Psychiatria Danubina最新文献

{"title":"Impulsivity and Anger in Obese Patients Undergoing Bariatric Surgery.","authors":"Leonardo Zebi, Marta Barbi, Debora Toshi, Laura Pastorino, Giulia Menculini, Veronica Raspa, Maria Teresa Paganelli, Laura Dalla Ragione, Simone Pampanelli, Patrizia Moretti, Alfonso Tortorella","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Several studies show an association between obesity, impulsivity, and anger. The condition of obesity has moreover an important correlation with Eating Disorders (EDs), the most frequent of which is Binge Eating Disorder (BED). Obese patients seem to express peculiarities regarding the expression of some emotional processes, including impulsivity, aggression and anger, compared with regular-weight patients and those without an ED.</p><p><strong>Subject and methods: </strong>This is a cross-sectional study carried out on a population of 47 obese patients undergoing bariatric surgery. Patients underwent a psychiatric evaluation at the outpatient clinics of the Section of Psychiatry, Clinical Psychology and Psychiatric Rehabilitation of the University Hospital of Perugia. Levels of anger and impulsivity were characterized using the STAXI-2 and BIS-11 scores. Scores were compared based on sex, the presence/absence of EDs and on the presence/absence of psychiatric disorders attested during the evaluation.</p><p><strong>Results: </strong>No statistically significative difference were detected on STAXI-2 and BIS-11 scores comparing men and women. People diagnosed with EDs had higher scores in the subscores of attention, cognitive complexity, motor impulsivity, non-planning impulsivity, and in the BIS-11 total score. No differences were detected in the STAXI-2 scores. When comparing patients on the presence/absence of psychiatric comorbidities, obese patients with a psychiatric diagnosis had higher scores on the impulsivity measures, but also a higher value on the ER index of the STAXI-2.</p><p><strong>Conclusions: </strong>Obese subjects undergoing bariatric surgery represent a fragile population that must be carefully evaluated from a psychiatric point of view. Indeed, the co-existence of psychiatric comorbidities may underpin the present of trait-like characteristics, such as impulsivity and anger, that should be carefully considered when proposing treatment strategies.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"36 Suppl 2","pages":"281-287"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Animal-Assisted Intervention (AAI) in a Recovery-Oriented Psychiatric Rehabilitation Program.","authors":"Antonella Litta, Debora Benazzi, Piero Carbutti, Antonella Vacca, Anna Maria Nannavecchia, Anna Morelli, Anna Maria Sisto, Elisabetta Attolino, Patrizia Manigrasso, Maria Nacci","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Previous animal-assisted interventions (AAI) studies have documented that human-animal interaction can reduce anxiety levels and improve social skills and quality of life. In recent decades there was a growing evidence on the benefits achievable through human-animal relationship in different categories of people, such as children with autism spectrum disorder, elderly patients affected by dementia, patients with psychiatric disorders and alcohol/drug addiction.</p><p><strong>Methods: </strong>In the present study ten patients from psychiatric residential facilities belonging to the EPASSS Foundation were approached to participated in this study. Patients followed a rehabilitation project named \"Animal-Mente\". This project originated from the collaboration of the psychiatric residential facilities belonging to the EPASSS Foundation with \"La coda di Ulisse\", a Third Sector Organization (ETS) which represents the Apulian reference centre for AAI. Outcome assessments were conducted at recruitment (time 0) and after animal-assisted intervention (time 1).</p><p><strong>Results: </strong>Significative improvements were found for symptomatology as emerged from the BPRS scale's results. Aspects of recovery with a special focus on hope and determination were assessed by the RAS scale, which showed a significative difference between before and post intervention.</p><p><strong>Conclusions: </strong>Our data highlighted the feasibility of Animal-Assisted Interventions (AAI) in community mental health services. Our study underlined the opportunity of AAI in an integrative recovery oriented psychiatric rehabilitation program involving mental health department, psychiatric residential facilities and third sector organizations in a network activity.