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Pedone R, Semerari A. Preliminary Development and Psychometric Evaluation of the Metacognition Brief Rating Scale: An Informant form of the Metacognition Self-Assessment Scale. CLINICAL NEUROPSYCHIATRY 2023; 20:511-522. [PMID: 38344460 PMCID: PMC10852410 DOI: 10.36131/cnfioritieditore20230606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 04/13/2024]
Abstract
Objective Metacognition has been conceptualized as the ability to reflect on self and others' mental states and representations, including affects, beliefs, and intentions. The Metacognition Self-Assessment Scale (MSAS) was developed to assess various aspects of metacognition, aiming to leverage its potential applications in fields like clinical psychology and psychotherapy. However, a concern associated with MSAS is whether individuals can accurately self-report difficulties in identifying and describing mental states, both their own and others', when they lack these abilities. In response to this challenge, we aimed to develop and validate an alternative reporting tool, the Metacognition Brief Rating Scale (MBRS), which serves as an informant form of MSAS. Method The MBRS was administered to 384 individuals randomly recruited from the general population. We employed a methodological strategy based on three successive steps. In the preliminary step, items from the MSAS were rewritten into a third-person version by the authors. In the second step, we examined whether the four-factor structure was congruent between the informant-report (MBRS) and the self-report (MSAS) using exploratory and confirmatory factor analysis. In the last step, we examined and compared the psychometric properties of the MBRS and MSAS items, including item characteristics and internal reliability analyses. Results The psychometric properties (items and scales) of both versions were found to be adequate, and the four-factor structure of the MBRS was supported. The correlation between the two versions was statistically significant, and the factor structures were similar. Conclusions The results support the psychometric properties of the MBRS. However, further research is needed, especially in larger non-clinical and clinical samples, to replicate and extend these findings.
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Affiliation(s)
- Roberto Pedone
- Deparment of Psychology, University of Campania "Luigi Vanvitelli", Italy
- Center of Cognitive Psychotherapy and Neuropsychology, Caserta, Italy
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Farina B, Liotti M, Imperatori C, Tombolini L, Gasperini E, Mallozzi P, Russo M, Simoncini Malucelli G, Monticelli F. Cooperation within the therapeutic relationship improves metacognitive functioning: preliminary findings. RESEARCH IN PSYCHOTHERAPY (MILANO) 2023; 26. [PMID: 37946579 DOI: 10.4081/ripppo.2023.712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Accepted: 10/15/2023] [Indexed: 11/12/2023]
Abstract
Both clinical observations and empirical data suggest that metacognitive functioning is a factor strongly associated with a good psychotherapeutic outcome. It has been suggested that some interpersonal social motivations (i.e., attachment and cooperation) may be associated with different levels of metacognitive functioning also within the therapeutic relationship. The aim of this study was to explore the relationship between cooperation and metacognitive monitoring within 58 psychotherapy sessions from seven different patients. All patients were initially assessed through a detailed psychiatric interview. Patients' adult attachment styles were evaluated using the Attachment Style Questionnaire. The association between the activation of patients' interpersonal social motivations (e.g., cooperation and attachment) and the modifications of metacognitive abilities during sessions was investigated using the Assessing Interpersonal Motivations in Transcripts method and the Metacognition Assessment Scale have been used. Our results showed that the activation of the patient's cooperative system is positively associated with an increase in metacognitive functioning, while the activation of attachment is not. The results of the present study have important implications for clinicians: they give empirical support for the role of cooperation in fostering metacognition within the therapeutic relationship.
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Affiliation(s)
- Benedetto Farina
- Experimental and Applied Psychology Laboratory, Department of Human Sciences, European University of Rome.
| | - Marianna Liotti
- Department of Dynamic, Clinical and Health Psychology, Sapienza University of Rome.
| | - Claudio Imperatori
- Experimental and Applied Psychology Laboratory, Department of Human Sciences, European University of Rome.
| | | | - Elena Gasperini
- InPsico Center for Integrated Psychotherapy, Castelfidardo (AN).
| | | | - Marianna Russo
- Distretto Socio Sanitario n. 53, Foggia Local Health Unit.
