{"title":"XXII NATIONAL CONGRESS ITALIAN PSYCHOLOGICAL ASSOCIATION CLINICAL AND DYNAMIC SECTION LECCE -SEPTEMBER 17-19 2021 - SYMPOSIUM SESSION","authors":"Karen Bruschi, O. Gelo, Oronzo Mazzeo, C. Venuleo","doi":"10.13129/2282-1619/MJCP-3223","DOIUrl":"https://doi.org/10.13129/2282-1619/MJCP-3223","url":null,"abstract":"Beginning from an overview of the state of the art of international guidelines regarding personality disorders, we will aim to bring attention to the specific situation in Italy, where no official guidelines at a national level have yet been published. The repercussions of this absence will be discussed and some virtuous attempts to implement the diffusion of empirically supported approaches – including but not limited to evidence-based therapies will be highlighted. The guidelines for evidence-based clinical practice should constitute tools at the service of the clinician but also of patients and policymakers to limit the use of useless or harmful clinical practices, and instead promote decisions based on the best available scientific evidence, integrated with clinical experience and patient preferences and values. The therapeutic efficacy of treatments based on scientific evidence is widely documented in the literature, and much can be learned from the systematic study of non-specific factors in psychotherapy as well. Still, the implementation of approaches based on these scientific findings in the Italian healthcare context encounters several challenges. These range from the lack of adequately trained therapists to the very structure of mental healthcare in Italy, which makes it almost impossible to provide the proper care to those who are affected by personality disorders. The purpose of this discussion will be to investigate the tools officially available and those routinely adopted to support clinical choices when taking care of patients with personality disorders. Based on this analysis, the most critical aspects will be investigated, and best practices will be highlighted in order to elaborate a proposal regarding the drafting of Italian guidelines for the treatment of personality disorders, identifying in this tool an important laboratory for the integration and development of scientific paradigms, clinical models and health policies. MJCP| 9, 2 Supplementum OPEN DISCUSSION 4 Post pandemic...: the construction of a new systemic and individual normality, psychodynamic unsaturation processes and cultural construction Proposer: Giuseppe Mannino 1 1 Università di Roma “Lumsa” Participants: Gianluca Lo Coco , Raffaele De Luca Picione , Viviana Langher , Sergio Salvatore 4 2 Università di Palermo 3 Università telematica “Giustino Fortunato”, Benevento, Italy 4 “Sapienza” Università di Roma – Dipartimento di Psicologia Dinamica, Clinica e Salute Abstract Puppies of the species sapiens is generated in a state of Neothenia, physiological immaturity; adults remain characterized by incompleteness: this characteristic stimulates our species to the relationship with each other by itself, the world, the environment, the context, generating flexible modes of interaction. Neothenia is the principle of the cultural nature of sapiens for which they come to connote the environment in which they live. Humans exist only within a socio-relational environment,","PeriodicalId":18428,"journal":{"name":"Mediterranean Journal of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48482570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Bălălău, N. Bacalbaşa, M. Loghin, A. Dimitriu, S. Păunică, C. Bălălău
{"title":"Management of Postpartum Depression in the Covid Pandemic","authors":"O. Bălălău, N. Bacalbaşa, M. Loghin, A. Dimitriu, S. Păunică, C. Bălălău","doi":"10.13129/2282-1619/mjcp-3071","DOIUrl":"https://doi.org/10.13129/2282-1619/mjcp-3071","url":null,"abstract":"One of the most common complications after childbirth is postpartum depression. The COVID pandemic caused an increase in the incidence of this pathology both by direct damage to the central nervous system by the SARS-COV2 virus, but also indirectly by maintaining social distance, lack of effective doctor-patient communication.","PeriodicalId":18428,"journal":{"name":"Mediterranean Journal of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49623104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Applicability of the intolerance of uncertainty model to Generalized Anxiety Disorder symptoms in young people","authors":"R. Watts, J. Cossar, N. Ferreira","doi":"10.13129/2282-1619/MJCP-2978","DOIUrl":"https://doi.org/10.13129/2282-1619/MJCP-2978","url":null,"abstract":"Background: Disorder-specific cognitive-behavioural