Blossoming Child,Mourning Parent: A Qualitative Study of Trans Children and Their Parents Navigating Transition

Journal of Child and Family Studies - An increasing number of jurisdictions now facilitate transitions for trans and non-binary youth (TNBY), allowing them to legally change their name and gender...     

Day-Hospital Multifocal Integrated Treatment for Anorexia Nervosa in Adolescents: A One-Year Follow-Up

The current guidelines for treatment of Anorexia Nervosa (AN) in children and adolescents recommend an integrated multidisciplinary approach as the elective intervention for this disorder. Nevertheless, there is insufficient evidence on the results of an integrated approach for the treatment of AN adolescent patients, especially in a Hospital setting. This study aims to analyze clinical and psychological changes occurring in adolescent patients after completion of a Day-Hospital Multifocal Integrated Treatment (MIT) for Anorexia Nervosa. The sample consisted of 60 adolescents with AN or Eating Disorder Not Otherwise Specified (EDNOS) restrictive type, aged 11 to 18 years, and their parents. Clinical course was evaluated at 3, 6 and 12-month follow-up periods. Our results showed clinical remission in a good percentage of patients. In general, we found a significant reduction of the eating psychopathology, whereas we did not detect any significant improvement in body dissatisfaction, perfectionism, and relational difficulties. This positive trend was confirmed at 3, 6, and 12-month follow-up, despite the increase of drop-outs. These results suggest that the proposed treatment is reasonably effective, because it aims to contain and reduce the acute phase of the disease in a limited time and in a hospital setting, but it is necessary to continue the treatment with targeted psychotherapeutic interventions to address the deeper psychological discomfort underlying the eating disorder.     

Burnout among healthcare workers at L’Aquila: its prevalence and associated factors

Burnout, which is now recognized as a real problem in terms of its negative outcome on healthcare efficiency, is a stress condition that can be increased by exposure to natural disasters, such as the 2009 L’Aquila earthquake. This study aims to evaluate burnout syndrome, its associated risk factors and stress levels, and the individual coping strategies among healthcare professionals at L’Aquila General Hospital. A cross-sectional study of 190 healthcare workers was conducted. There was a questionnaire for the collection of the socio-demographic, occupational and anamnestic data, and the Maslach Burnout Inventory, the General Health Questionnaire-12 items (GHQ-12) and the Brief COPE were used. The burnout dimensions showed high scores in Emotional Exhaustion (38.95%), in Depersonalization (23.68%) and in lack of Personal Accomplishment (23.16%), along with the presence of moderate to high levels of distress (54.21%). In addition to factors already known to be associated with burnout (job perception and high levels of distress) exposure to an earthquake emerged as a factor independently associated with the syndrome. Adaptive coping strategies such as religiosity showed a significant and negative relationship with burnout. Our research highlights the need for interventions directed at a reduction in workload and work-stressors and an improvement of adaptive coping strategies, especially in a post-disaster workplace.     

Trajectories of religious coping from adolescence into early adulthood: their form and relations to externalizing problems and prosocial behavior

Little is known about changes in religious coping and their relations to adolescents' and young adults' functioning. In 686 Italian youths, trajectories of religious coping were identified from age 16-17 years to age 22-23 years; cohorts of youths reported at 3 of the 4 assessments. Four trajectories of religious coping were identified: decreasing, low stable, high stable, and increasing. A decline in religious coping was associated with high levels of externalizing problems at age 16-17, whereas an increase in religious coping was associated with higher externalizing problems at ages 18-19 and 20-21 years and with relatively high involvement with deviant peers. High stable religious copers were high in prosocial behavior at three ages; low stable religious copers were higher than people undergoing change in their religious coping from mid-adolescence into early adulthood. These results can expand our current thinking about religious coping and adolescent adjustment.     

Subalgebras of Heyting and De Morgan Heyting Algebras

In this paper we obtain characterizations of subalgebras of Heyting algebras and De Morgan Heyting algebras. In both cases we obtain these characterizations by defining certain equivalence relations on the Priestley-type topological representations of the corresponding algebras. As a particular case we derive the characterization of maximal subalgebras of Heyting algebras given by M. Adams for the finite case.     

