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Article ; Online: Problematic Social Media Use in Young Adults: A Mixed Serial-Parallel Mediation Model Involving Alexithymia, Defense Mechanisms, and Fear of Missing Out.

Gori, Alessio / Topino, Eleonora / Gioia, Francesca / Casale, Silvia

Cyberpsychology, behavior and social networking

2024

Abstract: Problematic social media use (PSMU) can have profound and detrimental effects across various domains of life. As a result, scientific investigations into the risk factors associated with this phenomenon can hold substantial practical implications within ... ...

Abstract	Problematic social media use (PSMU) can have profound and detrimental effects across various domains of life. As a result, scientific investigations into the risk factors associated with this phenomenon can hold substantial practical implications within the clinical and preventive realms. Consistently with this framework, this study aimed to examine the relationship between certain variables and PSMU, with a specific focus on alexithymia, defense mechanisms, and fear of missing out (FoMO). A sample of 340 young adults (
Language	English
Publishing date	2024-02-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	2545735-4
ISSN	2152-2723 ; 2152-2715
ISSN (online)	2152-2723
ISSN	2152-2715
DOI	10.1089/cyber.2023.0386
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Which are the Effects of Body-Objectification and Instagram-Related Practices on Male Body Esteem? A Cross-Sectional Study.

Boursier, Valentina / Gioia, Francesca

Clinical neuropsychiatry

2022 Volume 19, Issue 1, Page(s) 8–19

Abstract: Objective: According to the objectification framework, media pressure toward body models promotes the internalization of beauty ideals that negatively influence individuals' body image and self-esteem. Historically, women have been the main target of ... ...

Abstract	Objective: According to the objectification framework, media pressure toward body models promotes the internalization of beauty ideals that negatively influence individuals' body image and self-esteem. Historically, women have been the main target of sociocultural pressures. However, research has recently suggested that self-objectification is a male phenomenon as well, which can be inscribed in men's body experiences. Nevertheless, fewer studies have specifically focused on the male experience and general consequences of body-objectification are yet to be extensively analyzed regarding males' body image features. The current cross-sectional study explores the consequences of body-objectification on male body esteem, specifically testing the predictive role of exercising/dietary habits, body-objectification features, and SNS-related practices on male body esteem. Method: A total of 238 male participants (mean age = 24.28 years, SD = 4.32) have been involved in an online survey. Three hierarchical analyses were performed to test the influence of objectified body consciousness and social networking-related experiences (i.e. Instagram intensity use, photo manipulation, selfie feedback investment) on young men's body esteem with specific reference to the weight, appearance, and attribution features of the Body Esteem Scale. Results: Findings highlighted that body shame played an interesting key role, influencing negatively all the body esteem dimensions, thus highlighting that attention needs to be deserved on this feature of OBC regarding males' experience. On the contrary, appearance control-related dimensions positively influenced body esteem. Overall, findings confirmed that objectification theory can adequately mark a pathway by which media imagery is internalized also by men and may negatively affect their body esteem. Conclusions: Despite some limitations, this study may contribute to enlarging our knowledge on male body image and self-objectification experience and support literature shattering the stereotype that body dissatisfaction is a "female-exclusive" issue. Likewise, beyond some questioning positions, these findings also encourage further exploration of a healthier "control dimension", including body appearance-related activities and beliefs.
Language	English
Publishing date	2022-02-01
Publishing country	Italy
Document type	Journal Article
ISSN	2385-0787
ISSN (online)	2385-0787
DOI	10.36131/cnfioritieditore20220103
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Article ; Online: Risk factors for COVID-19-associated pulmonary aspergillosis: a systematic review and meta-analysis.

Gioia, Francesca / Walti, Laura N / Orchanian-Cheff, Ani / Husain, Shahid

The Lancet. Respiratory medicine

2024 Volume 12, Issue 3, Page(s) 207–216

Abstract: Background: COVID-19-associated pulmonary aspergillosis (CAPA) has been reported to be an emerging and potentially fatal complication of severe COVID-19. However, risk factors for CAPA have not been systematically addressed to date.: Methods: In this ...

