A longitudinal examination of the interpersonal fear avoidance model of pain:the role of intolerance of uncertainty

Youth with chronic pain and their parents face uncertainty regarding their diagnosis, treatment, and prognosis. Given the uncertain nature of chronic pain and high comorbidity of anxiety among youth, intolerance of uncertainty (IU) may be critical to the experience of pediatric chronic pain. This study longitudinally examined major tenets of the Interpersonal Fear Avoidance Model of Pain and included parent and youth IU as key factors in the model. Participants included 152 youth with chronic pain (Mage = 14.23 years; 72% female) and their parents (93% female). At baseline, parents and youth reported on their IU and catastrophic thinking about youth pain; youth reported on their fear of pain, pain intensity, and pain interference; and parents reported on their protective responses to child pain. Youth reported on their pain interference 3 months later. Cross-lagged panel models, controlling for baseline pain interference, showed that greater parent IU predicted greater parent pain catastrophizing, which, in turn, predicted greater parent protectiveness, greater youth fear of pain, and subsequently greater youth 3-month pain interference. Youth IU had a significant indirect effect on 3-month pain interference through youth pain catastrophizing and fear of pain. The results suggest that parent and youth IU contribute to increases in youth pain interference over time through increased pain catastrophizing, parent protectiveness, and youth fear of pain. Thus, parent and youth IU play important roles as risk factors in the maintenance of pediatric chronic pain over time and may be important targets for intervention.</p

Childhood Maltreatment, Pathological Personality Dimensions, and Suicide Risk in Young Adults

Several studies have demonstrated that child maltreatment (psychological, physical, and sexual abuse, and neglect) may be a significant factor in the development of pathological personality traits that increase the risk for suicidal ideation and behavior from adolescence to adulthood. Currently, the challenge is to understand how different forms of early negative experiences render an individual prone to develop specific personality traits and, in turn, be more vulnerable to suicide risk. To understand the relationship between childhood maltreatment and personality dimensions in suicide risk, our study aims to explore the role of self-criticism and dependency, two different pathological personality traits, as potential mediators of the link between different types of childhood maltreatment and suicide risk in young adults. For this purpose, 306 students from three Italian public universities were recruited. We used the Italian version of the Childhood Experience of Care and Abuse Questionnaire (CECA.Q) to assess experiences of lack of care by parents (i.e., antipathy and neglect) as well as psychological and physical abuse before the age of 17 years. The Depressive Experiences Questionnaire (DEQ) was used to assess the personality dimensions of self-criticism and dependency, and the Suicide History Self-Rating Screening Scale was administered to assess suicide risk. Results revealed that lack of care and psychological abuse were significantly associated with suicide risk and this association was partially mediated by the maladaptive personality dimension of self-criticism. These findings suggest that the combined effect of specific forms of dysfunctional parental behavior during childhood and the development of rigid and dysfunctional negative personality traits may increase the risk for suicidal ideation and behavior during adulthood

The moderating effect of attachment styles on the relationships between maltreatment experiences and internalizing and externalizing problems among adolescents: Implications for custody issues

Multiple studies have documented the relationship between child maltreatment and internalizing and externalizing problems. Evidence suggests that the link between child maltreatment and these psychopathological outcomes may be moderated by various factors. Attachment styles may be one such moderating factor in this relationship. This study seeks to explore whether different attachment style profiles are associated with different forms of maltreatment as well as internalizing and externalizing symptoms, and whether attachment styles may moderate the link between different forms of maltreatment and internalizing and externalizing problems. For this purpose, 387 students from Italian public high schools were recruited. We used the Italian version of the Attachment Style Questionnaire (ASQ) to assess different dimensions of attachment, the Italian version of the Childhood Experience of Care and Abuse Questionnaire (CECA.Q) to assess experiences of maltreatment, and the Italian version of the Youth Self-Report (YSR) to assess internalizing and externalizing problems. Results showed that different types of attachment style profiles were specifically associated with maltreatment variables and internalizing/externalizing problems as well as attachment style profiles moderated the relationships between maltreatment and internalizing problems. The findings are discussed in light of the theoretical framework and limitations, and implications for practice and child custody are presented

The Predictive Role of Ideological, Personality and Psychopathological Factors in Homonegative Attitudes in Italy

Homonegativity refers to a series of prejudicial and discriminatory attitudes towards individuals perceived as homosexuals. Previous studies indicated that some person- ality traits (i.e., neuroticism, low openness to experience), as well as specific ideo- logical attitudes (i.e., conservatism, authoritarianism) and higher levels of psychopa- thology make individuals more prone to show homonegative attitudes. However, no studies have compared these three dimensions in order to identify their different role in homonegativity. For this reason, the aim of this study was to simultaneously eval- uate the association of ideological, personality, and psychopathological factors with homonegativity in adults living in Italy. Participants were 307 heterosexual adults (males = 46%) ranging in age between 19 and 66 years (M = 28.74, SD = 10.65), who completed four self-report questionnaires: Modern Homophobia Scale, Right-Wing Authoritarianism Scale, NEO Five-Factor Inventory 3, and Symptom Check List- 90-R. A structural equation model was computed to examine the relation between ideological, personality, and psychopathological factors and homonegativity. Results showed that ideological factors, particularly authoritarian attitudes and religiosity, were mostly related with homonegativity, while lower agreeableness and lower psy- chopathology were significantly albeit more weakly associated with homonegativity in adults living in Italy. Methodological limitations and implications for interven- tions are discussed

Childhood Maltreatment, Pathological Personality Dimensions, and Suicide Risk in Young Adults

Several studies have demonstrated that child maltreatment (psychological, physical, and sexual abuse, and neglect) may be a significant factor in the development of pathological personality traits that increase the risk for suicidal ideation and behavior from adolescence to adulthood. Currently, the challenge is to understand how different forms of early negative experiences render an individual prone to develop specific personality traits and, in turn, be more vulnerable to suicide risk. To understand the relationship between childhood maltreatment and personality dimensions in suicide risk, our study aims to explore the role of self-criticism and dependency, two different pathological personality traits, as potential mediators of the link between different types of childhood maltreatment and suicide risk in young adults. For this purpose, 306 students from three Italian public universities were recruited. We used the Italian version of the Childhood Experience of Care and Abuse Questionnaire (CECA.Q) to assess experiences of lack of care by parents (i.e., antipathy and neglect) as well as psychological and physical abuse before the age of 17 years. The Depressive Experiences Questionnaire (DEQ) was used to assess the personality dimensions of self-criticism and dependency, and the Suicide History Self-Rating Screening Scale was administered to assess suicide risk. Results revealed that lack of care and psychological abuse were significantly associated with suicide risk and this association was partially mediated by the maladaptive personality dimension of self-criticism. These findings suggest that the combined effect of specific forms of dysfunctional parental behavior during childhood and the development of rigid and dysfunctional negative personality traits may increase the risk for suicidal ideation and behavior during adulthood