Giuseppe Riva - Academia.edu (original) (raw)

Papers by Giuseppe Riva

Research paper thumbnail of I mille volti della cyberterapia

Research paper thumbnail of Digital Marketing 2.0. Multicanale, Sociale, Esperienziale, Mobile

Micro & Macro Marketing, 2012

La diffusione ed evoluzione delle nuove tecnologie ha avuto un duplice effetto sul mondo del mark... more La diffusione ed evoluzione delle nuove tecnologie ha avuto un duplice effetto sul mondo del marketing. In primo luogo ha offerto nuovi strumenti e strategie per comunicare con il consumatore: oggi, accanto ai tradizionali mass-media è possibile usare numerosi altri strumenti che vanno dai social media alle App per telefoni cellulari e tablet. Allo stesso tempo però, ha modificato il modo in cui il consumatore percepisce i prodotti e le aziende: lo spettatore, consumatore passivo di informazioni, si è trasformato in «spettautore» che ...

Research paper thumbnail of White matter abnormalities in treatment-naive adolescents at the earliest stages of Anorexia Nervosa: A diffusion tensor imaging study

Psychiatry research, Jan 20, 2017

Few studies have examined white matter (WM) integrity in long-lasting Anorexia Nervosa (AN) patie... more Few studies have examined white matter (WM) integrity in long-lasting Anorexia Nervosa (AN) patients using Diffusion Tensor Imaging (DTI). In this paper, we investigated WM integrity at the earliest stages of AN (i.e. less than 6 months duration). Fourteen treatment-naive female adolescents with AN restrictive type (AN-r) in its earliest stages and 15 age-matched healthy females received brain MRI. Fractional Anisotropy (FA), Axial Diffusivity (AD), Radial diffusivity (RD), and Mean Diffusivity (MD) maps were computed from DTI data using Tract-Based Spatial Statistics analysis. AN-r patients showed FA decreases compared to controls (pFWE < 0.05) mainly in left anterior and superior corona radiata and left superior longitudinal fasciculus. AN-r patients also showed decreased AD in superior longitudinal fasciculus bilaterally and left superior and anterior corona radiata, (pFWE < 0.05). No significant differences were found in RD and MD values between the two groups. FA and AD i...

Research paper thumbnail of Realidad virtual y psicología clínica: Estado actual y perspectiva futura

Rev Argent Clin Psicol, Aug 1, 1999

Resumo: Los sistemas de realidad virtual (RV) son instrumentos tecnológicos que pueden ofrecer mu... more Resumo: Los sistemas de realidad virtual (RV) son instrumentos tecnológicos que pueden ofrecer muchas ventajas potenciales a la investigación ya la intervención dentro del ámbito de la psicología clínica. La relevancia metodológico-experimental de la RV reside en su capacidad de crear rigurosos contextos experimentales multisensoriales, interactivos y ecológicamente representativos, de modo tal de activar los mismos procesos psicológicos y las mismas acciones que los individuos realizan en la vida cotidiana. Las aplicaciones ...

Research paper thumbnail of Cognitive-behavioral or psychodynamic therapy for people with bulimia nervosa

Eating and weight disorders : EWD, Jan 3, 2017

Research paper thumbnail of Risk and maintenance factors for young women's DSM-5 eating disorders

Archives of women's mental health, Jan 21, 2017

Recent research with young women attending colleges, who are at the average age of eating disorde... more Recent research with young women attending colleges, who are at the average age of eating disorder (ED) onset, established that the ED symptoms are not only prevalent but also relatively stable over the college period. Nonetheless, our knowledge regarding the course and modifiable factors associated with both the onset and maintenance of diagnosable (DSM-5) EDs in this population is limited. The objective of this report was to address these key research gaps. Data were examined from 2713 women who completed assessments of potential vulnerability factors and EDs in the autumn semester of the first (baseline) and fourth (follow-up) college years. A total of 13.1% of the sample met DSM-5 criteria for an ED diagnosis at baseline. At 4-year follow-up, 7.6% of the sample met DSM-5 criteria for an ED, with 67.5% of these cases representing women who had maintained an ED diagnosis from baseline, and 32.5% representing new onset EDs. Elevated appearance-ideal internalization, body dissatisfa...