Abstract	Background: COVID-19-associated pulmonary aspergillosis (CAPA) has been reported to be an emerging and potentially fatal complication of severe COVID-19. However, risk factors for CAPA have not been systematically addressed to date. Methods: In this systematic review and meta-analysis to identify factors associated with CAPA, we comprehensively searched five medical databases: Ovid MEDLINE; Ovid Embase; the Cochrane Database of Systematic Reviews; the Cochrane Central Register of Controlled Trials; and the WHO COVID-19 Database. All case-control and cohort studies in adults (aged >18 years) that described at least six cases of CAPA and evaluated any risk factors for CAPA, published from Dec 1, 2019, to July 27, 2023, were screened and assessed for inclusion. Only studies with a control population of COVID-19-positive individuals without aspergillosis were included. Two reviewers independently screened search results and extracted outcome data as summary estimates from eligible studies. The primary outcome was to identify the factors associated with CAPA. Meta-analysis was done with random-effects models, with use of the Mantel-Haenszel method to assess dichotomous outcomes as potential risk factors, or the inverse variance method to assess continuous variables for potential association with CAPA. Publication bias was assessed with funnel plots for factors associated with CAPA. The study is registered with PROSPERO, CRD42022334405. Findings: Of 3561 records identified, 27 articles were included in the meta-analysis. 6848 patients with COVID-19 were included, of whom 1324 (19·3%) were diagnosed with CAPA. Diagnosis rates of CAPA ranged from 2·5% (14 of 566 patients) to 47·2% (58 of 123). We identified eight risk factors for CAPA. These factors included pre-existing comorbidities of chronic liver disease (odds ratio [OR] 2·70 [95% CI 1·21-6·04], p=0·02; I Interpretation: The identified risk factors for CAPA could eventually be addressed with targeted antifungal prophylaxis in patients with severe COVID-19. Funding: None.
MeSH term(s)	Adult ; Humans ; Aged ; COVID-19/complications ; Pulmonary Aspergillosis/complications ; Pulmonary Aspergillosis/epidemiology ; Aspergillosis ; Continuous Renal Replacement Therapy ; Databases, Factual
Language	English
Publishing date	2024-01-04
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID	2686754-0
ISSN	2213-2619 ; 2213-2600
ISSN (online)	2213-2619
ISSN	2213-2600
DOI	10.1016/S2213-2600(23)00408-3
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Article ; Online: Alexithymia and Loneliness in Women with Endometriosis. Testing the Factorial Structure of the Italian Endometriosis Health Profile (EHP-30) and a Mediation Model.

Gioia, Francesca / Parola, Anna / Boursier, Valentina

Clinical neuropsychiatry

2023 Volume 20, Issue 5, Page(s) 442–452

Abstract: Objective: Endometriosis is a pathological condition characterized by endometrial-like tissue outside the uterus, chronic inflammatory reaction, and pelvic pain that dramatically decrease women's health-related quality of life (HRQoL). Furthermore, this ...

Abstract	Objective: Endometriosis is a pathological condition characterized by endometrial-like tissue outside the uterus, chronic inflammatory reaction, and pelvic pain that dramatically decrease women's health-related quality of life (HRQoL). Furthermore, this invisible and difficultly diagnosable disease might lead women to experience alexithymia, loneliness, and consequent impairment of perceived quality of life. Firstly, the present study aimed at validating the Italian EHP-30 version which is the most used specific questionnaire for HRQoL measurement. Secondly, the present study aimed at exploring the still understudied relationship between alexithymia and HRQoL in endometriosis conditions, evaluating the mediating role of perceived loneliness. Method: A total of 435 women with endometriosis (mean age=35.75 years) have been involved. All items were loaded on their own factors. Results: The measure showed good internal consistency (Cronbach's α ranged between 0.60-0.95 for core and 0.74-0.94 for modular parts). The Italian EHP-30 is a psychometrically valid measure of HRQoL with endometriosis. The tested mediation model provided adequate goodness-of-fit indices (χ2 (51) = 206.071; p < 0.001; RMSEA = 0.084; 90%CI: 0.072, 0.096, CFI = .933, SRMR= 0.058), showing that alexithymia only indirectly affected women's perceived HRQoL, via the mediating effect of feelings of loneliness. Conclusions: The current study highlighted the pivotal role of perceived loneliness in directly affecting women's quality of life and mediating the effect of the alexithymic experiences.
Language	English
Publishing date	2023-12-12
Publishing country	Italy
Document type	Journal Article
ISSN	2385-0787
ISSN (online)	2385-0787
DOI	10.36131/cnfioritieditore20230506
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Article ; Online: Problematic Media Use among Children up to the Age of 10: A Systematic Literature Review.

Rega, Valeria / Gioia, Francesca / Boursier, Valentina

International journal of environmental research and public health

2023 Volume 20, Issue 10

Abstract: Introduction: Digital screen media use has significantly grown in all age groups and at an increasingly young age, including toddlers, schoolers, and primary school children. Although there is evidence that excessive early childhood media exposure can ... ...

