Background: The association between traumatic experiences, different forms of emotion dysregulation and problematic technology uses is well established. However, little is known about the role of childhood traumatic experiences and reflective functioning in the onset and maintenance of mobile phone addiction symptoms among adolescents. Methods: Self-reported measures on childhood traumatic experiences, reflective functioning, and Problematic Mobile Phone Use (PMPU) were administered to 466 high school students (47.1% females) aged 13-19 years old. Participants also reported the number of hours per day spent on using a mobile phone. Results: Hierarchical multiple regression analyses showed that increased time spent on the mobile phone, low reflective functioning scores and high childhood trauma scores predicted PMPU scores in the sample. Moreover, two gender-specific pathways were found. Among males, PMPU was positively related to time spent on mobile phone and childhood traumatic experiences and negatively related to reflective functioning. Among females, PMPU was negatively associated with time spent on mobile phone for video gaming and with reflective functioning. Conclusion: These results might have relevant clinical implications in highlighting the importance of planning gender-tailored interventions for adolescents who report mobile phone addiction symptoms.

Introduction: Narcolepsy type 1 (NT1) is a chronic and rare sleep disorder typically arising during adolescence and young adulthood. The main symptoms are excessive daytime sleepiness and cataplexy, a prototypical fall down elicited by huge emotions. Social relationships, school, work, and general health perception are frequently impaired in patients, who often show lower quality-of-life scores. We report which management strategies a young patient (DMG) adopted to cope with NT1 during his growth, avoiding exhibiting serious impairments to his global functioning. Methods: A clinical psychologist explores the history of the patient's disease and the self-acquired strategies used to cope with the symptoms. The patient's global adaptation to the disease, stress-related managing skills, and overall well-being are assessed by standardized scales [Illness Behavior Questionnaire (IBQ); Coping Orientations to Problems Experienced (COPE); and Psychological General Well-Being Index (PGWBI)]. We conducted a qualitative analysis of the patient's narration of his illness according to the procedure of the Grounded Theory. The MAXQDA software program was used to code the verbatim transcript. Results: From the qualitative analysis of the interview, three thematic cores emerged: 1) the disease history; 2) the patient's friendship with AD, a friend of his age diagnosed with NT1 since childhood; 3) the strategies used to deal with his symptoms before the diagnosis of NT1 and the related treatment. From the psychometric tests, the patient presents good coping strategies in dealing with stressful problems and events based mainly on acceptance and positive reinterpretation of the stressful situation. Conclusion: This case shows that comparing peers of the same age and suffering from the same illness improve the patient's self-management ability to cope and live well with NT1.