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PURPOSE: This study aims to understand the association between emotional intelligence, perceived social support, and psychological distress (i.e., anxiety, depression, stress) in women with cancer at different stages. Specifically, the aims of this study were to investigate: i) the links between emotional intelligence and psychological distress (i.e., symptoms of anxiety, stress and depression); ii) the mediating role of perceived social support provided by family members, friends, and significant others in the relationship between emotional intelligence and psychological distress; iii) the impact of cancer type and cancer stage (I-II vs III-IV) in moderating these relationships, among Italian women. METHODS: The research sample consisted of 206 Italian women (mean age = 49.30 ± 10.98 years; 55% breast cancer patients) who were administered a questionnaire to assess emotional intelligence, perceived social support, and psychological distress. Structural equation model (SEM) analysis was carried out to confirm the hypothetical-theoretical model. RESULTS: Emotional intelligence had a positive association with perceived social support, which in turn prevented psychological distress only in women with early-stages cancers. The type of cancer has no effect on these relationships. CONCLUSIONS: The findings of this study indicate a pressing need to screen and recognize women with lower emotional intelligence and perceived social support, as they may be more prone to experiencing psychological distress. For such individuals, our results recommend the implementation of psychological interventions aimed at enhancing emotional intelligence and fortifying their social support networks, with consideration for the stage of cancer they are facing.
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Neoplasias da Mama , Angústia Psicológica , Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Apoio Social , Neoplasias da Mama/psicologia , Inteligência Emocional , Ansiedade/etiologia , Ansiedade/psicologia , Depressão/etiologia , Depressão/psicologia , Itália , Estresse Psicológico/etiologia , Estresse Psicológico/psicologiaRESUMO
AIM: The aim of the study was to assess the suffering of patients on oncologic treatment and of those no longer on treatment. Preliminarily, we aimed to confirm the psychometric properties of Edmonton Symptom Assessment System-Total Care (ESAS-TC) in different stages of the disease. The ESAS-TC screens physical and psychological symptoms, but also spiritual pain, discomfort deriving from financial problems associated with illness, and suffering related to social isolation. METHODS: A sample of consecutive advanced cancer patients on oncologic therapies treated at the Internistic and Geriatric Supportive Care Unit (IGSCU) of Istituto Nazionale dei Tumori, Milano, and of terminal patients no longer on treatment and cared for by the Fondazione ANT palliative home care team were asked to fill the ESAS-TC. In order to strengthen the previous validation study of the ESAS-TC, 3-ULS (to assess social isolation), JSWBS (to assess spiritual well-being), COST-IT (to assess financial distress), and KPS (to assess functional status) were administered too. RESULTS: The questionnaires were self-reported by 108 patients on treatment (52% >60 years old, female 53%, and 61% with KPS 90-100) and by 94 home care patients (71% >60 years old, female 51%, and 68% with KPS 10-50). The sound psychometric characteristics of ESAS-TC were confirmed. Patients on treatment showed lower total ESAS-TC score (19.3 vs 52.7, p<.001) after controlling for age and functional status, and lower financial distress (p.<001). Financial distress, spiritual suffering, and social isolation, after controlling for age, showed a significantly higher score in home care patients. CONCLUSIONS: Only through an adequate routine assessment with validated tools is it possible to detect total suffering, the "Total pain" of patients, and treat it through a multidisciplinary approach. The study confirms the reliability and validity of the Italian version of ESAS-TC and the importance of supportive and early palliative care fully integrated with oncological treatment.
