Rivista di psichiatria最新文献_第10页

Behavioral dysregulations by chronic alcohol abuse. Motivational enhancement therapy and cognitive behavioral therapy outcomes. 慢性酒精滥用导致的行为失调。动机增强治疗和认知行为治疗的结果。

IF 2.7 4区医学

Rivista di psichiatria Pub Date : 2022-01-01 DOI: 10.1708/3749.37321

Flavio Maria Ceci, Silvia Francati, Giampiero Ferraguti, Giovanna Coriale, Rosaria Ciccarelli, Antonio Minni, Antonio Greco, Angela Musacchio, Simone De Persis, Mario Vitali, Luigi Tarani, Mauro Ceccanti, Marisa Patrizia Messina, Elena Fico, Pamela Rosso, Marco Fiore

{"title":"Behavioral dysregulations by chronic alcohol abuse. Motivational enhancement therapy and cognitive behavioral therapy outcomes.","authors":"Flavio Maria Ceci, Silvia Francati, Giampiero Ferraguti, Giovanna Coriale, Rosaria Ciccarelli, Antonio Minni, Antonio Greco, Angela Musacchio, Simone De Persis, Mario Vitali, Luigi Tarani, Mauro Ceccanti, Marisa Patrizia Messina, Elena Fico, Pamela Rosso, Marco Fiore","doi":"10.1708/3749.37321","DOIUrl":"https://doi.org/10.1708/3749.37321","url":null,"abstract":"Patients with alcohol use disorder (AUD) do not manifest homogeneous clinical symptoms. Various studies described both cognitive impairments and psychiatric disorders among people with AUD. This disorder is one of the most frequent mental disorders in developed countries, due to excessive alcohol consumption. Alcohol is toxic as it increases the production of reactive oxygen species (ROS) and can cause dependence. This causes negative effects on brain development and cognitive functions that affect the individual's work, health, and social life. Current pharmacology treatment for alcohol addiction is based on direct action against the neurotransmitters involved in alcohol dependence. AUD patients without comorbid psychiatric disorders or severe cognitive deficits are defined as \"pure alcoholics\". To date, poor is known about effective treatments for this typology of AUD patients. Psychotherapy is largely used in resolving many psychiatric disorders, including substance use disorders. Motivational enhancement therapy (MET) and cognitive-behavioral therapy (CBT) are two psychotherapies used to achieve and maintain abstinence in patients affected by substance use disorders. This short review aims to describe two CBT and MET and to present the advantages and disadvantages of these two psychotherapies in the treatment of AUD.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39786920","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}

引用次数: 3

[Ketamine's fast-acting antidepressant mechanisms: state of the art and new research perspectives]. [氯胺酮的快速抗抑郁机制:最新研究现状和新研究视角]。

IF 2.7 4区医学

Rivista di psichiatria Pub Date : 2022-01-01 DOI: 10.1708/3790.37737

Matteo Marcatili, A. Stefana, C. Sala, L. Conti, F. Colmegna, M. Clerici, A. Dakanalis

{"title":"[Ketamine's fast-acting antidepressant mechanisms: state of the art and new research perspectives].","authors":"Matteo Marcatili, A. Stefana, C. Sala, L. Conti, F. Colmegna, M. Clerici, A. Dakanalis","doi":"10.1708/3790.37737","DOIUrl":"https://doi.org/10.1708/3790.37737","url":null,"abstract":"About a third of patients with major depressive disorder (MDD) do not have an adequate response to first-line antidepressant treatment, i.e., develop a treatment-resistant depression (TRD). The partial understanding of MDD pathophysiology currently constitutes the major barrier to clinical and research progress on this topic. However, recent advances in genome editing techniques as well as in induced pluripotent stem cells (iPSC) technology are offering unprecedented opportunities in both human disease modelling and drug discovery. These technology progresses have been enabling to set up disease-relevant patient-specific in vitro disease modeling for various mental disorders. The resulting models have the potential to significantly improve pathophysiologic understanding of MDD and then overcome some limitations inherent to animal and post-mortem models. More recently, psychiatry started to deal with the fast acting antidepressant ketamine and its derivates. Although ketamine appears to have the potential to transform the treatment of depression, its specific mechanisms of action are only partially known. Such knowledge is necessary to develop a model to understand the mechanisms behind fast-acting antidepressants, which may enable the discovery of novel glutamatergic compounds for the treatment of MDD. After discussing both the current understanding of ketamine's mechanisms of action, and the state of the art of human iPSC technology, the authors will introduce the implementation of a TRD model based on iPSC human technology and aimed at studying the ketamine's fast acting antidepressant mechanisms of action.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68082105","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}

