Suicidal ideation risk among LGB Spanish university students: The role of childhood and adolescence adversities and mental disorders.

BACKGROUND: Childhood/adolescence adversities and mental disorders are higher among LGB youths. AIMS: To evaluate the role of childhood maltreatment, bullying, and mental disorders on the association between sexual orientation and suicidal ideation (SI); and the role of mental disorders on the association between sexual orientation discrimination and SI. METHODS: Baseline and 12-month follow-up online surveys of Spanish first-year university students (18-24-year-olds). Multivariable logistic regression models assessed the effects of childhood/adolescence adversities and mental disorders in the relationship between sexual orientation, discrimination and SI. RESULTS: A total of 1224 students were included (16.4 % LGBs). Risk factors of lifetime SI were sexual orientation (OR 2.4), any bullying (OR 2.4), any childhood maltreatment (OR 4.0), and any mental disorders (OR 3.8). Final model Area Under the Curve (AUC) 0.78. Among homosexual and bisexual students, discrimination showed increased risk of 12-month SI (OR 2.2), but this effect was no longer statistically significant when any 12-month mental disorder was added (OR 7.8). Final model AUC 0.72. LIMITATIONS: Sample of interest was relatively small. But it was similar to comparable studies and statistical adjustments have been performed. Assessment of mental disorders and SI was not based on clinical assessment. However, validated scales showing good diagnostic agreement with clinical judgement were used. CONCLUSIONS: Childhood/adolescence adversities and mental disorders interact in the association between sexual orientation and SI. Mental disorders may mediate the association between sexual orientation discrimination and SI. Further research using larger samples and causal modelling approach assessing the mediators of SI risk among LGBs is needed.

Psychometric properties of the Spanish Acceptance and Action Questionnaire for Weight-Related Difficulties-Revised (AAQW-R).

Based on the original 22-item single-factor questionnaire, the 10-item second-order Acceptance and Action Questionnaire for Weight-Related Difficulties-Revised (AAQW-R) was developed for measuring weight-related experiential avoidance. This instrument showed good psychometric properties, and it has been validated to different contexts. However, no Spanish validation has been conducted, to date. Therefore, the aim of this study was to analyze the psychometric properties of the Spanish version of the instrument in a sample of adults from the Spanish context across the whole body mass index spectrum (N = 393). Confirmatory factor analysis was performed to examine the fit of the first- and second-order AAQW-R structures. Internal reliability, construct validity, external reliability, and sensitivity to change were also analyzed. The Spanish AAQW-R presented a good fit to the data, the overall scale and subscale scores showed acceptable-to-good internal consistencies, and adequate construct validity. Likewise, test-retest reliability parameters were high, and the instrument showed sensitivity to change. The findings demonstrate that the Spanish AAQW-R is an instrument with good psychometric properties, supporting its use for measuring adults' weight-related experiential avoidance in both research and clinical settings within the Spanish context. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Keys to emotional wellbeing and resilience in minors who have suffered trauma / Claves del Bienestar Emocional y de la Resiliencia en Menores que han Sufrido un Trauma

Being a victim of a violent event in childhood carries a higher risk of developing emotional, behavioral and social problems. However, not all minors show serious negative consequences. Their degree of resilience will depend on previous emotional stability, degree of self-esteem, cognitive style and the type of experiences, as well as their ability to solve problems. Protective factors implicated in resilience include a stable family environment, helpful relationships with peers, and community support. There are certain adaptive coping strategies, such as striving to realistically solve everyday problems, adapting to the new reality, and actively forgetting or forgiving what happened. The greater or lesser use of certain cognitive emotional regulation strategies can also condition the recovery process or be linked to different trajectories of the victims in the face of potentially traumatic events. A positive indicator of the victim’s improvement is when the verbal expression of feelings is recovered and order is brought to the chaos of images and memories of the violent event. Further research is required in the near future, such as the influence of the age and gender of minors and the role of coping strategies and emotional regulation.(AU)

