Further Validation of the Persecutory Ideation Questionnaire in the Italian Context: Results From Classical and Modern Test Theory.

The Persecutory Ideation Questionnaire (PIQ) is a valuable instrument to measure persecutory ideation. The aim of this study is to validate the scale in the Italian context and to extend the study of its psychometric properties using approaches from both classical and modern test theories. The results of the study, involving 700 individuals, confirmed the one-factor structure and the good validity and reliability of the scale. Full metric invariance and partial scalar and strict invariance were also supported across gender, age, and education level groups. Rasch analysis indicated that the 5-point response scale is well-functioning and that the PIQ is most appropriate to measure high levels of persecutory ideation. The results contribute to a better understanding of the measurement properties of the PIQ. The paper discusses the advantages and contributions of each method used to explore the measurement properties of the scale.

Psychosocial risk and protective factors for youth problem behavior are associated with food addiction in the Generation Z.

Objective: Food Addiction (FA) and other well-known risk behavior as substance misuse tend to co-occur and may share similar risk and protective factors. The aim of this study was to assess the association between the diagnosis/severity of FA and psychosocial domains typically related to risk behavior syndrome in a large, nationally representative community sample of Generation Z underage Italian students. Method: The sample consisted of 8,755 students (3,623 from middle schools, 5,132 from high schools). A short version of the Yale Food Addiction Scale 2.0 was administered to evaluate FA. Risk and protective factors related to demographic, personality, behavior, and family variables were examined. Stepwise multivariate logistic and linear regressions were conducted. Results: The prevalence of FA was 30.8%. Female gender, social anxiety and depression symptoms, social withdrawal risk, Internet gaming disorder, social media addiction, current substance use, social challenge engagement and experienced doxing boosted the chance of FA diagnosis, whereas eating fruit and vegetables, playing competitive sports and an average sleep duration of 7-8 h per night reduced these odds. FA severity was significantly and positively associated with trait impulsiveness, social anxiety and depressive symptoms, risk of social withdrawal, recent substance use, social media, and gaming addiction, doxing suffered and risky social challenges participation. Negative associations between the severity of FA and fruit and vegetable diet habits were found. Conclusion: Our findings confirm that FA is widespread among Italian adolescents. The associations between the diagnosis and severity of FA and psychosocial risk factors for health, including, addictive and deviant behaviors related to digital misuse, suggest its belonging to the risk behavior constellation. Health promotion schemes based on a multicomponent strategy of intervention should consider the inclusion of FA and its psychosocial correlates.

Investigating the Functioning of Rating Scales With Rasch Models.

The hypothesis implicit in the rating scale design is that the categories reflect increasing levels of the latent variable. Rasch models for ordered polytomous items include parameters, called thresholds, that allow for empirically testing this hypothesis. Failure of the thresholds to advance monotonically with the categories (a condition that is referred to as "threshold disordering") provides evidence that the rating scale is not functioning as intended. This work focuses on scales consisting of rather large numbers of categories, whose use is often recommended in the literature. Threshold disordering is observed in both an extended 8-point scale specially developed for the Patient Health Questionnaire-9 and the original 10-point scale of the Behavioral Religiosity Scale. The results of this work prompt practitioners not to take the functioning of the rating scale for granted, but to verify it empirically.

Development of a scale for capturing psychological aspects of physical-digital integration: relationships with psychosocial functioning and facial emotion recognition.

The present work aims at developing a scale for the assessment of a construct that we called "physical-digital integration", which refers to the tendency of some individuals not to perceive a clear differentiation between feelings and perceptions that pertain to the physical or digital environment. The construct is articulated in four facets: identity, social relationships, time-space perception, and sensory perception. Data from a sample of 369 participants were collected to evaluate factor structure (unidimensional model, bifactor model, correlated four-factor model), internal consistency (Cronbach's α, McDonald's ω), and correlations of the physical-digital integration scale with other measures. Results showed that the scale is valid and internally consistent, and that both the total score and the scores at its four subscales are worthy of consideration. The physical-digital integration scores were found to be differently associated with digital and non-digital behaviors, individuals' ability to read emotions in the facial expressions of others, and indicators of psychosocial functioning (anxiety, depression, and satisfaction with social relationships). The paper proposes a new measure whose scores are associated with several variables that may have relevant consequences at both individual and social levels.