Research paper thumbnail of Severity of bulimia nervosa and its impact on treatment outcome

Eating and weight disorders : EWD, Jan 25, 2017

Research paper thumbnail of Testing virtual reality-based cue-exposure software: Which cue-elicited responses best discriminate between patients with eating disorders and healthy controls?

Eating and weight disorders : EWD, Jan 27, 2017

Virtual reality (VR) technologies have been proposed as a new tool able to improve on in vivo exp... more Virtual reality (VR) technologies have been proposed as a new tool able to improve on in vivo exposure in patients with eating disorders. This study assessed the validity of a VR-based software for cue exposure therapy (CET) in people with bulimia nervosa (BN) and binge eating disorder (BED). Fifty eight outpatients (33 BN and 25 BED) and 135 healthy participants were exposed to 10 craved virtual foods and a neutral cue in four experimental virtual environments (kitchen, dining room, bedroom, and cafeteria). After exposure to each VR scenario, food craving and anxiety were assessed. The frequency/severity of episodes of uncontrollable overeating was also assessed and body mass index was measured prior to the exposure. In both groups, craving and anxiety responses when exposed to the food-related virtual environments were significantly higher than in the neutral-cue virtual environment. However, craving and anxiety levels were higher in the clinical group. Furthermore, cue-elicited a...

Research paper thumbnail of Eating behavior style predicts craving and anxiety experienced in food-related virtual environments by patients with eating disorders and healthy controls

Appetite, Jan 11, 2017

Eating behavior style (emotional, restrictive, or external) has been proposed as an explanation f... more Eating behavior style (emotional, restrictive, or external) has been proposed as an explanation for the differences in response to food-related cues between people who overeat and those who do not, and has been also considered a target for the treatment of eating disorders (EDs) characterized by lack of control over eating and weight-related (overweight/obesity) conditions. The aim of this study was to analyze the relationship between eating behavior style and psychophysiological responses (self-reported food craving and anxiety) to food-related virtual reality (VR) environments in outpatients with bulimia nervosa (BN) and binge eating disorder (BED) and to compare them with healthy participants. Fifty-eight outpatients and 135 healthy participants were exposed to palatable foods in four experimental everyday real-life VR environments (kitchen, dining room, bedroom and café). During exposure, cue-elicited food craving and anxiety were assessed. Participants also completed standardiz...

Research paper thumbnail of Evaluation of the DSM-5 Severity Specifier for Bulimia Nervosa in Treatment-Seeking Youth

Child psychiatry and human development, Jan 16, 2017

A new severity specifier for bulimia nervosa (BN), based on the frequency of inappropriate weight... more A new severity specifier for bulimia nervosa (BN), based on the frequency of inappropriate weight compensatory behaviours (e.g., laxative misuse, self-induced vomiting, fasting, diuretic misuse, and excessive exercise), has been added to the most recent (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a means of addressing variability and heterogeneity in the severity of the disorder. While existing research provides support for the DSM-5 severity specifier for BN in adult patients, evidence for its validity and clinical utility in youth is currently lacking. To address this gap, data from 272 treatment-seeking adolescents with DSM-5 BN (94.2% female, M age = 15.3 years, SD 1.7) were analysed to examine whether these patients, sub-grouped based on the DSM-5 severity definitions, would show meaningful differences in a broad range of clinical variables and demographic and physical characteristics. Analyses revealed that participants categorized w...

Research paper thumbnail of An eye-tracker controlled cognitive battery: overcoming verbal-motor limitations in ALS

Journal of neurology, 2017

We assessed language, attention, executive, and social cognition abilities in a sample of patient... more We assessed language, attention, executive, and social cognition abilities in a sample of patients with Amyotrophic Lateral Sclerosis (ALS) by means of a recently developed cognitive battery based on oculomotor control with eye-tracking (ET) technology. Twenty-one ALS patients and 21 age- and education-matched healthy subjects underwent the ET-based cognitive assessment, together with the standard cognitive screening tools [Frontal Assessment Battery (FAB); Montreal Cognitive Assessment (MoCA); and Digit Sequencing Task]. Psychological measures of anxiety (State-Trait Anxiety Inventory-Y) and depression (Beck Depression Inventory) were also collected, and an ET usability questionnaire was administered. For patients, clinical and respiratory examinations were also performed, together with behavioural assessment (Frontal Behavioural Inventory). The developed battery discriminated among patients and controls with regard to measures of verbal fluency, frontal abilities, and social cogni...