Ser víctima de un suceso violento en la infancia conlleva un mayor riesgo en el desarrollo de problemas emocionales, de conducta y sociales. Sin embargo, no todos los menores muestran consecuencias negativas graves. La mayor o menor resiliencia va a depender del equilibrio emocional previo, del grado de autoestima, del estilo cognitivo y del tipo de experiencias habidas, así como de su capacidad de resolución de problemas. Entre los factores de protección implicados en la resiliencia figuran el entorno familiar estable y las relaciones de ayuda con los iguales y el apoyo del entorno comunitario. Hay ciertas estrategias de afrontamiento adaptativas, como esforzarse por solucionar los problemas cotidianos de una manera realista y adaptarse a la nueva realidad, olvidar de forma activa o perdonar lo ocurrido. El mayor o menor uso de determinadas estrategias de regulación emocional cognitiva puede asimismo condicionar el proceso de recuperación o estar vinculado a diferentes trayectorias de las víctimas ante sucesos potencialmente traumáticos. Un indicador positivo del proceso de mejoría de la víctima es cuando se recupera la expresión verbal de los sentimientos y se pone orden en el caos de las imágenes y recuerdos del suceso violento. Nuevas investigaciones son requeridas en un futuro próximo, como la influencia de la edad y del sexo de los menores y el papel de las estrategias de afrontamiento y de regulación emocional.(AU)

Cognitive Behavioral Therapy Program for Cannabis Use Cessation in First-Episode Psychosis Patients: A 1-Year Randomized Controlled Trial.

Despite the negative influence of cannabis use on the development and prognosis of first-episode psychosis (FEP), there is little evidence on effective specific interventions for cannabis use cessation in FEP. The aim of this study was to compare the efficacy of a specific cognitive behavioral therapy (CBT) for cannabis cessation (CBT-CC) with treatment as usual (TAU) in FEP cannabis users. In this single-blind, 1-year randomized controlled trial, 65 participants were randomly assigned to CBT-CC or TAU. The primary outcome was the reduction in cannabis use severity. The CBT-CC group had a greater decrease in cannabis use severity and positive psychotic symptoms over time, and a greater improvement in functioning at post-treatment than TAU. The treatment response was also faster in the CBT-CC group, reducing cannabis use, anxiety, positive and general psychotic symptoms, and improving functioning earlier than TAU in the follow-up. Moreover, patients who stopped and/or reduced cannabis use during the follow-up, decreased psychotic symptoms and increased awareness of disease compared to those who continued using cannabis. Early intervention based on a specific CBT for cannabis cessation, may be effective in reducing cannabis use severity, in addition to improving clinical and functional outcomes of FEP cannabis users.

Predictive models for first-onset and persistence of depression and anxiety among university students.

BACKGROUND: Depression and anxiety are both prevalent among university students. They frequently co-occur and share risk factors. Yet few studies have focused on identifying students at highest risk of first-onset and persistence of either of these conditions. METHODS: Multicenter cohort study among Spanish first-year university students. At baseline, students were assessed for lifetime and 12-month Major Depressive Episode and/or Generalized Anxiety Disorder (MDE-GAD), other mental disorders, childhood-adolescent adversities, stressful life events, social support, socio-demographics, and psychological factors using web-based surveys; 12-month MDE-GAD was again assessed at 12-month follow-up. RESULTS: A total of 1253 students participated in both surveys (59.2% of baseline respondents; mean age = 18.7 (SD = 1.3); 56.0% female). First-onset of MDE-GAD at follow-up was 13.3%. Also 46.7% of those with baseline MDE-GAD showed persistence at follow-up. Childhood/Adolescence emotional abuse or neglect (OR= 4.33), prior bipolar spectrum disorder (OR= 4.34), prior suicidal ideation (OR=4.85) and prior lifetime symptoms of MDE (ORs=2.33-3.63) and GAD (ORs=2.15-3.75) were strongest predictors of first-onset MDE-GAD. Prior suicidal ideation (OR=3.17) and prior lifetime GAD symptoms (ORs=2.38-4.02) were strongest predictors of MDE-GAD persistence. Multivariable predictions from baseline showed AUCs of 0.76 for first-onset and 0.81 for persistence. 74.9% of first-onset MDE-GAD cases occurred among 30% students with highest predicted risk at baseline. LIMITATIONS: Self-report data were used; external validation of the multivariable prediction models is needed. CONCLUSION: MDE-GAD among university students is frequent, suggesting the need to implement web-based screening at university entrance that identify those students with highest risk.

