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Louis JP, Lockwood G, Louis KM. A Model of Core Emotional Needs and Toxic Experiences: Their Links with Schema Domains, Well-Being, and Ill-Being. Behav Sci (Basel) 2024; 14:443. [PMID: 38920775 PMCID: PMC11200969 DOI: 10.3390/bs14060443] [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: 03/29/2024] [Revised: 05/20/2024] [Accepted: 05/22/2024] [Indexed: 06/27/2024] Open
Abstract
This study examined the second-order schema domains of Early Maladaptive and Adaptive Schemas based on recent trends and compared them with the five theoretical second-order schema domains commonly used in schema therapy. Using six international Eastern and Western community samples-Singapore (n = 628), Malaysia (n = 229), USA (n = 396), South Africa (n = 390), Nigeria (n = 364), India (n = 306)-confirmatory factor analysis showed that the four second-order domains of EMSs and EASs, which ran almost parallel with each other, were the most robust models calling into question the validity of the five domain model. Given the hypothesized links between schemas and needs, these four categories of EMSs and EASs represent four categories of toxic experiences and core emotional needs, respectively. These categories were supported empirically and are useful to parents as well as to clinicians as they approach child rearing and the treatment of clients in schema therapy from the vantage point of needs. These four categories of psychological core emotional needs, as well as toxic experiences, were found, as expected, to be linked with various measures of well-being and ill-being.
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Affiliation(s)
- John Philip Louis
- Department of Psychology, UCSI University, Kuala Lumpur 56000, Malaysia
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Carlucci L, Innamorati M, Ree M, D’Ignazio G, Balsamo M. Measuring State and Trait Anxiety: An Application of Multidimensional Item Response Theory. Behav Sci (Basel) 2023; 13:628. [PMID: 37622768 PMCID: PMC10451624 DOI: 10.3390/bs13080628] [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: 03/20/2023] [Revised: 07/21/2023] [Accepted: 07/25/2023] [Indexed: 08/26/2023] Open
Abstract
The State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA) is a widely used measure of state and trait anxiety. Within the Classical Testing Theory model, consistent findings provide support for its multidimensional factor structure, discriminant, convergent, and nomological validity, as well as age and gender invariance, across healthy and clinical samples. Nevertheless, some issues regarding STICSA dimensionality and item-scale composition remain unresolved (e.g., both bifactor and two-factor models were found to fit data equally well). The goal of this study was to investigate the STICSA's dimensionality within the Item Response Theory, and to assess the tenability of the bifactor model as a plausible model over the multidimensional model. The sample consisted of 3338 Italian participants (58.21% females; 41.79% males) with an average age of 35.65 years (range: 18-99; SD = 20.25). Both bifactor and two-correlated dimensions of the STICSA scales were confirmed to fit data by applying the multidimensional Item Response Theory (mIRT). While the bifactor model showed better fit indices, the multidimensional model was more accurate and precise (0.86-0.88) in estimating state and trait latent anxiety. A further comparison between multidimensional item parameters revealed that the multidimensional and bifactor models were equivalent. Findings showed that the STICSA is an accurate and precise instrument for measuring somatic and cognitive symptomatology dimensions within state and trait anxiety. The use of the state/trait total score requires special attention from the clinicians and researchers to avoid bias in the psychodiagnostic assessment.
