani, L., Michelini, G., Ajmone, P.F., Scaini, S., Selicorni, A., Vizziello, P., & Costantino, A. (2022). Age-related hallmarks of psychopathology in Cornelia de Lange and Rubinstein-Taybi syndromes. Research in Developmental Disabilities, 126, 104235.
Background and aim
There is mounting evidence highlighting that Cornelia de Lange Syndrome (CdLS) and Rubinstein-Taybi Syndrome’s (RSTS) behavioral phenotypes are not stable over individual developmental trajectories and that several psychiatric disorders might arise with age. Our study aims to examine the specific hallmarks of psychopathology and behavioral phenotypes in four different age ranges: infancy and toddlerhood, early childhood, middle childhood, and adolescence, in both genetic syndromes.
The sample included 44 patients with CdLS (48% boys, age = 6.67 ± 4.36) and 31 with RSTS (48% boys, age = 6.89 ± 4.58) recruited through follow-ups. Cognitive, behavioral, and autism assessments were carried out with Griffith’s scales or the Leiter-R, the Child Behavior Checklist, and the Child Autism Rating Scales 2. Multiple ANOVA 2 × 4 were run to outline behavioral phenotypic age-related syndromic markers and ANCOVA to value the weight of IQ and ASD-related traits on the psychopathological outcome.
Findings showed that anxiety is a crucial phenotypic hallmark, independent of IQ but associated with autistic traits, that increases from infancy to adolescence in both CdLS and RSTS.
Conclusion and implications
Being aware of the developmental challenges that growing children are called to face is essential for drawing up proper standards of assessment turning into target age-related interventions, ensuring these patients personalized healthcare and improvement in life quality.
Giani, L., & Olivari, C. (2022). University and Higher Education: a Clockwork in Perpetual Motion. Human Arenas, 1-9.
The present paper is aimed at highlighting the changing pathways of the knowledge production process in the Higher Education and University System. Particularly, special attention is given to the impact of historical turning points in our society, like the World War II, the capitalism, and the advent of globalization, on the re-organization of the University and research institutes according to the criteria and mechanisms of the market. Alongside the spreading of mass higher education, the issue of how defining excellence, relevance, and quality of research and teaching activities arise, as well as the issue of ranking scientific works, researchers, and journals. This has forced the introduction of quantitative indicators to evaluate the big amount of research outputs and, in parallel, fostered the creation of quality hierarchies to better orient experts in the research field. This revolutionary change of paradigm was supported by the loss of trust in the process of peer-review that paved the way for the emergence of the need of having alternative parameters to rank the scientific work of a researcher. The pro and cons of bibliometric indexes and peer-review procedures are discussed.
Ajmone, P. F., Allegri, B., Cereda, A., Michelini, G., Dall’Ara, F., Mariani, M., Rigamonti, C., Selicorni, A., Vizziello, P., & Costantino, M. A. (2022). Neuropsychiatric functioning in CDLS: A detailed phenotype and genotype correlation. Journal of Autism and Developmental Disorders, 52(11), 4763–4773.
Behavioural phenotype and autism-related traits of 38 patients affected by Cornelia de Lange syndrome (CdLS) were assessed using a specific neuropsychiatric protocol. Subsequently,we search for possible genotype–phenotype correlations comparing individuals with NIPBL variants and patients with negative molecular results. Firstly results showed a higher percentage of subjects with normal intellectual quotient (IQ) and borderline IQ; adaptive skills were lower than expected for age in all participants. 39.5% of the sample presented with autism spectrum disorder (ASD), NIPBL mutated individuals demonstrated a worse trend in comparison with the clinical diagnosis group. non-truncating individuals displayed no ASD and better communication abilities than truncating individuals. Findings increase our awareness of the strengths and weaknesses points in CdLS individuals.
Forresi, B., Michelini, G., Sapuppo, W., Costa, G., Castellini, G., Livellara, S., & Gregori Grgič, R. (2022). Anger, personality traits and psychopathological symptoms in subjects exposed to negative interpersonal actions in workplaces: An observational study in a large sample attending a center for occupational stress. International Archives of Occupational and Environmental Health, 1–11.
The association between adverse working conditions and mental disorders is well established. In addition to psychopathological symptoms, this study aimed at investigating anger and personality traits in a clinical sample of subjects referring negative interpersonal experiences in workplaces.
1676 workers attending a Centre for Occupational Stress in Milan (from 2014 to 2016) were administered an assessment protocol including SCL-90 for general psychopathology, STAXI for anger intensity and expression, and MMPI-2 for personality traits. A qualitative checklist was used to collect negative experiences in workplaces.
Patients reported they were exposed to “threats to the task or the professional career” more than to “attacks to the person”. Over 80% scored above the cutoff in all the subscales of the SCL-90, with highest scores in Depression, Obsessive–Compulsive Disorder, Anxiety, Somatization and Paranoia. 60% scored above the 90th percentile in the AX/in subscale, showing intense anger feelings that they mostly suppress. Abnormal elevations at the MMPI scales of Hypochondria, Depression, Hysteria, and Paranoia were found in over 50% of the sample. Women reported higher psychological difficulties and internalized anger than men. Anger towards objects and people, instead, was more common in males. No differences were observed by work sector or employment status.
In addition to severe psychological difficulties, individuals reporting negative interpersonal experiences in workplaces have high levels of internalized anger and a distinctive profile of personality traits. While a deeper investigation is needed, anger expression should be considered in future treatment programs.
