121 results on '"Pancani, Luca"'
Search Results
2. From past to present (for a better future): The moderating role of cognitive mindset on spillover effects in environmental behaviors
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Spaccatini, Federica, Riva, Paolo, Richetin, Juliette, Porcelli, Egle, Pancani, Luca, Capellini, Roberta, and Sacchi, Simona
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Environmental movement -- Research ,Cognition -- Research ,Psychological research ,Psychology and mental health - Abstract
Research literature about the environmental spillover effect produced mixed results, revealing that an initial pro-environmental behavior (PEB) is likely to promote either other PEBs (i.e., positive spillover) or pro-environmental inactions and harming behaviors (i.e., negative spillover). Such inconsistency suggests a possible crucial role of moderating variables. In two experimental studies (N Study 1 = 141, N Study 2 = 124), we investigated whether the recall of past environmental behavior (water-saving vs. water-wasting) affects future intention to perform PEBs (Study 1) and actual PEBs (Study 2), depending on participants' cognitive mindset (manipulated in Study 1 and measured in Study 2). Results showed that the cognitive mindset is a significant moderator of spillover effects. Compared to a holistic one, an analytical mindset is more likely to result in a greater willingness to engage in future PEBs (Study 1) and actual PEB (Study 2) when past PEB is salient. The main contributions of the studies, limitations and possible future research directions are discussed., Author(s): Federica Spaccatini [sup.1] , Paolo Riva [sup.1] , Juliette Richetin [sup.1] , Egle Porcelli [sup.1] , Luca Pancani [sup.1] , Roberta Capellini [sup.1] , Simona Sacchi [sup.1] Author Affiliations: [...]
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- 2023
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3. Similar Use of Intonation Structure in Early Implanted Children and Hearing Children: The Case of Italian
- Author
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Zanchi, Paola, Zampini, Laura, Pancani, Luca, Berici, Roberta, and D'Imperio, Mariapaola
- Abstract
This work presents an analysis of the intonation competence in a group of Italian children with cochlear implant (CI). Early cochlear implantation plays a crucial role in language development for children who were born deaf in that it favours the acquisition of complex aspects of language, such as the intonation structure. A story-generation task, the Narrative Competence Task, was used to elicit children's stories. Narrations produced by 8 early implanted children and by 16 children with typically hearing (TH) (8 one-to-one matched considering the chronological age, TH-CA, and 8 considering the hearing age, TH-HA) were analysed considering intonation features (pitch accent distribution, edge tones and inner breaks). Results show that children with CI produce intonation patterns that are similar to those of both TH-CA and TH-HA control groups. Few significant differences were found only between children with CI and children matched for TH-HA in the use of rising edge tones. These results are discussed in light of the role of cognitive development in using prosody and intonation and the importance of early CI implantation. This study shows for the first time that intonation use of early implanted children is not different from that of typically developing children with the same chronological age.
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- 2021
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4. The near-miss effect in flood risk estimation: A survey-based approach to model private mitigation intentions into agent-based models
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Bogani, Alessandro, Faccenda, Giulio, Riva, Paolo, Richetin, Juliette, Pancani, Luca, and Sacchi, Simona
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- 2023
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5. An ecological momentary assessment study to investigate individuals' reactions to perceived social exclusion
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Pancani, Luca, Waldeck, Daniel, Tyndall, Ian, and Riva, Paolo
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- 2023
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6. Heterogeneity of smartphone impact on everyday life and its relationship with personality and psychopathology: A latent profile analysis
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Canale, Natale, Pancani, Luca, Pivetta, Erika, Moretta, Tania, Marino, Claudia, Buodo, Giulia, Vieno, Alessio, Dalmaso, Mario, and Billieux, Joël
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- 2023
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7. Trust in science and solution aversion: Attitudes toward adaptation measures predict flood risk perception
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Spaccatini, Federica, Richetin, Juliette, Riva, Paolo, Pancani, Luca, Ariccio, Silvia, and Sacchi, Simona
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- 2022
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8. Social isolation in space: An investigation of LUNARK, the first human mission in an Arctic Moon analog habitat
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Riva, Paolo, Rusconi, Patrice, Pancani, Luca, and Chterev, Konstantin
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- 2022
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9. To whom should I turn? Intergroup social connections moderate social exclusion's short- and long-term psychological impact on immigrants
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Marinucci, Marco, Mazzoni, Davide, Pancani, Luca, and Riva, Paolo
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- 2022
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10. Online social connections as surrogates of face-to-face interactions: A longitudinal study under Covid-19 isolation
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Marinucci, Marco, Pancani, Luca, Aureli, Nicolas, and Riva, Paolo
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- 2022
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11. Adaptability and psychological flexibility: Overlapping constructs?
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Waldeck, Daniel, Pancani, Luca, Holliman, Andrew, Karekla, Maria, and Tyndall, Ian
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- 2021
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12. The Acceptance and Action Questionnaire-II (AAQ-II) as a measure of experiential avoidance: Concerns over discriminant validity
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Tyndall, Ian, Waldeck, Daniel, Pancani, Luca, Whelan, Robert, Roche, Bryan, and Dawson, David L.
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- 2019
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13. An examination of the construct validity of the Generalized Pliance Questionnaire
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Waldeck, Daniel, Pancani, Luca, and Tyndall, Ian
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- 2019
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14. Psychological flexibility and ostracism: Experiential avoidance rather than cognitive fusion moderates distress from perceived ostracism over time
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Tyndall, Ian, Waldeck, Daniel, Riva, Paolo, Wesselmann, Eric D., and Pancani, Luca
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- 2018
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15. Connecting with a Slot Machine: Social Exclusion and Anthropomorphization Increase Gambling
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Pancani, Luca, Riva, Paolo, and Sacchi, Simona
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- 2019
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16. Trajectories of Self-Care Confidence and Maintenance in Adults with Heart Failure: A Latent Class Growth Analysis
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Pancani, Luca, Ausili, Davide, Greco, Andrea, Vellone, Ercole, and Riegel, Barbara
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- 2018
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17. Self-care confidence may be more important than cognition to influence self-care behaviors in adults with heart failure: Testing a mediation model
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Vellone, Ercole, Pancani, Luca, Greco, Andrea, Steca, Patrizia, and Riegel, Barbara
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- 2016
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18. Effective pursuit of personal goals: The fostering effect of dispositional optimism on goal commitment and goal progress
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Monzani, Dario, Steca, Patrizia, Greco, Andrea, D’Addario, Marco, Pancani, Luca, and Cappelletti, Erika
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- 2015
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19. Smoking Behavior : A Cross-Sectional Study to Assess the Dimensionality of the Brief Wisconsin Inventory of Smoking Dependence Motives and Identify Different Typologies Among Young Daily Smokers
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Pancani, Luca, D’Addario, Marco, Cappelletti, Erika Rosa, Greco, Andrea, Monzani, Dario, and Steca, Patrizia
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- 2015
20. Cardiovascular Management Self-efficacy: Psychometric Properties of a New Scale and Its Usefulness in a Rehabilitation Context
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Steca, Patrizia, Greco, Andrea, Cappelletti, Erika, D’Addario, Marco, Monzani, Dario, Pancani, Luca, Ferrari, Giovanni, Politi, Alessandro, Gestra, Roberta, Malfatto, Gabriella, and Parati, Gianfranco
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- 2015
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21. Exploring the peer status prototypes: A large‐scale latent profile analysis on high‐school students from four European countries.