Dependencia emocional y maltrato en mujeres víctimas de violencia contra la pareja / [Emotional dependence and abuse in women victims of intimate partner violence]

Los objetivos principales de este trabajo han sido estudiar la dependencia emocional (DE) existente en mujeres maltratadas y no maltratadas en relaciones de pareja duraderas con la “Escala de dependencia emocional de la pareja” (SED; Camarillo et al., 2020). Se examinó la relación existente entre la DE con variables clínicas y de personalidad y se establecieron unos puntos de corte para detectar el riesgo de violencia de pareja (VP) en mujeres en función de la DE. La muestra estuvo formada por 257 personas, 144 mujeres maltratadas en tratamiento y 113 mujeres no maltratadas. Las mujeres maltratadas puntuaron significativamente más y con una magnitud mucho mayor que las mujeres no maltratadas en todas las dimensiones de la DE. A su vez, la DE en las mujeres maltratadas estaba positivamente relacionada con la depresión, la ansiedad y la impulsividad y negativamente con la autoestima. Se han establecido unos puntos de corte para detectar el riesgo de VP en función de la DE. Por último, se señalan algunas limitaciones de este estudio y se plantean líneas de investigación futuras.

The main objectives of this paper have been to analyze the emotional dependency in battered and non-battered women when they are involved in lasting relationships with the Partner’s Emotional Dependency Scale (SED; Camarillo et al., 2020). The relationship was examined between emotional dependency and clinical and personality variables (anxiety, depression, self- esteem, and impulsivity), and cut-off points were established to detect the risk of intimate partner violence according to emotional dependency. The sample consisted of 257 people, 144 battered women in treatment and 113 non- battered women with the same demographics. Battered women scored much higher than non-battered women on all dimensions of emotional dependency. In turn, emotional dependency in battered women was significant and positively associated to depression, anxiety, and impulsivity and negatively to self-esteem. Some cut-off points have been suggested to detect the risk of intimate partner violence according to emotional dependency. Lastly, implications of this study for future research in this field are commented upon.

The effectiveness of acceptance and commitment therapy upon weight management and psychological well-being of adults with overweight or obesity: A systematic review.

Several studies have examined acceptance and commitment therapy's (ACT) effectiveness for addressing physical and psychological distress people with obesity can face. Nevertheless, no review focusing specifically on ACT analysing randomized controlled trials (RCT) has been done up to date in this field. The present systematic review was developed following the PRISMA statement and aimed to examine ACT's effects on weight management and psychological well-being of adults with overweight or obesity. A conjunction of keywords related to ACT and excess weight was searched in four databases (Medline, PubMed, Psycinfo and Scopus) for articles meeting inclusion criteria. The literature search yielded 2,074 papers, and 16 were included in the review, finally. In 71.43% of the studies, ACT was effective to enhance psychological well-being; in 50% effectively targeted process variables and health behaviours related to weight management; in 31.82% of studies, physical variables were improved; and 21.38% of studies showed evidence in favour of ACT for eating behaviour modification. The present review supports ACT for promoting emotional aspects of individuals immersed in such weight-related battles and highlights the benefits of psychological well-being-oriented ACT in the context of obesity treatment. More studies targeting psychological well-being primarily and with longer follow-ups are required.

Adolescents Adjudicated for Sexual Offending: Differences Between Sexual Reoffenders and Sexual Non-Reoffenders.

Although a very small group of adolescents adjudicated for sexual offending (ASO) will persist into adulthood, the use of official records of sexual recidivism after long-term follow-up periods underrates the repetition of sexually coercive behaviors during adolescence. Additionally, limited research has considered sexual reoffending as a criterion to classify this heterogeneous population. The aims of this study were to determine the prevalence of ASO who engaged in repetitive sexual offending before their adjudication, and to use it as a classification criterion to examine the differential characteristics associated with each group. A sample of 73 adjudicated ASO in Spain was examined. They were divided into sexual reoffenders (SR) (n = 34) and sexual nonreoffenders (SNR) (n = 39). An ex post facto research design was carried out. Assessments included reviews of official files, interviews with professionals in charge, and interviews with the ASO in which the Interpersonal Reactivity Index (IRI) was administered. Descriptive analyses were conducted for all variables and Odds Ratio (OR) was used to compare intergroup differences. Results showed that SR had 12.95 times the odds of sexual victimization, 6.91 times the odds of having lived in a sexualized family environment, and 3 times the odds of bullying victimization. Deviant sexual fantasies were exclusively present among SR (44%). Significant differences between groups were also found in some sexual crime variables but not on the empathy scale. These results have implications for the distinction between ASO who have repeatedly engaged in sexually coercive behavior and those who engaged in a single event of sexual offending. The identification of specific risk factors and criminogenic needs for each group would benefit court decisions and more tailored interventions.

