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The psychosocial impact of coronavirus disease 2019 (COVID-19) on human life is well-known. Although vaccine protection represents an effective way to control the spread of the virus, vaccination hesitancy may decrease individuals' willingness to get vaccinated, including among cancer patients. Therefore, the objective of the current study was to examine the predictors of cancer patients' intentions to receive COVID-19 vaccinations and vaccine uptake, using and integrating the theory of planned behaviour (TPB) and the health belief model (HBM). A sample of 276 Italian cancer patients (54% female and 46% male) ranging from 19 to 85 years (M = 49.64, SD = 11.53) was recruited by administering an online questionnaire. The current study results showed that cancer patients with higher trust in health authorities tended to have vaccine-positive subjective norms, perceived that vaccination was under their control, and viewed COVID-19 vaccines positively. On the other hand, the perceived risk of COVID-19 was related to subjective norms but not to perceived behavioural control or attitudes towards COVID-19 vaccination. The current study reveals that TPB variables can function effectively as mediators between perceived risk, trust, and intention to vaccinate but at different levels. Together, these findings suggest that effective interventions (both public health messaging and personal medical communications) should focus on enhancing trust in health authorities, while at the same time endeavouring to highlight subjective norms that are vaccine-positive.
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COVID-19 , Neoplasias , Vacinas , COVID-19/prevenção & controle , Vacinas contra COVID-19 , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Intenção , Masculino , Vacinação/psicologiaRESUMO
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.
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COVID-19 , Adulto , Feminino , Humanos , Itália , MasculinoRESUMO
Despite the massive volume of scientific evidence on the benefits of immunisation, vaccine hesitancy is still a global health threat and represents an obstacle to controlling the spread of viruses such as SARS-CoV-2 and its associated COVID-19. Thus, the present study aimed to adapt and validate an Italian version of the Vaccination Attitudes Examination (VAX) scale. The Italian version of the scale (VAX-I), along with validation measures (general health perceptions, perceived sensitivity to medicines, intention to get the flu vaccine, and trust in health authorities) were administered to a sample of 534 Italian participants aged 18 to 87 (M = 32.41, SD = 15.35). The original version of the VAX scale was translated into Italian using a back-translation method. The parallel and confirmatory factor analyses showed that the scale's four-factor structure fits the data well, as in the original version. Reliability coefficients indicated that the VAX-I scale showed good internal consistency and measurement invariance results demonstrated that the VAX-I scale is stable across gender. Construct validity was supported by the significant negative correlation with general health perceptions, intentions to get the flu vaccine, and trust in health authorities, and the weak but significant and positive correlation with perceived sensitivity to medicines. Overall, the VAX-I scale appears to be a valid instrument to assess vaccine hesitancy in the Italian context. Supplementary Information: The online version contains supplementary material available at 10.1007/s12144-022-03209-5.
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The identification of factors that counter youth's radicalization while promoting democratic activism is a timely social issue. This paper examines the association of psychological well-being (PWB) with violent radicalism and nonviolent activism, by focusing on the mediating role of both social disconnectedness (SD) and the perceived illegitimacy of the authorities (PIoA). Two mediation structural equation models (full vs. partial) were applied to data collected from 328 Italian adolescents (14-19 years). The results showed how SD and PIoA fully mediated the link of PWB with radicalism (negatively) and activism (positively). This model was further supported when compared with an alternative one proposing PWB as a mediator between SD and PIoA. The findings are discussed in light of the existing literature and provide potential implications for practice.
