Tommaso Accinni, Marianna Frascarelli, Sofia Vecchioni, Lorenzo Tarsitani, Massimo Biondi, Massimo Pasquini
{"title":"Gender modulation of psychopathological dimensions associated to suicidality.","authors":"Tommaso Accinni, Marianna Frascarelli, Sofia Vecchioni, Lorenzo Tarsitani, Massimo Biondi, Massimo Pasquini","doi":"10.1708/3749.37324","DOIUrl":"https://doi.org/10.1708/3749.37324","url":null,"abstract":"<p><strong>Objectives: </strong>The dimensional approach to psychopathology has been proposed to reliably evaluate suicidality. Potential gender modulation of psychopathological dimensions associated to suicide attempts was investigated.</p><p><strong>Methods: </strong>91 subjects who committed a near-lethal suicide (SA group) and 374 who did not (nSA group) were recruited in a Psychiatric Intensive Care Unit regardless of their categorical diagnosis. The Hamilton Depression Rating Scale (HAM-D), the Brief Psychiatric Rating Scale - Expanded version (BPRS-E) and the Scale for Rapid Dimensional Evaluation (SVARAD) were administered at the admission. A Factorial Multivariate ANOVA was conducted according to General Linear Model: Sex and Suicidality were input as fixed factors, HAM-D, BPRS-E and SVARAD scores as dependent variables.</p><p><strong>Results: </strong>Men with SA (MSA) displayed significant lower scores in SVARAD Activation dimension compared to women with SA (FSA) (p=0.049), men without SA (MnSA) (p<0.001) and women without SA (FnSA) (p<0.001). Both SA groups displayed significant higher scores compared to nSA groups in regard of Depression item (BPRS-E) (p<0,001). The MSA group displayed significant lower scores in Psychomotor agitation (HAM-D) compared to FSA (p=0,044), MnSA (p<0,001) and FnSA (p<0,001).</p><p><strong>Conclusions: </strong>By means of multifactorial statistics sex resulted a moderator of the relation between activation/agitation and suicidality, despite categorical diagnosis.</p>","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":"57 1","pages":"23-32"},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39801274","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}
Tommaso B Jannini, Rodolfo Rossi, Vittorio Sconci, Roberto L Bonanni, Floriana De Michele, Gabriella Cavallo, Alberto Siracusano, Alessandro Rossi, Giorgio Di Lorenzo, Emmanuele A Jannini, Giacomo Ciocca
{"title":"Italian validation of Arizona Sexual Experience Scale (ASEX) on patients suffering from psychotic spectrum disorders.","authors":"Tommaso B Jannini, Rodolfo Rossi, Vittorio Sconci, Roberto L Bonanni, Floriana De Michele, Gabriella Cavallo, Alberto Siracusano, Alessandro Rossi, Giorgio Di Lorenzo, Emmanuele A Jannini, Giacomo Ciocca","doi":"10.1708/3749.37323","DOIUrl":"https://doi.org/10.1708/3749.37323","url":null,"abstract":"<p><strong>Introduction: </strong>Many forms of mental disorders, especially psychotic disorders are characterized also by a worsening of sexual functioning. The main aim of this study was to validate in the Italian context the Arizona Sexual Experience Scale (ASEX), a very useful international tool to assess sexual dysfunction in people suffering from mental illness.</p><p><strong>Methods: </strong>Seventy-three patients suffering from psychotic spectrum disorders were recruited. We administered the Italian version of ASEX, adequately translated by two expert bilinguals. After 15 days we administered once again the test for test-retest reliability.</p><p><strong>Results: </strong>Validation of ASEX revealed Cronbach's coefficients >0.70 in both single items as in the total score. In addition, the test-retest reliability revealed Pearson's coefficients >0.50 in the various domains. Confirmatory factor analysis revealed good fit indexes for the two factors model of ASEX (SRMR=0.54; CFI=0.974; RMSEA=0.135).</p><p><strong>Discussion: </strong>This study represents the first validation in the Italian psychiatric context of a very useful specific tool for the sexual assessment in people suffering from mental illness. Our analysis after the ASEX administration revealed good psychometric characteristics in terms of confirmatory factor analysis, internal consistency, and test-retest reliability.</p><p><strong>Conclusions: </strong>On the basis of our results and consideration, we strongly suggest the use of ASEX in clinical context to assess the sexual function of patients with severe mental disorders.</p>","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":"57 1","pages":"18-22"},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39801277","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}