Machine learning-decision tree classifiers in psychiatric assessment: An application to the diagnosis of major depressive disorder.

This work illustrates the advantages of using machine learning classifiers in psychiatric assessment. Machine learning-decision trees (ML-DTs) represent a new approach to scoring and interpreting psychodiagnostic test data that allows for increasing assessment accuracy and efficiency. The approach is outlined in an easy yet detailed way, and its application is illustrated on real psychodiagnostic test data. Specifically, cross-sectional data concerning nonclinical and clinical Japanese populations were taken from a panel registered with an internet survey company. Responses to the Patient Health Questionnaire-9 (PHQ-9) underwent receiver operating characteristic (ROC) curve, DSM algorithm, and ML-DT analyses. The results showed greater diagnostic accuracy for ML-DT (0.71-0.75) compared with the DSM algorithm (0.69) and ROC curves (0.70-0.71). Moreover, ML-DT enabled classifying participants as having or not having a diagnosis of depression using, on average, the information from 2.99 out of 9 items (SD = 1.35). The application showed that ML-DTs can provide information of high clinical value to integrate traditional psychometric methods. The resulting assessments are informative, accurate, and efficient.

Attitude towards Intranasal Vaccines and Psychological Determinants: Effects on the General Population in Northern Italy.

Little is known about the use of intranasal vaccines, but some studies have shown that this innovative way of administration is preferred over needle injection as it is considered both less painful and intrusive to the body, equally effective, and associated with fewer side effects. This study aimed to investigate specific psychological determinants (intolerance of uncertainty, persecutory ideation, perceived control, vaccine hesitancy) of attitude toward nasal vaccine delivery. A convenience sample including 700 Italian participants took part in this cross-sectional study and completed an online questionnaire. A structural equation model with a latent variable was performed to study the relationship between psychological variables, vaccine hesitancy, and attitude toward nasal vaccine delivery. The results indicate that both a hesitant attitude toward vaccination (ß = 0.20, p = 0.000) and low perceived control (ß = -0.20, p = 0.005) may directly increase preference for nasal administration; furthermore, high levels of persecutory ideation may indirectly influence the propensity for intranasal vaccine. These findings suggest that pharmaceutical companies could implement nasal vaccines and provide detailed information on these vaccines through informational campaigns. Hesitant individuals with low levels of perceived control could more easily comply with these types of vaccines.

Emotional Engagement and Caring Relationships: The Assessment of Emotion Regulation Repertoires of Nurses.

In spite of the importance of emotion regulation for nurses' well-being, little is known about which strategies nurses habitually use, how these strategies combine in order to regulate their emotional distress, and how these are related to their caregiving orientations. The current study aimed to explore the emotion regulation repertoires that characterize health-care providers and to investigate the association between these repertoires and caregiving orientations in a sample of nurses. Firstly, a confirmatory factor analyses was run to test the suitability of the Regulation of Emotion System Survey for the assessment of six emotion regulation strategies among health-care providers. Subsequently, the latent profiles analysis was employed to explore emotion regulation repertoires. Three repertoires emerged: The Average, the Suppression Propensity and the Engagement Propensity profiles. The participants of the last two groups relied on Expressive Suppression and Engagement, respectively, more often than others. Nurses were more likely to be placed within the Engagement Propensity group when compared to the first responders, and higher levels of hyperactivation of the Caregiving System were associated with this repertoire. A greater reliance on Expressive Engagement among nurses was discussed in terms of the fact that nurses usually have a longer and more care-oriented relationships with patients than first responders.

COVID-19 emergency: the influence of implicit attitudes, information sources, and individual characteristics on psychological distress, intentions to get vaccinated, and compliance with restrictive rules.