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Processos Grupais , Ilegitimidade , Adolescente , HumanosRESUMO
The Snaith-Hamilton Pleasure Scale (SHAPS) is a rapid screening battery created for assessing the presence of anhedonia, namely the inability to experience pleasure. Although, this symptom has widely been investigated in clinical settings, individual differences in anhedonia are also present in healthy population. The aim of present study was to validate the translated Italian version of this test. One thousand six hundred ninety-seven consecutive healthy subjects (55% female) of different ages (age 18-82 years) underwent SHAPS. Participants who showed mild level of anhedonia also completed the Apathy Evaluation Scale (AES), Beck Depression Inventory (BDI), Toronto Alexithymia Scale-20 (TAS), Mood Disorders Insight Scale (MDIS), and Beck Hopelessness Scale (BHS). The SHAPS showed good internal consistency and discriminant validity; moreover, the factorial analysis highlighted that SHAPS had a three-factor structure for explaining the anhedonic construct. 14.9% showed a significant reduction of hedonic tone (SHAPS ≥ 3). Finally, the degree of anhedonia was significantly correlated with BDI and BHS scores, but not with age or gender. Although anhedonia is a prominent feature of many psychiatric and neurological disorders, the presence of this symptom in the healthy population highlighted the importance to develop reliable tool. SHAPS shows good psychometric properties to assess multidimensional anhedonia symptoms also in Italian healthy population.
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Anedonia/fisiologia , Transtorno Depressivo Maior/terapia , Prazer/fisiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Transtorno Depressivo Maior/diagnóstico , Feminino , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Doença de Parkinson/diagnóstico , Doença de Parkinson/terapia , Escalas de Graduação Psiquiátrica , Adulto JovemRESUMO
This study investigates the impact of experienced contact on prejudiced attitudes towards individuals with intellectual disabilities (IDs), examining beliefs in a just world (BJW) and social dominance orientation (SDO) as potential serial mediators. Data were collected from 224 university students (M = 23.02, SD = 2.48). Path analysis modelling assessed the structural relationships between the study variables. The findings revealed that experienced contact was negatively and significantly associated with BJW and SDO. Additionally, BJW and SDO fully mediated the relationship between experienced contact and overt prejudice. These findings underscore the influence of individual differences on attitudes towards individuals with ID, establishing a crucial foundation for future research and the development of interventions aimed at reducing prejudice and discrimination.
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Deficiência Intelectual , Humanos , Preconceito , Predomínio Social , AtitudeRESUMO
Background and aim: Fear of Missing Out (FoMO) is consistently associated with problematic social media use (PSMU). Moreover, previous studies have shown a significant association between FoMO, self-esteem, and social comparison. However, there is a lack of studies that have investigated the relationship between, FoMO, social comparison, self-esteem, and PSMU in an integrated model. The present study hypothesized that FoMO may influence PSMU through the serial mediating role of social comparison and self-esteem. Method: A cross-sectional survey study was conducted comprising 256 Italian university students (74.4% female), aged 18 to 38 years (M = 23.05 years; SD = 3.58). The participants completed an online survey assessing the variables of the study. Results: Controlling for age and gender, the results showed positive associations between FoMO, social comparison, and PSMU, and a negative association between FoMO and self-esteem. Self-esteem was also negatively associated with PSMU. It was also found that social comparison and self-esteem sequentially mediated the association between FoMO and PSMU. Conclusions: The present study contributes to understanding the mechanisms that underline the complex effects of FoMO on PSMU.
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Gaming disorder (GD) has been recognized as a mental health problem, resulting in adverse and psychosocial consequences. Although previous evidence suggests poorer self-concept clarity (SCC) and avatar identification are associated with GD, less is known about the mediating role of body-image coping strategies (appearance-fixing and avoidance, a form of escapism) in this relationship. A total of 214 Italian online gamers (64 % males) were anonymously recruited online by posting the survey link on social media gaming forums and other online sites. The participants' ages ranged from 18 to 59 years (M = 24.07 years, SD = 5.19). The results of the correlational analysis showed that SCC was negatively related to GD, whereas body coping strategies and avatar-identification were positively associated with GD. Avoidance fully mediated the association between SCC and GD. Moreover, appearance-fixing and avatar-identification were full serial mediators between SCC and GD. Overall, the results of the present study suggest potential pathways for understanding the underlying determinants of GD, which can help in the design of intervention programs to help reduce the risk of GD among players.
