The aim is to provide meta-analytical evidence on eHealth interventions’ efficacy in supporting the psychosocial and physical well-being of adults with type 1 or type 2 Diabetes Mellitus (DM), and to investigate differences in interventions primarily targeted at providing glycemic control vs. psychosocial support. A PRISMA-guided systematic search was conducted. Randomized Controlled Trials (RCTs) regarding eHealth interventions for adults (18–65 years) with DM were included. Data were pooled using Standard Mean Difference (SMD); sub-group analysis and meta-regressions were performed when appropriate. Outcomes were Hemoglobin A1c (HbA1c), diabetes distress, quality of life, anxiety, stress, and depression. Intervention acceptability was assessed performing the Odds Ratio (OR) of drop-out rates. Thirteen RCTs comprising 1315 participants were included (52.09% females; Mage = 46.18, SD = 9.98). Analyses showed intervention efficacy on HbA1c (SMD = −0.40; 95% CI = −0.70, −0.12; k = 13) and depressive symptoms (SMD = −0.18; 95% CI = −0.33, −0.02; k = 6) at RCTs endpoint and were well accepted (OR = 1.43; 95% CI = 0.72, 2.81; k = 10). However, efficacy on HbA1c was not maintained at follow-up (SMD = −0.13; 95% CI = −0.31, 0.05; k = 6). eHealth interventions providing medical support were acceptable and effective in fostering glycemic control and decreasing depressive symptoms in the short-term only. Digital solutions should be developed on multiple levels to fully support the psychophysical well-being of people with DM.

The current systematic review aimed to evaluate the variables influencing foster parents’ parenting stress, distress and parenting style, thereby supporting their adjustment and well-being as well as that of foster children. A PRISMA-guided search was conducted in three databases. Observational studies examining parenting stress, parenting distress (subsuming anxiety, depression and stress symptoms) and parenting style—all assessed through validated tools—were considered. A total of 16 studies were included, comprising N = 1794 non-relative foster parents (age range = 30–67 years). Results showed heightened parenting stress over time, both overall and compared to parents at large. Neither foster parents’ nor foster children’s socio-demographic characteristics significantly contributed to the increase in parenting stress; yet child-related stress and children’s externalizing problems were its main predictors. Foster parents’ couple cooperation was associated with reduced parenting stress. Moreover, the authoritative parenting style was associated with parental warmth, while the authoritarian style was associated with foster parents’ greater perceived burden, greater criticism and rejection toward the foster child. Evidence supports the mutual influence between foster parents and children. Foster care services should support foster parents’ needs within a concentric modular system, to ultimately provide better care for both foster parents and children.

The Covid-19 pandemic and its related restriction measures might negatively impact diabetes management and well-being of adolescents with Type 1 Diabetes Mellitus (T1DM) and their caregivers. Accordingly, the present scoping review is aimed at mapping the literature in line with the question “How has the Covid-19 influenced diabetes management and well-being of adolescents with T1DM and their caregivers?”. A systematic search has been conducted through three academic databases. Studies carried out during the Covid-19 pandemic focused on adolescents aged between 10 and 19 years with T1DM and/or their caregivers were included. A total of 9 studies, performed between 2020 and 2021, have been identified. In particular, N = 305 adolescents with T1DM and N = 574 caregivers were considered. Overall, studies were not specific in reporting adolescents’ age, and only 2 studies were primarily focused on the adolescent population with T1DM. In addition, studies were mainly focused on evaluating adolescents’ glycemic control, which remained stable or has improved throughout the pandemic. Contrarily, psychosocial variables have been marginally considered. Indeed, only one study investigated adolescents’ diabetes distress, which remained stable from pre-to during post-lockdown, albeit improving among girls, specifically. As regards caregivers of adolescents with T1DM, studies showed mixed results concerning their psychological state during the Covid-19 pandemic. Prevention measures, which are aimed at supporting adolescents with T1DM during the lockdown, were considered by one study only, showing the favorable role of telemedicine during lockdown for adolescents’ glycemic control. Altogether, the current scoping review has identified many shortcomings of the available literature, which are given by the limited specificity of the age group considered and by the limited consideration of psychosocial variables, particularly their interplay with the medical ones.