Abstract	Introduction: Digital screen media use has significantly grown in all age groups and at an increasingly young age, including toddlers, schoolers, and primary school children. Although there is evidence that excessive early childhood media exposure can lead to several negative developmental outcomes, no systematic review on Problematic Media Use (PMU) of children under 10 years old have been provided. The aim of the present systematic review was to identify (i) the main instruments used to measure children's PMU across different studies; (ii) the risk and protective factors which might increase or reduce children's PMU; and (iii) the negative outcomes associated with children's PMU. Methods: This study was conducted following the systematic review guidelines proposed in the PRISMA statement. A total of 35 studies published between 2012-2022 and with a mean sample age between 0 and 10 years old were ultimately included in this literature review. Results: Use of media for more than 2 h a day, male gender, and higher age increased the risk of developing PMU among children. PMU led to several negative consequences for children's development and well-being (e.g., more problematic behaviors, sleep problems, higher depressive symptoms, lower emotional intelligence, and lower academic achievements). Children who experienced negative psychological symptoms, a dysfunctional parent-child relationship, and difficulties in school context were more prone to develop PMU. However, an authoritative parenting style and restrictive parental mediation reduced the risk of developing PMU among children. Finally, self-report measures specifically designed to get the younger children's perspective are still few and not so widely used. Conclusions: Overall, this research field is still in its infancy and needs further investigation. Likely, a dysfunctional family system can lead children to experience emotional distress and negative psychological symptoms, which they try to manage by escaping into the virtual world, thus increasing the risk of developing PMU. As the children's PMU is closely affected by the family environment, future prevention interventions should target both children and their parents to improve their self-regulatory and mentalizing capabilities, as well as parental mediation strategies and general parenting practices.
MeSH term(s)	Humans ; Male ; Child, Preschool ; Child ; Infant, Newborn ; Infant ; Child Rearing ; Parenting/psychology ; Emotions
Language	English
Publishing date	2023-05-17
Publishing country	Switzerland
Document type	Systematic Review ; Journal Article ; Review
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20105854
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Article ; Online: Women's Pathological Narcissism and its Relationship with Social Appearance Anxiety: The Mediating Role of Body Shame.

Boursier, Valentina / Gioia, Francesca

Clinical neuropsychiatry

2021 Volume 17, Issue 3, Page(s) 164–174

Abstract: Objective: Attention to personal appearance and observers' judgments are integral components of narcissism. However, empirical evidence focused on the association between grandiose/vulnerable traits of narcissism and social appearance anxieties is ... ...

Abstract	Objective: Attention to personal appearance and observers' judgments are integral components of narcissism. However, empirical evidence focused on the association between grandiose/vulnerable traits of narcissism and social appearance anxieties is limited. Moreover, body shame represents a topic of debated interest in the field of narcissism and women's experience of self-consciousness. The aim of the present study is to evaluate the unexplored relationship between covert and overt facets of pathological narcissism and social appearance anxiety, analyzing the mediating role of objectified body shame. Method: Pathological vulnerable and grandiose narcissism, social appearance anxiety and body shame were assessed in a convenience sample of 775 young women (M=24.1, SD=4.52). Results: Body shame fully mediated the association between pathological narcissism and social appearance anxiety, especially for vulnerable narcissists' women. Conclusions: As expected, vulnerable narcissism had a positive association with social appearance anxieties, and body shame acted as a mediating risky factor. Moreover, as hypothesized and differently from recent findings, also overt narcissism was related to body shame and appearance anxieties. These findings suggest that feelings of shame are essential to deeper understand the narcissistic core features and outcomes. Research and clinical implications are discussed.
Language	English
Publishing date	2021-11-29
Publishing country	Italy
Document type	Journal Article
ISSN	2385-0787
ISSN (online)	2385-0787
DOI	10.36131/cnfioritieditore20200304
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Article: Peer effects on risk behaviour: the importance of group identity.

Gioia, Francesca

Experimental economics

2016 Volume 20, Issue 1, Page(s) 100–129

Abstract: This paper investigates whether and to what extent group identity plays a role in peer effects on risk behaviour. We run a laboratory experiment in which different levels of group identity are induced through different matching protocols (random or based ...

