Il benessere psicologico dei caregiver di pazienti con gravi disturbi psichiatrici: uno studio osservazionale

2021 ◽  
pp. 81-101
Author(s):  
Francesca Pierazzuoli ◽  
Elisa Gatti ◽  
Laura Gorla ◽  
Giacomo Tognasso ◽  
Alessandra Santona

La presente ricerca esplora alcune caratteristiche psicologiche presenti nei fratelli con funzione di caregiver di pazienti con gravi patologie psichiche. Gli autori si focalizzano su aspetti quali la percezione della relazione con le figure genitoriali, le esperienze traumatiche, i tratti di personalità e alcune caratteristiche psicosociali. Il campione è costituito da 60 partecipanti: 30 fratelli di persone con gravi patologie psichiatriche (Gruppo A), reperiti all'interno di associazioni di fami liari e servizi psichiatrici territoriali, e 30 partecipanti del gruppo di controllo (Gruppo B) reclutati bilanciandoli al gruppo A in termini di caratteristiche; i partecipanti di entrambi i gruppi risultano residenti al Nord Italia. Sono stati impiegati i seguenti questionari self-report: il Parental Bonding Instrument- PBI, il Minnesota Multiphasic Personality Inventory 2-MMPI-2, l'Inventario delle Esperienze Traumatiche- TEC e un Questionario anamnestico. I risultati mettono in luce come i fratelli caregiver di persone con grave disagio psichico presentino diverse caratteristiche peculiari rispetto al gruppo di controllo; ci si riferisce, in particolare, alle caratteristiche della struttura familiare, alle difficoltà relazionali con le figure genitoriali e alle esperienze traumatiche vissute a livello familiare.

2000 ◽  
Vol 86 (1) ◽  
pp. 3-14 ◽  
Author(s):  
Karl Stukenberg ◽  
Charles Brady ◽  
Nadya Klinetob

The Minnesota Multiphasic Personality Inventory–Second Edition includes a new validity scale, the VRIN scale, intended to detect random responding. High scores are viewed as casting suspicion on the validity of the profile. For the present study, the authors evaluated some of the complexities of the VRIN scale including its interaction with the F scale. In particular, we tested two hypotheses. First is that among psychotically disturbed test takers, some inconsistent responding is an integral and expected mode of responding to a self-report measure. That is, in an inpatient psychiatric population increased confused responding (high VRIN score) is related in predictable ways to increased endorsement of pychotic scales and two-point codes and to increased psychotic diagnoses. The second hypothesis is a corollary—that the absence of inconsistency (low VRIN) in a protocol indicating acute distress (high F) may indicate that a respondent is being too consistent in presenting self as having severe difficulties. In this case, the rest of the protocol may be an exaggerated description of the clinical presentation. A sample of 521 psychiatric inpatients was used to evaluate these hypotheses. Some support for both hypotheses is reported. Further studies are recommended to evaluate the hypotheses.


2004 ◽  
Vol 35 (3) ◽  
pp. 387-393 ◽  
Author(s):  
KAY WILHELM ◽  
HEATHER NIVEN ◽  
GORDON PARKER ◽  
DUSAN HADZI-PAVLOVIC

Background. The Parental Bonding Instrument (PBI) measures the perception of being parented to the age of 16 years. Low scores on the care dimension and high scores on the overprotection dimension are considered to be risk factors of depression. While the PBI has been shown to be a reliable and valid instrument, the stability of the PBI over extended periods (taking into account individual characteristics and life experience) needs to be demonstrated.Method. The PBI was measured in a non-clinical cohort on four waves between 1978 and 1998, along with a series of self-report measures including state depression and neuroticism. Differences in PBI change over time were examined by gender, lifetime major depression diagnosis, and life event variables, as well as by scores on neuroticism and state depression.Results. Acceptable retest coefficients on PBI scores over the 20-year study were found for the cohort. No differences were found in PBI scores over time on the variables examined, including sex and depression measures.Conclusions. The results indicate long-term stability of the PBI over time. The influences of mood state and life experience appear to have little effect on the stability of the perception of parenting as measured by the PBI. The present study increases confidence in the PBI as a valid measure of perceived parenting over extended time periods.


2015 ◽  
Vol 27 (1) ◽  
pp. 125-137 ◽  
Author(s):  
Anthony M. Tarescavage ◽  
Gary L. Fischler ◽  
Bruce M. Cappo ◽  
David O. Hill ◽  
David M. Corey ◽  
...  

Assessment ◽  
2015 ◽  
Vol 24 (5) ◽  
pp. 555-574 ◽  
Author(s):  
Adam H. Crighton ◽  
Anthony M. Tarescavage ◽  
Roger O. Gervais ◽  
Yossef S. Ben-Porath

Elevated overreporting Validity Scale scores on the Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI-2-RF) are associated with higher scores on collateral measures; however, measures used in prior research lacked validity scales. We sought to extend these findings by examining associations between elevated MMPI-2-RF overreporting scale scores and Personality Assessment Inventory (PAI) scale scores among 654 non–head injury civil disability claimants. Individuals were classified as overreporting psychopathology (OR-P), overreporting somatic/cognitive complaints (OR-SC), inconclusive reporting psychopathology (IR-P), inconclusive reporting somatic/cognitive complaints (IR-SC), or valid reporting (VR). Both overreporting groups had significantly and meaningfully higher scores than the VR group on the MMPI-2-RF and PAI scales. Both IR groups had significantly and meaningfully higher scores than the VR group, as well as lower scores than their overreporting counterparts. Our findings demonstrate the utility of inventories with validity scales in assessment batteries that include instruments without measures of protocol validity.


