Smoking Mostly Alone as a Risk Factor for Cannabis Use Disorders and Depressive Symptoms.

The empirically grounded etiological models of cannabis use already include a vast range of psychological factors (within an individual), paving the ground for individualized prevention and intervention programs. However, the interpersonal (among individuals) and relational variables influencing the emergence of excessive cannabis use are less understood. Particularly, the impact of consumption context (i.e., smoking alone or with others) on cannabis use intensity in youth remains to be clarified. We evaluated how smoking mostly alone modulates cannabis use disorders (CUD) and depressive symptoms in college students. A sample of 854 individuals from France (568 women, 286 men) who used cannabis in the last 6 months completed self-report questionnaires evaluating cannabis consumption, CUD symptoms, and depressive symptoms. Mostly alone users presented higher current use frequency as well as increased CUD and depressive symptoms compared to mostly social users. Smoking mostly alone remained positively correlated with CUD and depressive symptoms, even when controlling for current use frequency. The association between smoking mostly alone and depressive symptoms was significant before adjustment for symptoms of CUD. The loss of significance of this association after control reflected the mediating effects of symptoms of CUD on the relationship between smoking mostly alone and depressive symptoms. These results suggest that smoking mostly alone constitutes a risk factor for uncontrolled cannabis use and promote the relationship between cannabis use and depressive disorders, potentially through loneliness and social isolation. Longitudinal studies are required to identify the causal mechanisms underlying the links between smoking mostly alone, cannabis use and psychopathological disorders.

Distinguishing between healthy and pathological orthorexia: a cluster analytic study.

PURPOSE: This study represents a first attempt to explore the typology of female adults from a large non-clinical sample based on healthy orthorexia (HO) and pathological orthorexia (orthorexia nervosa, ON). METHODS: 1245 female adults (Mage = 38.04, SD = 9.73) completed a set of questionnaires assessing orthorexic behaviors, intuitive eating, self-esteem, perceived social support as well as eating disorders, depressive and anxiety symptoms. RESULTS: Cluster analysis based on HO and ON scores yielded 4 distinct groups: "Healthy orthorexia cluster" (HO), "Orthorexia Nervosa cluster" (ON), "Low Orthorexia cluster" (LO) and "In-between Orthorexia cluster" (IBO). The HO and ON clusters represented individuals with, respectively, healthy and pathological interest in healthy diet. The LO cluster represented those with no particular interest in healthy eating and the IBO cluster showed that ON and HO behaviors can be associated in some individuals. Among all clusters, the ON cluster displayed highest levels of ED, anxiety and depressive symptoms. Inversely, the HO cluster displayed highest levels of intuitive eating, self-esteem and perceived social support. CONCLUSION: Altogether, findings from this study support the bidimensional structure of orthorexic eating behavior and further suggest that ON and HO behaviors can be associated in some individuals. Our findings further provide evidence for the assumption that ON and HO could be seen, respectively, as maladaptive and protective eating behaviors. LEVEL OF EVIDENCE: V, descriptive study.

Not all personal definitions of healthy eating are linked to orthorexic behaviors among French college women. A cluster analysis study.

PURPOSE: This study represents a first attempt to explore the typology of French female young adults based on personal definitions of healthy eating and to examine inter-group differences regarding their tendencies towards Orthorexia Nervosa (ON), eating disordered (ED) and obsessive-compulsive (OC) behaviors. METHOD: 362 female adults (Mage = 23.43, SD = 3.82) completed a 40-item questionnaire assessing personal definitions of healthy eating, the Eating Habits Questionnaire, the Eating-Disorders Inventory-3 and the Obsessive-Compulsive Inventory-Revised. RESULTS: Exploratory factor analysis yielded 6 factors for healthy eating definitions: "Health benefits", "Politico-ecological", "Restriction", "Pleasure", "Socio-cultural" and "Dietary avoidance". Cluster analysis based on these factors identified 3 distinct groups: "Self & Environment aware " (SEA), "Restrictive-Avoidant" (RA) and "Sociable-Pleasure seeking" (SP). The SEA cluster emphasized the "Health benefits", "Politico-ecological" and "Dietary avoidance" factors while defining healthy eating. The RA cluster highlighted the "Restriction" and "Dietary avoidance" factors while the SP cluster mainly emphasized the "Pleasure" and "Socio-cultural" factors. Compared to all other clusters, the SEA cluster displayed greater scores in ON behaviors. The RA cluster displayed greater scores in ED behaviors compared to SP cluster. No significant difference was found between clusters regarding OC behaviors. CONCLUSION: Findings from this study suggest that ON behaviors can vary depending on personal definitions of healthy eating. They further indicate that the definitions of healthy eating related to ON behaviors are largely different from those related to ED and OC behaviors. This study offers considerable support for the possibility of ON being a distinct condition from ED and OC behaviors.