引用次数: 0

[The parallel epidemic.] [平行的流行病]

IF 2.7 4区医学

Rivista di psichiatria Pub Date : 2022-01-01 DOI: 10.1708/3790.37742

G. Bersani

引用次数: 0

Biological and practical considerations regarding circadian rhythm and mental health relationships among nurses working night shifts: a narrative review and recommendations. 关于夜班护士昼夜节律和心理健康关系的生物学和实践考虑:叙述回顾和建议。

IF 2.7 4区医学

Rivista di psichiatria Pub Date : 2022-01-01 DOI: 10.1708/3790.37738

C. Okechukwu, M. Griffiths, M. Carta, E. Nwobodo, S. S. Shariful Islam, Malcolm Forbes, M. Berk, M. Potenza, M. Banach, Ojiakor Amamihechineke Grace, N. Nwobodo, G. La Torre

{"title":"Biological and practical considerations regarding circadian rhythm and mental health relationships among nurses working night shifts: a narrative review and recommendations.","authors":"C. Okechukwu, M. Griffiths, M. Carta, E. Nwobodo, S. S. Shariful Islam, Malcolm Forbes, M. Berk, M. Potenza, M. Banach, Ojiakor Amamihechineke Grace, N. Nwobodo, G. La Torre","doi":"10.1708/3790.37738","DOIUrl":"https://doi.org/10.1708/3790.37738","url":null,"abstract":"BACKGROUND Sleep is a vital physiological process regulated by the circadian clock and homeostatic mechanisms. Shift work is necessary to ensure continuity of healthcare provision. Worldwide, nurses work night shifts on a rotational or permanent basis. OBJECTIVE To analyse the impact of circadian rhythm disruption due to night shift work on the mental wellbeing of nurses. METHODS The literature search was conducted using PubMed and Scopus electronic databases. Selection criteria include studies published in English between 1997 and 2021 that examined the impact of night-shift work on the mental health of nurses. RESULTS The searches generated a total of 22 records on the PubMed database, and 9 records on the Scopus database, and a total of 31 studies. 29 papers were identified after removal of duplicates. However, 29 articles were screened based on the review of titles and abstracts. 19 articles were identified for full-test review. Seven papers were included in this review. CONCLUSIONS Disrupted circadian rhythms and poor sleep quality and quantity have been identified as two of the most significant elements in the long-term effects of night-shift work on nurses' mental health. Strategies and policies to promote workplace health may reduce the occurrence of mental health disorders among night-shift nurses, whether the shifts are rotational or permanent. Nursing supervisors and hospital administrators should consider developing new guidelines to minimize the negative impact of night shift rotations on mental health and the quality of life among nurses.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68082137","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}

引用次数: 4

[Development of the Italian versions of the FREE Scale and the CSI. Theoretical considerations and preliminary analysis.] [意大利版自由量表和CSI的发展。理论思考与初步分析。

IF 2.7 4区医学

Rivista di psichiatria Pub Date : 2022-01-01 DOI: 10.1708/3790.37741

E. Saita, V. Lenzo, G. Bonanno

{"title":"[Development of the Italian versions of the FREE Scale and the CSI. Theoretical considerations and preliminary analysis.]","authors":"E. Saita, V. Lenzo, G. Bonanno","doi":"10.1708/3790.37741","DOIUrl":"https://doi.org/10.1708/3790.37741","url":null,"abstract":"AIM The Flexible Regulation of Emotional Expression (FREE) Scale assesses the ability to enhance and suppress displayed emotions among a range of hypothetical contexts. The Context Sensitivity Index (CSI) measures the ability to perceive cues to contextual demands across different situations. This study aimed to present the first step of the adaptation and validation to the Italian context of the FREE and the CSI scales. MATERIALS AND METHODS A sample of 120 Italian students took part in this first step. Six focus groups were conducted to explore the Context sensitivity, Emotional Flexibility, and Flexible Regulation of Emotional Expression constructs in the Italian context. Verbatim transcripts were analyzed with T-LAB software and two kinds of analyses were performed. RESULTS Results of the Thematic Analysis of Elementary Contexts showed four clusters: \"emotional flexibility\", \"emotion management\", \"emotion regulation\", and \"context sensitivity\". Results of Factorial Analysis of Correspondences indicated three factors with the first two factors explaining about 80% of the variance. Factor 1, which opposed \"emotional flexibility\" and \"context sensitivity\" at its negative pole; \"emotion management\" and \"emotion regulation\" at its positive pole, was named \"Cognitive and emotive functions of mind\". Factor 2, which opposed \"context sensitivity\" and \"emotion regulation\" on the positive pole, \"emotional flexibility\" and \"emotion management\" on the negative pole, was named \"Elaboration-adaptation as aim of the subject\". CONCLUSIONS Preliminary results obtained through a qualitative approach supported the validity of the flexible regulation of emotional expression and the context sensitivity constructs in the Italian context. These results will be tested with a quantitative approach in the next steps of this research.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68082892","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}