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"36 Suppl 2","pages":"371-375"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence in Healthcare and Regulation Challenges: a Mini Guide for (Mental) Health Professionals.","authors":"Allison Gilbert, Emanuela Pizzolla, Sofia Palmieri, Giovanni Briganti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Artificial intelligence (AI) offers new perspectives in the healthcare sector, ranging from clinical decision support tools to new treatment strategies or alternative patient remote monitoring. However, as a disruptive technology, AI is associated with potential barriers, limitations and challenges for appropriate integration in medical practice. To avoid potential patient safety risks and harm, a robust regulatory framework is crucial to guide health professionals in their AI adoption in clinical practice. The European Union offers a new legal framework for the development and deployment of AI systems, the AI Act. This regulation was approved in March 2024 and will be fully applicable by 2025 to ensure that AI technologies are safe, transparent, and respect fundamental rights. However, these new regulatory concepts may be obscure for clinicians. This article aims to provide health professionals with the preliminary key points of regulation needed to interact adequately with these new AI applications and consider the potential risks of AI systems to patient safety.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"36 Suppl 2","pages":"348-353"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Adverse Childhood Experiences on Depression and Suicidality in Patients with Schizophrenia.","authors":"Karina Cernika, Jelena Vrublevska","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>This study aims to investigate the association of adverse childhood experiences (ACE) and depressive symptoms on suicidality in patients with schizophrenia (SCZ) in the Outpatient Consultative Department of the Riga Centre of Psychiatry and Narcology (RPNC).</p><p><strong>Subjects and methods: </strong>A descriptive cross-sectional study was conducted in adult outpatients with SCZ who had not been hospitalized for at least three months. Suicidality was assessed using the Risk Assessment Suicidality Scale (RASS). Depressive symptoms were evaluated with the Calgary Depression Scale for Schizophrenia (CDSS), and ACE were investigated using the Childhood Trauma Questionnaire - Short Form (CTQ-SF). Statistical methods used: Chi-squared test, Fisher's exact test.</p><p><strong>Results: </strong>In total 60 outpatients diagnosed with SCZ were interviewed. It was found that the association between ACE and the frequency of suicide attempts in the study participants during lifetime was statistically significant (χ²=7.255, p=0.027). Self-harm attempts during whole life also differed between participants with and without childhood abuse history (χ²=9.902, p=0.002). Suicidal ideation was observed statistically significantly more often in patients with ACE in comparison with those without ACE (χ²=24.935, p<0.001). Patients with positive childhood abuse history were also observed to be depressed more often (χ²=4.659, p=0.031) in comparison with patients without ACE. Suicidal ideation was found to be more frequent among respondents who were observed to be depressed (CDSS score > 6) during the interview (χ²=14.614, p<0.001).</p><p><strong>Conclusions: </strong>This study contributes to the existing body of knowledge on suicide attempts, suicidal ideation, and the prevalence of depression in patients with schizophrenia (SCZ) who have a history of childhood abuse. Findings indicate that suicidal ideation is more prevalent among patients experiencing depression at the time of the interview. Personalized interventions are recommended for patients with SCZ who have adverse childhood experiences (ACE) due to their increased risk of suicide attempts.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"36 Suppl 2","pages":"61-67"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metabolic Management Model in Psychiatric Outpatients: a Real-World Experience.","authors":"Vassilis Martiadis, Enrico Pessina, Paola Matera, Azzurra Martini, Fabiola Raffone, Francesco Monaco, Annarita Vignapiano, Carlo Ignazio Cattaneo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obesity and weight gain represent a challenging issue in people suffering from schizophrenia and other severe mental illnesses (SMI). Most of clinical guidelines for the management of overweight and obesity in people with SMI share a stepwise approach starting with more conservative interventions, with diet, physical activity, lifestyle coaching and behavioral modifications. The aim of this study was to evaluate the effectiveness of a group weight management program in a real-world outpatient Italian setting. Data from 100 patients diagnosed with schizophrenia or bipolar disorder, undergone to a group metabolic management program, were analyzed through a 12 months follow-up. The main body weight (kgs) decreased from 98.01±18.30 at baseline to 93.29±17.36 (p>0.001) at 6 months to 90.35±17.90 at 12 months. Parallel statistically significant decreases were found for BMI, waist circumference, glycaemia and systolic blood pressure. After patients' segmentation into normal-weight, overweight and obese at