Impact of emotional intelligence (EI) on social network abuse among adolescents during COVID-19 outbreak in Italy.

BACKGROUND AND AIM: This paper explores the relationship between Online Social Network (OSNs) abuse, Emotional Intelligence (EI), and distress due to COVID-19 confinement among adolescents. METHODS: A sample of 226 students from North Italy aged between 16 and 18 years completed from March to June 2020 the Bergen Social Media Scale (BSMAS), Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF) and Depression, Anxiety and Stress Scale (DASS-21). RESULTS: Females scored higher in social network use as compared to males [t (225) = 46.56, p = <.05]. The prevalence of symptoms of distress was also higher in females. Conversely, males scored significantly higher on total EI as compared to their counterparts [t (178) = 4.1544, p = <.003] indicating that high EI contributes towards better self-perception of psychological wellbeing. On the contrary, having high stress levels and low EI levels seems to predict the possibility to experience in a social network addiction. CONCLUSIONS: Our findings suggested EI as a protective factor for OSNs' addiction. Results support the need of implementing programs aimed at adopting an appropriate approach to the digital world and particularly addressed towards the growth of EI to reduce dysfunctional behaviors in adolescence. (www.actabiomedica.it).

Effect of Musical Stimulation on Placental Programming and Neurodevelopment Outcome of Preterm Infants: A Systematic Review.

BACKGROUND: The fetal environment is modulated by the placenta, which integrates and transduces information from the maternal environment to the fetal developmental program and adapts rapidly to changes through epigenetic mechanisms that respond to internal (hereditary) and external (environmental and social) signals. Consequently, the fetus corrects the trajectory of own development. During the last trimester of gestation, plasticity shapes the fetal brain, and prematurity can alter the typical developmental trajectories. In this period, prevention through activity-inducing (e.g., music stimulation) interventions are currently tested. The purpose of this review is to describe the potentialities of music exposure on fetus, and on preterm newborns in the Neonatal Intensive Care Unit evaluating its influence on neurobehavioral development. METHODS: Databases were searched from 2010 to 2022 for studies investigating mechanisms of placental epigenetic regulation and effects of music exposure on the fetus and pre-term neonates. RESULTS: In this case, 28 selected papers were distributed into three research lines: studies on placental epigenetic regulation (13 papers), experimental studies of music stimulation on fetus or newborns (6 papers), and clinical studies on premature babies (9 papers). Placental epigenetic changes of the genes involved in the cortisol and serotonin response resulted associated with different neurobehavioral phenotypes in newborns. Prenatal music stimulation had positive effects on fetus, newborn, and pregnant mother while post-natal exposure affected the neurodevelopment of the preterm infants and parental interaction. CONCLUSIONS: The results testify the relevance of environmental stimuli for brain development during the pre- and perinatal periods and the beneficial effects of musical stimulation that can handle the fetal programming and the main neurobehavioral disorders.

A Comprehensive Review on Multifaceted Mechanisms Involved in the Development of Breast Cancer Following Adverse Childhood Experiences (ACEs).

BACKGROUND AND AIM OF THE WORK: Adverse Childhood Experiences (ACEs) may give rise to harmful effects on health throughout life. Epigenetic changes explain how preexisting risk factors may contribute to produce altered biological responses and cancer risk. The main aim of the review is to summarize studies examining the means in which Adverse Childhood Experiences (ACEs) can modulate individual vulnerability to breast cancer (BC) development through multifaceted mechanisms. METHODS: Studies selection, data extraction, and assessments agreed to PRISMA criteria. We included original research with clinical samples following BC interventions, investigating potential mechanisms linking ACEs and BC in adults. RESULTS: From the 3321 papers found, nine articles involving 2931 participants were selected. All studies included ACEs retrospective assessments and psychological measures, and seven of them considered biomarkers. Individuals exposed to greater ACEs were at increased BC risk compared with individuals with no ACEs. Associations were found between child abuse and/or neglect, depression, perceived stress, fatigue, and plasma levels of cytokines interleukin (IL-6), C-reactive protein (CRP), soluble tumor necrosis factor receptor type II (sTNF-RII), interleukin IL-1 receptor antagonist (IL-1ra), and psycho-physiological adjustments that may lead to BC. CONCLUSIONS: Exposure to multiple ACEs appears a risk factor for BC development in adulthood. Although the clinical relevance of findings such as this is ambiguous, the review added evidence for a link between the presence of childhood adversity and BC occurrence, pointing to psychological, hormonal, and immunological dysregulations.