A Multicentre, Randomised, Controlled Trial of a Combined Clinical Treatment for First-Episode Psychosis.

INTRODUCTION: There is evidence that early intervention contributes to improving the prognosis and course of first-episode psychosis (FEP). However, further randomised treatment clinical trials are needed. OBJECTIVES: The aim of this study was to compare the efficacy of a combined clinical treatment involving Cognitive Behavioural Therapy (CBT) as an adjunctive to treatment-as-usual (TAU) (CBT+TAU) versus TAU alone for FEP. PATIENTS AND METHODS: In this multicentre, single-blind, randomised controlled trial, 177 participants were randomly allocated to either CBT+TAU or TAU. The primary outcome was post-treatment patient functioning. RESULTS: The CBT+TAU group showed a greater improvement in functioning, which was measured using the Global Assessment Functioning (GAF) and Functioning Assessment Short Test (FAST), compared to the TAU group post-treatment. The CBT+TAU participants exhibited a greater decline in depressive, negative, and general psychotic symptoms; a better awareness of the disease and treatment adherence; and a greater increase in brain-derived neurotrophic factor levels than TAU participants. CONCLUSIONS: Early intervention based on a combined clinical treatment involving CBT as an adjunctive to standard treatment may improve clinical and functional outcomes in FEP.

Validation of an Online Version of the Alcohol Use Disorders Identification Test (AUDIT) for Alcohol Screening in Spanish University Students.

Online alcohol screening may be helpful in preventing alcohol use disorders. We assessed psychometric properties of an online version of the Alcohol Use Disorders Identification Test (AUDIT) among Spanish university students. We used a longitudinal online survey (the UNIVERSAL project) of first-year students (18-24 years old) in five universities, including the AUDIT, as part of the WHO World Mental Health International College Student (WMH-ICS) initiative. A reappraisal interview was carried out with the Timeline Followback (TLFB) for alcohol consumption categories and the Mini International Neuropsychiatric Interview (MINI) for alcohol use disorder. Reliability, construct validity and diagnostic accuracy were assessed. Results: 287 students (75% women) completed the MINI, of whom 242 also completed the TLFB. AUDIT's Cronbach's alpha was 0.82. The confirmatory factor analysis for the one-factor solution of the AUDIT showed a good fit to the data. Significant AUDIT score differences were observed by TLFB categories and by MINI disorders. Areas under the curve (AUC) were very large for dependence (AUC = 0.96) and adequate for consumption categories (AUC > 0.7). AUDIT cut-off points of 6/8 (women/men) for moderate-risk drinking and 13 for alcohol dependence showed sensitivity/specificity of 76.2%/78.9% and 56%/97.5%, respectively. The online version of the AUDIT is useful for detecting alcohol consumption categories and alcohol dependence in Spanish university students.

The Effectiveness of an Acceptance and Commitment Therapy and Mindfulness Group Intervention for Enhancing the Psychological and Physical Well-Being of Adults with Overweight or Obesity Seeking Treatment: The Mind&Life Randomized Control Trial Study Protocol.

Although several interventions that target obesity have been examined, the success of these interventions in generating and maintaining positive results has yet to be confirmed. This study protocol therefore presents a trial aimed at analyzing the effectiveness of a well-being-centered acceptance and commitment therapy (ACT)- and mindfulness-based group intervention following the valued-based healthy living (VHL) approach (Mind&Life intervention) for individuals experiencing overweight-related distress. A randomized controlled trial with two parallel groups will be conducted in 110 adults attending primary care units with overweight or obesity. Participants will be randomly allocated to one of the two study conditions. Interventions will either be the treatment as usual (TAU) or the Mind&Life intervention-an ACT- and mindfulness-based intervention-plus the TAU intervention. Quality of life, weight self-stigma, general health status, eating habits, physical activity, eating behavior, anthropometric, body composition, cardiovascular, and physiological variables, as well as process variables, will be examined at baseline, posttreatment, 6-month follow-up, and 1-year follow-up. This trial aims to offer a novel psychological approach for addressing the psychological and physical impairments suffered by people with overweight or obesity in the current environment. ClinicalTrials.gov identifier: NCT03718728.