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Affiliation(s)
| | - Marco Innamorati
- Department of Human Sciences, Università Europea di Roma, 00163 Rome, Italy
| | - Melissa Ree
- School of Psychological Science, University of Western Australia, Perth 6009, Australia
| | - Giorgia D’Ignazio
- Department of Psychological, Health and Territorial Sciences, University of “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy
| | - Michela Balsamo
- Department of Psychological, Health and Territorial Sciences, University of “G. d’Annunzio” Chieti-Pescara, 66100 Chieti, Italy
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Motivations of Human Helping Behavior towards Dogs. Vet Sci 2022; 9:vetsci9030145. [PMID: 35324873 PMCID: PMC8953770 DOI: 10.3390/vetsci9030145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 03/16/2022] [Accepted: 03/17/2022] [Indexed: 11/17/2022] Open
Abstract
Human–dog interactions have a positive effect on human sociality and health. The relationship with dogs helps humans to cope with stress during an emotionally challenging period, such as the COVID-19 pandemic. During this period, a growing global interest in pets has been registered, including the volunteering for shelter/stray dog protection. However, a considerable increase of human dysfunctional interventions toward dogs has been observed in Southern Italy. In this study, we investigated the psychological characteristics of humans volunteering at animal shelter or engaged in stray dog protection. The effect of psychological training and education about dog ethological needs on volunteers’ helping behavior was also analyzed. We report that the intervention can improve volunteers’ physiological features and, consequently, may enhance human management and dog welfare.
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Mącik D, Mącik R. Are four maladaptive schema domains a better option than five? Recommendations based on comparison of the latent structure of schemas on a large group of healthy adults. Behav Cogn Psychother 2022; 50:1-11. [PMID: 35105394 DOI: 10.1017/s1352465821000539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND Numerous publications and analyses conducted in various cultures lead to the conclusion that the latent structure of schemas is not unambiguous. The latest proposal by Bach et al. (2017a) includes 18 schemas and four domains; however, a five domain structure is also acceptable. AIM The aim of the research was to directly compare both proposals based on the research of a large group of healthy people. METHOD The schema questionnaire YSQ-S3 was completed by 2348 people aged 18-81 years, of whom women constituted slightly over 54%. RESULTS CFA analyses have demonstrated a poor fit to the data of all analysed models, with the model of four correlated domains, which is also characterised by higher loadings (standardised regression loadings), being the closest to fulfil the criteria. Exploratory factor analyses have shown an almost exact reflection of the structure with the assumed four factors; the structure of five factors has not been recreated. The released number of factors indicated a two-factor solution. The additional analysis confirmed positive medium correlations with negative affect and psychopathology symptoms. Negative correlations of self-esteem, positivity scale and positive affect indicate good divergent validity. CONCLUSION The analysis confirms the existence of 18 schemas and supports the new four-domain model of the latent structure of schemas as more appropriate than a model consisting of five domains.
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Affiliation(s)
- Dorota Mącik
- Institute of Psychology, John Paul II Catholic University of Lublin, al. Racławickie 14, 20-950 Lublin, Poland
| | - Radosław Mącik
- Institute of Management and Quality Studies, Maria Curie-Sklodowska University in Lublin, Plac M.C. Sklodowskiej 5, 20-031 Lublin, Poland
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Panić D, Mitrovic M, Ćirović N. Early Maladaptive Schemas and the Accuracy of Facial Emotion Recognition: A Preliminary Investigation. Psychol Rep 2022:332941221075248. [PMID: 35084239 DOI: 10.1177/00332941221075248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Different developmental experiences related to deep-rooted beliefs about oneself and others may significantly affect individual social emotional competencies, such as the accuracy of facial emotion recognition and detection. This study presents a preliminary examination of the relationship between early maladaptive schemas (EMSs) and the accuracy of recognizing facial expressions showing basic emotions, neutral faces, and discrimination between neutral and emotional faces. The sample consisted of 138 psychology students (M = 20.33; SD = 1.33, 27 of the respondents were male). JACFEE and JACNeuF (Matsumoto & Ekman, 1988) were used as stimulus material for assessing the facial emotion recognition of seven basic emotions (anger, contempt, disgust, fear, sadness, happiness, and surprise) and neutral faces. The Young Schema Questionnaire - Short Form 3 (YSQ-S3; Young, 2005) was administered as a measure of EMSs. The findings demonstrate that all schema domains affect the accuracy of recognizing facial expressions showing negative emotions (anger, contempt, disgust, fear, and sadness). The Dependence/Incompetence, Entitlement/Grandiosity schemas were significant predictors for detecting neutral faces and discriminating between faces with and without emotion, while the Abandonment/Instability schema additionally proved significant for recognizing neutral faces. Limitations and suggestions for future elaboration are acknowledged.
