Exploring Narcissism in Suicidal Ideation Using the Italian Version of the Guilt and Shame Proneness Scale.

Objective: Several theoretical and clinical observations lead to the hypothesis that pathological narcissism could be associated with suicide ideation due to the difficulty in regulating shame in a functional way. The present study investigated the roles of guilt, shame and rivalry in the relationship between pathological narcissism and suicidal ideation. Methods: A set of self-report questionnaires was completed by a sample of 936 Italian adults. These included the Italian version of the Guilt and Shame Proneness (GASP) scale, the Pathological Narcissism Inventory, the Beck Scale for Suicidal Ideation, and the Narcissism Admiration and Rivalry Questionnaire. Results: A structural equation model that tested the factorial structure of the GASP and its invariance produced satisfactory results. Moreover, shame was a significant factor in the relationship between narcissism grandiosity and suicidal ideation. However, beta regression coefficients were low. Conclusion: These findings suggest that despite clinicians should consider the presence of suicidal ideation in patients with pathological narcissism and their maladaptive regulation of shame, the relationship between these variables is complex and deserve further investigation.

State of the art of the literature on definitions of self-criticism: a meta-review.

Background: Several authors have developed important theoretical models on an important transdiagnostic factor in psychopathology: self-criticism (SC). Currently, there are substantial variations in the theoretical definition of SC. The lack of awareness of similarities and differences between models may in turn impact the comparison between empirical results, limiting their clinical implications. Purpose: The purpose of this study was to identify current trends in the field of SC and to explore whether these were approached and shaped by different conceptualizations of SC. Methods: Core components of the most influential models of SC were identified. A meta-review was conducted searching for systematic reviews and/or meta-analyses in the following databases: PsycINFO, PsycARTICLES, MEDLINE, Scopus, Web of Science, and PubMed (all years up to 28 April 2023). Results: Contributions were heterogeneous with respect to the definition of SC and the theoretical framework. Almost all systematic reviews poorly addressed the multidimensionality of SC. In addition, discrepancies between the definitions of SC provided and their operationalizations emerged. Conclusions: The lack of dialogue between the different theoretical perspectives emerged from key contributions in the field of SC. Potential research questions to answer to stimulate this dialogue are proposed.

The multifaceted role of emotion regulation in suicidality: Systematic reviews and meta-analytic evidence.

Despite the number of empirical contributions on the topic, scientists have offered contrasting perspectives on the role of adaptive versus maladaptive emotion regulation (ER) strategies in suicidality. Moreover, suicidal attempts and suicidal ideation are likely to be differentially related to single ER strategies. To provide more systematic knowledge that can be used to draw sound conclusions and formulate clinical indications, we carried out a systematic review and meta-analysis that we reported in compliance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards (Moher et al., 2009). From an initial pool of 16,530 articles retrieved from scientific databases (APA PsycInfo, APA PsycArticles, Medline, Scopus, Web of Science, and PubMed) and a search for gray literature, 226 articles were selected to perform 15 meta-analyses. In addition, metaregressions were carried out to test a series of moderators, including the type of suicidality investigated. Among adaptive strategies, results evidenced the role of reappraisal, mindfulness, and several aspects of problem solving. In contrast to our hypothesis, reflective attitude was positively associated with suicidality, calling into question the traditional distinction between adaptive and maladaptive strategies. Regarding maladaptive ER strategies, suppression, avoidance, rumination, brooding, negative problem orientation, and both impulsive and avoidant problem solving proved to be significantly associated with suicidality. Finally, several moderation effects involving age, gender composition, and type of suicidality were observed, supporting the importance of adopting a complex perspective when approaching the topic. Despite the interesting preliminary results, additional research is needed to provide a greater understanding of the interplay between the different ER strategies and suicidality and to develop effective protocols of intervention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The Difficulties in Emotion Regulation Scale-Dyadic version: A new tool for the evaluation of the dyadic dysregulation in couple relationships.