Research paper thumbnail of Classifying Adults with Binge Eating Disorder Based on Severity Levels

European Eating Disorders Review, 2017

The clinical utility of the severity criterion for binge eating disorder (BED), introduced in the... more The clinical utility of the severity criterion for binge eating disorder (BED), introduced in the DSM-5 as a means of addressing heterogeneity and variability in the severity of this disorder, was evaluated in 189 treatment-seeking adults with (DSM-5) BED. Participants classified with mild, moderate, severe and extreme severity of BED, based on their weekly frequency of binge eating episodes, differed significantly from each other in body mass index (BMI), eating disorder features, putative factors involved in the maintenance process of the disorder, comorbid mood, anxiety and personality disorders, psychological distress, social maladjustment and illness-specific functional impairment (medium-to-large effect sizes). They were also statistically distinguishable in metabolic syndrome prevalence, even after adjusting for BMI (large effect size), suggesting the possibility of non-BMI-mediated mechanisms. The implications of the findings, providing support for the utility of the binge frequency as a severity criterion for BED, and directions for future research are outlined. Copyright © 2017 John Wiley &amp;amp;amp;amp;amp;amp;amp; Sons, Ltd and Eating Disorders Association.

Research paper thumbnail of Towards novel paradigms for treating dysfunctional bodily experience in eating disorders

Eating and weight disorders : EWD, Jan 7, 2017

Research paper thumbnail of Validity and utility of the DSM-5 severity specifier for binge-eating disorder

The International journal of eating disorders, Jan 28, 2017

To test both the concurrent and predictive significance of the new DSM-5 severity specifier for b... more To test both the concurrent and predictive significance of the new DSM-5 severity specifier for binge-eating disorder (BED) in adult outpatients. Existing data from 195 adults with DSM-5 BED who received evidence-based treatment (manual-based cognitive-behavioral therapy) in an outpatient setting were re-analysed to examine whether these patients sub-grouped according to the DSM-5 severity levels, defined by the frequency of binge-eating (BE) episodes, would show meaningful differences in a range of variables of clinical interest assessed at pre-treatment and end-of treatment abstinence from BE. Participants categorized with mild (33.3% of the sample), moderate (35.4%), severe (15.9%), and extreme (15.4%) severity of BED, based on their pre-treatment clinician-rated frequency of BE episodes, differed significantly from each other in physical characteristics (body mass index) and another sixteen variables of clinical interest assessed at pre-treatment regarding eating disorder psycho...

Research paper thumbnail of An eye-tracking controlled neuropsychological battery for cognitive assessment in neurological diseases

Neurological Sciences, 2017

Traditional cognitive assessment in neurological conditions involving physical disability is ofte... more Traditional cognitive assessment in neurological conditions involving physical disability is often prevented by the presence of verbal-motor impairment; to date, an extensive motor-verbal-free neuropsychological battery is not available for such purposes. We adapted a set of neuropsychological tests, assessing language, attentional abilities, executive functions and social cognition, for eye-tracking (ET) control, and explored its feasibility in a sample of healthy participants. Thirty healthy subjects performed a neuropsychological assessment, using an ET-based neuropsychological battery, together with standard &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;paper and pencil&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; cognitive measures for frontal (Frontal Assessment Battery-FAB) and working memory abilities (Digit Sequencing Task) and for global cognitive efficiency (Montreal Cognitive Assessment-MoCA). Psychological measures of anxiety (State-Trait Anxiety Inventory-Y-STAI-Y) and depression (Beck Depression Inventory-BDI) were also collected, and a usability questionnaire was administered. Significant correlations were observed between the &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;paper and pencil&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; screening of working memory abilities and the ET-based neuropsychological measures. The ET-based battery also correlated with the MoCA, while poor correlations were observed with the FAB. Usability aspects were found to be influenced by both working memory abilities and psychological components. The ET-based neuropsychological battery developed could provide an extensive assessment of cognitive functions, allowing participants to perform tasks independently from the integrity of motor or verbal channels. Further studies will be aimed at investigating validity and usability components in neurological populations with motor-verbal impairments.

