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Prevalence and Risk Factors for Internet Gaming Disorder (IGD) in a sample of 5,979 Italian Online Gamers 5,979名意大利网络游戏玩家的网络游戏障碍(IGD)患病率和风险因素
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2674
L. Ferraro, C. Avanzato, G. Maniaci, C. Sartorio, M. Daino, F. Seminerio, G. Tripoli, D. Quattrone, R. Baido, D. Barbera, C. Cascia
Background: The prevalence of Internet Gaming Disorder (IGD) in the Italian population of gamers is unknown. Several risk factors, including time spent playing (TSP), are proposed as an epiphenomenon of emotional dysregulation. Methods: The study estimated the prevalence of IGD in at-risk Italian online gamers, and the interplay between alexithymia and other risk factors. 5,979 responders were surveyed. IGDS-SF9 estimated pathological gaming. TAS-20 measured Difficult in Identifying (DIF) and Describing Feelings (DDF), and Externally Oriented Thinking (EOT).  Results: 43% of participants had pathological IGD scores. Male gender (OR=1.2, 95% C.I.=1, 1.5, p=0.019), TSP (OR=7.6, 95% C.I.=5.5, 10.6, p<0.001), DIF (OR=1.5, 95% C.I.=1.1, 2.1, p=0.003), boredom/loneliness feelings (OR=1.8, 95% C.I.=1.5, 2, p<0.001), recent negative events (OR=1.1, 95% C.I.=1, 1.3, p=0.026), and a behavioral addiction (OR=2.1, 95% C.I.=1.2, 3.9, p=0.009) independently increased its risk.  Conclusions: Almost one on two players joining online communities presented IGD. Some risk factors were crucial, including TSP, independently from emotional dysregulation.
背景:网络游戏障碍(IGD)在意大利游戏人群中的患病率尚不清楚。一些风险因素,包括玩游戏的时间(TSP),被认为是情绪失调的附带现象。方法:本研究估计了意大利高危网络游戏玩家中IGD的患病率,以及述情障碍与其他危险因素之间的相互作用。5979名应答者接受了调查。IGDS-SF9估计病理博弈。TAS-20测试了识别困难(DIF)、情感描述困难(DDF)和外向型思维困难(EOT)。结果:43%的参与者有病理性IGD评分。男性(OR=1.2, 95% C.I.= 1,1.5, p=0.019)、TSP (OR=7.6, 95% C.I.=5.5, 10.6, p<0.001)、DIF (OR=1.5, 95% C.I.=1.1, 2.1, p=0.003)、无聊/孤独感(OR=1.8, 95% C.I.=1.5, 2, p<0.001)、近期负面事件(OR=1.1, 95% C.I.= 1,1.3, p=0.026)和行为成瘾(OR=2.1, 95% C.I.=1.2, 3.9, p=0.009)分别增加了其风险。结论:几乎每两个加入在线社区的玩家中就有一个会出现IGD。一些风险因素至关重要,包括TSP,独立于情绪失调之外。
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引用次数: 5
Commentary: Sex differences in perceived stigmatization, body image disturbance, and satisfaction with facial appearance and speech among adolescents with craniofacial conditions 评论:颅面疾病青少年在感知污名化、身体形象障碍、面部外观和言语满意度方面的性别差异
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2869
F. Sicari
Crerand and colleagues (2020) analyzed body image in adolescents with craniofacial conditions, with particular reference to gender differences in the perception of stigma, satisfaction with one's appearance and linguistic functionality.