Giani, L., Caputi, M., Forresi, B., Michelini, G., & Scaini, S. (2022). Evaluation of cognitive-behavioral therapy efficacy in the treatment of separation anxiety disorder in childhood and adolescence: A systematic review of randomized controlled trials. International Journal of Cognitive Therapy, 15(1), 57–80.
Cognitive behavioral therapy (CBT) is a well-established treatment for anxiety disorders. However, few efforts have been made to summarize the impact of specific intervention-related variables on therapeutic outcomes in different-aged youth with a separation anxiety disorder (SAD). PRISMA guidelines were followed to provide an efficacy overview of different disorder-specific CBT protocols against transdiagnostic ones among youth with SAD. Literature search was conducted in Pubmed, EBSCOhost, PsychInfo, PsycArticles, PSYNDEX, Medline, and ERIC. In total, 9 papers met the eligibility criteria. Overall, preschoolers benefited more from disorder-specific CBT protocols, whereas school-aged children and adolescents from transdiagnostic ones. Interventions aimed at removing SAD maintenance factors, by including parent-sessions, were efficacious, especially among younger children. Psychotherapy had higher efficacy than drug treatments, with individual- and group-CBT addressing SAD symptoms similarly. Findings support CBT as the golden standard for SAD in youth, impacting on the core symptoms in a time-limited, goal-directed way, with long-term effects.
Lenzo, V., Sardella, A., Musetti, A., Freda, M. F., Lemmo, D., Vegni, E., Borghi, L., Plazzi, G., Palagini, L., & Castelnuovo, G. (2022). The relationship between resilience and sleep quality during the second wave of the COVID-19 pandemic: A longitudinal study. Nature and Science of Sleep, 14, 41.
Purpose: Previous studies showed poor sleep quality during the first Italian lockdown consequent to the quick spread of the virus. Poor sleep quality remained stable during the so-called “second wave”, which started in Autumn 2020. This study aimed to compare sleep quality between the two waves of contagions and to examine the effect of resilience, together with sociodemographic and COVID-related variables, on sleep quality during the second wave.
Patients and methods: A total of 648 participated in this longitudinal study through an online survey during the first lockdown consequent to the COVID-19 and during the second wave. The Medical Outcomes Study-Sleep Scale (MOS-SS) and the Resilience Scale (RS) were administered. Sociodemographic and COVID-related information were also collected.
Results: The results showed sleep quality slightly increased in the second wave, even though with a small effect size. Correlational analysis showed that resilience is inversely correlated with sleep quality measured in the two waves. Sleep quality during the second wave was positively correlated with sleep quality in the first lockdown. Likewise, the results of multiple regression revealed that the sleep quality in the first lockdown and resilience were significant predictors of sleep quality during the second wave.
Conclusion: These findings highlighted that the prevalence of poor sleepers remained high during the second wave. Together with the sleep quality in the first lockdown, resilience represents an important factor related to sleep quality during the second wave. Interventions to improve sleep quality among the general population should take into account these findings.
Musetti, A., Gori, A., Michelini, G., Di Monte, C., Franceschini, C., & Mariani, R. (2022). Are defense styles mediators between traumatic experiences and maladaptive daydreaming?. Current Psychology, 1–9.
Maladaptive daydreaming (MD) is a new proposed mental disorder in which an excessive absorption in vivid, narrative fantasies generates impairments in various life domains. This study aimed to examine the role of traumatic life experiences and immature, neurotic, and mature defense styles in MD. Three hundred and fifty-six Italian adults, ranging in age from 18 to 60 years completed an online survey, including measures of MD, traumatic life events, and defense styles. A multiple mediation model showed that immature, neurotic, and mature defense styles fully mediated the relationship between traumatic life experiences and MD. These findings suggest that clinical interventions for people with a history of traumatic experience who developed MD should aim to help them acquire more adaptive coping strategies to deal with traumatic memories.
Mansueto, G., Palmieri, S., Marino, C., Caselli, G., Sassaroli, S., Ruggiero, G. M., … & Spada, M. M. (2022). The Italian COVID‐19 Anxiety Syndrome Scale: Investigation of the COVID‐19 anxiety syndrome and its association with psychological symptoms in an Italian population. Clinical Psychology & Psychotherapy.
The COVID-19 Anxiety Syndrome Scale (C-19ASS) is a quick and reliable scale assessing dysfunctional coping strategies activated in response to COVID-19 fear and threat. The present study aimed to provide a preliminary validation of the Italian version of the C-19ASS and investigated whether the C-19ASS would mediate the relationship between the Big Five personality traits and psychological outcomes.
In Study 1, a community sample of 271 participants completed the Italian version of the C-19ASS and results were subjected to a Principal Component Analysis. In study 2, a community sample of 484 participants completed the Italian version of the C-19ASS and a series of measures assessing COVID-19 anxiety, COVID-19 fear, functional impairment, personality traits, depression, generalized anxiety and health anxiety. Internal consistency, concurrent and incremental validity were assessed. Path analyses were run.
Factor analysis identified a two-factor solution (i.e., C-19ASS Perseveration and C-19ASS Avoidance) and confirmatory factor analysis suggested a two-factor model best fits the data. The Italian version of the C-19ASS showed good internal consistency. There was also evidence of convergent validity and incremental validity. Path analyses showed that C-19ASS Perseveration mediates the relationship between emotional stability and psychological symptoms (depression, generalized anxiety and health anxiety).
The Italian version of the C-19ASS appears to be a reliable and valid measure of the COVID-19 anxiety syndrome. The COVID-19 anxiety syndrome could be a suitable therapeutic target to reduce psychological symptoms typically linked to pandemic events, such as depression generalized anxiety and health anxiety.