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Marinucci, Marco, Pancani, Luca, and Riva, Paolo
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AFFINITY groups , *STRUCTURAL equation modeling , *PSYCHOLOGY of high school students , *INTERPERSONAL relations , *SOCIAL status , *STUDENT attitudes , *AGGRESSION (Psychology) , *VICTIMS , *BULLYING - Abstract
Peer status – the regard other group members have of an individual – is fundamental for youth development. Different research traditions developed independent theoretical frameworks conceiving the dimensions underlying social status, and this led to identifying a variety of peer status prototypes. In this work, we explored whether a classification based on the four dimensions of popularity, aggression, dislike, and victimization could integrate the scattered peer status profiles found in the different traditions. A latent profile analysis on 16,224 European students identified the peer status prototypes of popular, bullies, disliked, victims, and average students. Both the peer‐ and self‐reported correlates supported that the five profiles accounted for the large variety of the students' profiles in the literature. These findings suggest that the adoption of a multidimensional approach supported by advanced statistical procedures could identify students' peer status profiles more effectively, replacing classifications based on cutoffs, and leading to a unified students' classification. [ABSTRACT FROM AUTHOR]
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- 2023
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22. Perceived Onset Time of Medical Conditions: The Interplay Between Subjective Fear and Risk in Four Lifestyle Domains.
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Monzani, Dario, Pancani, Luca, Rusconi, Patrice, and Pravettoni, Gabriella
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HEALTH behavior , *RISK perception , *HYPERTENSION , *NON-communicable diseases - Abstract
Engaging in unhealthy behaviors (e.g., smoking, drinking) and not engaging in healthy ones (e.g., exercising, consuming fruit and vegetables) are both relatively prevalent among individuals despite the available information about their risks for health. People's perception of an event's time course can be used to gauge their risk perception for that event thus casting light on any possible misperception and suggesting directions for health-promoting interventions. This study investigates people's perception of the time of onset of 5 noncommunicable diseases (e.g., "having high blood pressure") associated with 4 health-related behaviors: Smoking, drinking, exercising, and eating fruit and vegetable. Participants from Italy (N = 214) and the UK (N = 151) gave onset time estimates of how long they thought it would take for 5 noncommunicable diseases to occur in the life of an 18-year-old person who starts or stops adopting those health-related behaviors. Results showed that participants who rated the noncommunicable diseases as more likely to themselves perceived the onset time of these diseases as more temporally proximal. Participants who were more afraid of developing the noncommunicable diseases estimated their onset time as delayed. [ABSTRACT FROM AUTHOR]
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- 2022
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23. Relationship Dissolution Strategies: Comparing the Psychological Consequences of Ghosting, Orbiting, and Rejection.
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Pancani, Luca, Aureli, Nicolas, and Riva, Paolo
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ONLINE social networks , *SOCIAL marginality , *PSYCHOLOGICAL research - Abstract
Ghosting and orbiting occur when a relationship is ended unilaterally by suddenly withdrawing from all communication and without explanation. However, in orbiting, the disengager still follows the victims on social networking sites after the breakup. With the advent of the digital era, these practices have become increasingly common, gaining attention from psychology research. Within the theoretical framework of social exclusion, the present study (N = 176) investigated victims’ consequences of ghosting and orbiting, considering the two breakup strategies as instances of ostracism. Participants were invited to fill an online survey and randomly assigned to recall an episode of ghosting, orbiting, or rejection. Following the recall task, participants completed a series of questionnaires to measure the typical outcomes threatened by ostracism (i.e., emotions, basic psychological needs, breakup’s cognitive evaluation, and aggressive inclinations). The results showed a consistent pattern across most of the constructs measured. Specifically, ghosting led to worse outcomes than rejection, whereas the disengagers’ ambiguous signals characterizing orbiting seemed to buffer the victims partially from the consequences of relationship dissolution. Results are discussed in the light of social exclusion literature, adding to the growing research on ghosting. [ABSTRACT FROM AUTHOR]
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- 2022
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24. Thinking of future as an older individual increases perceived risks for age‐related diseases but not for COVID‐19.
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Monzani, Dario, Marinucci, Marco, Pancani, Luca, Rusconi, Patrice, Mazzoni, Davide, and Pravettoni, Gabriella
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OLDER people ,COVID-19 ,COVID-19 pandemic ,RISK aversion ,COMMUNICATIVE disorders ,COMMUNICATION strategies - Abstract
Actively thinking of one's future as an older individual could increase perceived risk and risk aversion. This could be particularly relevant for COVID‐19, if we consider the common representation of the risk of being infected by COVID‐19 as associated with being older. Increased perceived risk could bear consequences on the adoption of preventive behaviours. Thus, we investigated whether increasing the salience of individuals' future as an older adult would impact on their perceived risk for COVID‐19 and medical conditions varying for age‐relatedness. One hundred and forty‐four Italian adults (Mage = 27.72, range: 18–56) were randomly assigned to either a future as older adult thinking or control condition. Perceived risk for COVID‐19 and other strongly, and weakly age‐related medical conditions during the lifetime was measured. Results showed that thinking about the future as an older adult increased perceived risk for strongly and weakly age‐related diseases, but not for COVID‐19. The salience of the COVID‐19 outbreak may have raised the perceived risks in both experimental conditions, making the manipulation ineffective. In conclusion, manipulating future‐oriented thinking might be a successful communication strategy to increase people's perceived risk of common diseases, but it might not work for highly salient pathologies such as COVID‐19. [ABSTRACT FROM AUTHOR]
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- 2022
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25. Similar use of intonation structure in early implanted children and hearing children: The case of Italian.