Posttraumatic growth and depreciation in people with chronic pain: A profile analysis.

OBJECTIVE: Chronic pain can disrupt everyday life and shatter beliefs about the world. Shattered beliefs may be rebuilt, either positively or negatively, leading to posttraumatic growth (PTG) or posttraumatic depreciation (PTD). According to a transdiagnostic emotion regulation perspective, these phenomena are associated with coping strategies and emotions related to the body, self, others, and the world. Because PTG and PTD can coexist, this study aims to compare different profiles of rebuilt beliefs based on emotions, emotion regulation, and psychopathology. METHOD: People with chronic pain (N = 1,577) completed online self-report questionnaires evaluating PTG and PTD, trauma-related emotions, and reactions regarding pain (guilt, shame, mental defeat, injustice, feeling discounted, sensitivity to pain traumatization, sense of body-self unity), difficulties in emotion regulation, coping strategies, and psychopathological symptoms. RESULTS: Profiles illustrate four ways to experience potentially traumatic and life-challenging circumstances: no disruption, ambivalence, growth, and distress. Differences were found regarding trauma-related emotions and reactions, levels of comorbid psychopathologies, and emotion regulation. CONCLUSIONS: Considering trauma as a genuine dimension of chronic pain experience could provide an important framework to better address the resources and trajectories of people with chronic pain. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Does sex influence the network structure of psychopathy?

Sex-specific manifestations of psychopathy remain highly debated both at the dimensional and structural levels. The network theory provides a promising framework for investigating this question. Thus, our study aimed to explore the network structure of psychopathy across sex. Participants were 1,990 college students (male: 43%, female: 57%) who received the Elemental Psychopathy Assessment-Short Form. We first estimated a Gaussian Graphical Model including the 18 Elemental Psychopathy Assessment-Short Form facets, separately for men and women. We then computed centrality indices (i.e., strength and expected influence) and predictability and finally conducted a bootstrapping procedure to assess the accuracy of edge weights and the stability of the centrality indices. The results of the network comparison test provide support for the stability of the network structure of psychopathic traits across sex. Self-Centeredness was the most central trait in the two networks, followed by Unconcern, Rashness, and Anger for women and by Callousness, Unconcern, and Rashness for men. Minor sex differences and future directions are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Distinguishing orthorexic behaviors from eating disordered and obsessive-compulsive behaviors: a typological study.

PURPOSE: This study represents a first attempt to explore the typology of young adults from a large non-clinical sample based on orthorexic (ON), eating disordered (ED) and obsessive-compulsive behaviors (OCD). METHODS: 921 individuals (Mage = 20.72, SD = 2.63), 84.6% women (n = 780) and 15.3% men (n = 141), completed a set of questionnaires assessing ON, ED, OCD behaviors and body image attitudes. RESULTS: Cluster analysis based on ON, ED and OCD behaviors yielded four clearly distinct groups: a "Low" group that was below the sample mean for all behaviors, an "Orthorexic behaviors" group, an "Eating disordered behaviors" and an "Obsessive-compulsive behaviors" group with, respectively, mean scores on ON, ED and OCD behaviors that all were all above the sample means. Using ANOVA, these groups were compared regarding body image attitudes, self-reported BMI, age and educational level. Results show that all clusters differed from each other on virtually all variables. And compared with all other clusters, the "Orthorexic behaviors" cluster displayed greater scores in health and fitness-related aspects of body image. It also differed from the "Eating disordered behaviors" cluster, by its higher scores in appearance evaluation, body areas satisfaction and lower scores in self-classified weight. CONCLUSION: This study demonstrates the existence of a distinct group of individuals with orthorexic behaviors and its positive body image attitudes and offers significant support for the possibility of ON being a distinct condition from ED and OCD. LEVEL OF EVIDENCE: Level V, descriptive study.