Mansueto, G., Marino, C., Palmieri, S., Offredi, A., Sarracino, D., Sassaroli, S., Ruggiero, G.M., Spada, M.M. & Caselli, G. (2022). Difficulties in emotion regulation: The role of repetitive negative thinking and metacognitive beliefs. Journal of Affective Disorders, 308, 473-483
Using the Self-Regulatory Executive Function model as a basis, this study explored whether, in both general population and clinical samples, metacognitive beliefs and repetitive negative thinking (i.e., rumination and worry) are associated with higher levels of emotion dysregulation.
395 participants from the general population and 388 outpatients seeking psychological treatment were recruited. Emotion dysregulation, metacognitive beliefs, rumination, worry, anxiety, depression, personality disorders were assessed. ANOVA and Welch’s tests, correlation and path analyses were run.
Repetitive negative thinking was found to play a mediating role in the relationship between metacognitive beliefs and emotion dysregulation in both general population and clinical samples. Moreover, metacognitive beliefs were found to be directly associated to emotion dysregulation.
The cross-sectional design.
Emotion dysregulation appears to be associated with the tendency to engage in repetitive negative thinking and metacognitive beliefs. Repetitive negative thinking and metacognitive beliefs could be a suitable therapeutic target to reduce difficulties in emotion regulation.
Palmieri S., Mansueto G., Ruggiero G.M., Sassaroli S., Borlimi R., Bertelli S., Anselmetti S., Paganoni M., D’Agostino A., Gambini O. (2022). Credenze metacognitive e caratteristiche alimentari in pazienti con disturbi dell’alimentazione. Psicoterapia Cognitiva e Comportamentale. 28(1):49.62
La letteratura mostra una possibile associazione tra credenze metacognitive e disturbi dell’alimentazione. Lo scopo dello studio è esplorare la relazione tra credenze metacognitive e anoressia nervosa (AN), bulimia nervosa (BN) e disturbo da Binge Eating (BED). 57 pazienti con diagnosi di disturbi dell’alimentazione hanno completato l’EDI-2 e l’MCQ-30. I risultati hanno mostrato che i pazienti con anoressia nervosa hanno livelli più elevati sulla scala «impulso alla magrezza» dell’EDI-2 rispetto agli altri pazienti e hanno livelli più alti di credenze metacognitive negative rispetto ai pazienti con Binge Eating. Le credenze metacognitive sono associate alle scale «impulso alla magrezza» e «bulimia». La «fiducia nelle proprie capacita cognitive» è risultata un fattore associato all’«impulso alla magrezza». I risultati sembrano suggerire che le metacognizioni esplicite siano associate al desiderio di perdere peso, paura di aumentare di peso e tendenza ad abbuffarsi e usare comportamenti compensatori. Le metacognizioni negative sembrano essere associate principalmente all’anoressia nervosa. I dati suggeriscono di considerare la valutazione delle credenze metacognitive in pazienti con disturbi dell’alimentazione.
Sassaroli, S., Caselli, G., Mansueto, G., Palmieri, S., Pepe, A., Veronese, G., & Ruggiero, G. M. (2022). Validating the Diathesis–Stress Model Based Case Conceptualization Procedure in Cognitive Behavioral Therapies: The LIBET (Life Themes and Semi-Adaptive Plans—Implications of Biased Beliefs, Elicitation and Treatment) Procedure. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 40(3), 527-565
Cognitive behavioral therapy (CBT) approaches use case formulation procedures based on the diathesis–stress conceptualization model, arranged in two dimensions: emotional vulnerability (present in a patient’s consciousness in terms of core beliefs) and coping strategies. Nevertheless, despite its pivotal role, there are a limited number of validation studies for this model. Life themes and semi-adaptive plans: Implications of biased beliefs, elicitation and treatment (LIBET) is a CBT case formulation method grounded on the CBT diathesis–stress model that aims to help validate the CBT case formulation model, and, in particular, its bidimensional arrangement. In LIBET, the two classic CBT dimensions are called “life themes,” which are mental states of focused attention to emotional sensitivities represented as core beliefs in consciousness, and “semi-adaptive plans,” which are the rigid management strategies of “life themes” implemented by adopting coping strategies such as anxious safety behaviors, compulsive controls and aggressive or rewarding strategies. The study uses quantitative textual analysis to validate the LIBET procedure in a clinical sample. The investigation discusses the extent to which the results can be considered a validation of the arrangement of the general CBT diathesis–stress model in the two dimensions of core beliefs and coping strategies.
Borlimi, R., Riboli, G., Nese, M., Buattini, M., Colombardo, M., & Brighetti, G. (2022). Mind-Body Interactions Across the Menstrual Cycle Phases: A Systematic Review. OBM Integrative and Complementary Medicine, 7(2), 1-1.
The length of the menstrual cycle (MC) varies among women, with an average regularity between 21 and 40 days. Six temporal frames can be observed within the monthly cycle, based on the fluctuations of the hormone levels. These fluctuations are accompanied by alterations in the central nervous system (CNS) and autonomic nervous system (ANS) and can be quantified using psychophysiological techniques. In this systematic review, we discussed the studies conducted with healthy females that examined aspects associated with the functions of the ANS and the CNS, including psychological, emotional, behavioral, hormonal, and perceptive variables, relating their possible changes and alterations to different phases of the MC. The PubMed and EBSCO databases were searched for articles published between January 2010 and September 2020. The Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA) was applied. A total of 64 studies investigating ANS and CNS or perceptual systems across the MC were included in this review. Several studies found more alterations in the heart rate variability components during the days following ovulation compared to the days of the follicular phase. Behavioral alterations included a decrease in the percentage of REM sleep during the mid-luteal phase and an increase in calorie intake during the late-luteal phase compared to that in the follicular phase. Additionally, the reward system was found to be engaged to a greater extent during the luteal phase than during the follicular phase. The results differed considerably for many cognitive, behavioral, and autonomic variables. No significant alterations were found in most perceptual systems. A variegated picture emerged from the results of the various studies that applied different methodologies and measurements. The results suggested a new methodology that uses the temporal dimension for investigating the interactions between biological systems and psychological effects.
