Quaderni Italiani di Psichiatria最新文献_第9页

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Quaderni Italiani di Psichiatria Pub Date : 2010-09-01 DOI: 10.1016/S0393-0645(10)00036-8

引用次数: 0

Gli eventi psichiatrici in corso di epilessia 癫痫期间的精神事件

Quaderni Italiani di Psichiatria Pub Date : 2010-09-01 DOI: 10.1016/j.quip.2010.03.001

Massimiliano Beghi , Cesare Cerri , Massimo Clerici , Jacopo Santambrogio , Cecilia Perin , Cesare Maria Cornaggia

{"title":"Gli eventi psichiatrici in corso di epilessia","authors":"Massimiliano Beghi , Cesare Cerri , Massimo Clerici , Jacopo Santambrogio , Cecilia Perin , Cesare Maria Cornaggia","doi":"10.1016/j.quip.2010.03.001","DOIUrl":"10.1016/j.quip.2010.03.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The prevalence of psychiatric events in epilepsy remains controversial and difficult to define. Psychiatric disorders are often misdiagnosed in patients with epilepsy, and they may be evaluated differently by neurologists and psychiatrists.</p></div><div><h3>Materials and methods</h3><p>We conducted a search of PubMed and Embase databases using the keywords “epilepsy” and “psychiatry” or “psychiatric”. The articles that were in our opinion most significant were selected for this review.</p></div><div><h3>Results</h3><p>Every psychiatric event that occurs in a patient with epilepsy should be classified on the basis of its temporal relation with the seizures; unlike most psychiatric disorders, those associated with epilepsy are not chronic conditions. Psychotic episodes may occur in epilepsy, but they rarely reflect the presence of a chronic psychotic disorder. In other cases, the relationship between epileptic seizures and psychotic episodes is one of alternating events (forced normalization). Depression is the most common psychiatric disorder in patients with epilepsy, although in most cases it is mild and does not require drug therapy. Mood and anxiety disorders are also commonly associated in these patients. Epilepsy is sometimes associated with specific changes in the personality although currently available data are not sufficient to justify the term “epileptic personality”. In patients with epilepsy (but also in those without epilepsy) Psychogenic Non-Epileptic Seizures (PNES) can also occur, and they can often be differentiated from epileptic seizures only by videoEEG findings.</p></div>","PeriodicalId":101052,"journal":{"name":"Quaderni Italiani di Psichiatria","volume":"29 3","pages":"Pages 95-105"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.quip.2010.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86820754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Quando la notizia fa male 当消息伤人的时候

Quaderni Italiani di Psichiatria Pub Date : 2010-09-01 DOI: 10.1016/j.quip.2008.11.011

Claudio Mencacci

引用次数: 0

Residenzialità per la disabilità intellettiva: evidenze, principi evolutivi e implicazioni applicative 智能残疾住宅:证据、进化原理和应用含义

Quaderni Italiani di Psichiatria Pub Date : 2010-09-01 DOI: 10.1016/j.quip.2010.06.001

Marco O. Bertelli , Raymond Ceccotto , Edi Farnetani

{"title":"Residenzialità per la disabilità intellettiva: evidenze, principi evolutivi e implicazioni applicative","authors":"Marco O. Bertelli , Raymond Ceccotto , Edi Farnetani","doi":"10.1016/j.quip.2010.06.001","DOIUrl":"10.1016/j.quip.2010.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Since the last appraisals of international experiences in institutionalized care for persons with intellectual disabilities (ID), the concept of residentiality is once again evolving. The purpose of this article is to review and discuss the most recent and significant literature on this topic.</p></div><div><h3>Materials and methods</h3><p>The authors, experienced professionals in this field, performed a search of relevant scientific articles published in the last 5 years. These articles were then reviewed and analyzed to produce the present review.</p></div><div><h3>Results</h3><p>Small apartments within the community and the so-called <em>cluster centres</em> are currently considered the most efficient residential solutions for individuals with ID. However, the criteria for judging the appropriateness of a residence for these persons are heterogeneous, poorly defined, or overly restrictive. Growing attention is being placed on person-related measures, including quality of life, which is one of the most widely used parameter. It reflects the individual relation between attribution of importance and perception of satisfaction in areas of life with qualitative implications for all people.</p></div><div><h3>Conclusions</h3><p>Research on residential care for people with ID is still limited, quantitatively and qualitatively. Nevertheless, it appears to be capable of identifying some solutions that are more effective than others, at least in terms of certain parameters. The application of new conceptual models seems to support the need for a broad range of residential solutions capable of meeting a variety of individual needs.</p></div>","PeriodicalId":101052,"journal":{"name":"Quaderni Italiani di Psichiatria","volume":"29 3","pages":"Pages 106-109"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.quip.2010.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74244386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Theory of Mind, Executive Functions, and Laterality: an evolutionary and neuropsychiatric perspective 心智理论、执行功能和偏侧性:一个进化和神经精神病学的观点

