1,721,109 research outputs found
Perinatal Assessment of Paternal Affectivity (PAPA). First validation in Italian samples.
No full textPerinatal Assessment of Paternal Affectivity (PAPA). First validation in Italian samples.
Baldoni F.1, Matthey S.2, Agostini F.1, Schimmenti A.3, Caretti V.4
1Department of Psychology, University of Bologna, Italy
2University of Sydney, Australia
3 Kore University of Enna, Italy
4 LUMSA University, Rome, Italy
Background: The assessment of affective disorders in fathers during the perinatal period represents a difficult challenge for clinicians. The Perinatal Assessment of Paternal Affectivity (PAPA) (Baldoni et al., 2016) is a new self-report questionnaire for the screening of affective symptoms in fathers during the perinatal period. It has been developed in recent research on perinatal affective disorders and assesses different dimensions of paternal affective problems: anxiety, depression, hostility, relational and couple difficulties, somatic complaints, dangerous behaviors and addictions (smoke, alcohol, drugs, gambling, internet, physical or sexual compulsive and at risk behavior). The PAPA has a simple structure and is very fast and simple to complete. It also considers some ethnic and socio-cultural influences.
Aim: This study presents the incoming preliminary data of a multicentric validation study of the PAPA that involved many Italian public services (AUSL Romagna, Cagliari, 15 Alta Padovana, Torino, Foggia, Roma1).
Methods: Different samples of fathers and mothers (500 couples, 1000 parents) were involved in the study. All participants, at the VII-VIII months prenatal and at 3 months postnatal, completed the following questionnaires: PAPA (prenatal and postnatal versions), CES-D, SCL-90-R, Analogical Symptom Assessment (ASA), Perceived Stress Scale (PSS), Dyadic Adjustment Scale (DAS), EPDS. Statistical analyses were performed using IBM SPSS Statistics (Version 23).
Results: Preliminary findings concerning the prenatal period showed significant association between PAPA total scores (P = .05) and single scale scores with many scores on CES-D, SCL-90-R, ASA, PSS and DAS.
Discussion: Preliminary data of this Italian validation study confirm the PAPA as a useful tool for the screening of paternal affective disorders in the perinatal period. However, the PAPA doesn’t permit an accurate diagnosis but provides a simple and practical guide for detecting fathers at high-risk of perinatal affective alteration. In these cases, a more in-depth diagnostic assessment and a possible treatment are required.
Reference: Baldoni, F., Matthey, S, Agostini, F., Schimmenti, A., & Caretti, V. (2016). Perinatal Assessment of Paternal Affectivity (PAPA): preliminary report on a new screening tool, Infant Mental Health Journal, 37 (Suppl. 1), 132-133
Perinatal Affective Disorders in fathers: from assessment to treatment
No full textPerinatal Affective Disorders in Fathers: from assessment to treatment
Baldoni F.1, Matthey S.2 and Caretti V.3
1Department of Psychology, University of Bologna, Italy
2University of Sydney, Australia
3 LUMSA University, Rome, Italy
Recent research confirms that the father plays an important role from the early stage of pregnancy. However, during the perinatal period many fathers show affective disorders (like Paternal Perinatal Depression or Anxiety disorders) that can negatively affect the couple’s life, the mother’s mental health, and the child’s psychological and physical development (Ramchandani, Psychogiou, 2009; Fletcher et al. 2011; Habib, 2012; Tuszyńska-Bogucka, Nawra, 2014; Edward et al., 2015; Leach et al., 2015; Sethna et al., 2015; Paulson et al., 2016). Affective perinatal disorders in fathers are not uncommon (Paulson, Bazemore, 2010), but tend to occur differently than in women and are often under-assessed or undiagnosed. In fact, men are usually less inclined to reveal any psychological difficulty and tend to show discomfort in the form of externalizing behaviors. For these reasons, the depressive symptoms tend to be milder and more indefinite, and they frequently overlap with other psychological or behavioural problems like: anxiety symptoms, abnormal illness behaviour (hypochondria, somatization, functional medical syndromes), anger attacks and acting out (violent behaviour, extra-marital relations, fugues), relational and couple conflicts, alcohol or drug abuse, and other addict disorders. Although affective disorders in fathers were neglected by research for many years, interest in this field has increased in the last decade, and some new methods for the assessment of these paternal disorders have been proposed (Baldoni et al., 2016). Research data on the role of the father during the perinatal period, and on the specific expression of paternal perinatal affective disorders, have changed the perspective of how to assess for such mood problems in men, which will thus also impinge on the development of more effective prevention and treatment programs.