BACKGROUND: To limit the spread of the COVID-19 emergency, a massive vaccination program was implemented and restrictive measures were imposed on the population. However, the propensity to adhere to the vaccination program has struggled to take off. Moreover, complying with the restrictive rules and maintaining social distancing have been highly distressing for many individuals. PARTICIPANTS AND PROCEDURE: Italian participants (N = 140, females = 65%, mean age = 29.50, SD = 10.80) were presented with an online survey consisting of multiple-choice questions and two single-category implicit association tests (SC-IATs). One SC-IAT evaluated the tendency of participants to automatically associate personal protective equipment (PPE) and vaccines with safety or danger; the other evaluated their tendency to automatically associate social situations with good or bad. Multiple-choice questions explored individual, social, and environmental factors that were expected to contribute to vaccine propensity, compliance with restrictive rules, and feelings of distress. RESULTS: Using scientific information sources was related to implicitly associating PPE and vaccines with safety, which in turn was associated with the propensity to get the vaccine. Moreover, being female, young, unsatisfied with social relationships, having suffered health and economic consequences due to the pandemic, and having negative implicit attitudes toward social situations contributed to increasing feelings of distress. CONCLUSIONS: Communication may contribute to individuals' behavior and preferences and it can also be associated with implicit attitudes, becoming consequently one of the main leverages to reduce vaccine hesitancy. Recovery programs should prioritize the development of interventions aimed at fostering psychological well-being through the enhancement of social contacts.

An Item Response Theory-Based Scoring of the South Oaks Gambling Screen-Revised Adolescents.

The South Oaks Gambling Screen-Revised Adolescent (SOGS-RA) is one of the most widely used screening tools for problem gambling among adolescents. In this study, item response theory was used for computing measures of problem gambling severity that took into account how much information the endorsed items provided about the presence of problem gambling. A zero-inflated mixture two-parameter logistic model was estimated on the responses of 4,404 adolescents to the South Oaks Gambling Screen-Revised Adolescent to compute the difficulty and discrimination of each item, and the problem gambling severity level (θ score) of each respondent. Receiver operating characteristic curve analysis was used to identify the cutoff on the θ scores that best distinguished daily and nondaily gamblers. This cutoff outperformed the common cutoff defined on the sum scores in identifying daily gamblers but fell behind it in identifying nondaily gamblers. When screening adolescents to be subjected to further investigations, the cutoff on the θ scores must be preferred to that on the sum scores.

Religious assessment in Italian older adults: psychometric properties of the Francis Scale of Attitude toward Christianity and the Behavioral Religiosity Scale.

OBJECTIVES: Studies have shown that religiosity (R) and spirituality (S) can positively impact older adults' life. Nevertheless, no validated tools for measuring these constructs in the older Italian population are currently available. This study investigates the psychometric properties of two of the most common measures of R and S in the literature: the Francis Scale of Attitude toward Christianity short form (FSACsf) and the Behavioral Religiosity Scale (BRS). METHOD: 313 older Italians completed the questionnaires anonymously. The functioning of the items and the response scales, the factor structure, age invariance and internal consistency of both scales were investigated. RESULTS: Each scale defines a substantively unidimensional variable. Moreover, items seem, on the whole, to be well formulated. The values of the Rasch-Andrich thresholds suggest that the response scale of the FSACsf was adequate for measuring spirituality. However, this was not the case for BRS, where the response categories needed to be collapsed to measure behavioral religiosity properly. Age invariance was confirmed for each scale. Cronbach's α, composite reliability and person separation reliability revealed both scales to be internally consistent. DISCUSSION: The results suggest that the scales have solid psychometric properties, and can therefore be considered valid, reliable tools for investigating religiosity and spirituality in older people.

A Worldwide Internet Study Based on Implicit Association Test Revealed a Higher Prevalence of Adult Males' Androphilia than Ever Reported Before.