Crerand及其同事(2020)分析了患有颅面疾病的青少年的身体形象,特别提到了对耻辱的感知、对自己外表的满意度和语言功能的性别差异。
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引用次数: 0
Psychometric Assessment of Adverse Childhood Experiences International Questionnaire (ACE-IQ) with Adults Engaging in Non-Suicidal Self-Injury 成人非自杀性自伤儿童不良经历的心理测量评估国际问卷(ACE-IQ)
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2601
R. Christoforou, N. Ferreira
Background: The current study aimed to investigate the psychometric properties of the Adverse Childhood Experiences – International Questionnaire (ACE-IQ) with individuals engaging in non-suicidal self-injury. Numerous studies have supported the association of adverse childhood experiences with non-suicidal self-injury. However, the majority of the measures used were limited to basic forms of abuse and neglect, indicating a need for the use of a more inclusive measure, such as the ACE-IQ. The psychometric properties of the measure though have only been briefly investigated with other populations, suggesting that a more thorough examination might be beneficial before its use. Method: Two hundred eighty-four adult participants (77.5% females) with a mean age of 23.4 (SD=5.7) were recruited online via specific self-harm groups on social media platforms. Participants were asked to complete an online survey consisting of three self-report measures regarding early childhood experiences and engagement in non-suicidal self-injury. Results: The findings of this study supported ACE-IQ’s reliability (Cronbach’s alpha = 0.854), convergent validity (r= 0.85, p<0.001 with the CTQ-SF), predictive validity (R 2 = 0.12, p=0.001 of the SHI total score) and discriminant validity (F-value = 13.90, p<0.001). An exploration of the factor structure demonstrated a 5-factor solution (physical abuse, sexual abuse, emotional abuse, exposure to violence, family environment). Conclusions: It was concluded that ACE-IQ is a reliable and valid measure to be used for research or clinical purposes with individuals engaging in non-suicidal self-injury, although further research is needed on its factor structure. Research and clinical implications are discussed.
背景:本研究旨在调查儿童不良经历国际问卷(ACE-IQ)对非自杀性自伤个体的心理测量特性。许多研究支持不良童年经历与非自杀性自伤之间的联系。然而,所使用的大多数措施仅限于基本形式的虐待和忽视,这表明需要使用更具包容性的措施,如ACE-IQ。然而,该措施的心理测量特性只在其他人群中进行了简短的调查,这表明在使用前进行更彻底的检查可能是有益的。方法:通过社交媒体平台上的特定自残群体在线招募了284名平均年龄23.4(SD=5.7)的成年参与者(77.5%为女性)。参与者被要求完成一项在线调查,其中包括三项关于幼儿经历和非自杀性自伤的自我报告措施。结果:本研究结果支持ACE-IQ的可靠性(Cronbach’s alpha=0.854)、收敛有效性(r=0.85,SHI总分的预测有效性(R2=0.12,p=0.001)和判别有效性(F值=13.90,p<0.001)。对因素结构的探索表明了五因素解决方案(身体虐待、性虐待、情感虐待、暴力暴露、家庭环境)。结论:ACE-IQ是一种可靠有效的测量方法,可用于非自杀性自伤患者的研究或临床目的,尽管其因子结构尚需进一步研究。讨论了研究和临床意义。
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引用次数: 5
A pilot study on alexithymia in adopted youths: prevalence and relationships with emotional-behavioral problems 领养青少年述情障碍的初步研究:患病率及其与情绪行为问题的关系
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2583
S. Muzi, C. S. Pace
Adopted adolescents show high rates of emotional-behavioral problems and they could also be more vulnerable to alexithymia, a risk factor for psychopathology in adolescents, that is more frequent in case of early relational trauma(s), often experienced by adoptees in pre-adoption life. However, no studies investigate alexithymia in adopted adolescents, therefore this pilot study aimed to: (a) assess the prevalence of alexithymia in adoptees in comparison with a national representative sample; (b) examine the relationships between alexithymia and emotional-behavioral problems in adoptees. Participants were 33 adoptees aged 10-19 years (54.5% boys), enrolled through social services. Measures were the self-report questionnaire Toronto Alexithymia Scale 20-item to measure participants’ alexithymia, and the Youth Self Report 11-18 years to assess emotional-behavioral problems. Main results highlighted: 1) 71% of adoptees with moderate-to-high levels of alexithymia, with adoptees as significantly more border-alexithymic (55%) than in normative peers; 2)  Alexithymia and its factors Difficulty to identifying Feelings and Externally Oriented Thinking were related to more total, internalizing, externalizing and other problems (social, attentional, thought, binge-drinking, substance abuse, suicidality, etc...); 3) The difficulty identifying feelings was the unique predictor for 38% of total problems, 40% of internalizing ones, 22% of externalizing ones and 30% of other problems. In conclusion , the results suggest the clinical and scientific relevance of continuing the study of alexithymia in adopted adolescents, and future directions of research are suggested.