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Fiorini LA, Borg A, Debono M. Part-time adult students’ satisfaction with online learning during the COVID-19 pandemic. JOURNAL OF ADULT AND CONTINUING EDUCATION 2022; 28:354-377. [PMCID: PMC8977422 DOI: 10.1177/14779714221082691] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/12/2023]
Abstract
Introduction : The COVID-19 pandemic resulted in many tertiary institutions switching overnight from taught to online lectures without much preparation. Studies suggest that the sudden change has impacted on students’ satisfaction with online learning in differing ways. Yet, little is known about how this change impacted specifically on adult part-time students, which is the focus of this study. Methods : Part-time adult undergraduate students responded to a mixed methods online questionnaire. Close-ended questions were analysed quantitatively in order to determine levels of satisfaction with online learning during COVID-19 as well as its correlates. Open-ended questions were analysed qualitatively in order to explore the perceived benefits and challenges associated with online learning during this period. Results : Levels of satisfaction with online learning were found to be high, especially among students who were female, those who did not have young children, had partners who worked in excess of 40 hours, were able to follow lectures from locations other than the home, and those following non-technical courses. Several benefits of online learning were identified, including time saved on commuting, the ability to study from the comfort of home and the fact that lectures could now be recorded. Challenges included those related to technology, a lack of interaction amongst students and part-time lecturers who struggled with the sudden switch to online learning. Despite this, most students indicated they would like online lectures to continue to various degrees even after it was safe to return to class. Conclusion and implications : Online lectures were generally rated positively by adult part-time students. In view of the benefits and some of the challenges associated with online learning, it is recommended that future academic programmes adopt a blended approach whilst more support is provided to those who find it challenging to follow lectures from home.
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Affiliation(s)
- Luke A Fiorini
- Centre for Labour Studies, University of Malta, Msida, Malta
| | - Anna Borg
- Centre for Labour Studies, University of Malta, Msida, Malta
| | - Manwel Debono
- Centre for Labour Studies, University of Malta, Msida, Malta
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Fouad MM, Zawilla NH, Maged LA. Work performance among healthcare workers with post COVID-19 syndrome and its relation to antibody response. Infection 2022:10.1007/s15010-022-01942-4. [DOI: 10.1007/s15010-022-01942-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Accepted: 10/08/2022] [Indexed: 11/29/2022]
Abstract
Abstract
Purpose
Health care workers (HCWs) are frontliners in facing Cornoravirus disease (COVID-19) and hence are amongst the high risk groups of acquiring COVID-19 infection. The impact of COVID-19 infection and post-infection sequelae on work performance has deleterious effects on HCWs and the whole community. The aim of the current study is to assess the impact of COVID-19 infection particularly those with post-COVID-19 syndrome on work performance among HCWs and to determine if a possible relationship with antibody response exists.
Methods
A sample of 69 previously PCR-positive health care workers matched to another group of 69 control PCR-negative health care workers from the same clinical departments were subjected to full medical history, clinical examination, measuring serum specific immunoglobulins against severe acute respiratory syndrome coronavirus 2 (SARSCoV-2), Health work performance questionnaire short form of absenteeism and presenteeism and Functional dysfunction grading questionnaire.
Results
The most frequently encountered symptom by patients with post-acute COVID-19 was fatigue while it was dyspnea for those who were chronic COVID patients. Patients with post-acute COVID-19 had a significantly longer time for PCR negative conversion and had a more severe disease. There was no association between post-acute COVID-19 and immunoglobulin positivity. COVID-19 syndrome had a negative impact on work performance manifested by lower relative presenteeism and lower month/year performance ratio (p < 0.001, p < 0.001). However comparing patients with post-COVID-19 syndrome to patients without the syndrome revealed no significant work performance difference between both groups.
Conclusion
COVID-19 syndrome negatively impacts work performance in HCWs manifested by lower relative presenteeism and lower month/year performance ratio. Although post-COVID-19 results resulted in higher levels of fatigue and functional limitation, it did not have a significant negative impact on work performance. Specific immunoglobulins against SARS CoV-2 were not associated with the post-COVID-19 syndrome.