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Affiliation(s)
| | | | - Nikola Ćirović
- Department of Psychology186002University of Nis Faculty of Philosophy
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Thimm JC. The higher-order structure of early maladaptive schemas: A meta-analytical approach. Front Psychiatry 2022; 13:1053927. [PMID: 36532183 PMCID: PMC9753131 DOI: 10.3389/fpsyt.2022.1053927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 11/14/2022] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Early maladaptive schemas (EMSs) are themes regarding oneself and one's relationship with others. In schema therapy, 18 EMSs are described that were initially proposed to be clustered in five domains. The current EMS model comprises four domains. However, empirical investigations into the grouping of EMSs have yielded divergent results. The purpose of the present study was to use a meta-analytical approach to examine the higher-order organization of EMSs. METHODS To be included in the statistical analyses, studies had to report the associations between all 18 EMSs using a form of the Young Schema Questionnaire. In a systematic literature review in PsycInfo, Embase, MEDLINE, Web of Science, and Google scholar, 27 studies were identified that reported the associations between EMSs in 33 independent samples (N = 13,958, M age = 16-72.3 years, 64.0% female). The correlations between EMSs were pooled across samples and analyzed using confirmatory factor analysis (CFA) and principal component analysis (PCA). RESULTS The CFA results showed weak support for any of the previously suggested EMS domains. After PCA, four EMS domains were retained that closely resembled the theoretically proposed organization of EMSs. The four components showed fair to good congruence in the clinical and non-clinical subsamples. However, a model with three EMS domains showed a simpler structure. DISCUSSION The results suggest a need for further theoretical and empirical clarification of the higher-order structure of EMSs. SYSTEMATIC REVIEW REGISTRATION https://osf.io/57wyz.
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Affiliation(s)
- Jens C Thimm
- Centre for Crisis Psychology, University of Bergen, Bergen, Norway.,Department of Psychology, UiT The Arctic University of Norway, Tromsø, Norway
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Tariq A, Quayle E, Lawrie SM, Reid C, Chan SWY. Relationship between Early Maladaptive Schemas and Anxiety in Adolescence and Young Adulthood: A systematic review and meta-analysis. J Affect Disord 2021; 295:1462-1473. [PMID: 34563389 DOI: 10.1016/j.jad.2021.09.031] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Revised: 08/25/2021] [Accepted: 09/12/2021] [Indexed: 01/04/2023]
Abstract
BACKGROUND Early maladaptive schemas (EMS) are self-perpetuating dysfunctional cognitive structures that have been linked with youth psychological health and play a significant role in developing and maintaining psychological distress, including anxiety symptoms. METHOD The present meta-analysis synthesises the existing literature to evaluate the strength of association between EMS and anxiety symptoms among adolescents and young adults (aged 10-29 years). The systematic literature search was carried out in October 2019 using six different databases. RESULTS Our systematic search has identified 15 studies, comprising of 9515 participants (Mean age = 18.95, SD = 5.30). All the studies assessed were either cross-sectional or longitudinally designed. The random effect estimate for overall EMS with anxiety was r = 0.59 (95% Cl = 0.50 to 0.68, Z = 9.69, p < 0.0001), indicating a strong association between EMS and anxiety. When different schema domains were investigated separately, anxiety was shown to have significantly stronger associations with the schema domains of disconnection/rejection (r = 0.50), impaired autonomy/performance (r = 0.47) and other-directedness (r = 0.49). Further, females were found to have higher schemas of hypervigilance and other-directedness and associated anxiety symptoms compared to males. LIMITATIONS Meta-analytical results were limited to articles published in peer-reviewed journals in English language, inducing an upward publication bias and limiting the generalizability of the findings. CONCLUSIONS The findings highlight schemas related to disconnection/rejection, impaired autonomy/performance and other-directedness as particularly salient precursors of anxiety symptoms, providing evidence for clinicians to target these particular schemas during prevention, intervention, and management of anxiety disorder.
