Elena Trombini

Environmental factors associated with stress in mothers of preterm newborns

Aim: In this study the effects of environmental and structural features of two different neonatal intensive care unit (NICU) settings on the time course of psychological distress in mothers of preterm infants were investigated.

Short-term outcome of rhinoplasty for medical or cosmetic indication.

Psychological effects of rhinoplastic operations were evaluated in male and female patients who had sought surgical correction because of psychological distress caused by the appearance of the nose or because of a medical referral to correct functional disorders. Seventy-two patients selected by gender and operation motivation were asked to fill out the MPI and the IPAT Anxiety scale 2-3 months before and 8 months after the operation. Results at follow-up highlighted a significant decrease of the mean Neuroticism and Anxiety scores and an increase in Extroversion scores in the group as a whole. The psychological benefits gained by the female patients were greater than those of the males. Patients whose motivation was exclusively aesthetic were, overall, more psychologically distressed than those with a functional motivation.

Maternal attitudes and attachment styles in mothers of obese children

This study evaluated categories of attachment style and the maternal attitude toward educational role in a sample of 30 mothers of obese children and a control group of 80 mothers of children of normal weight. All mothers completed the 1994 Attachment Style Questionnaire and the 1958 Parental Attitude Research Instrument. 30 mothers (M age 37.4 yr., range 31 to 54 years; M yr. of education 11.6, range 5 to 18 years) of obese children (range 30 to 60% above normal weight) and a control group of 80 mothers (M age 37.1 yr., range 29 to 52 years; M yr. of schooling 11.4, range 5 to 18 years) of children with normal weight were contacted at the primary school attended by their children and joined the project voluntarily. Age and number of years of education were not significantly different between the two groups of women. There was a significant prevalence of the Insecure Attachment Style in the group of mothers with obese children (66.6%) as compared to the control group of mothers of children of normal weight (38.5%) and significantly higher scores on 6 subscales of the Parental Attitude Research Instrument of Obese compared to Nonobese children. These data indicate that obese childrens mothers tend to make the family their exclusive centre of interest. They also tend to dedicate themselves to their children with possessiveness and hyperprotection. They seem to have an insistent requirement of idealisation of their own role as parent and reward expectations that confirm the efficiency of the care they provide their children. Consequently, these findings suggest that in addition to dietetic treatment, it may be important to include a psychological intervention, which involves the mother and aims to modify the relational dynamics between the mother and her obese child.

Trait Emotional Intelligence and the Big Five: A study on Italian Children and Preadolescents

Trait emotional intelligence (EI) is a constellation of emotion-related self-perceptions located at the lower levels of personality hierarchies. This article examines the validity of the Trait Emotional Intelligence Questionnaire–Child Form and investigates its relationships with Big Five factors and cognitive ability. A total of 690 children (317 Males; M Age = 10.25 years; SD = 1.58 years) completed the TEIQue-CF, the Raven Progressive, Matrices and the Big Five Questionnaire; in addition, a subsample of 136 participants answered to Depression and Anxiety scales. Results evidenced that TEIQue-CF is a reliable measure of Trait EI that is partially determined by all of the Big Five factors but independent of cognitive ability. Trait EI predicts depression and anxiety scores over and above the five higher order personality dimensions.

Relationship between preterm birth and circadian typology in adolescence

A possible relationship between preterm birth and circadian typology was investigated in two pilot survey studies involving 13-year-old teen-agers. Two different questionnaires were used: the Junior Morningness-Eveningness Questionnaire (MEQ) (administered to 55 preterm and 210 fullterm subjects) and the Junior Composite Scale (CS) (administered to 40 preterm and 318 fullterm subjects). In both surveys, preterm groups presented significantly higher total scores, indicating a higher propensity to morningness. Indeed in the preterm samples no evening types were found. The results are discussed in relation to recent models of circadian regulation of the sleep-wake cycle.

Psychological distress of conservative and nonconservative uterine surgery: A prospective study

OBJECTIVE The aim of the present study is to evaluate the psychological reaction to conization before and after the operation compared to hysterectomy. To study the incidence of psychological stress related to conization, 60 women undergoing conization were compared to 40 women who had undergone hysterectomy. METHOD Psychological disease was rated in the pre- and postoperative periods using the Symptom Questionnaire (SQ). Each patient was evaluated 2 weeks before the operation, and 3, 6 and 12 months after it. RESULTS Both the conization and hysterectomy groups showed a significant reduction in anxiety and depression at the 3-, 6- and 12-month follow-ups compared to the preoperative period. Two weeks before surgery, 8 conization patients (19.5%) showed an anxious status, while 10 (24.3%) presented high levels of anxiety and depression. Within hysterectomy patients, the occurrence was respectively of 4 (12.9%) and 10 women (32.2%). Twelve months after surgery, of the women with preoperative depression, only four (9.7%) conization and four (12.9%) hysterectomy patients presented a negative mood status. A similar trend was present for somatic symptoms but only in the conization group, because the hysterectomy patients did not show a reduction in these symptoms from the preoperative to the postoperative period. This result could be related to the surgical menopause due to the bilateral oophoriectomy executed in more than half of the hysterectomy group. CONCLUSION In general, the results of the present study show that the conservative and nonconservative uterine surgery determines a good psychological prognosis in the short- and long-term postoperative periods.