被收养的青少年表现出高比率的情绪行为问题,他们也可能更容易出现述情障碍,这是青少年精神病理学的一个风险因素,在早期关系创伤的情况下更为常见,被收养者在收养前的生活中经常经历这种创伤。然而,没有研究调查被收养青少年的述情障碍,因此这项试点研究旨在:(a)与全国代表性样本相比,评估被收养者的述情症患病率;(b) 研究被收养者的述情障碍与情绪行为问题之间的关系。参与者是33名10-19岁的被收养者(54.5%为男孩),通过社会服务登记。测量方法为多伦多述情障碍量表20项的自我报告问卷,用于测量参与者的述情障碍,以及11-18岁的青少年自我报告,用于评估情绪行为问题。主要结果强调:1)71%的被收养者有中度至高度述情障碍,被收养者的边界述情障碍(55%)明显多于正常同龄人;2) 述情障碍及其因素情感识别困难和外向思维与更全面、内化、外化等问题(社会、注意力、思维、酗酒、药物滥用、自杀等)有关;3) 识别感觉的困难是38%的总问题、40%的内化问题、22%的外化问题和30%的其他问题的唯一预测因素。总之,研究结果表明,继续研究被收养青少年述情障碍具有临床和科学意义,并提出了未来的研究方向。
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引用次数: 3
Idiosyncratic ambivalence: A three-dimensional interpretative model to understand the non-adhesion of women to breast and cervical cancer screening 特殊的矛盾心理:一个三维解释模型,以了解妇女对乳腺癌和宫颈癌筛查的不粘连
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2563
Daniela Lemmo, M. L. Martino, A. Cesàro, J. Solbakk
Health programs offer screening activities for the early detection of cancer in vulnerable population, but record very low participation rates. The authors have a theoretical framework to investigate the complexity of the phenomenon, in the psychodynamic and ethical dimensions, specific to women. In this study, the authors used semi-structured interviews and interpretative phenomenological analysis to explore the meaning-making processes of women who do not practice breast and cervical cancer prevention in Southern Italy neither in the public health-care system, nor in private health facilities. Three superordinate themes have emerged: taking care of oneself would be to love oneself; difficult contact with a sexual body;at the end, the fate decides . We highlight three levels in the psychism that underlie the behavior of not doing prevention: body-> affects-> thought. Understanding these psychic level mechanisms permits to support women's health policy, reducing costs and promoting health.
健康项目为弱势人群提供早期发现癌症的筛查活动,但参与率非常低。作者有一个理论框架来调查这一现象的复杂性,从心理动力学和伦理层面来看,这是女性特有的。在这项研究中,作者使用半结构化访谈和解释性现象学分析,探讨了意大利南部无论是在公共医疗系统还是在私人医疗机构中,没有进行乳腺癌和宫颈癌预防的女性的意义形成过程。出现了三个更高级的主题:照顾自己就是爱自己;难以与性身体接触;最后,命运决定。我们强调了不做预防行为背后的心理学的三个层面:身体->影响->思想。了解这些心理层面的机制可以支持妇女的健康政策,降低成本,促进健康。
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引用次数: 7
What can we learn from gritty persons? Coping strategies adopted during COVID-19 lockdown 我们能从坚韧不拔的人身上学到什么?COVID-19封锁期间采取的应对策略
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2518
Marek Urban, Kamila Urban
Social isolation and the loss of control associated with the COVID-19 lockdown led to elevated levels of perceived stress in many countries. The present study examines the effectiveness of 13 different coping strategies (SVF-78) and the personality trait grit (Grit-S) on perceptions of stress (PSS-10) in 438 participants (362 women, M age = 33.45 years, SD = 12.48) from the second to third week of lockdown. A structural equation model showed that coping strategies acted as a complete mediator of the relationship between grit and perceived stress, indicating that grit does not directly affect perceived stress but that people with higher levels of grit choose more effective coping strategies and that results in lower perceived stress. Overall, active emotion-focused strategies such as minimization and positive self-instruction were associated with lower levels of helplessness and a higher self-efficacy to cope with stress. Taking into account the different ways participants adopted coping strategies and relied upon grit, non-hierarchical clustering identified four specific profiles: gritty persons, easy-goers, avoiders, and people feeling powerless. The implications for each group are discussed.
