A new mediation approach to care with patients suffering from Alzheimer dementia (#76)
1 Private Practice, Paris, France
Since 1998, with patients suffering from Alzheimer’s dementia, we will present a new practice of therapeutic mediations through embroidery (cross stitching) on the theme of childhood and adulthood (World War II, for example)
The two major theoretical axes of this research are «The transitional area» with what it implies with regards to reality and the imagination and the «sublimation» with what it questions from the point of view of the drive.
In our clinical practice, we encounter subjects in difficulty or in a lack of symbolisation. A few subjects for reasons that are specific to them (being very young, inhibited, deficient, or very old, language used as a defence…), cannot, or hardly, do therapeutic work directly from wording. On these topics, the clinician can offer e new task that will support the patient’s history through a mediator.
The creative expression with a suffering subject corresponds to the attempt to restore a disturbed identity and psychic integrity. In other words, only what already exists is inhibited.
Keywords: Dementia, mediation
Using Bifactor Exploratory Structural Equation Modeling to Re-Examine the Structural Validity of the Depression Anxiety Stress Scales (DASS-21) Among Adolescents (#120)
V. Gavrilov-Jerković1, M. Lazić1, V. Jovanović1
1 University of Novi Sad, Department of Psychology, Novi Sad, Serbia
The assessment of unpleasant affective experiences in adults and adolescents has always been a considerable challenge for both researchers and practitioners. This challenge is primarily reflected in the difficulties of making a fine distinction between different emotional states, such as depression and anxiety, which tend to overlap substantially. The Depression Anxiety Stress Scales (DASS-21) were developed for the assessment of core symptoms of depression and anxiety, with an aim to maximally differentiate between depression and anxiety by focusing on symptoms that are unique to each construct. The main goal of the present research was to examine the construct validity of the Depression Anxiety Stress Scales (DASS-21) among adolescents and to compare the DASS-21 structure between adolescents and adults. We also evaluated measurement invariance and latent mean differences across gender and age. A total of 1906 adolescents (Mage = 16.54 years) and 657 adults (Mage = 41.39 years) completed the DASS-21. The bifactor-ESEM model was the best representation of the data and this model proved to be invariant across gender and age. The findings indicated a strong general factor underlying responses to all DASS-21 items, but also suggested that Depression and Anxiety subscales possess substantial amount of specificity. The Stress subscale showed little specificity after partialling out the general factor. More similarities than differences in the structure of unpleasant emotional states as measured by the DASS-21 were found between adolescent and adults. The results show that the use of bifactor-ESEM as a more flexible and integrative framework allows us to draw the distinction at least between the states of depression and anxiety among adolescents.
Keywords: validity, depression, anxiety, bifactor-ESEM
Assessment of mental pain and euthymia as transdiagnostic clinimetric indices in primary care patients (#54)
J. Guidi1, A. Piolanti1, S. Gostoli1, I. Shamong2, E. - L. Brakemeier2
1 University of Bologna, Department of Psychology, Bologna, Italy
Structured Poster Abstract
Introduction. The aim of the present study was to examine the psychological correlates of both mental pain and euthymia as transdiagnostic clinimetric indices in primary care (PC).
Methods. Two-hundred PC patients with heterogeneous diagnoses were consecutively recruited. Participants underwent three clinical interviews for assessing psychiatric disorders (based on DSM-5), psychosomatic syndromes (according to the Diagnostic Criteria for Psychosomatic Research – revised version, DCPR-R) and affective disturbances (the Clinical Interview for Depression, CID). All patients completed three self-rating questionnaires for the assessment of mental pain (the Mental Pain Questionnaire, MPQ), euthymia (the Euthymia Scale, ES) and psychosocial functioning (the PsychoSocial Index, PSI). Associations between either the MPQ or the ES and DSM-5/DCPR-R diagnoses were examined, as well as correlations with dimensional psychological measures.
Results. Patients who received at least one DSM-5 or DCPR-R diagnosis were found to display significantly higher scores on the MPQ than those who had neither DSM-5 nor DCPR-R diagnoses. As to the ES, patients who received at least one DSM-5 or DCPR-R diagnosis reported significantly lower scores than those with no diagnoses. The MPQ was significantly negatively correlated with the ES. Further, there were significant correlations between the MPQ or the ES and all observer-rated (CID depression and anxiety scales) and self-rating (PSI subscales) dimensional psychological measures.
Conclusions. Both the MPQ and the ES significantly discriminated between different diagnostic subgroups. The correlations that were obtained between the MPQ, the ES and other psychological measures (CID, PSI) further confirmed such differences. These findings suggest that mental pain and euthymia are transdiagnostic entities, and may detect major prognostic and therapeutic differences between PC patients presenting with the same psychiatric or medical diagnosis.