Carola Di Taranto, Leonardo Procenesi, Angela Maria Paterniti, Elisa Loppi, Anna Rita Speranza, A. Siracusano, C. Niolu
{"title":"Outcome of the use of the Snoezelen Multisensory Room in an alexithymic patient: a case report.","authors":"Carola Di Taranto, Leonardo Procenesi, Angela Maria Paterniti, Elisa Loppi, Anna Rita Speranza, A. Siracusano, C. Niolu","doi":"10.1708/3814.37992","DOIUrl":"https://doi.org/10.1708/3814.37992","url":null,"abstract":"Alexithymia is a \"transdiagnostic\" dimensional construct consisting in difficulty in recognizing one's own emotional states and/or sharing them to others. In this case report we illustrate our experience of administration of Snoezelen Multisensory Room (SMR) treatment to a patient, one of our psychiatric inpatient's younger sister who had high levels of alexithymia. SMR treatment consists of visual, auditory, and olfactory controlled stimulations in a specific environment whose application in the psychiatric field is promising. It was administered to Greta twice a week for five weeks. Every session was carried out by a Psychiatric Rehabilitation Therapist and lasted forty-five minutes. The aim of this case report is to illustrate how the individualized, patient-oriented treatment in the SMR led to an improvement not only in the scores of the scales that assess the dimensions of alexithymia (TAS-20 and TSIA) but also in emotional openness that was crucial for the start of a psychological pathway.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":"57 3 1","pages":"134-140"},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68083202","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}
Jinke Tan, Fengling Wang, Fenghong Zhang, Haimo Wang
{"title":"Psychological status of patients with amputation injury and effects of psychological interventions based on magnetic resonance imaging and X-ray characteristics.","authors":"Jinke Tan, Fengling Wang, Fenghong Zhang, Haimo Wang","doi":"10.1708/3749.37325","DOIUrl":"https://doi.org/10.1708/3749.37325","url":null,"abstract":"<p><strong>Background: </strong>To explore the psychological status of patients with amputation injury and to evaluate the effects of psychological interventions based on magnetic resonance imaging (MRI) and X-ray characteristics.</p><p><strong>Methods: </strong>Two hundred patients admitted from June 2016 to May 2019 were randomly assigned into control and observation groups (n=100). Routine care was performed for both groups, based on which observation group was given psychological interventions. Coping style, compliance to examinations, mental stress, degree of perceived control, degree of anxiety, degree of depression, incidence rate of adverse events, and satisfaction with nursing services were compared.</p><p><strong>Results: </strong>After interventions, the score of positive coping, score of compliance to examinations and Control Attitudes Scale-Revised (CAS-R) score were significantly higher, whereas the score of negative coping, Chinese perceived stress scale (CPSS) score, self-rating anxiety scale (SAS) score and self-rating depression scale (SDS) score were lower in observation group than those in control group. The score of positive coping, score of compliance to examinations and CAS-R score were significantly elevated, while the score of negative coping, CPSS score, SAS score and SDS score reduced in both groups (p<0.05). The satisfaction rate was significantly higher in observation group than that in control group (p<0.05). The incidence rate of these adverse events was significantly lower in observation group than that in control group (p<0.05).</p><p><strong>Conclusion: </strong>Psychological interventions before MRI and X-ray examinations are conducive to adjustment of the mental state of patients receiving replantation of a severed limb, thus improving the compliance to examinations, completion rate and image quality.