与COVID-19封锁相关的社会隔离和失控导致许多国家的压力水平上升。本研究考察了在封锁的第二至第三周,438名参与者(362名女性,年龄= 33.45岁,SD = 12.48)的13种不同应对策略(SVF-78)和人格特质grit (grit - s)对压力感知(PSS-10)的有效性。结构方程模型表明,应对策略在毅力与感知压力之间的关系中起完全中介作用,表明毅力并不直接影响感知压力,但毅力水平越高的人选择的应对策略越有效,感知压力越低。总体而言,积极的情绪集中策略,如最小化和积极的自我指导,与较低水平的无助感和较高的应对压力的自我效能有关。考虑到参与者采取应对策略和依赖勇气的不同方式,非等级聚类确定了四种特定的类型:有勇气的人、容易相处的人、逃避者和感觉无能为力的人。讨论了对每一组的影响。
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引用次数: 15
The relationship between mathematical achievement, mathematical anxiety, perfectionism and metacognitive abilities in Italian students 意大利学生数学成就、数学焦虑、完美主义与元认知能力的关系
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2595
Caterina Buzzai, Pina Filippello, Bianca Puglisi, Antonina Viviana Mafodda, Luana Sorrenti
Background: The literature shows that mathematical achievement can be influenced by affective factors, metacognitive abilities, and personality traits. The aim of the present study is to investigate the relationship between mathematical achievement, mathematical anxiety, perfectionism, and metacognitive abilities in a sample of secondary school students. Method : The sample was composed of 272 students of secondary school, 43.8% males, and 56.3%, with an average age of 12.08 (SD=.89). The Evaluate Metacognition, Negative Attitudes, and Mathematics Anxiety, and the Almost Perfect Scale were administered, while the data on academic performance in mathematics was based on the average scores earned on written tests across all participants during the current school year. Correlational and path analyses were performed. Results: The results showed significant correlations between the variables investigated. Furthermore, mathematics achievement was positively predicted by control in performing, mathematics attitudes, beliefs related to mathematics, and adaptive perfectionism, while it was negatively predicted by math anxiety, and maladaptive perfectionism. Conclusion: This study has important educational implications for teachers as it highlights the role of metacognitive, affective, and personality factors in the learning and achievement of mathematics.
背景:文献表明,数学成绩受情感因素、元认知能力和人格特质的影响。摘要本研究旨在探讨中学生数学成绩、数学焦虑、完美主义和元认知能力之间的关系。方法:样本由272名中学生组成,男生占43.8%,男生占56.3%,平均年龄12.08岁(SD= 0.89)。评估元认知、消极态度、数学焦虑和近乎完美量表被执行,而数学学业成绩的数据是基于所有参与者在本学年的笔试中的平均分数。进行相关分析和通径分析。结果:结果显示所调查的变量之间存在显著的相关性。数学表现控制、数学态度、数学相关信念和适应性完美主义对数学成绩有正向预测作用,数学焦虑和适应不良完美主义对数学成绩有负向预测作用。结论:本研究强调了元认知、情感和人格因素在数学学习和成就中的作用,对教师具有重要的教育意义。
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引用次数: 6
Madam Butterfly: tragic figure of Masochism and Melancholy 蝴蝶夫人:受虐和忧郁的悲剧人物
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2633
B. Verdon, M. D. Luca, E. Louët, C. Chabert
By their textual and musical dramaturgy, operatic mises en scene offer a perfect view of the conflicts inherent in human nature. The passions of Madam Butterfly - the eponymous opera of G. Puccini - foment a tragic fate that is paradigmatic of masochism and melancholy. This remarkable opera offers avenues for figuration and identification that can help inform psychoanalysts and psychotherapists in their understanding and treatment of patients with extreme psychical organisations, where neither loss and separation nor ambivalence (which links together love and hate) can be elaborated. Having recalled the bases of the dialogue between psychoanalysis and cultural productions and introduced the story of Madam Butterfly and the figures making up the narrative, the article proposes to examine the cathectic process at work. Through the many twists and turns in her story, Madam Butterfly is seen to invest in Pinkerton, irremediably sealing her fate as a young wife. The Butterfly figure is a perfect illustration of the different forms of masochism, of passiveness and the snare of melancholy. These movements highlight the intensity of the narcissistic challenges so strongly expressed through the confrontation with the loss of the object. Butterfly cannot mobilise any form of ambivalence towards Pinkerton. Only such ambivalence would, however, in the recognition of otherness, have afforded her the means to survive the admittedly painful openness to the reality of loss. She offers and abandons herself to the one who derives pleasure from breaking her butterfly wings, stubbornly refusing to turn to any other person for succour, irremediably sealing her fate for eternity.