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Serviços de Assistência Domiciliar , Enfermagem de Cuidados Paliativos na Terminalidade da Vida , Neoplasias , Humanos , Feminino , Idoso , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Ansiedade , Dor , Neoplasias/terapiaRESUMO
BACKGROUND: Liver transplant recipients require specific clinical and psychosocial attention given their frailty. Main aim of the study was to assess the quality of life after liver transplant during the current pandemic. METHODS: This multicentre study was conducted in clinically stable, liver transplanted patients. Enrollment opened in June and finished in September 2021. Patients completed a survey including lifestyle data, quality of life (Short Form health survey), sport, employment, diet. To examine the correlations, we calculated Pearson coefficients while to compare subgroups, independent samples t-tests and ANOVAs. To detect the predictors of impaired quality of life, we used multivariable logistic regression analysis. RESULTS: We analysed data from 511 patients observing significant associations between quality of life's physical score and both age and adherence to Mediterranean diet (p < .01). A significant negative correlation was observed between mental score and the sedentary activity (p < .05). Female patients scored significantly lower than males in physical and mental score. At multivariate analysis, females were 1.65 times more likely to report impaired physical score than males. Occupation and physical activity presented significant positive relation with quality of life. Adherence to Mediterranean diet was another relevant predictor. Regarding mental score, female patients were 1.78 times more likely to show impaired mental score in comparison with males. Sedentary activity and adherence to Mediterranean diet were further noteworthy predictors. CONCLUSIONS: Females and subjects with sedentary lifestyle or work inactive seem to show the worst quality of life and both physical activity and Mediterranean diet might be helpful to improve it.
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COVID-19 , Dieta Mediterrânea , Transplante de Fígado , Masculino , Humanos , Feminino , Qualidade de Vida , Pandemias , Estilo de Vida , Dieta Mediterrânea/psicologia , TransplantadosRESUMO
INTRODUCTION: The routine use of patient-reported outcomes (PROs) in clinical practice improves quality of care, it helps in reducing the access to emergency services and unscheduled visits, and it can improve cancer patients' time survival. The Edmonton Symptom Assessment System (ESAS) is a PRO largely used in different care settings to monitor physical and psychological symptoms. Nonetheless, along with these symptoms, literature also highlighted the presence and effect of spiritual pain, financial distress, and social isolation on quality of care, treatment effectiveness, and survival. AIM: The aims of the current study were (a) to complete the Italian version of the ESAS validation process by adding the missing symptom "insomnia" and (b) to develop and validate the ESAS-Total Care (ESAS-TC) that is intended to evaluate and screen not only physical and psychological symptoms but also spiritual pain, discomfort deriving from financial problems associated with illness, and suffering related to social isolation. METHODS: A sample of Italian native outpatients, who referred to the dedicated Supportive Care Unit of the Fondazione IRCCS, Istituto Nazionale deiTumori (INT), Milano, were asked to fill the ESAS-TC to assess item properties, factorial structure, internal consistency, test-retest reliability (patients were asked to retake the scale after 2-6 weeks), and external validity. Concerning the latter, other self-administered scales were employed to assess perceived stress (Perceived Stress Scale), unmet needs (using theNeed Evaluation Questionnaire that describes informative, assistance/care, relational, needs for psycho-emotional support, material needs), and perceived social support (administering the Multidimensional Scale of Perceived Social Support that evaluates perceived support of family, friends, and significant others in the wider social field). RESULTS: The scales were administered to 243 patients with solid (90%) and hematologic (10%) cancers, mean age 62.6, female 76.5%. Analysis suggested that a single factor better represents the structure of the ESAS scales, their internal consistency and test-retest reliability were good, and evidence of construct and criterion validity were provided. Additionally, incremental validity of the ESAS-TC was proved showing that the added items offer a unique contribution in predicting the patient's stress. Finally, known groups validity was confirmed testing the differences in the ESAS scores due to the Karnofsky Performance Status. CONCLUSIONS: The current study allowed to complete the validation of the Italian version of the ESAS and to develop a psychometrically sound scale, the ESAS-Total Care, that potentially helps in moving cancer research toward personalized total cancer care.
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Neoplasias , Feminino , Seguimentos , Humanos , Pessoa de Meia-Idade , Neoplasias/terapia , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários , Avaliação de SintomasRESUMO
PURPOSE: This study aims to understand the association between positive personal resources (i.e., optimism, hope, courage, trait mindfulness, and self-efficacy), resilience, and psychological distress (i.e., anxiety, depression, stress) in women with breast cancer and breast cancer survivors during the COVID-19 pandemic. We hypothesized that personal positive resources can directly influence resilience, which in turn prevented psychological distress. METHODS: The research sample consisted of 409 Italian women (49% patients, 51% survivors) who were administered a questionnaire to assess positive resources, resiliency, and distress. structural equation model (SEM) analysis was carried out to confirm the hypothetical-theoretical model. RESULTS: Personal positive resources had a direct positive effect on resilience, which prevented from distress. These results were observed across cancer patients and survivors, and regardless the level of direct exposure to COVID-19. CONCLUSIONS: In both patients and survivors, the relationships between positive personal resources, resilience, and psychological distress is strong enough to be not influenced by the level of exposure to COVID-19 and despite COVID-19 pandemic caused the disruption of active treatment plans and delays in routine check-ups. IMPLICATIONS FOR CANCER SURVIVORS: Implications of this study suggest the urgency to screen positive resources and to identify women with lower resilience and a potentially higher susceptibility to develop psychological distress. For these women, our findings suggest the implementation of psychological interventions that build resilience.