BACKGROUND: Social constrictions or the lack of a clear awareness about one's sexual orientation may influence the ability of individuals to explicitly declare their sexual preferences. Thus, the actual prevalence of males' sexual attraction toward adult males, which is estimated by studies relying only on explicit questionnaires, may be biased. Conversely, the implicit measurement of androphilia may be a promising method to obtain more reliable data. AIM: In the present work, explicit and implicit methods have been used to investigate the rates of explicit nonheterosexuality and implicit androphilia in a large sample of adult males from all around the world. For implicit androphilia, a rate consistent across the continents and close to that predicted by recent genetic models (about 15%) was expected. In contrast, for self-declared homosexuality, a lower and more variable rate was expected. METHODS: A sample of 1,050 participants was recruited through an online platform. All participants completed a short biographical questionnaire, an Autobiographical-Implicit Association Test, the Sexual Preference-Implicit Association Test, and an explicit measure of sexual orientation. The answers to these measures were used to explore explicit sexual orientation and implicit androphilia across six main geographical areas (Middle East and Africa, South America, North America, Asia, Europe, and Oceania). OUTCOMES: The main outcome measures were the D score at the Sexual Preference-Implicit Association Test and the scores at the explicit measure of sexual orientation. RESULTS: The rate of nonheterosexuality, which can be found using explicit measures, is rather low, variable (from 6.3% to 11.4%), and influenced by cultural factors. In contrast, the prevalence of androphilia resulting from implicit methods is higher and consistent across geographical areas (from 14.4% to 17.6%). CLINICAL IMPLICATIONS: Studying the diffusion of adult males' androphilia may be useful to better understand sexual behaviors and preferences and to develop effective health promotion programs among males who have sex with males. STRENGTHS & LIMITATIONS: The large and cross-cultural sample and the use of both implicit and explicit measures allowed for obtaining a detailed picture of adult males' sexual orientation and androphilia. The main limitations were the Web-based characteristics of the protocol and the lack of an investigation of actual sexual behaviors. CONCLUSION: Compared with the explicit measurement of nonheterosexuality, the implicit measurement of sexual preferences showed a prevalence of androphilia among adult males that is higher, more stable across continents, and more consistent with the predictions of recent genetic models. Colledani D,A. Camperio Ciani Worldwide Internet Study Based on Implicit Association Test Revealed a Higher Prevalence of Adult Males' Androphilia than Ever Reported Before. J Sex Med 2021;18:4-16.

Employee burnout and positive dimensions of well-being: A latent workplace spirituality profile analysis.

In recent years, a new and promising construct has attracted the attention of organizational research: Workplace spirituality. To investigate the role of workplace spirituality in organizational contexts, two studies were carried out. Study 1 explored the mediation role of workplace spirituality in the relationship between positive supervisor behaviors and employee burnout. Results showed that workplace spirituality strongly contributes to reduce burnout and mediates the effect of supervisor integrity in reducing this threat. Study 2 considered the relationships of workplace spirituality with positive affectivity, resilience, self-efficacy, and work engagement. In particular, workplace spirituality profiles were investigated through latent profile analysis (LPA). Findings showed that workplace spirituality is related to higher positive affectivity, resilience, self-efficacy, and work engagement. In contrast, a workplace spirituality profile characterized by a low-intensity spiritual experience is associated with higher negative feelings. The practical implications of these findings are discussed.

Positive Supervisor Behaviors and Employee Performance: The Serial Mediation of Workplace Spirituality and Work Engagement.

Organizational research has highlighted the crucial role of supervisors in promoting employee well-being and performance. According to the motivational approach, supervisors positively influence employees' outcomes by enhancing their positive feelings. In this study, we examine how positive supervisor behaviors may improve employee performance through the serial mediation of workplace spirituality and work engagement. Data were collected from 330 Italian employees. Results showed that supervisor integrity and responsible behaviors have a positive effect on employee performance directly; moreover, positive supervisor behaviors influence performance indirectly, through both the partial mediation of work engagement and the serial mediation of workplace spirituality and work engagement. The present study highlighted that supervisors should behave responsively and honestly to trigger a virtuous motivational process in their employees, which leads to boost their performance. The practical implications of these findings are discussed.

