Full Title
PSICOLOGIA DELLA SALUTE
Publisher
FrancoAngeli
ISSN
1721-0321 (Printed Journal)
1972-5167 (Online Journal)
Journal Issue Number
1
Journal Issue Designation
1
Journal Issue Date (YYYY/MM)
2018/01
Full Title
Maltrattamento emotivo e sintomi somatici in età giovanile adulta. Il ruolo di mediazione dello stile di attaccamento romantico in una popolazione femminile
By (author)
First Page
81
Last Page
101
Language of text
Italian
Publication Date
2018/01
Copyright
2018 FrancoAngeli srl
Introduction or preface
Il maltrattamento emotivo è spesso associato alla comparsa in età adulta di una varietà di compromissioni della salute mentale e fisica. Tra queste, i disturbi somatici hanno un'alta incidenza tra le vittime di maltrattamento, in particolare tra le donne. L'indagine dei fattori di mediazione tra tali esperienze e la successiva sintomatologia adulta, mette in evidenza il ruolo dell'attaccamento romantico, anche nello specifico caso dei disturbi somatici, tuttavia sono ancora pochi gli studi sul tema. L'obiettivo principale degli autori è quello di verificare l'effetto delle esperienze avverse di abuso e trascuratezza emotivi sulla comparsa di sintomi somatici in un gruppo di donne giovani-adulte, attraverso l'effetto di mediazione dei livelli di ansia ed evitamento dell'attaccamento romantico. Le partecipanti sono 346 studentesse (età media = 23.17) che hanno completato un pro-tocollo self-report costituito da: Childhood Trauma Questionnaire-Short Form (CTQ-SF), Experiences in Close Relationships Scale-Revised (ECR-R) e Symptom Check-List (SCL-90). Attraverso l'applicazione di un modello di equazione strutturale gli autori hanno esaminato la mediazione dell'attaccamento romantico (ECR-R) nella relazione tra maltrattamento emotivo (CTQ-SF) e sintomi somatici (SCL-90). Il fit del modello appare adeguato ed evidenzia che l'attaccamento romantico media la relazione tra maltrattamento emotivo infantile e disturbi somatici in età adulta (b = 0.15, SE = 0.05, z = 2.76, p = 0.006, 95% CI [0.04, 0.25]). I risultati dello studio sottolineano l'importanza di includere l'aspetto relazionale nell'intervento con le donne vittime di esperienze infantili, in una prospettiva di prevenzione degli effetti negativi delle esperienze infantili avverse e di conseguente riduzione dei costi di salute pubblica.
Unstructured Citation
Anda R., Tietjen G., Schulman E., Felitti V. and Croft J. (2010). Adverse childhood experiences and frequent headaches in
adults. Headache, 50 (9): 1473-1481.
https://doi.org/10.1111/j.1526-4610.2010.01756.x
Unstructured Citation
Autorità Garante per l’Infanzia e l’Adolescenza – CISMAI – Fondazione Terre desHommes Italia (2015). Indagine nazionale sul maltrattamento dei bambini e degli adolescenti in Italia: Risultati e Prospettive.
Unstructured Citation
Bateman A.W. and Fonagy P. (2012). Handbook of Mentalizing in Mental Health Practice. Washington: American Psychiatric Pyblishing.
Unstructured Citation
Bateman A.W. and Fonagy P. (2004). Psychotherapy for Borderline Personality Disorder: Mentalization Based Treatment. New York:
Oxford University Press.
https://doi.org/10.1093/med:psych/9780198527664.001.0001
Unstructured Citation
Bellis M.A., Lowey H., Leckenby N., Hughes K. and Harrison D. (2013). Adverse childhood experiences: retrospective study to
determine their impact on adult health behaviours and health outcomes in a UK population. Journal of Public Health, 36 (1):
81-91.
https://doi.org/10.1093/pubmed/fdt038
Unstructured Citation
Bernstein D.P. and Fink L. (1998). Childhood trauma questionnaire: A retrospective self-report: Manual. Orlando: Psychological Corporation.