引用次数: 2

Onset psychosis and PTSS after severe respiratory symptomatology caused by SARS-CoV-2 infection: a case report. SARS-CoV-2感染所致严重呼吸道症状后出现精神病和ptsd 1例

IF 2.7 4区医学

Rivista di psichiatria Pub Date : 2022-01-01 DOI: 10.1708/3749.37326

Mariana Gallo, Beniamino Leone, Federica Tarallo, Teodolinda Zoppi, Giuseppe Nicolò

引用次数: 1

The assessment of interprofessional practice in mental health nursing with ethnographic observation and social network analysis: a confirmatory and bibliometric network study using VOSviewer. 用民族志观察和社会网络分析评估心理健康护理的跨专业实践:使用VOSviewer进行验证性和文献计量学网络研究。

IF 2.7 4区医学

Rivista di psichiatria Pub Date : 2022-01-01 DOI: 10.1708/3814.37989

C. Lazzari, S. Mcaleer, Marco Rabottini

{"title":"The assessment of interprofessional practice in mental health nursing with ethnographic observation and social network analysis: a confirmatory and bibliometric network study using VOSviewer.","authors":"C. Lazzari, S. Mcaleer, Marco Rabottini","doi":"10.1708/3814.37989","DOIUrl":"https://doi.org/10.1708/3814.37989","url":null,"abstract":"INTRODUCTION Despite numerous techniques for assessing mental health nursing abilities and accomplishments, most practice in psychiatric wards is based on observable clinical behaviours and actions. VOSviewer can perform bibliographic network analysis (BNA), extracting all central topics that identify core behavioural skills in mental health nursing and essential elements in interprofessional practice (IPP). AIM The current study captures the critical concepts in mental health nursing assessment by performing a BNA of essential topics on ethnography, social network analysis, and interprofessional care. METHODS A qualitative BNA with a VOSviewer extracted relevant topics from a total of 542 articles obtained from Microsoft API. A subsequent confirmatory quantitative analysis with NVIVO weighed the percentages of the relevant issues and words extracted by the VOSviewer. Boolean keywords searched were 'ethnography,' 'social network analysis,' 'interprofessional', 'psychiatry' and 'hospital'. RESULTS Major themes identified in ethnography, IPP, and social network analysis for nursing assessment were those of 'communication' (11.63%), 'whole' (9.29%), 'knowledge' (7.66%), 'person' (7.52%), 'activity' (6.31%) and 'collaboration' (6.10%). DISCUSSION The current study has proven the value of BNA in extracting relevant topics in target literature. VOSviewer captured salient issues in mental health nursing assessment, including ethnographic observations, social network analysis, and IPP. The results confirmed the value of focusing on collaborative care, reciprocity, knowledge management, and information sharing in assessing mental health nursing performances.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68083167","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}

引用次数: 2

Psychosomatic symptoms in preschool children and how to treat them. 学龄前儿童的心身症状以及如何治疗。

IF 2.7 4区医学

Rivista di psichiatria Pub Date : 2021-11-02 DOI: 10.2196/preprints.34643

N. Voronova, Sergey Pershikov, E. Garina, N. Pronkin

{"title":"Psychosomatic symptoms in preschool children and how to treat them.","authors":"N. Voronova, Sergey Pershikov, E. Garina, N. Pronkin","doi":"10.2196/preprints.34643","DOIUrl":"https://doi.org/10.2196/preprints.34643","url":null,"abstract":"BACKGROUND\u0000Recent years saw an increase in children with emotional problems, which negatively affects not only their mental but also physical health. The current study aims to determine the structure of psychosomatic symptoms in preschool children and develop an effective treatment method for preschool teachers to deploy.\u0000\u0000\u0000METHODS\u0000A total of 259 children aged 4 to 5 years from Moscow preschools were divided into two groups: children (n=92) exposed to a standard education program and children (n=167) enrolled in the proposed education program for psychosomatic enhancement. The experiment lasted 6 months.\u0000\u0000\u0000RESULTS\u0000Using the proposed education program led to substantial improvements in the following KiddyKINDL subscales from baseline: Physical Well-being (1.19-fold increase, p<0.05), Emotional Well-being (1.24-fold increase, p<0.05), Self-esteem (1.21-fold increase, p<0.05), Family (1.17-fold increase, p<0.05), and Kiddy Parents (1.2-fold increase, p<0.05). The control group demonstrated slight but not significant improvements (p>0.05).\u0000\u0000\u0000CONCLUSIONS\u0000Therefore, the preschool teachers can use the proposed education program to enhance the psychosomatic health of preschool-aged children.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41740004","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}