Exploring the Relationship Between Schizotypal Traits and Dispositional Mindfulness From a Network Perspective.

Schizotypy has been associated with impairment in social cognition (e.g., emotional processing, social perception, Theory of Mind). To our knowledge, no study has investigated these processes in terms of dispositional mindfulness. This study aimed to use network theory to explore the relationship between dispositional mindfulness dimensions and schizotypal traits. Participants were 1572 college students who completed the Five Facet Mindfulness Questionnaire-Short Form (FFMQ-SF) and the Schizotypal Personality Questionnaire-Brief (SPQ-B). We first estimated a Gaussian Graphical Model including the FFMQ-SF and the SPQ-B dimensions. We then computed centrality indices and predictability, and we finally conducted a bootstrapping procedure to assess the accuracy of edge weights and the stability of the centrality indices. Describing was strongly and negatively related to interpersonal schizotypy. Acting with awareness and nonjudgment shared negative edges with interpersonal schizotypy. These results provide potential keys to understand alexithymia, decreased sense of self-agency, and emotion regulation in schizotypy.

Pathological Traits Associated to Facebook and Twitter among French Users.

BACKGROUND: With a growing number of users, social networking sites have been the subject of numerous recent studies, but little investigation has been given to their problematic use. OBJECTIVES: Our main objective was to study the relationship between psychopathological variables (i.e., personality traits, depressive and anxiety symptoms, and stress) and problematic Facebook and Twitter use. PARTICIPANTS AND METHOD: A sample of 1068 Internet users (Mage = 26.64; SD = 9.5) has been recruited online. Participants completed scales exploring problematic Facebook and Twitter use, and psychopathological variables. RESULTS: Problematic Facebook and Twitter use were predicted by different pathological personality traits, regrouped in clusters in our study. Depressive and anxiety symptoms were also predictive of problematic Facebook and Twitter use but only stress explained problematic Facebook use. Gender differences have been observed. DISCUSSION: This study highlights the relationship between depression, anxiety, stress, pathological personality traits, and problematic Facebook and Twitter use. Significant differences have been retrieved between these two uses and their relationship to psychopathology. Future research should also explore the causal relationship between social networking sites use and psychopathology and consider gender.

Traumatic anticipation of childbirth and disordered eating during pregnancy.

BACKGROUND: While research on Fear Of Childbirth (FOC) during pregnancy is on the rise, research regarding pretraumatic stress reactions is lacking. Moreover, less is known regarding negative anticipation of childbirth and Eating Disorders (ED). This study aims at identifying typologies of women in the prepartum period based on FOC and pretraumatic stress symptoms and investigating whether or not the identified profiles differ on levels of bulimic symptoms and Drive for Thinness (DT). PARTICIPANTS AND METHODS: a sample of 213 pregnant women completed questionnaires assessing FOC, pretraumatic stress, DT and bulimic symptoms. RESULTS: four clusters based on pretraumatic stress and FOC symptoms were identified: one characterised by traumatic symptoms, one showing moderated FOC symptoms, one with high symptomatology and one with low symptoms. Higher ED symptoms were found in women with both FOC and pretraumatic stress symptoms, and in the cluster showing elevated pretraumatic stress symptomatology. CONCLUSIONS: To our knowledge, this is the first study focusing on anticipated traumatic reactions and ED in pregnant women. While some women evidenced FOC and pretraumatic stress symptoms, two different clusters, one with FOC and one with pretraumatic stress, were found. These findings suggest that, while sharing similarities, these constructs are different.

Borderline and schizotypal traits in college students: Relationship and personality profiles.

The relationships between borderline and schizotypal traits are still debated. Borderline traits, schizotypal traits, and several psychopathological symptoms were assessed among 2,341 college students. A factor analysis was performed on borderline and schizotypal personality measures, leading to 10 factors. Borderline factors were largely intercorrelated, as were schizotypal factors. Moreover, borderline factors were weakly to largely correlated to schizotypal factors. Five factors were very strongly correlated (r > .50). Dissociation was strongly related to Odd Beliefs/Unusual Perceptive Experiences and Anxious-Depressive factors. Social Anxiety was strongly related to Suspiciousness. Based on these 10 factors, a cluster analysis was conducted, and resulted in four clearly distinct groups: a Low Traits cluster, a Narcissistic cluster, a Social Anxiety cluster, and a High Traits cluster. This High Traits cluster had the lowest levels of academic achievement and the highest levels of internalizing behaviors and externalizing behaviors. The clinical implications of the results are discussed.

