Permanent URI for this collection
Browse
Recent Submissions
Publication Preliminary evidence of an affirmative mindfulness, acceptance, and compassion-based, non-randomized group intervention with follow-up for sexual minority individuals (Free2Be)(2024) Seabra, Daniel; Gato, Jorge; Petrocchi, Nicola; do Céu Salvador, MariSexual minority (SM) individuals present lower levels of mental health compared to their heterosexual peers. This study aimed to explore the preliminary evidence of a manualized 13-week, face-to-face affirmative group intervention for SM individuals based on mindfulness, acceptance, and compassion-focused techniques (Free2Be). In a single-armed trial design, nine participants received the intervention and were assessed in three moments (baseline, post-intervention, and three-month follow-up). Sexual minority-related stress processes, psychopathological symptoms, and general adaptive and maladaptive psychological processes were assessed. Group comparisons and individual reliable change index analyses were performed. Overall, the results were significant/reliable in the expected direction: an increase in general adaptive psychological processes and a decrease in sexual-minority-related stress processes, psychopathological symptoms, and general maladaptive psychological processes. These changes remained stable over time. Stigma consciousness, shame related to sexual orientation, and fears of self-compassion did not present any relevant change. Self-compassion increased in the post-intervention and decreased in the follow-up, presenting an unstable trajectory. Results suggested that the Free2Be is an intervention with benefits for sexual minority people.Publication A Pilot Randomized Controlled Trial Comparing a Novel Compassion and Metacognition Approach for Schizotypal Personality Disorder with a Combination of Cognitive Therapy and Psychopharmacological Treatment(2023) Cheli, Simone; Cavalletti, Veronica; Lysaker, Paul H.; Dimaggio, Giancarlo; Petrocchi, Nicola; Chiarello, Francesca; Enzo, Consuelo; Velicogna, Francesco; Mancini, Francesco; Goldzweig, GilBackground Schizotypal personality disorder is characterized by a pervasive pattern of maladaptive behavior that has been associated with the liability for schizophrenia. Little is known about effective psychosocial interventions. This pilot non-inferiority randomized controlled trial aimed to compare a novel form of psychotherapy tailored for this disorder and a combination of cognitive therapy and psychopharmacological treatment. The former treatment – namely, Evolutionary Systems Therapy for Schizotypy—integrated evolutionary, metacognitively oriented, and compassion focused approaches. Methods Thirty-three participants were assessed for eligibility, twenty-four randomized on a 1:1 ratio, nineteen included in the final analysis. The treatments lasted 6 months (24 sessions). The primary outcome was change across nine measurements in personality pathology, the secondary outcomes were remission from diagnosis and pre-post changes in general symptomatology and metacognition. Results Primary outcome suggested a non-inferiority of the experimental treatment in respect to control condition. Secondary outcomes reported mixed results. There was no significant difference in terms of remission, but experimental treatment showed a larger reduction of general symptomatology (η2 = 0.558) and a larger increase in metacognition (η2 = 0.734). Conclusions This pilot study reported promising results about the effectiveness of the proposed novel approach. A confirmatory trial on large sample size is needed to provide evidence about relative effectiveness of the two treatment conditions.Publication A three-arm randomized controlled trial to evaluate the efficacy and feasibility of mindful compassion for perfectionism in reducing perfectionistic cognitions(American Psychological Association, 2024) Cheli, Simone; Cavalletti, Veronica; Goldzweig, Gil; Bui, Sara; Petrocchi, Nicola; Flett, Gordon L.; Hewitt, Paul L.The aim of this study was to evaluate the feasibility and efficacy of mindful compassion for perfectionism (MCP). MCP is an 8-week group intervention that integrates compassion-focused therapy and dynamic relational therapy and has been previously pilot-tested in a few case series. Seventy-two postgraduate students with clinically high perfectionistic traits were randomly assigned either to a control group (wait-list) or two different formats of MCP (online or in-person). Primary outcomes were feasibility (safety, completion, adherence) of MCP and change in perfectionistic cognitions between active treatments and control group. Secondary analyses explored pre–post changes and differences between the two active groups in perfectionistic cognitions, psychosocial distress, group functioning, and self-soothing. No dropouts