169,833 research outputs found

    The Resilience Factor: Examining its Potential to Alleviate Shame and Guilt in School Bullying

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    School violence, in particular bullying by peers, has become a problem on the public agenda. In the context of bullying, children exposed report high levels of shame and guilt which increase victimization since involves a humiliating experience associated with the lack of acceptance by the peer group and can negatively affect mental health. Both emotions have been previously studied in peer violence context. Now we aim to examine resilience as a potential factor to alleviate shame and guilt in school bullying. We conducted a study to test if resilience mediates the feeling of shame and guilt effect of being exposed to bullying; that is, if resilience entails protective behaviors that favour the dissipation of the risk of feeling shame and guilt when exposed to direct violence in school. First, we adapted to Mexican Spanish the research instrument Short Version of the State Shame and Guilt Scale (SSGS-8, Cavalera et al., 2017)-; then we conducted a quantitative, explanatory, cross-sectional approach study; both were carried out in two different non-urban high schools near the city of Monterrey, Mexico, randomizing groups. We found through a moderated mediation analysis that resilience is a key piece to transform shame and practically alleviate negative school violence consequences the indirect effect of resilience on the relationship between direct violence in school and shame was moderated by gender, better for boys than for girls. As its presence restrain shame in those who have been exposed to direct violence in school, it is important to strengthen resilience in adolescents. Promoting the development of shame resilience in adolescents is crucial to prevent them from questioning whether something is wrong with them when exposed to violence. We must continue making efforts to eradicate violence in schools through prevention programs and public policies

    COVID-19 Psychological Implications: The Role of Shame and Guilt

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    The recent spread of COVID-19may have dramatic consequences formental health. As the present pandemic may imply an exposure to death or threatened death or serious physical injury, this situation involves a prolonged alert condition that can have significant psychological consequences on several levels (Greenberg et al., 2020). Besides the constant fear of being infected, other negative emotions may represent a serious issue for mental health. Shame and guilt are two distinct negative self-conscious emotions that can be triggered by the present pandemic. As evidenced by Tangney and colleagues (Tangney andDearing, 2002; Tracy et al., 2007) and by recent contributions (Cândea and Szentagotai-Tˇata, 2018), when shame and guilt are not properly recognized and managed, they are in various ways related with severe psychological symptoms that can become a serious threat for mental health. In the present paper, shame and guilt functioning is presented, and their relations with the current pandemic situation are discussed

    Long-term psychological implication of the COVID-19 pandemic: a network analysis among the Italian population

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    The enduring psychological impact of the COVID-19 pandemic is a subject of growing concern. Despite existing research highlighting immediate challenges, there is a lack of comprehensive studies elucidating specific pathways through which psychological variables contribute to the pandemic’s long-lasting implications. Through a network analysis approach, we aimed to investigate the mutual relationships and associations between eating disorder symptoms, guilt- and shame-proneness, psychopathological symptoms, self-esteem, defence mechanisms, and mentalization and understand how they might interact two years after the pandemic's outbreak. From March to August 2022, 651 Italian young adults (females = 593, 91.1%) aged between 18 and 38 (Mage = 23.84, SD = 3.74) were recruited online and completed a digital booklet of self-report questionnaires. A weighted, undirected graphical LASSO network was performed to investigate the structure of the nodes. A stable and accurate network structure showed that the most interconnected nodes were psychoticism, interpersonal sensitivity, obsessive-compulsive symptoms, depression, anxiety, paranoid ideation, and immature defences, suggesting their central role in the network functioning. Findings emphasized the enduring psychological impact of the pandemic, elucidating the complex interplay and dynamic impact of key psychopathological symptoms and defence mechanisms. The network tested also provides valuable insights for developing targeted interventions and effective strategies to address post-pandemic mental health challenges

    Ashamed or afraid? Traumatic symptom severity and emotional activations of Covid-19-related events

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    This study investigates the role of shame, guilt, and fear activations related to Covid-19 stressful experiences in predicting traumatic symptoms. We focused on 72 Italian adults recruited in Italy. The primary outcome was to explore the traumatic symptoms severity and negative emotions associated with COVID-19-related experiences. The presence of traumatic symptoms was met by a total of 36%. Shame and fear activations predicted traumatic scales. Qualitative content analysis identified Self-centered, and Externally-centered counterfactual thoughts and five relevant subcategories were also identified. The present findings suggest the importance of shame in the maintenance of traumatic symptoms related to COVID-19 experiences

    A short version of the state shame and guilt scale (SSGS-8).