A new measure for assessing an individual's perception of the dyadic difficulties in emotion regulation with a romantic partner is tested. The Difficulties in Emotion Regulation Scale-Dyadic (DERS-D) was obtained by adapting some items of the previous Difficulties in Emotion Regulation Scale (DERS) to the dyadic context. The scale was administered both to a sample of university students (N = 835) to explore its factorial structure and to a convenience sample (N = 833) together with the DERS, the DERS-Positive, the Emotion Beliefs Questionnaire (EBQ), and the Emotion Regulation Questionnaire (ERQ) to confirm the factorial structure and to explore its construct validity. Results highlight that DERS-D measures two distinct features, namely the lack of dyadic awareness and the lack of dyadic clarity, and that configural invariance across genders was met. DERS-D subscales' internal consistency was high. The correlations between the DERS-D and the other measures demonstrated its construct and criterion validity. The promising nature of these results is discussed in light of the potential clinical and empirical uses of the DERS-D.

Twenty years of emotional-behavioral problems of community adolescents living in Italy measured through the Achenbach system of empirically based assessment (ASEBA): a systematic review and meta-analysis.

Background: This is a systematic review and meta-analysis of emotional and behavioral problems among Italian community adolescents in the last 20 years, as assessed through the ASEBA questionnaires CBCL 6-18, YSR 11-18 and TRF 6-18. Research questions address: (1) pooled means of problems' scores in questionnaires scales; (2-3) variations in scores according to sociodemographic and time-related factors, and studies' quality; (4) trends in research with ASEBA instruments along with other outcomes, e.g., psychopathological symptoms. Methods: A systematic literature review of Scopus, EBSCO, PubMed, Web of Science, and ProQuest databases using the PRISMA 2020 guidelines was conducted on November, 2021, and of grey literature on December, 2021. The quality of studies was assessed through the Newcastle-Ottawa Scale. Results: Forty-four studies were eligible for the systematic review, of which 34 were included for meta-analysis. Results showed that: (1) emotional-behavioral problems were higher when assessed by the CBCL and lower when assessed by the YSR compared to normative data; (2) there were no gender and age differences, except for higher scores of Anxious/Depression symptoms, in girls. (3) internalizing and attention problems increased over the last two decades. (4) major trends of Italian research investigate adolescents' emotional behavioral problems concerning attachment, comorbid symptoms, especially internet addictions, and eating disorders. Discussion: Despite some limitations (e.g., low-medium quality of most studies, no data on the TRF, under-representation of some geographical areas, some search-related choices), these data provides Italian practitioners and international researchers of some parameter to evaluate Italian adolescents emotional-behavioral problems. Registered on PROSPERO N. CRD42022299999.

Cultural adaptation and validation of the Italian version of the current relationship interview.

Background: The study of romantic relationships is based on attachment theory and the Current Relationship Interview (CRI) is a powerful tool that allows the optimal investigation of attachment representations toward romantic partners. However, evidence in this field is still unsatisfactory and further research is needed. This study aims to examine the associations between the adult attachment to partner, the style of conflict resolution, and dyadic adjustment. Methods: We administrated the Italian version of the CRI, the Dyadic Adjustment Scale (DAS), and the Rahim Organizational Conflict Inventory questionnaire - Section II (ROCI II) - to a sample of 100 heterosexual couples. Results: Individuals with preoccupied attachment reported lower levels of dyadic adjustment and men, but not women, with preoccupied attachment reported lower levels of dyadic cohesion. Levels of dyadic adjustment reported by women/men did not vary according to their attachment types. Levels of dyadic adjustment reported by couples and by women did not vary according to the matching status of attachment types between partners. However, men in romantic relationship characterized by a mismatch between attachment types reported higher levels of consensus compared to their counterparts. Conclusion: The Italian version of the CRI proves an useful tool to investigate processes underlying romantic relationships. The role of current attachment in these processes appears to be highly complex and its investigation might be impacted by methodological issues, calling for additional studies.

Impulsivity traits and suicide related outcomes: A systematic review and meta-analysis using the UPPS model.

