Everything is going to be all right. Psychopathology in the time of an epidemic in Italy.
Authors: Lorettu L Abstract Scopo del presente lavoro è descrivere alcune reazioni umane e alcuni elementi di psicopatologia durante la pandemia. La pandemia ha messo in luce diversi aspetti dell'animo umano negli operatori sanitari, nei pazienti e nelle altre persone. Vi sono medici, infermieri, operatori che lavorano 24 ore su 24 per curare e assistere i malati, accompagnare chi non ce la fa. Incuranti del rischio di contagio, della fatica, dei propri bisogni hanno un'unica priorità : aiutare, fare il proprio dovere. Molti di loro si sono ammalati, molti sono morti. Tra loro vi è un alto tass...
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Professional liability in psychiatry: evolution and critical issues].
Authors: Lorettu L, Nivoli A, Milia P, Depalmas C, Piu D, Taras G, Riondino L, Nivoli G Abstract The aim of the article is to present the evolution of professional liability in psychiatry from law 36 of 1904 to today. Through an examination of the doctrinal positions and of the jurisprudential expression it was possible to highlight three distinct phases in which professional responsibility has declined over the years. A custodial phase, in which the spirit that animated the law of psychiatric assistance was inspired by principles of social defense and the responsibility of the psychiatrist was recognized mainly in...
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[The physician's suicide: study of an Italian sample].
CONCLUSIONS: The risk factors for suicide in our sample of doctors overlap with data from literature for doctors in western countries. Clinical recommendations and prevention strategies for suicide risk are therefore similar. PMID: 33349717 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Clinical, diagnostic and forensic features of a REMS patient's sample].
CONCLUSIONS: alcohol/substance use, antisociality and cognitive disability, often in comorbidity mode, represent core features in part of the sample. This finding emphasizes a complexity level which is linked to social and judicial aspects, in addition to the health component. PMID: 33349718 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Regulatory evolution of the crime of infanticide].
The objective of the present study consists of the juridic-anthropological analysis of the infanticide, a phenomenon that nowadays is highly existent within the context of crime-settings. Particular consideration has been given to the legal developments of the infanticide act, which occurred simultaneously with the mutation of the socio-cultural contexts. Because the legislative process of the infanticide act has not evolved since 1981, it was possible to underline the criticisms and the inadequacy of such norm. Indeed, the legal norm has not always been able to provide an exhaustive answer concerning cases of infanticide....
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Homophobic bullying: critical considerations, and legal-institutional interventions].
Authors: Brusco P, Nivoli G, Depalmas C, Nivoli A, Milia P, Lorettu L Abstract Instances in the increase of homophobic bullying mean a major interest in order to develop strong bullying prevention programming which should be a major priority for adults, governments and institutions responsible to promote and ensure a responsible development of society. The complexity of the problem requires a multidisciplinary approach of a comprehensive nature. Starting from the construction of gender identities, and taking into account and understanding the biological aspects, external influences, and arising contrasts during the...
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[The investigation of non-verbal behavior through Nonverbal Behavior Analysis Matrix in the forensic setting].
Authors: Depalmas C, Cossu F, Nivoli A, Milia P, Lorettu L Abstract The application of the neuroscience in forensic sciences has long opened up new scenarios within the legal world. While on one hand we tend to emphasize the benefits of the new research methods based on the recent neuroscience knowledge, on the other hand the use of these new tools has sparked a justified debate at the international level that touches all the areas that directly or indirectly approach forensics. Factors like lack of responsability or mitigation provided by science are part of those topics that, thanks to neurosciences, are back in ...
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[The psychiatrization and unpredictability of interpersonal violent behavior].
In conclusion, it is highlighted that an individual can have a psychic disorder, even severe, but this disorder is not necessarily in a causal relationship with violent behavior. The lack of a causal relationship makes predictability of violent behavior difficult, even impossible depending on the case, both in the general population and in individuals with psychiatric disorders. PMID: 33349722 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Guidelines in psychiatry: clinical and forensic issues].
