Carles Pérez-Testor

Personality Profiles in a Group of Battered Women: Clinical and Care Implications

Personality patterns, psychopathological symptomatology, dyadic relationship adjustment, and the characteristics of abuse suffered by a sample of women who attended residential services for battered women in Barcelona (Spain) are evaluated in this study. Over half the women had suffered psychological, physical, and sexual abuse on the part of her partner, mostly of long duration, and this had also been suffered by their children. The results obtained using the MCMI-II show a relatively low presence of anxious or depressive symptomatology and the predominance of a schizoid personality pattern. This means that clinical efforts need to be directed towards countering emotional withdrawal and social isolation. The importance of studying interpersonal patterns amongst battered women with a view to optimizing care and to preventing future victimization is also discussed.

The 2012 Northern Italy Earthquakes: modelling human behaviour

The aim of this study was to investigate human behaviour during the 2012 Northern Italy Earthquakes. Furthermore, the current study used Kuligowski and Mileti’s (Fire Saf J 44:487–496, 2009) extended model and the Social Attachment Model as a framework to explain the behavioural responses. The study included 1839 participants who were affected by the earthquake occurred in the Emilia-Romagna region (Italy) on 20 May 2012. The most frequent behavioural responses during the earthquake were moving to another room of the house, escaping from home, and waiting in bed. According to Kuligowski and Mileti’s (Fire Saf J 44:487–496, 2009) extended model, perceived risk was associated with evacuation, and emergency preparedness was related to more efficient and effective responses during the earthquake. In line with the Social Attachment Model, affiliation behaviours were more frequent than flight behaviours, while, contrary to predictions, the social context did not influence emotional responses, evacuation behaviour, and search for protection.

Posttraumatic Stress Symptoms and Posttraumatic Growth Among Italian Survivors of Emergency Situations

We investigated the relation between posttraumatic growth and posttraumatic stress symptoms among survivors of fires, earthquakes, and floods. Furthermore, we explored the contribution of several predictors to these outcomes. Participants were 173 survivors of several events that have occurred in Italy in the last decade. Posttraumatic growth was positively related to posttraumatic avoidance and intrusion-hyperarousal symptoms. Multiple regression analyses revealed that peritraumatic panic was a predictor of posttraumatic intrusion-hyperarousal symptoms and posttraumatic growth. Moreover, posttraumatic intrusion-hyperarousal symptoms mediate the relationship between peritraumatic panic symptoms and posttraumatic growth. These results contribute to a better understanding of the role of intrusive thoughts in promoting posttraumatic growth.

Personality Profiles in Abused Women Receiving Psychotherapy According to the Existence of Childhood Abuse

This study explores the personality profiles and the influence of childhood abuse on personality profiles of a group of 142 female victims of intimate partner violence (IPV) who attended a specialized, free care, public outpatient psychological care service in Spain. Characteristics of the abuse were obtained through a semi-structured interview, and personality profiles were assessed using the Millon Clinical Multiaxial Inventory-II (Millon, 1983/1999), validated for the Spanish population. Results revealed that most of the women showed elevations on the basic personality scales, especially on the Dependent, Avoidant, Self-defeating, and Compulsive scales. Women who suffered childhood abuse presented greater elevations in Avoidant, Antisocial, Passive-Aggressive, Self-defeating, and Borderline scales. The importance of studying the effects of violence in intimate relationships in order to analyze prevention and intervention strategies is discussed.

Quality of life in family caregivers of schizophrenia patients in Spain: caregiver characteristics, caregiving burden, family functioning, and social and professional support

Abstract Objective: Caregivers experience physical and mental stress that ends up lowering their quality of life (QoL). Our goal was to research (a) the level of caregivers QoL; (b) the relationships between the demographic characteristics of the caregivers, their caregiving burden, their family functioning, their social and professional support and their QoL and (c) the best predictors of caregivers QoL. Methods: 100 key caregivers (70% parents, 8% spouses, 17% siblings and 5% children) were studied using the world health organization quality of life-Bref (WHOQOL-BREF) to research their QoL, the Zarit Scale to assess their perception of their caregiving burden, the Social Network Questionnaire to examine their social support, the Family APGAR to assess the satisfaction with social support from the family and a professional support scale (Escala de Apoyo Profesional) to determine the professional support received by caregivers was performed. Results: Scores on the WHOQOL-BREF in the Physical, Psychological, Social and Environment domains were 15.0 (SD = 3.7), 13.3 (SD = 4.2), 11.0 (SD = 4.7) and 13.5 (SD = 3.1), respectively. Through bivariate analysis, the dimensions that showed a positive significant association with QoL were being a young male caregiver who was a working father with a high educational level and help from other family members. Caregivers of patients who were older and had a later onset of the illness, a lower score on the Zarit Scale and a high score on the Social Network Questionnaire, Family APGAR and Escala de Apoyo Profesional showed higher QoL. Many of these variables made a unique contribution in the multivariate analysis. Conclusions: There is a significant association between the caregiver’s burden and their QoL. Regression analysis showed that the best predictors of QoL were caregiving burden, social support and professional support.

