Trends in Psychiatry and Psychotherapy最新文献

{"title":"Randomized Clinical Trial on the Comparison of Effect of Asynchronous Mobile Application and Guided Brief Cognitive Behavioral Therapy in Managing Anxiety among Medical Students.","authors":"Andrian Fajar Kusumadewi, Carla Raymondalexas Marchira, Doni Widyandana, Ronny Tri Wirasto","doi":"10.47626/2237-6089-2023-0713","DOIUrl":"https://doi.org/10.47626/2237-6089-2023-0713","url":null,"abstract":"<p><strong>Introduction: </strong>Medical students are a population at increased risk for anxiety due to their demanding schedule and concerns about potential stigmatization, which often leads to discouragement when seeking help. COVID-19 pandemic has been reported to worsen this issue by restricting social interaction and mobility. To address this problem, an innovative method known as Asynchronous Digital Cognitive Education GAMA-AIMS (DCE GAMA-AIMS) has been introduced. Compared to traditional therapy, this modality can be accessed independently without the guidance of a therapist.</p><p><strong>Objectives: </strong>To compare the effectiveness of DCE GAMA-AIMS in reducing anxiety scores compared to guided brief Cognitive Behavioral Therapy (guided bCBT).</p><p><strong>Methods: </strong>A non-blinding RCT was conducted on 66 medical students. The participants were equally divided into two groups, namely intervention and control. The intervention group was given DCE GAMA-AIMS, while the control was administered with guided bCBT. The data obtained were analyzed using independent t-test and ANOVAs.</p><p><strong>Results: </strong>The application had a significant effect on reducing anxiety scores from the 2nd week (M TMAS = 18) to the 8th week (M TMAS = 13). A faster and more significant improvement was observed in the intervention group from the 1st to the 2nd week compared to the control, which began to improve in the 4th week. Furthermore, the intervention group had larger effect sizes (1.32) compared to the control (0.79) from the 1st to 8th week.</p><p><strong>Conclusion: </strong>Asynchronous DCE GAMA-AIMS and guided bCBT could reduce TMAS scores in medical students with anxiety, but DCE GAMA-AIMS yielded a greater effect size.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399664","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 Impact of Family Stress and Resilience on Child Development: a scope review.","authors":"Marília M Mendes-Sousa, Marina B Perrone, Rafael B de Melo, Marcos V V Ribeiro, Qiong Chao, Carolina Torres, Zila M Sanchez, Pamela J Surkan, Silvia S Martins, Thiago M Fidalgo, Sheila C Caetano","doi":"10.47626/2237-6089-2022-0556","DOIUrl":"https://doi.org/10.47626/2237-6089-2022-0556","url":null,"abstract":"<p><strong>Introduction: </strong>Children grow up spending most of their time within the family social environment, where they can experience stressful situations such as marital conflict, a non-cohesive environment, parental alcohol use disorder, parental depression, and other parental mental health issues. All these factors are associated with children's developmental delays.</p><p><strong>Objective: </strong>We aimed to conduct a scoping review on family stress and family resilience associated with child development delays to examine familial conditions associated with child development.</p><p><strong>Methods: </strong>We conducted a scoping review of observational studies published between January 2000 to July 2023, indexed in MEDLINE and LILACS databases. We included observational studies that evaluated the history of exposure to violence, and behavioral or emotional symptoms, or mental health problems among children aged 4-12. Data were independently extracted using a structured form.</p><p><strong>Results: </strong>Database searches identified 12,990 different records. A total of 43 articles were included in the review. Three main findings emerged: (1) parental mental health problems, especially depressive symptoms in mothers, were associated with child developmental delays and mental health problems; (2) better parenting practices and cohesive home environment were positively associated with child development, and (3) Vulnerable social environments (e.g., poverty and housing insecurity) may be linked to child mental health problems.