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    Shame and guilt are crucial emotions regulating individuals’ interactions with the surrounding environment as well as social relations and the development of the self. However, regardless of their im- portance, the debate about the selection of quantitative empirical measures in contexts requiring an assessment of both emotions remains still open. The present study examines the reliability and validity of the Italian short version of the State Shame and Guilt Scale (SSGS-8) in a sample of undergraduate students. Confirmatory factor analyses suggested a robust model of measurement with good psycho- metric properties, and it confirmed the two-factor structure composed by Shame and Guilt. The results of the study supported the adoption of the Italian version of the SSGS-8 scale as a reliable tool to assess shame and guilt in Italian-speaking populations. In this perspective, SSGS-8 could be adopted in train- ing programs and clinical contexts

    Shame and Guilt Proneness as Mediators of PTSD/DSO Symptoms in Young Adults

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    The aim of this study was to investigate the relationships between trauma exposure, shame and guilt proneness and the development of PTSD and Disturbances in Self-Organisation (DSO) symptoms in young adults. Specifically, we hypothesised that trauma exposure would be positively correlated with PTSD and DSO symptoms and that shame and guilt would mediate this relationship. A total of 160 young adults participated in this study. Three models were tested: (1) a model with direct effects from trauma exposure to PTSD and DSO, (2) an indirect effects model where the direct paths were constrained and (3) a full model with both direct and indirect effects. Shame and guilt proneness showed a strong correlation with PTSD and DSO. Direct effects revealed that trauma exposure predicted PTSD, DSO, guilt and shame proneness. Guilt had a strong effect on PTSD, while shame had the strongest effect on DSO. Indirect effects showed that trauma exposure significantly predicted both PTSD and DSO through heightened guilt and shame. The strongest indirect relationships were trauma exposure to PTSD via guilt and trauma exposure to DSO via shame. This study demonstrates that trauma exposure is associated with heightened levels of shame and guilt proneness, which, in turn, predict greater severity of PTSD and DSO symptoms. These findings suggest that emotional regulation, particularly in relation to shame and guilt proneness, should be targeted in interventions for trauma-related disorders. Future research should further explore the role of these emotions in the development of complex PTSD

    Efficacy of domperidone plus renal diet in slowing the progression of chronic kidney disease in dogs with leishmaniosis

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    Background: Chronic kidney disease (CKD) represents the main cause of mortality in dogs with leishmaniosis. Domperidone has recently been reported to improve kidney function in leishmaniotic dogs affected by CKD. Serum symmetric dimethylarginine (sSDMA) has also been shown to be a useful biomarker for earlier detection of decreased kidney function when compared to serum creatinine (sCr). This study aimed to assess the efficacy of domperidone plus renal diet in slowing the progression of nephropathy in leishmaniotic dogs with CKD, evaluating sSDMA and sCr as markers of kidney function. Methods: This study was a therapeutic, prospective, randomized, controlled, 11-month-long field trial. Dogs were recruited if classified as “exposed” to or “infected” with Leishmania infantum and affected by CKD at early stages. After enrolment (T0), dogs were randomized into groups T (treatment) and C (control). All dogs were fed a renal diet and then followed up at 90 (T1), 210 (T2), and 330 (T3) days after inclusion in the study. At T1 and T2, dogs in group T received an oral suspension of domperidone (1 ml/10 kg once a day for up to 28 days). Results: Twenty-two dogs (i.e., n = 12 in group T and n = 10 in group C) completed the study. At T0, the entire population of enrolled dogs presented a mean sSDMA value of 16.5 ± 3.4 μg/dl. At T1 (i.e., after 3 months of renal diet), sSDMA was significantly decreased in both groups, with an sSDMA of 13.1 ± 4.4 μg/dl for the entire population involved. From T1 to T3, sSDMA gradually increased in group C, while remaining stable in group T, which continued to show a significantly lower value of sSDMA at T3 than at T0. Regarding sCr, at T0 and T1, the mean values of the entire population of dogs were 1.1 ± 0.3 and 1.0 ± 0.4 mg/dl, respectively, with no statistical differences between groups T and C. In group T, sCr decreased significantly from T0 to T1, while returning at T3 to values similar to T0. Conclusions: In this study, domperidone plus renal diet reduced the progression of kidney disease in leishmaniotic dogs affected by CKD. Graphical Abstract: [Figure not available: see fulltext.]