Heterogeneity of adaptive features among psychopathy variants.

Psychopathic personality traits can be conceptualized as a complex network of adaptive and maladaptive traits. Although general positive adjustment has been related to primary psychopathy and increased emotional stability, no study focused on the distribution of specific adaptive traits through psychopathy variants. Participants were 2,291 French college students who completed self-report questionnaires. A cluster analysis, based on a 4-factor model of psychopathy (Antagonism, Narcissism, Disinhibition, and Emotional Stability), was performed on a subsample with increased psychopathic traits (n = 378) and yielded 3 distinct groups: a primary psychopathy cluster, a secondary psychopathy cluster, and an emotionally stable-low antagonism cluster. The primary psychopathy cluster displayed the highest scores of Leadership, Logical Thinking, Focus, Management, and Money Smart, whereas the emotionally stable-low antagonism cluster had the highest scores of Composure and Extraversion. Conversely, the secondary psychopathy cluster exhibited reduced adaptive psychopathic traits. These results suggest that adaptive psychopathic traits are inconsistently distributed between psychopathy subtypes. Interaction effects between main factors of psychopathy are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Personality disorder traits in young adults with subclinical obsessive-compulsive symptoms: Not just traits related to obsessive- compulsive personality.

Research is scarce regarding personality disorder traits of individuals with subclinical obsessive-compulsive symptoms. Cluster analysis based on obsessional, schizotypal, and borderline personality and autism-spectrum features was conducted on the results for 118 students scoring above cutoff on the Obsessive Compulsive Inventory-Revised. This identified four groups: O, L, S, and A. One third of the sample was represented by individuals with obsessional traits (O), while another third was composed of individuals with low traits (L); the last two profiles corresponded to a cluster with autistic traits (A) and a group with schizotypal and borderline features (S), both clusters together comprising the remaining third. Significant differences were observed between groups, both on personality traits and on psychopathological symptoms. The S cluster displayed the highest scores of suicidality, depression, and obsessive-compulsive symptoms. This study identified meaningful profiles of personality disorder traits, distinct from obsessive-compulsive personality, in individuals with subclinical obsessive-compulsive symptoms.

To Better Understand the Link between Psychopathy and Antisocial Behavior: Moderation by Dispositional Mindfulness.

BACKGROUND: Dispositional mindfulness deficits and psychopathic personality traits have been shown to be closely associated and independent predictors of antisocial behaviors (AB) in young adults. However, the interaction effects of these 2 factors have not yet been explored. The aim of this study was to examine the contribution of dispositional mindfulness and psychopathic traits to ABs in a college student sample. METHODS: Participants were 1,572 students from different French universities who completed self-report questionnaires. Regression analyses were conducted in order to test a moderation model between psychopathic traits and AB. RESULTS: Moderation analyses revealed that dispositional mindfulness interacted with psychopathic personality traits in predicting AB. In males with high levels of dispositional mindfulness, as psychopathic traits increased, AB increased less than in males with low levels of dispositional mindfulness. CONCLUSIONS: The present study suggests possible implications for prevention and treatment of AB among non-clinical young adults with relatively high psychopathic traits.

Childbirth as a forthcoming traumatic event: pretraumatic stress disorder during pregnancy and its psychological correlates.