Engagement and Arousal effects in predicting the increase of cognitive functioning following a neuromodulation program.

BACKGROUND AND AIM: Research in the field of Brain-Computer Interfaces (BCIs) has increased exponentially over the past few years, demonstrating their effectiveness and application in several areas. The main purpose of the present paper was to explore the relevance of user engagement during interaction with a BCI prototype (Neuro-Upper, NU), which aimed at brainwave synchronization through audio-visual entrainment, in the improvement of cognitive performance. METHODS: This paper presents findings on data collected from a sample of 18 subjects with clinical disorders who completed about 55 consecutive sessions of 30 min of audio-visual stimulation. The relationship between engagement and improvement of cognitive function (measured through the Intelligence Quotient - IQ) during NU neuromodulation was evaluated through the Index of Cognitive Engagement (ICE) measured by the Pope ratio (Beta / (Alpha + Theta), and Arousal [(High Beta + Low Beta) / (High Alpha + Low Alpha)]. RESULTS: A significant correlation between engagement and IQ improvement, but no correlation between arousal and IQ improvement emerged, as expected. CONCLUSIONS: Future research aiming at clarifying the role of arousal in psychological disorders and related symptoms will be essential.

Is Zoom Dysmorphia a new disorder?

BACKGROUND AND AIM: this editorial address the content of a recent letter about the main characteristic of Zoom dysmorphia phenomenon entitled "Zoom Dysmorphia: the rise of a new issue amidst the pandemic" that presents a compelling argument for conceptualizing this type of body dysmorphic disorder. METHODS: It is largely known that self-appraisal, self-worth, and self-esteem are essential resources for an individual in private life and social context; a misperception of one's own characteristic can influence behavior and modify some personality traits. In the present editorial it is examined the larger issue of the relationship with dysmorphic concern and appearance-focused behaviors together with the use of cosmetic interventions. RESULTS: The coronavirus (Covid-19) pandemic increased popularity of videoconferencing has seen a massive shift toward virtual living where individuals found themselves staring at their own video scrutinizing their appearance and potentially developing dysmorphic concerns. CONCLUSIONS: This editorial explores the conceivable similarity between obsession problems and addictions suggesting several insights for buffering the effects of stress promoting coping and (re-) appraisal strategies (www.actabiomedica.it).

A randomized controlled trial (RCT) to explore the effect of audio-visual entrainment among psychological disorders.

BACKGROUND AND AIM: Although many mental disorders have relevant proud in neurobiological dysfunctions, most intervention approaches neglect neurophysiological features or use pharmacological intervention alone. Non-invasive Brain-Computer Interfaces (BCIs), providing natural ways of modulating mood states, can be promoted as an alternative intervention to cope with neurobiological dysfunction. METHODS: A BCI prototype was proposed to feedback a person's affective state such that a closed-loop interaction between the participant's brain responses and the musical stimuli is established. It feedbacks in real-time flickering lights matching with the individual's brain rhythms undergo to auditory stimuli. A RCT was carried out on 15 individuals of both genders (mean age = 49.27 years) with anxiety and depressive spectrum disorders randomly assigned to 2 groups (experimental vs. active control). RESULTS: Outcome measures revealed either a significant decrease in Hamilton Rating Scale for Depression (HAM-D) scores and gains in cognitive functions only for participants who undergone to the experimental treatment. Variability in HAM-D scores seems explained by the changes in beta 1, beta 2 and delta bands. Conversely, the rise in cognitive function scores appear associated with theta variations. CONCLUSIONS: Future work needs to validate the relationship proposed here between music and brain responses. Findings of the present study provided support to a range of research examining BCI brain modulation and contributes to the understanding of this technique as instruments to alternative therapies We believe that Neuro-Upper can be used as an effective new tool for investigating affective responses, and emotion regulation (www.actabiomedica.it).

Post-Traumatic Outcomes among Survivors of the Earthquake in Central Italy of August 24, 2016. A Study on PTSD Risk and Vulnerability Factors.