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Adolescents represent the future generation, so it is important to pay attention to behaviors that involve them as actors in social activities and constitute the expression of an adequate growth path. Engaging in pro-environmental behaviors leads adolescents to do something good for themselves, for their own community, and for the place in which they live, and this type of conduct increases their levels of well-being and place attachment. This study examines the association between pro-environmental behavior and personal and social well-being in a sample of 1925 adolescents aged 14 to 20 years. Structural equation analyses showed a direct positive effect of pro-environmental behavior on personal and social well-being as well as place attachment. The latter partially mediated the relationship between pro-environmental behaviors and personal and social well-being. This study is significant in that it provides new data on how pro-environmental behaviors enhance adolescents' personal and social well-being by potentially ensuring long-term benefits, thereby suggesting that it is important to stimulate, motivate, and recommend these kinds of actions.
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Comportamento do Adolescente , Comportamento Social , Humanos , AdolescenteRESUMO
This study investigated the associations between parental monitoring, peer pressure, and motivations for responsible drinking, while also taking the mediating role of positive alcohol expectancies into account. The participants were 579 Italian adolescents, aged 14-20 years (M = 16.39 years, SD = 1.27; 55.3% females), involved in a cross-sectional survey. They were administered online self-report questionnaires. Structural equation modeling revealed both direct and indirect positive associations between study variables. Parental monitoring was positively associated, both directly and indirectly, with adolescents' motivations for responsible drinking through the mediation of positive alcohol expectancies; peer pressure was negatively and indirectly associated with adolescents' motivations for responsible drinking, via the mediating role of positive alcohol expectancies. Findings highlighted the importance of environmental factors with regard to motivations for responsible drinking, suggesting the opportunity to implement prevention programs to improve parental monitoring and increase adolescents' skills to manage peer pressure and to develop realistic expectancies about drinking.
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Consumo de Bebidas Alcoólicas , Motivação , Feminino , Humanos , Adolescente , Masculino , Influência dos Pares , Estudos Transversais , PaisRESUMO
Recent years have seen a marked rise in the number of students accessing University Psychological Counseling (UPC) services, and their concerns have been increasingly severe. This study aimed to examine the impact of cumulative adverse childhood experiences (ACEs) on mental health in students who had approached counseling services (N = 121) and students who had no experience with counseling services (N = 255). Participants completed an anonymous online self-report questionnaire measuring exposure to adverse childhood experiences (ACE-Q), psychological distress (General Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9), personality traits (PID-5), and coping strategies. We found that students who approached UPC services scored higher on cumulative ACEs than the non-counseling group. While ACE-Q score was a direct positive predictor of PHQ-9 (p < 0.001), it did not predict GAD-7. Moreover, the results supported the existence of a mediation effect of avoidance coping, detachment, and psychoticism on the indirect effects of ACE-Q score on PHQ-9 or GAD-7. These results underlined the importance of screening for ACEs in a UPC setting because it can help identify students at higher risk for developing mental and physical health problems and provide them with early interventions and support.
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Experiências Adversas da Infância , Saúde Mental , Humanos , Estudantes/psicologia , Adaptação Psicológica , AconselhamentoRESUMO
Several studies have already examined the psychological impact of COVID-19 on psychological well-being in samples of the general population. However, given the importance of future orientation for university students' mental well-being, it is important to explore whether and how COVID-19 affected this vulnerable population. Therefore, the current study aims to investigate the protective role of future orientation and the mediating effect of resilience on negative emotional symptoms (anxiety and depression). An online questionnaire was administered to a sample of 244 non-infected Italian university students. The mediation analysis results indicated that resilience fully mediated the relationship between anxiety and depression. Finally, the perceived threat of death from COVID-19 moderated the association between resilience and anxiety. This study shows that university students with higher levels of future orientation exhibit higher resilience levels and, consequently, fewer symptoms of negative emotions.
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Problematic smartphone use (PSU) and problematic social media use (PSMU) are two interrelated constructs which have received significant research attention over the past decade. The present study investigated the relationship between self-construal (distinguished as independent and interdependent), PSU and PSMU with Fear of Missing Out (FoMO) as a mediating variable. The sample comprised 405 Italian students who completed standardized psychometric scales assessing the variables of the study. Bivariate correlations analysis showed that FoMO and independent self-construal was significantly and negatively associated. On the contrary, interdependent self-construal was significantly and positively associated with FoMO, PSU, and PSMU. Mediation analysis showed that FoMO mediated the relationship between self-construal and both PSMU and PSU, but at different levels. The results demonstrated that FoMO full mediated the relationships between interdependent self and PSU, whereas only partial mediation was found between interdependent self and PSMU. Therefore, taking these personality characteristics into account may help reduce dysfunctional behaviour associated with problematic technology use and promote psychological well-being among students. However, it is recommended that further studies replicate the proposed model by including other psychological constructs.