</p><p><strong>Conclusions: </strong>Studies reviewed show that promoting better family dynamics and increasing family cohesion, as well as parenting abilities, are beneficial to a child's socio-emotional development and prevention of child mental health problems. Moreover, increasing family and children's resilience improves the quality of life within family units.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048171","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":"U-SMILE: a brief version of the Short Multidimensional Inventory on Lifestyle Evaluation.","authors":"Raquel B De Boni, Jurema C Mota, Felipe Barreto Schuch, Daniel Alvarez Pires, Thiago Sousa Matias, Renato Sobral Monteiro-Junior, Andrea C Deslandes, Danilo R Silva, Helena Ferreira Moura, Nicole Galvão-Coelho, Fabianna Resende de Jesus-Moraleida, Flavio Kapczinski, Vicent Balanzá-Martinez","doi":"10.47626/2237-6089-2023-0722","DOIUrl":"10.47626/2237-6089-2023-0722","url":null,"abstract":"<p><strong>Introduction: </strong>Lifestyle Medicine comprises six domains: diet, substance use, physical activity, stress management, social connection, and sleep. The comprehensive assessment of lifestyle is challenging, but the \"Short Multidimensional Inventory on Lifestyle Evaluation\" (SMILE) was developed to fill out this gap. In this paper, we describe the development and the psychometric properties (internal consistency, concurrent and convergent validity) of a shorter version of the SMILE among university students.</p><p><strong>Methods: </strong>Data from a cross-sectional study including 369 students from 10 Brazilian universities were used. Considering a theoretical nomological net, we performed exploratory factor analysis to obtain the most parsimonious, interpretable and good-fitting model.</p><p><strong>Results: </strong>The final model was called U-SMILE, comprised 24 items, and presented acceptable internal consistency (Cronbach's α = 0.73, McDonald's ω = 0.79). To evaluate the concurrent validity of the U-SMILE, we compared it to the original SMILE and found a high correlation between the instruments (Spearman's r= 0.94). Furthermore, we evaluated convergent validity by examining the U-SMILE correlation with the PHQ-9 (Spearman's r= -0.517), and GAD-7 (Spearman's r= -0.356), two validated instruments to screen for depression and anxiety, respectively.</p><p><strong>Discussion: </strong>Our findings suggest that the U-SMILE is a valid instrument for assessing lifestyle among university students. We recommend that the use of U-SMILE to evaluate overall lifestyle scores rather than individual domain scores. Finally, we discuss the importance of clarifying the definitions of lifestyle and related constructs in future research.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683476","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":"Does the intensity of dissociation predict antidepressant effects 24 hours after infusion of racemic ketamine and esketamine in treatment-resistant depression? A secondary analysis from a randomized controlled trial.","authors":"Mariana V F Echegaray,&nbsp;Rodrigo P Mello,&nbsp;Guilherme M Magnavita,&nbsp;Gustavo C Leal,&nbsp;Fernanda S Correia-Melo,&nbsp;Ana Paula Jesus-Nunes,&nbsp;Flávia Vieira,&nbsp;Igor D Bandeira,&nbsp;Ana Teresa Caliman-Fontes,&nbsp;Manuela Telles,&nbsp;Lívia N F Guerreiro-Costa,&nbsp;Roberta Ferrari Marback,&nbsp;Breno Souza-Marques,&nbsp;Daniel H Lins-Silva,&nbsp;Cassio Santos-Lima,&nbsp;Taiane de Azevedo Cardoso,&nbsp;Flávio Kapczinski,&nbsp;Acioly L T Lacerda,&nbsp;Lucas C Quarantini","doi":"10.47626/2237-6089-2022-0593","DOIUrl":"https://doi.org/10.47626/2237-6089-2022-0593","url":null,"abstract":"<p><strong>Background: </strong>Ketamine and esketamine have both shown significant antidepressant effects in treatment-resistant depression (TRD), and conflicting evidence suggests that induced dissociation by these drugs can be a clinical predictor of esketamine/ketamine's efficacy.