Unstructured Citation
Bhandari R., Bakermans-Kranenburg M.J., van der Veen R., Parsons C.E., Young K.S., Grewen K.M., Stein A., Kringelbach M.L.
and van IJzendoorn M.H. (2014). Salivary oxytocin mediates the association between emotional maltreatment and responses to
emotional infant faces. Physiology & Behavior, 131: 123-128.
https://doi.org/10.1016/j.physbeh.2014.04.028
Unstructured Citation
Bifulco A., Kwon J., Jacobs C., Moran P.M., Bunn A. and Beer N. (2006). Adult attachment style as mediator between childhood
neglect/abuse and adult depression and anxiety. Social Psychiatry and Psychiatric Epidemiology, 41 (10): 796-805.
https://doi.org/10.1007/s00127-006-0101-z
Unstructured Citation
Bleiberg K.L. and Markowitz J.C. (2005). A pilot study of interpersonal psychotherapy for posttraumatic stress disorder. American
Journal of Psychiatry, 162 (1): 181-183.
https://doi.org/10.1176/appi.ajp.162.1.181
Unstructured Citation
Brown R.J., Schrag A. and Trimble M.R. (2005). Dissociation, childhood interpersonal trauma, and family functioning in patients
with somatization disorder. American Journal of Psychiatry, 162 (5): 899-905.
https://doi.org/10.1176/appi.ajp.162.5.899
Unstructured Citation
Brown T.A. (2015). Confirmatory factor analysis for applied research. New York, NY: Guilford Publications.
Unstructured Citation
Busonera A., San Martini P., Zavattini G.C. and Santona A. (2014). Psychometric Properties of an Italian Version of the Experiences
in Close Relationships-Revised (ECR-R) Scale. Psychological Reports, 114 (3): 785-801.
https://doi.org/10.2466/03.21.PR0.114k23w9
Unstructured Citation
Busuito A., Huth-Bocks A. and Puro E. (2014). Romantic attachment as a moderator of the association between childhood abuse
and posttraumatic stress disorder symptoms. Journal of Family Violence, 29 (5): 567-577.
https://doi.org/10.1007/s10896-014-9611-8
Unstructured Citation
Calvo V. (2008) Il questionario ECR–R: Aspetti di validazione della versione italiana dello strumento [The ECR-R questionnaire: Aspects of validation of the Italian version of the instrument]. In: Atti del X Congresso Nazionale AIP: Sezione Clinica-Dinamica, Padova, pp. 275-279.
Unstructured Citation
Cassidy J. (1994). Emotion regulation: influences of attachment relationships. Monographs of the Society for Research in Child
Development, 59 (2-3): 228-249.
https://doi.org/10.1111/j.1540-5834.1994.tb01287.x
Unstructured Citation
Cicchetti D. and Toth S.L. (2005). Child maltreatment. Annual Review of Clinical Psychology, 1: 409-438.
https://doi.org/10.1146/annurev.clinpsy.1.102803.144029
Unstructured Citation
D’Andrea W., Ford J., Stolbach B., Spinazzola J. and Van der Kolk B.A. (2012). Under-standing interpersonal trauma in children:
why we need a developmentally appropriate trauma diagnosis. American Journal of Orthopsychiatry, 82 (2): 187-200.
https://doi.org/10.1111/j.1939-0025.2012.01154.x
Unstructured Citation
Derogatis L.R., Lipman R.S. and Covi L. (1973). The SCL–90: An outpatient psychiatric rating scale. Preliminary report. Psychopharmacology Bulletin, 9 (1): 13-28.
