No abstract

In this study, we assessed the longitudinal effects of social-cognitive mechanisms on the self-reported use of doping substances and supplements among Italian high school students. In total, 1232 students completed questionnaires measuring various psychological factors hypothesized to influence students' intention to use substances. Three months later, 762 of the students completed the same questionnaires a second time and also reported their use of substances during the time between assessments. Overall, the percentages of students using doping substances (2.1%) or supplements (14.4%) were consistent with values reported in the literature. Analysis of the data showed that adolescents' intention to use doping substances increased with stronger attitudes about doping, stronger beliefs that significant others would approve of their use, a stronger conviction that doping use can be justified, and a lowered capacity to resist situational pressure or personal desires. In turn, stronger intentions and moral disengagement contributed to a greater use of doping substances during the previous 3 months. Doping use was also correlated significantly to supplementation. In conclusion, our results provide novel information about some of the psychological processes possibly regulating adolescents' use of doping substances and supplements. The results also highlight possible areas for future study and intervention, focusing on the prevention of adolescents' substance use.

No gender difference was observed in morningness/eveningness, while a significant linear increase in evening preference was found with increasing ages. M/E total scores correlated significantly with both self-reported sleep/wake problems and daytime sleepiness indicating a higher prevalence of sleep complaints in evening-type subjects. Overall, the present results support the existence of consistent age-related changes in sleep habits and M/E dimension in the 8-to 14-year age range.k e y w o r d s chronotype morningness, circadian preference, preadolescence, sleephabits

The aim of the study was to evaluate sleep of children with migraine during the interictal period and the modifications of sleep which precede, are concomitant with, or follow migraine attacks. Eighteen patients with migraine without aura were compared with a group of 17 healthy age-matched children. Sleep parameters were monitored for two full weeks by means of actigraphs and self-report diaries. Headache diaries were also filled out in order to evaluate the occurrence and the characteristics of migraine attacks. Fifty-seven attacks were recorded during the monitoring period. During the interictal period, sleep parameters of children suffering from migraine did not differ from those of controls; only sleep onset latency was slightly prolonged in the migraine group. Timing of the attack affected nocturnal motor activity which presented the lowest values on the night preceding the attack, indicating a decrease in cortical activation during sleep preceding migraine attacks. Further studies should clarify if the observed reduction in nocturnal motor activity close to the attack is related to neurotransmitter imbalance.

Chronic daily headache (CDH) represents a challenge in clinical practice and the scientific field. CDH with onset in children and adolescents represent a matchless opportunity to understand mechanisms involved in adult CDH. The aim of this study was to evaluate the diagnosis, prognosis and psychiatric co-morbidity of CDH with young onset in the young. Fifty-nine CDH patients has been followed from 1997 to 2001 in our department. Headache and psychiatric diagnoses were made on the basis of the international system of classification (International Headache Society, 1988; DSM-IV). X2 test and multinomial logistic regressions were applied to analyse factors predicting outcome. The current diagnostic system allows a diagnosis in 80% of CDH patients, even if age-related characteristics have been evidenced. Psychiatric disorders are notable in CDH (about 64% of patients) and predict (mainly anxiety) a poorer outcome. Surprisingly, analgesic overuse is not involved in the chronicization process. Diagnosis of CDH needs further study. Psychiatric disorders predict a worse outcome and greater account should be taken of them in treatment planning.