</p>","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":"57 1","pages":"33-39"},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39801275","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":"Correspondence on \"Psychological impact of the SARS-CoV-2 pandemic in children with neurodevelopmental disorders\".","authors":"Pathum Sookaromdee, Viroj Wiwanitkit","doi":"10.1708/3749.37328","DOIUrl":"https://doi.org/10.1708/3749.37328","url":null,"abstract":"","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":"57 1","pages":"55"},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39632566","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":"[Psychological aspects of Revenge Porn phenomena: clinical perspective].","authors":"Valerio Veronica, Dina Di Giacomo","doi":"10.1708/3749.37322","DOIUrl":"https://doi.org/10.1708/3749.37322","url":null,"abstract":"BACKGROUND\u0000The Revenge Porn phenomena is non-consensual pornography related to the sexually explicit pictures dissemination without informed consent form involved individuals. Several studies focused on sociological aspects and related issues for judiciary; few researches were conducted investigating the related psychological and psychopathological characteristics.\u0000\u0000\u0000OBJECTIVE\u0000Our study aimed to review the recent scientific literature in order to propose analysis about relevant keypoints for reveng porn.\u0000\u0000\u0000METHOD\u0000A rapid review was conducted on international dababases (MEDLINE, Embase) about literature published in the period 2016-2021 in order to analyze psychological issue of reveng porn phenomena.\u0000\u0000\u0000RESULTS\u00008 articles included in the present study. Descriptive analyses showed the phenomena is becoming part of the psychosexuality, intimacy expressions, sexual relationship by technologically and digitally interpersonal interaction. Anxiety, depression and post-traumatic stress symptoms have been highlighted in revenge porn.\u0000\u0000\u0000CONCLUSIONS\u0000Actually, predictive factors for revenge porn practice are individual aspects; our study suggested future research should be focused on the investigation of personality dimensions in order to draw more detailed psychological implications.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":"57 1","pages":"10-17"},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39801273","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}
M. Ribolsi, G. Albergo, Francesca Leonetti, C. Niolu, V. Di Lazzaro, A. Siracusano, G. Di Lorenzo
{"title":"Locus of Control behavior in ultra-high risk patients.","authors":"M. Ribolsi, G. Albergo, Francesca Leonetti, C. Niolu, V. Di Lazzaro, A. Siracusano, G. Di Lorenzo","doi":"10.1708/3814.37990","DOIUrl":"https://doi.org/10.1708/3814.37990","url":null,"abstract":"The term \"Locus of Control\" has been defined by Rotter (1954) as a general attitude regarding the nature of the causal relationship between one's behavior and its consequences. External Locus of Control Behavior represents an important factor of psychopathological vulnerability and can increase people's vulnerability to psychosis. Using the Craig Scale (1984), we investigated the Locus of Control Behavior in a sample of patients at high risk of psychosis compared to schizophrenia patients and mood disorder patients. Furthermore, we investigated the possible correlation between an external Locus of Control and psychopathological dimensions such as aberrant salience, and attenuated positive and negative symptoms.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":"57 3 1","pages":"123-126"},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68083177","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}
M. Pasquini, I. Berardelli, M. Biondi, G. Fabbrini
{"title":"[Neuropsychiatry as the interface of behavioral manifestations driven by brain dysfunction.]","authors":"M. Pasquini, I. Berardelli, M. Biondi, G. Fabbrini","doi":"10.1708/3790.37743","DOIUrl":"https://doi.org/10.1708/3790.37743","url":null,"abstract":"Neuropsychiatry mainly deals with processes of the mind related to neurological diseases. Only secondarily, it deal with depressive and anxiety syndromes, as reactions to the presence of an acute, chronic, or degenerative neurological disease. This review illustrate the most frequent neuropsychiatric disorders in the context of the main neurological diseases, focusing on secondary psychic reactions to the development of neurological diseases. The main purpose of this paper is therefore to amplify the sensitivity of psychiatric colleagues towards these clinical conditions in order to create a communication channel with fellow neurologists and neuroradiologists that is not limited to simple counseling.