Giulio Cesare Zavattini

Cultural Adaptation of the Difficulties in Emotion Regulation Scale: Reliability and Validity of an Italian Version

OBJECTIVE The aim of this study was to evaluate the reliability and validity of an Italian version of the Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004). METHOD Three studies were completed. First, factorial structure, internal consistency, and concurrent validity of our Italian version of the DERS were examined with a sample of 323 students (77% female; mean age 25.6). Second, test-retest analyses were completed using a different sample of 61 students (80% female; mean age 24.7). Third, the scores produced by a small clinical sample of participants (N = 38; mean age = 24.2) affected by anorexia, binge eating disorder, or bulimia were compared to those of an age-matched, nonclinical female sample (N = 38; mean age = 24.7). RESULTS The factorial structure replicated quite well the six-factor structure proposed by Gratz and Roemer. The internal consistency and test-retest reliability were adequate and comparable to previous findings. The validity was good, as indicated by both the concurrent validity analysis and the clinical-nonclinical sample comparison. CONCLUSIONS These studies provide further support for the multidimensional model of emotion regulation postulated by Gratz and Roemer and strengthen the rationale for cross-cultural utilization of the DERS.

Emotional suppression in early marriage: Actor, partner, and similarity effects on marital quality

Although habitual use of suppression has been consistently linked to adverse consequences for overall social functioning, little is known about the implications of using this emotion regulation strategy in the context of romantic relationships. The current longitudinal study tests whether husbands’ and wives’ habitual use of suppression, as well as couple similarity in the use of this strategy, influence marital quality over the first couple of years of marriage. A total of 229 newlywed couples reported their habitual use of suppression and perceived marital quality at two time points, 5 months and 2 years after marriage. Results showed that husbands’ habitual use of suppression was the most consistent predictor of (lower) marital quality over time. Couples showed significant levels of similarity in suppression at the initial assessment, consistent with positive assortment, and this similarity was a significant predictor of higher marital quality as reported by wives regardless of overall levels of suppression use. These findings suggest that husbands’ use of suppression is more harmful for marital satisfaction than wives’ use and wives are more sensitive to their partners’ use of suppression as well as to couple similarity.

Psychometric properties of an Italian version of the Experiences in Close Relationships-Revised (ECR-R) Scale.

This study examined the psychometric properties of a newly translated Italian version of the Experiences in Close Relationships-Revised (ECR–R) Scale. The sample comprised 1,363 adults (906 women, 456 men, 1 unreported sex; ages 18–64 yr., M=33.4, SD=8.9; 84.4% reported being engaged in a romantic relationship, 9.4% declared being single), all living in Italy and speaking Italian as their first language. Exploratory and confirmatory factor analyses showed the expected bi-factorial (anxiety/avoidance) structure and a close correspondence between factors and scales. Test-retest and internal consistency reliabilities were adequate. Correlations with the Relationship Questionnaire, a categorical measure of attachment, and with the Dyadic Adjustment Scale were consistent with the theoretical relations among the constructs. The findings confirm the transcultural validity of the ECR–R.

The impact of maternal overweight and emotion regulation on early eating behaviors

Empirical data indicate that the risk for childhood obesity and overweight increases when one or both parents are overweight or obese. Such an association, however, cannot be entirely explained only by biological factors. Based on available literature, we hypothesized that maternal emotion regulation might play a role in explaining the intergenerational transfer of overweight and obesity. We conducted a quasi-experimental, longitudinal study: (step I) during the third trimester of pregnancy of 65 Italian women (33 overweight and 32 non-overweight), the Difficulties in Emotion Regulation Scale were administered to assess the quality of their emotion regulation strategies; and (step II) seven months after the delivery, the feeding interactions between the participants and their babies were evaluated in a 20-minute video-recording, by using the Italian version of the Observational Scale for Mother-Infant Interaction during Feeding. When compared to the non-overweight group, the overweight group had more difficulties in emotion regulation, was more psychologically distressed, and had poorer feeding interactions with their babies. Perhaps more importantly, the extent to which the participants were suffering difficulties in emotion regulation during pregnancy predicted, significantly, and beyond the effects of pre-pregnancy maternal weight, the quality of the mother-child feeding interactions 7months after the delivery.

Scripted secure base knowledge and its relation to perceived social acceptance and competence in early middle childhood

Attachment theory regards experiences with caregivers as the affective ground for the development of early images of self, possibly embedded in scripted secure-base knowledge as a rudimentary representation of early caregiver-child attachment relationships. However, the possible link between implicit representations of secure base availability - and the image of self in these representations - and explicit evaluations of self, is still unclear. The present study assessed whether implicit knowledge of secure-base interactions with caregivers is related to self-reported self-esteem in early middle childhood (N = 97 second-grade children). Results revealed that children with rich knowledge of secure base interactions perceived themselves not only as more accepted and appreciated by their peers and mothers but also as more cognitively competent, beyond actual differences in cognitive competence. Yet, given the limited strength of this link, the role of contextual factors beyond attachment ought to be considered in the assessment of self-perception in early middle childhood.

How Do Children Make Sense of their Experiences? Children's Memories of Wellbeing and Distress from an Attachment Perspective.

