Food Cravings Questionnaire–Trait (FCQ–T) Discriminates Between Obese and Overweight Patients With and Without Binge Eating Tendencies: The Italian Version of the FCQ–T

Food craving (FC) might play an important role in the course of eating disorders and obesity. The question of its measurement has particular importance in relation to the dramatic growth in obesity rates and its relevance for public health. The aim of this study was to investigate the psychometric properties of the Italian version of the Food Cravings Questionnaire–Trait (FCQ–T) in overweight and obese patients who were attending weight loss programs, and its efficiency in discriminating patients with binge eating. Participants were 497 (411 women, 86 men) overweight and obese patients in treatment with low-energy diet therapy. We used structural equation modeling to compare 3 factor models tested in previous studies (a 6-factor model, an 8-factor model, and a 9-factor model), which indicated that the 9-factor model has a better fit over the competing models. The FCQ–T had good internal consistency (Cronbach's α of.96 for the total score, and between.76 and.92 for subfactors), and was able to discriminate patients with clinical-level binge eating from those with probable and without binge eating with an efficiency of.74 (sensitivity =.64, specificity =.78). FCQ–T scores were sensitive to changes associated with treatment only for patients who started dietary restriction between the baseline and the follow-up assessment, but not for patients who were already observing dietary restrictions at the time of the baseline assessment. These results suggest that the FCQ–T could be a potentially useful measure for the screening of binge eating problems in overweight and obese patients while in treatment.     

Fakability of Implicit and Explicit Measures of the Big Five: Research findings from organizational settings

This study investigates the extent to which response distortion occur when implicit measures of personality traits are used in applied settings. Two groups composed of 58 security guards and 45 semiskilled workers, respectively, completed five Implicit Association Tests (IATs) for assessing the Big Five personality traits as a part of a personnel assessment program. They additionally completed a self‐report measure of the same personality dimensions. Scores on the Big Five IATs and self‐ratings of personality were obtained also by 52 volunteers who responded anonymously for research purposes. Results showed that participants under evaluative testing conditions scored significantly higher than volunteers on explicit measures of agreeableness, conscientiousness, and emotional stability. On the contrary, no significant differences were found in the Big Five IATs. Practical implications of findings and future research directions are discussed.     

Being positive despite illness: The contribution of positivity to the quality of life of cancer patients

Objective: The purpose of this study was to examine the longitudinal relationship between Positivity (POS), defined as a stable disposition to view at experience under a positive outlook, and physical and psychological functioning in a sample of cancer patients immediately after diagnosis and one year later.

Methods: A total of 110 patients (40% males) with pulmonary, colorectal and breast cancer, aged 30–75 (M age = 59.62; SD = 10.33), have been prospectively enrolled between 2012 and 2013, at the S. Andrea Hospital in Rome. All patients were previously aware of their diagnosis. A follow-up one year after diagnosis was conducted. We used structural equation modeling in order to analyse the specific effects of POS on functioning impairment from diagnosis to follow up.

Results: POS was associated with less functioning impairment both at diagnosis and follow-up assessments. Furthermore, POS level at diagnosis continued to be associated with less functioning impairment one year later, after controlling for its stability.

Conclusions: Patients with higher level of POS tended to report less symptoms associated with negative affect such as anxiety and despondency and to preserve their habitual relationships and social roles. POS may act as a basic disposition that sustains patients’ efforts to deal efficaciously with severe illness, by complying with medical treatment and using cognitive strategies that enable individuals to cope with concurrent and prospective challenges of illness.     

Epistemic Closure and Epistemological Optimism

Philosophia - Half a century later, a Dretskean stance on epistemic closure remains a minority view. Why? Mainly because critics have successfully poked holes in the epistemologies on which closure...     

A follow-up study on students attending a university counselling service in Northern Italy

The aims of this study were to evaluate the effectiveness of a university counselling service in Northern Italy, to assess the sociodemographic and clinical characteristics of students who used counselling service, and to assess the psychological conditions of the students who ended the counselling after a 4 month follow-up period. The study involved 100 students, who filled out the General Health Questionnaire (GHQ-12), the Brief COPE Inventory, and the Symptom Checklist-90-Revised (SCL-90-R). The results showed that who received counselling were positively affected by this experience. The areas of benefit were psychological well-being, coping behaviours, ability to positively reframe problems and less sense of guilt. Additional studies are needed to identify which factors influence the outcomes of university counselling services in Italy. These studies would be important to evaluate the services rendered, upgrade the skills of counsellors and visualise priority areas of need.     