BACKGROUND: The affective, cognitive, and behavioral aspects of impulsivity involved in suicide-related outcomes can be investigated through the UPPS model, which conceptualizes these facets in multidimensional terms related to negative and positive urgency, lack of premeditation and perseverance, and sensation seeking. This systematic review and meta-analysis provided a comprehensive understanding of the role of all facets of impulsivity in the development of suicidal ideation and behaviors. METHODS: We conducted a systematic search on six databases (PsycINFO, PsycARTICLES, PubMed, MEDLINE, Scopus, and Web of Science) until May 5,2023. Overall, 49 studies met the criteria for systematic review, of which 37 were included in a meta-analysis of data from 17.898 individuals. Additional moderation analyses included age, gender, sample status, country of study conduct, assessment instruments, type of suicide-related outcome, study quality, and research design. RESULTS: We found significant relationships between aspects of impulsivity and suicide-related outcomes. Specially, affective facets related to impulsivity showed a stronger association with suicidal ideations and attempts than cognitive and behavioral dimensions, recommending the main involvement of emotional aspects-positive and negative-in suicide-related dimensions. LIMITATIONS: The limited number of studies may have negatively impacted the power of moderation analyses. In addition, for most dimensions of impulsivity, the limited number of longitudinal studies did not allow to test the moderating role of research design. CONCLUSIONS: This study supports the role of impulsivity in suicidal ideation and behavior, identifying the affective component of impulsivity as the most involved, providing a significant contribution from a clinical and diagnostic point of view.

Investigating the Path From Non-Suicidal Self-Injury to Suicidal Ideation: The Moderating Role of Emotion Dysregulation.

OBJECTIVE: Non suicidal self-injury (NSSI) and suicidal ideation are reliable antecedent events of suicide risk. To date, it remains unclear what implicit emotion regulation mechanisms are involved in these aspects and what is their role in the link between NSSI and suicidal ideation. The purpose of our study is to present evidence on the association between NSSI, suicidal ideation, and dysregulation of positive and negative emotions with the aim of providing empirical data useful in explaining the role of emotional dysregulation in the development of self-injurious and suicidal thoughts and behaviors, to contribute to the development of accurate and focused prevention and treatment directions. METHODS: The study was conducted on 1,202 individuals from a community sample (34.3% male; mean age of 30.48 [standard deviation= 13.32] years). Demographic information, including medical history, was collected in a form. We conducted analyses assessing suicidal ideation using the Beck Suicide Ideation Scale, NSSI using the Deliberate Self-Harm Inventory, and difficulties in negative emotion regulation and positive emotion regulation using the Difficulties in Emotion Regulation Scale and the Difficulties in Emotion Regulation Scale-Positive. RESULTS: Checking for age and gender, we found that both suicidal ideation and dysregulation of only negative emotions can predict NSSI. In addition, the results demonstrated that emotion dysregulation partially mediates the relationship between suicidal ideation and NSSI. CONCLUSION: NSSI is traditionally distinguished from suicidal intent, even so it might be interesting to explore the intentional aspect in patients who present with persistent and severe self-injurious behaviors.

The Relation of Anxiety and Avoidance Dimensions of Attachment to Intimate Partner Violence: A Meta-Analysis About Victims.

Objective: Attachment theory is a useful framework for understanding the phenomenon of intimate partner violence (IPV) victimisation. Many studies have examined the relationship between attachment and IPV victimisation. The need to examine the nature of this relationship through a meta-analytic approach arises from an awareness of the amount of contrasting data surrounding the topic. Method: Searching five databases (PsycINFO, PsycARTICLES, MEDLINE, Scopus, Web of Science and PubMed) and screening 4343 records, resulted in 34 studies comprising 1271 individuals who met the inclusion criteria for this meta-analysis. Results: Results about attachment anxiety showed significant and moderate effect sizes (ranging from .18 for generic violence to .25 for sexual violence). Results about attachment avoidance also showed significant and moderate effect sizes (ranging from .18 for physical violence to .30 for generic violence). Conclusions: The meta-analysis findings highlight that the relationship between the dimensions of anxiety and the avoidance of attachment are significantly related to all forms of IPV victimisation, with moderate and moderate-to-strong effect sizes, respectively. These results are significant in that they confirm the importance of the relationship between attachment and IPV victimisation, suggesting promising new directions in which this field can further develop.

