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6. Psychopathology of insight in obsessive-compulsive disorder

Author

Ottoni, Rebecca, Pellegrini, Clara, Mora, Lorenzo, Marchesi, Carlo, and Tonna, Matteo

Subjects
Psychology and mental health
Abstract

Insight in Obsessive-Compulsive Disorder (OCD) is currently viewed as a dimensional phenomenon, with poor-insight forms posited at the more severe end of a OCD continuum or, alternatively, as expression of an underlying schizophrenia spectrum. Aim of the present study was to evaluate exhaustively the role of clinical features of OCD (severity of obsessions and concomitant depressive symptoms) and of trait conditions (personality traits and basic symptoms of schizophrenia) on the levels of insight over obsessive-compulsive phenomena, adopting a pure dimensional approach. Fifty OCD outpatients were administered the Yale-Brown Obsessive Compulsive Scale (YBOCS), the Brown Assessment of Beliefs Scale (BABS), the Hamilton Rating Scale for Depression (HAM-D), the Frankfurt Complaint Questionnaire (FCQ) and the Structured Clinical Interview for DSM-5 (SCID-5). Current comorbid depressive or psychotic diagnoses represented exclusion criteria. Poor insight was significantly correlated with the severity of obsessive symptoms and with obsessive-compulsive and schizotypal personality traits, while no correlations were found with depressive symptoms or with prepsychotic subjective experiences of schizophrenia. OCD severity resulted the only predictor of poor insight, as confirmed by regression analysis. Therefore, even though poor-insight OCD may underpin different psychopathological pathways, poor-insight is mainly associated with a higher OCD severity., Author(s): Rebecca Ottoni [sup.1] , Clara Pellegrini [sup.1] , Lorenzo Mora [sup.2] , Carlo Marchesi [sup.1] [sup.2] , Matteo Tonna [sup.1] [sup.2] Author Affiliations: (1) Department of Mental Health, Local [...]

Published
2023
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9. Psychotic‐like anomalous self‐experiences in feeding and eating disorders: Their role in eating psychopathology through the mediation of body uneasiness and embodiment and identity disorders.

Author

Ballerini, Massimo, Rossi, Eleonora, Cassioli, Emanuele, Tarchi, Livio, Marchesi, Carlo, Tonna, Matteo, Stanghellini, Giovanni, Ricca, Valdo, and Castellini, Giovanni

Subjects
BULIMIA, EATING disorders, ANOREXIA nervosa, BODY image disturbance, STRUCTURAL equation modeling
Abstract

Background: Psychotic‐like anomalous self‐experiences (ASEs) are core and early features of schizophrenia spectrum disorders, which have been recently also postulated to underlie embodiment disturbance in feeding and eating disorders (FEDs). The present study was aimed at investigating the interplay between ASEs and specific psychopathology in FED. Methods: Ninety persons with Anorexia Nervosa and 41 with Bulimia Nervosa were evaluated with the inventory of psychotic‐like anomalous self‐experiences (IPASE), identity and eating disorders (IDEA), body uneasiness test (BUT), and eating disorder examination questionnaire (EDE‐Q). The same assessment was performed for 92 subjects recruited from the general population. Structural equation modelling was employed to test the role of embodiment/identity disorders in mediating the relationship between ASEs and ED psychopathology. Results: Patients with FED displayed high scores on IPASE, comparable with people with schizophrenia spectrum disorders. A significant correlation was also demonstrated between IPASE, BUT and EDE‐Q. All IPASE domains were strongly related to feeling extraneous from one's own body by IDEA. All IPASE domains demonstrated a high relationship with BUT Depersonalization scale. A strong correlation was also reported between total scores of IPASE and IDEA. The mediation model confirmed that ASEs impact on FED symptomatology through the mediation of both embodiment/identity disorders and body image. Discussion: Anomalous interoceptive processes may represent the first step of a maladaptive process‐impairing embodiment, selfhood, and identity in FED. Assessment of ASEs might be a valid tool to identify an early‐shared vulnerability of severe disorders characterized by embodiment alterations. [ABSTRACT FROM AUTHOR]