引用次数: 0

Validation of a brief version of the Resilience Scale for Adults on an Italian non-clinical sample. 在意大利非临床样本上验证成人弹性量表的简要版本。

IF 2.7 4区医学

Rivista di psichiatria Pub Date : 2021-11-01 DOI: 10.1708/3713.37044

Rodolfo Rossi, Valentina Socci, Tommaso B Jannini, Alberto Collazzoni, Francesca Pacitti, Giorgio Di Lorenzo, Alessandro Rossi

{"title":"Validation of a brief version of the Resilience Scale for Adults on an Italian non-clinical sample.","authors":"Rodolfo Rossi, Valentina Socci, Tommaso B Jannini, Alberto Collazzoni, Francesca Pacitti, Giorgio Di Lorenzo, Alessandro Rossi","doi":"10.1708/3713.37044","DOIUrl":"https://doi.org/10.1708/3713.37044","url":null,"abstract":"Aim: The Resilience Scale for Adults (RSA) is a self-administered 7-point Likert scale of 33 items, structured in 6 factors measuring personal and interpersonal resources. We aimed to develop and validate a brief form of the RSA, in order to produce a short, fast and handy tool for assessing resilience.Materials and methods: A non-clinical sample of 500 university students was recruited using a research website. Reduction of the RSA-33 was performed using an item response theory (IRT) analysis by means of a Graded Response Model (GRM) protocol on the 6 RSA factors separately. After the IRT reduction process, a Pearson's correlation matrix of the original RSA-33 and the reduced version was estimated. Finally, a CFA was estimated to assess factorial validity. The estimation of item discrimination from the GRM ranged from 0.69 and 5.94 and allowed to retain 11 items.Results: For both the original RSA-33 and the brief RSA-11, the strongest correlations were between Family Cohesion and Social Resources factors. CFA was estimated to assess factorial validity in a simplified model with two latent first-order factors, i.e., Personal and Contextual resources.Conclusions: The availability of short and psychometrically robust measures is needed to improve evaluation and monitoring in mental health programs. For this reason, we provided a brief and effective tool to assess resilience resources in both research and clinical settings.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39829397","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}

引用次数: 4

[The management of long-term treatment of patient with schizophrenia: results of a survey carried out in Italy]. [精神分裂症患者长期治疗的管理:意大利开展的一项调查结果]。

IF 2.7 4区医学

Rivista di psichiatria Pub Date : 2021-11-01 DOI: 10.1708/3713.37042

Antonello Bellomo, Giuseppe Magnifico, Giulio Corrivetti, Stefano Barlati, Andrea Fiorillo, Giuseppe Maina, Giuseppe Nicolò, Gaia Sampogna, Franco Veltro, Antonio Vita

{"title":"[The management of long-term treatment of patient with schizophrenia: results of a survey carried out in Italy].","authors":"Antonello Bellomo, Giuseppe Magnifico, Giulio Corrivetti, Stefano Barlati, Andrea Fiorillo, Giuseppe Maina, Giuseppe Nicolò, Gaia Sampogna, Franco Veltro, Antonio Vita","doi":"10.1708/3713.37042","DOIUrl":"https://doi.org/10.1708/3713.37042","url":null,"abstract":"The management plan of patients with schizophrenia includes a multidimensional and integrated approach, consisting of pharmacological, psychological and psychosocial interventions. Among pharmacological approaches, the development of long-acting injectable antipsychotics (LAI) has radically changed the treatment plan of patients with schizophrenia. LAI can be successfully used in patients with multiple episodes, with partial or poor adherence to treatments and are very useful also in first episode patients. LAIs have been proven to be effective and with a good safety and tolerability profile, but they are still used in a few cases in the clinical routine practice. Therefore, the present study aims to evaluate attitudes and preferences of psychiatrists in the Italian routine care towards LAI and to identify the communication skills adopted in the routine care for the prescription of LAI. The final sample consists of 274 clinicians, recruited by phone call (n=257) and online (n=17). The main findings are: the psychoeducational approach is essential for improving patients' adherence to pharmacological treatments and their personal and social functioning; the involvement of family members is essential for improving adherence to treatments; LAIs are frequently used due to their efficacy and good tolerability profile, compared to first generation depot antipsychotics. Based on our findings, the ideal patient to be switched to LAI treatment is represented by a person with poor adherence to treatments, at the onset of the disorder, or with a poor tolerability to side effects.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39829395","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}

引用次数: 0