Eating and Sensory Features of Children With Autism Spectrum Disorder and Their Typically Developing Peers.

IMPORTANCE: Impaired sensory processing is associated with eating problems. There seem to be no previous studies that compare those who have autism spectrum disorder (ASD) with eating problems (ASD-W) and those with ASD without eating problems (ASD-WO) with typically developing (TD) groups. Comparisons are expected to provide further knowledge to guide the intervention programs. OBJECTIVE: To investigate differences among ASD-W, ASD-WO, and TD groups in eating and sensory features; to detect associations between sensory and eating behaviors and any most involved sensory dimensions; and to search for age-related differences in sensory and eating features in ASD. DESIGN: Nonrandomized comparison study. SETTING: Questionnaires administered as parent interviews. PARTICIPANTS: A total of 165 children were recruited: 117 with ASD and 48 TD children. OUTCOMES AND MEASURES: Standardized questionnaires: the Brief Autism Mealtime Behaviors Inventory for eating problems; the Short Sensory Profile and the Sensory Experience Questionnaire for sensory problems. RESULTS: The ASD-W group showed generalized, impaired eating behaviors and turned out to be the most impaired with regard to sensory responsiveness. No differences in feeding behaviors were found between the ASD-WO and TD groups. All children with ASD showed sensory hyper- or hyporesponsiveness. Four main sensory dimensions were found to be associated with eating behaviors in ASD. No age differences were found in the eating and sensory behaviors of children with ASD. CONCLUSIONS AND RELEVANCE: Differing eating and sensory profiles were found between the ASD and TD groups, especially in children with ASD-W. Early eating interventions using sensory stimulations are strongly recommended. What This Article Adds: This study reports novel information derived from the comparisons of children with ASD with eating problems and those with ASD without eating problems with typically developing groups of children.

Healthy orthorexia vs. orthorexia nervosa: Italian validation of the Teruel Orthorexia Scale (TOS).

PURPOSE: Orthorexia nervosa (OrNe) is a potentially pathological condition characterized by a fixation on healthy diet. An increasing number of studies have been conducted on this mental preoccupation, but the validity and reliability of some of the psychometric instruments employed in its assessment are still under debate. Among these measures, the Teruel Orthorexia Scale (TOS) seems to be promising, given that it allows to differentiate between OrNe and other non-problematic forms of interest with healthy eating, named as healthy orthorexia (HeOr). The aim of this study was to examine the psychometric properties of an Italian version of the TOS, by testing its factorial structure, internal consistency, test-retest reliability, and validity. METHOD: Through an online survey, we recruited 782 participants from different regions of Italy, asking them to complete the following self-report instruments: TOS, EHQ, EDI-3, OCI-R, and BSI-18. From the initial sample, 144 participants agreed to complete a second TOS administration 2 weeks later. RESULTS: Data confirmed the validity of the 2-correlated factors structure of the TOS. The questionnaire also showed good reliability, both in terms of internal consistency and temporal stability. With regard to the TOS validity, results showed that OrNe was significantly and positively associated with measures of psychopathology and psychological distress, while HeOr showed no correlations or negative associations with the above-mentioned measures. CONCLUSION: Based on these results, the TOS can be considered a promising measure for the assessment of both pathological and non-problematic forms of orthorexic eating behavior also in Italian population. LEVEL OF EVIDENCE: Level V, descriptive cross-sectional study.

Evaluating the filial behaviour scale across three cultural groups using exploratory structural equation modelling.

Filial piety is a Confucian concept that guides how children treat and take care of their parents. The Filial Behaviour Scale (FBS) is a 25-item instrument developed in the Chinese context measuring behavioural manifestations of filial piety. Although the components of filial piety have been found to be relevant across cultures, little research has investigated the psychometric properties of the FBS in other cultural contexts. The present study evaluated the factor structure, internal consistency, measurement invariance and construct validity of the FBS across three cultural groups: the United States, Italy and Malaysia. Participants were 1090 emerging adults (67% females; Mage  = 21.29 years, SD = 1.97; White Americans: n = 455, White Italians: n = 428, Malays: n = 328). A two-factor structure emerged across groups: Obedience/Obligation (behaviours showing obedience and obligation towards parents) and Relationship (behaviours expressing affection and promoting positive parent-child relationships). The two factors demonstrated adequate internal consistency, full configural, partial metric and partial scalar invariance, as well as unique associations with depressive symptoms and parent-child relationships across groups. These findings yielded a more nuanced understanding of filial behaviour and supported the utility of a two-factor FBS among emerging adults in various cultural contexts.

