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de Freitas MBL, Luna LP, Beatriz M, Pinto RK, Alves CHL, Bittencourt L, Nardi AE, Oertel V, Veras AB, de Lucena DF, Alves GS. Resting-state fMRI is associated with trauma experiences, mood and psychosis in Afro-descendants with bipolar disorder and schizophrenia. Psychiatry Res Neuroimaging 2024; 340:111766. [PMID: 38408419 DOI: 10.1016/j.pscychresns.2023.111766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 11/19/2023] [Accepted: 11/26/2023] [Indexed: 02/28/2024]
Abstract
BACKGROUND Bipolar disorder (BD) and schizophrenia (SCZ) may exhibit functional abnormalities in several brain areas, including the medial temporal and prefrontal cortex and hippocampus; however, a less explored topic is how brain connectivity is linked to premorbid trauma experiences and clinical features in non-Caucasian samples of SCZ and BD. METHODS Sixty-two individuals with SCZ (n = 20), BD (n = 21), and healthy controls (HC, n = 21) from indigenous and African ethnicity were submitted to clinical screening (Di-PAD), traumata experiences (ETISR-SF), cognitive and functional MRI assessment. The item psychosis/hallucinations in SCZ patients showed a negative correlation with the global efficiency (GE) in the right dorsal attention network. The items mania, irritable mood, and racing thoughts in the Di-PAD scale had a significant negative correlation with the GE in the parietal right default mode network. CONCLUSIONS Differences in the activation of specific networks were associated with earlier disease onset, history of physical abuse, and more severe psychotic and mood symptoms in SCZ and BD subjects of indigenous and black ethnicity. Findings provide further evidence on SZ and BD's brain connectivity disturbances, and their clinical significance, in non-Caucasian samples.
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Affiliation(s)
| | - Licia P Luna
- Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, MD, USA
| | - Márcia Beatriz
- Neuroradiology Service, São Domingos Hospital, São Luís, Brazil; Translational Psychiatry Research Group, Federal University of Maranhão, São Luís, Brazil
| | | | - Candida H Lopes Alves
- Translational Psychiatry Research Group, Federal University of Maranhão, São Luís, Brazil
| | - Lays Bittencourt
- Neuropsychiatry Service, Nina Rodrigues Hospital, São Luís, Brazil
| | - Antônio E Nardi
- Post-Graduation in Psychiatry and Mental Health (PROPSAM), Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Viola Oertel
- Department of Psychiatry, Psychosomatics, and Psychotherapy, Frankfurt Goethe University, Germany
| | - André B Veras
- Post-Graduation in Psychiatry and Mental Health (PROPSAM), Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Gilberto Sousa Alves
- Translational Psychiatry Research Group, Federal University of Maranhão, São Luís, Brazil; Neuropsychiatry Service, Nina Rodrigues Hospital, São Luís, Brazil; Post-Graduation in Psychiatry and Mental Health (PROPSAM), Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
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Baroni D, Caccico L, Ciandri S, Di Gesto C, Di Leonardo L, Fiesoli A, Grassi E, Lauretta F, Lebruto A, Marsigli N, Policardo GR, Rosadoni M, Chiorri C. Measurement invariance of the Liebowitz Social Anxiety Scale-Self-Report. J Clin Psychol 2023; 79:391-414. [PMID: 35809258 DOI: 10.1002/jclp.23413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 03/03/2022] [Accepted: 06/25/2022] [Indexed: 01/19/2023]
Abstract
OBJECTIVE The Liebowitz Social Anxiety Scale-Self Report (LSAS-SR) is a self-report measure of social anxiety (SA), which has shown adequate psychometric properties across cultures. However, no study has systematically evaluated its measurement invariance (MI) between (a) individuals with and without a diagnosis of social anxiety disorder (SAD) and (b) males and females. The current study addresses this issue. METHODS We collected data on 257 (158 females) Italian individuals diagnosed with SAD and 356 (232 females) community-dwelling adults. RESULTS We initially found support for the unidimensionality of the Italian LSAS-SR measurement model in all samples. Using the Graded Response Model, we obtained evidence of partial MI and differential item functioning between community-dwelling and SAD-diagnosed individuals and evidence of strong MI between male and female participants. CONCLUSIONS The results of this study suggest that the Italian LSAS-SR measures the same trait in the same way across the symptom continuum and sexes, making it a psychometrically sound tool for assessment, screening, and research purposes.
