Background: Visual snow syndrome (VSS) is a poorly understood neurological condition of unclear etiology, characterized by visual and non-visual symptoms that reduce quality of life. The objective of our study was to estimate the prevalence of young adults with visual snow in Russia.
Materials and methods: We conducted an online survey among 1,177 respondents over the age of 18 residing in Russia. The questionnaire was based on MIDAS, HIT-6, ICHD-3, GAD-7, CES-D.
Results: A total of 1085 individuals, divided into three groups: 48 participants with Visual Snow Syndrome (VSS), 36 participants with visual snow symptoms (VS), and 1001 participants without visual snow (control group). Tinnitus (p<0.001) and paresthesia (p<0.001) were more common in participants with VSS compared to the control group. VSS group also reported mood disorders more frequently than those in the other groups (29.2% VSS, 13.9% VS, 7.0% control, p<0.001). Additionally, VSS group exhibited more elevated anxiety levels on the GAD-7 scale compared to the other groups (p=0.005), suggesting a weak association between anxiety and VSS.
Conclusions: Diagnosed migraine, tinnitus, concentration problems, paresthesia, and verified psychiatric conditions were significantly more prevalent in the VSS group in our study. Tinnitus was significantly more frequent in the VS group. Diagnosed conditions across all ICD-10 classes were more frequently identified in the VSS group, with the strongest associations (moderate) found with ICD-10 codes: F80-F89 and F60-F69. Additionally ICD-10 codes F30-F39 were more frequently found in the VS group compared to the control group. Our study revealed that nearly all individuals with VSS in our sample (89.6%) had experienced symptoms for as long as they can remember. The prevalence of VS symptoms in Russia is 7.7% (6.2-9.3%) and VSS is 4.4% (3.2-5.7%).
{"title":"Visual Snow Syndrome Prevalence Among Young Adults in the Russian Federation: a Research Perspective.","authors":"Ekaterina Muravikova, Alexey Sustretov, Karina Berezhnaya, Daniil Kokorev, Timur Syunyakov, Arseny Gayduk","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Visual snow syndrome (VSS) is a poorly understood neurological condition of unclear etiology, characterized by visual and non-visual symptoms that reduce quality of life. The objective of our study was to estimate the prevalence of young adults with visual snow in Russia.</p><p><strong>Materials and methods: </strong>We conducted an online survey among 1,177 respondents over the age of 18 residing in Russia. The questionnaire was based on MIDAS, HIT-6, ICHD-3, GAD-7, CES-D.</p><p><strong>Results: </strong>A total of 1085 individuals, divided into three groups: 48 participants with Visual Snow Syndrome (VSS), 36 participants with visual snow symptoms (VS), and 1001 participants without visual snow (control group). Tinnitus (p<0.001) and paresthesia (p<0.001) were more common in participants with VSS compared to the control group. VSS group also reported mood disorders more frequently than those in the other groups (29.2% VSS, 13.9% VS, 7.0% control, p<0.001). Additionally, VSS group exhibited more elevated anxiety levels on the GAD-7 scale compared to the other groups (p=0.005), suggesting a weak association between anxiety and VSS.</p><p><strong>Conclusions: </strong>Diagnosed migraine, tinnitus, concentration problems, paresthesia, and verified psychiatric conditions were significantly more prevalent in the VSS group in our study. Tinnitus was significantly more frequent in the VS group. Diagnosed conditions across all ICD-10 classes were more frequently identified in the VSS group, with the strongest associations (moderate) found with ICD-10 codes: F80-F89 and F60-F69. Additionally ICD-10 codes F30-F39 were more frequently found in the VS group compared to the control group. Our study revealed that nearly all individuals with VSS in our sample (89.6%) had experienced symptoms for as long as they can remember. The prevalence of VS symptoms in Russia is 7.7% (6.2-9.3%) and VSS is 4.4% (3.2-5.7%).</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392802","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}
Mariangela Perito, Maria Vincenza Minò, Antonella Vacca, Francesco Franza
This study aimed to evaluate the correlation between cognitive function and emotional dysregulation in patients suffering from psychiatric disorders hosted in rehabilitation facilities, but within this sample, there are also perpetrators of violence who are not residents in facilities but are followed in clinics for crimes related to family violence. All patients were administered the rating scale to investigate general impulsivity, perform psychopathological evaluation, evaluate aberrant salience, and conduct a general cognitive assessment.
{"title":"Cognitive Impairment and Emotional Dysregulation in Offenders.","authors":"Mariangela Perito, Maria Vincenza Minò, Antonella Vacca, Francesco Franza","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study aimed to evaluate the correlation between cognitive function and emotional dysregulation in patients suffering from psychiatric disorders hosted in rehabilitation facilities, but within this sample, there are also perpetrators of violence who are not residents in facilities but are followed in clinics for crimes related to family violence. All patients were administered the rating scale to investigate general impulsivity, perform psychopathological evaluation, evaluate aberrant salience, and conduct a general cognitive assessment.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392737","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}
Leonardo Zebi, Marta Barbi, Debora Toshi, Laura Pastorino, Giulia Menculini, Veronica Raspa, Maria Teresa Paganelli, Laura Dalla Ragione, Simone Pampanelli, Patrizia Moretti, Alfonso Tortorella
Introduction: 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.