conceptual models of anxiety disorders have informed psychological interventions with adults, but not with adolescents. This study aims to clarify the applicability of the intolerance of uncertainty model to generalized anxiety disorder symptoms in young people and the moderating influence of gender and age on these relationships. Methods: Three hundred and twenty-six young people, aged 11 – 15 years, from three high schools in a semi-rural area in West Scotland, completed self-report measures relating to generalized anxiety disorder symptoms and cognitive variables of the intolerance of uncertainty model. Results: Intolerance of uncertainty and negative problem orientation were found to be predictive of generalized anxiety disorder symptoms; positive beliefs about worry and cognitive avoidance were found to be less important in the prediction of generalized anxiety disorder symptoms. Gender only moderated the relationship between positive beliefs about worry and generalized anxiety disorder symptoms; age did not act as a moderator. Conclusion: The model of intolerance of uncertainty seems to be helpful in understanding generalized anxiety in young people. Clinical considerations are discussed.","PeriodicalId":18428,"journal":{"name":"Mediterranean Journal of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42600548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Bastianoni, S. Charpentier-Mora, D. Cavanna, F. Bizzi
{"title":"Adopted Adolescents Talk about the Mental States: a Qualitative Exploratory Study","authors":"C. Bastianoni, S. Charpentier-Mora, D. Cavanna, F. Bizzi","doi":"10.13129/2282-1619/MJCP-2956","DOIUrl":"https://doi.org/10.13129/2282-1619/MJCP-2956","url":null,"abstract":"Adolescence represents a developmental phase characterized by several changes during which social and cognitive advances lead adolescents to the progressive improvement of mental states talk (MST), namely as a specific kind of language marked by semantic terms describing internal mental states related to both self and others. The use of MST within individual narratives has been associated with the capability to reflect on cognitive and emotional experiences, thus promoting a meaning-making process of self and others understanding. In light of that and considering the additional challenges characterizing the adolescent transition for adoption, this qualitative exploratory contribution aims to explore adopted adolescents’ use of MST from their narratives deepening the meaning-making process of the psychological and relational dimension of self and others. The Friends and Family Interview was administered to 13 adopted adolescents after eight years from their first placement. The transcripts were analyzed through the use of thematic content analysis. The findings highlight the extensive employment of MST among adopted adolescents with broader use of the Self than the Other-oriented once. Self MST co-occurs with other categories related to significant relational contexts. This brings additional insights within adoption research providing valuable resources for working with adopted adolescents and their families.","PeriodicalId":18428,"journal":{"name":"Mediterranean Journal of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47740441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The psychological impact of COVID-19 on women's wellbeing during pregnancy and postpartum one year after pandemic outbreak in Italy. A Systematic review","authors":"Alessia Caffieri, G. Margherita","doi":"10.13129/2282-1619/mjcp-3026","DOIUrl":"https://doi.org/10.13129/2282-1619/mjcp-3026","url":null,"abstract":"Background. Coronavirus (COVID-19) contagion prevalence and the severity of its symptoms do not seem different for pregnant and postpartum women than the general population. Nevertheless, the possible traumatic experiences related to the spread of covid-19 show negative effects on women’s mental health during the childbearing and postnatal period. Although international reviews observed this phenomenon worldwide, an in-depth exploration of Italian pregnant and postpartum women’s wellbeing is needed, considering the specific phases of the virus spread and the restrictive measures imposed by Italian government throughout the last year. Aim. This research aims to identify and discuss existing studies on women’s antenatal and postnatal mental health during the first year of the pandemic in Italy. Method . In accordance with PRISMA guidelines, a systematic review was conducted, using the following databases: Web of Science, Embase, EBSCO (APA PsycArticles, APA PsycInfo; Psychology and Behavioral