1989 ◽  
Vol 23 (1) ◽  
pp. 35-47 ◽  
Author(s):  
Jeffrey Cubis ◽  
Terry Lewin ◽  
Fiona Dawes

We examined the characteristics of a self-report measure for assessing perceptions of parents, the Parental Bonding Instrument (PBI), in an adolescent community sample (N = 2,147; mean age = 15.4 years). Using factor analysis, three PBI dimensions were identified — the original Care factor and two Protection factors: perceived social control and personal intrusiveness. Important sex differences were found which were not evident in the two factor structure recommended by Parker [1, 2]. Relative to sons, daughters saw their fathers as more personally intrusive and their mothers as less socially controlling and much more caring. Overall, adolescents perceived mothers as more caring but more personally intrusive than fathers. Adolescents who saw their father as uncaring and their mother as controlling tended to have the least positive psychosocial profiles.


Assessment ◽  
1997 ◽  
Vol 4 (2) ◽  
pp. 193-205 ◽  
Author(s):  
Robert P. Archer ◽  
David E. Elkins ◽  
Robert Aiduk ◽  
Richard Griffin

Several hundred special or supplementary scales were created for the original Minnesota Multiphasic Personality Inventory (MMPI). At the time of the release of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) in 1989, 15 supplementary scales were included in, or developed for, this revised test. The degree to which the MMPI-2 supplementary scales provide either new information or data that are redundant with that already provided by the MMPI-2 basic scales has not been investigated in prior research. The current study examines the incremental validity of the MMPI-2 supplementary scales in a sample of 597 adult psychiatric inpatients using criterion measures composed of other self-report instruments and clinicians' ratings of psychopathology. MMPI-2 basic and supplementary scale data were entered in a series of hierarchical regression analyses to statistically evaluate the degree to which the supplementary scales provided incremental contributions in the prediction of variance on outcome measures. These results were compared with levels of prediction achieved by forced entry of all 13 of the basic scales and with incremental variance produced by the assignment of random 7-score values to the supplementary scales. Major findings indicate that the inclusion of supplementary scale data only marginally increased the proportion of variance accounted for in external criterion variables.


2019 ◽  
Author(s):  
Michael Carnovale ◽  
Martin Sellbom ◽  
Michael Bagby

The eleventh edition of the International Classification of Diseases and Related Health Problems (ICD-11), recently approved by the World Health Organization, contains a new diagnostic approach for personality disorders. This approach partly involves the consideration of five dimensional trait domain qualifiers – Negative Affectivity, Detachment, Dissocial, Disinhibition, and Anankastia. Oltmanns and Widiger (2018) recently developed a self-report measure, the Personality Inventory for ICD-11 (PiCD), to assess the five domains; however, further examination of the psychometric properties of the PiCD is warranted due to its limited research base. The present study aimed to further examine the reliability, structural and concurrent validity, and method variance of the PiCD in an ethnically-diverse undergraduate sample (N = 518), who were also administered the Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI-2-RF). First, results suggested that the PiCD domain scales exhibited adequate internal consistency reliability via coefficient categorical omega (range = .77 - .87). Next, exploratory structural equation modeling results suggested support for a four-factor solution, with the fourth factor thought to represent a bipolar continuum of Anankastia to Disinhibition severity. Random-intercept factor analysis results suggested a small amount of variance in items (4.88%) attributable to idiosyncratic scale usage. Lastly, relations between PiCD domains and MMPI-2-RF scales (PSY-5 and Higher-Order scales) provided support for the validity of the Negative Affectivity, Detachment, and Dissocial domains, though relatively less support for Disinhibition and Anankastia. Further examination of other psychometric properties and the nomological network of the PiCD is recommended.


Crisis ◽  
1999 ◽  
Vol 20 (4) ◽  
pp. 164-170 ◽  
Author(s):  
Elizabeth L McGarvey ◽  
Ludmila A Kryzhanovskaya ◽  
Cheryl Koopman ◽  
Dennis Waite ◽  
Randolph J Canterbury

This study examines the relationships between the bonding style of an incarcerated adolescent with parents and his/her current feelings of self-esteem, hopelessness, and suicidal thoughts and attempts. It also investigates differences between bonding to mother and bonding to father. Some 296 incarcerated adolescents were interviewed using the Parental Bonding Instrument. Significant relationships were found between youths' self-esteem, hopelessness, and suicidal behavior and their bonding style. Youths whose parent(s) had a parental bonding style of affectionless control reported the greatest distress, and youths whose parent(s) had an optimal bonding style reported the least distress. Differences were found between bonding styles with the mother and with the father. Attachment theory may be useful in targeting incarcerated youths who have affectionless control bonding with parent(s) for special interventions since these youths are most at risk for psychosocial problems.


2014 ◽  
Vol 30 (2) ◽  
pp. 110-116 ◽  
Author(s):  
Paolo Roma ◽  
Federica Ricci ◽  
Georgios D. Kotzalidis ◽  
Luigi Abbate ◽  
Anna Lubrano Lavadera ◽  
...  

In recent years, several studies have addressed the issue of positive self-presentation bias in assessing parents involved in postdivorce child custody litigations. The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) is widely used in forensic assessments and is able to evaluate positive self-presentation through its Superlative Self-Presentation S scale. We investigated the existence of a gender effect on positive self-presentation bias in an Italian sample of parents involved in court evaluation. Participants were 391 divorced parents who completed the full 567-item Minnesota Multiphasic Personality Inventory-2 during child custody evaluations ordered by several Italian courts between 2006 and 2010. Our analysis considered the S scale along with the basic clinical scales. North-American studies had shown no gender differences in child custody litigations. Differently, our results showed a significantly higher tendency toward “faking-good” profiles on the MMPI-2 among Italian women as compared to men and as compared to the normative Italian female population. Cultural and social factors could account for these differences.


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