New strategies in the assessment of psychological factors affecting medical conditions

In this article, we examine research that may lead to a better assessment of psychological factors affecting medical conditions. We performed a review of the psychosomatic literature using both Medline and manual searches. We selected papers that were judged to be relevant to new strategies of assessment, with particular reference to the use of the Diagnostic Criteria for Psychosomatic Research. We assessed 8 areas concerned with the assessment of psychological factors in the setting of medical disease: hypochondriasis, disease phobia, persistent somatization, conversion symptoms, illness denial, demoralization, irritable mood, and Type A behavior. A new subclassification of the Diagnostic and Statistical Manual of Mental Disorders (5th ed. [DSM-V]; not yet published) category of psychological factors affecting physical conditions appears to be feasible and may provide the clinician with better tools for identifying psychological distress.     

Structure and Validity of Affect Knowledge Test (AKT) in a Sample of Italian Preschoolers

The authors’ main goals were to examine whether the Affect Knowledge Test's (AKT) factor structure would be represented by a two-factor model (i.e., emotion recognition and situation knowledge) or by a one-factor model in Italian preschoolers (N = 164; M = 4.24 years, SD = 1.09 years). The concurrent validity of the AKT was further examined using measures of social competence. The findings replicated a model of emotion knowledge, with emotion recognition and situation knowledge as distinct but interrelated factors. Gender and age differences showed that older children and girls displayed higher scores in situation knowledge than younger children and boys. Additionally, our validity model of the AKT demonstrated that emotion recognition preceded situation knowledge, which in turn was positively related to children's sensitive or cooperative behaviors and negatively associated with anxious or withdrawn behaviors. Our results suggest that the use of the AKT may help the teachers to evaluate children's level on emotional knowledge that in turn might impact on children's positive social relationships within classroom in Italy.     

Facial expressions and the ability to recognize emotions from the eyes or mouth: A comparison among old adults,young adults,and children

The aim of the present study was to contribute to the literature on the ability to recognize anger, happiness, fear, surprise, sadness, disgust, and neutral emotions from facial information (whole face, eye region, mouth region). More specifically, the aim was to investigate older adults' performance in emotions recognition using the same tool used in the previous studies on children and adults’ performance and verify if the pattern of emotions recognition show differences compared with the other two groups. Results showed that happiness is among the easiest emotions to recognize while the disgust is always among the most difficult emotions to recognize for older adults. The findings seem to indicate that is more easily recognizing emotions when pictures represent the whole face; compared with the specific region (eye and mouth regions), older participants seems to recognize more easily emotions when the mouth region is presented. In general, the results of the study did not detect a decay in the ability to recognize emotions from the face, eyes, or mouth. The performance of the old adults is statistically worse than the other two groups in only a few cases: in anger and disgust recognition from the whole face; in anger recognition from the eye region; and in disgust, fear, and neutral emotion recognition from mouth region.     

The effects of verbal cueing on implicit hand maps

The use of position sense to perceive the external spatial location of the body requires that immediate proprioceptive afferent signals be combined with stored representations of body size and shape. Longo and Haggard (2010) developed a method to isolate and measure this representation in which participants judge the location of several landmarks on their occluded hand. The relative location of judgements is used to construct a perceptual map of hand shape. Studies using this paradigm have revealed large, and highly stereotyped, distortions of the hand, which is represented as wider than it actually is and with shortened fingers. Previous studies using this paradigm have cued participants to respond by giving verbal labels of the knuckles and fingertips. A recent study has shown differential effects of verbal and tactile cueing of localisation judgements about bodily landmarks (Cardinali et al., 2011). The present study therefore investigated implicit hand maps measuring through localisation judgements made in response to verbal labels and tactile stimuli applied to the same landmarks. The characteristic set of distortions of hand size and shape were clearly apparent in both conditions, indicating that the distortions reported previously are not an artefact of the use of verbal cues. However, there were also differences in the magnitude of distortions between conditions, suggesting that the use of verbal cues may alter the representation of the body underlying position sense.     

The relevance of security: A latent domain of attachment relationships

In the present study an adult attachment dimension, latent to the constructs of security, anxiety, and avoidance, was hypothesized, wherein security was expected to occupy the most relevant position. Furthermore, the reciprocal functioning of attachment constructs and their interactions with self‐esteem were explored. Four hundreds and thirty‐four Italian university students responded to two adult attachment questionnaires (Attachment Style Questionnaire and Adult Attachment Questionnaire) and to the Rosenberg Self‐esteem scale. A Many‐Facet Rasch Measurement modeling approach was adopted. The main results can be summarized as follows: (a) security, anxiety, and avoidance are nested under one latent attachment dimension; (b) security occupies the most prominent position on the dimension; (c) security is positively associated with a moderate level of attachment anxiety and negatively related to avoidance; and (d) a positive interaction between self‐esteem and security, and a negative relation between self‐esteem and anxiety, were detected. Theoretical, clinical, and empirical implications of the results are further discussed.     

Alexithymia and psychosocial problems among Italian preadolescents. A latent class analysis approach

The study, conducted on Italian preadolscents aged 11 to 13 belonging to the general population, aims to investigate the relationship between the emotional functioning, namely, alexithymia, and the risk of developing behavioral and emotional problems measured using the Strength and Difficulty Questionnaire. The latent class analysis approach allowed to identify two latent variables, accounting for the internalizing (emotional symptoms and difficulties in emotional awareness) and for the externalizing problems (conduct problems and hyperactivity, problematic relationships with peers, poor prosocial behaviors and externally oriented thinking). The two latent variables featured two latent classes: the difficulty in dealing with problems and the strength to face problems that was representative of most of the healthy participants with specific gender differences. Along with the analysis of psychopathological behaviors, the study of resilience and strengths can prove to be a key step in order to develop valuable preventive approaches to tackle psychiatric disorders.     

Inhibition of return: A “depth-blind” mechanism?

When attention is oriented to a peripheral visual event, observers respond faster to stimuli presented at a cued location than at an uncued location. Following initial reaction time facilitation responses are slower to stimuli subsequently displayed at the cued location, an effect known as inhibition of return (IOR). Both facilitatory and inhibitory effects have been extensively investigated in two-dimensional space. Facilitation has also been documented in three-dimensional space, however the presence of IOR in 3D space is unclear, possibly because IOR has not been evaluated in an empty 3D space. Determining if IOR is sensitive to the depth plane of stimuli or if only their bi-dimensional location is inhibited may clarify the nature of the IOR. To address this issue, we used an attentional cueing paradigm in three-dimensional (3D) space. Results were obtained from fourteen participants showed IOR components in 3D space when binocular disparity was used to induce depth. We conclude that attentional orienting in depth operates as efficiently as in the bi-dimensional space.     

Gaze orientation interferes with mental numerical representation

Number comparison tasks are characterized by distance and size effects. The distance effect reveals that the higher the distance is between two numbers, the easier their magnitude comparison is. Accordingly, people are thought to represent numbers on a spatial dimension, the mental number line, on which any given number corresponds to a location on the line. The size effect, instead, states that at any given distance, comparing two small numbers is easier than comparing two large numbers, thus suggesting that larger numbers are more vaguely represented than smaller ones. In the present work we first tested whether the participants were adopting a spatial strategy to solve a very simple numbers comparison task, by assessing the presence of the distance and the magnitude effect. Secondarily, we focused on the influence of gaze position on their performance. The present results provide evidence that gaze direction interferes with number comparisons, worsening the vague representation of larger numbers and further supporting the hypothesis of the overlapping between physical and mental spaces.