The topic of this symposium, consisting of four talks, is perinatal affective disorders in fathers and to consider new perspectives in assessment of and early intervention on these disorders, taking into account the data of recent research
The Psychosomatic Dysregulation Inventory (PDI).
No full textTo date, many assessment scales have been developed for the study of emotion dysregulation. Ideal scales used should be reliable and practical, and able to catch the specificity topic considered. This study discusses the rationale underlying the Psychosomatic Dysregulation Inventory (PDI), the methods employed in item selection and scale construction, and describes preliminary results regarding psychometric properties. 100 subjects were administered the PDI and a battery of established self-report measures. The internal consistency of PDII scales ranged from 0.71 to 0.93. The PDI showed good criterion validity, with participants with a clinical diagnosis having a significantly higher corresponding PDI scale score than participants not assigned that diagnosis. Concurrent validity, tested by correlating PDI scale scores with those of relevant, validated measures, was generally good. The PDI appears to be a good psychometrically founded self-report. These results indicate that the PDI may be useful for detecting individuals who are at high risk for psychosomatic dysregulation
Addiction. Aspetti biologici e di ricerca
No full textNegli ultimi anni lo studio delle dipendenze patologiche si è arricchito di numerosi contributi scientifici ma anche di osservazioni cliniche che hanno ampliato l'area di indagine sulle condotte compulsive. Obiettivo degli autori è offrire le acquisizioni più recenti per affrontare la sfida che le dipendenze patologiche pongono oggi al clinico e al ricercatore, allo psicofarmacologo e allo psicoterapeut
Validità, attendibilità e proprietà psicometriche della versione italiana dell'intervista CECA (CHILDHOOD EXPERIENCE OF CARE AND ABUSE)
No full textRationale for the use of the CECA measures as preferred tools for research on the relationship between child abuse/neglect and adult psychopathology.
No full textRationale for the use of the CECA measures as preferred tools for research on the relationship between child abuse/neglect and adult psychopathology.
Adriano Schimmenti, Vincenzo Caretti, Francesca Giannone, Loredana Lucarelli
Research focusing on the role played by child abuse/neglect in the onset of psychopathology needs a valid and reliable assessment of childhood experiences and relationships: that is, there is the need for a comprehensive understanding of the developmental environment where the child grew up. Although the most used self-report measures on child abuse and neglect may show good psychometric properties, they often fail in such an objective, giving relevant information only on some facets of the childhood experiences of care and abuse.
The CECA measures (CECA interview and CECA Questionnaires) permit instead a wider exploration of experiences in infancy, childhood and early adolescence, which can be necessary for the anamnestic assessment in clinical practice, or when research is aimed to look at causal model in psychopathology. The clear definition and appropriate operationalization of childhood risk and resilience factors into the CECA measures allow in fact to discriminate among different experiences without loosing other relevant information on the topic.
Some findings from Italy obtained through the use of the CECA measures on normal samples and clinical samples will be discussed. Also, case studies on war refugees and patients with complex childhood trauma and DSM-IV Axis I - Axis II disorders in comorbidity will be presented to show how CECA can help clinical assessment.
Statistical analyses on CECA datasets, including the application of Item Response Theory models to the Italian version of the CECA interview and the use of Structural Equation Modelling for testing the effects of child abuse/neglect on adult psychopathology, widely confirm that CECA measures are valid, reliable, and mostly important useful for research and clinical practice
PDSS Postpartum Depression Screening Scale.