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Affiliation(s)
- Asnea Tariq
- School of Health in Social Science, University of Edinburgh, United Kingdom.
| | - Ethel Quayle
- School of Health in Social Science, University of Edinburgh, United Kingdom
| | | | | | - Stella W Y Chan
- School of Psychology & Clinical Language Sciences, University of Reading, United Kingdom
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Bishop A, Younan R, Low J, Pilkington PD. Early maladaptive schemas and depression in adulthood: A systematic review and meta-analysis. Clin Psychol Psychother 2021; 29:111-130. [PMID: 34131990 DOI: 10.1002/cpp.2630] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Revised: 05/31/2021] [Accepted: 06/09/2021] [Indexed: 11/08/2022]
Abstract
BACKGROUND Improved understanding of the specific cognitive risk factors associated with depression is needed to inform prevention and treatment approaches. Recent research has examined the relationship between early maladaptive schemas (EMSs) and depression, but the findings were yet to be integrated using meta-analytic methods. The aim of this review was to synthesize the evidence on the relationship between depression and EMS. METHOD A systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, by searching the PsycINFO, PubMed and CINAHL databases. Included studies were peer-reviewed journal articles that examined the relationship between one or more EMS and depression in adulthood in participants aged 18 years or older. RESULTS A total of 51 studies were included (k = 743; pooled N = 17,830). All 18 EMSs were positively correlated with depression, with effect sizes ranging from small (r = .23 [.17, .29]; Entitlement) to large (r = .53 [.46, .60]; Social Isolation; r = .50, 95% CI [.45, .54]; Defectiveness/Shame). CONCLUSION The evidence suggests that individuals who feel like they do not belong, or that they are flawed, bad or unlovable, report higher levels of depression. However, most studies used cross-sectional designs, and further longitudinal research is needed to establish the direction of the relationship between EMS and depression. These findings can guide preventative and treatment approaches. Focusing treatment on the Social Isolation and Defectiveness/Shame EMS may aid in relieving depressive symptoms.
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Affiliation(s)
- Amy Bishop
- School of Behavioural and Health Sciences, Faculty of Health Sciences, Australian Catholic University, Melbourne, Australia
| | - Rita Younan
- Schema Therapy Institute of Australia, Melbourne, Australia
| | - Jennifer Low
- School of Behavioural and Health Sciences, Faculty of Health Sciences, Australian Catholic University, Melbourne, Australia
| | - Pamela D Pilkington
- School of Behavioural and Health Sciences, Faculty of Health Sciences, Australian Catholic University, Melbourne, Australia
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Tariq A, Reid C, Chan SWY. A meta-analysis of the relationship between early maladaptive schemas and depression in adolescence and young adulthood. Psychol Med 2021; 51:1233-1248. [PMID: 34109934 DOI: 10.1017/s0033291721001458] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Early maladaptive schemas (EMS) are broad, pervasive themes and patterns of emotions, memories, cognition and physical sensations that impede the goal of individuals. Maladaptive behaviours can occur as a response to maladaptive or negative schemas, often culminating in depression or anxiety. The current meta-analysis integrates the existing literature to estimate the magnitude of effect of association between EMS and depression among adolescents and young adults. A systematic search of seven different databases including Embase, CINAHL, Medline, ASSIA, Psych INFO, Scopus and Web of Science was carried out identifying 24 relevant studies of adolescents (10-18 years) and young adults (19-29 years). The random-effect model estimate for association between overall EMS and depression was r = 0.56 (95% CI 0.49-0.63, Z = 12.88, p ≤ 0.0001), suggesting higher predominant EMS significantly linked to higher levels of depressive symptoms, with a large effect size. Separate meta-analytical results with schema domains indicated moderately stronger associations between schemas of disconnection/rejection, impaired autonomy/performance and other-directedness with depression. Age and gender were not found to have any significant moderating effect on the associations. The findings suggest that it is vital for clinicians to identify specific maladaptive schemas contributing towards depression, to have a better understanding of underlying cognitive processes and in turn promote psychological health, well-being and resilience in adolescents and young adults. Furthermore, findings will also assist clinicians to focus more on the content of three significant schema domains, which emerged as particularly salient factors underlying adolescent depression.