The objective of this paper is to examine the objectives, the clinical limitations and the applicability of the GL on professional liability (forensic aspects). From a clinical point of view, the GL have objectives that are functional to the promotion of physical and mental health, among which the constitutional observance of the right to health, the improvement of public health, the implementation of best clinical practices, the promotion of scientific research, the professional training of operators in the field of physical and mental health. However, GL cannot replace a contextualized clinical judgment. GL must be appli...
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[The revision process of diagnostic systems in psychiatry: differences between ICD-11 and DSM-5].
Authors: Sampogna G, Del Vecchio V, Giallonardo V, Luciano M, Perris F, Saviano P, Zinno F, Fiorillo A Abstract The two main classification systems in psychiatry are represented by the Diagnostic and Statistical Manual of Mental Disorders (DSM) and by the International Classification of Diseases (ICD). The last version of the DSM has been published in 2013 by the American Psychiatric Association and it has been translated in Italian in 2014. The eleventh revision of the ICD by the World Health Organization has been completed in 2018, approved by the WHO General Assembly in 2019 and it is going to be translated in s...
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Pregnancy in women with physical and intellectual disability: psychiatric implications.
Authors: D'Angelo A, Ceccanti M, Fiore M, Petrella C, Greco A, Porrari R, Gencarelli S, Ralli M, Vitali M, Ferraguti G, Galeoto G, Valente D, Framarino Dei Malatesta M, Messina MP Abstract Women with disabilities feel the desire for motherhood as much as women without special clinical needs. Their fertility is often not impacted by disability and they can have children. However, several issues must be considered, depending on the physical, mental or developmental disability. Women with a physical disability often experience higher risks of caesarean section, preterm birth, growth restriction and low birth weight wh...
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Evaluation and management of insomnia in clinical practice and in the time of CoViD-19 in Italy: expert consensus and task-force recommendations from five scientific societies].
Authors: Palagini L, Manni R, Aguglia E, Amore M, Brugnoli R, Girardi P, Grassi L, Mencacci C, Plazzi G, Minervino A, Nobili L, Biggio G Abstract Insomnia symptoms might affect about 60% of the Italian population. Insomnia is a "24 hours syndrome" and a risk factor for medical and mental disorders. It should always be assessed and treated in the clinical practice. Cognitive Behavioral Therapy for Insomnia is the first line treatment but its availability in Italy is scarce. Pharmacological options in Italy are: melatonin 2 mg prolonged release that should be the first choice in subjects ≥55 years old an...
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Anxiety, depression and personality traits in Italian medical students.
CONCLUSIONS: Symptoms of depression and anxiety are common among Italian medical students and specific interventions should be implemented to target them. PMID: 33349727 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Traumatic experiences and type 2 diabetes mellitus.
CONCLUSION: We conclude that factors that determine high levels of resiliency can have a protective effect against the development of T2DM while stress and the consequent inflammation can contribute to the development of depression and T2DM. These biological features are analyzed in the psychoanalytical context of theories from Freud, Mahler, and Kohut. PMID: 33349728 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Survey on centres and procedures for the diagnosis and treatment of adult ADHD in public services in Italy.
Authors: Zadra E, Giupponi G, Migliarese G, Oliva F, De Rossi P, Gardellin F, Scocco P, Holzer S, Venturi V, Sale A, Corato AM, Paletta S, Portigliatti Pomeri A, Ferreri P, Busetto P, Palucchini A, De Dominicis F, Florio V, Bizzarri JV, Boschello F, Contardi A, Mari L, Gubbini S, Manzi A, Nicolò G, Manfredi G, Raponi A, Bruletti S, Ravelli L, Steiner V, Danieli A, Reibman Y, Cerveri G, Bondi E, Innamorati M, Perugi G, Pompili M, Mencacci C, Conca A Abstract Attention deficit/hyperactivity disorder (ADHD) often persists into adulthood. Although its persistence and relative high prevalence, ADHD in adults is o...
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Postoperative heroin-withdrawal delirium treated with clonazepam after urgent cardiac surgery: a case report.