No full textAdattamento e validazione italiana della Postpartum Depression Screening Scale, uno strumento di autovalutazione utilizzato per lo screening dei disturbi depressivi in epoca postnatale. Sviluppo e standardizzazione della versione originale statunitense. Adattamento, validazione e proprietà psicometriche della versione italiana della PDSS
Disregolazione affettiva e dissociazione come predittori dei vissuti traumatici nei disturbi del comportamento alimentare
No full textTrauma-related dissociation is linked with maladaptive personality functioning
No full textBackground: Extensive research has demonstrated the positive associations among the exposure to traumatic experiences, the levels of dissociation, and the severity of psychiatric symptoms in adults. However, it has been hypothesized in clinical literature that an excessive activation of the dissociative processes following multiple traumatic experiences may jeopardize the psychological and behavioral functioning of the individuals, fostering higher levels of maladaptive personality functioning. Methods: The study involved 322 adult volunteers from Italy. Participants completed measures on traumatic experiences, dissociation, and maladaptive personality traits. Results: The number of traumatic experiences reported by participants were positively associated with dissociation scores and maladaptive personality scores. Mediation analyses showed that dissociation acted as a partial mediator in the relationship between traumatic experiences and overall maladaptive personality functioning. Regression curve analyses showed that the positive association between maladaptive personality functioning and dissociation was stronger among participants with higher exposure to traumatic experiences. Conclusion: Exposure to multiple traumatic experiences may increase the risk for an excessive activation of the dissociative processes, which in turn may generate severe impairments in multiple domains of personality functioning
Perinatal Assessment of Paternal Affectivity (PAPA): preliminary report on a new screening tool.
No full textDuring the perinatal period affective alterations in fathers, like Paternal Perinatal Depression, are very frequent, but occur differently than in women (Tuszyńska-Bogucka, & Nawra, 2014; Edward et al. 2015). In particular, depressive symptoms in fathers tend to be less severe, less definite, and often occur in comorbidity with anxiety disorders, alteration of illness behavior and behavioral acting outs like addictions or anger attacks. As a consequence of their indefinite clinical features, these problems are often under-assessed or undiagnosed (Musser et al. 2013).
The Perinatal Assessment of Paternal Affectivity (PAPA) is a new questionnaire for the screening of high-risk fathers during the perinatal period. It is based on recent research on perinatal affective disorders and is the first instrument to assess these problems in fathers through many different dimensions: Anxiety, Depression, Hostility, Perceived stress, Relational difficulties, Somatic complaints, Dangerous behavior (driving, sport, at work), Addictions (smoking, alcohol, drugs, internet, gambling) and physiological alteration (sleep, eating). It is fast and simple to administer (one page, five minutes), and ethnic and socio-cultural influences are considered.
In this pilot study a sample of 50 Italian fathers assessed during a gynecological consultation at the 8th month of pregnancy of their companion were considered. Besides the PAPA, all subjects were given the following questionnaires: CES-D, EPDS, SCL-90-R, Perceived Stress Scale (PSS) and Dyadic Adjustment Scale (DAS).
The preliminary data analysis shows a significant association (P = 0.1) between the scales of Depression, Anxiety, Somatic complaints and Stress perception of the PAPA with the relative scales of CES-D, EPDS, SCL-90-R and PSS.
The PAPA is a screening tool, and its goal is not an accurate diagnosis, but it provides a simple and practical guide for detecting fathers at high-risk of perinatal affective alteration, in order to foster a more in-depth diagnostic assessment, and a possible treatment.
References
Edward K., Castle D., Mills C., Davis L., & Casey J. (2015). An integrative review of paternal depression. American Journal of Men’s Health, 9(1), 26-34.
Musser A.K., Ahmed A.H., Foli K.J., & Coddington J.A. (2013). Paternal Postpartum Depression. What Health Care Providers Should Know. Journal of Pediatric Health Care, 27(6), 479-485.
Tuszyńska-Bogucka W., & Nawra K.N., (2014). Paternal postnatal depression – a review. Archives of Psychiatry and Psychotherapy, 2, 61–6
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