Research paper thumbnail of Testing the DSM-5 severity indicator for bulimia nervosa in a treatment-seeking sample

Eating and weight disorders : EWD, Jan 21, 2016

This study tested the new DSM-5 severity criterion for bulimia nervosa (BN) based on the frequenc... more This study tested the new DSM-5 severity criterion for bulimia nervosa (BN) based on the frequency of inappropriate weight compensatory behaviors in a treatment-seeking sample. Participants were 345 adults with DSM-5 BN presenting for treatment. They were sub-grouped based on DSM-5 severity levels and compared on a range of variables of clinical interest and demographics. Based on DSM-5 severity definitions, 27.2 % of the sample was categorized with mild, 26.1 % with moderate, 24.9 % with severe, and 21.8 % with extreme severity of BN. Analyses revealed that the four (mild, moderate, severe, and extreme) severity groups of BN significantly differed from each other in eating disordered and body-related attitudes and behaviors, factors involved in the maintenance process of the disorder, comorbid psychiatric disorders, psychological distress, and psychosocial impairment (medium-to-large effect sizes). No significant between-group differences were observed in demographics, body mass in...

Research paper thumbnail of Pain in the body. Altered interoception in chronic pain conditions: A systematic review

Neuroscience and biobehavioral reviews, Jan 18, 2016

Interoception is the sense of the physiological condition of the body. Modern definitions differe... more Interoception is the sense of the physiological condition of the body. Modern definitions differentiated three separated sub-constructs: accuracy (IAc), i.e., the ability to detect physiological states, sensibility (IAs), i.e., a self-evaluated measure of interoception, and awareness (IAw) i.e., a metacognitive awareness of the accuracy. Preliminary researches correlated pain with alterations in the interoceptive matrix albeit, to the best of our knowledge, interoceptive alterations in chronic pain conditions have never been studied systematically. We searched for studies that assessed interoception in subjects with chronic pain and compared it to healthy population. Eleven studies were included among different chronic pain conditions. Results suggested that chronic pain subjects might present low IAc and, allegedly, that IAc negatively correlates with symptoms severity in specific disorders. Data were inconclusive for IAs and IAw. The high risk of bias across multiple dimensions su...

Research paper thumbnail of L’esperienza soggettiva dell’obesità: implicazioni diagnostico-terapeutiche

Psicologia della Salute, Oct 15, 2008

Presentazione: L'esperienza soggettiva dell'obesità: implicazioni diagnostico-terapeuti... more Presentazione: L'esperienza soggettiva dell'obesità: implicazioni diagnostico-terapeutiche-The subjective experience of obesity: Diagnostic and therapeutic implications The spreading of obesity, with its high morbidity and mortality levels, has drawn the attention of health authorities. The diagnosis and treatment of obesity are prominently based on objective data, such as biological, socio-economic and cultural variables. However, several studies have shown the relevance of subjective indicators, such as perceived well-being, life ...

Research paper thumbnail of 8 Characteristics of interaction and cooperation in immersive and non- immersive virtual environments

This research presents three studies that investigate the characteristics of the interaction and ... more This research presents three studies that investigate the characteristics of the interaction and cooperation activities in immersive and non-immersive virtual environments. The first study explored the characteristics of the interaction during a cooperative task; the second one investigated the characteristics of the cooperation strategies used in the cooperative task; the final one verified if and how the level of immersion

Research paper thumbnail of Validity and clinical utility of the DSM-5 severity specifier for bulimia nervosa: results from a multisite sample of patients who received evidence-based treatment

European archives of psychiatry and clinical neuroscience, Jan 19, 2016

A new "severity specifier" for bulimia nervosa (BN), based on the frequency of inapprop... more A new "severity specifier" for bulimia nervosa (BN), based on the frequency of inappropriate weight compensatory behaviours (IWCBs), was added to the DSM-5 as a means of documenting heterogeneity and variability in the severity of the disorder. Yet, evidence for its validity in clinical populations, including prognostic significance for treatment outcome, is currently lacking. Existing data from 281 treatment-seeking patients with DSM-5 BN, who received the best available treatment for their disorder (manual-based cognitive behavioural therapy; CBT) in an outpatient setting, were re-analysed to examine whether these patients subgrouped based on the DSM-5 severity levels would show meaningful and consistent differences on (a) a range of clinical variables assessed at pre-treatment and (b) post-treatment abstinence from IWCBs. Results highlight that the mild, moderate, severe, and extreme severity groups were statistically distinguishable on 22 variables assessed at pre-trea...