Aligning personal and collective interests in emerging adults during the COVID-19 emergency in Italy.

This study investigated the relations of emerging adults' personal (civic competence and interdependent self-construal) and community-based (sense of community and civic engagement) resources as predictors of appraisal of COVID-19 Public Health Emergency Management (PHEM) and attitudes toward preventing contagion in Italy. Participants were 2873 Italian emerging adults (71% females) aged 19-30 years (M = 22.67, SD = 2.82). Structural equation modeling revealed both direct and indirect positive associations among study variables. Civic competence and interdependent self-construal were related to sense of community and civic engagement behavior which, in turn, predicted appraisal of PHEM. Appraisal of PHEM in turn predicted attitudes toward preventing contagion. Overall, findings highlight the importance of examining the alignment between personal and collective interests to understand emerging adults' evaluative and attitudinal experiences during a period of crisis, such as that created by COVID-19.

The role of online social comparison as a protective factor for psychological wellbeing: A longitudinal study during the COVID-19 quarantine.

During the COVID-19 pandemic crisis, the experience of quarantine has been an undesirable condition for people and it can have a negative impact on mental health and psychological wellbeing. Social isolation has led to an increase in time spent on social network sites, with people interacting more frequently with each other, and comparing online the way in which they are experiencing the same state of home confinement. Our study aimed to investigate the role of online social comparison on individuals' psychological distress and life satisfaction during the COVID-19-related quarantine. Specifically, a cross-lagged panel study at three-waves was conducted in Italy in order to examine the change in psychosocial distress levels (e.g. depression, anxiety, stress, loneliness, low life-satisfaction) from before the quarantine for a period of one month, as well as the predictive role of online social comparison to ameliorate individual distress. An online survey was distributed through a social media platform three times after the initial lockdown and at the epidemic's peak two and five weeks later. A total of 113 participants participated in an online survey between the 7th of March and 14th of April 2020. The results showed an increase in the levels of loneliness, depression, stress, anxiety and a decrease in the level of life satisfaction in the pre/post quarantine comparison. Our cross-lagged results also showed that online social comparison at T1 and T2 predicted the individual's improvement in levels of anxiety, stress, loneliness and life satisfaction over time. Overall, the results of the current study underline the positive effects of online social comparison on the reduction of psychological distress during the COVID-19 quarantine.

Self-esteem and binge eating: Do patients with binge eating disorder endorse more negatively worded items of the Rosenberg Self-Esteem Scale?

OBJECTIVE: Self-esteem is a core aspect of eating disorder symptomatology. This study aims to examine whether method effects associated with negatively worded items of the Rosenberg Self-Esteem Scale (RSES) may interact the negative self-evaluations experienced by patients with obesity and binge eating disorder (BED). We also examined whether negatively worded items were associated with psychological distress and eating symptoms. METHOD: Five hundred thirty three female outpatients (mean age: 42.59) with BED (n = 160) or obesity without BED (n = 373) completed the RSES and measures of interpersonal problems, psychological distress, and eating symptoms. RESULTS: Patients with BED responded more strongly to the negatively worded items of the RSES than those with obesity. The RSES negatively worded item factor was negatively associated with higher interpersonal problems, psychological distress, and binge eating. CONCLUSIONS: Patients with BED may be more responsive to negatively phrased items on the RSES consistent with their negative self-evaluations and self-perceptions.

The Basic Psychological Need Satisfaction and Frustration Scale: Construct and Predictive Validity in the Italian Context.