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Neoplasias da Mama , COVID-19 , Coragem , Atenção Plena , Angústia Psicológica , Resiliência Psicológica , Neoplasias da Mama/terapia , Depressão/epidemiologia , Depressão/etiologia , Depressão/psicologia , Feminino , Humanos , Pandemias , Autoeficácia , Estresse Psicológico/epidemiologia , Estresse Psicológico/etiologia , Estresse Psicológico/psicologia , SobreviventesRESUMO
The State-Trait Cheerfulness Inventory-State Version (STCI-S) measures three states of cheerfulness, seriousness, and bad mood as the temperamental basis of humor. The present study investigates (1) the development and psychometric validation of a newly developed short version and (2) test-criterion validity with state measures and language use. Study 1 (N = 933) confirmed the three-dimensional structure, and both the short and standard versions demonstrated strong psychometric properties. Study 2 (N = 617) replicated these findings in a separate sample. Study 3 (N = 750) demonstrated expected intercorrelations with self-report state measures (i.e., inspiration, self-esteem, depression, anxiety). Participants were randomized to expressive writing conditions (i.e., writing about a retrospective cheerful, serious, or bad mood scenario). Unacquainted judges' and participants' ratings of three states in their respective scenarios converged (.44 < r < .62). Retrospective states cheerfulness, seriousness, and bad mood were associated with linguistic categories (e.g., emotional tone, clout, achievement, insight) identified in the Linguistic Inquiry and Word Count (LIWC) software. The impact of personality states on word usage may only be evident in specific contexts and situations. Presence of distinctive language use in these writing samples further demonstrated test-criterion validity and practicality of the STCI-S18.
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Emoções , Idioma , Humanos , Personalidade , Psicometria , Reprodutibilidade dos Testes , Estudos RetrospectivosRESUMO
The present study investigates the mediating roles of psychological inflexibility and differential coping strategies on perceived stress and post-traumatic symptoms and growth in the context of COVID-19. Study one recruited 662 participants (54.8% women; Mage = 40.64 years, SD = 13.04) who completed a cross-sectional questionnaire. It was proposed that orientation to the problem, avoidance strategies, psychological inflexibility, and positive attitude were mediators for the positive association between perceived stress and PTSD symptoms. The fit indices for the path model were excellent: CFI = 0.977, TLI = 0.950, RMSEA = 0.057 [90%CI = 0.043-0.081], and SRMS = 0.042. Gender and stressful events encountered had indirect effects on the endogenous variables. In study two, 128 participants (57.8% women; Mage = 42.30, SD = 12.08) were assessed for post-traumatic growth one year later. Psychological inflexibility and orientation acted as mediators between perceived stress and PTSD symptoms. Furthermore, a novel path model was constructed in which psychological inflexibility and orientation to the problem as mediators for perceived stress and PTSD symptoms. The indices for the path model were excellent: CFI = 0.99, TLI = 0.97, RMSEA = 0.055 [90%CI = 0.001-0.144], and SRMS = 0.49. Furthermore, PTSD symptoms, psychological inflexibility, and orientation to the problem predicted post-traumatic growth. Specifically, both orientation to the problem (ß = .06 [90%CI: .01;.13]) and psychological inflexibility (ß = .14 [90%CI: .08;.26]) had an indirect effect on post-traumatic growth. Overall, these results significantly contribute to the literature as orientation to the problem positively predicted PTSD symptoms and post-traumatic growth one year later while psychological inflexibility predicted PTSD symptoms and less post-traumatic growth one year later. These results underline the importance of assessing both symptomology and psychological growth to determine adaptive coping strategies in specific contexts.