Post-Traumatic Stress Disorder and Alcohol Use Disorder During the COVID-19 Outbreak: Do Dissociation and Emotional Metacognitive Beliefs Mediate the Role of Emotion Dysregulation?

OBJECTIVE: Despite the well-documented relationship between emotion dysregulation and both post-traumatic stress disorder (PTSD) and alcohol use disorder symptoms, no studies investigated this issue in the context of the outbreak. Moreover, additional research investigating the role of mediators intervening in these pathways is required. Dissociation and emotional beliefs are two factors that may explain such relationships. However, a poor number of studies empirically tested their role. METHODS: A cross-sectional study on a sample of 719 community participants (32.5% males; Mage=34.36, standard deviation=14.38 years) was conducted. Participants fulfilled a battery of self-report questionnaires measuring levels of PTSD outbreak-related symptoms, alcohol use disorder, emotion dysregulation, emotional beliefs, and dissociation. RESULTS: Partial r-Pearson correlations showed that PTSD symptoms' level was positively and significantly related to all variables investigated in the study whereas alcohol use disorder level was positively and significantly associated with emotion dysregulation and only some dimension of emotional beliefs and dissociation. Results drawn from a structural equation model highlight the mediating role of both emotional belief and dissociation in the relationship linking emotion dysregulation and alcohol use disorder whereas only dissociation, but not emotional beliefs, mediated the link between emotion dysregulation and PTSD symptoms. CONCLUSION: Most of the hypotheses have been supported stressing the relevance of both dissociation and emotional beliefs in PTSD and alcohol use disorder symptoms. These two variables appear important framework from which deepen the impact of emotion dysregulation in psychopathology.

Alexithymia in Facebook Addiction: Above and Beyond the Role of Pathological Narcissism.

BACKGROUND: Personality dysfunctions and deficits in the capacity to cope with negative emotional states have been related to internet addictions. However, in relation to Facebook addiction, this issue remains poorly investigated. Specifically, few studies explored the role played by grandiose and vulnerable narcissism in Facebook addiction. Furthermore, the relationship between alexithymia and pathological narcissism has not yet been explored in relation to problematic Facebook use. The main objective of this study was to examine the association among Facebook addiction, pathological narcissism and alexithymia. METHOD: A cross sectional study was designed to this aim. A sample of adult participants (N=270; Mage=41.05; SD=14.05) was administered the Bergen Facebook Addiction Scale (BFAS), The Pathological Narcissism Inventory (PNI) and the Toronto Alexithymia Scale (TAS-20). RESULTS: Results showed that pathological narcissism, and especially grandiose narcissism, appears to be an important factor associated to problematic Facebook usage among adults. Moreover, difficulties in the capacity to identify their own emotional states may be a risk factor for such condition. CONCLUSIONS: In conclusion, these results are in line with other data found in the field of behavioral addictions and add further reflection for planning more specific clinical intervention programs for individuals addicted to Facebook with narcissistic traits. These may benefit from a greater focus on the impairments in self-monitoring capacities such as emotional awareness. Personality psychopathologies should be targeted by clinical interventions, but also broader functional impairments (as such as alexithymia) should be addressed as more strategic therapeutic objectives in the field of Facebook Addiction.

The Adverse Childhood Experiences - International Questionnaire (ACE-IQ) in community samples around the world: A systematic review (part I).

BACKGROUND: The Adverse Childhood Experiences International Questionnaire (ACE-IQ) collects additional data (e.g., witness community violence/terrorism) than the previous version. Despite ACE-IQ is widely used and validated in several languages, no reviews focus on this measure. OBJECTIVE: The main goals are to: 1) synthesize the ACE-IQ prevalence rates and average means among community samples, both for total ACE and single dimensions (e.g., intrafamily abuse, bullying); 2) discuss these data in light of the characteristics of studies and samples; 3) identify main research lines of the field. PARTICIPANTS AND SETTING: The search for studies using the ACE-IQ with community participants was conducted on seven academic databases, including retrieval of grey literature. The screening process led to include 63 documents. METHODS: A systematic review following the PRISMA guidelines was performed. RESULTS: 1) On average, 75% of community respondents experienced ACEs, with a mean of three, primarily emotional abuse and bullying. 2) Males experienced more ACEs, but they were underrepresented, as well as children and adolescents. Most studies were conducted in Asia or Africa, and different geographical areas showed different pathways of prevalence in subdimensions. 3) Most research focused on prevalence and relationships between ACE-IQ scores and respondents' mental and physical health, suicide and parenting, focusing on intrafamily ACEs more than on those outside the household. CONCLUSIONS: Several issues emerged in terms of lack of reporting prevalence or means, lack of studies in Europe, America and Oceania, and no attention to collective/community/peer violence, plus a lack of consensus toward the dimensions of the ACE-IQ.

