Links between Child Shyness and Indices of Internalizing Problems during the COVID-19 Pandemic: The Protective Role of Positivity.

Shyness in childhood has been linked to socio-emotional difficulties such as anxiety, depression, and loneliness. On the contrary, positivity (i.e., a personal tendency to see oneself, life, and future in a positive light) has been described as a protective factor. Given the challenges experienced by children during the first wave of the COVID-19 pandemic (e.g., closure of school and confinement), we aimed to test the potential protective role of positivity and how it may link child shyness and indices of internalizing problems (i.e., anxiety, depression, loneliness) during the first wave of the pandemic. Participants were N = 236 children (Mage = 9.25 years, SD = 1.20) from Italy, Spain, and the United Kingdom, the three worst-hit countries in Europe when the data were collected (April-June, 2020). Children completed online self-evaluation scales to assess temperamental shyness, positivity, and indices of internalizing problems during the COVID-19 pandemic. Results from a multivariate regression analysis revealed significant interaction effects between shyness and positivity in the prediction of outcome variables. Follow-up simple slope analyses indicated that shyness was positively related to depression only among children with lower levels of positivity. The study highlights the role of children's positivity in buffering the pernicious link between shyness and their negative feelings during the pandemic. The practical implications of these findings are discussed.

How do I want to feel? The link between emotion goals and difficulties in emotion regulation in borderline personality disorder.

OBJECTIVES: Appropriate contextualized emotion goals (i.e., desired emotional endpoints that facilitate goal attainment) are fundamental to emotion regulation, as they may determine the direction of regulation efforts. Given that difficulties in emotion regulation are prevalent in borderline personality disorder (BPD), we explored whether BPD traits (Study 1) and BPD diagnosis (Study 2) presented specific contextualized emotion goals, and whether these emotion goals may be linked to difficulties in emotion regulation. METHODS: In Study 1, 358 individuals were recruited via Amazon Mechanical Turk and assessed on the presence of borderline traits, emotion regulation ability, and general and contextualized emotion goals. In Study 2, these measures were employed in a sample of 35 people with BPD and 35 matched controls who were also assessed on their current mood state and screened for Axis I and II disorders of the DSM-IV. RESULTS: Study 1 showed that emotion dysregulation was positively predicted by borderline traits and contextualized emotion goals that impair goal attainment (i.e., greater preference for anger for collaboration and happiness for confrontation). Findings of Study 2 also showed that a higher preference for happiness for confrontation was linked to higher emotion dysregulation in both individuals with BPD and controls. Furthermore, individuals with BPD reported a lower preference for happiness for collaboration than controls. CONCLUSIONS: These results support the importance of looking at emotion goals and its link with emotion dysregulation. Interventions targeting maladaptive contextualized goals may represent an important therapeutic window to enhance emotion regulation. PRACTITIONER POINTS: Clinical implications BPD individuals' emotion regulation is linked to maladaptive emotion goals. Helping people at risk to manipulate their emotion goals to be more context sensitive may enhance well-being and serve as a therapeutic tool in practice. Limitations The present research only considered the context of collaboration and confrontation, but other contexts more relevant for individuals with BPD (i.e., self-harm situations) might provide valuable information about their difficulties in emotion regulation. To study contextualized emotion goals in clinical populations, longitudinal rather than cross-sectional designs should be considered.

Illness Perception Mediates the Relationship Between the Severity of Symptoms and Perceived Health Status in Patients With Behçet Disease.

OBJECTIVE: The aim of this study was to investigate the relationship between psychological representations of illness, perceived health status, and self-assessment of symptom severity in patients with Behçet disease, a rare long-term incurable condition with unclear etiology. METHODS: Using cross-sectional survey design, data on self-administered questionnaires on illness perception, health status, symptoms severity, and demographic characteristics were collected from 273 patients with Behçet disease (age range, 18-65 years). The data were subjected to mediation analysis to test whether cognitive and emotional components of illness perception mediate the relationship between the severity of symptoms and heath status. RESULTS: The results support our hypotheses that cognitive components of illness perception (perceived consequences and identity of the illness) mediate the link between symptom activity and pain, whereas emotional components of the illness (emotional representations about the illness) mediate the relationship between disease activity and perceived energy level. CONCLUSIONS: The robustness of these mediation effects suggests potential directions for clinical psychologists and health care practitioners in developing support programs. We supplement our study with Open Access database containing information about type of medication, comorbid mood disorder, and detailed measurement of the severity of BD symptoms for sharing and accumulating multidisciplinary knowledge aiming to support the development of interventions. Addressing psychological aspects of BD will help to manage complex patients effectively.

Epilepsy, psychosocial and cognitive functioning.

This article will provide an overview of the psychosocial and cognitive problems that people with epilepsy (PWE) experience as consequence of the condition and its treatment. Psychosocial problems will be discussed in light of how they impact on quality of life. The review will discuss the stigma, myths and stereotypes that PWE encounter and the implications of these for important psychological outcomes including; anxiety, depression, self-esteem, sense of mastery and cognitive dysfunction. The latter part of the article will focus on psychosocial factors including social isolation, interpersonal and family relationships and employment. The overall aim is to provide the reader with a general overview of the sort of factors that can impede social functioning in PWE with particular emphasis on the problems encountered in adults.