Psychiatric comorbidity, Restless Legs Syndrome and Nocturnal Eating Disorder: a case-control study

Objective: to evaluate the psychopathological profile in primary Restless Legs Syndrome (p-RLS) patients with and without nocturnal eating disorder (NED), analysing obsessive-compulsive traits, mood and anxiety disorder, and the two domains of personality proposed by Cloninger, temperament and character. Methods: we tested ten p-RLS patients without NED, ten p-RLS patients with NED and ten healthy control subjects, age and sex-matched, using Hamilton Depression and Anxiety Rating Scales, State-Trait Anxiety Inventory, Maudsley Obsessive Compulsive Inventory (MOCI) and Temperament and Character Inventory - revised (TCI). Results: p-RLS patients, particularly those with NED, had increased anxiety factor scores. MOCI-total, doubting and checking compulsion, and TCI-harm avoidance scores were significantly higher in p-RLS patients with NED. p-RLS patients without NED had significantly higher MOCI-doubting scores and a trend toward higher checking compulsion and harm avoidance scores with an apparent grading from controls to p-RLS patients without NED to p-RLS with NED. Conclusions: higher harm avoidance might predispose to display obsessive-compulsive symptoms, RLS and then, with increasing severity, compulsive nocturnal eating. RLS and NED could represent a pathological continuum in which a dysfunction in the limbic system, possibly driven by a dopaminergic dysfunction, could be the underlying pathophysiological mechanism.

Eruptive and depositional processes of widely dispersed volcanic ash: Insights from the Brown Tuffs (Aeolian Islands)

This is a multidisciplinary study of the Brown Tuffs (BT) ash deposits of the Aeolian Islands in northern Sicily and representing the most voluminous and widely distributed tephra deposit in this region. A large dataset of major and minor elements of the BT glass has defined a range from K-series basaltic-andesites and trachy-andesites through to tephri-phonolites and trachytes that is consistent with the Vulcano magmatic system. Combined with stratigraphic information and new radiocarbon ages, four stratigraphic macro-units are defined: the Lower (80-56 ky; LBT), Intermediate (56-27 ky; IBT), Intermediate-upper (26-24 ky; IBT-upper) and Upper BT (24-6 ky; UBT). Glass compositional data provide constraints on proximal-distal correlations of the BT with deep-sea tephra layers in the Tyrrhenian and Adriatic Seas and new insights on the definition of the dispersal area of the BT eruptions. Sedimentological evidence of massive to stratified deposits and shear-related structures, coupled with grain-size and componentry analyses, have allowed to interpret the BT as the result of laterally-spreading, concentrated ash-rich PDCs, with a high potential of erosion of the substratum. Shear-structures similar to those observed in the field in the BT deposits have been reproduced by small-medium scale laboratory experiments carried out on ash granular flows, which have also allowed to describe the behaviour of ash-rich PDcs and their mobility depending on variations of slope-ratio, grain size and flow channelization. The resulting integrated dataset provides a contribution to the knowledge of the BT eruptions and insights on long-term hazard assessment in the study area. The eruptive dynamics of the BT may have a role in characterizing the whole magmatic system of the La Fossa Caldera on Vulcano, in the light of the geochemical link highlighted between the UBT macrounit and the early products of the La Fossa cone.