Specific mindfulness traits protect against negative effects of trait anxiety on medical student wellbeing during high-pressure periods.

Medical education is highly demanding and evidence shows that medical students are three times more susceptible to deteriorating physical and mental health than the average college student. While trait anxiety may further increase such risk, little is known about the role of trait mindfulness in mitigating these effects. Here we examine the protective role of specific mindfulness facets as mediators in pathways from trait anxiety to perceived stress, psychosomatic burden and sleep-wake quality in medical students, across repeated measurements throughout the first trimester of the school year. Preclinical medical students enrolled in the second year of the Medical School of University of Bologna completed self-report questionnaires examining personality traits as well as physical and psychological wellbeing. Data were collected at the beginning (Time 1: N = 349) and the end of the first trimester (Time 2: N = 305). As students approached the end of the trimester and upcoming exams, reported levels of perceived stress, psychosomatic problems and difficulties in wakefulness increased significantly compared to the beginning of the trimester. Mediation results showed that trait anxiety predicted such outcomes whereas the protective role of mindfulness facets in mitigating these effects was significant only at Time 2. Specific facets of Nonjudging of inner experience and Acting with awareness proved to be the most effective mediators. Findings highlight that the beneficial role of mindfulness facets in mitigating negative consequences of trait anxiety on medical student wellbeing is revealed in high-pressure periods and when self-regulation is needed the most. Cultivating awareness and nonjudgmental acceptance of one's inner experiences is a crucial self-regulation resource that can help medical students sustain their wellbeing as they learn and throughout their high-pressure education and professional careers.

War trauma exposed refugees and posttraumatic stress disorder: The moderating role of trait resilience.

OBJECTIVE: Examining how exposure to pre-migration war related trauma and duration of living in refugee camp can impact on PTSD and psychiatric morbidity, while assessing the moderating role of trait resilience and coping style. METHODS: In a cross-sectional study, exposure to war related trauma and duration of living in refugee camp was evaluated in a sample of 83 asylum seekers and refugees from the Middle East, together with an assessment of PTSD and psychiatric morbidity via self-rating instruments. Trait resilience and coping style were also measured. RESULTS: Eighty-three participants were included in the analysis, 96.4% reported having experienced more than one war related traumatic event while the mean duration of living in refugee camps was 23.6 (SD = 7.6) years. Of the entire sample, 32.5% reached the threshold for clinical presence of PTSD and 38.8% for psychiatric morbidity. Both pre-migration war related trauma (F(1,82) = 24.118, p < .001) and duration of living in refugee camp (F(2,81) = 2.511, p = .008) were significantly associated with PTSD. Trait resilience moderated effects of high-profile trauma exposure on PTSD severity, R2 = 0.26, MSE = 0.547, F(3,79) = 9.6357, p < .0001, with higher resilience levels weakening the effect of traumatic exposure on PTSD development. CONCLUSIONS: Our results shed light on the ways that resilience can influence the relationship between war trauma exposure and PTSD symptoms. Findings support the role of resilience-based interventions in order to bolster resilient functioning and optimize treatment of this disadvantaged and highly distressed population.

HrQoL in hair loss-affected patients with alopecia areata, androgenetic alopecia and telogen effluvium: the role of personality traits and psychosocial anxiety.

BACKGROUND: Illness impact on HrQoL has been widely studied in hair loss-affected patients, yet no study has addressed whether individual differences modulate HrQoL in patients with alopecia areata (AA), androgenetic alopecia (AGA) and telogen effluvium (TE). OBJECTIVE: To identify the personality dimensions most predictive of the impact of disease on HrQoL. METHOD: A single-site cross-sectional study was carried out in the Dermatology Unit of Sant'Orsola-Malpighi Hospital, Bologna between September 2016 and September 2017. The study included 143 patients (105 females, ages 18-60 years) diagnosed with AA (n = 27), AGA (n = 80) and TE (n = 36). Illness severity, alopecia type, age, gender, education and civil status were documented. Health-related quality of life (HrQoL), personality traits, trait anxiety, emotional intelligence, social anxiety and social phobia were also measured. RESULTS: AA, AGA and TE groups differed significantly for illness severity with most severe patients falling in AA type. For HrQoL, Gender × Group interaction resulted significant with AGA females reporting a higher impact of hair loss on quality of life than males, while TE males were more impacted by hair loss than AA and AGA males. Lower scores were obtained by AGA females than males on emotional intelligence while no significant differences were evidenced on other groups. A significant Gender × Group interaction was also found for trait anxiety, social phobia and social anxiety: consistently, AGA females reported higher scores than AGA males in all three measures. Finally, discriminant analysis evidenced that anxiety-related traits can contribute to reliably predict hair loss impact on HrQoL, regardless of illness severity and alopecia type. CONCLUSIONS: We recommend that gender and individual differences in anxiety-related dimensions be considered as key factors in gaining a deeper understanding of hair loss impact on quality of life as well as in reducing the burden of illness in alopecia-affected patients.

Asymmetric spike-timing dependent plasticity of striatal nitric oxide-synthase interneurons.

Corticostriatal projections constitute the major inputs to basal ganglia, an ensemble of sub-cortical nuclei involved in the learning of cognitive-motor sequences in response to environmental stimuli. Besides striatal output neurons (medium-sized spiny neurons, MSNs) in charge of the detection of cortical activity, three main classes of interneurons (GABAergic, cholinergic and nitric oxide (NO)-synthase interneurons) tightly regulate the corticostriatal information transfer. Despite the crucial role of NO on neuronal signaling and synaptic plasticity, little is known about corticostriatal synaptic transmission and plasticity at the level of striatal neuronal nitric oxide synthase (nNOS) interneurons. Using a corticostriatal rat brain slice preserving the connections between the somatosensory cortex and the striatal cells, we have explored the synaptic transmission between the cerebral cortex and striatal nNOS interneurons and their capability to develop activity-dependent long-term plasticity based on the quasi-coincident cortical and striatal activities (spike-timing dependent plasticity, STDP). We have observed that cortical pyramidal cells activate monosynaptically and very efficiently the striatal nNOS interneurons. In addition, nNOS interneurons are able to develop strong bidirectional long-term plasticity, following STDP protocols. Indeed, the strength of cortically-evoked response at nNOS interneurons varied as a function of time interval between pre- and postsynaptic activations (Deltat=t(post)-t(pre)). For Deltat<0, excitatory post-synaptic currents (EPSCs) were depressed, peaking at a delay of -25 ms. For Deltat>0, EPSCs depressed for 00 and long-term potentiation (LTP) induced by "late" Deltat>0.

Factores de riesgo en el síndrome de muerte súbita del lactante y en el síndrome de muerte súbita e inesperada de la infancia: diferencias y similitudes / No disponible

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