We report a case report of a multi-drug addicted patient, without any other psychiatric comorbidity, suffering from heroin-withdrawal POD after urgent major cardiac surgery, successfully treated with clonazepam orally after conventional therapy failure. At the time of discharge, POD was completely solved and without further complications, psychiatric therapy was further reduced just to a low dose of clonazepam and the patient was referred to a specialized drug abuse center. The reported case suggests that clonazepam may be considered a valid option in case of heroin-withdrawal POD after conventional treatments failure. ...
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Personalized treatment of depression phenotypes: role of trazodone in depression with insomnia].
CONCLUSIONS: Trazodone improves sleep and depression and is particularly helpful for patients whose symptoms of depression include insomnia. PMID: 33349731 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[The psychiatrist's "voices" and the metamorphosis from thinker to operator].
[The psychiatrist's "voices" and the metamorphosis from thinker to operator]. Riv Psichiatr. 2020 Nov-Dec;55(6):380-384 Authors: Bersani G Abstract Over the last few decades there has been a radical change in the education and social role of the psychiatrist, who from "thinker" has transformed into "operator". A large number of scientific, medical, educational, cultural, health, organizational, political and legal factors have contributed to this change. In the professional reality these factors can be symbolized as internal "voices" of the psychiatrists, who aut...
Source: Rivista di Psichiatria - December 24, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Personalized medicine with extended-release trazodone and/or once-a-day trazodone: from research trials to clinical practice].
DISCUSSION: The different formulations of trazodone allow a personalization of the treatment, which may be targeted to the specific needs of each patient. PMID: 33078017 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - October 22, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

The role of stress and psychiatric comorbidities as targets of non-pharmacological therapeutic approaches for migraine.
Authors: Pancheri C, Maraone A, Roselli V, Altieri M, Di Piero V, Biondi M, Pasquini M, Tarsitani L Abstract This narrative review addresses the interconnections among stress, mental disorders and migraine with a specific focus on non-pharmacological interventions that may be effective in improving both migraine and the psychiatric comorbidity. Migraine is often comorbid with depression, anxiety, personality disorders, and sleep disorders. Subjective stress and stressors are common triggers for migraine attacks and are risk factors for chronification, whilst mental disorders and stress responses are closely linked ...
Source: Rivista di Psichiatria - October 22, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Clinical use of lithium and new retard formulation: results of a survey on italian psychiatrists].
Authors: Martinotti G, Pettorruso M, De Berardis D, Dell'Osso B, Di Sciascio G, Fiorillo A, Sani G, Albert U Abstract Lithium is considered the gold standard in the treatment of bipolar disorder (BD) and is used as first-line therapy in prophylaxis and in the treatment of acute mania and depression. However, although lithium is universally accepted as a reference standard in the treatment of BD, its diffusion in clinical practice is still limited. In order to test awareness of the indications for the use of lithium, its methods of clinical use and the monitoring of the main side effects, a survey was carried out am...
Source: Rivista di Psichiatria - October 22, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Validation of the Italian version of the Koukopoulos Mixed Depression Rating Scale (KMDRS) in an Italian sample of subjects with mood disorders].
Authors: Koukopoulos AE, Simonetti A, Janiri D, De Chiara L, Kotzalidis GD, Sani G Abstract BACKGROUND: The construct of mixed depression (MxD), namely the simultaneous presence of excitatory symptoms during a depressive episode, has gained increased interest in the recent years. The Koukopoulos Mixed Depression Rating Scale (KMDRS) has been recently validated for the diagnosis and assessment of MxD. The aim of this study was to validate the Italian version of the KMDRS. METHODS: Patients with a major depressive episode (MDE) (N=396, age, mean=44.73 years, SD=15.93) were recruited at Lucio Bini Center, Rome, It...
Source: Rivista di Psichiatria - October 22, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Food semantics on pro-anorexia websites in Italy.
CONCLUSIONS: These findings specify the food semantics on pro-ana websites associated to an anorectic vocabulary with restrictive diets. The results could be used to characterize the most common food as risk factors within the eating disorders framework. PMID: 33078021 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - October 22, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Prevalence and clinical correlates of cognitive symptoms in depression: a naturalistic study.
Authors: Manchia M, Orrù MG, Perra V, Pinna F, Carpiniello B PMID: 33078022 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - October 22, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Mindfulness attitude, emotions and forgiveness in adolescence: a correlational research].