The Basic Psychological Need Satisfaction and Frustration Scale (BPNSFS) is a self-report instrument assessing the satisfaction and frustration of the three basic psychological needs of autonomy, competence, and relatedness defined by self-determination theory. The aim of this study was to examine the dimensionality, the predictive validity, and the measurement invariance across different age groups of the Italian version of the BPNSFS. The participants were 2,204 Italian adolescents and young adults (41% males) from 14 to 28 years old (M age = 20.23, SD = 4.25). The invariance across age demonstrated adequate equivalence of the 6-factor model of scales across adolescents (14-18 years) and young adults (20-24 years), showing general homogeneity with respect to the constructs measured in the Italian context. Results of this study suggest that the satisfaction and frustration subscales for each need might be treated separately, because they might have unique effects that should be explored. For this reason, the BPNSFS could be a useful instrument in the counseling context because it can be easily used by operators both for assessment and for evaluation of the effects and results of counseling intervention.

Development of a Brief Form of the Interpersonal Reactivity Index (B-IRI).

The Interpersonal Reactivity Index (IRI) is a standardized self-report measure of disposition to empathic responsiveness for the general adult population (the domain for which it was developed), and for the general adolescent population. The IRI has a number of problems, however, including some uncertainty about its factor structure, low reliabilities, and poor readability of some items for people with limited literacy skills. To address these issues, we constructed an abbreviated form of the index, the Brief IRI (B-IRI). Three studies demonstrated that this 16-item B-IRI has a clear and coherent factor structure, adequate internal consistency, measurement invariance across gender and age, and theoretically meaningful associations with a range of external criteria that support its construct validity. The B-IRI substantially preserves the psychometric properties of the long form, and we recommend its use in all research settings.

The role of late adolescents' emotion regulation in the experience of COVID-19 lockdown: A longitudinal study.

The COVID-19 pandemic may be considered a unique mass-trauma experience. This study examined the relations between Italian late adolescents' emotion regulation strategies, their anxiety states, and their experience of the lockdown (in terms of discomfort related to restrictions, capacities to create new functional daily routines, and to find positive changes in one's own life) during the first wave of this pandemic. We analysed how participants' reports of cognitive reappraisal and expressive suppression were associated with anxiety states during the 2020 Italian COVID-19 lockdown (large scale physical distancing and movement restrictions) and one month after the lockdown restrictions had been removed. We also examined how cognitive reappraisal, expressive suppression, and anxiety states were linked to late adolescents' experience of lockdown. The participants were 497 Italian adolescents, aged from 17 to 24 years (Mage  = 21.11, SD = 1.83). A longitudinal structural equation modelling showed that emotion regulation strategies and anxiety states were not associated across time. Cognitive reappraisal was positively associated with routine reorganization and positive changes. In contrast, participants' expressive suppression was negatively related to their discomfort related to restrictions, ability to functionally reorganise their daily routine, and ability to find positive changes related to the COVID-19 emergency. Anxiety was positively linked to discomfort related to restrictions. The findings are discussed in light of the current literature related to emotion regulation and anxiety. Limitations and implications for practice are presented.

Interaction through social media: Development and validation of a social network site self-efficacy scale (SNS-SES).

Today, more than ever before, awareness of our ability to interact with others through and use social network sites (SNSs) is of fundamental importance, in light of the fact that we are connected to the Web 24 h a day, 7 days a week. Studies of social media in recent decades have shown that self-efficacy is one of the key variables affecting individual online behavior. The general aim of the studies presented here was to develop and validate a new self-report scale measuring self-efficacy in SNS use (an SNS self-efficacy scale, or SNS-SES). Across two studies, a total of 1295 Italian adolescents and adults (ages 15 to 89; M = 38.21, SD = 15.6) participated. The SNS-SES consists of 24 items assessing four factors of self-efficacy in SNS use: task-oriented/technological, task-oriented/social, interpersonal, and emotional. Exploratory and confirmatory factor analyses showed a clear factorial validity of this stable four-factor solution.

Individual Differences in Adolescents' Civic Engagement: The Role of Civic Discussions with Parents and Environmental Sensitivity.