Partner’s Emotional Dependency Scale: Psychometrics.

INTRODUCTION: Emotional dependency in a partner implies an excessive permanent affectional bonding to the other individual that is dysfunctional, associated with low self-esteem and conceals a lack of affection. Emotional dependency generates a series of negative emotional consequences: symptoms of anxiety and depression, obsessive thoughts, sleep disorders and abandonment of social relations and leisure. In recent decades several tools have been developed to measure emotional dependency, but they are more focused on measuring dependent personality disorder, centered on an exclusively young population or are not validated in the Spanish population. The aim of this research is to design and validate a new scale to overcome these limitations. METHOD: The sample population included 166 adults (53 men and 113 women) from the general population, to whom a new scale was applied (partner’s emotional dependency scale, SED), as well as the CDE (Emotional Dependency Questionnaire). RESULTS: The scale has a unidimensional structure, showing good internal consistency (Cronbach’s alpha = .90) and a high convergent validity with the CDE (r = .86). There is no difference between men and women with regarding emotional dependency. Some cut-off points have been established based on the degree of emotional dependency (low, moderate, high and extreme). CONCLUSIONS: The SED is a brief assessment tool, simple to conduct and allows the degree of emotional dependency to be assessed unidimensionally with regard to a stable intimate relationship (current or past) in a normative population.

Escala de Dependencia Emocional de la Pareja: propiedades psicométricas / Partner's Emotional Dependency Scale: Psychometrics

INTRODUCCIÓN: La dependencia emocional de la pareja implica una vinculación afectiva permanente excesiva de la otra persona, que resulta disfuncional, que se asocia con una baja autoestima y que encubre carencias afectivas. La dependencia emocional genera una serie de consecuencias emocionales negativas: síntomas ansioso-depresivos, pensamientos obsesivos, alteraciones del sueño y abandono de relaciones sociales y de ocio. En las últimas décadas se han desarrollado diferentes instrumentos para medir la dependencia emocional, pero están más centrados en medir el trastorno de personalidad por dependencia, se focalizan en una población exclusivamente joven o no están validados en población española. El objetivo del estudio es diseñar y validar una nueva escala que haga frente a estas limitaciones. MÉTODO: La muestra ha contado con 166 personas adul-tas (53 hombres y 113 mujeres) de la población general, a las que se ha aplicado la nueva escala (Partner's Emotional Dependency Scale, SED) y el CDE (Cuestionario de Dependencia Emocional). RESULTADOS: La escala presenta una estructura unidimensional, muestra una buena consistencia interna (alfa de Cronbach = 0,90) y una alta validez convergente con el CDE (r = 0,86). No hay diferencias entre hombres y mujeres res-pecto a la dependencia emocional. Se establecen unos pun-tos de corte en función del grado de dependencia emocional (bajo, moderado, alto y extremo). CONCLUSIONES: La SED es un instrumento de evaluación breve, sencillo de cumplimentar y que permite evaluar unidimensionalmente el grado de dependencia emocional con respecto a la relación de pareja estable (actual o pasada) en una población normativa

INTRODUCTION. Emotional dependency in a partner implies an excessive permanent affectional bonding to the other in-dividual that is dysfunctional, associated with low self-esteem and conceals a lack of affection. Emotional dependency generates a series of negative emotional consequences: symptoms of anxiety and depression, obsessive thoughts, sleep disorders and abandonment of social relations and leisure. In recent decades several tools have been developed to measure emotional dependency, but they are more focused on measuring dependent personality disorder, centered on an exclusively young population or are not validated in the Spanish population. The aim of this research is to design and validate a new scale to overcome these limitations. METHOD. The sample population included 166 adults (53 men and 113 women) from the general population, to whom a new scale was applied (partner's emotional dependency scale, SED), as well as the CDE (Emotional Dependency Quesionnaire). RESULTS. The scale has a unidimensional structure, showing good internal consistency (Cronbach's alpha = .90) and a high convergent validity with the CDE (r = .86). There is no difference between men and women with regarding emotional dependency. Some cut-off points have been established based on the degree of emotional dependency (low, moderate, high and extreme). CONCLUSIONS. The SED is a brief assessment tool, simple to conduct and allows the degree of emotional dependency to be assessed unidimensionally with regard to a stable intimate relationship (current or past) in a normative population

Characteristics and risk factors in juvenile sexual offenders.