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Khudaykulov A, Changjun Z, Obrenovic B, Godinic D, Alsharif HZH, Jakhongirov I. The fear of COVID-19 and job insecurity impact on depression and anxiety: An empirical study in China in the COVID-19 pandemic aftermath. CURRENT PSYCHOLOGY 2022:1-14. [PMID: 35287294 PMCID: PMC8906526 DOI: 10.1007/s12144-022-02883-9] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/04/2022] [Indexed: 12/15/2022]
Abstract
The employees' psychological health and resilience in times of emergency and general uncertainty was chosen due to the immense implications for economics, entrepreneurs, psychologists and psychiatrists, and policymakers. This study aims to provide an insight into uncertainty-induced anxiety and depression among Chinese employees in the aftermath of the COVID-19 outbreak. Analysis performed in the context of China in the COVID-19 pandemic aftermath is significant due to the universal nature of external shock impact on psychological welfare, applicable across nations and business sectors and in similar contexts. The statistical analysis was performed with SEM software AMOS version 23. The research model consisting of fear of COVID-19, job insecurity, anxiety, depression, was empirically tested. A purposive sampling technique was applied with the online questionnaire shared with employees in companies located in China. Respondents were working in educational services, information technology, engineering, electronics, and other sectors on white-collar jobs. The data collection was conducted from May to August 2020, in the aftermath of the COVID-19 pandemic in China. The research sample consisting of 283 respondents was used for analysis. Path analysis was performed, and standardized parameter estimates, standard errors, and p-values were calculated. The results indicate a positive and significant impact of job insecurity on depression and anxiety. Furthermore, results indicate that the fear of COVID-19 significantly impacts anxiety and depression but does not impact job insecurity. The findings can be used in a multidisciplinary effort to mitigate the psychological damage. Furthermore, they complement the ongoing epidemiological and scientific discourse on people's personal health and choice of coping.
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Affiliation(s)
- Akmal Khudaykulov
- School of Management, Huazhong University of Science and Technology, Wuhan, 430074 China
| | - Zheng Changjun
- School of Management, Huazhong University of Science and Technology, Wuhan, 430074 China
| | - Bojan Obrenovic
- School of Management, Jiangsu University, Zhenjiang, 212013 China
| | - Danijela Godinic
- Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
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Gaztambide DJ. Love in a time of anti-Blackness: social rank, attachment, and race in psychotherapy. Attach Hum Dev 2021; 24:353-365. [PMID: 34672242 DOI: 10.1080/14616734.2021.1976935] [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: 10/20/2022]
Abstract
This paper draws on critical race theory and research on attachment, social rank and dehumanization to theorize the implications of addressing anti-Blackness in psychotherapy with both Black and non-Black clients in the context of White Supremacy. Drawing on and critiquing a recent review of attachment theory and race, the author draws on historical and empirical research outlining the contours of a racial capitalist world. Recontextualizing attachment theory through this critical race theory lens, it will be argued psychotherapy must address anti-Blackness with both Black and non-Black clients, redefining therapeutic action not only as the provision of repair of interpersonal ruptures, but also as the capacity to mentalize about socio-historical ruptures, allowing space to clarify and pursue one's values despite an anti-Black, capitalist and White Supremacist world. This paper will provide case examples illustrating these principles with Black and non-Black clients and conclude with their clinical and political implications.