BACKGROUND: Recent research has suggested that pretraumatic stress related to a forthcoming predictable traumatic event might exist and that such stress reactions would be a key, 'but largely ignored', aspect of the etiology of Posttraumatic Stress Disorder (PTSD). While it is now acknowledged that childbirth may lead to PTSD, less is known regarding pretraumatic reactions in pregnancy. This study aims to (a) explore the frequency of PTSD, Fear of Childbirth and tokophobia associated with the forthcoming delivery and (b) highlight associated features of pre-traumatic stress symptoms. METHODS: At 34 weeks' gestation, a sample of 102 women completed questionnaires assessing anticipated labour pain, fear of childbirth, fear of pain, pretraumatic stress symptoms, perceived social support and depressive and anxiety symptoms. RESULTS: 8.8% of women met DSM-IV-TR criteria for PTSD related to the threatening forthcoming delivery. Fear of childbirth, anticipated labour pain, anxiety, and depressive symptoms were significant predictors of pretraumatic stress intensity. CONCLUSION: Our results extend prior findings on postpartum PTSD by showing that fear of labour pain is a specific construct, clearly independent from the experience of general pain. Our results suggest that childbirth may be experienced as threatening and traumatic and that this traumatic impact might develop way before the delivery. As a potential traumatic continuum from pre- to posttraumatic stress might exist, further longitudinal studies assessing pre-, peri- and posttraumatic reactions is needed to provide support for this hypothesis.

Food and Alcohol Disturbance (FAD) in the U.S. and France: Nationality and gender effects and relations to drive for thinness and alcohol use.

OBJECTIVE: Food and Alcohol Disturbance (FAD), colloquially coined "drunkorexia," is a set of behaviors that encompasses restriction of calories, over-exercise, and other compensatory behaviors before, during, or after alcohol use to offset caloric intake or maximize intoxication. To date, this phenomenon has not been compared in a cross-cultural sample. METHOD: The Compensatory Eating and Behaviors Related to Alcohol Consumption Scale (CEBRACS), Eating Disorder Inventory - Drive for Thinness Subscale (EDI-DT) and Alcohol Use Disorders Identification Test of Consumption (AUDIT-C) were completed by 502 American (73% female) and 365 French (68% female) college students. RESULTS: Just over half (56.70%) of French and American (55.83%) participants engaged in FAD. Nationality was found to be a significant moderator of the relationship between alcohol use and FAD for both compensatory (p = .013) and intoxication (p = .01) purposes, such that Americans who drank more engaged in more FAD. Further, nationality moderated the relationship between drive for thinness and FAD for compensatory purposes (p = .005), but not for intoxication purposes (p = .10). At higher levels of drive for thinness French participants were more likely to engage in FAD for compenatory purposes. DISCUSSION: There is growing concern around how maladaptive eating and drinking behaviors intersect within the college population. These findings suggest that FAD is present cross-culturally, but that the relationships between predictors vary across culture. Thus, culture should be taken into consideration in the development of interventions for FAD.

Could schizotypy protect against the negative outcomes of borderline traits on alcohol consumption? A cluster analytic study.

Schizotypal and borderline personality traits seem to be differently associated to alcohol use in young adult. However, no study has explored co-occurring schizotypal and borderline traits in their link with alcohol consumption. Participants were 1572 students from different French universities who completed self-report questionnaires assessing these three dimensions. A cluster analysis based on the borderline and schizotypal traits scores yielded four distinct groups characterized by low schizotypal and borderline traits (LT), high borderline traits (HB), high schizotypal and borderline traits (HT) and high schizotypal traits (HS). The HS cluster had significantly lower alcohol use than the other three groups. LT and HT clusters did not differ significantly in their alcohol use. Comparison between clusters suggests that schizotypal traits may be protective against the negative impact of borderline traits on alcohol consumption. In the context of a co-occurrence between borderline and schizotypal traits, this study provides important information about their link with alcohol consumption.

Prospective predictors of body dissatisfaction, drive for thinness, and muscularity concerns among young women in France: A sociocultural model.

The aim of this study was to explore a prospective sociocultural model of the influence of media, peers, and partners on body dissatisfaction, drive for thinness, and muscularity concerns in a sample of young women in France. A sample of 192 undergraduate women with a mean age of 20.97 years (SD = 2.69) completed a questionnaire at two time-points, 12 months apart, assessing media and interpersonal influences, appearance comparison, body dissatisfaction, drive for thinness, and muscularity concerns. The final model highlighted that media and interpersonal influences (from peers and romantic partners) were associated over time with increased body dissatisfaction, drive for thinness, and muscularity concerns one year later, via appearance comparison. Sociocultural influences towards both thinness and muscularity may contribute to increases in body image concerns and risky body change behaviors in young women in France.