</p><p><strong>Methods: </strong>This study is a secondary analysis from a bi-center, randomized, controlled trial. Participants were randomly assigned 1:1 to receive an IV infusion of esketamine (.25 mg/kg) or racemic ketamine (.50 mg/kg) over 40 minutes. Dissociative symptoms were assessed using the Clinician-Administered Dissociative State Scale (CADSS) 40 minutes following the beginning of the infusion. The variation in depression scores was measured with the Montgomery-Asberg Depression Rating Scale (MADRS), which was administered before the intervention as a baseline measure and 24 hrs, 72 hrs, and 7 days following infusion.</p><p><strong>Results: </strong>Sixty-one patients were included in the analysis. Examining CADSS scores of 15 or below, for every 1-point increment in the CADSS score, there was a mean change of -0.5 (SD = 0.25; p-value 0.04) of predicted MADRS score from baseline to 24 hrs. The results for 72 hrs and 7 days following infusion were not significant. Limitations: This study was not designed to assess the relationship between ketamine or esketamine-induced dissociation and antidepressant effects as the main outcome, therefore confounding variables for this relationship were not controlled.</p><p><strong>Conclusion: </strong>We suggest a positive relationship between dissociation intensity, measured by CADSS, and antidepressant effect 24 hours after ketamine and esketamine infusion for a CADSS score of up to 15 points.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10633570","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":"Effectiveness of acceptance and commitment therapy upon distress, emotion regulation, and self-compassion in patients with cardiovascular disease: a randomized clinical trial.","authors":"Arash Fattahi,&nbsp;Fatemeh Mazini,&nbsp;Nasrin Jaberghaderi,&nbsp;Fatemeh Rajabi,&nbsp;Mehdi Derakhshani,&nbsp;Mohammad Laki","doi":"10.47626/2237-6089-2023-0685","DOIUrl":"https://doi.org/10.47626/2237-6089-2023-0685","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular patients experience various psychological problems due to the conditions caused by their disease, which make it worse if left untreated.</p><p><strong>Objective: </strong>The purpose of the current study was to evaluate the effects of acceptance and commitment therapy on distress, emotion regulation, and self-compassion in patients with cardiovascular disease.</p><p><strong>Methods: </strong>This study was a randomized clinical trial with pre-test, post-test and two-month and four-month follow-up periods accompanying a control group. At four stages, patients filled out questionnaires on depression, anxiety, stress (DASS-21), emotion regulation (ERQ), and self-compassion (SCS). The experimental group underwent a treatment protocol based on acceptance and commitment therapy. Data were then analyzed using SPSS-25 with repeated measures analysis of variance.</p><p><strong>Results: </strong>Act significantly reduced depression, anxiety, and stress, enhanced self-compassion, and improved emotion regulation in cardiac patients. Between-subjects (Group) partial etas for depression, anxiety, stress, reappraisal, suppression, and self-compassion were 0.61, 0.64, 0.66, 0.62, 0.66, and 0.65, respectively. Treatment efficacy was maintained during the 2- and 6-month follow-up visits.</p><p><strong>Conclusion: </strong>The results of this study suggest that treating cardiac patients' psychological problems in a way focused on acceptance and commitment therapy may have an impact on how well they respond to their treatment.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10338518","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":"Associations between the triarchic traits and mental health symptoms: the role of coping styles as mediators.","authors":"Lucas de Francisco Carvalho,&nbsp;Cibelle de Oliveira,&nbsp;Maria Clara Romão Pontes Rolim Garcia,&nbsp;Gisele Magarotto Machado","doi":"10.47626/2237-6089-2023-0625","DOIUrl":"https://doi.org/10.47626/2237-6089-2023-0625","url":null,"abstract":"<p><strong>Objective: </strong>We investigated relationships between the triarchic model of psychopathy, coping styles, and externalizing and internalizing symptoms, and verified the mediating effect of coping styles.</p><p><strong>Methods: </strong>Participants were 957 adults responding to the Triarchic Psychopathy Measure, Inventory of depression and anxiety symptoms expanded version, and Crime and Analogous Behavior Scale.