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Zanchi, Paola, Zampini, Laura, Pancani, Luca, Berici, Roberta, and D'Imperio, Mariapaola
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INTONATION (Phonetics) ,ITALIANS ,COCHLEAR implants ,DEAF children ,LANGUAGE & languages - Abstract
This work presents an analysis of the intonation competence in a group of Italian children with cochlear implant (CI). Early cochlear implantation plays a crucial role in language development for children who were born deaf in that it favours the acquisition of complex aspects of language, such as the intonation structure. A story-generation task, the Narrative Competence Task, was used to elicit children's stories. Narrations produced by 8 early implanted children and by 16 children with typically hearing (TH) (8 one-to-one matched considering the chronological age, TH-CA, and 8 considering the hearing age, TH-HA) were analysed considering intonation features (pitch accent distribution, edge tones and inner breaks). Results show that children with CI produce intonation patterns that are similar to those of both TH-CA and TH-HA control groups. Few significant differences were found only between children with CI and children matched for TH-HA in the use of rising edge tones. These results are discussed in light of the role of cognitive development in using prosody and intonation and the importance of early CI implantation. This study shows for the first time that intonation use of early implanted children is not different from that of typically developing children with the same chronological age. [ABSTRACT FROM AUTHOR]
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- 2021
- Full Text
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26. Ghosting and orbiting: An analysis of victims' experiences.
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Pancani, Luca, Mazzoni, Davide, Aureli, Nicolas, and Riva, Paolo
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COGNITION disorders , *SOCIAL media , *DIGITAL technology , *GUILT (Psychology) , *SOCIAL isolation , *PSYCHOLOGY of crime victims , *EXPERIENCE , *PATIENTS' attitudes , *QUALITATIVE research , *COMPARATIVE studies , *INTERPERSONAL relations , *COMMUNICATION , *PSYCHOLOGICAL disengagement , *THEMATIC analysis , *CONTENT analysis , *ANGER , *SADNESS - Abstract
Ghosting is the practice of ending a relationship without explaining to the partner and avoiding any communication attempts. Orbiting is identical to ghosting, but the disengager still visibly follows the former partner on social media. Despite the increasing attention that ghosting and orbiting have gained in the popular press, they remain largely unexplored phenomena in scientific inquiry. In this work, we explored the psychological and behavioral reactions to ghosting and orbiting from the victim's perspective, comparing them to the experience of being rejected through direct communication. Participants were randomly assigned to recall one of three conditions (ghosting, orbiting, and rejection), and the reports of 208 young adults were analyzed through qualitative thematic content analysis. The results described different stages of reactions that follow event detection and that are respectively characterized by 1) surprise and confusion, 2) anger, sadness, and guilt, 3) attempts of relational repair, 4) acceptance. The specificities of being a victim of ghosting and orbiting are presented, comparing them with social rejection. The results are discussed in the light of the existing literature on social exclusion, suggesting that ghosting and orbiting can be considered forms of ostracism. Connections between the proposed stage model and traditional relationship dissolution theories are highlighted, and relevant implications for future research and interventions are presented. [ABSTRACT FROM AUTHOR]
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- 2021
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27. Forced Social Isolation and Mental Health: A Study on 1,006 Italians Under COVID-19 Lockdown.
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Pancani, Luca, Marinucci, Marco, Aureli, Nicolas, and Riva, Paolo
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SOCIAL isolation ,COVID-19 ,MENTAL health ,STAY-at-home orders ,COVID-19 pandemic ,LONELINESS - Abstract
Most countries have been struggling with the spread of the COVID-19 pandemic imposing social isolation on their citizens. However, this measure carried risks for people's mental health. This study evaluated the psychological repercussions of objective isolation in 1,006 Italians during the first, especially strict, lockdown in spring 2020. Although varying for the regional spread-rate of the contagion, results showed that the longer the isolation and the less adequate the physical space where people were isolated, the worse the mental health (e.g., depression). Offline social contacts buffered the association between social isolation and mental health. However, when offline contacts were limited, online contacts seemed crucial in protecting mental health. The findings inform about the potential downsides of the massive social isolation imposed by COVID-19 spread, highlighting possible risk factors and resources to account for implementing such isolation measures. Specifically, besides some known factors such as physical space availability, the local contagion rate is critical in moderating the link between social isolation and mental health issues, supporting national policies implementing regional tiers of restriction severity. [ABSTRACT FROM AUTHOR]
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- 2021
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28. Individual cognitive style affects flood‐risk perception and mitigation intentions.
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Spaccatini, Federica, Pancani, Luca, Richetin, Juliette, Riva, Paolo, and Sacchi, Simona
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COGNITIVE styles , *INDIVIDUAL differences , *RISK perception , *HAZARD mitigation , *FLOOD risk - Abstract
Risk perception of natural hazards has been widely studied as one of the potential determinants of people's behaviors and behavioral intentions. However, individual differences can also affect risk perception. The present work focused on the link between an individual cognitive mindset (i.e., level of holism) and flood‐risk perception. It also assessed the consequences of such a link on public and personal mitigation intentions, taking into account the sense of connection with the environment, the psychological distance from the adverse event, and the role played by previous personal experience with flooding. Our study (N = 191) showed that the individual cognitive style predicted risk perceptions and personal (for both experienced and no‐experience groups) and public (only for experienced group) mitigation intentions, through the mediation of the sense of connection with the environment and the psychological distance from the adverse event. Results are discussed in terms of their practical implications for public communication and policies about environmental hazards. [ABSTRACT FROM AUTHOR]
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- 2021
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29. A test of the pathway model of problematic smartphone use.
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CANALE, NATALE, MORETTA, TANIA, PANCANI, LUCA, BUODO, GIULIA, VIENO, ALESSIO, DALMASO, MARIO, and BILLIEUX, JOËEL
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SMARTPHONES ,SENSATION seeking ,PERSONALITY ,SOCIAL anxiety ,BAYESIAN analysis ,UNDERGRADUATES - Abstract
Background and aims: Problematic smartphone use (PSU) has been described as a growing public health issue. In the current study, we aimed to provide a unique and comprehensive test of the pathway model of PSU. This model posits three distinct developmental pathways leading to PSU: (1) the excessive reassurance pathway, (2) the impulsive pathway and (3) the extraversion pathway. Methods: Undergraduate students (n = 795, 69.8% female, mean age = 23.80 years, sd = 3.02) completed online self-report measures of PSU (addictive use, antisocial use and dangerous use) and the psychological features (personality traits and psychopathological symptoms) underlying the three pathways. Results: Bayesian analyses revealed that addictive use is mainly driven by the excessive reassurance pathway and the impulsive pathway, for which candidate etiopathological factors include heightened negative urgency, a hyperactive behavioural inhibition system and symptoms of social anxiety. Dangerous and antisocial use are mainly driven by the impulsive pathway and the extraversion pathway, for which candidate etiopathological factors include specific impulsivity components (lack of premeditation and sensation seeking) and primary psychopathy (inclination to lie, lack of remorse, callousness and manipulativeness). Discussion and conclusions: The present study constitutes the first comprehensive test of the pathway model of PSU. We provide robust and original results regarding the psychological dimensions associated with each of the postulated pathways of PSU, which should be taken into account when considering regulation of smartphone use or tailoring prevention protocols to reduce problematic usage patterns. [ABSTRACT FROM AUTHOR]
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- 2021
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30. "Mom, dad, look at me": The development of the Parental Phubbing Scale.