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Affiliation(s)
- Duccio Baroni
- Department of Education, Languages, Intercultures, Literatures and Psychology, University of Florence, Florence, Italy.,Department of Health Sciences, University of Florence, Florence, Italy.,Institute of Behavioral and Cognitive Psychology and Psychotherapy, Florence, Italy
| | - Laura Caccico
- Institute of Behavioral and Cognitive Psychology and Psychotherapy, Florence, Italy
| | - Serena Ciandri
- Institute of Behavioral and Cognitive Psychology and Psychotherapy, Florence, Italy
| | - Cristian Di Gesto
- Department of Health Sciences, University of Florence, Florence, Italy.,Institute of Behavioral and Cognitive Psychology and Psychotherapy, Florence, Italy
| | - Laura Di Leonardo
- Institute of Behavioral and Cognitive Psychology and Psychotherapy, Florence, Italy
| | - Alice Fiesoli
- Institute of Behavioral and Cognitive Psychology and Psychotherapy, Florence, Italy
| | - Elena Grassi
- Institute of Behavioral and Cognitive Psychology and Psychotherapy, Florence, Italy
| | - Francesco Lauretta
- Institute of Behavioral and Cognitive Psychology and Psychotherapy, Florence, Italy
| | - Antonella Lebruto
- Institute of Behavioral and Cognitive Psychology and Psychotherapy, Florence, Italy
| | - Nicola Marsigli
- Institute of Behavioral and Cognitive Psychology and Psychotherapy, Florence, Italy
| | - Giulia Rosa Policardo
- Department of Health Sciences, University of Florence, Florence, Italy.,Institute of Behavioral and Cognitive Psychology and Psychotherapy, Florence, Italy
| | - Martina Rosadoni
- Institute of Behavioral and Cognitive Psychology and Psychotherapy, Florence, Italy
| | - Carlo Chiorri
- Department of Educational Sciences, University of Genova, Genova, Italy
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Trovão LDO, Alves GS, Carrilho CG, Ricci TG, Bittencourt L, Alves C, Brito NC, Nardi AE, Malaspina D, Veras AB. Early trauma and schizophrenia onset: preliminary results of an outpatient cohort in Brazil. TRENDS IN PSYCHIATRY AND PSYCHOTHERAPY 2022; 44:e20200024. [PMID: 33872478 PMCID: PMC10039718 DOI: 10.47626/2237-6089-2020-0024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/29/2020] [Accepted: 04/12/2020] [Indexed: 11/20/2022]
Abstract
OBJECTIVES To assess the prevalence of early trauma in individuals with onset of schizophrenia (SZ) at early (≤ 18 years) and adult (> 18 years) ages (EOP and AOP, respectively) and explore relationships between the onset of disease and clinical variables including traumatic events and psychotic and mood symptoms. METHODS Subjects with SZ (n = 71) and EOP and AOP were compared for history of psychological trauma, sexual abuse, and physical punishment using the Early Trauma Inventory Self Report - Short Form (ETISR-SF). They were also compared for history of comorbidities and affective disorders using the Diagnostic Interview for Psychosis and Affective Disorders, the Positive and Negative Syndrome Scale, the Liebowitz Social Anxiety Scale, and the Calgary Depression Scale for Schizophrenia. Coefficients were calculated for correlations between scale results and disease duration. RESULTS Early trauma was significantly associated with an early onset psychotic episode (r = -0.315, p < 0.01). General trauma and depressive symptoms in adulthood were also associated (r = 0.442, p < 0.01), as were social anxiety symptoms and early trauma (r = 0.319, p < 0.01). Total ETISR-SF scores and the physical abuse item were significantly higher in EOP than in AOP. In the hierarchical regression, PANSS scores were best predicted by a model including the duration of disease and age of first psychotic episode (R = 0.303). CONCLUSIONS Our results support the hypothesis that early trauma, including physical abuse, may play a relevant role in schizophrenia symptoms, such as an earlier psychotic occurrence, as well as features of other psychiatric disorders, such as greater severity of social anxiety and depression.