Sciences Collection; MEDLINE), Pubmed and other sources. Results. Eleven articles were included in the review and three meaning trajectories were identified: Pregnancy and postpartum continuum – from anxiety to depression and post-traumatic stress; Risk dimensions: previous psychopathologies and the lack of social support; Focus on others health before themselves. Conclusion. Findings suggest different vulnerable areas, such as a high fear for others health and the loss of the protective dimension of social support for pregnant and postpartum women’s wellbeing in Italy. This evidence might help to project useful and specific psychological screening and intervention programmes for perinatal clinic.","PeriodicalId":18428,"journal":{"name":"Mediterranean Journal of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44642412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factor Structure, Measurement Invariance Across Gender Sub-Groups, and Normative Data for the Italian Translation of the UPPS-P Impulsive Behavior Scale in Italian Community-Dwelling Adults","authors":"Giulia Gialdi, A. Somma, S. Borroni, A. Fossati","doi":"10.13129/2282-1619/MJCP-3004","DOIUrl":"https://doi.org/10.13129/2282-1619/MJCP-3004","url":null,"abstract":"To evaluate the factor structure and measurement invariance of the Italian translation of the UPPS-P Impulsive Behavior Scale, while providing also normative data, 797 community dwelling adults were administered the UPPS-P online. Omega coefficient values suggested adequate internal consistency reliability for all the UPPS-P scales. Weighted least square mean and variance adjusted (WLSMV) confirmatory factor analysis (CFA) showed adequate fit for the a priori five-factor model of the UPPS-P items. Measurement invariance findings supported the scalar invariance of the UPPS-P items across male and female sub-group (RMSEA = .052, CFI = .921, D -CFI = .002), thus allowing gender comparisons in terms of latent factor mean scores. Based on these findings, normative data and T scores for the UPPS-P scale score distribution among Italian community-dwelling adults were provided. Hopefully, our findings may help clinicians and researchers to use the UPPS-P in their routine assessment of impulsive behaviors.","PeriodicalId":18428,"journal":{"name":"Mediterranean Journal of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42797016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roberta Biolcati, Giacomo Mancini, Federica Andrei, E. Trombini
{"title":"Trait emotional intelligence and eating problems in adults: associations with alexithymia and substance use","authors":"Roberta Biolcati, Giacomo Mancini, Federica Andrei, E. Trombini","doi":"10.13129/2282-1619/MJCP-2983","DOIUrl":"https://doi.org/10.13129/2282-1619/MJCP-2983","url":null,"abstract":"Background: Eating Disorders (EDs) often co-occur with substance use contributing to increasing concern about the individual’s health; both the conditions share several core features such as the tendency to use maladaptive emotion regulation strategies. The present study investigated associations between trait emotional intelligence (Trait EI), alexithymia and EDs, namely dieting, bulimia and oral control, in a nonclinical sample of adults. Moreover, the relationships with substance use frequencies were also examined with the aim of exploring the links between personality emotional competence traits (trait EI and alexithymia) and different addictive risk behaviours (EDs and substance use) in adulthood. Methods: Data were collected from a convenience sample composed of 394 (312 women; between ages 18 and 65; mean age = 32.34; SD = 11.97) participants, through online administration of questionnaires assessing trait emotional intelligence (TEIQue-SF), eating problems (EAT-26), alexithymia (TAS-20) and frequency of substance use (in the last year). Results: The group that exceeds the cut-off for EDs (n = 58; 14.7 %) has significantly lower trait EI scores (in all dimensions) and higher alexithymia scores than the other group. Some differences between the two groups were found on frequencies of nicotine and diuretics use. Age and all trait EI factors were negatively associated with eating disorders and alexithymia. Weak inverse correlations have emerged between EI and frequencies of substance use (namely cocaine, amphetamines, alcohol and tobacco). Female gender, well-being and self-control factors of EI emerged as significant predictors of EDs in adulthood. Conclusions: Our results suggest the importance of targeting emotion dysregulation for EDs and substance use behaviours. Interventions aimed at promoting healthy lifestyles could benefit from trait EI enhancement efforts. Practitioners and health educators need to recognize the potential efficacy of including trait EI within gender specific interventions planned to address ED symptoms and addictive behaviours in general.","PeriodicalId":18428,"journal":{"name":"Mediterranean Journal of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49608558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Santonocito, Alessandro Polizzi, V. Ronsivalle, G. Palazzo, F. Sicari, G. Isola
