A Clinimetric approach in Psychological diagnosis: clinical observations

Objective: The domain of the clinic assessment in psychology, shares the same theoretical and methodological assumptions with the traditional psychometric methods. In this case, the authors will focus on a clinimetric approach, different from the traditional psychometric ones, usually used in assessment practices. Methods: the authors analysed book by Per Bech “Klinisk Psycometri” and the Italian version titled “l’Assessment in Clinica psicologica: la psicodiagnostica clinimetrica”, edited by Giovanni Fioriti in 2018. Results: The book gives an innovative approach in understanding the clinical use of psychological rating scales, in line with a dimensional approach. Conclusion: The book offers a view on the importance of an assessment in the psychological clinic, which takes into account the nosography conditions of the pathological clinical conditions and the related quality of life and health. The book highlights the possibility of a measurement, which takes the clinical pathological observation, the possibility of comparing different subjects, identifying the link between normal and pathological, psychopathological comorbidity and clinical indications for psychotherapy

The Efficacy of Bibliotherapy in Rehabilitation Context

The aim of the present study was to explore the effectiveness of bibliotherapy in rehabilitation settings. The term bibliotherapy, coined in the 1930’s by the psychiatrist William Menninger, conveys the importance of reading as a tool for cultural promotion and growth, as a means through which to acquire knowledge, enhance one's cognitive and emotional abilities, develop strategies for managing discomfort, as well as a psychoeducational and cognitive technique in the psychotherapeutic field. A study carried out on Pubmed showed that recent research on bibliotherapy, in particular experimental research, would be lacking and requires a humanistic medical approach, drawing on the knowledge and methods of psychology and cognitive literary studies, as well as clinical disciplines to broaden our understanding of how the dynamic processes of interpretation mediate between the textual and characteristic structures of mental health and illness. This narrative review was conducted on PubMed database and used two key terms “Bibliotherapy” AND “rehabilitation” AND “prison”. Studies in line with this specific issue were included. The search of PubMed database provided a total of 470 items recruited online; of these 464 studies were excluded according to inclusion and exclusion criteria. After the screening, a total of 6 studies assessing the bibliotherapy in rehabilitation setting, met the inclusion criteria and were included in the narrative review. Bibliotherapy as a self-help approach also in psychotherapeutic treatments can activate the desire to seek changes in attitudes and behaviour, to acquire knowledge of symptoms, and the value of self-care. A psychological intervention self-administered through ACT bibliotherapy with minimal therapeutic support can improve the physical and emotional functioning of adults with chronic pain. If studies report the efficacy of parent-mediated bibliotherapy in situations of childhood anxiety, nocturnal fears, specific phobias, in adolescence chatbot-delivered self-help depression intervention was proven to be superior to the minimal level of bibliotherapy in terms of reduction on depression and anxiety. Bibliotherapy interventions may be helpful to fight against weight gain and potentially facilitate smoking cessation. &nbsp

Family drawing and psychological vulnerability in Children's representations of parental divorce

Parental divorce is a traumatic experience for children, a stressful life event which may contributes to a future psychological vulnerability. The aim of this study is to explore psychological distress in children after parents' separation. This research was based on a convenience sample of one-hundred children, divided in two subgroups: (1) 50 coming from a separated family (observational sample) with an age range spanning from 7 to 12 years [Mean age = 9.2 ± 1.5] and (2) 50 belonging to a nuclear family (control sample) with the same range of age [Mean age = 9.5 ± 1.6]. The sample resulted homogeneous for the gender: in particular, the observational group, is composed of 30 females (60%) and 20 males (40%). Showed several differences, highlighting the presence of negative affectivity, a well-known risk factor for the development of a depressive disorder, by reflecting the possible link between home environment and self-perception. In conclusion, this instrument, like any other projective proof, constitutes a privileged access to the psychological world in which the drawing remains the best communication channel and provides us precious informations about the emotional state of the children

Anxiety sensitivity, uncertainty and recursive thinking: A continuum on Cyberchondria conditions during the Covid Outbreak

Background. Cyberchondria is a term used to refer to excessive surfing the web looking for health care information, excessive checking behavior being related to health-related anxiety. This period of quarantine for the Covid-19 pandemic is increasing the pathological use of the internet, and the excessive surfing the web looking for health care information. Another dimension related to the Covid-19 outbreak refers to uncertainty intolerance, for this reason being necessary for the healthcare professionals to provide clear and linear information. Aim. The aim of this review is to identify the psychological correlations connected to cyberchondria in the quarantine period. Methods. Following the PRISMA guidelines, we carried out a systematic review of the literature on PubMed. The terms used for the search were “Cyberchondria” OR “Anxiety” AND “Quarantine”. Results. As resulting from the reviewed literature, there is a relationship between anxiety for one’s own state of health and cyberchondria, with negative psychological effects of quarantine, including post-traumatic stress symptoms, depression, anxiety, low mood, irritability, insomnia, uncertainty, emotional exhaustion, this condition being associated with hypervigilance, and catastrophic misinterpretation of bodily signs. Conclusion. In the light of this and according to the literature, it would be desirable that research can further explore the factors influencing the increase in cyberchondria in the future

