Contribution of Analyses on Triadic Relationships to Diagnostics and Treatment Planning in Developmental Psychopathology

Gatta, Michela; Miscioscia, Marina; Simonelli, Alessandra; Sudati, Laura; Sisti, Marta; Comis, Ilaria; Battistella, Pier Antonio

doi:10.1177/0033294116688454

Cited by 10 publications

(10 citation statements)

References 20 publications

(21 reference statements)

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“…In addition, future perspectives could try to replicate the moderating effect of gender on the association between alexithymia and treatment outcome. Also, not only can observers' ratings of alexithymia improve our understanding of the concept, but so can integration with other fields of study, such as family functioning (Gatta et al, 2017 ), endocrine functioning (Riem et al, 2017 ), and brain activity (De Carli et al, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

Alexithymia in Young Adults With Substance Use Disorders: Critical Issues About Specificity and Treatment Predictivity

et al. 2018

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Several studies have reported high rates of alexithymia in drug-dependent individuals, but supporting evidence attests association between alexithymia and a variety of psychiatric disorders, raising doubts about its specificity. Moreover, controversies are emerging about alexithymia assessment: self-report measures present shortcomings with respect to discriminant validity and reliability. As regards treatment for substance use disorders (SUDs), alexithymia has been linked to poorer outcomes, but the results are inconsistent. The aim of the present study is to investigate alexithymia in substance-dependent young adults by examining: (a) the specificity of alexithymia in drug-dependent inpatients, compared to healthy individuals and patients with psychiatric disorders (behavioral and emotional disorders) and (b) the predictivity of alexithymia in determining treatment outcomes in terms of relapses, drop-outs from treatment and the rate of relapse per month of treatment. Two studies were conducted to fulfill these aims: Study 1 and Study 2. Study 1 involved 90 late adolescents, aged 17–21. To fulfill the first aim, 30 inpatients diagnosed with SUD were compared with 30 healthy controls and 30 individuals referred to an outpatient neuropsychiatric unit (a). The participants completed the Toronto Alexithymia Scale−20 (TAS-20) and the Symptom Checklist-90-Revised (SCL-90-R). The results indicated that both clinical groups reported higher TAS-20 scores than the non-clinical subjects, but they did not differ from each other (a); moreover, a large correlation was detected between alexithymia and depressive symptoms, as assessed by the SCL-90-R. Study 2 involved 55 inpatients with SUD recruited in a therapeutic community. The participants completed the TAS-20, and clinicians filled out the Observer Alexithymia Scale (OAS). No association was found between self-report and observational measures. Neither self-reported nor observed alexithymia predicted the number of relapses, drop-out from treatment, or the rate of relapses per month of treatment (b). When the interaction with gender was explored, the global score of alexithymia and the “Distant” OAS subscale predicted the number rate relapses only in males. The TAS-20 did not discriminate between the clinical groups. The limited ability of both observed and self-reported measures in predicting treatment outcome raises questions on the specificity of alexithymia among the substance-dependent inpatient population.

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Section: Discussionmentioning

confidence: 99%

Alexithymia in Young Adults With Substance Use Disorders: Critical Issues About Specificity and Treatment Predictivity

et al. 2018

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“…The LTP procedure aims to bring to light a family’s limits, but even more its resources, so that the intervention can then be planned taking the latter into account. 105 , 106 Parents’ capacity of emotional and interactive coordination can be reinforced to create a positive climate where affect can be authentically expressed and shared, and this could certainly be a protective factor, and when treatments are needed, a good basis for building a positive working alliance is finalized to caregiving experience improvement. 107 – 109 …”

Section: Discussionmentioning

confidence: 99%

Triadic interactions in families with preterm children: a comparative study with children born at term