baseline, the significant of the decrease emerged only between baseline and the 6-month endpoint, thus suggesting that the program was successful in the short-term. Notwithstanding the limitations of the study, the 12-month intervention evaluated demonstrated feasibility and a high retention rate. This allowed a relevant weight reduction during the first six months, followed by durable maintenance until the end of the study. Current NICE recommendation guidance indicates that people with SMI, particularly those on antipsychotic treatment, should be provided with integrated nutrition and exercise programmes by their healthcare professional. Future research should focus on the effectiveness and cost-effectiveness of this kind of interventions and their reliability in the different real-world healthcare settings.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"36 Suppl 2","pages":"78-82"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of Anxiety and Depression in Adult Patients with Chronic Discogenic Back Pain.","authors":"Regina Nasyrova, Maxim Novitsky, Natalia Shnayder, Vera Trefilova, Natalia Kuvshinova, Oksana Chigareva, Arseny Gayduk, Azamat Ashkhotov","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>To analyze the results of domestic and foreign studies of the comorbidity of anxiety-depressive disorders and discogenic back pain in adult patients.</p><p><strong>Subjects and methods: </strong>An analysis of Russian-language and foreign literature was carried out with a search depth of 5 years (2019-2024) in the following databases: PubMed, Springer, Wiley Online Library, Taylor & Francis Online, US National Library of Medicine National Institutes of Health, ScienceDirect and e-Library.</p><p><strong>Results: </strong>Numerous studies have shown that depression and anxiety influence treatment outcomes in intervertebral disc degeneration (IVDD). Ineffective pharmacotherapy and inappropriate surgical interventions for depression and anxiety may significantly negatively affect the outcomes reported by patients with IVDD and chronic discogenic back pain. In addition, depression and anxiety have been reported to be risk factors for complications, chronic pain, and readmission after spinal surgery. Symptoms associated with mental stress, including depression and anxiety, were shown to be associated with changes in skeletal muscle tension symmetry in patients with IVDD, indicating that mental state is associated with muscle function. Therefore, it is useful for neurologists and neurosurgeons to identify anxiety and depressive disorders in patients with IVDD in order to promptly prescribe appropriate therapy for them.</p><p><strong>Conclusion: </strong>Timely diagnosis of anxiety and depressive disorders and anxiety in patients with IVDD and chronic discogenic back pain requires an interdisciplinary approach with the participation of psychiatrists, neurologists and clinical pharmacologists, which is important for improving positive treatment outcomes and improving the quality of life of patients.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"36 Suppl 2","pages":"155-159"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Correlation Between Genetics and Suicidal Behaviors: a Challenge of Literature.","authors":"Giada Juli, Rebecca Juli, Alfredo Juli, Luigi Juli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Suicide and suicidal behaviors seem to have a heritable component, and evidences from adoption, twins and families studies underline observations that greater familial suicidal behavior correlates with earlier onset and higher risk in offspring, supporting the presence of a genetic component. In this paper we report data from the literature, highlighting the scientific relevance of research in important topic as suicidal behaviours.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"36 Suppl 2","pages":"205-209"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life Evaluation in Patients with Paroxysmal Atrial Fibrillation.","authors":"Olga Germanova, Louisa Koonts, Yulia Reshetnikova, Michail Sheifer, Kseniya Bikbaeva, Natalia Kuvshinova, Domenico De Berardis, Giuseppe Galati","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>To estimate quality of life (QoL) in patients with paroxysmal atrial fibrillation (AF) using the SF-36 Health Status Survey.</p><p><strong>Materials and methods: </strong>In a single-center study involving 6,630 patients, we defined a group of 97 patients having an incidental finding of atrial fibrillation (AF). The control group included 99 patients from the same primary cohort, but without paroxysmal AF. The two study groups matched closely in anthropometric parameters and comorbidity. All patients underwent standard laboratory and instrumental research methods. In the primary visit, at the time of AF detection, we evaluated the patients QoL using the classical SF-36 Health Status Survey. At the second visit (6±0.5 months follow-up) and third visit (12±0.5 months follow-up), we re-evaluated the QoL using the SF-36 Health Status Survey.