Paper-and-pencil and web-based testing: the measurement invariance of the Big Five personality tests in applied settings

This study investigates the measurement equivalence of a five-factor measure of personality across two groups applying for jobs, who completed the same questionnaire using either a paper-and-pencil (n = 429) or a web online answer format (n = 651). The data were collected using the Big Five Questionnaire-2 (BFQ-2; which is a measure of the Five Factor Model) of personality traits. Multiple-group confirmatory factor analysis was used to test for the equivalence of factor covariance and mean structures of the BFQ-2. Findings suggested that the Five Factor Model scales have the same measurement unit and origin across applicants using different administration modes. However, latent means were slightly higher for applicants who responded in a web and unproctored condition than for applicants who completed a paper-and-pencil version of the same test. Practical implications for personality assessment are discussed.     

Temporal pattern of pre-shooting psycho-physiological states in elite athletes: A probabilistic approach

Objective

The IZOF-based probabilistic approach provides a methodology to study within-individual patterns of a performer's states. So far, the time course of physiological data before performance have not been investigated within the probabilistic methodology framework. The purpose of this study was to examine the value of the probabilistic approach in the assessment of the time course of physiological indicators of arousal/activation and vigilance during the period preceding the shot, in comparison with the performance-based method.

Design

Longitudinal assessment of psycho-physiological data and performance outcomes was conducted on eight elite pistol shooters in a controlled setting.

Methods

Each participant performed 60 air-pistol shots in 2 sessions. Skin conductance level and cardiac activity were recorded. Affective states intensity was evaluated on a modified 11-point Borg scale. Affect, HR and SC level were evaluated with a Performance-based approach and a Probabilistic method, and results compared at an individual level.

Results

Findings showed the higher effectiveness of the probabilistic method to analyse physiological parameters (skin conductance and heart rate) and to describe the physiological mechanisms associated with shooters’ performance.

Conclusions

The probabilistic method better discerned the contribution of arousal/activation and vigilance to optimal and non-optimal performance in elite shooters, thereby providing a sharper representation of the temporal pattern of performers' states before shooting. From an applied perspective, we believe that the probabilistic approach can help athletes become aware of the subtle variations occurring in their psychophysical states during the preparatory period preceding the shot and not only at the moment of shot release.     

Relationships among the theory of planned behavior,stages of change,and exercise behavior in older persons over a three year period

Abstract

The present study examined the relationships among the theory of planned behavior (TPB), stages of change, and exercise behavior in 131 older persons over a three year period. Participants completed a baseline questionnaire by mail that assessed attitude, perceived control, subjective norm, intention, and stage and then received a telephone call three years later in which current exercise stage and behavior were assessed. Path analyses showed that (a) TPB constructs were significant predictors of exercise stage, (b) intention mediated the effects of TPB constructs on exercise stage, and (c) exercise behavior was best predicted by intention rather than stage. Results were interpreted as providing evidence for the long term predictive validity of TPB in the exercise domain and as questioning the necessity of combining both intention and stage in a single predictive model.     

Dementia and suicidal behavior

Behavioral and psychological symptoms of dementia, including depression, might complicate the course of the disorder additionally. Dementia is more frequent in older people and suicide rates are higher in later life than in any other age group. To explore the phenomenology of suicidal behavior in patients with dementia, we searched electronic databases and key journals for original research and review articles on suicide in demented patients using the search terms “suicide, suicidal behavior, dementia, Alzheimer disease, and old age”. Although cognitive impairment could result in a diminishing ability to think flexibly and to solve problems or to cope with conflict, in the early stage of dementia such impairments are absent or mild, and suicidal behavior might be expected, especially following diagnosis. In addition, personality changes based on declining cognitive capacity and the neurochemical imbalances described in late-life depression and in dementia may predispose patients to aggressive or impulsive acts, such as suicide attempt. The literature on suicidal behavior and dementia highlights the need for further research in this area.     

On the Ethics of Facial Transplantation Research

Transplantation continues to push the frontiers of medicine into domains that summon forth troublesome ethical questions. Looming on the frontier today is human facial transplantation. We develop criteria that, we maintain, must be satisfied in order to ethically undertake this as-yet-untried transplant procedure. We draw on the criteria advanced by Dr. Francis Moore in the late 1980s for introducing innovative procedures in transplant surgery. In addition to these we also insist that human face transplantation must meet all the ethical requirements usually applied to health care research. We summarize the achievements of transplant surgery to date, focusing in particular on the safety and efficacy of immunosuppressive medications. We also emphasize the importance of risk/benefit assessments that take into account the physical, aesthetic, psychological, and social dimensions of facial disfiguration, reconstruction, and transplantation. Finally, we maintain that the time has come to move facial transplantation research into the clinical phase.