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Affiliation(s)
- Leandro de Oliveira Trovão
- Grupo de pesquisa em Psiquiatria Translacional, Hospital Nina Rodrigues, Universidade Federal do Maranhão, São Luís, MA, Brazil
| | - Gilberto Sousa Alves
- Grupo de pesquisa em Psiquiatria Translacional, Hospital Nina Rodrigues, Universidade Federal do Maranhão, São Luís, MA, Brazil. Programa de Pós-graduação em Psiquiatria e Saúde Mental (PROPSAM), Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil
| | - Carolina Gomes Carrilho
- Grupo de Pesquisa Translacional em Saúde Mental (GPTranSMe), Universidade Católica Dom Bosco, Campo Grande, MS, Brazil
| | - Thaysse Gomes Ricci
- Grupo de Pesquisa Translacional em Saúde Mental (GPTranSMe), Universidade Católica Dom Bosco, Campo Grande, MS, Brazil
| | - Lays Bittencourt
- Grupo de pesquisa em Psiquiatria Translacional, Hospital Nina Rodrigues, Universidade Federal do Maranhão, São Luís, MA, Brazil
| | - Cândida Alves
- Laboratório de Neurociências, Universidade Ceuma, São Luís, MA, Brazil
| | - Natália Costa Brito
- Grupo de pesquisa em Psiquiatria Translacional, Hospital Nina Rodrigues, Universidade Federal do Maranhão, São Luís, MA, Brazil
| | - Antonio Egídio Nardi
- Laboratório de Pânico e Respiração (LabPR-UFRJ), Instituto de Psiquiatria (IPUB), UFRJ, Rio de Janeiro, RJ, Brazil
| | - Dolores Malaspina
- Departments of Psychiatry, Neuroscience and Genetics, Icahn School of Medicine, Mt. Sinai Medical Center, New York, NY, USA
| | - André Barciela Veras
- Grupo de Pesquisa Translacional em Saúde Mental (GPTranSMe), Universidade Católica Dom Bosco, Campo Grande, MS, Brazil. Laboratório de Pânico e Respiração (LabPR-UFRJ), Instituto de Psiquiatria (IPUB), UFRJ, Rio de Janeiro, RJ, Brazil. Departments of Psychiatry, Neuroscience and Genetics, Icahn School of Medicine, Mt. Sinai Medical Center, New York, NY, USA
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Vasconcellos SJL, Santanna RV, Lucchese VC, Schneider JT, Ferreira SM, Neco XS. Personalidade, Ansiedade Social e Adaptação às Medidas de Distanciamento Durante a Pandemia. PSICO-USF 2022. [DOI: 10.1590/1413-82712022270414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
Resumo O impacto da pandemia de COVID-19 está mudando drasticamente a vida das pessoas. O distanciamento social representa evitar o contato durante o surto de uma doença para minimizar a exposição. Essa condição também pode contribuir para o agravamento de determinados transtornos mentais. O presente estudo teve como objetivo avaliar em que medida características de personalidade e ansiedade social podem contribuir para uma maior dificuldade em lidar com o distanciamento social. Foram avaliados 1.120 indivíduos por meio da Escala de Ansiedade Social de Liebowitz (LSAS), marcadores da personalidade. A análise de regressão logística mostrou que neuroticismo, ansiedade social e as horas adicionais em casa revelaram-se preditores significativos de uma maior dificuldade. Conclui-se que o transtorno de ansiedade social apresenta especificidades em sua manifestação durante a pandemia.