Published
2024
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11. The relationship between obsessive-compulsive symptoms and real-life functioning in schizophrenia: New insights from the multicenter study of the Italian Network for Research on Psychoses

Author

Tonna, Matteo, primary, Borrelli, Davide Fausto, additional, Aguglia, Eugenio, additional, Bucci, Paola, additional, Carpiniello, Bernardo, additional, Dell’Osso, Liliana, additional, Fagiolini, Andrea, additional, Meneguzzo, Paolo, additional, Monteleone, Palmiero, additional, Pompili, Maurizio, additional, Roncone, Rita, additional, Rossi, Rodolfo, additional, Zeppegno, Patrizia, additional, Marchesi, Carlo, additional, and Maj, Mario, additional

Published
2024
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18. Disorganization and real-world functioning in schizophrenia: Results from the multicenter study of the Italian Network for Research on Psychoses

Author

Bracale, Nadja, Cardillo, Simona, Brasso, Claudio, Andriola, Ileana, Romano, Raffaella, Caforio, Grazia, Barlati, Stefano, Galluzzo, Alessandro, Deste, Giacomo, Pinna, Federica, Lostia di S. Sofia, Silvia, Lai, Alice, Signorelli, Maria Salvina, Corbo, Mariangela, Baroni, Gaia, Lupi, Matteo, Altamura, Mario, La Montagna, Maddalena, Malerba, Stefania, Murri, Martino Belvederi, Corso, Alessandro, Bugliani, Michele, Pizziconi, Giulia, Rossi, Rodolfo, Serrone, Dario, Giusti, Laura, Ussorio, Donatella, Salza, Anna, Merlotti, Eleonora, Piegari, Giuseppe, Patriarca, Sara, Pietrafesa, Daria, de Bartolomeis, Andrea, Gramaglia, Carla, Gattoni, Eleonora, Marangon, Debora, Grottaroli, Marika, Pigoni, Alessandro, Grassi, Silvia, Cremonese, Carla, Meneguzzo, Paolo, Collantoni, Enrico, Tonna, Matteo, Ossola, Paolo, Gerra, Maria Lidia, Gesi, Camilla, Cremone, IvanMirko, Carpita, Barbara, Brugnoli, Roberto, Comparelli, Anna, Corigliano, Valentina, Di Fabio, Fabio, Buzzanca, Antonio, Girardi, Nicoletta, Niolu, Cinzia, Di Lorenzo, Giorgio, Ribolsi, Michele, Corrivetti, Giulio, Bartoli, Luca, Diasco, Ferdinando, Fagiolini, Andrea, Bolognesi, Simone, Goracci, Arianna, Rocca, P., Galderisi, S., Rossi, A., Bertolino, A., Rucci, P., Gibertoni, D., Montemagni, C., Bellino, S., Aguglia, E., Amore, M., Bellomo, A., Biondi, M., Carpiniello, B., Cuomo, A., D'Ambrosio, E., dell'Osso, L., Girardi, P., Marchesi, C., Monteleone, P., Montemitro, C., Oldani, L., Pacitti, F., Roncone, R., Siracusano, A., Tenconi, E., Vita, A., Zeppegno, P., Steardo, L., Jr, Vignapiano, A., and Maj, M.