The main goal of the current study was to examine the direct and moderating effects of civic discussions with parents and environmental sensitivity using both the total score and its specific dimensions (i.e., Aesthetic Sensitivity, AES; Ease of Excitation, EOE; Low Sensitivity Threshold, LST) on youth civic engagement (attitudes and behaviours). The empirical analysis relied on a questionnaire-based survey conducted on a sample of 438 adolescents (30% males), aged between 14 and 18 years (M = 16.50, SD = 1.36). We used a structural equation model (SEM) with latent variables and the latent moderated structural equation (LMS) method to test our hypotheses. Our results showed that civic discussions with parents were positively and significantly associated with general environmental sensitivity and with AES and predicted both civic attitudes and civic behaviours; EOE was negatively and significantly related to civic behaviours; AES was positively and significantly related to civic attitudes; and LST was not significantly related to either civic attitudes or behaviours. Contrary to our expectations, environmental sensitivity did not moderate the relationship between civic discussions with parents and civic engagement. Our study further highlights the relevance that parents have in shaping their children's civic engagement and makes a novel contribution regarding how differences in perceiving and processing environmental stimuli can affect beliefs and behaviours toward community issues among young individuals.

Psychological Antecedents of Italian Sport Coaches' Coaching Behaviors: The Role of Basic Psychological Needs, Motivation and Subjective Vitality.

The extant literature has identified some variables that are associated with sport coaches' coaching style, like their basic psychological need satisfaction, their motivation for coaching, and their psychological well-being. Framed from a conceptual framework based on Self-Determination Theory applied to sport coaches, the current study explored how sport coaches' basic psychological needs are associated with their motivation (intrinsic vs. external), subjective vitality, and coaching behaviors (autonomy-supporting vs. need-thwarting). Participants were 184 Italian sport coaches (males = 65%, Mage = 40.22, SD = 11.55, age range 19-74 years) from the "Centro CONI" project. They were requested to fill out online self-report questionnaires assessing the study variables. Structural equation modeling analyses suggested that sport coaches' satisfaction of basic psychological needs was associated with higher levels of intrinsic motivation to train as well as with higher levels of vitality that, in turn, were associated with coaching behaviors supporting athletes' autonomy. Moreover, sport coaches' frustration of basic psychological needs was associated with higher levels of external motivation to train that, in turn, were associated with higher levels of a need-thwarting coaching style. Overall, the findings provided additional support for understanding how sport coaches' basic psychological needs relate to their coaching styles.

Maternal Parenting and Preschoolers' Psychosocial Adjustment: A Longitudinal Study.

Previous research reported that positive parenting and parenting stress might impact children's psychosocial adjustment. The current longitudinal study aimed at evaluating the associations over time between mothers' positive parenting, their parenting stress, and their preschoolers' social-emotional competence and emotional-behavioral difficulties. Participants were 53 Italian mothers, aged between 24 and 47 years (M = 35.30, SD = 5.28) at T0, and their children (females = 51%), aged between 3 and 6 years (M = 4.48, SD = 0.84) at T0. Mothers completed self-report scales at 2 time points (with a 2-year lag). An autoregressive cross-lagged model was tested that had a good fit to the data, χ2(6) = 3.37 ns, CFI = 1.00, RMSEA = 0.00. The results showed that maternal positive parenting at T0 negatively predicted maternal parenting stress at T1; maternal parenting stress at T0 negatively predicted children's social-emotional competence at T1. Moreover, at each time point, children's social-emotional competence was associated positively with maternal positive parenting and negatively with maternal parenting stress; children's emotional-behavioral difficulties were positively associated with maternal parenting stress. The results confirm that interactions with mothers are fundamental for children's psychosocial adjustment. Implications for research and practice aimed at reducing parenting stress and fostering positive parenting are discussed.

Emotional Competence in Primary School Children: Examining the Effect of a Psycho-Educational Group Intervention: A Pilot Prospective Study.