Gatta¹,

Miscioscia²,

Svanellini³

et al. 2017

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The relationship between parents and infants born preterm is multifaceted and could present some relational patterns which are believed to predict psychological risk more than others. For example, insensitive parenting behavior has been shown to place very preterm children at greater risk of emotional and behavioral dysregulation. The main objective of this study was to compare the quality of family interactions in a sample of families with preterm children with one of the families with at-term children, exploring possible differences and similarities. The second aim of this research was to consider the associations among family interactions and parental empowerment, the child’s temperament, parenting stress, and perceived social support. The sample consisted of 52 children and their families: 25 families, one with two preterm brothers with preterm children (mean 22.3 months, SD 12.17), and 26 families with children born at term (mean 22.2 months, SD 14.97). The Lausanne Trilogue Play procedure was administered to the two groups to assess the quality of their family interactions. The preterm group was also administered the Questionari Italiani del Temperamento, the Family Empowerment Scale, the Multidimensional Scale of Perceived Social Support, and the Parenting Stress Index – Short Form. Differences in the quality of family interactions emerged between the preterm and at-term groups. The preterm group showed significantly lower quality of family interactions than the at-term group. The parenting stress of both parents related to their parental empowerment, and maternal stress was also related to the partner’s parental empowerment. Social support had a positive influence on parenting stress, with maternal stress also related to perceived social support from the partner, which underscores the protective role of the father on the dyad.

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“…Alongside an individual child psychodynamic and/or psychoanalytic psychotherapy, an area of good practice includes sessions of parallel parent work (24); furthermore the existing literature highlights how helpful and relevant it is to establish a good relationship with the family to promote the child's development, as highlighted by a number of authors (25)(26)(27)(28)(29)(30)(31).…”

Section: Theoretical Backgroundmentioning

confidence: 99%

Effectiveness of Brief Psychodynamic Therapy With Children and Adolescents: An Outcome Study

et al. 2019

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Studies on the effectiveness of child and adolescent psychotherapy treatments provided by the Italian National Health Service lag behind, while the scientific community has rather focused on the value of cognitive-behavioral psychotherapeutic approaches. This paper evaluates the effectiveness of a one year psychodynamically-oriented intervention with children and adolescents-aged between 6 and 18 years (M = 12.08, SD = 3.7)-and their parents, carried out in a Child and Adolescent Neuropsychiatric Service (SCIAF), part of the Italian National Health System. Following a psychodiagnostic assessment, two types of therapeutic intervention were offered: children and adolescents allocated to Group 1 (N = 26) were offered individual psychodynamic psychotherapy alone, whilst youths in Group 2 (N = 31) were offered individual psychotherapy, accompanied by parental support. This study examines the effects of this time-limited (12 month) psychodynamically-oriented psychotherapy in terms of improvements in patients' symptoms (measured on the Achenbach's questionnaires: Child Behavior Checklist and Youth Self-Report 11-18). This study also examines the effects of treatment on parents' perception of their family empowerment. This domain is measured on the Family Empowerment Scale (FES). Our findings seem to be partly in line with published studies according to which poor parenting (i.e., characterized by lack of warmth, a rigid and/or negative parenting style, poor monitoring of the children, etc.) would be positively associated with Externalizing problems in childhood. Our preliminary findings suggest that brief psychodynamic therapy seemed to show positive outcomes in both "Internalizing" and "Externalizing" difficulties, accounting for age-related differences, ICD-10 (1) diagnoses, and the types of treatment offered. However, no statistically significant changes were detected in the parents' perceptions of empowerment at 12 months.

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Contribution of Analyses on Triadic Relationships to Diagnostics and Treatment Planning in Developmental Psychopathology

Cited by 10 publications

References 20 publications

Alexithymia in Young Adults With Substance Use Disorders: Critical Issues About Specificity and Treatment Predictivity

Alexithymia in Young Adults With Substance Use Disorders: Critical Issues About Specificity and Treatment Predictivity

Triadic interactions in families with preterm children: a comparative study with children born at term

Effectiveness of Brief Psychodynamic Therapy With Children and Adolescents: An Outcome Study

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