Research paper thumbnail of I mille volti della cyberterapia

Research paper thumbnail of Digital Marketing 2.0. Multicanale, Sociale, Esperienziale, Mobile

Micro & Macro Marketing, 2012

La diffusione ed evoluzione delle nuove tecnologie ha avuto un duplice effetto sul mondo del mark... more La diffusione ed evoluzione delle nuove tecnologie ha avuto un duplice effetto sul mondo del marketing. In primo luogo ha offerto nuovi strumenti e strategie per comunicare con il consumatore: oggi, accanto ai tradizionali mass-media è possibile usare numerosi altri strumenti che vanno dai social media alle App per telefoni cellulari e tablet. Allo stesso tempo però, ha modificato il modo in cui il consumatore percepisce i prodotti e le aziende: lo spettatore, consumatore passivo di informazioni, si è trasformato in «spettautore» che ...

Research paper thumbnail of White matter abnormalities in treatment-naive adolescents at the earliest stages of Anorexia Nervosa: A diffusion tensor imaging study

Psychiatry research, Jan 20, 2017

Few studies have examined white matter (WM) integrity in long-lasting Anorexia Nervosa (AN) patie... more Few studies have examined white matter (WM) integrity in long-lasting Anorexia Nervosa (AN) patients using Diffusion Tensor Imaging (DTI). In this paper, we investigated WM integrity at the earliest stages of AN (i.e. less than 6 months duration). Fourteen treatment-naive female adolescents with AN restrictive type (AN-r) in its earliest stages and 15 age-matched healthy females received brain MRI. Fractional Anisotropy (FA), Axial Diffusivity (AD), Radial diffusivity (RD), and Mean Diffusivity (MD) maps were computed from DTI data using Tract-Based Spatial Statistics analysis. AN-r patients showed FA decreases compared to controls (pFWE < 0.05) mainly in left anterior and superior corona radiata and left superior longitudinal fasciculus. AN-r patients also showed decreased AD in superior longitudinal fasciculus bilaterally and left superior and anterior corona radiata, (pFWE < 0.05). No significant differences were found in RD and MD values between the two groups. FA and AD i...

Research paper thumbnail of Realidad virtual y psicología clínica: Estado actual y perspectiva futura

Rev Argent Clin Psicol, Aug 1, 1999

Resumo: Los sistemas de realidad virtual (RV) son instrumentos tecnológicos que pueden ofrecer mu... more Resumo: Los sistemas de realidad virtual (RV) son instrumentos tecnológicos que pueden ofrecer muchas ventajas potenciales a la investigación ya la intervención dentro del ámbito de la psicología clínica. La relevancia metodológico-experimental de la RV reside en su capacidad de crear rigurosos contextos experimentales multisensoriales, interactivos y ecológicamente representativos, de modo tal de activar los mismos procesos psicológicos y las mismas acciones que los individuos realizan en la vida cotidiana. Las aplicaciones ...

Research paper thumbnail of Cognitive-behavioral or psychodynamic therapy for people with bulimia nervosa

Eating and weight disorders : EWD, Jan 3, 2017

Research paper thumbnail of Risk and maintenance factors for young women's DSM-5 eating disorders

Archives of women's mental health, Jan 21, 2017

Recent research with young women attending colleges, who are at the average age of eating disorde... more Recent research with young women attending colleges, who are at the average age of eating disorder (ED) onset, established that the ED symptoms are not only prevalent but also relatively stable over the college period. Nonetheless, our knowledge regarding the course and modifiable factors associated with both the onset and maintenance of diagnosable (DSM-5) EDs in this population is limited. The objective of this report was to address these key research gaps. Data were examined from 2713 women who completed assessments of potential vulnerability factors and EDs in the autumn semester of the first (baseline) and fourth (follow-up) college years. A total of 13.1% of the sample met DSM-5 criteria for an ED diagnosis at baseline. At 4-year follow-up, 7.6% of the sample met DSM-5 criteria for an ED, with 67.5% of these cases representing women who had maintained an ED diagnosis from baseline, and 32.5% representing new onset EDs. Elevated appearance-ideal internalization, body dissatisfa...