Riboli G., Nese, M., Brighetti, G., Caselli, G., & Borlimi, R. (2022). How Menstruation is Experienced Today. An Online Survey on Italian Female at Birth Adolescents. EC Gyneacology, 11.2
Female puberty is marked by the arrival of menarche, which experience could alter the degree of psychological and physiological symptoms. Females who are unprepared for menstruation are more prone to experience menarche discomfort, and consequently, psychophysiological distress. The present study aims to investigate and collect data about menarche experiences, menstruation attitudes, and symptoms, and the association between emotions experienced during menarche and psychophysiological well-being in a sample of Italian adolescent females at birth. The survey was composed of socio-demographical data, a menstruation questionnaire, a general health questionnaire, and a psychophysiological questionnaire. The results supported the correlation between positive emotions toward menarche and psychophysiological well-being. Moreover, a report on menstrual experiences, attitudes, and symptoms was provided. Finally, the results relating the information obtained about menarche and the emotions experienced by participants highlight the potential need for qualitatively and quantitatively equivalent means of information for all females going through puberty, with this responsibility being left to the educational institution. Future research should focus on evaluating the specific information acquired by adolescents to create subject-specific psychoeducational programs, minimizing disparities among pubertal adolescents and fostering a better menarche experience.
Riboli G., Nese, M., Brighetti, G., & Borlimi, R. (2022). Multidimensional Interoceptive Awareness, Psychosomatic Symptoms, and Risk for Eating Disorders in a Female Adolescent Sample. Curr Res Psychol Behav Sci 3: 1040 Volume 3, Issue 2
Aim: This study aimed to identify specific interoceptive awareness dimensions related to the risk for eating disorders (ED) in a sample of female adolescents. Subjects and Method: A sample of 317 female adolescents (Mage=17.04±1.22) completed the Multidimensional Assessment of Interoceptive Awareness (MAIA), the Psychophysiological Questionnaire (QPF-R), and the Eating Disorder Inventory 3 (EDI 3). The scores obtained at the MAIA subscales and the QPF-R were employed to predict the eating disorder risk composite score derived from the EDI-3. Results: The results showed that lower levels of self-regulation and trusting and higher levels of body listening significantly predicted the ED risk. Moreover, higher levels of enteric symptoms and lower levels of sympathetic symptoms were able to predict the ED risk in adolescents Conclusion: These findings point out the importance of discriminating the dimensions of interoceptive awareness for the assessment of ED risk and the central role of body signals’ awareness for the treatment of ED.
Riboli G., Borlimi R., & Caselli, G. (2022). A qualitative approach – delineates changes on pubertal body image after menarche. International Journal of Adolescence and Youth. Vol.27 No.1, 111-124
The present study explored young adolescent’s (female at birth) experiences with their bodies following pubertal changes. Twenty-seven participants selected from a parent-daughter workshop at school who had experienced 1 to 6 menstrual cycles were interviewed. Data were collected and analysed using interpretative phenomenological analysis. Four current themes emerged from the analysis: (i) perception of body changes in puberty; (ii) intense emotions; (iii) managing body changes and secondary sexual characteristics; (iv) a new way of experiencing the body. Results support an integrative approach to the prevention of body negative image. Based on these findings, it is important to considered body image in the complexity of its emotional, cognitive and behavioural manifestations in order to promote psycho-educational programmes related to secondary sexual characteristics, consistent with the needs of today’s pubertal female at birth.
Morello L, Caputi M, Scaini S, Forresi B. (2022). Parenting Programs to Reduce Recurrence of Child Maltreatment in the Family Environment: A Systematic Review. Int J Environ Res Public Health. 2022 Oct 14;19(20):13283.
Physical maltreatment is a public health issue affecting millions of children in their lifetime, with a high risk of recurrency. Although there are several parenting programs (PPs) available, existing reviews on their effectiveness in preventing physical abuse recurrences have many limitations. The current systematic review aims at (1) providing a summary of evidence on the effectiveness of behavioral/cognitive–behavioral PPs in preventing physical re-abuse; (2) extending previous reviews by including reduction of child maltreatment recurrence as the main outcome but also focusing on the effect of PPs on maltreatment risk, parent and child psychopathology, and parent–child relationship; and (3) including only RCT with at least one follow-up. A PRISMA-compliant systematic review was performed in the EBSCOhost and PUBMED databases. In total, 93 articles were identified, of which 8 were included in the review. Among them, three reported a significant reduction in recidivism rates and maltreatment risk, and five improvements in parent–child relationships. Although limitations arise from methodological heterogeneity across studies, there is some evidence that some brief and manualized cognitive behavioral PPs can reduce the recurrence of child physical maltreatment and improve parent–child relationships. More studies are needed to give further support to PP effectiveness in protecting children from recurrent maltreatment.