Background Pregnancy is a complex period that implies many biopsychosocial changes, and the way women adapt to these changes impacts their well-being and the chances of developing mental health problems. During the perinatal period, women have expressed a preference for support delivered on the web. In this regard, interventions such as behavioral activation (BA), which are brief and structured psychosocial interventions, seem particularly suited to be delivered through digital solutions. Objective This study aimed to map the literature investigating digital BA interventions deployed during the perinatal period. We paid particular attention to the methodological underpinnings of the studies, the potential impact of BA interventions on symptoms other than depression, and the existence of differences occurring when these interventions were administered during pregnancy versus the postpartum period. Methods A systematic search compliant with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews) guidelines was conducted considering 5 bibliographic databases; reference lists and key journals were also screened by 2 independent authors following a double-blind approach. Results A total of 7 studies published between 2013 and 2022 were included. In total, 2 studies were protocols for randomized controlled trials, 5 were empirical studies, and 1 was a qualitative study. All studies focused on the postpartum period, except for 1 that focused on the broader perinatal period. Promising effects on depression symptoms were reported but not on other psychosocial symptoms. Low intervention adherence has emerged, whereas the usability associated with the digital means used to deploy interventions was scarcely addressed; moreover, information on the digital platforms used was poorly reported overall. Conclusions Our findings highlight the scarcity and preliminary nature of digital BA interventions deployed during the perinatal period, where the focus seems more on treatment rather than prevention. Moreover, future studies should also consider and address usability and user engagement, given their relevance to intervention efficacy.

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The role of interpretation as a core intervention promoting good outcomes in psychotherapy is well acknowledged and established. Nevertheless, evidence of the role of interpretative interventions in promoting patients’ change dynamic is still lacking. The present work, a good outcome psychotherapy single case study, focuses on how different interpretative modalities support different patients’ intrapsychic dynamics implied in changing affective experience interpretation and clinical success. The grid of the models of interpretation (GMI) and the Discourse Attributes Analysis Program (DAAP) were applied to all therapy transcripts (N = 76 sessions) in order to detect, respectively, the interpretative models enacted by the therapist and patients’ intrapsychic processes subtending affects elaboration. Two different regression models tested the role of interpretative interventions in promoting specific processes supporting patients’ affective elaboration. A further regression model then highlighted a specific configuration in the clinical course in processes promoting affect elaboration. Results are discussed, offering cues for a clearer understanding of the role of the therapist’s interpretative interventions in promoting the clinical dynamics, thereby paving the way for the change process.

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BACKGROUND Pregnancy is a complex period implying many bio-psycho-social changes and the way women adapt to these changes impacts on their well-being and on the chances of developing mental health problems. Women, during the perinatal period, have expressed a preference for support delivered online. In this regard interventions such as Behavioral Activation (BA), which are brief and structured psychosocial interventions, seem parituclarly suited to be delivered through digital solutions. OBJECTIVE Accordingly, this scoping review intended to map the literature investigating digital BA interventions deployed during the perinatal period. Particular attention was posed on the studies’ methodological underpinning, the potential impact of BA interventions on symptoms other than depression, and the existence of differences occurring when these interventions were administered during pregnancy vs. the postpartum period. METHODS A systematic search compliant with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) extension for Scoping Reviews (PRISMA-ScR) guidelines was conducted considering five bibliographic databases; reference lists and key journals were also screened by two independent authors following a double-blind apporach. RESULTS A total of 7 studies, published between 2013 and 2022, were included. Two studies were protocols for randomized controlled trials, five were empirical studies and one was a qualitative study. All studies focused on the postpartum period, except one which focused on the broader perinatal period. Promising effects on depression symptoms were reported, yet not on other psychosocial symptoms. Low intervention adherence has emerged, while the usability associated with the digital means used to deploy interventions was scarcely addressed; moreover, information on the digital platforms used was poorly reported overall. CONCLUSIONS Taken together, findings were useful in highlighting the scarcity and preliminary nature of digital BA interventions deployed during the perinatal period, whereby the focus seems more on treatment than prevention. Moreover, future studies should also consider and address usability and user engagement, given their relevance to interventions' efficacy.