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Affiliation(s)
- Asnea Tariq
- School of Health in Social Science, University of Edinburgh, Edinburgh, UK
| | - Corinne Reid
- Chancellery, Victoria University, Melbourne, Australia
| | - Stella W Y Chan
- School of Psychology & Clinical Language Sciences, University of Reading, Reading, UK
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10
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Yalcin O, Lee C, Correia H. Factor Structure of the Young Schema Questionnaire (Long Form‐3). AUSTRALIAN PSYCHOLOGIST 2021. [DOI: 10.1111/ap.12458] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Ozgur Yalcin
- School of Psychology and Exercise Science, Murdoch University, Perth, Western Australia, Australia,
| | - Christopher Lee
- School of Psychology and Exercise Science, Murdoch University, Perth, Western Australia, Australia,
- Faculty of Health and Medical Sciences, University of Western Australia, Perth, Western Australia, Australia,
| | - Helen Correia
- School of Psychology and Exercise Science, Murdoch University, Perth, Western Australia, Australia,
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Siahmoshtei J, Delavar A, Borjali A. A preliminary study: designing and validating projective images of Young's early maladaptive schema (EMS) domains. BMC Psychol 2021; 9:16. [PMID: 33509281 PMCID: PMC7841900 DOI: 10.1186/s40359-021-00514-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Accepted: 01/12/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND This study aims to design and validate ten projective images of Young's Early Maladaptive Schema (EMS) domains. For this purpose, two questions are to be addressed. (1) How is the factorial structure of the projective images of EMS domains? (2) Do the images designed in the domains of disconnection and rejection, impaired autonomy and performance, impaired limits, other-directedness, and over-vigilance and inhibition have sufficient validity? METHODS This is an applied mixed-methods exploratory study, in which the statistical population consisted of psychologists from Tehran Province in the qualitative section (n = 8) as well as other individuals aged between 18 and 65 years (mean age = 33) from Qazvin in the quantitative section (n = 102) in 2018. The research questions were analyzed through principal axis factoring with a varimax rotation, confirmatory factor analysis, Pearson correlation coefficient, and Cronbach's alpha. RESULTS According to the results, ten images and five domains of Young's EMSs contribute to a simple structure. Accounting for 70.35% of the total variance of EMSs, the five dimensions include disconnection and rejection, impaired autonomy and performance, impaired limits, other-directedness, and over-vigilance and inhibition. CONCLUSIONS The results indicated that the designed projective images yielded acceptable construct validity.
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Xiao H, Lin R, Wu Q, Shen S, Yan Y. Negative Problems Orientation Questionnaire for Chinese Adolescents: Bifactor Model and Measurement Invariance. Front Psychol 2020; 11:608676. [PMID: 33362669 PMCID: PMC7758203 DOI: 10.3389/fpsyg.2020.608676] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Accepted: 11/20/2020] [Indexed: 12/03/2022] Open
Abstract
The Negative Problem Orientation Questionnaire (NPOQ) is a widely used tool for assessing negative problem orientation (NPO). However, its construct and measurement invariance has not been adequately tested in adolescents. The present study explored the possible construct of the NPOQ and its measurement invariance in a sample of 754 Chinese adolescents (51.6% girls, all 12–18 years old). The results supported a bifactor model of the NPOQ that consists of a general factor NPO and three domain-specific factors including perceived threat, self-inefficacy, and negative outcome expectancy. A multiple-group CFA indicated that the bifactor model showed strict invariance across gender and age. The general and domain factors showed unique variance in indexes of worry, depression, anxiety, and stress, which supported well incremental validity of them. This study confirms for a bifactor conceptualization of the NPOQ and its measurement invariance across gender and age in Chinese adolescents. Additionally, it is recommended that the total score should be used to assess NPO in Chinese adolescents.