Mansueto, G., Tosato, S., Brondino, N., Bonetto, C., Tomassi, S., Politi, P., … & Faravelli, C. (2022). Childhood adversity, symptoms, and cortisol in first episode psychosis: a cross-sectional, secondary, observational analysis of a subsample of FEP patients. Nordic Journal of Psychiatry, 1-8
Although it has been proposed that childhood adversities (CAs) may affect the hypothalamic-pituitary-adrenal (HPA) axis activity and psychotic symptoms severity, these associations have not been fully confirmed in first-episode psychosis (FEP). This study explored the association between CA, cortisol and psychotic symptoms in FEP patients.
81 FEP patients were enrolled. CAs were evaluated by the Childhood Experience of Care and Abuse Questionnaire and a semi-structured interview. Psychotic symptoms were evaluated by the Positive and Negative Syndrome Scale. Cortisol level was collected using saliva samples. ANCOVA and partial correlation analyses were run.
FEP patients with childhood abuse reported severe positive symptoms than those without CA. FEP patients with at least one CA had higher levels of cortisol awaking, cortisol at 12 a.m., and cortisol at 8 p.m. Morning cortisol levels were negatively correlated with the severity of negative symptoms and positively correlated with the severity of general psychopathology. Evening cortisol levels were positively correlated with severity of general psychopathology.
FEP patients with CAs, compared with those without CA, might report more severe positive symptoms and higher cortisol, even though these findings as prone to bias due to the small sample size, and should be seen in the larger perspective of conflicting evidence in the field
Mansueto, G., Romanazzo, S., Cosci, F. (2022). Clinical utility of the Diagnostic Criteria for Psychosomatic Research for a comprehensive assessment of the elderly. Clinical Psychology & Psychotherapy 29(6):1963-1971.
Carrozzino D., Christensen K.S., Patierno C., Woźniewicz A., Møller S.B., Arendt I.MT.P., Zhang Y., Yuan Y. , Sasaki N., Nishi D., Montiel C.M., Ceccatelli S., Mansueto G., Cosci F. (2022). Cross-cultural validity of the WHO-5 Well-Being Index and Euthymia Scale: A clinimetric analysis. Journal of Affective Disorders 311:276-283
The assessment of psychological well-being and euthymia represents an emerging issue in clinical psychology and psychiatry. Rating scales and indices such as the 5-item version of the World Health Organization Well-Being Index (WHO-5) and the Euthymia Scale (ES) were developed but insufficient attention has been devoted to the evaluation of their cross-cultural validity. This is the first study using Clinimetric Patient-Reported Outcome Measures (CLIPROM) criteria to assess cross-cultural validity and sensitivity of five different versions of the WHO-5 and ES.
A multicenter cross-sectional study involving a total of 3762 adult participants from different European (i.e., Italy, Poland, Denmark) and non-European (i.e., China, Japan) countries was conducted. Item Response Theory models (Mokken and Rasch analyses) were applied.
Mokken coefficients of scalability were found to range from 0.42 to 0.84. The majority of the versions of the WHO-5 fitted the Rasch model expectations. Paired t-tests revealed that the Italian and Danish WHO-5 versions were unidimensional. Person Separation Reliability indices showed that the Polish, Danish, and Japanese ES versions could reliably discriminate between subjects with different levels of euthymia.
A convenience sampling was used, thus limiting the generalizability of study findings. In addition, no measures of negative mental health were administered.
WHO-5 can be used in international studies for cross-cultural comparisons since it covers transcultural components of subjective well-being. Findings also suggest that the ES can be used as a cross-cultural screening tool since it entailed the clinimetric property of sensitivity.
Cosci, F., Mansueto, G., Benemei, S., Chiarugi, A., De Cesaris, F., & Sensky, T. (2022). Mental pain as a global person-centered outcome measure. CNS spectrums 27(5), 652-658
BackgroundMental pain has been proposed as a global person-centered outcome measure. The aim of this cross-sectional study was to test an essential requisite of such a measure, namely that mental pain incorporates independent contributions from a range of discrete but disparate outcome measures.
MethodsTwo hundred migraine patients were assessed concerning migraine disability, psychosomatic syndromes, mental pain, depression, anxiety, and psychosocial dimensions. General linear models were tested to verify which measures would individually make unique contributions to overall mental pain.
ResultsThe final model, accounting for 44% of variance, identified that higher mental pain was associated with more severe depressive symptoms, higher migraine disability, lower well-being, and poorer quality of life.
In this sample, mental pain was shown to behave as expected of a global outcome measure, since multiple measures of symptomatology and quality of life showed modest but significant bivariate correlations with mental pain and some of these measures individually made unique contributions to overall mental pain.
Mansueto G., Faravelli C. (2022). Stressful life events and psychosis: Gender differences. Stress and Health. 38(1):19-30.
Scaini, S., Rossi, F., Rapee, R. M., Bonomi, F., Ruggiero, G. M., & Incerti, A. (2022). The Cool Kids as a School-Based Universal Prevention and Early Intervention Program for Anxiety: Results of a Pilot Study. International Journal of Environmental Research and Public Health, 19(2), 941.
The efficacy of the Cool Kids program has been consistently demonstrated both within Australia and internationally, but limited data are available on the use of Cool Kids as a universal program. The purpose of the study is to evaluate Cool Kids as a universal program for preventing childhood anxiety in the school context. There were 73 Italian children (35 boys and 36 girls, ages 10–13 years) attending the last year of primary school and the first year of middle school who participated in an active intervention based on a school adaptation of the Cool Kids protocol. Results of t-test analyses highlighted a downward trend of anxiety symptoms, especially in total anxiety, somatic anxiety, generalized anxiety, separation anxiety, social anxiety and school phobia at post-treatment assessed by children. Even the score of depression symptoms, measured as a second outcome measure, decreased after the treatment. This study contributes to the evidence base for the Cool Kids program as a universal program for preventing childhood anxiety in the school context. Although these preliminary results show some promise, their replication in future research is necessary given current study limitations.