BACKGROUND: It is estimated that juvenile sexual offences constitute about 7% of the total annual rate of sexual offences in Spain. Nevertheless, research on Spanish juvenile sex offenders (JSO) is virtually non-existent. This paper analyzes the risk factors related to sexual violence committed by adolescents. METHOD: The participants were 73 adolescents (M = 15.68 years, SD = 1.12) aged between 14 and 18, who were serving a sentence for committing a sexual offence in various Spanish Autonomous Regions. In this descriptive study multiple methods were used to collect the data: court records, self-reports, along with an interview with the JSO and with the professionals involved. RESULTS: Risk factors related to family history, certain personality characteristics, and the development of "inadequate sexualisation" (96% of cases) were analyzed. This latter variable was mainly related to an early onset of pornography consumption (70%), to a sexualized family environment (26%), and to sexual victimization during childhood (22%). CONCLUSION: These results are consistent with international research on juvenile sex offending, so we can conclude that the process of development of sexualization from infancy onwards should be deeply examined with regard to sexual violence.

Mental disorders in Spanish university students: Prevalence, age-of-onset, severe role impairment and mental health treatment.

BACKGROUND: The university period carries risk for onset of common mental disorders. Epidemiological knowledge on mental disorders among Spanish university students is limited. AIMS: To estimate lifetime and 12-month prevalence, persistence and age-of-onset of mental disorders among Spanish first-year university students, as well as associated role impairment and mental health treatment use. METHODS: First-year university students (N=2,118; 55.4% female; mean age=18.8 years) from five Spanish universities completed a web-based survey, screening possible DSM-IV mental disorders (major depressive episode(MDE), mania/hypomania, generalized anxiety disorder(GAD), panic disorder(PD), alcohol abuse/dependence(AUD), drug abuse/dependence(DUD), and adult attention-deficit/hyperactivity disorder(ADHD)). Role impairment and treatment associated with mental disorders were assessed. RESULTS: Lifetime and 12-month prevalence of any possible mental disorder was 41.3%(SE=1.08) and 35.7%(SE=1.05), respectively. Persistence (i.e., ratio of 12-month to lifetime prevalence) was 86.4%(SE=1.58). Median age-of-onset was 14 for adult ADHD, 15 for mood disorders and AUD, and 16 for anxiety disorders and DUD. One third (29.2%) of 12-month disorders were associated with role impairment. Twelve-month PD (OR=4.0;95%CI=1.9-8.5) had the highest odds for role impairment. Only 12.6% of students with 12-month disorder received any mental health treatment. Twelve-month treatment was the highest among those students with 12-month GAD (OR=7.4;95%CI=3.7-14.8). LIMITATIONS: The assessment of mental disorders was based on self-reports. Cross-sectional nature of the data prevents causal associations. CONCLUSION: One third of Spanish university students report a common mental disorder in the past year, and one third of those report severe role impairment. Only one out of eight students with 12-month mental disorders receives mental health treatment.

Cognitive Distortions in Gamblers and Non-gamblers of a Representative Spanish Sample.

Cognitive biases or distortions related to gambling, present in all people, are considered a relevant factor in the development of gambling-related problems. OBJECTIVE: to establish whether the presence of these biases or cognitive distortions, in gamblers and non-gamblers, is related to the presence of gambling problems. METHOD: 3000 people aged 18-81 years, representative of the Spanish adult population, underwent a structured survey. RESULTS: the presence of distortions was relevant to distinguish gamblers according to their level of gambling engagement and problems. There is a constant and significant tendency to have more cognitive distortions as gambling problems increase. But not all distortions have the same ability to distinguish between the different groups of gamblers. The results seem to group gamblers into three groups according to the presence of cognitive distortions, from less to more: (1) non-gamblers, (2) low-risk and at-risk gamblers, and (3) problem and pathological gamblers. The relevance of this research and its practical implications for both treatment and prevention work is discussed.

