In Italy, a large outbreak of coronavirus disease 2019 (COVID-19) occurred from 2020 January 30, before the World Health Organization has stated that it is a pandemic. The nationwide quarantine had the desired impact of controlling the epidemic, although had presented many challenges, given its large economic and social costs. Complete adherence to recommendations can potentially decelerate and reduce infectious disease outbreaks. To date, it is not clear how compliant the Italian public has been with voluntary home quarantine, neither which factors have influenced an individual's decision to comply with a quarantine order. The purposes of this study were to investigate the degree of the adherence to quarantine restrictions and the factors associated with the self-reported adherence. During the third week of the national lockdown, 3,672 Italian quarantined adult residents (65% females; range, 18-85 years) participated in an online cross-sectional survey focused on the risk perception of contracting COVID-19 and their reported adherence to quarantine protocols. Analysis of variance showed significant differences among demographic groups in tendency to comply with quarantine orders, with women, most educated people, residents of Southern Italy, middle-aged individuals, and health workers more likely to adhere to quarantine guidelines. As well, participants exhibiting the perception, anxiety, and susceptibility of risk of contracting COVID-19 disease were found significantly more likely to adhere to quarantine guidelines. The results of this study can help public health policy makers to recognize target populations for COVID-19 prevention and health education and to understand how inform communication strategies aimed at minimizing the impact and spread of the disease.

External shame is associated to social and emotional difficulties, which are predictors of psychological disorders. The aim of the present study was to investigate the psychometric properties of the shorter Italian version of the Other As Shamer Scale (OAS-2), a measure of external shame. Confirmatory factor analysis was used in a sample of 612 (54.2% male) Italian undergraduate students. Evidence for this model provided support for the assumption that the one-factor model was similar across the gender groups. The Italian OAS-2 fully replicated the one-factor structure of the original OAS. Cronbach's alpha index, as well as test-retest stability provided satisfactory results. The OAS-2 showed good convergent and divergent validity, being highly correlated with measures of internal shame, trait anxiety, and depression. The OAS-2 can be considered a useful instrument for measuring external shame when time constraints impede the use of the 18-item OAS. Implications of the results are discussed and recommendations for future work with the scale are made.

BackgroundThis study investigated maladaptive cognitive schemas as mediators of the relationship between co-rumination and anxiety.MethodsSelf-report measures of co-rumination, trait cognitive and somatic anxiety, and early maladaptive cognitive schemas were provided to a nonclinical sample of 461 young adults. Mediation of co-rumination and trait somatic and cognitive anxiety by each early maladaptive schema domain was tested using nonparametric, bootstrap-based resampling.ResultsSignificant associations between co-rumination and trait and cognitive anxiety were mediated by schema domains related to Rejection and Disconnection, Overvigilance and Inhibition, and Impaired Autonomy. The association between co-rumination and somatic anxiety was mediated by domains related to Rejection and Disconnection and Impaired Autonomy.ConclusionThe results of this study showed that those who engage in co-rumination, potentially resulting in clinical levels of anxiety, might benefit from treatment that focuses on themes of rejection sensitivity and belonging, beliefs about autonomy, and when the anxiety is more cognitive, treatment that focuses on hypercriticalness and emotional inhibition too.

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