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Pancani, Luca, Gerosa, Tiziano, Gui, Marco, and Riva, Paolo
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EXPERIMENTAL design , *WELL-being , *WORK environment , *RESEARCH methodology , *SMARTPHONES , *FAMILIES , *SOCIAL skills , *PARENTS - Abstract
The widespread diffusion of smartphones has opened new challenges regarding the psychological consequences of their usage on social relationships. The term phubbing (a combination of phone and snubbing) indicates the act of ignoring someone in a social context by paying attention to the smartphone. The few existing studies show that phubbing is widespread, mutually reinforced, and socially accepted, with possible negative consequences for social and individual well-being. Phubbing can occur in every social context, including romantic relationships, workplaces, and family. However, to date, minimal attention has been given to the possible impact that phubbing carried out by parents can have on their children. To start filling this gap, in this paper, we introduced a new scale that measures the perception of being subject to parental phubbing and showed the prevalence of perceived phubbing on a stratified sample of 3,289 adolescents. Firstly, the dimensionality, validity, and invariance of the construct were proven. Moreover, our results showed a positive relationship between children's perceived levels of parental phubbing and their feelings of social disconnection with parents, thus suggesting that the more children felt that one or both of their parents were phubbing them, the less the children felt connected with their parents. [ABSTRACT FROM AUTHOR]
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- 2021
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31. Patients' health locus of control and preferences about the role that they want to play in the medical decision-making process.
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Marton, Giulia, Pizzoli, Silvia Francesca Maria, Vergani, Laura, Mazzocco, Ketti, Monzani, Dario, Bailo, Luca, Pancani, Luca, and Pravettoni, Gabriella
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DECISION making ,HEALTH ,HEALTH attitudes ,HEALTH behavior ,INTERPROFESSIONAL relations ,LOCUS of control ,PATIENTS' attitudes ,MULTIDIMENSIONAL Health Locus of Control scales ,PATIENT autonomy ,PATIENT decision making - Abstract
Health locus of control (HLOC) may influence people's behavior regarding their health as well as their desires to be involved in the medical decision-making. Our study aimed to examine HLOC's relations with people's control preferences about the medical decision-making. A total of 153 people filled out the self-administered version of the Control Preference Scale and the Multidimensional Health Locus of Control Scale – form C. The most preferred role is the collaborative one. However, HLOC explained heterogeneity in people's control preferences: lower scores in external HLOC were related to a greater preference for the active and the collaborative role. From the personalized medicine perspective, an accurate evaluation of the patient's HLOC could help tailoring the decision-making process within the clinical context. [ABSTRACT FROM AUTHOR]
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- 2021
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32. The Psychology of Smartphone: The Development of the Smartphone Impact Scale (SIS).
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Pancani, Luca, Preti, Emanuele, and Riva, Paolo
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COMPULSIVE behavior , *ALEXITHYMIA , *BEHAVIOR , *COGNITION , *EMOTIONS , *EXPERIMENTAL design , *RESEARCH methodology , *PSYCHOLOGY , *SELF-control , *SOCIAL skills , *ACTIVITIES of daily living , *SMARTPHONES , *MOBILE apps - Abstract
Smartphones are changing lives in a number of ways. However, the psychological literature has primarily focused on smartphone overuse, neglecting the impacts that are not strictly related to problematic use. The present research was aimed to develop a comprehensive self-report scale that accounts for the cognitive, affective, social, and behavioral impacts of smartphones in everyday life—the Smartphone Impact Scale (SIS). Study 1 (N = 407) yielded a preliminary version of the scale, which was refined in Study 2 (N = 601). The SIS is a 26-item scale that measures seven dimensions of smartphone impact. Results revealed meaningful associations between its subscales, psychosocial constructs, and daily usage of smartphones and apps. The SIS broadens the view of human–smartphone interaction by extending the concept of problematic smartphone use to further dimensions (e.g., emotion regulation) and introducing a proper measurement of underinvestigated smartphone impacts (e.g., tasks support). The implications of each SIS subscale are discussed. [ABSTRACT FROM AUTHOR]
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- 2020
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33. Sexism Interacts with Patient–Physician Gender Concordance in Influencing Patient Control Preferences: Findings from a Vignette Experimental Design.
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Monzani, Dario, Vergani, Laura, Pizzoli, Silvia Francesca Maria, Marton, Giulia, Mazzocco, Ketti, Bailo, Luca, Messori, Chiara, Pancani, Luca, Cattelan, Manuela, and Pravettoni, Gabriella
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PATIENTS' attitudes ,WOMEN physicians ,PHYSICIAN-patient relations ,VIGNETTES ,EXPERIMENTAL design ,SEXISM - Abstract
Background: Patient preferences regarding their involvement in shared treatments decisions is fundamental in clinical practice. Previous evidences demonstrated a large heterogeneity in these preferences. However, only few studies have analysed the influence of patients' individual differences, contextual and situational qualities, and their complex interaction in explaining this variability. Methods: We assessed the role of the interaction of patient's sociodemographic and psychological factors with a physician's gender. Specifically, we focused on patient gender and attitudes toward male or female physicians. One hundred fifty‐three people participated in this randomised controlled study and were randomly assigned to one of two experimental conditions in which they were asked to imagine discussing their treatment with a male and a female doctor. Results: Analyses showed an interplay between attitude towards women and the gender of patients and doctors, explaining interindividual variability in patient preferences. Conclusions: In conclusion, patients' attitudes toward the physicians' gender constitutes a relevant characteristic that may influence the degree of control patients want to have and the overall patient‐physician relationship. [ABSTRACT FROM AUTHOR]
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- 2020
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34. The dual path of the rejection (dis)identification model: A study on adolescents with a migrant background.
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Mazzoni, Davide, Pancani, Luca, Marinucci, Marco, and Riva, Paolo
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ATTITUDE (Psychology) , *ETHNOPSYCHOLOGY , *GROUP identity , *PSYCHOLOGY of immigrants , *PSYCHOLOGY of Minorities , *PATH analysis (Statistics) , *SOCIAL isolation , *SURVEYS , *SECONDARY analysis , *WELL-being , *ADOLESCENCE - Abstract
Ethnic‐based rejection, especially when prolonged over time, can result in withdrawal (e.g., resignation) and antisocial (e.g., delinquent) behaviors. Rejection (dis)identification literature suggests that identification with the minority (ethnic) group and disidentification with the majority (national) group mediate the relationship between rejection and different dimensions of well‐being. Through secondary analyses of survey data from an international sample of adolescents with a migrant background (N = 1,163) we tested the predictions that, following chronic experiences of rejection, disidentification from the national (rejecting) group will increase withdrawal and feelings of resignation whereas identification with the ethic (rejected) group will have a protective role toward delinquent behaviors. Results of the path analysis were consistent with these hypotheses without significant differences between immigrant generations. The study sheds light on the multifaceted nature of identification processes following social rejection and contributes to the integration of the rejection‐identification model with classical theorizations of social exclusion. [ABSTRACT FROM AUTHOR]
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- 2020
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35. Profiles of Psychological Flexibility: A Latent Class Analysis of the Acceptance and Commitment Therapy Model.