Attachment’s role in children’s memories of wellbeing and distress was evaluated through the Manchester Child Attachment Story Task in 30 Italian children, aged 6 years (15 secure and 15 insecure). Their mothers’ coherence of discourse was determined using the Adult Attachment Interview. A mediation model examining whether children’s attachment mediated the relation between mothers’ ability to talk coherently about their past and children’s memories was tested. Children’s attachment was associated with their ability to describe memories of wellbeing and distress and mediated the influence of maternal coherence on the same ability. A regression model was estimated to further evaluate the association between children’s attachment and ability to describe memories. Results suggest that attachment influences how children understand and recollect emotional experiences.

Attachment representations in late-adopted children: the use of narrative in the assessment of disorganisation, mentalising and coherence of mind

Late-adopted children have often suffered a wide range of deprivations in their pre-adoption lives. These early adverse experiences can have a negative effect on children’s attachment representations even after they have been adopted. This study assesses the attachment representations of 61 late-adopted children over the first year of placement, exploring the risk and protective factors of age at placement, length of adoption and gender. The attachment representations were captured using the Manchester Completion Attachment Story Task (MCAST), a doll-play narrative that provides four different attachment classifications – secure, avoidant, ambivalent and disorganised – and three global scorings for disorganisation, mentalising and coherence of mind. The age of adoption was negatively associated with disorganisation, while length of placement was positively correlated with mentalising. Males seemed to be more vulnerable to insecurity and disorganisation than females. The data also suggested that for children placed after the attachment-sensitive phase, the longer the time spent in the adoptive families and being female were protective factors. Moreover, attachment narratives seemed to be a useful tool to explore the inner world of late-adopted children from the first year of placement.

Emotion dysregulation and hypersexuality: Review and clinical implications

ABSTRACT There is a long and varied history of research on hypersexuality, but no consensus on either etiology or therapeutic interventions. In an effort to advance understanding of hypersexuality, we review the largely separate literatures on hypersexuality and emotion dysregulation, which has recently been suggested to be a critical factor in the development and maintenance of mental health problems. Unfortunately, there is also a lack of consensus on the various primary and intervening factors involved in development of emotion regulation or emotion dysregulation. First, we review theories and empirical evidence to try to explain how emotion dysregulation could contribute to the onset of hypersexuality or other inappropriate sexual behavior. Next, an attachment-theory perspective is used to develop a common etiological model for both emotion dysregulation and hypersexuality. Finally, we address the issue of hypersexual behavior in the context of couple relationships, taking an interpersonal perspective on emotion and emotion regulation. We refer to different age categories, ranging from adolescence to elderly, as emotion regulation skills are likely to change throughout the lifespan.

Emotion Regulation and Aggression: The Incremental Contribution of Alexithymia, Impulsivity, and Emotion Dysregulation Facets

Objective: Prior research has long emphasized the role of alexithymia and impulsivity to explain aggressive tendencies. Recently, a growing body of research seems to support the relevance of the broader construct of emotion dysregulation to understand aggression. The present study was the first to comprehensively examine the relative contribution of, and the mechanisms linking alexithymia, impulsivity, and emotion dysregulation in predicting aggression dimensions. Method: Male violent offenders (N = 221) and community participants (N = 245) completed multifaceted self-report measures of alexithymia, impulsivity, emotion dysregulation, and aggression. Regression analyses tested the independent contribution of each facet on aggression dimensions. Bootstrap analyses examined the indirect effect of alexithymia on aggression through emotion dysregulation and impulsivity. Results: Offenders reported higher levels of difficulties identifying feelings, emotional nonacceptance, physical aggression, and hostility. Difficulties in identifying and describing feelings, and motor and attentional impulsivity, explained unique variance in physical aggression, anger, and hostility in both samples, and also in verbal aggression among community participants. In both samples, negative urgency and emotional nonacceptance explained additional variance in aggression dimensions above and beyond the influence of alexithymia and impulsivity. Emotion dysregulation and impulsivity mediated the relation between alexithymia and aggression in both samples, with emotion dysregulation demonstrating a relatively stronger effect. Conclusions: Findings emphasize the unique relevance of alexithymia, impulsivity, and emotion dysregulation facets in explaining aggressive tendencies. Clinical implications include the importance of focusing on emotion regulation skills—such as accepting emotions and do not act on them—to reduce aggression tendencies.

Attachment to Mother and Father at Transition to Middle Childhood

The present study investigated concordance between representations of attachment to mother and attachment to father, and convergence between two narrative-based methods addressing these representations in middle childhood: the Manchester Child Attachment Story Task (MCAST) and the Secure Base Script Test (SBST). One hundred and twenty 6-year-old children were assessed by separate administrations of the MCAST for mother and father, respectively, and results showed concordance of representations of attachment to mother and attachment to father at age 6.5 years. 75 children were additionally tested about 12 months later, with the SBST, which assesses scripted knowledge of secure base (and safe haven), not differentiating between mother and father attachment relationships. Concerning attachment to father, dichotomous classifications (MCAST) and a continuous dimension capturing scripted secure base knowledge (MCAST) converged with secure base scriptedness (SBST), yet we could not show the same pattern of convergence concerning attachment to mother. Results suggest some convergence between the two narrative methods of assessment of secure base script but also highlight complications when using the MCAST for measuring attachment to father in middle childhood.