Scaini, S., Michelini, G., De Francesco, S., Fagnani, C., Medda, E., Stazi, M. A., & Battaglia, M. (2022). Adolescent pain, anxiety, and depressive problems: a twin study of their co-occurrence and the relationship to substance use. Pain, 163(3), e488-e494.
Data on the etiological factors underlying the co-occurrence of common adolescent pain with anxiety and depression symptoms are very limited. Opioid prescriptions for adolescent pain problems are on the rise in North America and constitute a risk factor for diversion, misuse, and substance use. In this study, we aimed to investigate the phenotypic and etiological association among pain, depression, and anxiety and to test their link to substance use in adolescents. By taking advantage of the Italian National Twin Registry and of the relatively low incidence of opioid prescriptions in Italy, we applied multivariate modelling analyses to 748 Italian adolescent twins (374 pairs, mean age 16 ± 1.24 years). Twins’ responses to the Achenbach Youth Self-Report questionnaire were used to build a composite adolescent pain index and to measure anxiety, depression, and substance use. All monozygotic within-pair correlations were higher than the dizygotic correlations, indicating genetic influences for adolescent pain, anxiety, and depressive problems. A common latent liability factor influenced by genetic and environmental elements shared among pain, depression, and anxiety provided the best fit to explain the co-occurrence of adolescent pain, anxiety, and depression problems. A common phenotypic factor capturing all 3 phenotypes was positively associated (β = 0.19, P < 0.001, confidence interval: 0.10-0.27) with substance use. These findings indicate that several intertwined mechanisms, including genetic factors, can explain a shared liability to common adolescent pain, anxiety, and depression problems. Their association with substance use remains traceable even in societies with relatively low prevalence of opioid prescriptions.
Copyright © 2021 International Association for the Study of Pain.
Scaini, S., Piron, R., Nicoli, S., Fiore, F., DiGiuseppe, R., Ruggiero, G. M., & Caruso, C. (2022). A Cross-Validation of the Anger Cognitions Scale-Revised: Cognitions and Anger in an Italian Adolescent Sample. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 40(2), 278-294.
The Angry Cognitions Scale (ACS; Martin and Dahlen in J Ration Emot Cogn Behav Therapy 25(3): 155–173, 2007) is a comprehensive instrument designed to test cognitions that are related to anger. This paper presents data on the Italian-language version of the Angry Cognition Scale-Revised (ACS-R; Soto and DiGiuseppe in which beliefs best predict anger, 2016) in a sample of adolescents aged 11–19 years. The revised version attempted to refine the ACS to better represent Ellis’s theory of irrational beliefs and clarify the coping strategies subscale. Our study attempted to (a) test the factorial structure of the ACS-R-adolescent version, (b) provide psychometric information on internal consistency and test–retest reliability data on the questionnaire in the Italian culture, and (c) test the convergent and predictive validity of the ACS-R-adolescent version relative to other questionnaires. Factor analysis supports a multidimensional model, but the distribution of the items is different from the original validation; in particular, a three-factor solution was supported rather the hypothesized seven factors. Specifically, we labelled the factors as follows: Factor 1 is labelled as Hostile verbal and involves catastrophic cognitive attributions; Factor 2 is labelled Adaptive thoughts on the negative consequences of anger; and Factor 3 is called Demandingness and generalizations. The internal consistency appears optimal for all three factors (from .720 to .888). In addition, analyses reveal good test–retest reliability and convergent validity.
Groenewald, C. B., Murray, C. B., Battaglia, M., Scaini, M. S., & Quinn, P. D. (2022). Prevalence of pain management techniques among adults with chronic pain in the United States, 2019. JAMA Network Open, 5(2), e2146697-e2146697.
The Centers for Disease Control and Prevention (CDC) used data from the 2019 National Health Interview Survey (NHIS) to estimate that 50.2 million US adults experience chronic pain.1 A second CDC publication from NHIS found that 22.1% of these US adults with chronic pain used prescription opioids.2 However, the CDC did not determine whether opioids were used for acute vs chronic pain and did not explore other pain management techniques used. The present study provides baseline information on opioid and nonopioid pain management techniques used for chronic pain and serves as a benchmark for evaluating the outcome of health care policies aimed at reducing prescription opioid use.3
The NHIS is the principal source of information on the health of the civilian, noninstitutionalized US population. Race and ethnicity were self-reported by participants and categorized by the NHIS. The Seattle Children’s Hospital institutional review board deemed this study exempt from review because it did not constitute human participants research as the NHIS contains no protected health information. All participants in the NHIS provided oral informed consent. We followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting guideline for cross-sectional studies. The 2019 NHIS response rate was 61.1% with a final sample of 31 916 participants.
Questions on pain management techniques appeared for the first time in the 2019 NHIS. Adults with chronic pain were asked to report on their use of 11 pain management techniques during the past 3 months (Table 1), which were coded by the study authors into 6 categories: (1) opioids for chronic pain; (2) opioids for acute pain; (3) physical, occupational, or rehabilitative therapy; (4) psychological and psychotherapeutic therapies (eg, cognitive behavioral therapy); (5) complementary therapies (chiropractic, massage, yoga or tai chi, mediation); or (6) other (self-management, pain peer support group, and other methods for pain management). Participants were not specifically asked about nonopioid pharmacological pain treatments. Survey-weighted prevalence rates for each pain management technique were calculated for selected sociodemographic characteristics. Data were analyzed using Stata version 14.2 (StataCorp) from August to December 2021. Hypothesis testing was 2-sided, and P < .05 was considered statistically significant.