通过他们的文本和音乐戏剧,歌剧场面提供了一个完美的观点,人类本性中固有的冲突。《蝴蝶夫人》——普契尼的同名歌剧——的激情激起了一场悲剧性的命运,是受虐狂和忧郁的典范。这部非凡的歌剧为形象和识别提供了途径,可以帮助精神分析学家和心理治疗师理解和治疗极端心理组织的患者,在这种组织中,既不能解释失去和分离,也不能解释矛盾心理(将爱和恨联系在一起)。本文回顾了精神分析与文化作品对话的基础,并介绍了《蝴蝶夫人》的故事和构成叙事的人物,提出了对精神分析与文化作品对话过程的考察。通过她的故事的许多曲折,蝴蝶夫人被视为投资平克顿,不可挽回地决定了她作为一个年轻妻子的命运。蝴蝶的形象完美地说明了不同形式的受虐,被动和忧郁的陷阱。这些动作突出了自恋挑战的强度,这种挑战是通过面对失去的对象而强烈表达出来的。蝴蝶无法调动任何形式的对平克顿的矛盾心理。然而,只有这样的矛盾心理,在对他者的认识中,才能给她提供生存的手段,让她面对失去的现实,坦然面对无可否认的痛苦。她把自己奉献给了那个从折断她的蝴蝶翅膀中获得快乐的人,她固执地拒绝向任何人寻求帮助,无可挽回地将自己的命运永久地封住了。
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引用次数: 0
Violence and desire described by committed football-supporters in substance abuse treatment. Clinical psychodynamic findings 坚定的足球支持者在药物滥用治疗中描述的暴力和欲望。临床心理动力学发现
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2586
E. Punzi
This study concerns male clients in substance abuse treatment, who were or had been football supporters, engaged in violence. Previous research has acknowledged the connection between football and violence, substances, homosociality and masculinity. Desire and treatment needs have however not been investigated. This study contributes to this knowledge gap. It is written from a treatment viewpoint, acknowledging current psychodynamic/analytical perspectives on gender, relationships, and affects. The study is based on the author’s clinical encounters with supporters who were in psychodynamic treatment due to problems with substance use. A thematic analysis of the author’s memories of the clinical encounters was performed. Three themes were identified; Alcohol and drugs, Desire and Clinical interaction. The results show that consumption of alcohol and cocaine was intermingled with the homosocial supporter-culture and accordingly with the clients’ social life, which needs to be acknowledged in treatment. Moreover, violence was not only connected to homosocial strivings and hypermasculine behaviors, but also to desire. Same-sex desire could for example arise during fighting, which could be an alluring part of violence, while simultaneously shame-provoking. The study shows that supporters, and possibly other homosocial groups, are more diverse than sometimes presented. Accordingly, clinicians who encounter committed football supporters should be open to questions of desire, including non-normative sexual experiences, while acknowledging that the topic might be difficult for clients. Clinicians also need to understand how intertwined supporter-culture and substances are, and discuss affects and relationships with clients.