Unstructured Citation
Elwood L.S. and Williams N.L. (2007). PTSD? Related Cognitions and Romantic Attachment Style as Moderators of Psychological
Symptoms in Victims of Interpersonal Trauma. Journal of Social and Clinical Psychology, 26 (10): 1189-1209.
https://doi.org/10.1521/jscp.2007.26.10.1189
Unstructured Citation
Felitti V.J. and Anda R.F. (2010). The relationship of adverse childhood experiences to adult medical disease, psychiatric
disorders and sexual behavior: Implications for healthcare. In: Lanius R.A., Vermetten E. and Pain C., editors, The impact
of early life trauma on health and disease: The hidden epidemic. New York, NY: Cambridge University Press, pp. 77-87.
https://doi.org/10.1017/CBO9780511777042.010
Unstructured Citation
Gatta M., Balottin L., Mannarini S., Chesani G., Del Col L., Spoto A. and Battistella P.A. (2016). Familial factors relating
to alexithymic traits in adolescents with psychiatric dis-orders. Clinical Psychologist.
https://doi.org/10.1111/cp.12098
Unstructured Citation
Gilbert L.K., Breiding M.J., Merrick M.T., Thompson W.W., Ford D.C., Dhingra S.S. and Parks S.E. (2015). Childhood adversity
and adult chronic disease: an update from ten states and the District of Columbia, 2010. American Journal of Preventive Medicine,
48 (3): 345-349.
https://doi.org/10.1016/j.amepre.2014.09.006
Unstructured Citation
Hornor G. (2012). Emotional maltreatment. Journal of Pediatric Health Care, 26 (6): 436-442.
https://doi.org/10.1016/j.pedhc.2011.05.004
Unstructured Citation
Kanuri N., Cassell B., Bruce S.E., White K.S., Gott B.M., Gyawali C.P. and Sayuk G.S. (2016). The impact of abuse and mood
on bowel symptoms and health‐related quality of life in irritable bowel syndrome (IBS). Neurogastroenterology & Motility,
28 (10): 1508-1517.
https://doi.org/10.1111/nmo.12848
Unstructured Citation
Kline R.B. (2015). Principles and practice of structural equation modeling. New York, NY: Guilford Press.
Unstructured Citation
Liotti G. (2005). Trauma e dissociazione alla luce della teoria dell’attaccamento. Infanzia e Adolescenza, 4 (3): 130-44.
Unstructured Citation
Lyons-Ruth K. and Jacobviz D. (2016). Attachment Disorganization from Infancy to Adult-hood: Neurobiological Correlates, Parenting Contexts, and Pathways to Disorder. In: Cassidy J. and Shaver P.R., editors, Handbook of attachment – Third edition: Theory, Research, and Clinical Applications. New York, NY: Guilford Press, pp. 667-695.
Unstructured Citation
Mandelli L., Petrelli C. and Serretti A. (2015). The role of specific early trauma in adult depression: a meta-analysis of
published literature. Childhood trauma and adult depression. European Psychiatry, 30 (6): 665-680.
https://doi.org/10.1016/j.eurpsy.2015.04.007
Unstructured Citation
McCall-Hosenfeld J.S., Winter M., Heeren T. and Liebschutz J.M. (2014). The association of interpersonal trauma with somatic
symptom severity in a primary care population with chronic pain: exploring the role of gender and the mental health sequelae
of trauma. Journal of Psychosomatic Research, 77 (3): 196-204.
https://doi.org/10.1016/j.jpsychores.2014.07.011
Unstructured Citation
Mikulincer M. and Shaver P. (2016). Adult Attachment and Emotion Regulation. In: Cassidy J. and Shaver P.R., editors, Handbook of attachment – Third edition: Theory, Research, and Clinical Applications. New York, NY: Guilford Press, pp. 507-533.