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Smartphone , Mídias Sociais , Medo/psicologia , Humanos , Estudantes/psicologiaRESUMO
Social distancing during the COVID-19 pandemic contributed to modifying relational habits and increasing Internet use to engage in antisocial behaviours such as cybervictimisation. Additionally, social distancing can reinforce the relationship with internalising behaviours such as depression. Through an adolescent sample, this study examines the relationship between cybervictimisation and well-being and the mediating role of depression. The hypothesis was tested via Structural Equation Model (SEM) analysis to verify the role of depression as a mediator between cybervictimisation and well-being. The main results reveal that the effect of cybervictimisation on well-being was fully mediated by depression. The findings should stimulate debate on possible interventions to promote adolescent well-being and to avoid emotional and mental health problems related to social isolation.
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Although previous studies seemed to recognize negative associations between self-esteem and bullying/cyberbullying and victimization/cybervictimization behaviours, the findings are controversial. The current study tried to shed light on this issue by using a person-oriented approach among Italian adolescents. Participants included 936 students aged 13-16 years. Different domains of self-esteem and bullying/cyberbullying and victimization/cybervictimization behaviour during the previous 2-3 months were assessed through a self-administered questionnaire. The results suggested four self-esteem profiles, i.e., school/family-oriented, consistently high, self-derogation, and body/peer-oriented. Students in the consistently high self-esteem profile seemed to be more protected against bullying/cyberbullying and victimization/cybervictimization behaviours compared to those in the self-derogation profile. The findings showed that among adolescents there is a degree of heterogeneity in the self-esteem domain associated with different levels of bullying/cyberbullying and victimization/cybervictimization behaviour. This suggests that different domains of self-esteem and their interdependencies play a crucial role during adolescence, with consequences also in terms of diverse patterns of active and passive aggressive behaviour.
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In the field of autism intervention, a large amount of evidence has demonstrated that parent-mediated interventions are effective in promoting a child's learning and parent caring skills. Furthermore, remote delivery treatments are feasible and can represent a promising opportunity to reach families at distance with positive results. Recently, the sudden outbreak of COVID-19 dramatically disrupted intervention services for autism and forced an immediate reorganization of the territory services toward tele-assisted intervention programs, according to professional and local resources. Our study aimed to conduct a retrospective pilot exploratory investigation on parental compliance, participation, and satisfaction in relation to three different telehealth intervention modalities, such as video feedback, live streaming, and psychoeducation, implemented in the context of a public community setting delivering early autism intervention during the COVID-19 emergency. We found that parents who attended video feedback expressed the highest rate of compliance and participation, while parental psychoeducation showed significantly lower compliance and the highest drop-out rate. Regardless of the tele-assistance modality, all the participants expressed satisfaction with the telehealth experience, finding it useful and effective. Potential benefits and advantages of different remote modalities with reference to parent involvement and effectiveness are important aspects to be taken into account and should be further investigated in future studies.
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People with dementia have an increased risk of contracting severe forms of COVID-19. Although in worldwide vaccination programs priority has been given to older people, having taken the vaccine does not totally eliminate the risk of contracting COVID-19 when one is in close contact with unvaccinated people. Thus, family caregivers' choices to remain unvaccinated against COVID-19 could have potentially lethal consequences for their relatives. To our knowledge, this study represents the first attempt within the international literature to analyze COVID-19 vaccine uptake among family caregivers of people with dementia and to identify some of the psychological factors, related to COVID-19 and vaccination behavior, that could facilitate or hinder vaccine uptake. Contact information for family caregivers was obtained from five different centers and associations throughout the Italian territory. Data were collected from 179 respondents during July-September 2021 using a cross-sectional web-based survey design. More than 75% of the respondents indicated that had been vaccinated against COVID-19 and reported receiving vaccine information mainly from print or electronic newspapers (86%), followed by TV (81%) and families (64.2%). In multivariable logistic regression analyses, worries about unforeseen future effects was significantly related to COVID-19 vaccine uptake, indicating that family caregivers concerned about potential side effects of vaccines were less likely to have been vaccinated against COVID-19 (OR = 0.60, CI = 0.40-0.89). Openness to experience was also related to COVID-19 vaccine uptake, with family caregivers higher on this trait being less likely to have been vaccinated against COVID-19 (OR = 0.83, CI = 0.71-0.98). Implications for targeting of vaccine-related messages are discussed.
