Psychiatria Danubina最新文献

{"title":"CYBERBULLYING ON SOCIAL MEDIA AMONG YOUNG ADULTS: UNRAVELING ONLINE DYNAMICS.","authors":"Maria Rosaria Nappa, Alessandra Ragona, Gaetano Maria Sciabica, Luigi Juli, Mara Morelli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examined individual and relational predictors of cyberbully-victim involvement among young adults, focusing on social connectedness (offline, mixed offline-online, and exclusively online), parasocial relationships (PSRs) with social media influencers (SMIs), and social media addiction. Using a generalized logistic regression model, results revealed that being female and younger significantly increased the likelihood of dual-role involvement. Offline social connectedness emerged as a significant protective factor, while offline-online and exclusively online ties were not associated with cyberbully-victim status. Notably, stronger PSRs with influencers were linked to a decreased likelihood of dual-role involvement, suggesting a possible compensatory or protective role for vulnerable individuals. Social media addiction was confirmed as a strong risk factor, more than doubling the odds of cyberbully-victim involvement. These findings underscore the complex interplay between psychosocial vulnerabilities and digital relational dynamics, highlighting the need for prevention strategies that foster offline relationships, promote digital resilience, and address problematic social media use among young adults.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"201-206"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126033","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":"WHY IS IT IMPORTANT TO STAGE CASES OF SCHIZOPHRENIA?","authors":"Mark Agius, Michaela Agius, Anton Grech","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this article, we describe why we consider it important to stage cases of schizophrenia. Treatment in the three stages of Schizophrenia, that is: the At risk Mental State; the first episode and three year critical period; and the phase of Chronic Schizophrenia is different. We also describe how MRI studies provide the view of anatomical changes which underpin the stages.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"160-164"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126072","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 VISUAL ART THERAPY ON ANXIETY: A SYSTEMATIC REVIEW.","authors":"Szymon Mizera, Krzysztof Krysta","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Anxiety disorders are common, affecting about one-third of people globally and often persist despite standard treatments. Visual art therapy, involving guided creative activities such as drawing or painting, has emerged as a complementary approach to alleviate anxiety. We systematically reviewed randomized controlled trials (RCTs) to evaluate the effectiveness of visual art therapy for reducing anxiety in adults.</p><p><strong>Subjects and methods: </strong>A systematic search of PubMed, Embase, Cochrane CENTRAL, Scopus, and Web of Science (October 2017-June 2025) was conducted. We included RCTs of adults (18-65 years) receiving a visual art therapy intervention (e.g., painting, drawing, coloring) versus any control condition. Fourteen RCTs (total N = 1,686) met the inclusion criteria.</p><p><strong>Results: </strong>All 14 trials found significantly greater anxiety reduction in art therapy groups compared to controls, with interventions ranging from a single 15-30 minute art-making session to 5-12 week art therapy programs. Anxiety scores improved more in art therapy participants across both clinical and high-stress non-clinical groups. Although no meta-analysis was performed due to heterogeneity, all trials reported positive outcomes for art-based interventions.</p><p><strong>Conclusions: </strong>Current evidence strongly supports visual art therapy as an effective intervention for reducing anxiety symptoms in adults. It yields meaningful anxiety reductions across diverse formats (from brief art-making sessions to multi-week programs). As an accessible intervention complementing standard treatments, art therapy represents a valuable integrative approach to anxiety management.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"46-55"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126084","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":"POSSIBLE PREVENTION OF NEURODEVELOPMENTAL CONSEQUENCES OF VERTICAL HIV TRANSMISSION IN EARLY CHILDHOOD? A SYSTEMATIC REVIEW.","authors":"Johanna Muhigana, Rwego Antoine Gasasira, Hélène Nicolis","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Children infected with the Human Immunodeficiency Virus (HIV) exhibit the lowest neurodevelopmental scores. Mother-to-child-transmission prevention include perinatally and early antiretroviral therapy (ART) although long-term effects of in utero exposure to ART on neurodevelopment remain unclear. It was difficult to determine whether these reported neurodevelopmental scores were a direct result of HIV.