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Affiliation(s)
- Daniel J Gaztambide
- Department of Psychology, The New School for Social Research, New York, NY, USA
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Reis S, Huxley E, Eng Yong Feng B, Grenyer BFS. Pathological Narcissism and Emotional Responses to Rejection: The Impact of Adult Attachment. Front Psychol 2021; 12:679168. [PMID: 34335393 PMCID: PMC8319504 DOI: 10.3389/fpsyg.2021.679168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Accepted: 06/22/2021] [Indexed: 11/15/2022] Open
Abstract
Background: Aspects of pathological narcissism, such as grandiosity, vulnerability and entitlement, tend be enacted in therapeutic settings, negatively influencing outcome and alliance between the clients and therapist. This research took an experimental approach to understanding the interplay between the emotional reactions of individuals with a pathological narcissistic presentation, and adult attachment style. We predicted that participants reporting narcissistic vulnerability would report greater insecurity in attachment (fearful and preoccupied styles), greater trait emotional reactivity, and also experience more intense and negative responses to simulated rejection Methods: 269 participants (75.84% female, median age = 21) completed baseline and rejection trials of a virtual ball-tossing game, following the assessment of grandiose and vulnerable pathological narcissism, entitlement, adult attachment, trait emotional reactivity (measured prior to the rejection) and in-situ affective response (measured both before and after the rejection). Change in affect from baseline was calculated to capture affective responses to the manipulation. Results: Vulnerable narcissism was positively associated with both fearful and preoccupied attachment, and negatively associated with secure and dismissive attachment, whilst grandiose narcissism was significantly related to preoccupied attachment only. Multiple hierarchical regression analyses showed vulnerable narcissism predicted both (1) more negative trait emotional reactivity and (2) a significant increase in negative affect following the rejection trial. Grandiose narcissism was associated with (1) higher positive trait emotional reactivity, and (2) significant reductions in positive affect following rejection. Conclusion: Results indicated that those high in pathological narcissistic vulnerability reported greater insecurity in attachment, negative trait emotional reactivity and experienced a more negative and intense emotional reaction to rejection. Grandiose narcissism was related to a more deactivated pattern of emotional reactivity, and less positive (rather than more negative) emotional reactions. Findings have important implications for therapy, particularly regarding communication of emotions for individuals high in vulnerable and grandiose narcissism.
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Affiliation(s)
- Samantha Reis
- School of Psychology, University of Wollongong, Wollongong, NSW, Australia.,Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia
| | - Elizabeth Huxley
- School of Psychology, University of Wollongong, Wollongong, NSW, Australia.,Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia
| | | | - Brin F S Grenyer
- School of Psychology, University of Wollongong, Wollongong, NSW, Australia.,Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia
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Abstract
This paper proposes a model for developmental psychopathology that is informed by recent research suggestive of a single model of mental health disorder (the p factor) and seeks to integrate the role of the wider social and cultural environment into our model, which has previously been more narrowly focused on the role of the immediate caregiving context. Informed by recently emerging thinking on the social and culturally driven nature of human cognitive development, the ways in which humans are primed to learn and communicate culture, and a mentalizing perspective on the highly intersubjective nature of our capacity for affect regulation and social functioning, we set out a cultural-developmental approach to psychopathology.
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Facial emotion recognition in borderline patients is unaffected by acute psychosocial stress. J Psychiatr Res 2021; 132:131-135. [PMID: 33091687 DOI: 10.1016/j.jpsychires.2020.10.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 09/30/2020] [Accepted: 10/12/2020] [Indexed: 01/01/2023]
Abstract
Borderline Personality Disorder (BPD) is characterized by difficulties in social cognition and social interactions, which exacerbate under stress. A previous study found better facial emotion recognition (FER) in patients with personality disorders and healthy controls (HC) after stress. We recently reported that emotional empathy scores, i.e. the emotional response to another person's emotional state, were significantly lower in BPD patients than in HC after psychosocial stress. Cognitive empathy scores remained unaltered. The present study aims to further investigate the effect of psychosocial stress induced by the Trier Social Stress Test (TSST) on FER as part of social cognition in patients with BPD. We randomized 43 women with BPD and 46 female HC to either the TSST or a placebo condition. Afterwards, participants were asked in an emotion recognition test to identify emotions in faces showing anger or sadness at low and high intensity. Both groups recognized emotions better at high intensity compared with low intensity. There was no effect of stress on FER performance and we found no difference between groups. This is in line with prior research on social cognition in BPD patients demonstrating that the ability to understand another person's perspective might be unaffected by acute stress.
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Matos M, Steindl SR. “You are already all you need to be”: A case illustration of compassion‐focused therapy for shame and perfectionism. J Clin Psychol 2020; 76:2079-2096. [DOI: 10.1002/jclp.23055] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 08/25/2020] [Accepted: 08/27/2020] [Indexed: 01/02/2023]
Affiliation(s)
- Marcela Matos
- Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences University of Coimbra Coimbra Portugal
| | - Stanley R. Steindl
- Compassionate Mind Research Group, School of Psychology University of Queensland Brisbane Queensland Australia
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