Emotional competence (EC) is a key component of children's psychological, cognitive, and social development, and it is a central element of learning. The primary goal of this study was to evaluate the effectiveness of implementing a psycho-educational group intervention aimed at improving children's emotional competence (EC), quality of integration and scholastic skills. A total of 229 children (123 females; M Age = 7.22 years; SD = 0.97 years) completed the Pictures of Facial Affect (POFA), the Drawn Stories Technique, the Classroom Drawing, and the Colored Progressive Matrices. The total sample was randomly divided into an intervention group (N = 116) who took part in psycho-educational activities and a control (no-intervention) group (N = 84). Both groups were tested at baseline, before the intervention started, and at the end of the intervention (4 months from baseline). Results from mixed-model ANOVA revealed a significant main effect for POFA score over time (F = 6.24, p = 0.01) and an interaction effect between POFA and group (F = 4.82, p = 0.03). No significant main effect was found for classroom drawing over time (F = 0.81, p > 0.05) or for quality of integration and group intervention. These findings support the importance of developing psycho-educational programmes in school for promotion of emotional health for preventing not only the onset of problematic behaviours at school such as bullying but also the development of clinical conditions linked to difficulties in emotional recognition, expression, and regulation such as alexithymia.

Lactate Threshold Training Program on Patients with Multiple Sclerosis: A Multidisciplinary Approach.

Physical activity could play a key role in improving the quality of life, particularly in patients with nervous system diseases such as multiple sclerosis (MS). Through lactacid anaerobic training, this study aims to investigate the effects at a bio-psycho-physical level to counteract the chronic fatigue associated with the pathology, and to improve mental health at a psychological and neurotrophic level. Eight subjects (age: 34.88 ± 4.45 years) affected by multiple sclerosis were involved. A lactate threshold training program was administered biweekly for 12 weeks at the beginning of the study (T0), at the end of the study (T1) and at 9 months after the end of the study (T2), with physical, psychological and hematochemicals parameters, and dietary habits being tested. The results obtained confirmed that lactacid exercise can influence brain-derived neurotrophic factor (BDNF) levels as well as dehydroepiandrosterone sulfate (DHEAS) levels. In addition, levels of baseline lactate, which could be best used as an energy substrate, showed a decrease after the protocol training. Self-efficacy regarding worries and concerns management significantly increased from T0 to T1. The eating attitudes test (EAT-26) did not highlight any eating disease in the patients with a normal diet enrolled in our study. Physical exercise also greatly influenced the patients psychologically and emotionally, increasing their self-esteem. Lactate threshold training, together with dietary habits, appears to exert synergic positive effects on inflammation, neural plasticity and neuroprotection, producing preventive effects on MS symptoms and progression.

The socialization of coping strategies in adolescence: the modeling role of parents.

Background and Objectives: The main aim of this study is to test the intergenerational transmission of the relations between coping strategies to well-being from parents to adolescents through the modeling of the coping strategies of the parents to those of the child.Methods: 154 cohabitating families composed by father, mother, and adolescent in age range between 14 and 18 (M = 16.40; SD = 1.53) took part to the research. To test the proposed model, SEM with observed variables and the integration of the APIM approach and the Bootstrapping approach was used.Results: Findings showed in both parents and adolescents significant positively relations between coping task strategy and well-being, and significant negatively relations between coping emotion strategy and well-being. Furthermore, direct positively relations between the use of specific coping strategies of father and mother and the use of the same strategies in adolescents was found. Finally, results showed the mediation of adolescents coping strategies in the relations between parental coping strategies and adolescents well-being.Conclusion: Taken as whole, our results demonstrated that coping strategies in parents were directly related to coping strategies in children and that both mothers and fathers contribute in unique ways to shape children's coping.

A Revised Short Form of the Extended Class Play Among Italian Early Adolescents.

Among the measures assessing peer reputation, the Extended Class Play (ECP) is now used extensively in North American settings. Little information is available in other cultural contexts. Furthermore, practical considerations suggest developing a shorter form of the ECP to be used in socio-educational environments. This study examined the ECP dimensions of peer assessment in Italy as well as developed a shorter form of the measure. We revised the ECP using factor analyses according to an explorative-confirmatory approach. The original 37-item ECP was shortened to a 22-item version and, subsequently, the properties of the revised measure were evaluated. We performed two studies comprising, respectively, 643 (55% male; 97% Italian; Mage = 12.20, SD = 0.60) and 652 (58% male; 94% Italian; Mage = 12.26, SD = 0.66) seventh-grade young adolescents living in southern and central Italy. Results revealed a clear and consistent seven-factor structure and acceptable levels of reliability and validity. Factors included constructs such as Shyness-Withdrawal, Prosociality-Leadership, Aggression, Popularity-Sociability, Victimization, Rejection-Exclusion, and Boastfulness. Correlations between the dimensions of the 22-item ECP and teacher ratings of young adolescents' behaviors further confirmed the validity of the solution. Findings suggest the importance of culturally revised measures of social reputation and indicate that the short form of the ECP has considerable promise to be considered a valuable measure to assess the multidimensional aspects of peer relationships.