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Tyndall, Ian, Waldeck, Daniel, Pancani, Luca, Whelan, Robert, Roche, Bryan, and Pereira, Antonina
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ADAPTABILITY (Personality) ,BEHAVIOR modification ,COMMITMENT (Psychology) ,PSYCHOLOGICAL distress ,EMOTIONS ,LATENT structure analysis ,MATHEMATICAL models ,PSYCHOLOGY ,SELF-evaluation ,WELL-being ,POSITIVE psychology ,PATIENTS' attitudes ,DESCRIPTIVE statistics - Abstract
There exists uncertainty for clinicians over how the separate subcomponent processes of psychological flexibility, a core construct of the Acceptance and Commitment Therapy model, interact and influence distress experienced. The present study (N = 567) employed latent class analysis to (a) identify potential classes (i.e., subgroups) of psychological flexibility based on responses on measures of key subcomponent process and (b) examine whether such classes could reliably differentiate levels of self-reported psychological distress and positive and negative emotionality. We found three distinct classes: (a) High Psychological Flexibility, (b) Moderate Psychological Flexibility, and (c) Low Psychological Flexibility. Those in the Low Psychology Flexibility class reported highest levels of psychological distress, whereas those in the High Psychological Flexibility class reported lowest levels of psychological distress. This study provides a clearer view to clinicians of the profile of the broader spectrum of the psychological flexibility model to facilitate change in clients. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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36. Need for information and locus of control among hypertensive patients
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Vaccarella, A, STECA, PATRIZIA, CAPPELLETTI, ERIKA ROSA, D'ADDARIO, MARCO, GRECO, ANDREA, MONZANI, DARIO, PANCANI, LUCA, Destro, M, Cuspidi, C., Vaccarella, A, Steca, P, Cappelletti, E, D'Addario, M, Greco, A, Monzani, D, Pancani, L, Destro, M, and Cuspidi, C
- Subjects
information needs, locus of control ,Settore M-PSI/01 - Psicologia Generale ,Locus of Control ,patient-tailored care ,Hypertension ,Hypertension management - Abstract
Objective: Hypertension is a major health problem leading to high rates of mortality, morbidity and impaired quality of life. Due to high costs of hypertension and low adherence to treatment and lifestyles changes, the tasks of developing maximally beneficial treatment programs for individuals with this health problem have received growing emphasis in recent years. Patients with hypertension need appropriate information in order to take meaningful choices about their future, but information should be focused on patient’s peculiar needs to be really effective. Research has highlighted the importance of the identification of information needs and their psychological correlates, in order to create tailored health communication interventions aimed at enhancing the effectiveness of the information provided. A promising construct in this field is Locus of Control (LOC), that refers to the extent to which individuals believe they can control and have power over events affecting their life. In the health context, LOC describes the belief that one’s health is dependent upon internal (e.g. behavior) versus external factors (e.g. chance). This study was designed to investigate possible relationships between need for information and health LOC in patients with essential hypertension. Design and method: One hundred seventy-five patients (48.8% women; mean age = 63.68, SD = 10.90, range 26–86) completed an assessment questionnaire evaluating Multidimensional Health Locus of Control (MHLC) and the need for further information on topics related to disease management. Correlation analysis were conducted to explore the relationship between variables. Results: Positive and significant correlations were found between “Internal”, “Doctors”, “Other People” locus of control and need for information, while negative, but not significant, relationships were found between need for information and “Chance” locus of control. Conclusions: Taking into account patients’ types of locus of control could enhance the quality of health communication interventions, leading health-care system to move toward a patient-tailored care
- Published
- 2015
37. Coping style and information needs among people suffering from primary hypertension: Reciprocal relationships over time
- Author
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STECA, PATRIZIA, CAPPELLETTI, ERIKA ROSA, CESANA, FRANCESCA, D'ADDARIO, MARCO, GRECO, ANDREA, MAGRIN, MARIA ELENA, MIGLIORETTI, MASSIMO, MONZANI, DARIO, PANCANI, LUCA, SARINI, MARCELLO, SCRIGNARO, MARTA, VECCHIO, LUCA PIERO, GIANNATTASIO, CRISTINA, Steca, P, Cappelletti, E, Cesana, F, D'Addario, M, Greco, A, Magrin, M, Miglioretti, M, Monzani, D, Pancani, L, Sarini, M, Scrignaro, M, Vecchio, L, and Giannattasio, C
- Subjects
Coping style, information needs, hypertensive patients, cross-lagged - Published
- 2015
38. Resilience and lifestyle in patients with acute coronary syndromes: A prospective one-year follow-up study
- Author
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GRECO, ANDREA, CAPPELLETTI, ERIKA ROSA, PANCANI, LUCA, MONZANI, DARIO, D'ADDARIO, MARCO, MAGRIN, MARIA ELENA, MIGLIORETTI, MASSIMO, SARINI, MARCELLO, SCRIGNARO, MARTA, VECCHIO, LUCA PIERO, STECA, PATRIZIA, De Matteis, C, Greco, A, De Matteis, C, Cappelletti, E, Pancani, L, Monzani, D, D'Addario, M, Magrin, M, Miglioretti, M, Sarini, M, Scrignaro, M, Vecchio, L, and Steca, P
- Subjects
Settore M-PSI/01 - Psicologia Generale ,Resilience, lifestyle, Acute Coronary Syndromes, longitudinal study ,Resilience, lifestyle, patients with acute coronary syndromes, longitudinal study - Abstract
The importance of healthy lifestyle and the control of modifiable risk factors are cardinal aspects of prevention and treatment of cardiovascular diseases (CVD). In recent decades, several studies have shown that the manifestation and clinical evolution of CVD are related to a range of negative and positive psychosocial aspects, but research on the contribution of positive factors to the changes in lifestyle in patients with CVD is notably absent. Aim of this study was to investigate the predictive role of resilience (i.e., perceived social support, sense of coherence, self-esteem, optimism, general and disease-specific self-efficacy), in behavioral changes in acute coronary syndrome (ACS) patients, especially for dietary pattern, physical activity, smoking status and alcohol consumption. Two-hundred and seventy-five patients (83.3% men; mean age=57.1, SD=8. 0) were enrolled. Psychological factors and lifestyle were assessed during three measurement points (baseline, 6-month and 12-month follow-ups). Results from regression analyses showed that disease-specific self-efficacy and sense of coherence can predict lifestyle improvement after ACS. These findings underline the importance of working on resilience factors to change lifestyle in patients with CVD
- Published
- 2015
39. Changes in physical activity among coronary and hypertensive patients: A longitudinal investigation using the HAPA
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PANCANI, LUCA, CAPPELLETTI, ERIKA ROSA, D'ADDARIO, MARCO, GRECO, ANDREA, MONZANI, DARIO, STECA, PATRIZIA, Pancani, L, Cappelletti, E, D'Addario, M, Greco, A, Monzani, D, and Steca, P
- Subjects
Physical activity, coronary and hypertensive patients, longitudinal study, HAPA model - Abstract