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Affiliation(s)
- Huiwen Xiao
- School of Psychology, Fujian Normal University, Fuzhou, China
| | - Rongmao Lin
- School of Psychology, Fujian Normal University, Fuzhou, China
| | - Qiaoling Wu
- School of Psychology, Fujian Normal University, Fuzhou, China
| | - Saili Shen
- School of Psychology, Fujian Normal University, Fuzhou, China.,Guilin University of Aerospace Technology, Guilin, China
| | - Youwei Yan
- School of Psychology, Fujian Normal University, Fuzhou, China
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Murdock KK, Carlucci L, Balsamo M. A Cross-Cultural Investigation of Co-Rumination Via Cellphone Among Emerging Adults. JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY 2019. [DOI: 10.1521/jscp.2019.38.7.671] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Introduction: This study investigated cellphone-mediated co-rumination and its association with emerging adults' anxiety, depression, and social functioning. Comparisons on the basis of gender and nation of residence (United States vs. Italy) were made, and the co-rumination subcomponent of co-brooding was explored. Method: Participants included 216 undergraduate students recruited in the southeastern United States and 375 students recruited in southern Italy. Results: Co-rumination via cellphone was associated with higher levels of anxiety and depression and lower levels of social self-efficacy in the U.S. sample. Analyses of the co-brooding element of co-rumination via cellphone revealed its robust association with anxiety and depression in the U.S. sample. In contrast, among Italian emerging adults co-rumination via cellphone was not associated with anxiety or depression and it was positively associated with social well-being. Co-brooding via cellphone was not associated with anxiety or depression in the Italy sample. Discussion: Cross-cultural and gender differences in co-rumination via cellphone and psychosocial functioning are discussed.
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Metacognitive Interpersonal Therapy in Groups for Over-Regulated Personality Disorders: A Single Case Study. JOURNAL OF CONTEMPORARY PSYCHOTHERAPY 2019. [DOI: 10.1007/s10879-018-9401-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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15
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Carlucci L, Watkins MW, Sergi MR, Cataldi F, Saggino A, Balsamo M. Dimensions of Anxiety, Age, and Gender: Assessing Dimensionality and Measurement Invariance of the State-Trait for Cognitive and Somatic Anxiety (STICSA) in an Italian Sample. Front Psychol 2018; 9:2345. [PMID: 30538658 PMCID: PMC6277473 DOI: 10.3389/fpsyg.2018.02345] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2018] [Accepted: 11/08/2018] [Indexed: 12/31/2022] Open
Abstract
The State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA) is a widely used measure of state and trait anxiety that permits a specific assessment of cognitive and somatic anxiety. Previous research provided inconsistent findings about its factor structure in non-clinical samples (e.g., hierarchical or bi-factor structure). To date, no psychometric validation of the Italian version of the STICSA has been conducted. Our study aimed to determine the psychometric functioning of the Italian version of the STICSA, including its dimensionality, gender and age measurement equivalence, and convergent/divergent validity in a large sample of community-dwelling participants (N = 2,938; 55.9% female). Through confirmatory factor analysis, the multidimensional structure of both State and Trait STICSA scales, with each including Cognitive and Somatic dimensions, was supported. Factor structure invariance was tested and established at configural, metric, and scalar levels for males and females. Additionally, full factorial measurement invariance was supported for the State scale across young, middle age, and old adult groups whereas the Trait scale was partially invariant across age groups. The STICSA also showed good convergent validity with concurrent anxiety measures (State-Trait Anxiety Inventory and Beck Anxiety Inventory), and satisfactory internal discriminant validity with two depression measures (Teate Depression Inventory and Beck Depression Inventory-II). Results provided support for the multidimensionality of the STICSA, as well as the generalizability of the State and Trait scales as independent measures of Cognitive and Somatic symptomatology across gender in the general population. Implications for research and personality and clinical assessment are discussed.