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The present study derived a short form of the State-Trait Cheerfulness Inventory-Trait Version (STCI-T30) using an item response theory framework. Latent trait test-retest correlations and reliability across the latent continuum in the STCI-T30 remained high. Moreover, the STCI-T30 showed external validity with criterion variables (e.g., playfulness) and a short writing task completed by these participants was rated by unacquainted judges to infer the author's cheerfulness, seriousness, and bad-mood. Results suggested significant self-other and inter-judge agreement of cheerfulness, seriousness, and bad-mood and linguistic cues analysis suggested cheerfulness and bad-mood manifested through writing in tone, social processes, and affect.
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Afeto , Nível de Alerta , Sinais (Psicologia) , Felicidade , Adulto , Feminino , Humanos , Linguística , Masculino , Reprodutibilidade dos TestesRESUMO
PURPOSE: Financial toxicity (FT) is the unintended, potential economic harm or damage of oncologic treatments that has become a medical problem with political implications. To assess FT, the COmprehensive Score for financial Toxicity (COST) questionnaire was developed. Since an Italian version is not available yet, we aimed to validate the Italian version of the COST questionnaire in a population of cancer patients during oncologic treatments or follow-up. METHODS: A sample of Italian native outpatients were asked to fill the Italian version of the COST and five other self-administered questionnaires to assess quality of life, treatment-related symptoms, hope, distress, and unmet needs. Additionally, a subsample of patients was asked to retake the COST after 2-6 weeks. RESULTS: A single factor better represents the scale structure. Internal consistency and test-retest reliability were good. Evidence of convergent and discriminant validity was provided and criterion validity was established, showing that financial toxicity predicts the patient's distress. Finally, known-groups validity was confirmed, testing the differences related to treatment-related expenses, sociodemographic characteristics, stage of the disease, and performance status. CONCLUSION: The current findings suggest the Italian version of the COST is a psychometrically sound scale that potentially offers an added value in assessing FT in patients with cancer.
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Neoplasias/economia , Psicometria/economia , Qualidade de Vida/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Financiamento da Assistência à Saúde , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Neoplasias/terapia , Reprodutibilidade dos TestesRESUMO
The State-Trait Cheerfulness Inventory-trait version (STCI-T60) consists of three dimensions of cheerfulness, seriousness, and bad mood integrated to measure the temperamental basis of the sense of humour. The present study replicated the three-dimensional factor structure of the STCI in China using 60 items consistent with other standard trait versions (e.g., English, Chilean-Spanish). Closer examination of associations between traits suggested bad mood showed curvilinear associations with both cheerfulness and seriousness, such that cheerfulness and bad mood were negatively associated for those low and average in trait bad mood but not for those with high trait bad mood. Seriousness was positively associated with bad mood at high levels of trait bad mood, but not at average or low levels of bad mood. Associations between the STCI traits and major personality dimensions, humour styles, and well-being were further examined. Cheerfulness and seriousness showed positive associations with satisfaction with life and emotional well-being (EWB) while bad mood showed a curvilinear association with EWB. Using multi-group confirmatory factor analyses, partial metric invariance was found between English and Chinese versions of the STCI-T60, but structural invariance was not observed. Implications based on the empirical literature in dialecticism and cross-cultural assessment were thoroughly discussed.
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Emoções/fisiologia , Inventário de Personalidade/estatística & dados numéricos , Senso de Humor e Humor como Assunto/psicologia , Adolescente , Adulto , China , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto JovemRESUMO
INTRODUCTION: Communication can be affected by age related cognitive decline and mental deterioration. The second edition of the Communication Activities of the Daily Living (CADL 2) appears as an interesting ecological assessment tool of cognitive functions in old age. OBJECTIVE: The aim of this work is to (1) develop an Italian version of CADL 2, (2) to test its psychometric properties in terms of reliability and validity, and (3) to measure CADL 2 discriminative capacity between cognitively healthy and cognitively impaired older subjects. METHOD: One hundred and eleven subjects were enrolled (36 M; 75 F, age 80, 80.85 ± 7 years, education 9.3 ± 4.7 years). The CADL 2 was administered together with a standard neuropsychological battery. RESULTS: The CADL 2 showed good reliability and correlates with all the cognitive evaluation tests. The CADL 2's area under the curve was equal to 0.80, index of good diagnostic accuracy. CONCLUSIONS: The CADL 2 is an appropriate assessment tool for communication skills in aging.