Perceived Self-efficacy during an Emergency Situation Reduces Posttraumatic Stress Symptoms

This study investigates if perceived self-efficacy during an emergency situation has a protective role in the development of posttraumatic stress symptoms among Italian and Spanish survivors of several emergency situations. We explored the impact of self-efficacy in a multiple regression model including other predictors of posttraumatic stress symptoms, such as emergency prevention knowledge; trust in emergency services; risk perception of becoming a victim of an emergency situation; and conscious and active behaviors in comparison with no conscious and no active behavior during the emergency. We carried out a retrospective study recruiting 214 participants who reported their experience as victims of one specific emergency event. Results showed that survivors who perceived themselves as more self-efficacious during the traumatic event had less posttraumatic stress symptoms. In contrast, female gender, more self-threat perception and higher trauma severity were associated with more symptoms. Findings contribute to better understand human behavior in emergency situations and evidence the protective role of perceived self-efficacy beliefs among survivors of emergency situations.

Level of distress, somatisation and beliefs on health-disease in newly arrived immigrant patients attended in primary care centres in Catalonia and definition of professional competences for their most effective management: PROMISE Project

BackgroundNewly arrived immigrant patients who frequently use primary health care resources have difficulties in verbal communication. Also, they have a system of beliefs related to health and disease that makes difficult for health care professionals to comprehend their reasons for consultation, especially when consulting for somatic manifestations. Consequently, this is an important barrier to achieve optimum care to these groups. The current project has two main objectives: 1. To define the different stressors, the level of distress perceived, and its impact in terms of discomfort and somatisation affecting the main communities of immigrants in our area, and 2. To identify the characteristics of cross-cultural competence of primary health care professionals to best approach these reasons for consultation.Methods/DesignIt will be a transversal, observational, multicentre, qualitative-quantitative study in a sample of 980 people from the five main non-European Union immigrant communities residing in Catalonia: Maghrebis, Sub-Saharans, Andean South Americans, Hindustanis, and Chinese. Sociodemographic data, level of distress, information on the different stressors and their somatic manifestations will be collected in specific questionnaires. Through a semi-structured interview and qualitative methodology, it will be studied the relation between somatic manifestations and particular beliefs of each group and how these are associated with the processes of disease and seeking for care. A qualitative methodology based on individual interviews centred on critical incidents, focal groups and in situ questionnaires will be used to study the cross-cultural competences of the professionals.DiscussionIt is expected a high level of chronic stress associated with the level of somatisations in the different non-European Union immigrant communities. The results will provide better knowledge of these populations and will improve the comprehension and the efficacy of the health care providers in prevention, communication, care management and management of resources.

Preliminary validation of a Spanish language version of the Adoption Communication Scale in adopted adolescents / Validación preliminar de una versión en español de la escala Adoption Communication Scale para adolescentes adoptados

Abstract The Adoption Communication Scale (ACS) is a 28-item child-report instrument used to assess adoptees’ perception of communication openness in the family. The aim was to develop a Spanish language version of the scale (ACS-S) and to assess the instrument’s psychometric properties in a sample of 55 adopted adolescents. The ACS-S was found to have high internal consistency (α = .93) and moderately high test-retest stability (.68). An exploratory factorial analysis yielded two factors, the first loaded on satisfaction with emotional communication items and the second encompassing satisfaction with the completeness of the information offered by the parents. These factors are coherent with the theory underlying the scale. The total ACS-S score was significantly positively correlated with adolescent Global Satisfaction with Openness as measured by a Visual Analogue Scale. The ACS-S scale appears to be a valid tool in assessing communication openness in Spanish adopted adolescents.

Influence of Communicative Openness on the Psychological Adjustment of Internationally Adopted Adolescents

This study evaluated the predictive relationship between the communicative openness and psychological adjustment of adopted adolescents, controlling for preplacement risk factors. One hundred Spanish international adoptees aged 12-18 took part in the study. Data were gathered with a structured interview, the Youth Self Report and the Adoption Communication Scale. A history of maltreatment prior to the adoption was associated with more closed communication between parents and children. Prenatal drug exposure shows a relationship with the presence of externalizing behaviors and attention problems in adolescents. Finally, a lower degree of communicative openness regarding the childs origins was significantly associated with the presence of all the adolescent behavioral problems studied.

Acts of Intimate Partner Violence and Feelings of Danger in Battered Women Seeking Help in a Spanish Specialized Care Unit

Acts of violence recounted by 161 female victims of Intimate Partner Violence (IPV) attended at a psychological care service in Spain are presented. The relationship between acts of violence and feelings of danger, childhood abuse, and dyadic adjustment are analyzed. Reported acts of IPV were obtained through a Semi-structured Interview on Domestic Violence; and marital satisfaction was assessed with the Dyadic Adjustment Scale. The results showed women who have felt their lives were in danger are more likely to have been victimized. In addition, women who were both abused by their partner and sexually abuse as children are the ones that perceive more situations of danger in their adult couple relationship. The importance of studying perceived danger and the diversity of IPV experiences are discussed to aid prevention and intervention strategies.