Cynical hostility and the metabolic syndrome: A case-control study

Background: Evidence suggests that metabolic syndrome and hostility are independent risk factors for the development of coronary heart disease. Recently, the combined effect of metabolic syndrome and hostility has shown to predict the incidence of myocardial infarction. This study tested whether cynical hostility was associated with the metabolic syndrome in a sample of Italian adults. Methods: 992 subjects participated in the study. Among them, 546 participants were classified as having metabolic syndrome and 446 as controls, not having any of the risk factors that constitute the metabolic syndrome. Cynicism, the cognitive component of hostility, was measured with a self-report questionnaire derived from the Cook–Medley Hostility Scale. Metabolic syndrome was based on having the following risk factors: obesity, hyperinsulinemia, dyslipidemia, and elevated arterial blood pressure. Results: The cross-sectional association of cynical hostility with metabolic syndrome was statistically significant (p <0.0001). Hostility was also associated with age (p <0.0001) and educational level (p <0.02). Predictors of having metabolic syndrome were higher cynicism (O.R. 1.12), older age (O.R. 1.39), and lower educational level (O.R. 1.05). Conclusions: The results highlight the potential importance of intervention on psychological factors (i.e. hostility) to prevent coronary heart disease

Psychological impact of carotid endarterectomy: a review of the studies.

Carotid Endarterectomy (CEA) is a surgical treatment validated to prevent cerebral ischemia, embolism and stroke in patients affected by severe stenosis of the carotid artery. A 1999 systematic review of the literature found controversial results about CEA influence on improvement of post-surgical cognitive performance. Moreover, few studies addressed the issue of the positive effects of CEA on quality of life and depression, reporting also controversial findings. The present review was aimed at considering the last 20 years studies focusing on the effects of CEA on the psychological dimensions. The purpose was to clarify the benefits, in terms of psychological well-being, offered by CEA, besides a reduction of the cardiovascular risk, as well as to have indication to lead further research in this area. Results of the 39 studies considered suggest that, although few studies show cognitive deterioration, most of them show stability with a tendency to improve both in cognitive functions and in other psychological areas. Further research is needed to clarify when it would be appropriate the use of CEA, the characteristics of eligible patients, and psychological as well as physical expected outcomes

Desenvolvimento e validação de um questionário para avaliar comportamentos agressivos e reações à agressão entre pares

This study presents the psychometric properties of the Peer Aggressive and Reactive Behaviors Questionnaire (PARB-Q), a self-report questionnaire to measure child overt aggression (PA) and reaction to peer aggression (RPA). Participants were 587 Italian elementary school children, aged 7-10 years (51.5% female). Exploratory and confirmatory factor analyses presented a one-factor solution for the PA scale and a three-factor solution for the RPA scale (reactive aggression, seeking teacher support and internalizing reaction), presenting adequate reliability and goodness-of-fit indexes for both scales. Criterion validity presented satisfactory evidence. The PARB-Q appears to be a psychometrically sound tool to evaluate aggressive behavior and reactions to peer aggression in elementary school children. Este estudo apresenta as propriedades psicométricas do Questionário de Comportamentos Agressivos e Reativos entre Pares (Q-CARP), instrumento de autorrelato que avalia comportamentos agressivos infantis diretos (ECA) e reações frente à agressão de pares (ERA). Participaram do estudo 587 crianças italianas, estudantes do ensino fundamental, com idade entre 7-10 anos (51,5% meninas). Análises fatoriais exploratórias e confirmatórias apresentaram uma solução unifatorial para a escala ECA e uma solução de três fatores para a ERA (reações agressivas, busca de apoio do professor e reações internalizadas), apresentando bons índices de consistência interna e de ajuste para ambas as escalas. A validade de critério apresentou índices satisfatórios. O Q-CARP apresenta-se como uma ferramenta útil para avaliar comportamentos agressivos e diferentes reações em crianças escolares

Editorial: Measurement in Health Psychology

Editorial on the Research Topic Measurement in Health Psycholog

Cognitive changes after Carotid Endarterectomy

The aim of this study was to investigate changes in cognitive function following carotid endarterectomy (CEA). In 74 asymptomatic CEA patients cognitive function, depression, laterality and severity of stenosis, cerebral Computer Tomography results, and ischemic heart diseases were measured preoperatively. The sample included 31 patients with dementia and 43 patients without any symptom of dementia. Cognitive function was measured again at 3 months postoperatively using a brief standardised test. After controlling for cognitive function and depression at baseline, cognitive function improved significantly at 3 months after CEA in both patients with and without dementia. CEA may offer more than reduced stroke risk to patients, independent of cognitive function

Identification of MOR-Positive B Cell as Possible Innovative Biomarker (Mu Lympho-Marker) for Chronic Pain Diagnosis in Patients with Fibromyalgia and Osteoarthritis Diseases

Fibromyalgia (FM) diagnosis follows the American College of Rheumatology (ACR) criteria, based on clinical evaluation and written questionnaires without any objective diagnostic tool. The lack of specific biomarkers is a tragic aspect for FM and chronic pain diseases in general. Interestingly, the endogenous opioid system is close to the immune one because of the expression of opioid receptors on lymphocytes membrane. Here we analyzed the role of the Mu opioid receptor on B lymphocytes as a specific biomarker for FM and osteoarthritis (OA) patients. We enrolled three groups of females: FM patients, OA patients (chronic pain control group) and healthy subjects (pain-free negative control group). We collected blood samples to apply immunophenotyping analysis. Written tests were administrated for psychological analysis. Data were statistically analyzed. Final results showed that the percentage of Mu-positive B cells were statistically lower in FM and OA patients than in pain-free subjects. A low expression of Mu-positive B cell was not associated with the psychological characteristics investigated. In conclusion, here we propose the percentage of Mu-positive B cells as a biological marker for an objective diagnosis of chronic pain suffering patients, also contributing to the legitimacy of FM as a truly painful disease

Stato di salute e qualit\ue0 di vita

Rassegna della letteratura scientifica sullo stato di salute percepito, salute funzionale, disabilit\ue0 e partecipazione, e sulla qualit\ue0 di vita legata alla salute

Rappresentazioni della salute e della malattia

Rassegna della letteratura scientifica. La prospettiva sociale e la prospettiva individuale nella rappresentazione della malattia e nell'adattamento alla malattia. Il modello della self-regulation di Leventhal

Comportamenti di salute: modelli e teorie di riferimento

Rassegna della letteratura scientifica: il modello delle credenze di salute, la teoria della motivazione alla protezione, il modello del processo parallelo esteso, la teoria dell'azione ragionata, la teroia dell'azione pianificata, l'approccio al processo dell'azione salutare, il modello dell'implementazione delle azioni, la teotria del controllo delle azioni, il modello transteorico degli stadi del cambiamento, il processo di adozione delle precauzioni,il cambiamento dei comportamenti multipli di salute