Published
2018
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20. The influence of autistic symptoms on social and non-social cognition and on real-life functioning in people with schizophrenia: Evidence from the Italian Network for Research on Psychoses multicenter study

Author

Antonio Vita, Stefano Barlati, Giacomo Deste, Paola Rocca, Alessandro Rossi, Alessandro Bertolino, Eugenio Aguglia, Mario Amore, Antonello Bellomo, Massimo Biondi, Bernardo Carpiniello, Enrico Collantoni, Alessandro Cuomo, Enrico D’Ambrosio, Liliana dell’ Osso, Massimo di Giannantonio, Giulia Maria Giordano, Carlo Marchesi, Palmiero Monteleone, Cristiana Montemagni, Lucio Oldani, Maurizio Pompili, Rita Roncone, Rodolfo Rossi, Alberto Siracusano, Patrizia Zeppegno, Gabriele Nibbio, Silvana Galderisi, Mario Maj, and Italian Network for Research on Psychoses Ceraso Anna University of Brescia Galluzzo Alessandro University of Brescia Lisoni Jacopo University of Brescia Di Palo Piergiuseppe University of Bari Papalino Marco University of Bari Romano Raffaella University of Bari Pinna Federica University of Cagliari Lai Alice University of Cagliari di Santa Sofia Silvia Lostia University of Cagliari Bucci Paola University of Campania “L. Vanvitelli,” Naples Piegari Giuseppe University of Campania “L. Vanvitelli,” Naples Brando Francesco University of Campania “L. Vanvitelli,” Naples Giuliani Luigi University of Campania “L. Vanvitelli,” Naples Signorelli Maria Salvina University of Catania Fusar Poli Laura University of Catania Martinotti Giovanni University of Chieti Pettorruso Mauro University of Chieti Montemitro Chiara University of Chieti Altamura Mario University of Foggia Malerba Stefania University of Foggia Padalino Flavia University of Foggia Amerio Andrea University of Genoa Calcagno Pietro University of Genoa Zampogna Domenico University of Genoa Giusti Laura University of L’Aquila Salza Anna University of L’Aquila Mammarella Silvia University of L’Aquila Pacitti Francesca University of L’Aquila Socci Valentina University of L’Aquila Talevi Dalila University of L’Aquila Gramaglia Carla University of Eastern Piedmont, Novara Feggi Alessandro University of Eastern Piedmont, Novara Jona Amalia University of Eastern Piedmont, Novara Favaro Angela University of Padua Tenconi Elena University of Padua Meneguzzo Paolo University of Padua Ossola Paolo University of Parma Tonna Matteo University of Parma Gerra Maria Lidia University of Parma Carmassi Claudia University of Pisa Gesi Camilla University of Pisa Carpita Barbara University of Pisa Corrivetti Giulio Department of Mental Health, Salerno Cascino Giammarco Department of Mental Health, Salerno del Buono Gianfranco Department of Mental Health, Salerno Di Fabio Fabio Sapienza University of Rome Buzzanca Antonio Sapienza University of Rome Girardi Nicoletta Sapienza University of Rome Brugnoli Roberto Sapienza University of Rome Comparelli Anna Sapienza University of Rome Corigliano Valentina Sapienza University of Rome Fagiolini Andrea University of Siena Bolognesi Simone University of Siena Goracci Arianna University of Siena Di Lorenzo Giorgio Tor Vergata University of Rome Niolu Cinzia Tor Vergata University of Rome Ribolsi Michele Tor Vergata University of Rome Brasso Claudio University of Turin Riccardi Cecilia University of Turin Del Favero Elisa University of Turin

Subjects
autism spectrum disorders, cognition, psychosocial functioning, schizophrenia, social cognition, Psychiatry, RC435-571
Abstract

Abstract Background Autism spectrum disorders (ASDs) and schizophrenia spectrum disorders (SSDs), although conceptualized as separate entities, may share some clinical and neurobiological features. ASD symptoms may have a relevant role in determining a more severe clinical presentation of schizophrenic disorder but their relationships with cognitive aspects and functional outcomes of the disease remain to be addressed in large samples of individuals. Aims To investigate the clinical, cognitive, and functional correlates of ASD symptoms in a large sample of people diagnosed with schizophrenia. Methods The severity of ASD symptoms was measured with the PANSS Autism Severity Scale (PAUSS) in 921 individuals recruited for the Italian Network for Research on Psychoses multicenter study. Based on the PAUSS scores, three groups of subjects were compared on a wide array of cognitive and functional measures. Results Subjects with more severe ASD symptoms showed a poorer performance in the processing speed (p = 0.010), attention (p = 0.011), verbal memory (p = 0.035), and social cognition (p = 0.001) domains, and an overall lower global cognitive composite score (p = 0.010). Subjects with more severe ASD symptoms also showed poorer functional capacity (p = 0.004), real-world interpersonal relationships (p