Psychological violence and manipulative behavior in couple: A focus on personality traits

Psychological violence is characterized by systematic denigration and humiliation of the partner (victim). It is an insidious and manipulative behavior put in place to ensure that the victim begins to doubt themselves, and their own judgments, to the point of feeling confused and wrong. This behavior pattern is called Gaslighting and the personality traits are characterized by lack of empathy, psychopathy, narcissism and Machiavellianism. These three conditions are part of the so-called dark triad and distinguished by the lack of empathy. The aim of this study is to explore psychological aspects and consequences of Gaslighting phenomena. This systematic review was conducted according to Systematic Reviews guidelines (PubMed and Google Scholar databases), using 2 key terms related to this topic “Psychological Violence” AND “Gaslighting”. Data for this systematic review were collected in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The reviewed studies focused on violence on affective manipulation, abuse trauma that compromises a subject\u27s identity, psyche, self-esteem and sense of self, in women\u27s mental health conditions. Most of the research analyzed is focused on the gender violence and manipulative behavior in couples

Affective temperaments and personality traits in couple well-being

Background. The objective of this study is to establish the link between affective temperament traits and maladaptive personality traits, to verify whether the potential presence of elements related to emotional, affective and dysfunctional relational functioning can affect the couple satisfaction, modifying the well-being or discomfort condition. Materials and Methods. A data collection questionnaire was developed to investigate the factors associated with dysfunctional emotional, affective, and relational modes of functioning. The sample consisted of 473 subjects. Data were collected including the TEMPS-A questionnaire, The Dirty Dozen Italian Assessment and the Relationship Assessment Scale (RAS). Results. The findings of this study showed that the subscales of affective temperament were predictors of dark triad traits. The expressive, irritable and hyperthymic temperamental traits were found to be predictors of trait psychopathy; hyperthymic temperament is also a predictor of narcissistic traits and cyclothymic temperament is a predictor of lower couple satisfaction; men show higher scores than women in Dark triad. Conclusions. This study confirmed that temperamental traits can predict maladaptive personality traits belonging to the dark triad and confirms the importance of evaluating maladaptive personality traits to prevent forms of psychological violence in couple

Pediatric trauma and emergency surgery: an international cross-sectional survey among WSES members

Background: In contrast to adults, the situation for pediatric trauma care from an international point of view and the global management of severely injured children remain rather unclear. The current study investigates structural management of pediatric trauma in centers of different trauma levels as well as experiences with pediatric trauma management around the world. Methods: A web-survey had been distributed to the global mailing list of the World Society of Emergency Surgery from 10/2021-03/2022, investigating characteristics of respondents and affiliated hospitals, case-load of pediatric trauma patients, capacities and infrastructure for critical care in children, trauma team composition, clinical work-up and individual experiences with pediatric trauma management in response to patients´ age. The collaboration group was subdivided regarding sizes of affiliated hospitals to allow comparisons concerning hospital volumes. Comparable results were conducted to statistical analysis. Results: A total of 133 participants from 34 countries, i.e. 5 continents responded to the survey. They were most commonly affiliated with larger hospitals (> 500 beds in 72.9%) and with level I or II trauma centers (82.0%), respectively. 74.4% of hospitals offer unrestricted pediatric medical care, but only 63.2% and 42.9% of the participants had sufficient experiences with trauma care in children ≤ 10 and ≤ 5 years of age (p = 0.0014). This situation is aggravated in participants from smaller hospitals (p < 0.01). With regard to hospital size (≤ 500 versus > 500 in-hospital beds), larger hospitals were more likely affiliated with advanced trauma centers, more elaborated pediatric intensive care infrastructure (p < 0.0001), treated children at all ages more frequently (p = 0.0938) and have higher case-loads of severely injured children < 12 years of age (p = 0.0009). Therefore, the majority of larger hospitals reserve either pediatric surgery departments or board-certified pediatric surgeons (p < 0.0001) and in-hospital trauma management is conducted more multi-disciplinarily. However, the majority of respondents does not feel prepared for treatment of severe pediatric trauma and call for special educational and practical training courses (overall: 80.2% and 64.3%, respectively). Conclusions: Multi-professional management of pediatric trauma and individual experiences with severely injured children depend on volumes, level of trauma centers and infrastructure of the hospital. However, respondents from hospitals at all levels of trauma care complain about an alarming lack of knowledge on pediatric trauma management