Background: Physical activity (PA) plays an important role in primary, secondary, and tertiary prevention of cardiovascular diseases (CVDs). This study aimed to use the Health Action Process Approach (HAPA) to investigate changes in PA in patients affected either by acute coronary syndrome (CPs) or essential arterial hypertension (HPs). Methods: CPs (N=188) and HPs (N=169) completed a questionnaire at baseline, 6 months (T1) and 12 months (T2) after baseline. Repeated measures ANOVA and multisample path analysis were performed. Results: Both the populations improved their PA, but CPs showed greater changes than HPs, strongly improving their PA at T1 and then maintaining it at T2. Moreover, results indicated equivalence of the HAPA model for both patient populations. Conclusions: Findings provide further evidence for the generalizability of the HAPA, which has never been employed to investigate PA on patients affected by hypertension. Moreover, the equivalence of the model for both the populations suggests that the process of change is almost identical for individuals who are at high risk for coronary event (HPs) and individuals who have already had the event (CPs)
- Published
- 2015
40. Need for Information and Psychological Correlates among Patients with Cardiovascular Diseases
- Author
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CAPPELLETTI, ERIKA ROSA, D'ADDARIO, MARCO, GRECO, ANDREA, MAGRIN, MARIA ELENA, MIGLIORETTI, MASSIMO, MONZANI, DARIO, PANCANI, LUCA, SARINI, MARCELLO, SCRIGNARO, MARTA, VECCHIO, LUCA PIERO, STECA, PATRIZIA, Cappelletti, E, D'Addario, M, Greco, A, Magrin, M, Miglioretti, M, Monzani, D, Pancani, L, Sarini, M, Scrignaro, M, Vecchio, L, and Steca, P
- Subjects
informational need ,Health communication ,chronic disease management - Abstract
Several studies on chronic diseases have underlined the need for personalized healthcare, taking into account patients’ information needs and preferences, to support their proactive health management. However, little research has been conducted to determine cardiovascular disease patients’ information needs and the psychological factors associated with these needs. Our study aimed to explore the priorities and the correlates of information needs among patients with coronary disease. 357 newly diagnosed patients with acute myocardial infarction or acute coronary syndrome completed a questionnaire which assessed different psychological factors and the need for further information on six topics related to disease management. Descriptive analyses were conducted to identify information needs; correlation analysis were conducted to explore the relationship between need for information and psychological factors. Overall, patients wanted to be extensively informed in each domain; the key information need was for a full understanding of the disease, while information about behavioral habits emerged as a minor theme. Correlations between Coping Strategies, Anxiety, Orientation to Happiness, Psychological Well-being and Need for Information were found. In particular, Adaptive Coping Strategies were positively associated with the need for further information about Pathology. Anxiety was positively associated with the need of information on Distress Management and Risks And Complications of the disease, whereas it was negatively associated with information about Behavioral Habits. Orientation to happiness was negatively associated with information on Behavioral Habits and Daily Life Activities, while Psychological Well Being was correlated with information about Pathology, Behavioral Habits and Distress domains. Taking into account the information needs and the relationships between these and the psychological factors could enhance quality of chronic disease management, leading health-care system to move toward a patient-tailored care.
- Published
- 2014
41. Information needs and psychological factors among patients with coronaropathy
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CAPPELLETTI, ERIKA ROSA, D'ADDARIO, MARCO, SARINI, MARCELLO, GRECO, ANDREA, PANCANI, LUCA, MAGRIN, MARIA ELENA, MIGLIORETTI, MASSIMO, VECCHIO, LUCA PIERO, SCRIGNARO, MARTA, STECA, PATRIZIA, Cappelletti, E, D'Addario, M, Sarini, M, Greco, A, Pancani, L, Magrin, M, Miglioretti, M, Vecchio, L, Scrignaro, M, and Steca, P
- Subjects
coronaropathy ,Settore M-PSI/01 - Psicologia Generale ,Information need ,Chronic Disease Management ,Coping Strategie ,Patients’ Information Need ,psychological factor ,coping strategies ,Personalized Healthcare - Abstract
Background: Several studies on chronic diseases have underlined the need for personalized healthcare, taking into account patients’ characteristics and needs to support their proactive health management. Our study aimed to explore the priorities and the correlates of information needs among patients with coronary disease Method: 357 patients with acute myocardial infarction or acute coronary syndrome completed an assessment questionnaire. Descriptive analyses were conducted to identify information needs; path analysis were conducted to explore the relationship between needs and psychological factors. Findings: The key information need was for a full understanding of the disease, while information about behavioral habits emerged as a minor theme. Positive coping strategies were positively associated with need for information on pharmacological treatment and pathology while negative association were found with information on distress management; non adaptive coping strategies were positively related to distress management information. Anxiety was positively associated with information on distress management and risks and complications. Discussion: The comprehension of patients’ information needs and correlates could strongly improve the quality of chronic disease management.
- Published
- 2014
42. Evolution of information needs in patients affected by coronaropathy and hypertension
- Author
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Cappelletti, Erika, D Addario, Marco, Steca, Patrizia, Sarini, Marcello, Andrea Greco, Monzani, Dario, Pancani, Luca, Cappelletti, E, D'Addario, M, Steca, P, Sarini, M, Greco, A, Monzani, D, and Pancani, L
- Subjects
Behavioral Medicine ,Settore M-PSI/01 - Psicologia Generale ,Health Psychology ,Health Communication ,Chronic Disease Management ,Caregivers ,Communication ,Quality of Life ,Humans ,Psychology ,Informational Needs of Patients ,M-PSI/05 - PSICOLOGIA SOCIALE - Abstract
Background: Several studies on chronic diseases have underlined the need for personalized healthcare, taking into account patients’ information needs and preferences, to support their proactive health management. Our study aimed to explore the evolution of information needs in patients affected by two chronic diseases. Method: 338 hypertensive and 195 patients with coronaropathy completed an assessment questionnaire three times along 12 months. Descriptive analyses were conducted to identify information needs and trust degree in different sources of information; trend analyses were performed to analyze their evolution along time. Findings: For both the pathologies, the key information needs were for a full understanding of the disease; information about behavioral habits emerged as a minor theme. Specialists were perceived as the most trustworthy source of information over time. Discussion: Findings provide suggestions to assist healthcare professionals in tailoring quantity and quality of information for chronic patients in order to improve their disease management
- Published
- 2013
43. Smoking behavior in young adults: Measures of dependence and motives behind tobacco use
- Author
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PANCANI, LUCA, D'ADDARIO, MARCO, STECA, PATRIZIA, Pancani, L, D'Addario, M, and Steca, P