Published
2020
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34. The relationships of personal resources with symptom severity and psychosocial functioning in persons with schizophrenia: results from the Italian Network for Research on Psychoses study

Author

Rossi, Alessandro, Galderisi, Silvana, Rocca, Paola, Bertolino, Alessandro, Mucci, Armida, Rucci, Paola, Gibertoni, Dino, Aguglia, Eugenio, Amore, Mario, Andriola, Ileana, Bellomo, Antonello, Biondi, Massimo, Callista, Gaetano, Comparelli, Anna, Dell’Osso, Liliana, Di Giannantonio, Massimo, Fagiolini, Andrea, Marchesi, Carlo, Monteleone, Palmiero, Montemagni, Cristiana, Niolu, Cinzia, Piegari, Giuseppe, Pinna, Federica, Roncone, Rita, Stratta, Paolo, Tenconi, Elena, Vita, Antonio, Zeppegno, Patrizia, Maj, Mario, Mancini, Marina, Nettis, Maria Antonietta, Rizzo, Giuseppe, Porcelli, Stefano, Deste, Giacomo, Galluzzo, Alessandro, Gheda, Luca, Carpiniello, Bernardo, Ghiani, Alice, Lai, Alice, Cannavò, Dario, Minutolo, Giuseppe, Signorelli, Maria Salvina, Acciavatti, Tiziano, Alessandrini, Marco, Vellante, Federica, Cantisani, Andrea, Altamura, Mario, Padalino, Flavia A., Pagano, Tiziana, Belvedere Murri, Martino, Calcagno, Pietro, Corso, Alessandro, D’Onofrio, Simona, Marucci, Carmela, Santarelli, Valeria, Bianchini, Valeria, Giusti, Laura, Malavolta, Maurizio, Bucci, Paola, Chieffi, Marcello, De Simone, Stefania, Merlotti, Eleonora, Rocco, Mariangela, Vignapiano, Annarita, Tomasetti, Carmine, Feggi, Alessandro, Gattoni, Eleonora, Gramaglia, Carla, Cremonese, Carla, Collantoni, Enrico, Gallicchio, Davide, De Panfilis, Chiara, Ossola, Paolo, Tonna, Matteo, Carmassi, Claudia, Gesi, Camilla, Rutigliano, Grazia, Brugnoli, Roberto, Corigliano, Valentina, De Carolis, Antonella, Di Fabio, Fabio, Mirigliani Torti, Alessia Maria Chiara, Di Lorenzo, Giorgio, Siracusano, Alberto, Troisi, Alfonso, Bartoli, Luca, Corrivetti, Giulio, Diasco, Ferdinando, Bolognesi, Simone, Borghini, Elisa, Goracci, Arianna, Frieri, Tiziana, Mingrone, Cinzia, Sigaudo, Monica, and Italian Network for Research on Psychoses

Published
2017
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44. Tool-use Extends Peripersonal Space Boundaries in Schizophrenic Patients

Author

Ferroni, Francesca, primary, Ardizzi, Martina, additional, Magnani, Francesca, additional, Ferri, Francesca, additional, Langiulli, Nunzio, additional, Rastelli, Francesca, additional, Lucarini, Valeria, additional, Giustozzi, Francesca, additional, Volpe, Roberto, additional, Marchesi, Carlo, additional, Tonna, Matteo, additional, and Gallese, Vittorio, additional

Published
2022
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45. Posture, gait and self‐disorders: An empirical study in individuals with schizophrenia.