Among 31 916 participants, 17 261 (64%) were female; 4152 (13%) were Hispanic, 3483 (10.9%) were non-Hispanic African American, and 21 915 (68.5%) were non-Hispanic White; 22 621 (70.9%) were 18 to 64 years of age, with 9295 (29.1%) at least 65 years of age. Pain management techniques used by adults with chronic pain in the US are presented in Table 1. Additionally, we estimated that 54.7% (95% CI, 53.1%-56.3%) of adults with chronic pain only used nonopioid pain management techniques, whereas 10.7% (95% CI, 9.9%-11.6%) used both opioids and nonopioid techniques, 4.4% (95% CI, 3.8%-5.1%) only used opioids for chronic pain management, and 30.2% (95% CI, 28.8%-31.7%) did not report any pain management techniques during the past 3 months (data on respondents reporting no pain management is not presented in tables). The most commonly used nonopioid pain management technique was complementary therapies, which was used by 35.4% (95% CI, 33.9%-36.9%) of adults with chronic pain, followed by physical, occupational or rehabilitative therapies (18.8% [95% CI, 17.8%-19.9%] of adults with chronic pain). Only 3.8% (95% CI, 3.3%-4.4%) of adults with chronic pain used psychological or psychotherapeutic interventions. Other techniques reported, included self-management programs (5.1% [95% CI, 4.5%-5.8%]) and chronic pain peer support groups (1.8% [95% CI, 1.5%-2.3%]). In addition, 39.1% (95% CI, 37.3%-40.9%) of adults with chronic pain reported using other pain approaches not specifically captured in the data set. Prescription opioid use for chronic pain was more common among older age groups (eg, for chronic pain among adults aged 45 to 64 years: 19.3% [95% CI, 17.6%-21.2%] vs adults aged 18 to 44 years: 8.4% [95% CI, 6.8%-10.3%]), female individuals (eg, for chronic pain among female individuals: 16.9% [95% CI, 15.5%-18.5%] vs male individuals: 13.1% [95% CI, 11.7%-14.7%]), insured individuals (eg, for chronic pain among those insured: 16.3% [95% CI, 15.2%-17.4%] vs uninsured: 5.8% [95% CI, 3.9%-8.4%]), those with high school education or lower (eg, for chronic pain among those with high school or less: 17.0% [95% CI, 15.4%-18.8%] vs more than high school: 13.8% [95% CI, 12.6%-15.1%]), and was less common among those with higher annual income (eg, for chronic pain among those from households that made at least $100 000 annually: 8.7% [95% CI, 7.2%-10.5%] vs less than $35 000 annually: 19.8% [95% CI, 18.1%-21.5%]) (Table 2). Adults using complementary and psychological or psychotherapeutic interventions were more likely than those not using these techniques to be younger, female, and have higher educational attainment. Adults using physical, occupational, or rehabilitative therapy were more likely than those not using these treatments to be older, female, have medical insurance, and be more highly educated.
This study found that adults with chronic pain in the US use a variety of pain management techniques, including opioids. While effective for some, opioids prescribed for chronic pain management remain an important determinant of the national opioid crisis.4 Nonpharmacologic and nonopioid pharmacologic therapies are preferred treatments for chronic pain, and it is encouraging to note that most adults with chronic pain use a combination of various nonopioid modalities for treatment.3 However, only 3.8% of participants reported using psychological therapies. Psychological therapy, including cognitive behavioral therapy, is effective for improving chronic pain, and our study indicates that it is underused.5 Limitations of this study include that information is subject to recall and social desirability bias. Moreover, 39.1% of adults with chronic pain reported using other pain approaches not specifically captured in the data set. Strengths of this study include the ability to examine opioid and nonopioid use for chronic pain captured in NHIS for the first time.
This cross-sectional study calculated national estimates of opioid and nonopioid pain management techniques used by adults with chronic pain. Pain management techniques vary by sociodemographic characteristics. Improved understanding of effective nonopioid pain management techniques is needed to reduce the reliance on opioids for chronic pain.
Scaini, S., Caputi, M., Giani, L., & Forresi, B. (2022). Temperament profiles to differentiate between stress-resilient and stress-affected children during Covid-19 pandemic. Psychology Hub, 38(3), 7–16.
Covid-19 pandemic has posed unprecedented challenges to individual resilience, especially among children who are the most affected by its psychological consequences. We aim to investigate temperament profiles that might constitute a potential risk factor for the development of psychopathology and low levels of resilience in children experiencing Covid-19 quarantine. The sample included 158 Italian children aged 5 to 10 years (48% boys, M = 7.4, SD = 1.8) recruited through a snowball sampling from the general population. Temperament, psychopathological symptoms, and resilience were assessed with the Junior Temperament and Character Inventory, the Strengths and Difficulties Questionnaire, and the Child and Youth Resilience Measure. Profile Analysis was employed to outline temperament differences between stress-resilient and stress-affected children. Results evidenced that resilient children displayed high levels of persistence and reward dependence, and low levels of novelty seeking. Behavioral difficulties were associated with low levels of persistence and reward dependence, and high levels of novelty seeking. Internalizing symptoms were more likely among children with high harm avoidance and low persistence. These findings underscore the importance of examining different temperament dimensions and their associations, especially when profiling phenotypes in trying to identify the links among temperament, vulnerability to psychopathology and resilience during stressful periods.