- Subjects
motivation ,dependence ,addiction ,smoking behavior - Published
- 2013
44. Nurses' beliefs about nursing diagnosis: A study with cluster analysis.
- Author
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D'Agostino, Fabio, Pancani, Luca, Romero‐Sánchez, José Manuel, Lumillo‐Gutierrez, Iris, Paloma‐Castro, Olga, Vellone, Ercole, and Alvaro, Rosaria
- Subjects
- *
CHI-squared test , *CLUSTER analysis (Statistics) , *FACTOR analysis , *NURSES' attitudes , *NURSING diagnosis , *QUESTIONNAIRES , *RESEARCH funding , *STATISTICAL sampling , *SCALE analysis (Psychology) , *SOCIOECONOMIC factors , *CROSS-sectional method , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Abstract: Aims: To identify clusters of nurses in relation to their beliefs about nursing diagnosis among two populations (Italian and Spanish); to investigate differences among clusters of nurses in each population considering the nurses' socio‐demographic data, attitudes towards nursing diagnosis, intentions to make nursing diagnosis and actual behaviours in making nursing diagnosis. Background: Nurses' beliefs concerning nursing diagnosis can influence its use in practice but this is still unclear. Design: A cross‐sectional design. Methods: A convenience sample of nurses in Italy and Spain was enrolled. Data were collected between 2014‐2015 using tools, that is, a socio‐demographic questionnaire and behavioural, normative and control beliefs, attitudes, intentions and behaviours scales. Results: The sample included 499 nurses (272 Italians & 227 Spanish). Of these, 66.5% of the Italian and 90.7% of the Spanish sample were female. The mean age was 36.5 and 45.2 years old in the Italian and Spanish sample respectively. Six clusters of nurses were identified in Spain and four in Italy. Three clusters were similar among the two populations. Similar significant associations between age, years of work, attitudes towards nursing diagnosis, intentions to make nursing diagnosis and behaviours in making nursing diagnosis and cluster membership in each population were identified. Conclusion: Belief profiles identified unique subsets of nurses that have distinct characteristics. Categorizing nurses by belief patterns may help administrators and educators to tailor interventions aimed at improving nursing diagnosis use in practice. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
45. The hidden side of the Ultimatum Game
- Author
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PANCANI, LUCA, D'ADDARIO, MARCO, STECA, PATRIZIA, D'Addario, M, Pancani, L, and Steca, P
- Subjects
Ultimatum Game, emotions, mind-reading ,Ultimatum game, emotions ,M-PSI/01 - PSICOLOGIA GENERALE - Published
- 2011
46. Psychometric characteristics of the caregiver burden inventory in caregivers of adults with heart failure.
- Author
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Greco, Andrea, Pancani, Luca, Sala, Marta, Annoni, Anna Maria, Steca, Patrizia, Paturzo, Marco, D’Agostino, Fabio, Alvaro, Rosaria, and Vellone, Ercole
- Subjects
- *
HEART failure treatment , *FAMILIES & psychology , *CHI-squared test , *STATISTICAL correlation , *FACTOR analysis , *HOME nursing , *NEUROPSYCHOLOGICAL tests , *RESEARCH methodology , *PSYCHOMETRICS , *QUALITY of life , *QUESTIONNAIRES , *RESEARCH funding , *SECONDARY analysis , *BURDEN of care , *CROSS-sectional method , *RESEARCH methodology evaluation , *DATA analysis software , *DESCRIPTIVE statistics ,RESEARCH evaluation - Abstract
Background: A better understanding of caregiver burden and its determinants is essential to support caregivers. Many instruments have been developed to measure caregiver burden in various illness contexts, but few have been psychometrically tested for caregivers of heart failure patients. Aims: The aim of this study was to test the validity (factorial and concurrent validity) and reliability (internal consistency) of the caregiver burden inventory (CBI) in a cohort of caregivers of heart failure patients. Methods: This was a secondary analysis from a cross-sectional study on heart failure patients and their caregivers enrolled from various Italian outpatient centres. The factorial validity of the CBI was tested with confirmatory factor analysis, and concurrent validity was tested correlating CBI scores with the short form-12 health survey scores. The internal consistency reliability was assessed with Cronbach’s alpha. Results: In total, 505 caregivers of heart failure patients (52.2% women, mean age 56.59±14.9 years) were enrolled. Confirmatory factor analyses confirmed the original five-factor model: time-dependence, developmental, physical, social and emotional burden. This model fits the data better than the single-factor model, and the dimensions showed high internal consistency reliability (Cronbach’s alpha 0.91 for time-dependence burden, 0.92 for developmental burden, 0.88 for physical burden, 0.89 for social burden and 0.93 for emotional burden; 0.96 for the total score of burden). Conclusion: The CBI proved to be a good multidimensional instrument for evaluating the burden in caregivers of heart failure patients and can be used in clinical practice and research. This tool can be considered to tailor interventions aimed at improving caregiver outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
47. Testing an explanatory model of nurses' intention to report adverse drug reactions in hospital settings.
- Author
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Angelis, Alessia De, Pancani, Luca, Steca, Patrizia, Colaceci, Sofia, Giusti, Angela, Tibaldi, Laura, Alvaro, Rosaria, Ausili, Davide, and Vellone, Ercole
- Subjects
- *
CHI-squared test , *CORPORATE culture , *DRUG side effects , *EMPLOYMENT , *TEST validity , *FACTOR analysis , *HOSPITAL wards , *INTENTION , *NURSES' attitudes , *NURSING practice , *NURSING specialties , *PHARMACOLOGY , *PUBLIC hospitals , *QUESTIONNAIRES , *STATISTICAL sampling , *SCALE analysis (Psychology) , *SELF-efficacy , *WORK environment , *EDUCATIONAL attainment , *STRUCTURAL equation modeling , *PLANNED behavior theory , *CROSS-sectional method , *DATA analysis software , *WORK experience (Employment) , *HOSPITAL nursing staff - Abstract
Aim To test an explanatory model of nurses' intention to report adverse drug reactions in hospital settings, based on the theory of planned behaviour. Background Under-reporting of adverse drug reactions is an important problem among nurses. Methods A cross-sectional design was used. Data were collected with the adverse drug reporting nurses' questionnaire. Confirmatory factor analysis was performed to test the factor validity of the adverse drug reporting nurses' questionnaire, and structural equation modelling was used to test the explanatory model. Results The convenience sample comprised 500 Italian hospital nurses (mean age = 43.52). Confirmatory factor analysis supported the factor validity of the adverse drug reporting nurses' questionnaire. The structural equation modelling showed a good fit with the data. Nurses' intention to report adverse drug reactions was significantly predicted by attitudes, subjective norms and perceived behavioural control ( R² = 0.16). Conclusions The theory of planned behaviour effectively explained the mechanisms behind nurses' intention to report adverse drug reactions, showing how several factors come into play. Implications for nursing management In a scenario of organisational empowerment towards adverse drug reaction reporting, the major predictors of the intention to report are support for the decision to report adverse drug reactions from other health care practitioners, perceptions about the value of adverse drug reaction reporting and nurses' favourable self-assessment of their adverse drug reaction reporting skills. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