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Takada K, Takahashi K, Hirao K. Measurement error in the Liebowitz Social Anxiety Scale: results from a general adult population in Japan. Int J Psychiatry Clin Pract 2018; 22:289-295. [PMID: 29338470 DOI: 10.1080/13651501.2018.1426772] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Objective: Although the self-report version of Liebowitz Social Anxiety Scale (LSAS) is frequently used to measure social anxiety, data is lacking on the smallest detectable change (SDC), an important index of measurement error. We therefore aimed to determine the SDC of LSAS. Methods: Japanese adults aged 20-69 years were invited from a panel managed by a nationwide internet research agency. We then conducted a test-retest internet survey with a two-week interval to estimate the SDC at the individual (SDCind) and group (SDCgroup) levels. Results: The analysis included 1300 participants. The SDCind and SDCgroup for the total fear subscale (scoring range: 0-72) were 23.52 points (32.7%) and 0.65 points (0.9%), respectively. The SDCind and SDCgroup for the total avoidance subscale (scoring range: 0-72) were 32.43 points (45.0%) and 0.90 points (1.2%), respectively. The SDCind and SDCgroup for the overall total score (scoring range: 0-144) were 45.90 points (31.9%) and 1.27 points (0.9%), respectively. Conclusions: Measurement error is large and indicate the potential for major problems when attempting to use the LSAS to detect changes at the individual level. These results should be considered when using the LSAS as measures of treatment change.
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Affiliation(s)
- Koki Takada
- a Department of Occupational Therapy , Kibi International University , Takahashi , Japan
| | - Kana Takahashi
- a Department of Occupational Therapy , Kibi International University , Takahashi , Japan
| | - Kazuki Hirao
- a Department of Occupational Therapy , Kibi International University , Takahashi , Japan
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Yang R, Cui L, Li F, Xiao J, Zhang Q, Oei TPS. Effects of Cognitive Bias Modification Training via Smartphones. Front Psychol 2017; 8:1370. [PMID: 28855880 PMCID: PMC5557816 DOI: 10.3389/fpsyg.2017.01370] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Accepted: 07/28/2017] [Indexed: 11/13/2022] Open
Abstract
Background and Objectives: Negative cognitive biases have been linked to anxiety and mood problems. Accumulated data from laboratory studies show that positive and negative interpretation styles with accompanying changes in mood can be induced through cognitive bias modification (CBM) paradigms. Despite the therapeutic potential of positive training effects, few studies have explored training paradigms administered via smartphones. The current study aimed to compare the effectiveness of three different types of training programmes (cognitive bias modification-attention, CBM-A; cognitive bias modification-interpretation, CBM-I; attention and interpretation modification, AIM) administered via smart-phones by using a control condition (CC). Methods:Seventy-six undergraduate participants with high social anxiety (Liebowitz Social Anxiety Scale, LSAS ≥ 30) were randomly assigned to four groups: CBM-A (n = 20), CBM-I (n = 20), AIM (n = 16), and CC (n = 20). Results: The results showed that the effects of CBM training, CBM-I training, or AIM training vs. CC for attention yielded no significant differences in dot-probe attention bias scores. The CBM-I group showed significantly less threat interpretation and more benign interpretation than the CC group on interpretation bias scores. Conclusions: The present results supported the feasibility of delivering CBM-I via smartphones, but the effectiveness of CBM-A and AIM training via smartphones was limited.
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Affiliation(s)
- Ranming Yang
- Beijing Key Laboratory of Learning and Cognition and Department of Psychology, Capital Normal UniversityBeijing, China.,Criminal Justice College, China University of Political Science and LawBeijing, China
| | - Lixia Cui
- Beijing Key Laboratory of Learning and Cognition and Department of Psychology, Capital Normal UniversityBeijing, China
| | - Feng Li
- Beijing Key Laboratory of Learning and Cognition and Department of Psychology, Capital Normal UniversityBeijing, China
| | - Jing Xiao
- Beijing Key Laboratory of Learning and Cognition and Department of Psychology, Capital Normal UniversityBeijing, China
| | - Qin Zhang
- Beijing Key Laboratory of Learning and Cognition and Department of Psychology, Capital Normal UniversityBeijing, China
| | - Tian P S Oei
- School of Psychology and CBT Unit, Toowong Private Hospital, University of QueenslandBrisbane, QLD, Australia.,Psychology Section, James Cook UniversitySingapore, Singapore
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7
