Search

Non-suicidal self-injury (NSSI) in young adults is recognized as a major public health concern. Some studies have identified cumulative childhood maltreatment (CCM) as a significant vulnerability factor for NSSI, although the nature of this association remains unclear. Specifically, some theorists have investigated the role of perceived social support (PSS), considered an important factor closely associated with both CCM and NSSI. The aim of the current study was to simultaneously investigate the potential mediating and moderating role of PSS from family and friends in the association between CCM and NSSI in a university student sample. Participants were 474 students (73.4% female; Mage = 21.61, SD = 1.92) attending a state university in southern Italy (Sicily) who completed self-report questionnaires regarding childhood trauma, non-suicidal self-harming behaviors, and PSS. The mediation model showed that CCM was significantly and positively linked to NSSI through perceived support from family, so that the higher the CCM, the lower the perceived support from family and, consequently, the higher the presence of NSSI behaviors. Moreover, the moderating model indicated that perceived support from friends buffered the relation between CCM and NSSI. These findings expand our understanding of the role of PSS in the relation between CCM and NSSI. Specifically, the perception of family support may be affected by early maltreatment experiences, increasing the risk of NSSI (mediation), whereas it seems that perceived friends support operates as a stress buffer, mitigating the deleterious effects of CCM on NSSI (moderation). Methodological limitations and clinical implications of the study are discussed.

Adverse childhood experiences are significant risk factors in the development of adolescent borderline personality disorder symptoms (BPDs). Theorists have posited that two personality vulnerabilities factors, self-criticism and dependency, may inform our understanding of this relationship. However, no research has examined the associations between early negative experiences, personality vulnerabilities, and adolescent BPDs. The current study aimed to identify profiles of dependency and self-criticism to examine the associations of these profiles with cumulative forms of childhood maltreatment (CM) and BPDs as well as to explore the mediating and moderating role of vulnerable personality profiles in the relationship between cumulative CM and BPDs. Two hundred and forty-one nonclinical and clinical adolescents participated in the study (Mage= 16.37,SD= 1.84). The findings indicated three different profiles: average dependent profile, dependent and self-critical profile, and self-critical profile. Individuals in the average dependent profile presented lower levels of CM and BPDs. Mediation analyses showed that relative to the average dependent profile, a higher cumulative CM history predicted a higher probability of belonging in the dependent and self-critical profile or the self-critical profile and, in turn, this was associated with higher levels of BPDs. No moderating effects of profiles of dependency and self-criticism were found.

Many recent studies have explored the potential links between attachment style dimensions, personality vulnerability factors for psychopathology, and psychological and behavioral problems, particularly those along the internalizing and externalizing spectrum. However, previous studies have not examined these links within a structural equation model that can examine multiple predictors and outcomes, and therefore have not fully investigated the specificity of links between these factors. This cross-sectional study examined the mediating role of self-criticism in the relationship between attachment style dimensions and internalizing and externalizing problems. The sample included 420 nonclinical adolescents aged 14–20 years who were recruited in school settings and completed self-reported measures of attachment style dimensions (Attachment Style Questionnaire), self-criticism (Depressive Experiences Questionnaire), and internalizing and externalizing problems (Youth Self-Report). Structural equation modeling was used to test the proposed mediation model and to ascertain direct and indirect effects among study variables. Results shown that self-criticism mediated the link between both attachment avoidance and anxiety, and internalizing problems. Results were not moderated by gender. Results suggest that self-criticism is associated with psychopathology during adolescence, and accounts for the associations of attachment style dimensions with internalizing and externalizing problems.

A number of studies have investigated the role of coping and social support as protective factors for psychosocial adjustment after amputation. In contrast, few have focused on the role of attachment styles. Therefore, the purpose of this study was to examine the relationship between attachment insecurity, social support, coping strategies and negative emotions, such as anxiety and depression, in adult amputees. Sixty-two amputated adults (71% males, 29% females), recruited from the Prosthetic Centre of the Italian Workers’ Compensation Authority, completed the Attachment Style Questionnaire, the Coping Inventory for Stressful Situations, the Multidimensional Scale of Perceived Social Support, the Beck Depression Inventory II and the State-Trait Anxiety Inventory Y. Based on Pearson’s correlations results, we conducted a media- tion analysis to examine whether the association between attach- ment insecurity (i.e., attachment anxiety and attachment avoidance) and negative emotion (i.e. depression, state anxiety and trait anxiety) variables was mediated by emotion-oriented coping. Analyses revealed the role of insecure attachment styles in influencing the use of an emotion-oriented coping strategy in particular. The latter mediated the relationship between attach- ment insecurity, depression and anxiety in adult amputees.

Several studies have demonstrated that child maltreatment (psychological, physical, and sexual abuse, and neglect) may be a significant factor in the development of pathological personality traits that increase the risk for suicidal ideation and behavior from adolescence to adulthood. Currently, the challenge is to understand how different forms of early negative experiences render an individual prone to develop specific personality traits and, in turn, be more vulnerable to suicide risk. To understand the relationship between childhood maltreatment and personality dimensions in suicide risk, our study aims to explore the role of self-criticism and dependency, two different pathological personality traits, as potential mediators of the link between different types of childhood maltreatment and suicide risk in young adults. For this purpose, 306 students from three Italian public universities were recruited. We used the Italian version of the Childhood Experience of Care and Abuse Questionnaire (CECA.Q) to assess experiences of lack of care by parents (i.e., antipathy and neglect) as well as psychological and physical abuse before the age of 17 years. The Depressive Experiences Questionnaire (DEQ) was used to assess the personality dimensions of self-criticism and dependency, and the Suicide History Self-Rating Screening Scale was administered to assess suicide risk. Results revealed that lack of care and psychological abuse were significantly associated with suicide risk and this association was partially mediated by the maladaptive personality dimension of self-criticism. These findings suggest that the combined effect of specific forms of dysfunctional parental behavior during childhood and the development of rigid and dysfunctional negative personality traits may increase the risk for suicidal ideation and behavior during adulthood.

The current study evaluated the psychometric properties of the Italian validation of the Depressive Experiences Questionnaire (DEQ), conceived as a measure of self-criticism and dependency, i.e. two personality factors acting, according to Blatt (2004), as risk factors for depression in particular and psychopathology in general. A series of standardized measures [Beck Depression Inventory-II (BDI-II), DEQ, Symptom Checklist-90-R (SCL-90-R), Millon Clinical Multiaxial Inventory, 3rd edition (MCMI-III)] was administered to three samples (i.e., students, community and clinical). Factorial validity was evaluated along with convergent and predictive validity. In order to evaluate the reliability and internal consistency, a specific subgroup of participants was retested on the DEQ and BDI-II. Results showed correlations between DEQ dimensions and some personality traits of the MCMI-III. The traditional three-factor model of the DEQ structure as identified by principal component analysis appears to be as stable factors as typically found in American samples, although some items showed elevated cross-loading or low loadings on any factor. Clinical and diagnostic implications of the findings will be discussed.