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Disfunção Cognitiva/diagnóstico , Transtornos da Comunicação/diagnóstico , Testes Neuropsicológicos , Psicometria/instrumentação , Atividades Cotidianas , Idoso , Idoso de 80 Anos ou mais , Comunicação , Feminino , Humanos , Itália , Idioma , MasculinoRESUMO
ABSTRACTObjectives:Addenbrooke's Cognitive Examination III (ACE-III) is a brief cognitive screening tool to assess five cognitive domains: attention/orientation, verbal fluency, memory, language, and visuospatial abilities. This study aimed to provide normative data (for total score and subscale scores) of the Italian version of ACE-III for gender, age, and education. METHODS: A total of 574 healthy Italian participants (mean age 68.70 ± 9.65; mean education 9.15 ± 4.04) were recruited from the community and included in the study. Linear regression analysis was performed to evaluate the effects of age, gender, and education on the ACE-III total performance score. RESULTS: Age and education exerted a significant effect on total and subscale ACE-III scores, whereas gender was on attention/orientation, language, and visuospatial subscale scores. From the derived linear equation, correction grids to adjust raw scores and equivalent scores (ESs) with cut-off values were provided. CONCLUSIONS: The present study provided normative data, correction grids, and ESs for ACE-III in an Italian population.
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Transtornos Cognitivos/diagnóstico , Testes Neuropsicológicos/estatística & dados numéricos , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Atenção , Cognição , Escolaridade , Feminino , Voluntários Saudáveis , Humanos , Itália , Idioma , Modelos Lineares , Masculino , Memória , Pessoa de Meia-Idade , Orientação , Valores de Referência , Fatores Sexuais , Percepção EspacialRESUMO
The Addenbrooke's Cognitive Examination Revised (ACE-R) is a brief cognitive screening instrument also proposed to detect mild cognitive impairment, a high-risk condition for Alzheimer's disease and other forms of dementia. In this study, we report normative data on the ACE-R-Italian version, collected on a sample of 264 Italian healthy subjects aging between 60 and 93 years, and with a formal education from 1 to 19 years. The global normal cognition was established in accordance with the Italian version of the Mini-Mental State Examination score and with exclusion criteria derived by a consensus process. Linear regression analysis was performed to evaluate the effect of age, gender, and education on the ACE-R total performance score. We provide correction grids to adjust raw scores and equivalent scores with cut-off value to allow comparison between ACE-R performance and others neuropsychological test scores that can be administered to the same subject.
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Doença de Alzheimer/diagnóstico , Disfunção Cognitiva/diagnóstico , Disfunção Cognitiva/fisiopatologia , Testes Neuropsicológicos , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Itália , Idioma , Masculino , Pessoa de Meia-Idade , Psicometria/métodos , Análise de Regressão , Reprodutibilidade dos TestesRESUMO
This study aimed at testing the efficacy of an integrative intervention to prevent adolescent problem gambling acting on a multidimensional set of factors including gambling related knowledge and misconceptions, economic perception of gambling, and superstitious thinking. A pre- and post-test design was performed with 181 Italian adolescents (64% boys; Mean age = 15.95) randomly assigned to two groups (Training and No Training). Results revealed that the intervention was effective in improving correct knowledge about gambling and reducing misconceptions, perception of gambling's profitability, and superstitious thinking. Except for misconceptions, these effects were obtained both in participants who were classified as Non-problem and At-Risk/Problem gamblers at the beginning of the intervention. Findings attested also that the training effects were stable over time, and that some changes in gambling behavior were produced. Findings were discussed referring to indications for future research aiming at confirming and extending the present results.