Abstract	This paper investigates whether and to what extent group identity plays a role in peer effects on risk behaviour. We run a laboratory experiment in which different levels of group identity are induced through different matching protocols (random or based on individual painting preferences) and the possibility to interact with group members via an online chat in a group task. Risk behaviour is measured by using the Bomb Risk Elicitation Task and peer influence is introduced by giving subjects feedback regarding group members' previous decisions. We find that subjects are affected by their peers when taking decisions and that group identity influences the magnitude of peer effects: painting preferences matching significantly reduces the heterogeneity in risk behaviour compared with random matching. On the other hand, introducing a group task has no significant effect on behaviour, possibly because interaction does not always contribute to enhancing group identity. Finally, relative riskiness within the group matters and individuals whose peers are riskier than they are take on average riskier decisions, even when controlling for regression to the mean.
Language	English
Publishing date	2016-03-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	2015444-6
ISSN	1573-6938 ; 1386-4157
ISSN (online)	1573-6938
ISSN	1386-4157
DOI	10.1007/s10683-016-9478-z
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Article ; Online: Concurrent Infection with SARS-CoV-2 and

Gioia, Francesca / Albasata, Hanan / Hosseini-Moghaddam, Seyed M

Journal of fungi (Basel, Switzerland)

2022 Volume 8, Issue 6

Abstract: Coronavirus disease 2019 (COVID-19) may occur with concurrent infections caused by bacterial and fungal microorganisms. This systematic review evaluated studies reporting concomitant COVID-19 ... ...

Abstract	Coronavirus disease 2019 (COVID-19) may occur with concurrent infections caused by bacterial and fungal microorganisms. This systematic review evaluated studies reporting concomitant COVID-19 and
Language	English
Publishing date	2022-05-30
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2784229-0
ISSN	2309-608X ; 2309-608X
ISSN (online)	2309-608X
ISSN	2309-608X
DOI	10.3390/jof8060585
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Article ; Online: The Effects of Childhood Emotional and Physical Maltreatment on Adolescents' Disordered Eating Behaviors: The Mediating Role of Borderline Personality Features.

Gioia, Francesca / Boursier, Valentina / Franceschini, Christian / Musetti, Alessandro

The Journal of nervous and mental disease

2022 Volume 210, Issue 11, Page(s) 831–837

Abstract: Abstract: Over time, a complex crossroad between disordered eating behaviors (DEBs) and borderline personality features (BPFs) and their association with childhood emotional and physical maltreatment have been established. The present study aimed at ... ...

Abstract	Abstract: Over time, a complex crossroad between disordered eating behaviors (DEBs) and borderline personality features (BPFs) and their association with childhood emotional and physical maltreatment have been established. The present study aimed at evaluating the direct and indirect effect of physical and emotional abuse and neglect on DEB via BPF in a nonclinical adolescent sample. A total of 786 adolescents (48.3% male; mean age, 16.25 years; SD, 1.76) participated in the study. The mediation model suggested the pivotal predictive role of emotional maltreatment compared with the physical one. Indeed, both emotional abuse and neglect directly and indirectly predicted disordered eating via BPF ( β = 0.097; p < 0.001 and β = 0.042; p < 0.01, respectively). Likely, the emotional maltreatment represents the beginning of a developmental cascade that culminates in DEB as a maladaptive coping strategy in response to negative emotions, through BPF. On the contrary, physical maltreatment seems to be less involved in the developmental cascade.
MeSH term(s)	Child ; Adolescent ; Male ; Humans ; Female ; Physical Abuse ; Child Abuse/psychology ; Emotions ; Feeding and Eating Disorders ; Personality ; Surveys and Questionnaires
Language	English
Publishing date	2022-06-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	3020-x
ISSN	1539-736X ; 0022-3018
ISSN (online)	1539-736X
ISSN	0022-3018
DOI	10.1097/NMD.0000000000001556
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Ui II Zs.22: Show issues

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Article ; Online: Telepharmacy. Ready for its global implementation?

Moreno, Santiago / Gioia, Francesca

Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria

2020 Volume 44, Issue 4, Page(s) 125–126

Title translation	Telefarmacia. ¿Listos para su implantación global?
MeSH term(s)	Ambulatory Care ; COVID-19 ; Humans ; Pandemics ; Pharmacy Service, Hospital ; SARS-CoV-2 ; Spain
Language	English
Publishing date	2020-07-01
Publishing country	Spain
Document type	Editorial ; Comment
ZDB-ID	1122680-8
ISSN	2171-8695 ; 1130-6343
ISSN (online)	2171-8695
ISSN	1130-6343
DOI	10.7399/fh.11536
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