or unwanted adverse events were reported, 6.25% of participants missed a single session and 8.33% were excluded from the study for having missed more than one. MCP treatments—both individually and as a unique group—showed a greater reduction of perfectionistic cognitions and psychosocial distress than wait-list (ηp² ranging between .565 and .591). In-person MCP indicated a greater reduction of perfectionistic cognitions and psychosocial distress and a greater increase in group functioning and self-soothing than online MCP (ηp² ranging between .157 and .394). These findings suggest the feasibility and efficacy of MCP in reducing perfectionistic cognitions and psychosocial distress. The in-person format is seemingly more effective than the online format. Further research is needed to confirm these results.Publication Compassionate Bodies, Compassionate Minds: Psychophysiological Concomitants of Compassion-Focused Therapy(Oxford University Press, 2024) Petrocchi, Nicola; Ottaviani, CristinaThe evolutionary approach has been increasingly used to deepen our understanding of human psychology. In this chapter, in line with the evolution-informed bio-psycho-social approach of compassion-focused therapy (CFT), we will conceptualize compassion as a purely human motivational system evolved from the caregiving motivation. This evolutionary framework will help us understand the psychophysiological changes that compassion generates in our organism, particularly in the parasympathetic nervous system, and how these can be voluntarily induced and used to promote therapeutic change. Several case narratives will illustrate the psychophysiological and emotional impact of helping clients experience compassion for themselves and others. Using a neurovisceral integration model, we will suggest how activating a compassionate motivation, both toward self and others, will promote emotional regulation and feelings of intra- and inter-personal safeness. Improved self-regulation will help clients respond flexibly and more courageously to changing and challenging environments, one being precisely the therapeutic path.Publication Affirmative Mindfulness, Acceptance, and Compassion‑Based Group Intervention for Sexual Minorities (Free2Be): A Non‑Randomized Mixed‑Method Study for Feasibility with Exploratory Analysis of Efectiveness(Springer, 2024) Seabra, Daniel; Gato, Jorge; Petrocchi, Nicola; do Céu Salvador, MariaObjectives. Despite sexual minority (SM), i.e. individuals who identify as lesbian women, gay men, bisexual, or pansexual, individuals presenting worse mental health outcomes when compared to heterosexual individuals, they face more difculties in accessing afrmative and quality health services. This study is a mixed-method non-randomized single-arm trial targeting SM individuals assessing the feasibility and exploratory fndings from an afrmative mindfulness, acceptance, and compassion-based group intervention (Free2Be). Method. Eighteen participants who self-identifed as SM, with a mean age of 30.80 years old, underwent a face-to-face group intervention with 13 weekly sessions (Free2Be). Feasibility was assessed in three domains (acceptability, practicality, and preliminary efectiveness) with self-report questionnaires and hetero-report interviews, during and after the intervention, and using a mixed-methods approach. Using a pre–post and participant-by-participant design, changes were assessed in self-reported internalized stigma, psychopathology indicators, and mindfulness, acceptance, and compassion processes. Results. The Free2Be was acceptable and feasible in all three domains. Participants who completed the intervention (≥80% of attendance) revealed signifcant or reliable decreases in stress and social anxiety symptoms, self-criticism, and fear of compassion for the self. Conclusions. The study provides evidence of the feasibility of the intervention. This afrmative mindfulness, acceptance, and compassion-based group intervention seems to be feasible and acceptable for SM individuals. These promising fndings warrant further investigation within a pilot study.Publication Andare in Giro(UCL Press, 2024) Clough Marinaro, IsabellaAndare in giro literally means to ‘go around’ or ‘wander’ in Italian and is used in multiple contexts. It is, however, also a very specific term employed by some Roma communities in the country to refer to their practices of scouting for and collecting recyclable goods around urban streets and peripheral wasteland. It also includes sourcing items directly from an extensive array of personal contacts. The materials are then cleaned, mended, and sold through various informal commercial channels. The practice constitutes a central link in the economies of many camp-dwelling Roma families and is deeply intertwined with informal urban businesses in Italy more generally.