Author

Tonna, Matteo, Lucarini, Valeria, Lucchese, Jacopo, Presta, Valentina, Paraboschi, Francesca, Marsella, Filippo, Daniel, Benyamin Daniel, Vitale, Marco, Marchesi, Carlo, and Gobbi, Giuliana

Subjects
*PEOPLE with schizophrenia, *GAIT in humans, *POSTURE, *EMPIRICAL research, *SCHIZOPHRENIA, *MOVEMENT disorders
Abstract

Aim: In schizophrenia, subjectively perceived disruptions of the sense of the Self (also referred to as "self‐disorders") seem to be intimately associated with a perturbation of the implicit awareness of one's own body. Indeed, an early impairment of the motor system, including posture and gait, is now considered a marker of schizophrenia neurodevelopmental substrate and appears more pronounced in early‐onset schizophrenia. Therefore, the present study was aimed at: (1) investigating a possible relationship between self‐disorders, symptom dimensions and postural and gait profile in schizophrenia; (2) identifying a specific motor profile in early‐onset conditions. Methods: A total of 43 schizophrenia outpatients and 38 healthy controls underwent an exhaustive investigation of posture and gait pattern. The positive and negative syndrome scale (PANSS), the examination of anomalous self experience scale (EASE) and the abnormal involuntary movement scale (AIMS) were administered to the schizophrenia group. Subsequently, schizophrenia patients were divided into early and adult‐onset subgroups and compared with respect to their motor profile. Results: We found an association between specific postural patterns (impaired sway area), a general disruption of the gait cycle and subjective bodily experiences (concerning the loss of bodily integrity, cohesion and demarcation). Only motor parameters (increased sway area and gait cadence reduction) differentiated between early and adult‐onset patients. Conclusion: The results of the present study hint at a link between motor impairment and self‐disturbances in schizophrenia and candidate a specific motor profile as a possible marker of early‐onset forms. [ABSTRACT FROM AUTHOR]

Published
2023
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47. The motor profile of obsessive-compulsive rituals: psychopathological and evolutionary implications

Author

Tonna, Matteo, Ottoni, Rebecca, Pellegrini, Clara, Mora, Lorenzo, Gambolo, Luca, Di Donna, Anna, Parmigiani, Stefano, and Marchesi, Carlo

Abstract

AbstractBackgroundStudies investigating obsessive-compulsive disorder from an ethological approach have highlighted a specific motor pattern of compulsive rituals with respect to corresponding ordinary behaviors. Particularly, compulsive motor profile is built through the repetition of acts, with prevalence of nonfunctional ones and redirection of attention to its basic structural units. These formal features would characterize ritual behavior throughout evolution, from nonhuman animals to human cultures. However, no study to date has investigated a possible relationship between such motor profile and underlying psychopathology. Therefore, the first objective of the study was to confirm previous findings on a larger sample size of obsessive patients; the second objective was to elucidate whether motor profile might be associated with obsessive-compulsive psychopathology and/or prepsychotic symptoms of schizophrenia.MethodsTwenty-one obsessive-compulsive outpatients provided a videotape of their rituals. An equal number of healthy controls, matched for sex and age, were registered for corresponding ordinary acts. Obsessive patients were administered the Yale-Brown Obsessive-Compulsive Scale, the Brown Assessment of Beliefs Scale, the Hamilton Rating Scale for Depression, and the Frankfurt Complaint Questionnaire.ResultsThe results of the present study confirm that ritual compulsions present a specific motor structure characterized by repetition of both functional and nonfunctional acts and their longer duration. Such a motor pattern is independent from obsessive-compulsive psychopathology, whereas it results specifically associated with prepsychotic symptoms of schizophrenia.ConclusionsWe argue that this association may reflect the adaptive significance of ritual behavior across evolution, that is, its homeostatic function in conditions of unpredictability.

Published
2023
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