Publications by authors named "Anna Guerrini-Usubini"

Article Synopsis
  • Prader-Willi syndrome (PWS) is a rare genetic disorder causing various cognitive, emotional, and behavioral challenges, impacting both individuals with PWS and their caregivers significantly.
  • The study investigates the psychological health of caregivers of adults with PWS, using assessments like DASS-21 and PGWBI to compare their mental well-being to that of the general population.
  • Results indicated that caregivers experience higher levels of depression and stress compared to the general population, with their overall psychological well-being being poorer than that of individuals with PWS, highlighting the need for targeted support for caregivers.
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Article Synopsis
  • - The study investigates the psychological conditions of 92 Italian adolescents (31 boys, 61 girls) with obesity, focusing on their emotional states, psychological adjustment, and eating disorder symptoms while enrolled in a weight reduction program.
  • - Various psychological assessments were conducted, including the Strengths and Difficulties Questionnaire and the Eating Attitude Test, revealing that girls reported more emotional difficulties and higher levels of depression and anxiety compared to boys, regardless of obesity severity.
  • - Results indicate that adolescents with eating disorder symptoms exhibited significantly worse emotional and psychological conditions, suggesting that treatment for obesity in this demographic should address not just physical health, but also emotional and behavioral challenges.
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Introduction: Childhood obesity is associated with poor psychological adjustment. Severely impacts the psychological adjustment of young patients. To assess the psychological functioning of children and adolescents, several questionnaires have been proposed so far.

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  • The study examined how well parents and their obese adolescents in Italy agreed on emotional and behavioral problems using standardized questionnaires.
  • Out of 100 participants, most scored normally, but notable borderline and clinical issues were reported more by parents than by the adolescents themselves, especially concerning anxiety and affective disorders.
  • Results showed that young females reported higher anxiety and emotional problems compared to males, highlighting the importance of understanding psychological profiles in this demographic.
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Background: There is growing support for considering Dance Movement Therapy (DMT) as an effective approach to improving physical and psychological symptoms in eating disorders (ED), but additional evidence is needed. The current study aims to investigate the effectiveness of a DMT intervention for inpatients with ED during an in-hospital rehabilitation program for ED in reducing emotion dysregulation and alexithymia and improving interoceptive awareness.

Methods: Forty-nine consecutive inpatient young women with ED (aged between 18 and 34 years) recruited from a clinical center for the rehabilitation of obesity and ED received four group sessions of DMT intervention.

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Although fatigue is a frequently occurring symptom in young patients with obesity, relatively few studies have assessed their perception of fatigue and its impact on their quality of life so far. Comparisons between the reports of fatigue in children/adolescents with obesity and their parents were assessed using the Pediatric Quality of Life Inventory-Multidimensional Fatigue Scale (PedsQL-MFS). One hundred Italian children/adolescents (36 males; 64 females), aged between 11 and 17 (mean age = 15.

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Introduction: Obesity represents one of the most serious problems of public health affecting elderly populations in an increasingly relevant way. The aim of the current study was to assess the effects of a 3-week in-hospital multidisciplinary body weight reduction program (BWRP) in a sample of elderly patients with obesity on reducing body mass index (BMI), improving fatigue, muscle performance, and psychological well-being.

Methods: Two hundred and thirty-seven consecutive elderly in-patients with obesity (males = 84; females = 153; age range = 65-86 yrs.

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Article Synopsis
  • * This study focused on 56 Italian adolescents (ages 13-17) with obesity, examining the relationship between cognitive fusion and emotional eating while controlling for various factors.
  • * Results indicated a significant link between cognitive fusion and emotional eating, suggesting that understanding cognitive fusion could help in developing interventions for childhood obesity and related eating disorders.
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  • The study examines how emotion dysregulation affects psychological distress and emotional eating among Italian young adults aged 20-35.
  • Data was collected from 600 participants using an online survey, which included assessments of emotional regulation, distress, and eating behaviors.
  • Findings indicate that poor emotion regulation increases psychological distress and emotional eating, which are linked to higher Body Mass Index (BMI), highlighting the importance of emotional regulation in psychological and physical health interventions.
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  • * 165 women participated in self-report questionnaires and a walking test to assess perceived pain severity and physical functioning, revealing key insights into how psychological factors impact disability levels.
  • * Findings suggest that rehabilitation for these individuals should target pain acceptance and kinesiophobia, as they influence both subjective feelings of physical functioning and objective performance outcomes differently.
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  • The study assessed how well the Italian version of the PedsQL-MFS responds to changes in BMI, fatigue, and depression in adults with obesity during a 3-week weight reduction program.
  • Results showed significant reductions in fatigue scores after the program, particularly in those who improved their depressive symptoms and fatigue severity, while changes in BMI did not significantly impact the scores.
  • The findings indicate that the PedsQL-MFS is responsive to improvements in fatigue and depression but suggested the need for future studies to include a control group for further validation.
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The study shows preliminary results of “The ACTyourCHANGE in Teens” project, a Randomized Controlled Trial aimed at evaluating the efficacy of an Acceptance and Commitment Therapy-based intervention combined with treatment as usual (ACT+TAU) compared to TAU only, for improving psychological well-being, psychological distress, experiential avoidance and fusion, emotion dysregulation, and emotional eating in a sample of 34 in-patient adolescents with obesity (Body Mass Index > 97th centile). Mixed between-within 2 × 2 repeated-measures analyses of variances (ANOVAs) were carried out to examine the changes in psychological conditions of participants over time. Moderation analyses were also conducted to test whether pre-test anxiety, depression, stress, and experiential avoidance and fusion predicted emotional eating at post-test with groups (ACT+TAU vs.