</p><p><strong>Results: </strong>Data were analyzed using four path analyses to test our hypothesis, indicating each triarchic trait is differently associated with psychological symptoms and coping styles. We also observed the preference for some coping styles affecting the association between triarchic traits and psychological symptoms.</p><p><strong>Conclusion: </strong>Our findings suggest that coping styles affect only the associations between boldness*distress and boldness*fear, indicating that specific coping strategies can account for variations in distress and fear linked to boldness.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10278421","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":"Concealing, Tolerating, and Adjusting to Emotions in Obsessive-Compulsive and Anxiety Disorders: A Cross-Sectional Study.","authors":"Carla P Loureiro,&nbsp;Emma Thompson,&nbsp;Luana D Laurito,&nbsp;Maria E Moreira-de-Oliveira,&nbsp;Rafaela V Dias,&nbsp;Gabriela B de Menezes,&nbsp;Leonardo F Fontenelle","doi":"10.47626/2237-6089-2023-0652","DOIUrl":"https://doi.org/10.47626/2237-6089-2023-0652","url":null,"abstract":"<p><strong>Background: </strong>Although research has shown that mood and anxiety disorders manifest disturbed emotion regulation, it is unclear whether anxiety disorders differ between each other in terms of their emotion regulation strategies. In the present study, we investigated whether patients with anxiety disorders present different affective styles.</p><p><strong>Methods: </strong>We assessed affective styles of 32 obsessive-compulsive disorder (OCD) patients, 29 social anxiety disorder (SAD) patients, 29 panic disorder (PD) patients, and 20 healthy controls through the Affective Style Questionnaire (ASQ). A multivariate analysis of covariance (MANCOVA) was performed to compare the affective styles across groups (OCD, SAD, PD and control), while controlling for depression, anxiety symptoms and age.</p><p><strong>Results: </strong>The MANCOVA revealed a significant, small-medium, main effect of diagnostic group on affective styles. The planned contrasts revealed that OCD and SAD patients reported significantly lower scores for \"tolerance\" (ASQ-T) compared to healthy controls group. There were no differences between PD group and healthy controls.</p><p><strong>Conclusions: </strong>Our findings provide evidence that OCD and SAD have difficulty tolerating strong emotions existing in the present moment in an open and non-defensive way.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923448","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":"Haloperidol versus Second-generation Antipsychotics on the cognitive performance of individuals with schizophrenia and related disorders: pairwise meta-analysis of randomized controlled trials.","authors":"Daniel Prates Baldeza,&nbsp;Tais Boeira Biazus,&nbsp;Francisco Diego Rabelo-da-Ponte,&nbsp;Guilherme Pedro Nogaro,&nbsp;Dayane Santos Martins,&nbsp;João Pedro Soledade Signori,&nbsp;Vanessa Gnielka,&nbsp;Ives Cavalcante Passos,&nbsp;Letícia Sanguinetti Czepielewski,&nbsp;Maurício Kunz","doi":"10.47626/2237-6089-2023-0664","DOIUrl":"https://doi.org/10.47626/2237-6089-2023-0664","url":null,"abstract":"<p><strong>Introduction: </strong>Despite previous literature, the superiority of Second-generation Antipsychotics (SGAs) relative to First-generation Antipsychotics- especially haloperidol - on cognitive management in schizophrenia is still controversial. Thus, we aimed to compare the effects of haloperidol versus SGAs on the cognitive performance of individuals with schizophrenia or related disorders.</p><p><strong>Methods: </strong>We conducted an updated systematic review and nine pairwise meta-analyses of double-blinded randomized controlled trials published up to October 30th, 2022, using Medline, Web of Science, and Embase.