48. A longitudinal study on the information needs and preferences of patients after an acute coronary syndrome.
- Author
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Greco, Andrea, Cappelletti, Erika Rosa, Monzani, Dario, Pancani, Luca, D'Addario, Marco, Magrin, Maria Elena, Miglioretti, Massimo, Sarini, Marcello, Scrignaro, Marta, Vecchio, Luca, Fattirolli, Francesco, and Steca, Patrizia
- Subjects
ANALYSIS of variance ,CHI-squared test ,HEALTH promotion ,CARDIAC patients ,LONGITUDINAL method ,QUESTIONNAIRES ,RESEARCH funding ,STATISTICS ,DATA analysis ,ACCESS to information ,INFORMATION needs ,REPEATED measures design ,PATIENT-centered care ,DATA analysis software ,ACUTE coronary syndrome ,PATIENTS' attitudes ,DESCRIPTIVE statistics - Abstract
Background: Research has shown that the provision of pertinent health information to patients with cardiovascular disease is associated with better adherence to medical prescriptions, behavioral changes, and enhanced perception of control over the disease. Yet there is no clear knowledge on how to improve information pertinence. Identifying and meeting the information needs of patients and their preferences for sources of information is pivotal to developing patient-led services. This prospective, observational study was aimed at exploring the information needs and perceived relevance of different information sources for patients during the twenty-four months following an acute coronary syndrome. Methods: Two hundred and seventeen newly diagnosed patients with acute coronary syndrome were enrolled in the study. The patients were primarily men (83.41 %) with a mean age of 57.28 years (range 35-75; SD = 7. 98). Patients' needs for information and the perceived relevance of information sources were evaluated between 2 and 8 weeks after hospitalization (baseline) and during three follow-ups at 6, 12 and 24 months after baseline. Repeated measures ANOVA, Bonferroni post hoc tests and Cochran's Q Test were performed to test differences in variables of interest over time. Results: Results showed a reduction in information needs, but this decrease was significant only for topics related to daily activities, behavioral habits, risk and complication. At baseline, the primary sources of information were specialists and general practitioners, followed by family members and information leaflets given by physicians. Relevance of other sources changed differently over time. Conclusion: The present longitudinal study is an original contribution to the investigation of changes in information needs and preferences for sources of information among patients who are diagnosed with acute coronary syndrome. One of the main results of this study is that information on self-disease management is perceived as a minor theme for patients even two years after the event. Knowledge on how patients' information needs and perceived relevance of information sources change over time could enhance the quality of chronic disease management, leading health-care systems to move toward more patient-tailored care. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
49. A Type A and Type D Combined Personality Typology in Essential Hypertension and Acute Coronary Syndrome Patients: Associations with Demographic, Psychological, Clinical, and Lifestyle Indicators.
- Author
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Steca, Patrizia, D’Addario, Marco, Magrin, Maria Elena, Miglioretti, Massimo, Monzani, Dario, Pancani, Luca, Sarini, Marcello, Scrignaro, Marta, Vecchio, Luca, Fattirolli, Francesco, Giannattasio, Cristina, Cesana, Francesca, Riccobono, Salvatore Pio, and Greco, Andrea
- Subjects
ESSENTIAL hypertension ,ACUTE coronary syndrome ,SEDENTARY behavior ,MENTAL depression ,HEALTH status indicators ,CLUSTER analysis (Statistics) - Abstract
Many studies have focused on Type A and Type D personality types in the context of cardiovascular diseases (CVDs), but nothing is known about how these personality types combine to create new profiles. The present study aimed to develop a typology of Type A and Type D personality in two groups of patients affected by and at risk for coronary disease. The study involved 711 patients: 51.6% with acute coronary syndrome, 48.4% with essential hypertension (mean age = 56.4 years; SD = 9.7 years; 70.7% men). Cluster analysis was applied. External variables, such as socio-demographic, psychological, lifestyle, and clinical parameters, were assessed. Six groups, each with its own unique combined personality profile scores, were identified: Type D, Type A-Negatively Affected, Not Type A-Negatively Affected, Socially Inhibited-Positively Affected, Not Socially Inhibited, and Not Type A-Not Type D. The Type A-Negatively Affected cluster and, to a lesser extent, the Type D cluster, displayed the worst profile: namely higher total cardiovascular risk index, physical inactivity, higher anxiety and depression, and lower self-esteem, optimism, and health status. Identifying combined personality profiles is important in clinical research and practice in cardiovascular diseases. Practical implications are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
50. Changes in Dietary Behavior among Coronary and Hypertensive Patients: A Longitudinal Investigation Using the Health Action Process Approach.
- Author
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Steca, Patrizia, Pancani, Luca, Greco, Andrea, D'Addario, Marco, Magrin, Maria Elena, Miglioretti, Massimo, Sarini, Marcello, Scrignaro, Marta, Vecchio, Luca, Cesana, Francesca, Giannattasio, Cristina, Fattirolli, Francesco, and Zanettini, Renzo
- Subjects
- *
HYPERTENSION , *NUTRITION , *ACUTE coronary syndrome , *TERTIARY care ,CARDIOVASCULAR disease related mortality - Abstract
Background Cardiovascular diseases (CVDs) are a major cause of worldwide morbidity and mortality. Nutrition plays an important role in the primary, secondary, and tertiary prevention of CVDs. The present longitudinal study used the Health Action Process Approach (HAPA) to investigate changes in dietary behavior in coronary patients (CPs) affected by acute coronary syndrome and hypertensive patients (HPs) affected by essential arterial hypertension. Methods CPs ( N = 250) and HPs ( N = 246) completed a questionnaire during three measurement points (baseline, 6-month follow-up, and 12-month follow-up). Statistical analyses included a repeated measures ANOVA and a multi-sample structural equation model. Results HPs showed no changes in dietary behavior, whereas CPs improved their nutrition at 6 months and then maintained the healthier diet. The multi-sample analysis indicated equivalence of the HAPA model for both patient populations. Conclusions These findings provide further evidence for the generalisability of the HAPA model, shedding light on dietary behavior among CVD patients and particularly on hypertensive patients which has received little attention. Moreover, the equivalence of the model suggests that the process of change is almost identical for individuals who are at high risk for a coronary event (i.e. HPs) and individuals who have already had the event (i.e. CPs). [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
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