Associations Between Peer Pressure and Adolescents' Binge Behaviors: The Role of Basic Needs and Coping.

Framed from a framework based on the integration of self-determination theory (Ryan & Deci, 2000 ) and Endler and Parker's (1990) conception of coping strategies, the authors analyzed the relationships between peer pressure and binge behaviors (binge eating and binge drinking) in adolescence. Moreover, the authors explored the mediating role of satisfaction/frustration of basic psychological needs and coping strategies in these associations. Participants were 570 high school students (M = 15.75 years, SD = 1.14 years) living in Italy. The study design was cross-sectional and adolescents were administered self-report questionnaires. Path analysis showed significant and positive direct associations of peer pressure with both binge eating and binge drinking. Moreover, findings show that there is an indirect path in which peer pressure is positively associated with need frustration that is related to the use of emotion-oriented coping strategies that, on their turn, are associated with binge eating. Differently, binge drinking seems to be only directly related to peer pressure. The authors put light to the complex nature of the relationships between peer pressure and binge behaviors in adolescence, taking into account the separate contribution of need satisfaction and need frustration, as well as of coping strategies. Finally, practical implications of the study are discussed.

Type D Personality and Alexithymia: Common Characteristics of Two Different Constructs. Implications for Research and Clinical Practice.

In the last few decades, particular attention has been paid to the role of personality specific traits that can affect the loss of health, i.e., Type D personality and Alexithymia. They have been conceptualized in a different period, this means that they are different both for their theoretical positions and their empirical studies. Some authors have speculated that there is a potential conceptual overlap between Type D personality and alexithymia constructs but there is a shortcoming in the literature. The aim of the study was to examine the potential overlap between the constructs of type D personality and alexithymia, replicating previous two studies, to extend these findings to Italian population. The participants were 247 Italian adults (males = 43%), recruited in primary health care practices of Palermo. All participants did not have chronic diseases during tests administration. They ranged in age from 35 to 69 years old (M = 52.34 years, SD = 9.76). Participants were administered Type D Personality Scale (DS-14) and Toronto Alexithymia Scale (TAS-20). A series of confirmatory factor analyses was performed to evaluate the factorial structure underlying the TAS-20 and DS-14 items. Globally results showed that alexithymia and type D personality are distinct constructs, but they are also strictly positively related with each other. Negative affectivity (NA) was highly correlated with Difficulties in identifying feelings and Difficulties in describing feelings, while Social inhibition (SI) was highly correlated with Difficulties in describing feelings. These results are consistent with those of other studies conducted in this area. Future research should consider evaluating the relationship between a deficit of affect regulation and type D personality to improve the effectiveness of interventions of health cure.

Self-Other Differentiation Scale: Dimensionality, IRT Parameterization, and Measurement Invariance.

The Self-Other Differentiation Scale (Olver, Aries, & Batgos, 1989 ) is a self-report instrument assessing the experience of a separate sense of self from others. The authors aimed to examine its dimensionality, reliability, and measurement invariance across gender. It was completed by 348 participants (48% men) from 17 to 30 years old in Study 1, 348 participants (40% men) from 18 to 28 years old in Study 2, and 1,068 participants (49% men) from 17 to 28 years old in Study 3. The results supported the hypothesis of just one factor underlying the scale; they also showed an appropriate internal consistency and a partial measurement invariance across gender. Results also showed evidence for a 10-item version of the scale. Globally, the Self-Other Differentiation Scale can be considered a good scale to assess individual's sense of differentiation of one's own sense of self from others.