</p><p><strong>Results: </strong>The absolute majority (95/97; 98%) of patients of the main group had a special variant of extrasystoles, namely the early atrial \"P on T\" type (versus 4.0% incidence in the control group) [OR 846 (382;187,000)]. The main group showed a significantly greater frequency of supraventricular extrasystoles. At the 1^st visit, there was no group differences in QoL scores between the main and control groups (p>0.05). However, at 6 and 12 months follow-up, metrics of physical and mental health differed significantly between groups stratified by low and high QoL (p<0.05). The asymptomatic patients with paroxysmal AF and high compliance in oral anticoagulant therapy showed higher physical activity and social functioning.</p><p><strong>Conclusions: </strong>Paroxysmal AF in asymptomatic patients is a predictor for declining QoL during 12 months follow-up in patients with cardiovascular pathology. The paroxysmal AF patients who had high compliance of oral anticoagulant therapy proved to have improved physical activity and social functioning.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"36 Suppl 2","pages":"303-307"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Safewards Model and I.R.O.N. Interventions in a No-Restraint Ward.","authors":"Wilma Angela Renata Di Napoli, Francesca Sozzi, Eleonora Beatrice Iori, Stefania Zeino, Maurizio Davì, Claudio Agostini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The psychiatry inpatient ward of Trento (SPDC: italian acronym for Servizio Psichiatrico di Diagnosi e Cura - i.e. Psychiatric Service for Diagnosis and Treatment) operates with an open-door policy, emphasising a recovery-oriented approach. The professionals are capable of adopting the patient's perspective as a \"person\" rather than seeing them as a \"patient\", allowing them the freedom and responsibility to make decisions about their own lives. The SPDC of Trento is a no-restraint psychiatric ward, where relational restraint is prioritised, and patients' responsibility is maximised, avoiding, where possible, the use of physical restraint. In 2022, our SPDC introduced the so-called I.R.O.N. interventions (Italian: Interventi Relazionali prolungati ad Orientamento No restraint - no-restraint-oriented relational interventions). These interventions are used in situations of patient agitation to ease tension and resolve crises by employing methods that are both \"gentle\" and \"iron\" at the same time, highlighting the determination, patience, and 'relational time' required from the work team. At the end of the intervention, the strategies implemented are described in a register and later shared with the work team. At the end of the year, individuals who have demonstrated their commitment to supporting their colleagues will be awarded an \"IRON parchment\". A special \"Talk Down Champion\" parchment will be awarded to the person who manages to consistently maintain this style of work, always in agreement with the team and the safety of all (operators and patients).</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"36 Suppl 2","pages":"389-395"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On the Dimensional Approach to Adolescent Psychopathology: a Systematic Review.","authors":"Apolline C Till, Giovanni Briganti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In child and adolescent psychiatry, the clinical presentation of disorders in adolescents is complex, and categorical approaches have limitations by focusing on individual disorders. The intricate system of psychopathology during adolescence can be effectively modeled using network science, which integrates statistical and computational techniques through artificial intelligence tools. Network analysis of psychometric data from psychiatric disorder assessment tests has been extensively studied in both general psychiatry and child psychiatry. However, a comprehensive evaluation of existing network approaches that model multiple psychiatric or neurodevelopmental disorders encountered in adolescents remains necessary. We conducted a systematic literature review across two different databases - PubMed and Scopus - using the keywords \"network analysis\", \"adolescent\" and \"psychiatry\" to address this question. The selection of articles was based on age criteria and the number of pathological entities studied. Out of 406 articles, 69 were selected and analyzed. The results from some of these studies are described in this article. Notably, we observe significant heterogeneity in the findings, highlighting both the richness and complexity of adolescent psychopathology. Further research is needed to validate the already proposed results and standardize the models studied.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"36 Suppl 2","pages":"342-347"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}