</p><p><strong>Methods: </strong>A systematic search was conducted to identify the environmental and neurobiological factors associated with HIV infection and their impact on neurodevelopment. It was carried out across four electronic databases: Scopus, PubMed, ProQuest and Cochrane Database of Systematic Reviews. We selected 15 articles published between 2012 and 2024.</p><p><strong>Results: </strong>Regarding ART, 4 articles reported a positive effect of ART regardless of the age of initiation and duration. We couldn't identify caregiver distress as a risk factor.</p><p><strong>Conclusions: </strong>Further research should include large cohort studies assessing long term consequences of ART exposition on children's neurodevelopment and impact of caregiver distress on child neurodevelopmental outcomes.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"135-139"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125765","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":"A DESCRIPTION OF ADDISON'S DISEASE, AND ITS NEUROPSYCHIATRIC MANIFESTATIONS COMPARING THE DISEASE AS IT IS NOW TO THE DISEASE AS EXPERIENCED BY SAINT ELIZABETH OF THE TRINITY IN 1906.","authors":"Michaela Agius, Mark Agius","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We describe Addison's disease, which is the disease caused by Adrenal Gland Insufficiency. Addison's disease is an uncommon endocrine disorder characterised by inadequate production of hormones, predominantly aldosterone and cortisol, by the adrenal glands. This condition occurs due to damage to the adrenal cortex, the region responsible for hormone synthesis. Clinical manifestations of Addison's disease are often insidious and nonspecific, including symptoms such as myasthenia, persistent fatigue, unintentional weight loss, hypotension, and hyperpigmentation of the skin, especially in areas subjected to friction. A number of Neuropsychiatric manifestation, including Depression, and Psychosis can also occur. The aetiology is primarily autoimmune adrenalitis, where the immune system erroneously attacks and destroys adrenal cortical cells. Other aetiologies include infectious agents like Mycobacterium tuberculosis, which can infiltrate and impair the adrenal glands. Hemorrhagic damage to the adrenal cortex can occur secondary to severe stress, trauma, or coagulopathies. Additionally, metastatic neoplasms may involve the adrenal glands, leading to their destruction. Less frequently, genetic disorders such as adrenoleukodystrophy can compromise adrenal function by affecting both the cerebral white matter and adrenal cortex. Adrenal cortex damage can also result from adrenalectomy or the administration of medications that inhibit steroidogenesis. The pathophysiology of Addison's disease involves the disruption of the hypothalamic-pituitary-adrenal (HPA) axis, resulting in cortisol deficiency, which is critical for regulating metabolism, immune function, and stress responses. Aldosterone deficiency leads to dysregulation of sodium and potassium homeostasis, causing hypotension and dehydration. Management of Addison's disease requires lifelong glucocorticoid and mineralocorticoid replacement therapy, typically with hydrocortisone or fludrocortisone, along with ongoing monitoring and dosage adjustments during periods of stress, illness, or surgical interventions. While describing Addison's Disease we describe the illness as experienced by Elizabeth of the Trinity, a Catholic Nun who suffered the illness in the early part of the Twentieth Century, whose illness is described from her letters and eyewitness accounts, taken for her beatification and canonisation findings. We describe how the illness it was viewed then, when it was seen as incurable, with great deficiencies in both diagnosis and treatment, and how the aetiology has changed over the years. Hence we show how the suffering endured by this person had both mental and physical aspects.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"148-153"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125936","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":"SELF-REPORTING OF PAIN IN PEOPLE WITH MILD TO MODERATE INTELLECTUAL DISABILITY: IS IT FEASIBLE?","authors":"Ornella Ciccone, Alessandro Lepri, Olga Zaffini, Guido Camanni, Massimo Vallasciani, Antonella Baglioni, Chiara Tinarelli, Alessandro Jenkner, Michele Salata, Sandro Elisei","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The assessment of pain in people with intellectual disabilities (individuals with ID) represents a clinical challenge due to the variability in communicative and cognitive skills. This study explores the feasibility of pain self-reporting in individuals with mild to moderate intellectual disability using validated self-assessment scales. Our findings suggest that, under appropriate conditions, self-reporting can be a reliable and empowering method for pain evaluation in this population. This approach may foster autonomy, improve care, and counteract the undervaluation of subjective pain reports.