Binge drinking in 14-year-old Italian students is correlated with low or high psychological well-being: a cross-sectional study

Gostoli, Sara; Fantini, Luana; Casadei, Sara; Angelis, Veronica A. De; Rafanelli, Chiara

doi:10.1080/09687637.2020.1799942

Cited by 5 publications

(4 citation statements)

References 82 publications

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“…Indeed, both the absence of allostatic overload and higher levels of psychological well-being dimensions enhanced the negative effect of ADHD symptomatology on the adoption of ULBs, thus representing risky instead of protective factors. Even though these results might seem to be in contrast with expectations, they are in line with a body of research showing that higher levels of psychological well-being are associated with worst outcomes in terms of ULBs, such as lack of weight loss in obese patients [15] and binge drinking [14]. Gostoli et al [14] found that higher PWB Positive Relations levels were associated with a more problematic alcohol use among young adolescents.…”

Section: Discussionsupporting

confidence: 60%

“…Even though these results might seem to be in contrast with expectations, they are in line with a body of research showing that higher levels of psychological well-being are associated with worst outcomes in terms of ULBs, such as lack of weight loss in obese patients [15] and binge drinking [14]. Gostoli et al [14] found that higher PWB Positive Relations levels were associated with a more problematic alcohol use among young adolescents. Although in the mentioned study ADHD symptomatology was not investigated, its presence and influence could be hypothesized in the light of the findings of the present study, indicating that having elevated levels of psychological well-being could be as disruptive as having low levels when ADHD severity increases.…”

Section: Discussionsupporting

confidence: 60%

“…Another factor that has been associated with the adoption of ULBs is psychological well-being (PWB) that, according to Ryff's model [13], encompasses six dimensions: self-acceptance, positive relationships, purpose in life, environmental mastery, personal growth, and autonomy. Although PWB is often regarded as a protective factor, some studies have shown that unbalanced levels of PWB, namely either too high or low scores in one or more of its six dimensions, are associated with ULBs, both in adolescents and adults [14,15], and that PWB seems to play a moderating role in problematic Internet gaming [16] in adulthood.…”

Section: Introductionmentioning

confidence: 99%

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Attention-Deficit/Hyperactivity Disorder and Unhealthy Lifestyle in Adolescence: Unforeseen Role of Allostatic Overload and Psychological Well-Being

Gostoli,

Raimondi,

Rafanelli

et al. 2024

Healthcare

Self Cite

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Unhealthy lifestyle behaviors (ULBs) are common in early adolescence and could be worsened by Attention-Deficit/Hyperactivity Disorder (ADHD), as well as by specific psychosocial factors, such as stress and unbalanced (i.e., too high or low scores of) psychological well-being (PWB) dimensions. This multi-center study aimed to evaluate how interactions between ADHD symptoms and psychosocial factors associated with ULBs (i.e., Allostatic Overload and multidimensional Psychological Well-Being), considered as moderators, could affect the adoption of ULBs during adolescence. A total of 440 fourteen-year-old adolescents were recruited from six upper secondary schools in Bologna and Rome (Italy) and completed self-report questionnaires on ULBs, ADHD, and psychosocial factors. Relations between ADHD symptomatology and specific ULBs (i.e., impaired sleep, problematic Internet use) were moderated by variables deemed as “negative” (i.e., Allostatic Overload) or “positive” (i.e., PWB dimensions of Self-Acceptance, Personal Growth, Positive Relations, Purpose in Life, Environmental Mastery): when the “negative” moderator is absent and the levels of the “positive” moderators are higher, ULBs decrease among students with lower ADHD symptomatology but increase among students with more severe ADHD. Based on ADHD severity, interventions should aim at promoting a state of euthymia, which consists in balanced PWB dimensions and reflects the optimal level of well-being to fulfill one’s own potential and self-realization.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionsupporting

confidence: 60%

Section: Introductionmentioning

confidence: 99%

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Attention-Deficit/Hyperactivity Disorder and Unhealthy Lifestyle in Adolescence: Unforeseen Role of Allostatic Overload and Psychological Well-Being

Gostoli,

Raimondi,

Rafanelli

et al. 2024

Healthcare

Self Cite

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“…As suggested by King et al [67], body mass index and waist circumference may be considered as some of the earliest clinical signs of elevated allostatic load among adolescents. In one study [68] of adolescents engaging in binge drinking, excessive alcohol consumption was found to be associated with significantly higher levels of stress and hostility, but not with allostatic overload based on clinimetric criteria [5, 6].…”

Section: Resultsmentioning

confidence: 99%

Allostatic Load in Children and Adolescents: A Systematic Review

Lucente,

Guidi

2023

Psychother Psychosom

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Introduction: The concept of allostatic load encompasses the cumulative effects of both ordinary daily life events as well as major challenges, and also includes related health-damaging behavior. Allostatic overload ensues when environmental challenges exceed the individual’s ability to cope. Identification of allostatic load is carried out through the use of biomarkers and clinimetric criteria. Studies are increasingly reported on allostatic load in younger populations, yet a systematic review is missing. Objective: The aim of the present systematic review was to summarize the current knowledge on allostatic load/overload among children and adolescents. Methods: PubMed, PsycINFO, Web of Science, and the Cochrane Library were searched from inception to April 2023. A manual search of the literature was also performed. We considered only studies in which allostatic load or overload were adequately described and assessed in either clinical or non-clinical populations younger than 18 years. Results: A total of 38 original investigations were included in this systematic review. Studies reported an association between allostatic load and sociodemographic characteristics (e.g., poverty, ethnicity, perceived discrimination, adverse childhood experiences) and environmental factors, as well as consequences of allostatic load on both physical and mental health among children and adolescents. Conclusions: The findings indicate that greater allostatic load is associated with poorer health outcomes in both clinical and non-clinical pediatric populations, with possible enduring effects. The results support the clinical utility of the transdiagnostic identification of allostatic load and overload in children and adolescents across a variety of settings, with a number of potential clinical implications.

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Negative health outcomes in depressed cardiac patients are associated with both low and high psychological well-being dimensions

Gostoli

Piolanti

Buzzichelli

et al. 2021

Psychology, Health & Medicine

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Binge drinking in 14-year-old Italian students is correlated with low or high psychological well-being: a cross-sectional study

Cited by 5 publications

References 82 publications

Attention-Deficit/Hyperactivity Disorder and Unhealthy Lifestyle in Adolescence: Unforeseen Role of Allostatic Overload and Psychological Well-Being

Attention-Deficit/Hyperactivity Disorder and Unhealthy Lifestyle in Adolescence: Unforeseen Role of Allostatic Overload and Psychological Well-Being

Allostatic Load in Children and Adolescents: A Systematic Review

Negative health outcomes in depressed cardiac patients are associated with both low and high psychological well-being dimensions

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