Narcissism versus Proneness to Shame and Guilt

The aim of this study was to evaluate the correlations between the narcissistic personality trait, measured with the Narcissistic Personality Inventory, and proneness to shame and guilt, measured with the Shame-Guilt Proneness Scale. Participants were 165 students (83 men, 82 women), aged 19–30 years. Pearson product-moment correlations, with computations comparing NPI Total score with each of the Shame-Guilt Proneness Scale subscales, were negative for scores on narcissism and shame and for those on narcissism and guilt. These data are consistent with previous findings, which suggest that the “overt” type narcissist is immune to feelings of guilt and may be characterised by a negation of the experience of shame.

GASTROESOPHAGEAL REFLUX DISEASE: ATTACHMENT STYLE AND PARENTAL BONDING '

The attachment styles and parental bonding of 72 patients (M age = 45.3 yr., SD = 13.5) suffering from Gastroesophageal Reflux Disease were compared with those of 105 healthy subjects (M age = 44.9 yr., SD = 5.8). A clinical interview and two questionnaires, the Attachment Style Questionnaire and the Parental Bonding Instrument, showed that the scores on the ASQ Confidence subscale were significantly lower in the clinical group. Similar results were obtained for the Discomfort with Closeness subscale in the subsample with Pure Gastroesophageal Reflux Disease. The results indicate Insecure Attachment in the clinical sample. The results obtained from the Parental Bonding Instrument indicate that scores on the Protection Mother scale were significantly higher in the clinical subjects, suggesting a Low Care–High Protection combination (Affectiveless Control), at least for patients with pure Gastroesophageal Reflux Disease. These characteristics can be considered important factors in the tendency to somatization. The symptoms may have a paradoxically normalising function while the patient shows an emotional detachment towards intimate relationships. The illness appears to act as a bond through which the relationship with the caregivers is maintained.

Use of the Drawn Stories Technique to evaluate psychological distress in children.

This study evaluated the validity of analyzing childrens drawings using the Drawn Stories Technique for psychodiagnostic assessment and clinical investigation of children. The research was conducted on a sample of 211 subjects (102 girls, 109 boys), 99 in primary school and 112 in secondary school. Three measures of psychological distress were given: the Drawn Stories Technique (considering two types of outcome of the stories as an index of psychological distress: story with a negative outcome and story with a positive outcome), and two self-report scales, the Anxiety Scale Questionnaire for Children and the Childrens Depression Inventory. Analyses for both age groups indicate a prevalence of positive outcomes over negative outcomes, with a similar distribution in the two age groups. Greater anxiety and depression were found for subjects with a prevalence of negative outcome in the stories, and girls scored generally as more anxious and depressed than boys. These results indicate that the Drawn Stories Technique shows construct validity for use with children and is sensitive enough to detect their psychological distress, in terms of anxiety and depression.

Pattern of mother-child feeding interactions in preterm and term dyads at 18 and 24 months.

Literature on mother–child feeding interactions during the transition to self-feeding in preterm populations is lacking, particularly through observational methods. The present research study aims to look at the longitudinal patterns of mother–toddler feeding interactions, comparing preterm and full term dyads. To this end, a multi-method approach was used to collect data from 27 preterm to 20 full-term toddlers and their mothers. For each dyad, mother–child interactions were observed during the snack time at 18 and 24 months of age and then assessed through the Italian version of the Feeding Scale. Higher scores on the scale indicate a less healthy pattern of interaction. Additionally, at both points in time, mothers completed the BDI-II questionnaire as a screen for maternal depression and the child’s developmental stage was assessed using the Griffiths Scales. A series of repeated measures Analysis of Variances were run to detect differences in feeding interactions between the two groups at the time of assessment. Our results show that preterm dyads report overall higher levels of maternal negative affection, interactional conflicts, and less dyadic reciprocity during the meal compared to full-term dyads. Additionally, longitudinal data show that dyadic conflict decreases in both groups, whereas the child’s food refusal behaviors increase in the preterm group from 18 to 24 months. No differences were reported for both the BDI-II and the child’s development for the two groups. The results reveal that regardless of maternal depression and the child’s developmental stage, the two groups show different trajectories in the pattern of feeding interactions during the transition to self –feeding, at 18 and 24 months, with overall less positive interactions in preterm mother–child dyads.