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"309-314"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126052","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":"TINNITUS TREATMENT AND USE OF BENZODIAZEPINES.","authors":"Philippine Martin, Thomas Dubois, Denis Jacques","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>In Europe, 14.7% of the population suffer from chronic tinnitus. Regarding pharmacological treatment of tinnitus, there is currently no evidence-based protocol recommendation. Tinnitus Retraining Therapy is the only effective method available in specialized multidisciplinary centers.</p><p><strong>Subject and method: </strong>By analyzing 116 patients who underwent rehabilitation in a multidisciplinary audiophonology center, we quantified the use of benzodiazepines before and after treatment.</p><p><strong>Results: </strong>Among patients suffering from chronic tinnitus, there is an over-prescription of benzodiazepines, which can be reduced through proper care.</p><p><strong>Conclusion: </strong>Better awareness among frontline healthcare professionals about treatment in specialized multidisciplinary centers should be reinforced in order to enable quicker referrals and avoid therapeutic wandering or inappropriate use of benzodiazepines.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"425-428"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126117","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 USE OF HUMOUR IN SELF-HELP GROUPS: A QUALITATIVE STUDY.","authors":"Patrizia Amici","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article presents a qualitative study on the use of humour in Self-Help Groups. It investigates four Self- help Groups with different targets, in order to understand what motivates individuals to use humour, whether its perception differs when used by a participant or by the facilitator, and what types of humour are employed, following Martin's classification: Affiliative, Self-Enhancing, Aggressive, and Self-Defeating. The results show that humour serves the function of cohesion, cognitive restructuring, and emotional management. It appears to benefit both the individual and the group as a whole (e.g., reducing anxiety and sadness). No significant differences were found in the perception of humour when used by a participant versus the facilitator.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"421-424"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126146","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":"NO HEALTH WITHOUT MENTAL HEALTH: WHAT IT MEANS IN THE CONTEMPORARY WORLD.","authors":"Juan Martin Tecco","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"7-8"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125849","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":"\"FareAssieme\". A MODEL OF PARTICIPATORY CO-PRODUCTION BY USERS AND FAMILIES IN MENTAL HEALTH SERVICES.","authors":"Wilma Angela Renata di Napoli, Davide Scordato, Olaf Andreatta, Stefania Biasi, Roberta Pederzolli, Claudio Agostini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>\"FareAssieme\" is a recovery-oriented community psychiatry model that has been implemented by the Mental Health Service of Trento since 1999. The approach is grounded in the active involvement of users and family members, with particular emphasis on experiential knowledge - the insights derived from lived experience of mental illness and recovery - as a resource for improving the quality of care and rehabilitation processes. At its core, the model involves the structured integration of Peer Support Experts (ESPs, Esperti in Supporto tra Pari), individuals with personal or familial experience of psychological distress who have attained a stable life balance and developed effective coping strategies. ESPs are embedded across all domains of the mental health service (SSM), including community teams, crisis services (territorial and hospital-based), residential settings, and front-office activities. Their role is to support others in their recovery journeys through narrative sharing and emotional proximity. ESPs have contributed to enhanced user engagement, improved service climate, and increased trust in providers. They have proven particularly effective in engaging individuals initially resistant to treatment, thereby facilitating stronger therapeutic alliances. The model also fostered the creation of the Participatory Planning Group (GPP), a deliberative body comprising users, families, ESPs, and professionals, which has developed several Operational Guidelines to standardize and disseminate shared practices within the SSM. \"FareAssieme\" stands as a validated model of participatory, recovery-oriented psychiatry. It highlights the transformative value of experiential knowledge within mental health services and makes a meaningful contribution to anti-stigma efforts and the co-construction of inclusive care pathways.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"429-433"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125959","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}