Quaderni Italiani di Psichiatria Pub Date : 2010-09-01 DOI: 10.1016/j.quip.2010.07.001

Alessandro Ghezzo , Francesco Benso , Maurizio Bejor , Matteo Chiappedi

{"title":"Theory of Mind, Executive Functions, and Laterality: an evolutionary and neuropsychiatric perspective","authors":"Alessandro Ghezzo , Francesco Benso , Maurizio Bejor , Matteo Chiappedi","doi":"10.1016/j.quip.2010.07.001","DOIUrl":"10.1016/j.quip.2010.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Executive functions and Theory of Mind<span> play important roles in appropriate responses to unexpected stimuli; the same applies to the functional asymmetry of the brain cortex.</span></p></div><div><h3>Materials and methods</h3><p>We reviewed and analyzed recent Medline-indexed research published in the last 5 years, as well as certain older publications (articles, books) that were often cited. The Medline search was carried out with MeSH search terms <em>Theory of Mind</em>, <em>Executive Functions</em>, <span><em>cerebral asymmetry</em></span> (and related variants), alone and in conjunction with <span><em>autism</em></span>, <em>attention deficit hyperactivity disorder</em>, and <em>schizophrenia</em>.</p></div><div><h3>Results</h3><p>Recent research suggests that hyperactivation or inappropriate activation of the above-mentioned functions may be the cause of pervasive developmental disorder, schizophrenia, and attention deficit and hyperactivity disorder.</p></div><div><h3>Discussion</h3><p>We present a hypothesis in which Theory of Mind, Executive Functions, and asymmetric activation of the brain cortex are all part of a comprehensive system, which may have been important, from an evolutionary point of view, in improving the survival of humans. Conversely, pathological hyperactivation or dysregulated activation of this system (secondary to alteration of one or more of its components) may be the biological basis for certain neuropsychiatric disorders. If verified, this model could be used to create specific treatments.</p></div>","PeriodicalId":101052,"journal":{"name":"Quaderni Italiani di Psichiatria","volume":"29 3","pages":"Pages 89-94"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.quip.2010.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86982504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Personality profiles in patients with bulimia and obesity: an investigation with the MMPI-2 暴食症和肥胖症患者的性格特征:一项MMPI-2的调查

Quaderni Italiani di Psichiatria Pub Date : 2010-06-01 DOI: 10.1016/j.quip.2009.08.001

Gianluca Serafini , Maurizio Pompili , Lara Bancheri , Daniela Pucci , Silvia Rigucci , Alberto Forte , Gloria Angeletti , Paolo Girardi , Roberto Tatarelli

{"title":"Personality profiles in patients with bulimia and obesity: an investigation with the MMPI-2","authors":"Gianluca Serafini , Maurizio Pompili , Lara Bancheri , Daniela Pucci , Silvia Rigucci , Alberto Forte , Gloria Angeletti , Paolo Girardi , Roberto Tatarelli","doi":"10.1016/j.quip.2009.08.001","DOIUrl":"10.1016/j.quip.2009.08.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Bulimia and obesity are increasing conditions both in prevalence and incidence. The MMPI-2 has been used in a number of studies to investigate the personality profile of both obese patients and bulimics.</p><p>The aim of this study was to assess and compare personality profiles of bulimic and obese women through the MMPI-2 and test the Inventory's ability to discriminate between these populations.</p></div><div><h3>Materials and methods</h3><p>Participants: 103 women, 59 obese (mean age, 39.1 years, age range 19-72 years) and 44 bulimic (mean age, 31.7 years, age range 18-59), followed in an outpatient setting completed the MMPI-2.</p></div><div><h3>Results</h3><p>Age, weight and educational level were higher in the obese group; purging behaviour was shown by all bulimics than one third of obese patients. Bulimics showed more psychopathology, had a 2/8-8/2 code-type, and scored significantly higher than the obese on the Hs, D, Hy, Pa, Pt, Sc and Si scales of the MMPI-2, but only on the Sc and D scale median scores were in the pathological range.</p></div><div><h3>Conclusions</h3><p>Bulimic women showed more psychopathology than obese ones; the MMPI-2 does not discriminate between the two disorders.</p></div>","PeriodicalId":101052,"journal":{"name":"Quaderni Italiani di Psichiatria","volume":"29 2","pages":"Pages 59-65"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.quip.2009.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87280605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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Quaderni Italiani di Psichiatria Pub Date : 2010-06-01 DOI: 10.1016/S0393-0645(10)00023-X

