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    Il chiodo fisso.

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    Ossessioni e compulsioni costituiscono fenomeni comuni ed estremamente diffusi. Talvolta hanno carattere doloroso, straziante, inaccettabile sia per chi personalmente ne soffre, sia per chi indirettamente ne è a contatto. Questo libro si rivolge a tutti coloro che affrontano in maniera esasperata le piccole irrazionalità della vita. In realtà essi soffrono terribilmente senza riuscire a trovare un rimedio e soprattutto senza capirne il perché

    Presentazione della versione italiana dell’Obsessive Beliefs Questionnaire (parte II): Validità convergente e specificità dei costrutti in un campione clinico.

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    L’Obsessive Beliefs Questionnaire (OBQ) è un questionario sviluppato dal gruppo internazionale Obsessive Compulsive Cognitions Working Group (OCCWG) per valutare i domini cognitivi considerati centrali nello sviluppo e mantenimento del disturbo ossessivo-compulsivo. Nella prima parte di questo lavoro abbiamo descritto la procedura di validazione italiana e presentato alcune caratteristiche psicometriche dell’OBQ-46. In questa seconda parte presentiamo i risultati relativi alla validità concorrente e la validità discriminante dell’OBQ-46. Lo strumento è stato somministrato a 49 pazienti con diagnosi di disturbo ossessivo-compulsivo, a 21 pazienti con altri disturbi d’ansia e a 50 controlli non clinici. Il confronto tra gruppi indica una specificità del costrutto relativo alla responsabilità, sia per danno che per omissione. Inoltre, la congruenza tra quadri sintomatologici e beliefs corrispondenti non sembra del tutto confermata. I risultati vengono discussi in termini di ampliamenti futuri e revisione della centralità e specificità dei costrutti cognitivi relativi al disturbo ossessivo-compulsivo e della possibile esistenza di costrutti sovra-ordinati

    Presentazione della versione italiana dell'Obsessive Beliefs Questionnaire: struttura fattoriale e analisi di affidabilità .

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    L’Obsessive Beliefs Questionnaire (OBQ) è un questionario sviluppato dall’Obsessive Compulsive Cognitions Working Group (OCCWG) per valutare i domini cognitivi considerati centrali nella patogenesi e mantenimento del disturbo ossessivo-compulsivo. Scopo del presente studio è stato quello di esaminare la struttura dell’Obsessive Beliefs Questionnaire nel contesto linguistico e culturale italiano. Il questionario è stato somministrato, unitamente a Padua Inventory, Beck Depression Inventory e Beck Anxiety Inventory, a 752 soggetti tratti dalla popolazione studentesca. Sono state condotte inizialmente due analisi fattoriali esplorative con richiesta di 6 fattori e 3 fattori secondo la più recente revisione del Working Group. Le analisi confermative LISREL hanno evidenziato una struttura fi nale composta da 46 item suddivisi in 5 sottoscale: Perfezionismo, Responsabilità per Danno, Controllo dei Pensieri, Responsabilità per Omissione e Importanza dei Pensieri. Le analisi di consistenza interna e stabilità temporale supportano in generale buona validità e affi dabilità dello strumento. I risultati mettono in evidenza una peculiarità del concetto di responsabilità per danno e per omissione presente, a nostra conoscenza, solo nella realtà italiana

    Burnout syndrome among health workers caring for AIDS patients: predictive variables

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    Psychological stress and coping strategies in staff working with AIDS patients were assessed using self report methods. Measures: Maslach Burnout Inventory (MBI), Coping Orientations to Problems Experiences (COPE), State-Trait Anxiety Inventory (STAI) and Depression Questionnaire (DQ) were completed by staff from 20 hospitals of North-Center Italy, including 329 doctors and nurses working with people with AIDS. The results suggested important correlations among burnout, coping style, depression and anxiety. Inadequate strategies used as Focusing on and Venting of emotion, Behavioral Disengagement and depression predicted high level of Emotional Exhaustion and Depersonalization, while Personal Accomplishment were predicted by more adequate strategies (Planning, Restrain coping and Seeking social support) and low level of anxiety

    Presentation of the Italian version of the Obsessive Beliefs Questionnaire (part II).Convergent validity and specifity of the constructs in a clinical group

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    The Obsessive Beliefs Questionnaire (OBQ) is a questionnaire developed by the international group Obsessive Compulsive Cognitions Working Group (OCCWG) to assess cognitive domains that are considered central in the development and maintenance of obsessive-compulsive disorder. In the first part of this work we have described the Italian validation procedure and have presented some psychometric characteristics of the OBQ-46. In this second part we present the results related to concurrent and discriminant validity of the OBQ-46. The questionnaire was administered to 49 patients with obsessive-compulsive disorder, 21 patients with other anxiety disorders and to 50 non-clinical controls. Comparison between groups highlights the specificity of the responsibility for harm and for omission in OCD Italian population. In addition, the congruence between OC sub-types and beliefs does not seem entirely confirmed. Results are discussed in terms of future expansion and revision of centrality and specificity of the cognitive constructs related to obsessive-compulsive disorder and the possible existence of higher-order constructs

    Predicting burnout among HIV/AIDS and oncology health care workers

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    Psychological stress and coping strategies in staff working with AIDS and with cancer patients were assessed using self-report methods. The Maslach Burnout Inventory (MBI), Coping Orientations to Problems Experiences (COPE), State-Trait Anxiety Inventory (STAI) and Depression Questionnaire (DQ) were completed by staff from 20 hospitals of North-Center Italy, including 268 doctors and nurses working with people with AIDS and 260 doctors and nurses working in oncology. Few significant differences were found between two units on the MBI, COPE subscale and depression/anxiety. When a Bonferroni corrected p level of p < 0.0025 was used, the difference on Emotional Exhaustion (EE) subscale of MBI still remained statistically significant, indicating greater exhaustion in the oncology staff. The regression analysis suggested that the negative aspects of burnout were predicted primary by professional status (being a doctor), type of unit (oncology), depression and the use of the humor as a coping strategy. In contrast personal accomplishment was better predicted by positive coping strategies (i.e. planning, restraint coping, non-denial) and low level of anxiety

    Coping strategies: evidence for cross-cultural differences? A preliminary study with the Italian version of Coping Orientations to Problems Experienced (COPE).

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    The internal structure of the COPE inventory (Carver, Scheier & Weintraub, 1989), a questionnaire which measures 15 different coping strategies, was studied. The Italian version of COPE was administered to 521 undergraduate students. Alpha and test-retest reliabilities were very similar to those obtained in the above American study. A rotated factor analysis resulted in 13 factors, which came out in a different order with respect to those obtained in the original study. A second-order factor analysis yielded five factors similar to those obtained by Carver et al., except for 'Turning to religion', which was present in the Italian study only. It is concluded that the Italian version of COPE has good construct validity and that the traditional taxonomy of coping strategies should also be studied in the light of transcultural differences
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