Unstructured Citation
Olde E., van der Hart O., Kleber R.J., van Son M.J., Wijnen H.A. and Pop V.J. (2005). Peritraumatic dissociation and emotions
as predictors of PTSD symptoms following child-birth. Journal of Trauma & Dissociation, 6 (3): 125-142.
https://doi.org/10.1300/J229v06n03_06
Unstructured Citation
Paivio S.C. and Cramer K.M. (2004). Factor structure and reliability of the Childhood Trauma Questionnaire in a Canadian undergraduate
student sample. Child Abuse & Neglect, 28 (8): 889-904.
https://doi.org/10.1016/j.chiabu.2004.01.011
Unstructured Citation
Petrone L., Manca M., Pedon A. and Ricci S. (2012). Maltrattamento o maltrattamenti? dati preliminari dell’adattamento italiano del Childhood Trauma Questionnaire Short-Form. International Journal of Developmental and Educational Psychology, 1 (1): 199-204.
Unstructured Citation
Prunas A., Sarno I., Preti E., Madeddu F. and Perugini M. (2012), Psychometric properties of the Italian version of the SCL-90-R:
A study on a large community sample. European Psychiatry, 27 (8): 591-597.
https://doi.org/10.1016/j.eurpsy.2010.12.006
Unstructured Citation
Roelofs K., Keijsers G.P.J., Hoogduin K.A.L., Näring G.W.B. and Moene F.C. (2002). Childhood Abuse in Patients with Conversion
Disorder. American Journal of Psychiatry, 159 (11): 1908-1913.
https://doi.org/10.1176/appi.ajp.159.11.1908
Unstructured Citation
Rosseel Y. (2012). lavaan: An R Package for Structural Equation Modeling. Journal of Statistical Software, 48 (2): 1-33.
https://doi.org/10.18637/jss.v048.i02
Unstructured Citation
Sacchi C., Vieno A. and Simonelli A. (2017). Italian Validation of the Childhood Trauma Questionnaire-Short Form on a College
Group. Psychological Trauma: THEORY, Re-search, Practice, and Policy (advance online publication).
https://doi.org/10.1037/tra0000333
Unstructured Citation
Scott K.M., Smith D.R. and Ellis P.M. (2010). Prospectively ascertained child maltreatment and its association with DSM-IV
mental disorders in young adults. Archives of General Psychiatry, 67 (7): 712-719.
https://doi.org/10.1001/archgenpsychiatry.2010.71
Unstructured Citation
Sethi D., editor (2013). European report on preventing child maltreatment. Copenhagen, Denmark: World Health Organization, Regional Office for Europe.
Unstructured Citation
Simonelli A. and Sacchi C. (2016). Childhood Traumatic Experiences and Post-Traumatic Stress Disorder in Female Adults: Which
is the Role Played by Stress Disorder in Female Adults: Which is the Role Played by Romantic Attachment? In: El-Baalbaki G.
and Fortin C., editors, A Multidimensional Approach to Post-Traumatic Stress Disorder – from Theory to Practice. Rijeka: InTech,
pp. 109-129.
https://doi.org/10.5772/65367
Unstructured Citation
Simpson J.A., Collins A., Farrell A.K. and Lee Raby K. (2015). Attachment and Relation-ships Across Time: An Organizational-Developmental
Perspective. In: Zayas V. and Hazan C., editors, Bases of Adult Attachment: Linking Brain, Mind and Behavior. New York, NY:
Springer, pp. 61-78.
https://doi.org/10.1007/978-1-4614-9622-9_4
Unstructured Citation
Simpson J.A. and Rholes W.S. (2017). Adult attachment, stress, and romantic relationships. Current Opinion in Psychology,
13: 19-24.
https://doi.org/10.1016/j.copsyc.2016.04.006
Unstructured Citation
Sitko K., Bentall R.P., Shevlin M. and Sellwood W. (2014). Associations between specific psychotic symptoms and specific childhood
adversities are mediated by attachment styles: an analysis of the National Comorbidity Survey. Psychiatry Research, 217 (3):
202-209.
