Longitudinal trajectories of psychosocial functioning in patients with pre-existing mental disorders after one year of COVID-19 pandemic.

Aims of the present study were to prospectively assess psychosocial functioning trajectories during the COVID pandemic and the possible impact of sociodemographic variables, as well as of COVID-19 pandemic-related factors, on these trajectories, in a sample of patients with pre-existing severe mental disorders. Moreover, we aimed at identifying predictors of impairment in psychosocial functioning over a period of 9 months of COVID-19 pandemic. Patients were recruited during the 3rd wave of the COVID-19 pandemic (T0, March-April 2021) while strict containment measures were applied in Italy, and reassessed after 3 months (T1, June-July 2021), and after 6 months from T1 (T2- November-December 2021), during the 4th wave of COVID pandemic. A sample of 300 subject (out of the 527 subjects recruited at baseline) completed the T2 evaluation. Patients were assessed by: Work and Social Adjustment Scale (WSAS) for psychosocial functioning, Generalized Anxiety Disorder 7-Item (GAD-7) for anxiety symptoms, Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms and the Impact of Events Scale-Revised, for post-traumatic symptoms. Cluster analyses identified 4 trajectories of functioning: the High, Stable Functioning group (N = 77), the Improvement Functioning group (N = 62), the Progressive Impairment group (N = 83) and the Persistent Severe Impairment group (N = 78) respectively. We found that predictors of higher WSAS score at T2 were higher WSAS score at T0 (B = 0.43, p < .001), PHQ scores at baseline >10 (B = 2.89, p < .05), while not living alone was found to be a protective factor (B = -2.5, p < .05). Results of the present study provides insights into the vulnerability of individuals with psychiatric disorders during times of crisis. Study findings can contribute to a better understanding of the specific needs of this population and inform interventions and support strategies.

Modification of self-disclosing behaviours through modeling and vicarious reinforcement.

Modeling techniques were used to model moderate disclosure to high and low disclosers. Eighty female undergraduates (40 low disclosers and 40 high disclosers) listened to a model select items that were rated as moderate disclosures for discussion. Two modeling conditions were employed; in one condition the model was reinforced by the E (vicarious reinforcement), in the second condition the model was not reinforced. Two control conditions, one with the model present, the other with the model absent were also included. The results of two separate 2 X 4 X 2 repeated measures, hierarchical analyses of variance on the subject distance from modeled intimacy, and the number of moderate items selected on pre- and posttests, indicated that both modeling conditions were successful in producing moderation of self-disclosure.

Interest in entering helping activities and self-disclosure to three targets on the Jourard self-disclosure scale.

Jourard's 40-item Self-disclosure Questionnaire was administered to 50 students in a training and selection program for a quasi-counseling position and 52 randomly selected students. Subjects indicated past disclosures to three target persons, parents, best friend, and stranger. Results indicated: highest disclosures were reported to best friends, lowest to strangers; subjects interested in the quasi-counseling position reported more disclosure than subjects not interested in this position; females reported more disclosure than males only to strangers.

The effects of instructions on self-disclosure.

In a study of the effects that instructions have on self-disclosure, two groups of male and female college students (N = 120) were asked to select items for discussion with a same sexed stranger under one of two sets of instructions: (a) Ss were asked to select items that they were interested in discussing or (b) Ss selected items they were willing to discuss. Results indicated that changing one word from "interested" to "willing" produced significantly higher potential disclosures in all Ss from low to high disclosers.

The relationship of internality-externality, self-acceptance, and self-ideal discrepancies.

Internals (n=35) and externals (n=38) responded to Rotter's (12) I-E scale under two sets of instructions: standard (as the kind of persons they really were) and ideal-self instructions (as if they were the types of persons they would like to be) and the self-acceptance questionnaire (4). Results indicated (a) on both instruments the discrepancy between real and ideal-self was significantly larger in externals: (b) the external ideal-self includes an internal locus of control; (c) a significant discriminatory factor between internals and externals is their perceived control over their own destiny and not social institutions. The results were discussed in terms of the relationship of externality to maladjustment, neuroticism, and possible causes for this relationship.