Beta-Blocker Use in Older Hospitalized Patients Affected by Heart Failure and Chronic Obstructive Pulmonary Disease: An Italian Survey From the REPOSI Register

Beta (β)-blockers (BB) are useful in reducing morbidity and mortality in patients with heart failure (HF) and concomitant chronic obstructive pulmonary disease (COPD). Nevertheless, the use of BBs could induce bronchoconstriction due to β2-blockade. For this reason, both the ESC and GOLD guidelines strongly suggest the use of selective β1-BB in patients with HF and COPD. However, low adherence to guidelines was observed in multiple clinical settings. The aim of the study was to investigate the BBs use in older patients affected by HF and COPD, recorded in the REPOSI register. Of 942 patients affected by HF, 47.1% were treated with BBs. The use of BBs was significantly lower in patients with HF and COPD than in patients affected by HF alone, both at admission and at discharge (admission, 36.9% vs. 51.3%; discharge, 38.0% vs. 51.7%). In addition, no further BB users were found at discharge. The probability to being treated with a BB was significantly lower in patients with HF also affected by COPD (adj. OR, 95% CI: 0.50, 0.37-0.67), while the diagnosis of COPD was not associated with the choice of selective β1-BB (adj. OR, 95% CI: 1.33, 0.76-2.34). Despite clear recommendations by clinical guidelines, a significant underuse of BBs was also observed after hospital discharge. In COPD affected patients, physicians unreasonably reject BBs use, rather than choosing a β1-BB. The expected improvement of the BB prescriptions after hospitalization was not observed. A multidisciplinary approach among hospital physicians, general practitioners, and pharmacologists should be carried out for better drug management and adherence to guideline recommendations

Methodological Considerations on Psychological Diagnosis and Consulting in Clinical Settings

Background: The interest of diagnosis in clinical psychology is growing, but psychological diagnosis is a complex construct to describe because it is not a static process. It can be subject to change due to continuous evolutions/involutions present in a person’s psychic life. This review aims to describe the concept of psychological-clinical diagnosis. Method: We have carried out, following PRISMA guidelines, a systematic review of literature on Pubmed. Data for this systematic review have been collected in compliance with the reporting elements used for systematic reviews and metanalysis. Search terms were "Psychological diagnosis” AND “Psychological formulation”. Results: Psychological diagnosis can be defined as a process through which clinicians aim to know people's psychic functioning to investigate conscious and unconscious, healthy or pathological psychic dimensions. Psychological diagnosis has great importance in the clinical setting. Conclusion: Psychological diagnosis can be carried out at different levels, according to the context in which it is applied, using a multi-instrumental and multidimensional to investigate the state of an individual's functioning. The literature about this topic is poor and often connected to psychiatric diagnosis, which reduces its particular features. In light of this, it is important to give an overview of the concept of psychological-clinical diagnosis

The Unknown Mindscapes: Gender Dysphoria and Romantic/ Sexuality Relationships in Autism Spectrum Disorder (ASD)

Introduction: Higher percentages of gender dysphoria among autistic people has been recently observed. Previous studies showed that patients with autism spectrum disorders have difficulties in social communication and romantic relationships. Aim: In light of this, this manuscript aimed to study the quality of romantic relationship in autistic people and the possible role played by gender dysphoria. Methods: The search of the literature was conducted in this database: PubMed; we used these search terms: "autism spectrum disorder", "gender dysphoria", and "romantic relationship". We found a total of 74 citations. After excluding duplicates, 74 records were screened. 58 studies were excluded according to inclusion and exclusion criteria. A total of 16 studies has been finally assessed. Results: The findings of this work showed that autistic people have a difficulties in social and romantic relationships. A variety of difficulties in interpersonal and romantic relationships were detected, but to date, it is not clear how gender dysphoria could influence the possibility to initiating and maintaining romantic relationships as well as having a satisfying sexual life. Furthermore, different diagnostic instruments resulted in having been employed, and a general heterogeneity in the population under scrutiny was observed. Conclusions: Impaired social communication and interaction (SCI) and restricted, repetitive behavior (RRB) represent the two core symptom domains of ASD within the DSM-5. It is important to pay attention to these conditions, to manage the coming out about gender dysphoria in autistic people, and to develop strategies to help future social and romantic relationships. Furthermore, as different assessment tools resulted in having been used, in future research, greater attention should be paid to standardizing assessment tools and criteria for the autism spectrum, paying attention to the subjects presenting subthreshold traits as well. In general, future research should better investigate specific existential dimensions and/or difficulties met by people presenting both ASD and Gender Dysphoria