Evidence map›Paper›PMID 40475336›Full record

ArticleFrontiers in psychology2025

Psychopathological symptoms, personality, and epistemic stances in individuals with myocardial infarction: an empirical investigation.

Gianluca Cruciani, Marianna Liotti, Annalisa Tanzilli, Gabriele Lo Buglio, Davide Guarino, Nicola Carone, Matteo Casali, Federica Galli, Vittorio Lingiardi

Abstract read
In one paragraph

Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Gianluca Cruciani *Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Marianna Liotti *Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
Annalisa TanzilliDepartment of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
Gabriele Lo BuglioDepartment of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
Davide GuarinoDepartment of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
Nicola CaroneDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Matteo CasaliDepartment of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
Federica GalliDepartment of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
Vittorio LingiardiDepartment of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Myocardial infarction (MI) is a major cause of mortality worldwide. Psychopathological symptoms play a bidirectional role in MI prognosis, both increasing cardiovascular risk and being exacerbated by cardiac events, leading to further complications. Personality impairments and disruptions in epistemic trust-the ability to assess social communications as trustworthy and relevant-strongly affect psychopathology levels and may worsen MI clinical outcomes by impeding health behaviors and treatment adherence. This is the first study examining the interplay between psychopathological symptoms, personality dysfunction, and epistemic dimensions in MI patients compared to healthy controls. Methods: A sample of 67 MI patients and 80 age- and gender-matched healthy controls completed self-report measures to assess levels of general psychopathology (DSM-5 self-rated Level 1 Cross-Cutting Symptom Measure), personality functioning (Personality Inventory for DSM-5 Short Form), and epistemic stances (Epistemic Trust, Mistrust, and Credulity Questionnaire). Multivariate analyses were used to compare the groups, while correlations and moderation models were employed to evaluate associations among variables within the MI group. Results: MI patients showed significantly higher psychopathological symptoms, more severe personality impairments, and greater epistemic mistrust than controls. Within the MI group, psychopathological symptoms were associated with specific maladaptive personality traits (especially, negative affectivity) and epistemic mistrust and credulity. The relationship between worse personality functioning and severe psychopathological symptoms was moderated by epistemic mistrust. Discussion: The study emphasizes the importance of addressing psychopathology and epistemic disruptions in clinical settings to improve the treatment's adherence and recovery. The development of targeted interventions to mitigate psychological vulnerabilities in MI patients is recommended.

Indexed as

anxietydepressionepistemic mistrustepistemic trustmyocardial infarctionpersonalitypsychopathology

Identifiers

PMID40475336
PMCPMC12137302

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.