A Comparison of Classical and Modern Measures of Internal Consistency.

Three measures of internal consistency - Kuder-Richardson Formula 20 (KR20), Cronbach's alpha (α), and person separation reliability (R) - are considered. KR20 and α are common measures in classical test theory, whereas R is developed in modern test theory and, more precisely, in Rasch measurement. These three measures specify the observed variance as the sum of true variance and error variance. However, they differ for the way in which these quantities are obtained. KR20 uses the error variance of an "average" respondent from the sample, which overestimates the error variance of respondents with high or low scores. Conversely, R uses the actual average error variance of the sample. KR20 and α use respondents' test scores in calculating the observed variance. This is potentially misleading because test scores are not linear representations of the underlying variable, whereas calculation of variance requires linearity. Contrariwise, if the data fit the Rasch model, the measures estimated for each respondent are on a linear scale, thus being numerically suitable for calculating the observed variance. Given these differences, R is expected to be a better index of internal consistency than KR20 and α. The present work compares the three measures on simulated data sets with dichotomous and polytomous items. It is shown that all the estimates of internal consistency decrease with the increasing of the skewness of the score distribution, with R decreasing to a larger extent. Thus, R is more conservative than KR20 and α, and prevents test users from believing a test has better measurement characteristics than it actually has. In addition, it is shown that Rasch-based infit and outfit person statistics can be used for handling data sets with random responses. Two options are described. The first one implies computing a more conservative estimate of internal consistency. The second one implies detecting individuals with random responses. When there are a few individuals with a consistent number of random responses, infit and outfit allow for correctly detecting almost all of them. Once these individuals are removed, a "cleaned" data set is obtained that can be used for computing a less biased estimate of internal consistency.

The Work-Related Basic Need Satisfaction Scale: An Italian Validation.

The main goal of the present study was to validate the Work-related Basic Need Satisfaction (W-BNS) scale in the Italian social context. Three studies were carried out. Study 1 was conducted on two samples of employees. Exploratory factor analysis and parallel analysis were run on the first sample, whereas confirmatory factor analyses were run on the second. Results supported the three-dimensional structure of the W-BNS scale. Study 2 was conducted on a third sample of employees. Results supported the construct validity of the scale, by showing that needs for competence, autonomy, and relatedness were associated with job resources (social support, job autonomy, professional growth), low burnout, and job attitudes (job satisfaction, turnover intentions, commitment). In addition, results showed that responses to the scale were not affected by social desirability bias. Study 3 was conducted to evaluate the nomological validity of the scale (the sample grouped together all respondents from Studies 1 and 2). A model was tested in which organizational commitment mediated the relationship between basic needs and two outcomes (job satisfaction, intentions to leave). Organizational commitment was measured by using the Klein et al. Unidimensional Target-free scale (the KUT). Results supported the nomological validity of the scale. In line with our expectations, the three needs were associated with the KUT, which in turn mediated the effects of needs on the outcomes. Practical implications of findings and directions for future research are discussed.

Using Item Response Theory for the Development of a New Short Form of the Eysenck Personality Questionnaire-Revised.

The present work aims at developing a new version of the short form of the Eysenck Personality Questionnaire-Revised, which includes Psychoticism, Extraversion, Neuroticism, and Lie scales (48 items, 12 per scale). The work consists of two studies. In the first one, an item response theory model was estimated on the responses of 590 individuals to the full-length version of the questionnaire (100 items). The analyses allowed the selection of 48 items well discriminating and distributed along the latent continuum of each trait, and without misfit and differential item functioning. In the second study, the functioning of the new form of the questionnaire was evaluated in a different sample of 300 individuals. Results of the two studies show that reliability of the four scales is better than, or equal to that of the original forms. The new version outperforms the original one in approximating scores of the full-length questionnaire. Moreover, convergent validity coefficients and relations with clinical constructs were consistent with literature.