Suppression history of distractor location biases attentional and oculomotor control

Past selection experience greatly affects the deployment of attention such that targets are more readily selected if their features or locations were more frequently selected in the past. Crucially, recent studies have shown similar experience-dependent effects also for salient task irrelevant stimuli: distractors exerted less interference if they appeared at a location where they were presented more often, relatively to other possible locations. Here we investigated the effects of such suppression history on the immediate behavioural correlates of attentional deployment, i.e., eye movements. Participants were to make saccadic eye movements to a target stimulus, while ignoring a highly distracting irrelevant visual onset appearing abruptly on the screen in a proportion of trials. Crucially, this irrelevant onset occurred more frequently in two locations on the visual display and our results showed that, relatively to distractors elsewhere, onsets presented at these locations became easier to ignore, giving rise to reduced oculomotor capture. Consistent with the notion that experience can alter attentional deployment towards spatial locations, these findings indicate that, through learning, the priority of high frequency locations becomes suppressed, attenuating the intrinsic saliency of distractors appearing therein. Traces left by individual events of attentional suppression decrease the processing priority of coordinates within topographic maps of the visual space.     

Modularity and spatial reorientation in a simple mind: encoding of geometric and nongeometric properties of a spatial environment by fish

When disoriented in environments with distinctive geometry, such as a closed rectangular arena, human infants and adult rats reorient in accord with the large-scale shape of the environment, but not in accord with nongeometric properties such as the colour of a wall. Human adults, however, conjoined geometric and nongeometric information to reorient themselves, which has led to the suggestion that spatial processing tends to become more flexible over development and evolution. We here show that fish tested in the same tasks perform like human adults and surpass rats and human infants. These findings suggest that the ability to make use of geometry for spatial reorientation is an ancient evolutionary tract and that flexibility and accessibility to multiple sources of information to reorient in space is more a matter of ecological adaptations than phylogenetic distance from humans.     

Can Math-Gender Stereotypes Be Reduced? A Theory-Based Intervention Program with Adolescent Girls

Math-gender stereotypes have been prevalent with adolescent girls and negatively affect their developmental outcome. The discrepancy between these negative stereotypes and early adolescent girls’ pronounced mathematical performance provides a good opportunity for intervention on negative math-gender stereotypes. This study designed a three-month intervention program based on Identity Threat Model to reduce math-gender stereotypes for middle school girls. Nine intervention sessions were held in classrooms and targeted at changing adolescent girls’ collective representations, situational cues and personal characteristics. Three-wave measures were collected before the intervention (pre-test), immediately after the intervention (post-test), and three months after the end of the intervention (follow-up test). Intervention effect indicators included math-gender stereotypes, self-esteem, math scores and language-gender stereotypes. The results immediately after the intervention showed that math-gender stereotypes were significantly reduced, math scores were improved, and self-esteem and language-gender stereotypes were not significantly affected among girls in the intervention group compared with control group. Follow-up test showed no significant differences between the intervention group and the control group except that math-gender stereotypes in intervention group were still lower than control group, indicating that the intervention activities were effective to reduce adolescent girls’ math-gender stereotypes. The intervention program provided theoretical and educational implications for effective intervention on adolescent girls’ math-gender stereotypes in school or classroom settings.     

The clinical overlap between the corticobasal degeneration syndrome and other diseases of the frontotemporal spectrum: three case reports

The corticobasal degeneration syndrome has been suggested to be part of a complex of conditions (including the different subtypes of frontotemporal dementia and progressive supranuclear palsy), which reflect a spectrum of pathological substrates. This concept is supported by the frequent clinical overlap that can be observed among patients diagnosed with these conditions. We report three clinical cases, characterized by the overlap of the clinical features of corticobasal degeneration syndrome with, respectively, nonfluent progressive aphasia, progressive supranuclear palsy and semantic dementia. Current diagnostic criteria emphasize differences in clinical presentation, which probably reflect the preferential location of pathology in the early stages of disease. However, with disease progression, a considerable clinical overlap can be expected among the different syndromes. This concept should be extended not only to the cognitive and behavioural features of the frontotemporal dementia subtypes, but also to the movement disorders of corticobasal degeneration and supranuclear palsy.