Research paper thumbnail of Severity of bulimia nervosa and its impact on treatment outcome

Eating and weight disorders : EWD, Jan 25, 2017

Research paper thumbnail of Testing virtual reality-based cue-exposure software: Which cue-elicited responses best discriminate between patients with eating disorders and healthy controls?

Eating and weight disorders : EWD, Jan 27, 2017

Virtual reality (VR) technologies have been proposed as a new tool able to improve on in vivo exp... more Virtual reality (VR) technologies have been proposed as a new tool able to improve on in vivo exposure in patients with eating disorders. This study assessed the validity of a VR-based software for cue exposure therapy (CET) in people with bulimia nervosa (BN) and binge eating disorder (BED). Fifty eight outpatients (33 BN and 25 BED) and 135 healthy participants were exposed to 10 craved virtual foods and a neutral cue in four experimental virtual environments (kitchen, dining room, bedroom, and cafeteria). After exposure to each VR scenario, food craving and anxiety were assessed. The frequency/severity of episodes of uncontrollable overeating was also assessed and body mass index was measured prior to the exposure. In both groups, craving and anxiety responses when exposed to the food-related virtual environments were significantly higher than in the neutral-cue virtual environment. However, craving and anxiety levels were higher in the clinical group. Furthermore, cue-elicited a...

Research paper thumbnail of Eating behavior style predicts craving and anxiety experienced in food-related virtual environments by patients with eating disorders and healthy controls

Appetite, Jan 11, 2017

Eating behavior style (emotional, restrictive, or external) has been proposed as an explanation f... more Eating behavior style (emotional, restrictive, or external) has been proposed as an explanation for the differences in response to food-related cues between people who overeat and those who do not, and has been also considered a target for the treatment of eating disorders (EDs) characterized by lack of control over eating and weight-related (overweight/obesity) conditions. The aim of this study was to analyze the relationship between eating behavior style and psychophysiological responses (self-reported food craving and anxiety) to food-related virtual reality (VR) environments in outpatients with bulimia nervosa (BN) and binge eating disorder (BED) and to compare them with healthy participants. Fifty-eight outpatients and 135 healthy participants were exposed to palatable foods in four experimental everyday real-life VR environments (kitchen, dining room, bedroom and café). During exposure, cue-elicited food craving and anxiety were assessed. Participants also completed standardiz...

Research paper thumbnail of Evaluation of the DSM-5 Severity Specifier for Bulimia Nervosa in Treatment-Seeking Youth

Child psychiatry and human development, Jan 16, 2017

A new severity specifier for bulimia nervosa (BN), based on the frequency of inappropriate weight... more A new severity specifier for bulimia nervosa (BN), based on the frequency of inappropriate weight compensatory behaviours (e.g., laxative misuse, self-induced vomiting, fasting, diuretic misuse, and excessive exercise), has been added to the most recent (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a means of addressing variability and heterogeneity in the severity of the disorder. While existing research provides support for the DSM-5 severity specifier for BN in adult patients, evidence for its validity and clinical utility in youth is currently lacking. To address this gap, data from 272 treatment-seeking adolescents with DSM-5 BN (94.2% female, M age = 15.3 years, SD 1.7) were analysed to examine whether these patients, sub-grouped based on the DSM-5 severity definitions, would show meaningful differences in a broad range of clinical variables and demographic and physical characteristics. Analyses revealed that participants categorized w...

Research paper thumbnail of An eye-tracker controlled cognitive battery: overcoming verbal-motor limitations in ALS

Journal of neurology, 2017

We assessed language, attention, executive, and social cognition abilities in a sample of patient... more We assessed language, attention, executive, and social cognition abilities in a sample of patients with Amyotrophic Lateral Sclerosis (ALS) by means of a recently developed cognitive battery based on oculomotor control with eye-tracking (ET) technology. Twenty-one ALS patients and 21 age- and education-matched healthy subjects underwent the ET-based cognitive assessment, together with the standard cognitive screening tools [Frontal Assessment Battery (FAB); Montreal Cognitive Assessment (MoCA); and Digit Sequencing Task]. Psychological measures of anxiety (State-Trait Anxiety Inventory-Y) and depression (Beck Depression Inventory) were also collected, and an ET usability questionnaire was administered. For patients, clinical and respiratory examinations were also performed, together with behavioural assessment (Frontal Behavioural Inventory). The developed battery discriminated among patients and controls with regard to measures of verbal fluency, frontal abilities, and social cogni...