这项研究涉及接受药物滥用治疗的男性客户,他们曾经或曾经是足球支持者,从事暴力活动。先前的研究已经承认足球与暴力、物质、同性恋和男子气概之间的联系。然而,欲望和治疗需求尚未得到调查。这项研究造成了这种知识差距。它是从治疗的角度写的,承认当前对性别、关系和影响的心理动力学/分析观点。这项研究是基于作者与因药物使用问题而接受心理动力治疗的支持者的临床接触。对作者对临床遭遇的记忆进行了专题分析。确定了三个主题;酒精与药物、欲望与临床互动。结果表明,酒精和可卡因的消费与同性恋支持者文化相混合,因此也与客户的社交生活相混合,这需要在治疗中得到承认。此外,暴力不仅与同性恋社会斗争和超男性化行为有关,还与欲望有关。例如,在打斗中可能会出现同性欲望,这可能是暴力的一个诱人部分,同时也会引发羞耻感。研究表明,支持者,可能还有其他同性恋群体,比有时表现的更加多样化。因此,遇到坚定的足球支持者的临床医生应该对欲望问题持开放态度,包括非规范的性经历,同时承认这个话题对客户来说可能很困难。临床医生还需要了解支持者文化和物质是如何交织在一起的,并讨论影响和与客户的关系。
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引用次数: 0
A prototypical MMPI-2 configuration of Obsessive-Compulsive Disorder 典型的MMPI-2型强迫症
IF 2.6 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2020-12-19 DOI: 10.6092/2282-1619/MJCP-2554
G. Femia, A. Gragnani, Teresa Cosentino, Mauro Giacomantonio, F. Diano, A. Bernaudo, V. Pellegrini, F. Mancini
Background:  Obsessive-Compulsive Disorder is often measured through self-report questionnaires focused on measuring symptomatology (Y-BOCS, OCI-R, and PI). The scientific literature identifies the Pt scale as a distinctive marker, but does not report data related to a specific OCD profile of the MMPI-2 test. Therefore, based on some clinical considerations and preliminary investigations, the following study aims to identify a specific MMPI-OCD configuration marked by the presence of significant indicators able to describe its psychological functioning and its key features in cognitive, emotional and affective terms. Method : In order to explore the expected relationships, 395 participants were involved (average age: 34.20 years) and evaluated through the MMPI-2 test and the Yale-Brown interview. Results : MANOVA, Multiple Linear Regression Analysis and Discriminant Function Analysis confirm that the OCD is marked by the recurrence of three elevated clinical scales (Pt, D, Sc). Hyper-prudential reasoning and some reasoning bias, typically employed by these subjects, could justify such results. Conclusions: This specific configuration could therefore support the clinician during the assessment phases and lead him to identify – as well as differentiate – his characteristics from those of other psychological disorders, thus stimulating him to deepen during the interpretation of the results.
背景:强迫症通常通过自我报告问卷来测量症状(Y-BOCS, OCI-R和PI)。科学文献将Pt量表确定为一种独特的标记,但没有报道与MMPI-2测试的特定强迫症特征相关的数据。因此,基于一些临床考虑和初步调查,以下研究旨在确定一种特定的MMPI-OCD配置,其特征是存在能够描述其心理功能及其在认知、情绪和情感方面的关键特征的重要指标。方法:对395名平均年龄34.20岁的被试进行MMPI-2测试和耶鲁-布朗访谈,探讨预期关系。结果:方差分析、多元线性回归分析和判别函数分析证实,强迫症的复发以三个临床量表(Pt、D、Sc)升高为标志。这些研究对象通常采用的过度审慎推理和一些推理偏见,可以证明这样的结果是合理的。结论:因此,这种特殊的配置可以在评估阶段支持临床医生,并引导他识别和区分他与其他心理障碍的特征,从而刺激他在解释结果时深化。
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引用次数: 0
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Mediterranean Journal of Clinical Psychology
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