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Affiliation(s)
- Leonardo Carlucci
- School of Medicine and Health Sciences, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy
| | - Marley W Watkins
- Department of Educational Psychology, Baylor University, Waco, TX, United States
| | - Maria Rita Sergi
- School of Medicine and Health Sciences, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy
| | - Fedele Cataldi
- School of Medicine and Health Sciences, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy
| | - Aristide Saggino
- School of Medicine and Health Sciences, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy
| | - Michela Balsamo
- School of Medicine and Health Sciences, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy
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Troisi G. Measuring Intimate Partner Violence and Traumatic Affect: Development of VITA, an Italian Scale. Front Psychol 2018; 9:1282. [PMID: 30093875 PMCID: PMC6070688 DOI: 10.3389/fpsyg.2018.01282] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Accepted: 07/04/2018] [Indexed: 11/25/2022] Open
Abstract
In a global context where the percentage of women who are victim of violence is still high (World Health Organization, 2013), intimate partner violence (IPV) can be considered the most widespread form of violence against women: in such cases violent attacks are perpetuated or threatened by a partner or ex-partner within an intimate relationship, which makes its recognition more difficult. IPV requires specific tools and, although the literature has highlighted the specific role played by some emotions (such as shame, guilt, and fear) that keep women experiencing this violence in a state of passivity and confusion, to date too little attention has been given to the construction of sound instruments able to detect post-traumatic affectivity. Such instruments could facilitate women who have suffered from IPV in recognizing it and in making the responses of women's health services more sensitive and structured. This study illustrates a sequential item development process to elaborate a new self-report instrument (VITA Scale: Intimate Violence and Traumatic Affects Scale) for assessing the intensity of post-traumatic affect derived from IPV. Within a psychodynamic perspective, the scale is characterized by four affects: fear, as a state of alarm elicited by the avoidance of the danger; terror, as a paralyzing state that hinders an active process of reaction; shame as a strong exposure to the other that disarms the individual and the guilt as a defensive dimension aiming at the restoring of the link with the abusive partner. Trough specific methodological steps, a 28-item set was selected and administered to a sample of 302 Italian women who declared themselves as having suffered from IPV. Explorative and confirmatory factor analysis, as well as correlations with well-established concurrent tools were computed in order to investigate its psychometric property. A factorial structure composed of four factors, consistent with theoretical scales and a good internal consistency (Cronbach's alphas from 0.80 to 0.90) emerged. The VITA Scale could be a useful tool for clinicians and researchers to investigate the intensity of the affective state of the woman suffered from IPV. It could be useful to better address the clinical practice and therapeutic intervention planning.
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Affiliation(s)
- Gina Troisi
- Department of Humanities, University of Naples Federico II, Naples, Italy
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Tommasi M, Ferrara G, Saggino A. Application of Bayes' Theorem in Valuating Depression Tests Performance. Front Psychol 2018; 9:1240. [PMID: 30083119 PMCID: PMC6064972 DOI: 10.3389/fpsyg.2018.01240] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Accepted: 06/28/2018] [Indexed: 11/13/2022] Open
Abstract
The validity of clinical diagnoses is a fundamental topic in clinical psychology, because now there are some political administrations, as the IOM or the U.K. government, which are focusing on best evidence-based practice in clinical psychology. The most problematic issue in clinical psychology is to avoid wrong diagnoses which can have negative consequences on individual life and on the utility of clinical treatments. In the case of diagnoses based on self-report tests, the diagnostic decision about individual health is based on the comparison between its score and the cutoff, according to the frequentist approach to probability. However, the frequentist approach underestimates the possible risks of incorrect diagnoses based on cutoffs only. The Bayesian approach is a valid alternative to make diagnoses on the basis of the scores from psychological tests. The Bayes' theorem estimates the posterior probability of the presence of a pathology on the basis of the knowledge about the diffusion of this pathology (prior probability) and of the knowledge of sensitivity and specificity values of the test. With all this information, it is possible to estimate the diagnostic accuracy of some self-report tests used for assessing depression. We analyzed the diagnostic accuracy of the most used psychological tests of depression (Zung's Self-Rating Depression Scale, Hamilton Rating Scale for Depression, Center for Epidemiological Studies for Depression and the Beck Depression Inventory), together with a new scale (Teate Depression Inventory) developed with the IRT procedure, by analyzing the published works in which data about sensitivity and specificity of these scales are reported. Except the TDI, none of these scales can reach a satisfactory level of diagnostic accuracy, probably for the absence of an optimal procedure to select test items and subjects with clearly defined pathological symptoms which could allow the reduction of false positives in test scoring.