Research paper thumbnail of Classifying Adults with Binge Eating Disorder Based on Severity Levels

European Eating Disorders Review, 2017

The clinical utility of the severity criterion for binge eating disorder (BED), introduced in the... more The clinical utility of the severity criterion for binge eating disorder (BED), introduced in the DSM-5 as a means of addressing heterogeneity and variability in the severity of this disorder, was evaluated in 189 treatment-seeking adults with (DSM-5) BED. Participants classified with mild, moderate, severe and extreme severity of BED, based on their weekly frequency of binge eating episodes, differed significantly from each other in body mass index (BMI), eating disorder features, putative factors involved in the maintenance process of the disorder, comorbid mood, anxiety and personality disorders, psychological distress, social maladjustment and illness-specific functional impairment (medium-to-large effect sizes). They were also statistically distinguishable in metabolic syndrome prevalence, even after adjusting for BMI (large effect size), suggesting the possibility of non-BMI-mediated mechanisms. The implications of the findings, providing support for the utility of the binge frequency as a severity criterion for BED, and directions for future research are outlined. Copyright © 2017 John Wiley &amp;amp;amp;amp;amp;amp;amp; Sons, Ltd and Eating Disorders Association.

Research paper thumbnail of Towards novel paradigms for treating dysfunctional bodily experience in eating disorders

Eating and weight disorders : EWD, Jan 7, 2017

Research paper thumbnail of Validity and utility of the DSM-5 severity specifier for binge-eating disorder

The International journal of eating disorders, Jan 28, 2017

To test both the concurrent and predictive significance of the new DSM-5 severity specifier for b... more To test both the concurrent and predictive significance of the new DSM-5 severity specifier for binge-eating disorder (BED) in adult outpatients. Existing data from 195 adults with DSM-5 BED who received evidence-based treatment (manual-based cognitive-behavioral therapy) in an outpatient setting were re-analysed to examine whether these patients sub-grouped according to the DSM-5 severity levels, defined by the frequency of binge-eating (BE) episodes, would show meaningful differences in a range of variables of clinical interest assessed at pre-treatment and end-of treatment abstinence from BE. Participants categorized with mild (33.3% of the sample), moderate (35.4%), severe (15.9%), and extreme (15.4%) severity of BED, based on their pre-treatment clinician-rated frequency of BE episodes, differed significantly from each other in physical characteristics (body mass index) and another sixteen variables of clinical interest assessed at pre-treatment regarding eating disorder psycho...

Research paper thumbnail of An eye-tracking controlled neuropsychological battery for cognitive assessment in neurological diseases

Neurological Sciences, 2017

Traditional cognitive assessment in neurological conditions involving physical disability is ofte... more Traditional cognitive assessment in neurological conditions involving physical disability is often prevented by the presence of verbal-motor impairment; to date, an extensive motor-verbal-free neuropsychological battery is not available for such purposes. We adapted a set of neuropsychological tests, assessing language, attentional abilities, executive functions and social cognition, for eye-tracking (ET) control, and explored its feasibility in a sample of healthy participants. Thirty healthy subjects performed a neuropsychological assessment, using an ET-based neuropsychological battery, together with standard &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;paper and pencil&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; cognitive measures for frontal (Frontal Assessment Battery-FAB) and working memory abilities (Digit Sequencing Task) and for global cognitive efficiency (Montreal Cognitive Assessment-MoCA). Psychological measures of anxiety (State-Trait Anxiety Inventory-Y-STAI-Y) and depression (Beck Depression Inventory-BDI) were also collected, and a usability questionnaire was administered. Significant correlations were observed between the &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;paper and pencil&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; screening of working memory abilities and the ET-based neuropsychological measures. The ET-based battery also correlated with the MoCA, while poor correlations were observed with the FAB. Usability aspects were found to be influenced by both working memory abilities and psychological components. The ET-based neuropsychological battery developed could provide an extensive assessment of cognitive functions, allowing participants to perform tasks independently from the integrity of motor or verbal channels. Further studies will be aimed at investigating validity and usability components in neurological populations with motor-verbal impairments.