Subject and methods: 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.
Results: 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.
Conclusions: 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.
简介多项研究表明,肥胖、冲动和愤怒之间存在关联。此外,肥胖症与进食障碍(ED)也有重要关联,其中最常见的是暴饮暴食障碍(BED)。与正常体重的患者和无 ED 的患者相比,肥胖患者在表达某些情绪过程(包括冲动、攻击性和愤怒)时似乎表现出特殊性:这是一项横断面研究,研究对象是 47 名接受减肥手术的肥胖患者。患者在佩鲁贾大学医院精神病学、临床心理学和精神康复科门诊接受了精神评估。他们的愤怒和冲动程度用STAXI-2和BIS-11评分来描述。根据性别、有/无ED以及评估期间证实的有/无精神障碍对得分进行了比较:结果:STAXI-2 和 BIS-11 评分在男女之间没有统计学意义上的差异。被诊断为 ED 的人在注意力、认知复杂性、运动冲动性、非计划性冲动性等分项以及 BIS-11 总分上得分更高。在STAXI-2评分中未发现差异。在比较患者是否合并精神疾病时,有精神疾病诊断的肥胖患者在冲动性指标上的得分更高,但在STAXI-2的ER指数上的值也更高:结论:接受减肥手术的肥胖患者是一个脆弱的群体,必须从精神病学的角度对其进行仔细评估。事实上,精神疾病并发症可能是冲动和愤怒等特质类特征的基础,在提出治疗策略时应仔细考虑。
{"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":null,"pages":null},"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}
Antonella Litta, Debora Benazzi, Piero Carbutti, Antonella Vacca, Anna Maria Nannavecchia, Anna Morelli, Anna Maria Sisto, Elisabetta Attolino, Patrizia Manigrasso, Maria Nacci
Introduction: 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.
Methods: 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).
Results: 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.
Conclusions: 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.
导言:以往的动物辅助干预(AAI)研究表明,人与动物的互动可以降低焦虑水平,提高社交能力和生活质量。近几十年来,越来越多的证据表明,通过人与动物的关系可以为不同类别的人群带来益处,如患有自闭症谱系障碍的儿童、老年痴呆症患者、精神病患者以及酗酒/吸毒成瘾者:在本研究中,EPASSS 基金会所属精神病院的 10 名患者参与了本研究。患者参加了一个名为 "动物-门特 "的康复项目。该项目由 EPASSS 基金会下属的精神病院与 "La coda di Ulisse "合作开展,"La coda di Ulisse "是一个第三部门组织(ETS),代表着阿普利亚 AAI 参考中心。结果评估在招募时(第0次)和动物辅助干预后(第1次)进行:结果:从 BPRS 量表的结果来看,症状明显改善。RAS量表对康复的各个方面进行了评估,重点是希望和决心,结果显示干预前和干预后有显著差异:我们的数据强调了动物辅助干预(AAI)在社区心理健康服务中的可行性。我们的研究强调了动物辅助干预在以康复为导向的综合精神康复项目中的机会,该项目涉及精神卫生部门、精神病院和第三部门组织的网络活动。
{"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":null,"pages":null},"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}
Allison Gilbert, Emanuela Pizzolla, Sofia Palmieri, Giovanni Briganti
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.
{"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":null,"pages":null},"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}
Background: 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).
Subjects and methods: 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.
Results: 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).
Conclusions: 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.
{"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 (χ<sup>2</sup>=7.255, p=0.027). Self-harm attempts during whole life also differed between participants with and without childhood abuse history (χ<sup>2</sup>=9.902, p=0.002). Suicidal ideation was observed statistically significantly more often in patients with ACE in comparison with those without ACE (χ<sup>2</sup>=24.935, p<0.001). Patients with positive childhood abuse history were also observed to be depressed more often (χ<sup>2</sup>=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 (χ<sup>2</sup>=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":null,"pages":null},"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}
Vassilis Martiadis, Enrico Pessina, Paola Matera, Azzurra Martini, Fabiola Raffone, Francesco Monaco, Annarita Vignapiano, Carlo Ignazio Cattaneo
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.
{"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":null,"pages":null},"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}
Anorexia nervosa (AN) has the highest mortality rate among psychiatric disorders. Adult AN patients have a chronic history of treatment dropout due to denial of their psychological and physical disease states, which may be connected to defense mechanisms. We developed an assessment protocol to evaluate the psychological functioning of patients undergoing a psychodynamic approach for eating disorders (PAED), aimed at identifying the psychological factors associated with intervention success or dropout. We analyzed the case of an adult patient who quit treatment at the start and discussed her psychological functioning profile. We present the case of a 45-year-old woman with enduring AN, who entered the PAED program at an Italian hospital. In adult AN patients, denial and acting out may have significant impacts on clinic compliance. This hampers establishing a relationship with the clinic and the success of the psychological work aimed at promoting mental awareness and insights into the disorder. This highlights the need to consider which aspects of the initial psychological assessment are predictive of dropout in AN patients.