The effect of body dissatisfaction on disordered eating: The mediating role of self-esteem and negative affect in male and female adolescents.

This study aimed to determine whether self-esteem and negative affect sequentially mediate the relationship between body dissatisfaction and disordered eating. A total of 806 adolescents (61.8% females) completed the Drive for Thinness, Bulimia, and Body Dissatisfaction subscales of the Eating Disorder Inventory-2, the Anxiety and Depression subscales of the General Health Questionnaire-28, and the Negative Self-beliefs subscale of the Eating Disorder Belief Questionnaire. Mediational analyses showed that body dissatisfaction had both direct and indirect effects through self-esteem and negative affect on disordered eating. It was also observed that negative self-esteem mediated-completely in boys and partially in girls-the relationship between body dissatisfaction and negative affect.

Improving clinical symptoms, functioning, and quality of life in chronic schizophrenia with an integrated psychological therapy (IPT) plus emotional management training (EMT): A controlled clinical trial.

Objective: This paper describes the results of testing a multi-component psychological therapy that includes integrated psychological therapy (IPT), together with an adaptation of emotional management therapy (EMT), versus treatment as usual (TAU), delivered in a community mental health setting for individual with chronic schizophrenia. We investigated the effectiveness of a psychological intervention on clinical symptoms, cognitive and social functioning, as well as the feasibility of treatment and its acceptance. Method: 77 outpatients were recruited, 42 in the experimental group, who were treated with IPT + EMT, and 35 participants in control condition (TAU), both during 8 months. The subjects of both groups were assessed pre and postreatment. Results: Treatment attendance was 98% in experimental group and none of patients required hospital admission during therapy, meanwhile 11 patients from the TAU group withdrew and 3 were hospitalized during therapy. After therapy, patients in the experimental group compared to TAU, reduced clinical symptoms and improved cognitive functioning and quality of life. Conclusion: Psychological therapy seems to be a feasible intervention even in the chronic stages of the disease.

Gender commonalities and differences in risk and protective factors of suicidal thoughts and behaviors: A cross-sectional study of Spanish university students.

AIM: To assess gender differences in the association between risk/protective factors and suicidal thoughts and behaviors (STB); and whether there is any gender-interaction with those factors and STB; among Spanish university students. METHODS: Data from baseline online survey of UNIVERSAL project, a multicenter, observational study of first-year Spanish university students (18-24 years). We assessed STB; lifetime and 12-month negative life-events and family adversities; mental disorders; personal and community factors. Gender-specific regression models and gender-interactions were also analyzed. RESULTS: We included 2,105 students, 55.4% women. Twelve-month prevalence of suicidal ideation (SI) was 10%, plans 5.7%, attempts 0.6%. Statistically significant gender-interactions were found for lifetime anxiety disorder, hopelessness, violence between parents, chronic health conditions and family support. Lifetime mood disorder was a common risk factor of SI for both genders (Females: OR= 5.5; 95%CI 3.3-9.3; Males: OR= 4.4; 95%CI 2.0-9.7). For females, exposure to violence between parents (OR= 3.5; 95%CI 1.7-7.2), anxiety disorder (OR= 2.7; 95%CI 1.6-4.6), and alcohol/substance disorder (OR= 2.1; 95%CI 1.1-4.3); and for males, physical childhood maltreatment (OR= 3.6; 95%CI 1.4-9.2), deceased parents (OR= 4.6; 95%CI 1.2-17.7), and hopelessness (OR= 7.7; 95%CI 2.8-21.2), increased SI risk. Family support (OR= 0.5; 95%CI 0.2-0.9) and peers/others support (OR= 0.4; 95%CI 0.2-0.8) were associated to a lower SI risk only among females. CONCLUSIONS: Only mood disorder was a common risk factor of SI for both genders, whereas important gender-differences were observed regarding the other factors assessed. The protective effect from family and peers/others support was observed only among females. Further research assessing underlying mechanisms and pathways of gender-differences is needed.