How are the youth? A brief-longitudinal study on symptoms, alexithymia and expressive suppression among Italian adolescents during COVID-19 pandemic.

Studies documented the negative consequences on adolescents' mental health of the stay-at-home measures adopted in reaction to the COVID-19 outbreak. However, few contributions focused on the psychopathological trajectories after the end of these stressful measures or investigated the moderating role of this context in the relationship linking psychological symptoms with emotion regulation. This brief longitudinal study was performed with two measurement times: during the severe lockdown (T1), and when the restrictive measures were relaxed (T2). Ninety-three community adolescents (45% boys; Mage  = 14.94 years, SD = 1.64) completed the Youth Self Report, the Social Media Disorder Scale, the Binge Eating Scale, the Emotion Regulation Questionnaire and the Toronto Alexithymia Scale 20 items. Except for binge eating and externalising symptoms, all variables significantly decreased between T1 and T2. The relationship between expressive suppression and binge eating scores significantly decreased across time whereas the link between alexithymia and internalising symptoms increased with time. The study supported the idea that low-risk adolescents experienced psychological relief from the relaxation of stay-at-home measures. Results suggest the importance of considering contextual factors when explaining the role of expressive suppression and alexithymia in binge eating and internalising symptoms among adolescents.

Peer Power! Secure Peer Attachment Mediates the Effect of Parental Attachment on Depressive Withdrawal of Teenagers.

Adolescents' depressive social withdrawal is a relevant concern for mental health professionals, and it is widespread among community teenagers in form of subclinical symptoms. Different studies suggest that insecure attachment representations increase the adolescents' likelihood to show symptoms of withdrawal (e.g., loneliness). This study explored the effect of the general attachment internal working model (IWM) and the independent and cumulative effects of the specific attachment representations of parents-in terms of secure base/safe haven-and peers on adolescents' withdrawal. Additionally, the mediation of peer attachment on the effect of parental attachment on symptoms was explored. All analyses were conducted controlling for the difference between teenagers living with parents together or divorced/separated, as children of divorcees are considered more exposed to stressors. Ninety-one adolescents aged 12-17 years old were assessed online during the COVID pandemic period, employing the Youth Self-Report to assess withdrawal and the Friends and Family Interview to assess attachment-general IWM and attachment-specific representations. Results show no influence of parents together/separated or of the general IWM on withdrawal, but higher parent secure base/safe haven and peer attachment cumulatively predicted 10-21% less withdrawal. Moreover, more positive peer attachment mediated 61% of the effect of the parental secure attachment on withdrawal, revealing an indirect effect of parental attachment on withdrawal through peer attachment. In conclusion, both parents and peers are influential on adolescent mental health, and fostering positive peer relationships can buffer the effect of dysfunctional family relationships on teenagers' withdrawal.

Explaining Interaction of Guilt and Obsessive-Compulsive Symptoms in Not Just Right Experiences.

