An innovative multidisciplinary intervention to prevent and treat child obesity: the Epode Umbria Region OBesity Intervention Study (EUROBIS)

The lifestyle’s fundamental role in the approach to the young people with metabolic problems is now supported by the scientific evidence. However, multidisciplinary (including nutritional, physical activity and psychological aspects) intervention studies conducted on this issue are still lacking. This work aims to reflect on issues concerning the EUROBIS multidisciplinary intervention study, which aims to contrast childhood obesity, addressing the complex nutritional, motor, and psychological aspects to improve children’s lifestyle through the implementation of curative and preventive strategies. The curative, clinical approach already proved to be effective in a significant reduction in body weight, BMI, waist circumference, fat mass, waist circumference/height index, and an improvement of Mediterranean diet adherence and physical activity measures, in subjects with overweight/obesity [1]. Now we present the first results of the preventive project "Let’s improve the Umbrian children lifestyle", a school-based intervention, conducted in 2015-16 school year on first classes of primary schools in Umbria (more than 4000 children) resulting in an improvement in Mediterranean diet adherence and physical activity measures. This study confirms that multidisciplinary lifestyle intervention can improve anthropometric, nutritional and physical activity outcomes and represents the cornerstone to build recommendations with a high level of evidence within the Italian standards of care, although it has demonstrate the difficulties of young people and parents to join it

Environmental Mastery and Self-Acceptance during Emerging Adulthood: A Study of the Determinant Factors in College Students

Emerging Adulthood is a transitional and critical period characterized by multiple challenges. How individuals face life transitions are related to their psychological wellbeing considered a process of self-fulfillment. The most fragile psychological wellbeing dimensions during Emerging Adulthood are environmental mastery and self-acceptance. Few studies have explored the determinants of these dimensions, some of these focused on demographic factors, less on the impact of intrapersonal factors. Interest of this study was investigated with a longitudinal study conducted in 243 Emerging Adults (56.4% females), the role of external (gender, relationship status, socioeconomic status) and internal factors (self-esteem and self-control) in environmental mastery and self-acceptance. Only internal factors predicted both dimensions studied explaining approximately 38% of the variance of environmental mastery and 33% of the variance of self-acceptance.  The study suggests that self-esteem and self-control could be important protective factors for EAs attending university to improve their sense of mastery and competence to manage the environment and possess a positive attitude toward the self. These findings add to a growing body of literature highlighting the determinant factors of specific dimensions of PWB of particular relevance during this lifestage and may have important implications in research and clinical fields, providing insights for the development of clinical actions targeting at university students

“Ripple effect”: Psychological responses and coping strategies of Italian children in different COVID-19 severity areas

COVID-19 has affected learning and the outdoor activities of more than 862 million children or adolescents worldwide. This study investigated the mental health of Italian children and explored their psychological response and coping strategies in different COVID-19 epidemic severity areas, with the aims of alleviating the impacts of COVID-19, promoting targeted intervention, and reducing the risk of future psychological problems. 1074 parents of children aged 6 to 12 years old participated in an ad-hoc online survey. Among them, 40.3% were from the high-risk areas in the North, and 59.7% were from the medium/low-risk areas in the center of Italy. The results showed that, compared to the children in medium- or low-risk areas, children in the North scored significantly higher for symptoms of anxiety, moods, and cognitive changes, showing a “ripple effect” trend. Moreover, children in the northern areas used fewer task-oriented strategies and more emotion- and avoidance-oriented strategies than those in the central areas. Specifically, children in the northern areas were more likely to show acceptance and seek affection from others, while those in the central areas used more humor when their parents talked about quarantine or coronavirus. These findings provide relevant evidence and a reference point for crisis management in children’s mental health.El COVID-19 ha afectado el aprendizaje y las actividades al aire libre de más de 862 millones de niños o adolescentes en todo el mundo. Este estudio investigó la salud mental de los niños italianos y exploró su respuesta psicológica y las estrategias de afrontamiento en diferentes áreas de gravedad de la epidemia de COVID-19, con el objetivo de aliviar los impactos de la misma, promover la intervención específica y reducir el riesgo de futuros problemas psicológicos. 1074 padres de niños entre 6 a 12 años de edad participaron en una encuesta ad-hoc online. De ellos, el 40,3% procedían de las zonas de alto riesgo del norte y el 59,7% de las zonas de riesgo medio/bajo del centro de Italia. Los resultados mostraron que, en comparación con los niños de las áreas de riesgo medio o bajo, los niños del norte obtuvieron una puntuación significativamente más alta en cuanto a los síntomas de ansiedad, cambios cognitivos y de estado de ánimo, mostrando una tendencia de “efecto dominó”. Además, los niños de las zonas del norte utilizaron menos estrategias orientadas a las tareas y más estrategias orientadas a las emociones - y la evitación - que los de las zonas centrales. Concretamente, los niños de las zonas del norte eran más propensos a mostrar aceptación y a buscar el afecto de los demás, mientras que los de las zonas centrales usaban más el humor cuando sus padres hablaban de la cuarentena o del coronavirus. Estos hallazgos proporcionan evidencia relevante y un punto de referencia para el manejo de crisis en la salud mental de los niños