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The present study examined whether the relationship between the Dark Triad (DT) of personality and problematic smartphone use (PSU) can be explained by the mediating role of fear of missing out (FoMO). The role of FoMO in this relationship has yet to be examined. A total of 457 participants completed an online survey. Results indicated that males scored high on measures assessing DT of personality, while females scored high on PSU. Structural equation modelling showed that narcissism was directly associated with PSU. FoMO partially mediated the association between narcissism and PSU. Machiavellianism and narcissism were directly associated with FoMO. In the fully mediated model, narcissism (but not Machiavellianism) was still associated with FoMO, and in turn, FoMO was related to PSU. Although preliminary, the results of the present study indicated that Machiavellianism and narcissism might represent antecedents of FoMO, in addition to the Big Five personality traits, and both could be involved in the development of PSU.
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Maquiavelismo , Smartphone , Transtorno da Personalidade Antissocial , Medo , Feminino , Humanos , Masculino , Narcisismo , PersonalidadeRESUMO
The present study sought to provide empirical evidence for the sequential mediating role of social comparison orientation and fear of missing out (FoMO) in the relationship between self-concept clarity (SCC) and problematic smartphone use (PSU) within the framework of the Interaction of Person-Affect-Cognition-Execution (I-PACE) model. A sample of 474 Italian participants (Mage = 29.48; 52.7% females) completed a battery of self-report instruments including the Self-Concept Clarity Scale, the Iowa-Netherlands Comparison Orientation, the Fear of Missing Out Scale, and the Smartphone Addiction Scale. Descriptive statistics, bivariate correlations, and structural equation modelling analyses were conducted. Results confirmed the hypothesized relationships and indicated that SCC was negatively associated with PSU use and that this association was partially and sequentially mediated by social comparison orientation and FoMO. Both mediators could therefore be considered as proximal factors of PSU. Implications and further research suggestions are provided.
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Smartphone , Comparação Social , Adulto , Medo , Feminino , Humanos , Análise de Classes Latentes , Masculino , AutoimagemRESUMO
Background: Exoskeleton-robot-assisted therapy is known to positively affect the recovery of arm functions in stroke patients. However, there is a lack of evidence regarding which variables might favor a better outcome and how this can be modulated by other factors. Methods: In this within-subject study, we evaluated the efficacy of a robot-assisted rehabilitation system in the recovery of upper limb functions. We performed a path analysis using a structural equation modeling approach in a large sample of 102 stroke patients (age 63.6 ± 13.1 years; 61% men) in the post-acute phase. They underwent 7 weeks of bilateral arm training assisted by an exoskeleton robot combined with a conventional treatment (consisting of simple physical activity together with occupational therapy). The upper extremity section of the Fugl-Meyer (FM-UE) scale at admission was used as a predictor of outcome, whereas age, gender, side of the lesion, days from the event, pain scale, duration of treatment, and number of sessions as mediators. Results: FM-UE at admission was a direct predictor of outcome, as measured by the motricity index of the contralateral upper limb and trunk control test, without any other mediating factors. Age, gender, days from the event, side of lesion, and pain scales were independently associated with outcomes. Conclusions: To the best of our knowledge, this is the first study assessing the relationship between clinical variables and outcomes induced by robot-assisted rehabilitation with a path-analysis model. We define a new route for motor recovery of stroke patients driven by exoskeleton-robot-assisted therapy, highlighting the role of FM-UE at admission as a useful predictor of outcome, although other variables need to be considered in the time-course of disease.