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Affiliation(s)
- Marco Tommasi
- Department of Psychological, Health and Territorial Sciences, Università degli Studi G. d'Annunzio Chieti e Pescara, Chieti, Italy
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Carlucci L, D'Ambrosio I, Innamorati M, Saggino A, Balsamo M. Co-rumination, anxiety, and maladaptive cognitive schemas: when friendship can hurt. Psychol Res Behav Manag 2018; 11:133-144. [PMID: 29692638 PMCID: PMC5903493 DOI: 10.2147/prbm.s144907] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
Background This study investigated maladaptive cognitive schemas as mediators of the relationship between co-rumination and anxiety. Methods Self-report measures of co-rumination, trait cognitive and somatic anxiety, and early maladaptive cognitive schemas were provided to a nonclinical sample of 461 young adults. Mediation of co-rumination and trait somatic and cognitive anxiety by each early maladaptive schema domain was tested using nonparametric, bootstrap-based resampling. Results Significant associations between co-rumination and trait and cognitive anxiety were mediated by schema domains related to Rejection and Disconnection, Overvigilance and Inhibition, and Impaired Autonomy. The association between co-rumination and somatic anxiety was mediated by domains related to Rejection and Disconnection and Impaired Autonomy. Conclusion The results of this study showed that those who engage in co-rumination, potentially resulting in clinical levels of anxiety, might benefit from treatment that focuses on themes of rejection sensitivity and belonging, beliefs about autonomy, and when the anxiety is more cognitive, treatment that focuses on hypercriticalness and emotional inhibition too.
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Affiliation(s)
- Leonardo Carlucci
- Department of Psychological Sciences, Health and Territory, "G. d'Annunzio" University, Chieti, Italy
| | - Ines D'Ambrosio
- Department of Psychological Sciences, Health and Territory, "G. d'Annunzio" University, Chieti, Italy
| | - Marco Innamorati
- Department of Psychological Sciences, Health and Territory, "G. d'Annunzio" University, Chieti, Italy
| | - Aristide Saggino
- Department of Psychological Sciences, Health and Territory, "G. d'Annunzio" University, Chieti, Italy
| | - Michela Balsamo
- Department of Psychological Sciences, Health and Territory, "G. d'Annunzio" University, Chieti, Italy
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The Association between Food Addiction and Early Maladaptive Schemas in Overweight and Obese Women: A Preliminary Investigation. Nutrients 2017; 9:nu9111259. [PMID: 29149076 PMCID: PMC5707731 DOI: 10.3390/nu9111259] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2017] [Revised: 11/11/2017] [Accepted: 11/14/2017] [Indexed: 12/17/2022] Open
Abstract
In recent years, there has been a growing focus on early maladaptive schemas (EMSs) as core features associated with eating psychopathology. The aims of the present study were to assess in overweight and obese women: (i) the association between dysfunctional eating patterns (i.e., food addiction and binge eating) and EMSs, and (ii) the association between food addiction and EMSs after controlling for potential confounding variables (i.e., binge eating severity and psychopathology). Participants were 70 overweight and obese women seeking low-energy-diet therapy. The patients were administered self-report measures investigating food addiction, binge eating, EMSs, anxiety symptoms, and depressive symptoms. Food addiction severity was strongly associated with all main schema domains. Binge eating severity was positively related to disconnection/rejection (r = 0.41; p < 0.01), impaired limits (r = 0.26; p < 0.05), and other-directedness domains (r = 0.27; p < 0.05). The disconnection/rejection schema was independently associated with food addiction severity, after controlling for the presence of other potential confounding variables (i.e., binge eating severity and psychopathology) suggesting that this domain may be a crucial factor for the development of food addiction.
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