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Comportamento do Adolescente/psicologia , Terapia Cognitivo-Comportamental/métodos , Jogo de Azar/psicologia , Jogo de Azar/terapia , Entrevista Motivacional/métodos , Adolescente , Transtornos Disruptivos, de Controle do Impulso e da Conduta/psicologia , Transtornos Disruptivos, de Controle do Impulso e da Conduta/terapia , Feminino , Humanos , Itália , Masculino , Motivação , Psicoterapia/métodos , Autoeficácia , Resultado do TratamentoRESUMO
The Well-being Numerical Rating Scales (WB-NRSs) can be used to assess rapidly and accurately different types of well-being. However, the spiritual well-being scale showed slightly weaker psychometric properties. This study aimed to further investigate its suitability in measuring spiritual well-being. Participants (N = 270, age: M = 32.98; SD = 15.64; 67% females) were administered a questionnaire including spiritual well-being, gratitude, compassionate love, and personality traits measures. A network analysis (based on correlations) was used to display graphically the pattern of relationships among the measured constructs (i.e. the nomological net). Results provided evidence that the scale measures spiritual well-being as defined in the literature, that is, a component distinct from faith and compassionate love, but connected to meaning in life, quality of relationships, personality traits, and gratitude. These findings confirm the WB-NRSs is a psychometrically sound and easy-to-use tool with clear benefits for both research and clinical assessment.
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Psicometria , Espiritualidade , Humanos , Feminino , Masculino , Adulto , Psicometria/instrumentação , Pessoa de Meia-Idade , Inquéritos e Questionários/normas , Adulto Jovem , Reprodutibilidade dos Testes , Adolescente , Satisfação Pessoal , Idoso , Personalidade , Qualidade de Vida/psicologiaRESUMO
BACKGROUND AND OBJECTIVE: This cross-sectional study aimed to provide a scale to assess different aspects of the will based on Roberto Assagioli's theory. METHODS AND RESULTS: The scale development followed three steps. Step 1 focused on operationalizing the construct and developing the items. It was carried out through several phases of item generation and refinement, resulting in a pool of 38 items. At Step 2 we tested the psychometric properties of the initial 38-item scale with the goal of excluding the items that weakened the structural validity and reliability of the scale. Descriptive, internal consistency, and exploratory factor analyses statistics were computed on a large sample (Sample 1: N = 587; age: M = 21.55, SD = 4.14, 66% female) and they led to a five-dimension model (Strong, Skillful, Good toward Self and Other, and Transpersonal Will) and the exclusion of 15 items. Analyses conducted at Step 3 on a different sample (Sample 2: N = 683; age: M = 34.09, SD = 16.27, 54% female) allowed for further refinement of the scale. Confirmatory factor analysis conducted on the resulting 19-item scale showed a good fit for the five-factor model (χ2 (142) = 507.63, p< .001, TLI = .91; CFI = .93; RMSEA = .06 [90%CI: .06â.07]), and evidence of its invariance across genders and ages was provided. Reliability indices (internal consistency and intraclass correlation coefficients) were adequate (ranging from .66 to .83) and correlations with measures of related constructs supported the external validity of the scale. CONCLUSION: This study provides researchers, therapists, and counselors with an efficient measurement tool to assess Assagioli's construct of will.
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Psicometria , Humanos , Feminino , Masculino , Adulto , Psicometria/métodos , Estudos Transversais , Adulto Jovem , Inquéritos e Questionários , Análise Fatorial , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , AdolescenteRESUMO
AIM: Healthy lifestyle and appropriate diet are of critical importance after liver transplant (LT). We provided an analysis of the main patterns of physical activity and found factors associated with physical activity itself. METHODS: Clinically stable LT recipients were enrolled between June and September 2021. Patients completed a composite questionnaire about physical activity, adherence to Mediterranean Diet (MD), quality of life (QoL), and employment. Correlations were analysed using the Pearson coefficients while different subgroups were compared by t-test for independent samples or ANOVAs. Multivariable logistic regression analysis was conducted to find predictors of inactivity. RESULTS: We enrolled 511 subjects (71% males, mean age 63 ± 10.8 years). One hundred and ninety-three patients reported high level of physical activity, 197 a minimal activity and 121 declared insufficient activity. Among these latter, 29 subjects were totally inactive. Considering the 482 LT recipients performing some kind of physical activity, almost all reported a low-quality, non-structured activity. At multivariate analysis, time from LT (odds ratio 0.94, 95% CI 0.89-0.99, p = 0.017), sedentary lifestyle (odds ratio 0.99, 95% CI 0.19-0.81, p = 0.012), low adherence to MD (odds ratio 1.22, 95% CI 1.01-1.48, p = 0.049), and low level of QoL (physical dimension) (odds ratio 1.13, 95% CI 1.08-1.17, p < 0.001), were independently associated with total inactivity. CONCLUSION: A large portion of LT recipients report an insufficient level of physical activity or are wholly inactive. Inactivity increases with time from LT and was strongly associated with suboptimal diet and low QoL.