{"title":"Psychological Assessment in Anorexia Nervosa: A Single Case Study on Predictive Factors of Dropout.","authors":"Veronica Raspa, Patrizia Moretti, Grazia Pula, Giulia Menculini, Claudia Mazzeschi, Alfonso Tortorella","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anorexia nervosa (AN) has the highest mortality rate among psychiatric disorders. Adult AN patients have a chronic history of treatment dropout due to denial of their psychological and physical disease states, which may be connected to defense mechanisms. We developed an assessment protocol to evaluate the psychological functioning of patients undergoing a psychodynamic approach for eating disorders (PAED), aimed at identifying the psychological factors associated with intervention success or dropout. We analyzed the case of an adult patient who quit treatment at the start and discussed her psychological functioning profile. We present the case of a 45-year-old woman with enduring AN, who entered the PAED program at an Italian hospital. In adult AN patients, denial and acting out may have significant impacts on clinic compliance. This hampers establishing a relationship with the clinic and the success of the psychological work aimed at promoting mental awareness and insights into the disorder. This highlights the need to consider which aspects of the initial psychological assessment are predictive of dropout in AN patients.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392767","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}
Olga Germanova, Louisa Koonts, Yulia Reshetnikova, Michail Sheifer, Kseniya Bikbaeva, Natalia Kuvshinova, Domenico De Berardis, Giuseppe Galati
Background: To estimate quality of life (QoL) in patients with paroxysmal atrial fibrillation (AF) using the SF-36 Health Status Survey.
Materials and methods: 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.
Results: 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 1st 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.
Conclusions: 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.
背景:利用 SF-36 健康状况调查估计阵发性心房颤动患者的生活质量:使用 SF-36 健康状况调查估计阵发性心房颤动(房颤)患者的生活质量(QoL):在一项涉及 6630 名患者的单中心研究中,我们定义了 97 名偶然发现心房颤动(房颤)的患者为一组。对照组包括 99 名来自同一主要人群但无阵发性房颤的患者。两个研究组在人体测量参数和合并症方面非常匹配。所有患者都接受了标准的实验室和仪器研究方法。在发现心房颤动时的首次访视中,我们使用经典的 SF-36 健康状况调查对患者的 QoL 进行了评估。在第二次就诊(随访 6±0.5 个月)和第三次就诊(随访 12±0.5 个月)时,我们使用 SF-36 健康状况调查重新评估了患者的 QoL:绝大多数(95/97;98%)主治组患者有特殊的室外收缩变异,即早期心房 "P on T "型(对照组发病率为 4.0%)[OR 846 (382;187,000)] 。主治组出现室上性期外收缩的频率明显高于对照组。在第一次随访时,主要治疗组和对照组的 QoL 评分没有组间差异(P>0.05)。然而,在随访 6 个月和 12 个月时,按低 QoL 和高 QoL 分层,各组之间的身体和精神健康指标存在显著差异(p 结论:无症状患者中的阵发性房颤是心血管病患者随访 12 个月后生活质量下降的一个预测因素。事实证明,对口服抗凝药治疗依从性高的阵发性房颤患者的体力活动和社会功能都有所改善。
{"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<sup>st</sup> 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":null,"pages":null},"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}
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).
特伦托精神科住院病房(SPDC:意大利语 "Servizio Psichiatrico di Diagnosi e Cura "的缩写,即 "诊断和治疗精神科服务")实行开放政策,强调以康复为导向的方法。专业人员能够从 "人 "的角度来看待病人,而不是将他们视为 "病人",让他们有自由和责任对自己的生活做出决定。特伦托 SPDC 是一个无限制的精神病病房,在这里,关系限制被放在首位,病人的责任被最大化,尽可能避免使用身体限制。2022 年,我们的 SPDC 引入了所谓的 I.R.O.N. 干预措施(意大利语:Interventi Relazionali prolungati ad Orientamento No restraint - 以不约束为导向的关系干预措施)。这些干预措施适用于病人情绪激动的情况,通过采用既 "温柔 "又 "强硬 "的方法来缓解紧张局势和化解危机,突出强调了工作团队所需的决心、耐心和 "亲情时间"。在干预结束时,对所实施的策略进行登记描述,随后与工作团队分享。年终时,致力于支持同事的个人将被授予 "IRON羊皮卷"。对于一贯坚持这种工作方式,并始终与团队和所有人(操作员和病人)的安全保持一致的人,将颁发特别的 "谈心冠军 "奖章。
{"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":null,"pages":null},"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}