Objective: "Not Just Right Experiences" (NJREs) are currently considered a characteristic of Obsessive-Compulsive Disorder (OCD). Significant associations have been found between NJREs and Obsessive-Compulsive (OC) symptoms in nonclinical and clinical populations. Literature support a significant relationship between NJREs, feelings of guilt and OC features. This study aims to clarify the role of the potential interplay between guilt and OC symptomatology in NJREs and verify if high levels of guilt will predict NJREs and OC symptoms and trait guilt levels will positively interact in their prediction of NJREs. Method: One hundred and eighty-nine adults recruited from normal population were assessed with questionnaires of NJREs and OC symptoms and proneness to experience guilt. Results: All the variables involved in the study (NJREs severity, guilt and OCI-R scores) were positively and significantly correlated and showed that guilt and OCI-R scores significantly and positively interact in the prediction of NJREs levels. Guilt predicted NJREs only when levels of OCI-R were high. Conclusions: These results support the association between guilt sensitivity or OC symptoms and NJREs in clinical and nonclinical participants and that a disposition toward high levels of guilt and OC symptoms have a particular sensitivity to NJREs corroborating centrality of guilt in OC symptoms.

The Relation of Anxiety and Avoidance Dimensions of Attachment to Intimate Partner Violence: A Meta-Analysis About Perpetrators.

OBJECTIVE: The attachment theory is a useful framework for interpreting the phenomenon of intimate partner violence (IPV) perpetration. Although several studies have examined the relationship between attachment and IPV perpetration, a meta-analysis of these results has yet to be conducted. METHOD: After a search on five databases (PsycINFO, PsycARTICLES, MEDLINE, Scopus, Web of Science, and PubMed) and a screening of 3,852 records recruited, 52 studies comprising 13,653 individuals met the inclusion criteria for this meta-analysis. RESULTS: Results showed a significant effect size for both the anxiety and avoidance dimensions of attachment. However, while the effect sizes for anxiety were consistent (r = .19-.35) for all types of violence considered, the effect size for avoidance was not significant for generic violence (r = .07), low for physical (r = .12) and psychological violence (r = .14), and medium for sexual violence (r = .20). Only a few of the examined moderators were significant. CONCLUSIONS: The findings highlight some differences in the roles of the two attachment dimensions in IPV. The results underscore the need for additional research to explore the role of other potential moderating and mediating variables in the relationship between attachment and IPV perpetration in order to better support the development of prevention and treatment interventions.

Heart rate variability and interoceptive accuracy predict impaired decision-making in Gambling Disorder.

BACKGROUND AND AIMS: Gambling Disorder (GD) entails maladaptive patterns of decision-making. Neurophysiological research points out the effect of parasympathetic arousal, including phasic changes in heart rate variability (HRV), and interoceptive accuracy (IA, i.e., the ability to track changes in bodily signals), on decision-making. Nevertheless, scarce evidence is available on their role in GD. This is the first study exploring the impact in GD of respiratory sinus arrhythmia (RSA), an index of HRV, and IA on decision-making, as measured by the Iowa Gambling Task (IGT). METHODS: Twenty-two patients experiencing problems with slot-machines or video lottery terminals gambling and 22 gender- and age-matched healthy controls (HC) were recruited. A resting ECG was performed before and after the completion of the IGT. IA was assessed throughout the heartbeat detection task. We conducted a MANCOVA to detect the presence of significant differences between groups in RSA reactivity and IA. A linear regression model was adopted to test the effect of factors of interest on IGT scores. RESULTS: Patients with GD displayed significantly decreased RSA reactivity (P = 0.002) and IA (P = 0.024) compared to HCs, even after controlling for affective symptoms, age, smoking status, and BMI. According to the linear regression model, cardiac vagal reactivity and IA significantly predict decision-making impairments on the IGT (P = 0.008; P = 0.019). DISCUSSION AND CONCLUSIONS: Although the exact pathways linking HRV and IA to impaired decision-making in GD remain to be identified, a broader exploration relying upon an embodiment-informed framework may contribute to shed further light on the clinical phenomenology of the disorder.

Emotion dysregulation acts in the relationship between vulnerable narcissism and suicidal ideation.