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Dieta Mediterrânea , Transplante de Fígado , Masculino , Humanos , Pessoa de Meia-Idade , Idoso , Feminino , Qualidade de Vida , Exercício Físico , Inquéritos e QuestionáriosRESUMO
BACKGROUND: Seeing the importance of healthy diet after liver transplant (LT), our study aimed to evaluate the adherence to Mediterranean diet (MD) in a large population of LT recipients. METHODS: The present multicenter study was developed in clinically stable, liver transplanted patients, from June to September 2021. Patients completed a survey about adherence to MD, Quality of Life (QoL), sport, and employment. To analyze the correlations, we computed Pearson's coefficients; while to compare subgroups, independent samples t-tests and ANOVAs. We used a multivariable logistic regression analysis to find the predictors of impaired adherence to MD. RESULTS: The questionnaire was administered to 511 patients. They were males in 71% of cases with a mean age of 63.1 years (SD±10.8). LT recipients coming from central Italy displayed higher adherence to the MD (M=11.10±1.91) than patients from northern (M=9.94±2.28, P<0.001) or southern Italy (M=10.04±2.16, P<0.001). Patients from central Italy showed a significantly higher consumption of fruit, vegetables, legumes, cereals, olive oil, fish and a significantly lower intake of dairy products than patients resident in the other Italian areas. At multivariate analysis, recipients from central Italy were 3.8 times more likely to report adherence to the MD. Patients with a high physical health score were more adherent to MD, as well as patients transplanted at an earlier time. CONCLUSIONS: We demonstrated that place of stay, time from transplant and physical dimension of QoL significantly influences the adherence to MD. Continuous information campaigns about a correct diet and lifestyle would be necessary.
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Dieta Mediterrânea , Transplante de Fígado , Masculino , Humanos , Pessoa de Meia-Idade , Feminino , Qualidade de Vida , Estudos Transversais , Itália/epidemiologia , VerdurasRESUMO
This study aimed at testing a model in which cognitive, dispositional, and social factors were integrated into a single perspective as predictors of gambling behavior. We also aimed at providing further evidence of gender differences related to adolescent gambling. Participants were 994 Italian adolescents (64% Males; Mean age = 16.57). Hierarchical logistic regressions attested the predictive power of the considered factors on at-risk/problem gambling - measured by administering the South Oaks Gambling Screen-Revised for Adolescents (SOGS-RA) - in both boys and girls. Sensation seeking and superstitious thinking were consistent predictors across gender, while probabilistic reasoning ability, the perception of the economic profitability of gambling, and peer gambling behavior were found to be predictors only among male adolescents, whereas parental gambling behavior had a predictive power in female adolescents. Findings are discussed referring to practical implications for preventive efforts toward adolescents' gambling problems.
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Jogo de Azar/psicologia , Modelos Psicológicos , Adolescente , Comportamento do Adolescente , Feminino , Jogo de Azar/prevenção & controle , Humanos , Masculino , Assunção de Riscos , Fatores SexuaisRESUMO
The accuracy of the Life Orientation Test-Revised (LOT-R) in measuring dispositional optimism was investigated applying item response theory (IRT). The study was conducted on a sample of 484 university students (62% males, M age = 22.79 years, SD = 5.63). After testing the 1-factor structure of the scale, IRT was applied to evaluate the functioning of the LOT-R along the pessimism-optimism continuum. Item parameter estimates and the test information function showed that each item and the global scale satisfactorily measured the latent trait. Referring to the IRT estimated trait levels, the validity of the LOT-R was studied examining the relationships between dispositional optimism and psychological well-being, sense of mastery, and sense of coherence. Overall findings based on IRT analyses provide evidence of the accuracy of the LOT-R and suggest possible modifications of the scale to improve the assessment of dispositional optimism.