引用次数: 0

Antipsicotici atipici nel trattamento farmacologico del disturbo borderline di personalità: una revisione sistematica 边缘性人格障碍药物治疗中的非典型抗精神病药物:系统回顾

Quaderni Italiani di Psichiatria Pub Date : 2010-06-01 DOI: 10.1016/j.quip.2009.11.005

Giuliana Mircoli, Sara Bascioni, Chiara Lucarelli, Cesario Bellantuono

{"title":"Antipsicotici atipici nel trattamento farmacologico del disturbo borderline di personalità: una revisione sistematica","authors":"Giuliana Mircoli, Sara Bascioni, Chiara Lucarelli, Cesario Bellantuono","doi":"10.1016/j.quip.2009.11.005","DOIUrl":"10.1016/j.quip.2009.11.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Diagnosis and treatment of Borderline Personality Disorder (BPD) are a matter of great clinical interest and research. Nowadays the atypical antipsychotic drugs (AAP) are frequently prescribed even though their use in the BPD is still off-label.</p><p>The aim of this paper is to perform a systematic review of studies focusing on the efficacy and tolerability of AAP in the BPD.</p></div><div><h3>Materials and methods</h3><p>A comprehensive search from PubMed, Emabse, PsycLIT and Cochrane Library, was conducted from January 1980 to April 2009. Only randomized controlled trials (RCTs) were included in the final analysis.</p></div><div><h3>Results</h3><p>Nine RCTs were selected from the analyzed studies. Olanzapine is by far the most investigated drug; its efficacy over placebo was well documented in the treatment of anxiety, anger, impulsivity and paranoia, as well as in improving interpersonal relationships. Aripiprazole has been associated with a significant improvement of symptoms like hostility, anger, anxiety and paranoid ideation. For ziprasidone, no significant advantage over placebo was reported. The efficacy of quetiapine, risperidone and clozapine has been supported only by open studies.</p></div><div><h3>Conclusions</h3><p>AAP are frequently prescribed in BPD, even though RCTs on their efficacy are still scarce. More studies are needed to better assess not only the efficacy of such drugs but also their effectiveness in a long-term treatment.</p></div>","PeriodicalId":101052,"journal":{"name":"Quaderni Italiani di Psichiatria","volume":"29 2","pages":"Pages 51-58"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.quip.2009.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87972240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Una riflessione sul trattamento sanitario obbligatorio coattivo e sul Codice deontologico 关于强制强制医疗和行为准则的思考

Quaderni Italiani di Psichiatria Pub Date : 2010-06-01 DOI: 10.1016/j.quip.2010.05.002

Stefano Ferracuti , Paolo Girardi , Massimo Di Giannantonio , Alberto Siracusano , Roberto Tatarelli

{"title":"Una riflessione sul trattamento sanitario obbligatorio coattivo e sul Codice deontologico","authors":"Stefano Ferracuti , Paolo Girardi , Massimo Di Giannantonio , Alberto Siracusano , Roberto Tatarelli","doi":"10.1016/j.quip.2010.05.002","DOIUrl":"10.1016/j.quip.2010.05.002","url":null,"abstract":"<div><h3>Introduction</h3><p>In psychiatry informed consent is an uttermost complex topic, especially when considering the 2006 Code of Medical Ethics/Medical Ethics Code (articles 33 and 35). Informed consent is the foundation of every possible therapeutic choice, although there are some notable exceptions, such as compulsory treatment for psychiatric reasons.</p></div><div><h3>Materials and methods</h3><p>The current mental health law system has been evaluated. It is noted that informed consent is not the central issue in the reasons for the involuntary admission. The problem of informed consent is subordinated to an ill-defined medical condition such as “psychic alterations that request an urgent intervention”. This ill defined condition leaves a wide array of difficulties open, when the psychiatrist has to propose the compulsory treatment.</p></div><div><h3>Results</h3><p>We consider that the stratification of different laws about freedom/mental illness interface is not rationally harmonized with the centrality of informed consent in medicine.</p></div><div><h3>Conclusions</h3><p>It would be appropriate to develop an evaluation of compulsory admission based on the centrality of informed consent (that is, the lack of informed consent). Consent can be viewed as an initial recovery of responsibility for the patient.</p></div>","PeriodicalId":101052,"journal":{"name":"Quaderni Italiani di Psichiatria","volume":"29 2","pages":"Pages 66-72"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.quip.2010.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82835570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vatican to join the prevention of suicide 梵蒂冈加入预防自杀的行列

Quaderni Italiani di Psichiatria Pub Date : 2010-06-01 DOI: 10.1016/j.quip.2010.01.001

Maurizio Pompili , Paolo Girardi , Roberto Tatarelli

引用次数: 1