Suicide behaviors are peculiar aspects of several cluster B disorders, including Narcissistic Personality Disorder. To date, it is still unclear which facet of narcissism is more related to the desire to die and which other factors are involved in this relationship. This study aims to offer preliminary empirical evidences concerning the relationship between narcissism, emotion dysregulation and suicide ideation. We administered the Pathological Narcissism Inventory (PNI), Difficulties in Emotion Regulation Scale (DERS), PID-5-BF (Personality Inventory for DSM-5-Short Form) and Beck Scale for Suicide ideation (BSI) to a sample of individuals with suicide ideation (n = 70) and a sample of community participants (n = 154). Controlling for age, gender and Negative Affectivity, we found that BSI scores correlated significantly with the vulnerable dimension of narcissism, but not with the grandiose one, and with all DERS dimension, apart from Awareness. Nevertheless, emotion dysregulation moderates the relationship between vulnerable narcissism and suicide ideation. Suicide ideation seems to be deeply connected with the vulnerable dimension of pathological narcissism and the relationship between the constructs is totally mediated by emotion dysregulation. Future directions and clinical implications are discussed.

A Fear of COVID-19 and PTSD Symptoms in Pathological Personality: The Mediating Effect of Dissociation and Emotion Dysregulation.

Background: The 2019 coronavirus disease (COVID-19) outbreak is currently putting a strain on the mental health resilience of the world's population. Specifically, it is likely to elicit an intense response to fear and to act as a risk factor for the onset of posttraumatic stress disorder (PTSD). Some individuals may be more at risk than others, with pathological personality variables being a potential candidate as a central vulnerability factor. In addition, the pathways that lead the pathological personality to PTSD and intense fear responses to COVID-19 are likely to be explained by poor emotion regulation capacities, as well as by dissociative mechanisms. Aims: This study aimed to shed light on vulnerability factors that may account for the onset of PTSD and intense responses of fear in response to COVID-19 outbreak and to test the mediating role of emotion dysregulation and dissociation proneness in these pathways. Methods: We used a longitudinal design of research administered to a sample of community individuals (N = 308; meanage = 35.31, SD = 13.91; 22.7% were male). Moreover, we used self-report questionnaires to measure pathological personality, emotion regulation capacities, dissociative proneness at the beginning of the lockdown, and PTSD symptoms and fear of COVID-19 at the end of the Italian lockdown (from March 9 to May 18, 2020). Structural equation modeling was used to test the hypotheses. Results: We found that pathological personality levels longitudinally predicted PTSD and fear of COVID-19 levels. Moreover, the associations between emotion dysregulation and dissociation were shown to significantly and totally mediate the relationship between pathological personality and PTSD, whereas no significant mediation effects were observed in relation to fear of COVID-19. Conclusions: Individuals with pathological personality traits may be more vulnerable to the onset of negative psychological consequences related to COVID-19 outbreak, such as PTSD symptomatology and fear levels. Emotion regulation capacities appear to be relevant targets of interventions for PTSD symptomatology. Future research should explore the mediating variables linking pathological personality to intense fear responses to COVID-19.

Gambling disorder and dissociative features: A systematic review and meta-analysis.

OBJECTIVE: Multilevel consequences related to gambling disorder (GD) are glaring enough to make gambling a worldwide public health issue. Dissociation has been pointed out in clinical, empirical, and theoretical contributions as a key variable accounting for the development and maintenance of GD. However, we still lack a systematization of available empirical data that may facilitate further accurate conclusions. METHOD: A systematic review and meta-analysis were performed with the goal to answer to open questions. We followed the PRISMA guidelines conducting a systematic search of 5 scientific databases (PsycINFO, PsycARTICLES, MEDLINE, Scopus, Web of Science, and PubMed) including grey literature. RESULTS: A total of 843 records were screened, and 20 studies were included in the qualitative and quantitative analyses. A systematic review of selected studies outlines the high heterogeneity in the operationalization of the dissociation construct as well as the absence of studies examining the role played by the specific dimensions of the pathological dissociative feature in GD. A significant, positive, and moderate effect size (r = .37) was found linking GD to dissociation. Moreover, this effect appears to not be moderated by the quality of studies, age, and gender of participants nor measures used to evaluate dissociation. CONCLUSIONS: Despite empirical evidences supporting the theoretical assertions toward the relationship between GD and dissociation, few studies have reached an articulated understanding of this topic, mostly failing to identify specific dissociative features involved in GD. Furthermore, the existence of the current gap in the literature are discussed to delineate future lines of research. (PsycInfo Database Record (c) 2021 APA, all rights reserved).