1,721,021 research outputs found
Children with Somatic Symptoms Disorders and Disruptive Behavior Disorder: Which is the Role of Anger to Caregivers?
IntroductionThe quality of adult-infant interactions represents a critical context in which child adaptation problems could evolve, and child psychopathology could develop. Literature has investigated the role of attachment to caregivers, nevertheless, there is a paucity of studies on middle-childhood and early adolescence in patients with somatic symptoms disorders and disruptive behavior disorders.ObjectiveThis study investigates the attachment to caregivers in children with somatic symptoms disorders and disruptive behavior disorders, focusing on the role of Anger to mothers and fathers.AimsThe aims are to verify the presence of: – high frequency of insecure attachment;– an overrepresentation of attachment disorganization;– high levels of Anger to caregivers.MethodFifty-six patients with somatic symptoms disorders, and 42 patients with disruptive behavior disorders, aged from 8 to 15, are administered the child attachment interview.ResultsFindings show: – Insecure attachment in more than half of the patients;– a significant presence of disorganized attachment with respect to both parents;– higher levels of anger to father in children with somatic symptoms disorders.ConclusionConsidering the attachment to have a regulatory function, the knowledge of the different attachment strategies in middle-childhood and early adolescence may enhance our understanding and improve the management and the treatment of patients with somatic symptoms disorders and disruptive behavior disorders.Disclosure of interestThe author has not supplied his/her declaration of competing interest.</jats:sec
Disruptive Behavior Disorders in Childhood and Adolescence: Attachment Models and Post-traumatic Symptomatology
IntroductionIn line with a consistent literature, young patients with disruptive behavior disorders in childhood and adolescence have experienced some traumatic events, such as abuse, rejection and violence assisted. Recent studies are focusing the attention on the role of attachment and post-traumatic symptomatology for a better evaluation of this clinical condition.ObjectiveThis study investigates attachment models and post-traumatic symptomatology in young patients with disruptive behavior disorders.Aim(s)The following objectives are set by the present study: – to evaluate attachment models in a group of children diagnosed with disruptive behavior disorders;– to evaluate their post-traumatic symptomatology;– to test the extent of the association between post-traumatic symptomatology and attachment organization in young patients with disruptive behavior disorders.MethodForty-two Italian patients aged from 8 to 15 previously diagnosed with disruptive behavior disorders are compared to 42 healthy control subjects. We administer the child attachment interview and trauma symptom checklist for children-adolescent.ResultsInsecure attachment are found in more than half of the patients diagnosed with disruptive behavior disorders and disorganization are highly over-represented. Furthermore, low levels of post-traumatic symptoms are found in young patients with disruptive behavior disorders.ConclusionThis study suggests that attachment organization may be a fundamental element to be assessed in the evaluation of disruptive behavior disorders in children and adolescents. Nevertheless, traumatic experiences do not seem expressed through psychic symptoms. The clinical implications are discussed.Disclosure of interestThe author has not supplied his/her declaration of competing interest.</jats:sec
Strategie di regolazione emotiva in bambini con disturbo oppositivo-provocatorio, con disturbo da sintomi somatici e nei loro genitori: uno studio pilota
Razionale e Obiettivi: Gross & John (2003) concettualizzano la regolazione emotiva focalizzandosi su una strategia disadattiva di soppressione espressiva e su una strategia adattiva di rivalutazione cognitiva. L’obiettivo di questo studio è quello di indagare le strategie di regolazione emotiva nei bambini con disturbo oppositivo-provocatorio e con sintomi somatici e nei loro genitori.
Metodi: Il campione è stato reclutato presso l’Istituto G. Gaslini (NPI) ed è composto da 106 soggetti suddiviso in quattro gruppi: n = 24 bambini con disturbo con sintomi somatici (m=11,9 anni, ds=0,07); n = 20 bambini con disturbo oppositivo-provocatorio (m=11,5 anni, ds=3,53); n = 33 genitori (21 madri, 12 padri) dei bambini con disturbo con sintomi somatici; n = 29 genitori (17 madri, 12 padri) dei bambini con disturbo oppositivo-provocatorio. Sono stati somministrati i questionari CBCL (Achenbach, 1991), ERQ-CA (Gullone, Taffe, 2012) ed ERQ (Balzarotti, John, Gross, 2010).
Risultati: I risultati evidenziano una forte presenza di strategie di regolazione emotiva disadattive, con differenze statisticamente significative tra i due gruppi clinici.
Conclusioni: I risultati confermano i dati della letteratura (Bariola, Hughes, Gullone, 2012; Gresham, Gullone, 2012), individuando una prevalenza di strategie di regolazione emotiva disadattive. Saranno discusse le implicazioni cliniche per le future direzioni di ricerca
Child Attachment Interview: primi dati italiani di un'intervista sull'attaccamento in età evolutiva
Disruptive behavior disorder and somatic syptoms disorders. Which strategies of emotion regulation children and their parent's use?
Percorsi individuali e spirituali nella risposta al cancro
The oncological disease represents an interruption of the normal existential path of a subject. The authors, starting from the biopsychosocial model, consider the importance of spirituality and religiosity as a support when facing this difficult experience. Research in this field is included in the psychosocial studies that analyze the way in which subjects react to stressful events. An analysis of the literature shows that religiosity and spirituality affect differently the coping process. Spirituality seems more related to a decrease of anxiety and depression and with more chances to have shared and more realistic choices in the care pathway, while religiosity seems to have less significant impact on the components linked to emotional state and decisions in the care pathway. However, the results of the researches are not univocal and emphasize that this research area needs to be improved, paying particular attention to both constructs and methodological aspects
Emotion dysregulation mediates the relation between mindfulness and rejection sensitivity
Background: The role of rejection sensitivity (RS; the tendency to anxiously expect, readily perceive, and overreact to implied or overt interpersonal rejection) in psychopathology has mainly been studied with regard to borderline personality disorder (BPD). In the present study, we first sought to extend previous evidence of heightened RS in a clinical group with psychiatric disorders other than BPD, when compared with a community sample. Then, we tested whether emotion dysregulation and mindfulness were associated with RS in both sample, further hypothesizing that emotion dysregulation would mediate the relation between mindfulness deficits and RS. Subjects and methods: We adopted a cross-sectional design involving 191 psychiatric patients and 277 community participants (total N=468). All participants completed the Rejection Sensitivity Questionnaire, the Five Facet Mindfulness Questionnaire, and the Difficulties in Emotion Regulation Scale. Results: Our hypotheses were supported, with psychiatric patients reporting greater levels of rejection sensitivity and emotion dysregulation, and lower level of mindfulness. Mindfulness deficits and emotion dysregulation explained a significant amount of variance in RS, in both samples. Finally, bootstrap analyses revealed that mindfulness deficits played an indirect effect on RS through the mediating role of emotion dysregulation. In particular, two different patterns emerged. Among psychiatric patients, an impairment in the ability to assume a non-judgmental stance towards own thoughts and feelings was related to RS through the mediation of limited access to emotion regulation strategies. Conversely, in the community sample, overall emotion dysregulation mediated the effect of lack of attention and awareness for present activities and experience on RS. Conclusions: Longitudinal studies could help in delineating etiological models of RS, and the joint role of deficits in mindfulness and emotion regulation should inform treatment programs
Attachment Models, Post-traumatic Symptomatology and Emotional Regulation in Early Adolescence: A Comparative Clinical Study.
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