Moro, A. S. (2022). A Concrete Recipe to Reinvent and Innovate the Bachelor’s Program: Free Choice of Courses and Hackathon-Based Teaching. Human Arenas, 1-9.
Nowadays, the role of universities is experiencing a conflict: institutions need certificated and specialized professionals, and students need real knowledge. One hardly could imagine the implementation of this combination in the higher education system, even at the beginning of the university career. Bachelor’s programs indeed tend to be overly specialized and dogmatic, careless of those creative processes underlying innovation. For these reasons, I suggest two innovations to rebalance the strife. The first consists of the possibility for each student to actively choose courses, thus creating personalized and heterogeneous study careers. The second innovation concerns the implementation of hackathon-based teaching to enrich learning through cooperation and competition to solve concrete problems. I suggest that these improvements would guarantee the formation of professionals and allow students to develop actively their system of knowledge, as well as they would break down the barriers to innovation in higher education.
Giglio, G e Carnevali, D. (2022). Apprendere abilità di autogestione: come insegnare strategie di self-monitoring a un adolescente con disturbo dello spettro autistico. Volume 7, Numero 3 – Dicembre 2022. Giornale Italiano dei Disturbi del Neurosviluppo: 40-53, Vannini Editrice Brescia.
Carnevali, D., Catania, G.V. (2022). Progettare autonomia e Qualità di Vita. Volume 7, Numero 1 – Aprile 2022. Giornale Italiano dei Disturbi del Neurosviluppo: 87-95, Vannini Editrice Brescia.
Fioriti, F., Severgnini, J., Ziliani, C., Visioli, G., Chiodelli, G., Cavagnola, R., Michelini, G., Carnevali, D., Miselli, G., Galli, L., Alzani, L., Corti, S., Leoni, M. (2022). L’ABA per orientare la razionalizzazione dei farmaci psicoattivi in persone con Autismo e Disturbo del neurosviluppo. Volume 7, Numero 2 – Agosto 2022. Giornale Italiano dei Disturbi del Neurosviluppo: 10-27, Vannini Editrice Brescia.
Sangalli, M.A., Caselli, G. (2022). Alessitimia e strategie di autoregolazione: Una rassegna sistematica. Psicoterapia Cognitiva e Comportamentale, 28(2), 157-177.
Di Cugno, M., Oppo, A., Olivari, C., Caselli, G. (2022). Rimuginio desiderante e sintomi compulsivi: un’indagine esplorativa. Psicoterapia Cognitiva e Comportamentale, 28(1), 13-27.
Aydin. O., Unal-Aydin, P., Caselli, G., Kolubinski, D.C., Marino, C., Spada, M.M. (2022). Psychometric validation of the desire thinking questionnaire in a Turkish adolescent sample: Associations with internet gaming disorder. 2022 – Addictive Behaviors, 125, 107-129
Desire thinking is a conscious and voluntary cognitive process that consists of perseverative focus on information, memories, and prefiguration of images related to a desired target. The Desire Thinking Questionnaire (DTQ) is acknowledged as a reliable and valid tool to measure desire thinking in both adults and adolescents. The aim of the present study was to examine the psychometric properties of the DTQ in Turkish adolescent sample.
A convenience sample of 200 adolescents completed the Turkish version of the DTQ (DTQ-T) and an Exploratory Factor Analysis (EFA) was performed. Subsequently, a convenience sample of 701 adolescents completed the DTQ-T and a battery of questionnaires assessing personality traits, affect, boredom, impulsivity, and Internet Gaming Disorder (IGD). A Confirmatory Factor Analysis (CFA) was performed on the DTQ-T and validity was determined by examining correlations with other measures.
A 9-item two-factor structure was observed in the EFA. An 8-item two-factor structure was established in the CFA. Results demonstrated that the DTQ-T yields adequate levels of reliability and concurrent validity. Additionally, an examination of incremental validity showed that DTQ-T significantly predicted IGD when controlling for personality traits, affect, boredom, and impulsivity.
The 8-item DTQ-T was found to be a reliable and valid measure of desire thinking among Turkish adolescents. Desire thinking may be a feasible target for mental health workers to alleviate the symptoms of IGD.
Spiniello G., Sapuppo W. (2022). The comorbidity between Feeding and Eating Disorders and Personality Disorders: A systematic review of current status. IJEDO
Purpose of review: to update the state of art about the comorbidity between Feeding and Eating Disorders (FEDs) and Personality Disorders (PDs), referring to the categorical of the latest versions of the Statistical and Diagnostic Manual of Mental Disorders (DSM): DSM-IV, DSM-IV-TR and DSM-5. The following state-of-art literature review has been carried out since 2014, to which is possible to trace the latest findings about the topic.
Methods: the present systematic review has been conducted in accordance to PRISMA guidelines. Advanced systematic searches in PubMed and EBSCOhost have been conducted using the following search string with Boolean operators (eating disorders or anorexia or bulimia or binge eating) AND personality disorder AND (comorbidity or comorbidities or cooccurrence or comorbid) NOT (review of literature or literature review or meta-analysis or systematic review). The search strategy garnered four studies for inclusion in the present review, referred between February 2014 and March 2022.
Results: the analysis of the 4 studies suggests a comorbidity between FEDs and PDs. While this co-occurrence seems to prevail in a plain population, pre-existence of psychiatric disorders such as ADHD or ASD seem not to have an impact on the comorbidity between the two disorders.
Discussion: more in-depth studies on the general co-occurrence between FEDs and PDs can be really helpful to update and synthesise the results on this sketchy topic, not only for the purpose to bring up to date the literature, but also to be ready to treat such disorders that are constantly evolving.