{"title":"Impact of periodontitis on systemic anxiety and oral health quality of life","authors":"S. Santonocito, Alessandro Polizzi, V. Ronsivalle, G. Palazzo, F. Sicari, G. Isola","doi":"10.13129/2282-1619/MJCP-3064","DOIUrl":"https://doi.org/10.13129/2282-1619/MJCP-3064","url":null,"abstract":"Aim : The aim of the present study was to measure dental anxiety levels and oral health-related qualities of life (OHRQoL) in patients with periodontitis compared to healthy controls and to analyze their association with various demographic, clinical and periodontal parameters. Methods : Fifty-five patients with periodontitis and 56 healthy controls were enrolled. Collected data included demographics, smoking habits, numerical rating scale (NRS), Corah’s Dental Anxiety Scale (DAS) and Oral Health Impact Profile-14 (OHIP-14), DMFT index (Decayed, Missing and Filled Teeth), Plaque Index (PI), probing depth (PD), bleeding on probing (BOP), and radiographic bone loss. Results : Periodontitis patients exhibited statistically significant higher scores in the total DAS and in almost of single DAS domains. Compared to the control group, periodontitis patients exhibited worse OHIP-14 global as well as in all individual OHIP-14 domains scores. Among both periodontitis and control patients, the physical pain domain was where the highest impact was recorded, while the lowest impact was recorded in the functional limitation domain. Conclusion : Periodontitis patients were positively associated with higher levels of dental anxiety and worse OHRQoL. Self-perception of dental anxiety and OHRQoL should be regarded as an integral element in routine diagnostic work-up process of periodontal diseases. This study showed that for a nationally representative sample of the southern Italian population population, periodontal disease was significantly associated with the domains of OHRQoL.","PeriodicalId":18428,"journal":{"name":"Mediterranean Journal of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43559821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Schetsche, L. Jaume, L. Gago-Galvagno, A. Elgier
{"title":"Social support and its associations with Depression and Anxiety: an in-depth Analysis using Structural Equation Modeling","authors":"C. Schetsche, L. Jaume, L. Gago-Galvagno, A. Elgier","doi":"10.13129/2282-1619/MJCP-3017","DOIUrl":"https://doi.org/10.13129/2282-1619/MJCP-3017","url":null,"abstract":"Although social support has been shown to have numerous positive effects on mental health, some studies found negative associations with certain internalizing symptoms. Because the origins of these associations are uncertain, the objective of the present study included the in-depth analysis of five dimensions of social support (i.e., social support seeking as a coping strategy, availability of emotional support, emotional support received, perceived comprehension, and need for support) and their associations with depressive and anxious symptoms. The sample (n = 822) was collected through Internet and a Full Latent Variables Model was developed in which the two symptoms were used as dependent variables. Subsequently, regression analyses were conducted to evaluate how the social support dimensions are influenced by depression and anxiety. The results evidenced that availability of emotional support, perceived comprehension, and need for support had direct effects on symptoms, and emotional support received and social support seeking indirect effects. Need for support was found to be the only dimension of social support that increased symptoms, and perceived comprehension was the only dimension of social support that reduced the need for support. Anxiety and depression exhibited different effects on social support: while depression reduced social support, anxiety increased it. It was concluded that anxiety can operate, under certain circumstances, as a protective mechanism against the negative effects of depression.","PeriodicalId":18428,"journal":{"name":"Mediterranean Journal of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41671259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}