    Illness expectations predict the development of influenza-like symptoms over the winter season

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    Objective: This study explores the hypothesis that cognitive expectations of catching influenza-like symptoms increase the chances of developing the symptoms over the winter season. Design: Self-reported data from 247 healthy volunteers were obtained twice, before and after the winter season. In the first assessment, expectations about developing influenza-like symptoms in the incoming months were charted. This data was matched with a post-winter assessment of the actual development of the symptoms. Results: The odds of developing symptoms were highly associated with the expectations declared months before (OR = 1.776), and the association remained stable (OR = 1.453) even when accounting for previous influenza-like illnesses and the perception of general health. In contrast with previous findings, perceived stress was not associated with symptom development. Conclusions: These results support the hypothesis of a self-fulfilling prophecy mechanism related to influenza-like symptoms

    Do Immature Defense Mechanisms Mediate the Relationship Between Shame, Guilt, and Psychopathological Symptoms?

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    When shame and guilt emotional experiences related to stressful events remain unresolved, they can be related to psychological impairment and recursive thoughts. The present study aims to explore the association between state shame and state guilt related to past stressful experiences and psychopathological symptoms and evaluating a mediation role by immature defenses. A total of 90 participants (48.9% female; mean age 23.66) were considered in the present study to (a) investigate correlations between state guilt and shame scores related to personal stressful events and psychopathological symptoms related to global severity index; (b) assess whether state guilt and shame scores related to personal stressful events are positively correlated with immature defenses; (c) test whether immature defenses mediates the relationship between, respectively, state shame and state guilt with psychopathological symptoms. Significant correlations between state shame, state guilt, psychopathological symptoms, and immature defenses were found. Higher activations on immature defenses partially mediated the relationship between psychopathological symptoms and state shame and state guilt, respectively. Past experiences related to shame and guilt should be targeted by specific treatments that could help stop recursive maladaptive thoughts and empower more adaptive defensive strategies

    The use of lung ultrasound during the COVID-19 pandemic: A narrative review with specific focus on its role in pregnancy

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    The novel coronavirus disease (COVID-19) is a challenge to every health system. Unfortunately, it is unlikely that this pandemic will disappear soon. No health system, with its present resources and workflow, is capable enough to deal with a full-blown wave of this pandemic. Acquisition of specific new skills may be fundamental in delivering appropriate health care for our patients. The gold standard for diagnosis of the COVID-19 infection is real-time reverse transcription polymerase chain reaction. Radiological investigations (chest X-ray or high-resolution computerized tomography [CT]) can be helpful both for diagnosis and management, but they have many limitations. Ultrasound has been suggested as a reliable and accurate tool for assessing the lungs in COVID-19 patients. Lung ultrasound (LUS) can show specific signs of interstitial pneumonia, which is characteristic of COVID-19 pulmonary infection. In addition, nonradiologist specialists with experience in ultrasound can be trained on LUS with a relatively rapid learning curve. In pregnancy, LUS can be particularly useful due to the avoidance of exposure to ionizing radiation. In this review, we present the advantages, techniques, and limitations of the use of LUS during the COVID-19 pandemic, with specific focus on pregnancy
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