Keywords: mental pain, euthymia, clinimetrics, assessment
Children’s stress regulation capacity and mental health: the study protocol (#74)
A. Leuba1, M. Groene1, N. Messerli1
1 University of Fribourg, Fribourg, Switzerland
Structured Poster Abstract
The stress regulation capacity (SRC) is calibrated during early childhood and is influenced by the child’s stress exposure and related to mental health problems at preschool age. Maternal SRC is known to support the child’s SRC under stress exposure and positively contributes to the child’s mental health. However, this impact has not been investigated in preschool-aged children so far. Thus, the research program applies a cross-and longitudinal approach on Swiss children at the age of 3-5 years and uses a multi-informant approach, lab-based and home-based assessment techniques to a) clarify predictors of the child’s SRC (such as parental SRC) and the influence on mental health at that age and b) detect potential changes of SRC and its relation to mental health during a normative stress exposure (the entry to kindergarten).
Keywords: Stress regulation, Preschool children, clinical psychology
Objective Makers of Posttraumatic Dissociation (#90)
S. Beutler1, J. Schellong1, I. Croy1, J. K. Daniels2
1 Dresden University Hospital, TU Dresden, Department for Psychotherapy and Psychosomatic Medicine, Dresden, Germany
Structured Poster Abstract
Recurring posttraumatic dissociation is a known phenomenon in patients suffering from chronic posttraumatic stress disorder (PTSD) and can remain long after the traumatic event. Especially common symptoms are depersonalization and derealization, which describe the feeling, that the own body doesn’t belong to oneself, out-of-body experiences and the feeling, that the surrounding seems unreal. Those symptoms are characterized by an attenuation in the sensory and emotional self-experience. The majority of published research regarding posttraumatic dissociation uses subjective introspection of participants to identify such alterations. It is however assumed that the core feature of this symptomatic compromises introspection itself. To this date, no objective (psycho-physiological and sensory) markers were identified to quantify the severity of dissociation. We aim to explore potential markers for dissociation in PTSD patients.
For that purpose, we asses dissociation in 72 in-patients with PTSD via two study approaches: First, cardiovascular changes, associated with naturally occurring dissociative episodes, will be tracked by a mobile electrocardiogram device, while patients carry smartphones to enter dissociative events. Second, the Script-Driven Imagery paradigm will be used to induce dissociation in a laboratory setting and identify associated changes in markers like cardiovascular parameters, body sway, muscle tension, pain threshold and olfactory threshold. First data from both approaches will be presented. We expect these markers to expand access to neurological models and treatment methods of dissociation.
Keywords: dissociation, psychophysiological markers, ambulant assessment, heart rate
Assessing fluctuations in body image: factor structure and psychometric properties of a French version of the Body Appreciation Scale-2 (state version). (#147)
J. Rivière1, C. Baeyens2, C. Douilliez3, 1
1 Univ. Lille, EA 4072 - PSITEC - Psychologie : Interactions Temps Émotions Cognition, Lille, France
Structured Poster Abstract
Introduction: Body appreciation is a construct reflecting positive body image. While there are a lot of validated body image trait measures (such as the Body Appreciation Scale 2; BAS-2; Tyler & Wood-Barcalow, 2015), it seems also relevant to be able to assess fluctuations of body image across time and contexts, given that body image is dynamic and malleable (Tiggemann, 2001). For this purpose, Homan (2016) has developed a state version of the BAS-2. The aim of the present study was to examine the factorial structure and the psychometric properties of a French version of this Body Appreciation Scale 2 – state (SBAS-2).
Method: Two hundred and forty-six participants (210 women) aged from 18 to 50 years (M=23.11; SD=5.27) were recruited to participate online to the study. As in the original study, they were instructed to read six scenarios intended to induce high body acceptance vs low body acceptance. After the display of each scenario, they had to complete the SBAS-2. Finally, they also completed the BAS – 2 (trait version), the Body Esteem Scale (BES) and the Body Dissatisfaction subscale of the Eating Disorder Inventory-2 (BD-EDI2).
Results: Similar to the original version of the SBAS-2, the French version had a one-factor structure and a very good internal consistency. The convergent validity was supported by the positive correlation between the SBAS-2 and the BES. Finally, a mixed-design ANOVA showed significant effects of situation (low vs high body acceptance), gender and their interaction on the SBAS-2 score, supporting that the scale is sensitive to situational contexts: the SBAS-2 score was significantly lower in the low body acceptance situation compared to the high body acceptance situation. This effect was significant in both genders but the difference was greater in women compared to men.
Conclusion: These preliminary results suggest that the French SBAS-2 could be a good measurement tool to assess momentary fluctuations in body image.
Keywords: body image, body appreciation, questionnaire