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Article Synopsis
  • * Participants completed various questionnaires to assess their levels of anxiety, depression, psychological inflexibility, and emotional eating behaviors.
  • * The results indicated significant indirect effects of both anxiety and depression on emotional eating through psychological inflexibility, suggesting that interventions addressing this inflexibility could enhance obesity treatment programs.
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  • - The study investigates how emotional regulation issues and problematic internet use affect the link between negative emotions and excessive daytime sleepiness in a sample of 664 Italian adults.
  • - Participants completed various scales to measure their levels of negative affect, emotion regulation difficulties, internet use habits, and daytime sleepiness, revealing significant correlations among these factors.
  • - Findings suggest that emotion dysregulation and problematic internet use partially mediate the impact of negative affect on excessive daytime sleepiness, highlighting the importance of targeting emotional regulation in interventions aimed at reducing daytime sleepiness.
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  • The systematic review investigates the relationship between psychological factors and the effectiveness of intragastric balloon (IGB) therapy for obesity, highlighting the need for healthcare providers to address emotional challenges in weight management.
  • Out of a large number of studies screened, 16 studies met the criteria and showed that factors like being female, older age, and having lower depression levels positively influenced IGB outcomes.
  • The results indicate that IGB therapy effectively reduces weight and improves mental health and quality of life, particularly when combined with traditional treatment methods, especially within the first six months after inserting the device.
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Article Synopsis
  • The study aimed to compare the effectiveness of Acceptance and Commitment Therapy (ACT) versus Cognitive Behavioral Therapy (CBT) for weight loss maintenance among adults with obesity participating in a rehabilitation program.
  • A total of 155 participants were randomly assigned to either the ACT or CBT group, and various measurements regarding psychological well-being and symptoms were taken at different intervals throughout the program.
  • Results indicated that while there were no major differences at discharge, the ACT group demonstrated significant improvements in weight loss maintenance and overall well-being during the follow-up period, highlighting its effectiveness for long-term weight management, particularly among individuals with certain gender and eating disorder factors.
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Impaired physical functioning is one of the most critical consequences associated with fibromyalgia, especially when there is comorbid obesity. Psychological factors are known to contribute to perceived (i.e.

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Article Synopsis
  • This study is a Randomized Controlled Trial evaluating the effects of a brief Acceptance and Commitment Therapy (ACT) intervention combined with standard treatment (TAU) on adolescents with obesity compared to TAU only.
  • * Fifty adolescents aged 12-17 with obesity will be randomly assigned to either the ACT + TAU group or the TAU-only group and participate in a three-week multidisciplinary weight loss rehabilitation program.
  • * The research will assess changes in psychological well-being and related factors through various scales and statistical analyses, aiming to determine if the ACT intervention can enhance mental health and support long-term weight loss efforts.*
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This cross-sectional study aims to investigate the impact of psychological distress experienced during the second wave of the COVID-19 pandemic on emotional eating and to assess the mediating role of emotional dysregulation in a sample of Italian young adults (20-35). A total of 437 participants provided demographical data and were assessed using the Depression Anxiety Stress Scale, the Difficulties in Emotion Regulation Scale, and the Emotional Eating subscale of the Dutch Eating Behavior Questionnaire. Correlational analyses were performed to assess the relationship between continuous variables, while ANOVA was conducted to detect differences between males and females for emotional eating.

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  • Chronic low-back pain and obesity severely limit physical and functional abilities in affected individuals.
  • This study explored the role of kinesiophobia (fear of movement) as a mediator between the intensity of pain and the level of disability in 213 individuals with these conditions.
  • Results indicated that kinesiophobia partially mediates the connection between pain and disability, highlighting its importance in rehabilitation strategies for improving outcomes in this population.
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Background: As treatment of choice in promoting psychological flexibility, Acceptance and Commitment Therapy (ACT) was found to be effective in several conditions, and among different populations, including weight management in individuals with obesity. However, the mechanism of action of psychological flexibility is less known. The aim of the present study is, within the context of a brief ACT intervention for behavioral change and behavioral maintenance of a healthy lifestyle in a sample of inpatients with obesity, to explore the effect of each subcomponent of the psychological flexibility model on treatment processes and outcomes.

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Obesity is a global health problem that affects both physical and psychological health and well-being. Psychological flexibility is one of the key components related to psychological health. This cross-sectional study aims to investigate the impact of psychological flexibility on psychological well-being in a sample of 220 individuals with obesity.

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Adolescence is a complex developmental phase, made more complex by obesity and the social isolation imposed by the COVID-19 pandemic. The literature related to the impact of social isolation on obesity self-management in adolescents is scant and inconsistent. This paper describes the phenomenon from the perspectives of a sample of adolescents with obesity enrolled in an inpatients' multidisciplinary rehabilitation program for weight-loss and their caregivers, and its impact on different life domains.

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Background: Obesity and the state of being overweight are increasing steadily and becoming a global epidemic. Recent research reports 64% of the adult population as overweight in Europe and the USA. The social and economic impacts are increasing, and most of the rehabilitation programs, while effective in the short term, do not produce long-lasting results.

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