MATHEMATICS ANXIETY AND COGNITIVE PERFORMANCE IN ADOLESCENT STUDENTS

Several studies highlight that many students feel negative feelings about mathematical learning and that the mathematics anxiety seems to play a central role in mathematical performance. More specifically students with higher level of maths anxiety are less efficient in mathematical tasks. The aim of this study was to investigate the relationship between specific mathematics anxiety as assessed by AMAS, trait and state anxiety as assessed by STAI-Y, and mathematical skills assessed through the ABCA tests in a sample of 83 adolescent students (78.3% males) without diagnosis of dyscalculia and cognitive disorder attending their first year of secondary school. Results showed that 38% of the students referred high level of maths anxiety. Independent T-test revealed that female students referred a higher level of maths anxiety as well as of trait and state anxiety than male ones, while there were no differences in the mathematics performance. The simultaneous multivariate linear regression analysis showed that maths anxiety was influenced by trait anxiety and in its turn has an impact on the high level mathematics performances (i.e. arithmetic facts). Understanding the relationships between maths anxiety and maths learning and performance may have relevant implications in clinical, educational and didactic practice

MATHEMATICS ANXIETY AND COGNITIVE PERFORMANCE IN ADOLESCENT STUDENTS

Several studies highlight that many students feel negative feelings about mathematical learning and that the mathematics anxiety seems to play a central role in mathematical performance. More specifically students with higher level of maths anxiety are less efficient in mathematical tasks. The aim of this study was to investigate the relationship between specific mathematics anxiety as assessed by AMAS, trait and state anxiety as assessed by STAI-Y, and mathematical skills assessed through the ABCA tests in a sample of 83 adolescent students (78.3% males) without diagnosis of dyscalculia and cognitive disorder attending their first year of secondary school. Results showed that 38% of the students referred high level of maths anxiety. Independent T-test revealed that female students referred a higher level of maths anxiety as well as of trait and state anxiety than male ones, while there were no differences in the mathematics performance. The simultaneous multivariate linear regression analysis showed that maths anxiety was influenced by trait anxiety and in its turn has an impact on the high level mathematics performances (i.e. arithmetic facts). Understanding the relationships between maths anxiety and maths learning and performance may have relevant implications in clinical, educational and didactic practice

Interoception Sensitivity and Autonomic Regulation During Social Interaction in Schizophrenia

Introduction The awareness of one's body constitutes a basic experience of Self which modulates the individual engagement in social interactions. Indeed, Interoception Sensitivity (IS), an index of individual ability to represent one's own internal body states, is implicated in the autonomic regulation in interpersonal context. Schizophrenia deficits in Self-experience and awareness, which frequently entail anomalies in self-other relationship, capture the ever-growing attention of researchers. Nevertheless, IS and autonomic regulation of schizophrenic patients in social context are completely new and not yet investigated aspects of Schizophrenia. Aim To investigate whether Schizophrenia could be associated with lower IS and with a dysfunctional autonomic regulation during social interaction. Methods 24 chronic schizophrenia patients, and a matched group of healthy controls, performed a Social and a Non-social task while respiratory sinus arrhythmia (an index of autonomic regulation) was measured. In the Social task participants viewed an experimenter performing a caress-like movement at different distances from their hand. In the Non-social task a metal stick was moved at the same distances from the participants' hand. As measure of IS, a cardiac Mental Tacking Task was performed. Results Comparing to controls, Schizophrenia patients presented lower IS, absence of relation between IS and autonomic regulation, and an anomalous autonomic regulation in social and non-social contexts. Conclusions Deficits in Self-experience, associated with Schizophrenia, could be extended to patients' sensitivity to internal bodily signals. Moreover, the observed altered autonomic regulation will be part of interpersonal interaction deficit frequently associated to Schizophrenia

Interoception and Positive Symptoms in Schizophrenia

The present study focuses on the multifaceted concept of self-disturbance in schizophrenia, adding knowledge about a not yet investigated aspect, which is the interoceptive accuracy. Starting from the assumption that interoceptive accuracy requires an intact sense of self, which otherwise was proved to be altered in schizophrenia, the aim of the present study was to explore interoceptive accuracy in a group of schizophrenia patients, compared to healthy controls. Furthermore, the possible association between interoceptive accuracy and patients' positive and negative symptomatology was assessed. To pursue these goals, a group of 23 schizophrenia patients and a group of 23 healthy controls performed a heartbeat perception task. Patients' symptomatology was assessed by means of the Positive and Negative Syndrome Scale (PANSS). Results demonstrated significantly lower interoceptive accuracy in schizophrenia patients compared to healthy controls. This difference was not accounted for participants' age, BMI, anxiety levels, and heart rate. Furthermore, patients' illness severity, attention and pharmacological treatment did not influence their interoceptive accuracy levels. Interestingly, a strong positive relation between interoceptive accuracy and positive symptoms severity, especially Grandiosity, was found. The present results demonstrate for the first time that interoceptive accuracy is altered in schizophrenia. Furthermore, they prove a specific association between interoceptive accuracy and positive symptomatology, suggesting that the symptom Grandiosity might be protective against an altered basic sense of self in patients characterized by higher sensibility to their inner bodily sensations

The Five Minute Speech Sample as a measure of parental Expressed Emotion in the field of disability

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