https://doi.org/10.1016/j.psychres.2014.03.019
Unstructured Citation
Spinhoven P., Elzinga B.M., Hovens J.G., Roelofs K., Zitman F.G., van Oppen P. and Penninx B.W. (2010). The specificity of
childhood adversities and negative life events across the life span to anxiety and depressive disorders. Journal of Affective
Disorders, 126 (1): 103-112.
https://doi.org/10.1016/j.jad.2010.02.132
Unstructured Citation
Spinhoven P., Elzinga B.M., Van Hemert A.M., de Rooij M. and Penninx B.W. (2016). Childhood maltreatment, maladaptive personality
types and level and course of psycho-logical distress: A six-year longitudinal study. Journal of Affective Disorders, 191:
100-108.
https://doi.org/10.1016/j.jad.2015.11.036
Unstructured Citation
Steinbrecher N., Koerber S., Frieser D. and Hiller W. (2011). The prevalence of medically unexplained symptoms in primary
care. Psychosomatics, 52 (3): 263-271.
https://doi.org/10.1016/j.psym.2011.01.007
Unstructured Citation
Subic-Wrana C. (2010). Emotion regulation and Mentalization in Somatoform Disorders. In: Nyklíček I., VingerhoetsA. and Zeelenberg
M., editors, Emotion regulation and Well-being. New York, NY: Springer Science & Business Media, pp. 245-260.
https://doi.org/10.1007/978-1-4419-6953-8_15
Unstructured Citation
Tasca G.A., Ritchie K., Zachariades F., Proulx G., Trinneer A., Balfour L., Demidenko N., Hayden G., Wong A. and Bissada H.
(2013). Attachment insecurity mediates the relationship between childhood trauma and eating disorder psychopathology in a
clinical sample: a structural equation model. Child Abuse & Neglect, 37 (11): 926-933.
https://doi.org/10.1016/j.chiabu.2013.03.004
Unstructured Citation
Taylor G.J., Bagby R.M. and Parker J.D. (2016). What’s in the name “alexithymia’? A commentary on “Affective agnosia: Expansion
of the alexithymia construct and a new opportunity to integrate and extend Freud’s legacy”. Neuroscience & Biobehavioral Reviews,
68: 1006-1020.
https://doi.org/10.1016/j.neubiorev.2016.05.025
Unstructured Citation
Teicher M.H. and Samson J.A. (2013). Childhood maltreatment and psychopathology: a case for ecophenotypic variants as clinically
and neurobiologically distinct subtypes. American Journal of Psychiatry, 170 (10): 1114-1133.
https://doi.org/10.1176/appi.ajp.2013.12070957
Unstructured Citation
Tietjen G.E. (2016). Childhood maltreatment and headache disorders. Current Pain and Headache Reports, 20 (4): 1-9.
https://doi.org/10.1007/s11916-016-0554-z
Unstructured Citation
Van der Kolk B.A. (2005). Developmental trauma disorder. Psychiatric Annals, 35: 401-408.
https://doi.org/10.3928/00485713-20050501-06
Unstructured Citation
Van der Kolk B.A. (2008). Developmental trauma disorder: towards a rational diagnosis for chronically traumatized children.
Praxis der Kinderpsychologie und Kinderpsychiatrie, 58 (8): 572-586.
https://doi.org/10.13109/prkk.2009.58.8.572
Unstructured Citation
Waldinger R.J., Schulz M.S., Barsky A.J. and Ahern D.K. (2006). Mapping the Road from Childhood Trauma to Adult Somatization:
The Role of Attachment. Psychosomatic Medicine, 68 (1): 129-135.
https://doi.org/10.1097/01.psy.0000195834.37094.a4
Unstructured Citation
Weissman M.M., Markowitz J.C. and Klerman G. (2008). Comprehensive guide to interpersonal psychotherapy. New York: Basic Books.
https://doi.org/10.1093/med:psych/9780195309416.001.0001