</p><p><strong>Results: </strong>Twenty-eight trials were included, enrolling 1,932 individuals. Compared to SGAs, haloperidol performed worse on cognitive composite (MD -0.13; 95% CI: -0.33 to -0.03; MD = mean difference, CI = confidence interval), processing speed (MD -0.17; 95% CI: -0.28 to -0.07), attention (MD -0.14; 95% CI: -0.26 to -0.02), motor performance (MD -0.17; 95% CI: -0.31 to -0.03), memory and verbal learning (MD -0.21; 95% CI: -0.35 to -0.08), and executive function (MD -0.27; 95% CI: -0.43 to -0.11). In contrast, there were no significant differences between SGAs and haloperidol on working memory (MD 0.10; 95% CI: -0.08 to 0.27), visual learning (MD 0.08; 95% CI: -0.05 to 0.21), social cognition (MD 0.29; 95% CI: -0.30 to 0.88), and visuoconstruction (MD 0.17; 95% CI: -0.04 to 0.39).</p><p><strong>Conclusion: </strong>Haloperidol had poorer performance in global cognition and in some cognitive domains, but with small effect sizes. Therefore, it was not possible to conclude that haloperidol is certainly worse than SGAs in the long-term cognitive management of schizophrenia.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10239536","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":"Psychometric Properties of the Death Anxiety Scale for Adult Chronic Patients.","authors":"Ximena Palacios-Espinosa,&nbsp;Ricardo Sánchez Pedraza,&nbsp;Ana-María Gómez-Carvajal,&nbsp;Juan Sebastián Botero-Meneses,&nbsp;Diana María Escallón,&nbsp;Diego Armando Leal","doi":"10.47626/2237-6089-2023-0630","DOIUrl":"https://doi.org/10.47626/2237-6089-2023-0630","url":null,"abstract":"<p><strong>Introduction: </strong>Death anxiety is a predictor of exacerbations in both physical and psychological symptoms of chronic diseases. Therefore, having short and easy-to-apply instruments to assess the presence of death anxiety and adopting a multidisciplinary approach to address it are important.</p><p><strong>Method: </strong>This study analyzes the psychometric properties of the Death Anxiety Scale (DAS) developed by Donald Templer in a Colombian population of adult patients diagnosed with a chronic disease. The original instrument was linguistically, conceptually, and culturally adapted to Colombian Spanish to be subsequently applied to 301 adult patients with chronic diseases.</p><p><strong>Results: </strong>The exploratory factor analysis revealed a 3-factor structure, with a variance of 47%. Internal consistency was observed (Cronbach's alpha: 0.71; McDonald's omega: 0.76; Guttman's lambda 6 (G6): 0.74; greatest lower bound: 0.54). A correlation coefficient of 0.64 was found between the total score of the DAS and the Beck Anxiety Inventory.</p><p><strong>Conclusion: </strong>When comparing the results with the versions of the DAS in Spanish from Mexico and Spain, variability in the psychometric properties was observed; therefore, language cannot be assumed to be a guarantee of the reliability and validity of the instrument.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9776830","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":"Associations between the triarchic traits and mental health symptoms: the role of coping styles as mediators.","authors":"Lucas de Francisco Carvalho,&nbsp;Maria Clara Romão Pontes Rolim Garcia,&nbsp;Gisele Magarotto Machado,&nbsp;Cibelle de Oliveira","doi":"110.47626/2237-6089-2023-0625","DOIUrl":"https://doi.org/110.47626/2237-6089-2023-0625","url":null,"abstract":"<p><strong>Objective: </strong>We investigated relationships between the triarchic model of psychopathy, coping styles, and externalizing and internalizing symptoms, and verified the mediating effect of coping styles.</p><p><strong>Methods: </strong>Participants were 957 adults responding to the Triarchic Psychopathy Measure, Inventory of depression and anxiety symptoms expanded version, and Crime and Analogous Behavior Scale.</p><p><strong>Results: </strong>Data were analyzed using four path analyses to test our hypothesis, indicating each triarchic trait is differently associated with psychological symptoms and coping styles. We also observed the preference for some coping styles affecting the association between triarchic traits and psychological symptoms.</p><p><strong>Conclusion: </strong>Our findings suggest that coping styles affect only the associations between boldness*distress and boldness*fear, indicating that specific coping strategies can account for variations in distress and fear linked to boldness.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9593030","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}