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":"57 2 1","pages":"106-114"},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68083024","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 state of affirmative mental health care for Transgender and Gender Non-Confirming people: an analysis of current research, debates, and standards of care.","authors":"Andrea Crapanzano, Lekisha Mixon","doi":"10.1708/3749.37327","DOIUrl":"https://doi.org/10.1708/3749.37327","url":null,"abstract":"<p><p>Following the growth in visibility of Transgender and Gender Non-Confirming-identified people (TGNC) in popular culture and media, along with the increase in number of health clinics focusing on working with this population, and the development of a special interest in health professionals in TGNC-related issues, flourishing scientific literature and updated guidelines to help Mental Health Professionals (MHPs) work affirmatively with transgender individuals is pertinent. Despite the increased attention toward TGNC individuals, this population is still faced with political, economic, legal, and medical obstacles affecting their mental health and access to health care. Moreover, MHPs still report having limited training and experience in TGNC-affirmative care. This article aims at providing professionals with the most updated information and research findings to help them develop a more trans-affirmative practice. After defining key terms and providing a definition of TGNC-affirmative health care, this article will focus on summarizing the main documents that inform MHPs working with this population. This article offers research-based guidelines and discusses the major theoretical frameworks professionals are encouraged to incorporate in their work when developing TGNC-affirmative care. Additionally, this article will present the current debate around the diagnoses of Gender Dysphoria (DSM-V) and Gender Incongruence (ICD-11). The controversy between the Medical Model based on the Diagnosis of Gender Dysphoria and the emerging Informed Consent Model will be reviewed.</p>","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":"57 1","pages":"44-54"},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39632131","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}
Valentina Pugliese, M. Aloi, D. Maestri, R. de Filippis, R. Gaetano, L. Pelizza, C. Segura-García, P. De Fazio
{"title":"Validation of the Italian version of the Davos Assessment of Cognitive Biases Scale (DACOBS) in a sample of schizophrenia spectrum disorder patients and healthy controls.","authors":"Valentina Pugliese, M. Aloi, D. Maestri, R. de Filippis, R. Gaetano, L. Pelizza, C. Segura-García, P. De Fazio","doi":"10.1708/3814.37991","DOIUrl":"https://doi.org/10.1708/3814.37991","url":null,"abstract":"PURPOSE Recently two instruments were developed to address the study of the cognitive biases in schizophrenia spectrum disorders (SSD): the Cognitive Biases Questionnaire for Psychosis (CBQ-P) and the Davos Assessment of Cognitive Biases Scale (DACOBS). Aim of this study was to validate the Italian version of the DACOBS. METHODS We investigated factor structure, reliability, discriminative and convergent validity of the instrument by comparing to the CBQ-P in an Italian sample of 102 patients diagnosed with SSD and 330 healthy controls (HC), matched by age, education and gender. RESULTS The second-order seven-factor solution provided the best results among the four models tested. Reliability proved to be very satisfactory, with ω coefficient ranged from 0.75 for Jumping to conclusions to 0.89 for Safety Behavior. The Italian version of DACOBS could discriminate psychosis from HC (Wilks' Lambda=0.64, F=34.284, p<0.001; h2=0.364). All seven DACOBS subscales were significantly correlated with the CBQ-P subscales (total sample: r=0.331-0.707; SSD group: r=0.424-0.735; HC group: r=0.177-0.460). CONCLUSIONS The Italian version of DACOBS is a valid instrument for measuring cognitive biases for patients with psychosis, confirming previous results regarding the psychometric properties of the tool.","PeriodicalId":21506,"journal":{"name":"Rivista di psichiatria","volume":"57 3 1","pages":"127-133"},"PeriodicalIF":2.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68083183","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}