Central Italy suffered from the earthquake of 2016 resulting in great damage to the community. The purpose of the present study was to determine the long-term traumatic outcomes among the population. A preliminary study aimed at obtaining the Italian translation of the first 16 item of HTQ IV part [1] which was administered, 20 months after the disaster, at 281 survivors. In backward stepwise logistic regressions models, we estimated among the respondent's characteristics and event-related variables the best predictors of Post-Traumatic Stress Disorder (PTSD).A Confirmatory Factor Analysis (CFA) revealed a HTQ five-factors solution as best model, with satisfactory indexes of fit. HTQ held a positive correlation with both the SQD-P (r = .65, p < .05) and SQD-D subscales (r = .47, p < .05). ROC analysis suggested an area of .951 (95% CI = .917-.985) for the PTSD prediction. Basing on sensibility (.963) and specificity (.189), the best cut-off of 2.0 allowed discriminating for PTSD positive cases. After 20 months of the earthquake, the estimate prevalence of PTSD among the survivors is of 21.71% with a consistent and graded association between exposure variables and vulnerability factors (gender, age, exposure to death and home damage) and PTSD symptoms.

Diagnostic memory assessment in Italian-born Australians.

BACKGROUND: In many English-speaking countries neuropsychological assessment of non-English speakers is often performed in English or through an interpreter. Relying on interpreters often involves unstandardized and ad hoc translations of tests which may limit valid assessment. METHODS: In a sample of 75 Italian-born elderly Australians from the general community (48 women and 27 men, aged 56-90 years) we administered standardized and normed psychological tests in both English (WMS-III, WAIS-III, BNT, Schonell Graded Word Reading Test) and Italian (Milan Overall Dementia Assessment, MODA). We examined the hypothesis that long-term retrieval ability assessed in English is primarily influenced by cognitive abilities assessed in Italian and by English language competence. RESULTS: Regression analysis showed that the strongest predictor of long-term retrieval in English was long-term retrieval in Italian (R2 = 0.229, F(72) = 29.12, p<0.01). After inclusion of an estimate of general cognitive ability in Italian, English language competence failed to add significantly to variance explained in memory tested in English (p > 0.05). CONCLUSIONS: Results of the present study support the view that long-term retrieval memory is not significantly affected by second language proficiency after control of cognitive ability assessed in Italian. As a consequence, if an Italian-born elder Australian with English as a second language scores poorly on a diagnostic memory test, this result may be due to cognitive impairment rather than language issues. If, instead, we attribute poor performance to language competence, an increased risk of false negative diagnosis may arise.

Acute psychosocial challenge and cardiac autonomic response in women: the role of estrogens, corticosteroids, and behavioral coping styles.

Theoretical statements, as well as clinical and experimental data, suggest that the amplitude of cardiovascular reactivity to acute stressors can be a good predictor of preclinical and clinical cardiovascular states. The aim of the present study is to investigate the role of estrogens, the hypothalamic-pituitary-adrenocortical activity, and the behavioral profile in individual cardiac autonomic reactivity to brief laboratory stressors in women. Thirty-six adult, healthy women were exposed to a stress interview and a mental task test, each lasting 5 min. They were assigned to two experimental groups: D4, i.e. 4 days after menses beginning (follicular phase, n=18), and D14, i.e. 14 days after menses beginning (ovulatory phase, n=18). The cardiac measurements in the baseline, stress and recovery periods consisted in heart rate (average R-R interval) and parasympathetic tone (r-MSSD) quantification, while the HPA axis activity and stress reactivity were assessed via plasma cortisol and dehydroepiandrosterone concentrations. The ethological profile during the interview was drawn by means of non-verbal behavior analysis. The cardiac, adrenocortical and behavioral responses to the two stressors were similar in groups D4 and D14, despite significantly higher estradiol levels in the latter. Subjects with higher pre-stress cortisol levels had higher heart rate and lower vagal activity in the baseline, stress and recovery phases. Women showing higher level of submission were characterized by higher heart rate acceleration and vagal withdrawal during both the interview and the recovery phase. In addition, the subjects that exhibited greater displacement during the interview were also characterized by lower heart rate increments and less pronounced vagal suppression during post-stress recovery. In conclusion, the present results do not support a clear buffering role of estrogens in cardiovascular response to acute stressors. However, they confirm that baseline HPA axis activity can be predictive of cardiac autonomic activity and stress responsiveness. They also highlight the modulating role of the individual style of behavioral coping in cardiac sympathovagal stress reactivity. Therefore, the objective assessment of the individual behavioral profile via the analysis of non-verbal communication patterns might represent a powerful tool for identifying subjects with higher risk of cardiac events.