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Ghazwani JY, Khalil SN, Ahmed RA. Social anxiety disorder in Saudi adolescent boys: Prevalence, subtypes, and parenting style as a risk factor. J Family Community Med 2016; 23:25-31. [PMID: 26929726 PMCID: PMC4745198 DOI: 10.4103/2230-8229.172226] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Available information on social anxiety disorder (SAD) in adolescents in Saudi Arabia is limited. The objective of the study was to estimate the prevalence, severity, and subtypes of SAD, and parenting style risk factors associated with SAD in the adolescent. MATERIALS AND METHODS This cross-sectional study was conducted in two secondary schools for boys in Abha, Saudi Arabia during the Academic year 2013. To collect the data, a questionnaire eliciting information on background characteristics and parenting style as well as the Liebowitz Social Anxiety Scale Test (LSAS), for the evaluation of SAD, were used. RESULTS A total of 454 students participated in the study. The age of the participants ranged between 15 and 20 years with a mean of 17.4 years. The prevalence of SAD was 11.7%. Around 36% and 11.4% of the students respectively had severe and more severe forms of SAD. Parenting style such as parental anger, criticism particularly in front of others, exaggerated protection, maltreatment and family provocation emerged as a significant risk factor for SAD. The independent predictors of SAD were a parental provocation and physical or emotional maltreatment by the parent (odds ratio [OR] = 3.97, 95% confidence interval [CI]: 1.90-8.31 and OR = 2.67, 95% CI: 3.17-5.19, respectively). CONCLUSION The prevalence of SAD in secondary school students at Abha is high. Parenting style risk factors for SAD are modifiable. In this context, a national program to improve mental health in this age group is crucial.
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Affiliation(s)
- Jaafar Y. Ghazwani
- Family Medicine Senior Registrar, Administration Supervisor of Khamis Mushayt Sector, Ministry of Health, Aseer Region, Kingdom of Saudi Arabia
| | - Shamsun N. Khalil
- Department of Family and Community Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia
| | - Razia A. Ahmed
- Department of Family and Community Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia
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Santos LF, Loureiro SR, Crippa JAS, Osório FL. Can the Liebowitz Social Anxiety Scale - self-report version be used to differentiate clinical and non-clinical SAD groups among Brazilians? PLoS One 2015; 10:e0121437. [PMID: 25811489 PMCID: PMC4374964 DOI: 10.1371/journal.pone.0121437] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2014] [Accepted: 02/13/2015] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND The Liebowitz Social Anxiety Scale (LSAS) was the first evaluation instrument developed for screening for the signs and symptoms of Social Anxiety Disorder (SAD) and is currently still the most used worldwide. The aim of this study is to evaluate the ability of the LSAS - self-report version (LSAS-SR) to discriminate different Social Anxiety Disorder (SAD) clinical groups. METHOD The sample was composed of Brazilians university students, allocated into three different groups, i.e., cases (C=118), non-cases (NC=95) and subclinical cases (SC=39). To achieve the aim, calculations of the ROC Curve and ANOVA were performed. RESULTS The results found were excellent regardless of the technique used, highlighting the discriminatory capacity of the LSAS-SR. The score equal to or greater than 32 is suggested as a cutoff score for the Brazilian population, since this presented balance between the standards evaluated and the ability to differentiate both clinical and subclinical SAD cases from non-cases. CONCLUSION Despite the specific sample used in this study being composed only of university students, the use of the LSAS-SR can be indicated, in the Brazilian setting, for SAD screening in both clinical and research contexts.
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Affiliation(s)
- Larissa F. Santos
- Department of Neurosciences and Behavioral Sciences, Faculty of Medicine of Ribeirão Preto—USP, Ribeirão Preto, São Paulo, Brazil
| | - Sonia R. Loureiro
- Department of Neurosciences and Behavioral Sciences, Faculty of Medicine of Ribeirão Preto—USP, Ribeirão Preto, São Paulo, Brazil
- National Institute of Technology and Translational Medicine—CNPq, Brazil
| | - José A. S. Crippa
- Department of Neurosciences and Behavioral Sciences, Faculty of Medicine of Ribeirão Preto—USP, Ribeirão Preto, São Paulo, Brazil
- National Institute of Technology and Translational Medicine—CNPq, Brazil
| | - Flávia L. Osório
- Department of Neurosciences and Behavioral Sciences, Faculty of Medicine of Ribeirão Preto—USP, Ribeirão Preto, São Paulo, Brazil
- National Institute of Technology and Translational Medicine—CNPq, Brazil
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