Research paper thumbnail of Testing the DSM-5 severity indicator for bulimia nervosa in a treatment-seeking sample

Eating and weight disorders : EWD, Jan 21, 2016

This study tested the new DSM-5 severity criterion for bulimia nervosa (BN) based on the frequenc... more This study tested the new DSM-5 severity criterion for bulimia nervosa (BN) based on the frequency of inappropriate weight compensatory behaviors in a treatment-seeking sample. Participants were 345 adults with DSM-5 BN presenting for treatment. They were sub-grouped based on DSM-5 severity levels and compared on a range of variables of clinical interest and demographics. Based on DSM-5 severity definitions, 27.2 % of the sample was categorized with mild, 26.1 % with moderate, 24.9 % with severe, and 21.8 % with extreme severity of BN. Analyses revealed that the four (mild, moderate, severe, and extreme) severity groups of BN significantly differed from each other in eating disordered and body-related attitudes and behaviors, factors involved in the maintenance process of the disorder, comorbid psychiatric disorders, psychological distress, and psychosocial impairment (medium-to-large effect sizes). No significant between-group differences were observed in demographics, body mass in...

Research paper thumbnail of Pain in the body. Altered interoception in chronic pain conditions: A systematic review

Neuroscience and biobehavioral reviews, Jan 18, 2016

Interoception is the sense of the physiological condition of the body. Modern definitions differe... more Interoception is the sense of the physiological condition of the body. Modern definitions differentiated three separated sub-constructs: accuracy (IAc), i.e., the ability to detect physiological states, sensibility (IAs), i.e., a self-evaluated measure of interoception, and awareness (IAw) i.e., a metacognitive awareness of the accuracy. Preliminary researches correlated pain with alterations in the interoceptive matrix albeit, to the best of our knowledge, interoceptive alterations in chronic pain conditions have never been studied systematically. We searched for studies that assessed interoception in subjects with chronic pain and compared it to healthy population. Eleven studies were included among different chronic pain conditions. Results suggested that chronic pain subjects might present low IAc and, allegedly, that IAc negatively correlates with symptoms severity in specific disorders. Data were inconclusive for IAs and IAw. The high risk of bias across multiple dimensions su...

Research paper thumbnail of L’esperienza soggettiva dell’obesità: implicazioni diagnostico-terapeutiche

Psicologia della Salute, Oct 15, 2008

Presentazione: L'esperienza soggettiva dell'obesità: implicazioni diagnostico-terapeuti... more Presentazione: L'esperienza soggettiva dell'obesità: implicazioni diagnostico-terapeutiche-The subjective experience of obesity: Diagnostic and therapeutic implications The spreading of obesity, with its high morbidity and mortality levels, has drawn the attention of health authorities. The diagnosis and treatment of obesity are prominently based on objective data, such as biological, socio-economic and cultural variables. However, several studies have shown the relevance of subjective indicators, such as perceived well-being, life ...

Research paper thumbnail of 8 Characteristics of interaction and cooperation in immersive and non- immersive virtual environments

This research presents three studies that investigate the characteristics of the interaction and ... more This research presents three studies that investigate the characteristics of the interaction and cooperation activities in immersive and non-immersive virtual environments. The first study explored the characteristics of the interaction during a cooperative task; the second one investigated the characteristics of the cooperation strategies used in the cooperative task; the final one verified if and how the level of immersion

Research paper thumbnail of Validity and clinical utility of the DSM-5 severity specifier for bulimia nervosa: results from a multisite sample of patients who received evidence-based treatment

European archives of psychiatry and clinical neuroscience, Jan 19, 2016

A new "severity specifier" for bulimia nervosa (BN), based on the frequency of inapprop... more A new "severity specifier" for bulimia nervosa (BN), based on the frequency of inappropriate weight compensatory behaviours (IWCBs), was added to the DSM-5 as a means of documenting heterogeneity and variability in the severity of the disorder. Yet, evidence for its validity in clinical populations, including prognostic significance for treatment outcome, is currently lacking. Existing data from 281 treatment-seeking patients with DSM-5 BN, who received the best available treatment for their disorder (manual-based cognitive behavioural therapy; CBT) in an outpatient setting, were re-analysed to examine whether these patients subgrouped based on the DSM-5 severity levels would show meaningful and consistent differences on (a) a range of clinical variables assessed at pre-treatment and (b) post-treatment abstinence from IWCBs. Results highlight that the mild, moderate, severe, and extreme severity groups were statistically distinguishable on 22 variables assessed at pre-trea...