When Fear of Childbirth is Pathological: The Fear Continuum.

OBJECTIVES: Given that prepartum psychiatric symptoms have been reported to be associated with postpartum disorders, focusing on the prepartum period appears of prime importance. The aim of the current study was threefold: (a) to identify the prevalence rates of women suffering from fear of childbirth (FOC) and tokophobia (b) to explore the association between FOC, obstetrical and psychopathological variables and (c) to identify the independent predictors of the intensity of FOC symptoms, FOC and tokophobia. METHODS: at 36 weeks' gestation, 98 women completed questionnaires assessing FOC, pretraumatic stress, fear of pain, depressive and anxiety symptomatology as well as perceived social support. Socio-demographic and gynecological data were also gathered. RESULTS: 22.45% of women reported a probable FOC and 20.41% suffered from a potential tokophobia. Epidural anesthesia (ß = 5.62, p < 0.05), and the intensity of pretraumatic stress symptoms (ß= 0.69, p < 0.05), were independently associated with the intensity of FOC symptoms. Planning a c-section was significantly related to FOC (ß = 0.09, p = 0.03). Planning an epidural anesthesia was also an independent predictor of both FOC and tokophobia (ß = 1.33, p = 0.03; ß = 1.26, p = 0.04, respectively). CONCLUSIONS: Given the high rates of FOC and tokophobia highlighted, developing an appropriate preparation to childbirth is of great relevance. Longitudinal studies should be developed in order to provide an in-depth examination of the course of prepartum psychiatric disorders, maintenance of symptoms and their impact on subsequent infant development.

The co-occurrence of autistic traits and borderline personality disorder traits is associated to increased suicidal ideation in nonclinical young adults.

BACKGROUND: The co-occurrence of Autism Spectrum Disorder (ASD) and Borderline Personality Disorder (BPD) is not rare and has been linked to increased suicidality. Despite this significant comorbidity between ASD and BPD, no study had examined the co-occurrence of autistic traits and borderline personality disorder traits in the general population. The aim of the present study was to examine the co-occurrence of autistic and borderline traits in a non-clinical sample of young adults and its influence on the levels of suicidal ideation and depressive symptomatology. PROCEDURES: Participants were 474 college students who completed self-report questionnaires. Data were analysed using correlation and cluster analyses. MAIN FINDINGS: Borderline personality traits and autistic traits were weakly correlated. However, cluster analysis yielded four groups: a low traits group, a borderline traits group, an autistic traits group, and a group characterized by high levels of both traits. Cluster analysis revealed that autistic and borderline traits can co-occur in a significant proportion of young adults. The high autistic and borderline traits group constituted 17% of the total sample and had higher level of suicidal ideation than the borderline traits group, despite similar levels of depressive symptoms. CONCLUSION: This result suggests that the higher suicidality observed in patients with comorbid ASD and BPD may extent to non-clinical individuals with high levels of co-occurrent autistic and borderline traits.

The healthy side of positive schizotypy may reflect positive self-report biases

The concept of healthy schizotypy, characterized by positive schizotypy symptoms in the absence of negative or disorganized schizotypy, raises questions regarding whether the contrast between its healthy appearance and its relatively high level of impairment might be due to self-reported advantages. Using cluster analysis, we aimed at typifying a positive schizotypy group in a large nonclinical sample of young adults to examine its association with depressive symptoms, cannabis use, academic performance, well-being and serendipity, while controlling for variables inducing positive self-report biases: self-deceptive denial, wishful thinking, social desirability and narcissistic traits. We thus identified a pure positive schizotypy cluster (P) and a positive and disorganized cluster (PD) which had the highest level of the positive factor. Both clusters were characterized by a contrast between a high level of well-being, life satisfaction and self-reported serendipity (similar to a low schizotypy cluster) with elevated level of impairment markers (lower academic performance, higher depressive symptoms and cannabis use), comparable with clusters high in negative schizotypy. Moreover P and PD had elevated levels of variables susceptible to induce positive self-report biases (denial, wishful thinking, social desirability, narcissistic traits), while the clusters high in negative schizotypy had lower levels. We conclude that the relative high level of well-being and life satisfaction observed in groups with elevated positive and low negative schizotypy may in fact be linked to positive self-report biases (AU)

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