DISCUSSION: The mindfulness attitude is a tendency that individuals can present to a greater or lesser extent, regardless of the practice of mindfulness. The data obtained from this study support the prospective for further investigations that could lead to improvements in terms of psychological well-being. PMID: 33078023 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - October 22, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Case reports of first psychiatric presentations during CoViD-19 pandemic.
Authors: Lazzari C, Nusair A, Shoka A, Hein SM, Rabottini M Abstract CoViD-19 pandemic has created a global concern in the whole population. The psychiatric and social impact of the viral infection is recorded differently by the community. However, more vulnerable individuals with negative psychiatric history are presenting to mental health hospitals for admission, assessment and treatment due to abnormal reactions to CoViD-19 pandemic. The current study reports six clinical cases of first psychiatric presentation that were characterised by sudden onset of symptoms, manic and psychotic symptoms, adverse response to...
Source: Rivista di Psichiatria - October 22, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Psychiatric symptoms and relationship of disease with stress and traumatic experiences in patients with irritable bowel syndrome.
CONCLUSIONS: Environmental factors that cause considerable emotional distress, such as chronic stress, trauma, and abuse, have been linked to IBS and the severity of symptoms. Therefore, it is important to consider the psychiatric symptoms in the management of IBS. PMID: 33079074 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - October 22, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Orthorexia Nervosa between growing attention to food quality and eating disorders: diagnostic criteria and evaluation tools].
Authors: Atzeni E, Converso D, Loera B Abstract The literature on Orthorexia Nervosa (ON) rapidly grew in recent years, highlighting the perverse and paradoxical aspects of healthy eating. In this review, authors examine the different meanings of ON, the proposals of diagnostic criteria and evaluation tools, and the most promising research tracks that, if developed, will allow to fully understand the nature of ON, and therefore identify strategy for secondary and primary prevention. PMID: 32724232 [PubMed - as supplied by publisher] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - July 30, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Impulsive-compulsive disorders in Parkinson's Disease: influence on individual and social decision-making processes].
DISCUSSION: This work provides the reader with a literature review on individual and social decision-making processes in PD, highlighting how the existence of impulse control disorders and the associated reward-seeking behaviors might elucidate the social symptoms of PD, both in terms of abnormal risk proneness and/or reward salience. PMID: 32724233 [PubMed - as supplied by publisher] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - July 30, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Cognitive-Behavioural group interventions and Multifamily Psychoanalysis group in a Psychiatric Ward].
Authors: Tarallo F, Matarrese A, D'Alessandro M, Griffo S, Marino G, Marazzi M, Riggio F, Sangiovanni L, Scardigli MI, Nicolò G Abstract AIM: This paper aims to study, evaluate and compare the effectiveness of two group interventions within a Psychiatric Intensive Care Unit (PICU). The outcome indicators of the satisfaction of patients and their families with the ward were evaluated with a Satisfaction Questionnaire on the department, and their satisfaction with the groups were evaluated with the Satisfaction Questionnaire for the groups. The two theoretical orientations examined are the cognitive-behavioura...
Source: Rivista di Psichiatria - July 30, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Empowerment of informal caregivers in mental health in childhood: validation of the Italian - Family Empowerment Scale (I-FES)].
Authors: Bizzoca C, Destrebecq A, Terzoni S Abstract AIM: The Family Empowerment Scale (FES) is a tool, constituted by three subscales (family, services and community), which allows to have a picture of the state of empowerment of informal caregivers (IC) of minors with neurodevelopment disorder. The aim of this study is to present the transcultural validation of the Italian version, the Italian-Family Empowerment Scale (I-FES). METHODS: Through the experts and focus groups, the definitive translation of the I-FES was identified, compiled by 115 IC, with a preliminary data questionnaire and Rogers' Empowerment ...
Source: Rivista di Psichiatria - July 30, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Diagnostic and therapeutic challenges in neuroleptic malignant syndrome: a severe medical case.
Authors: Brogna P, Colasuonno R, Di Michele F, Paterniti AM, Talamo A, Ribolsi M, Jannini TB, Siracusano A, Niolu C Abstract Neuroleptic malignant syndrome (NMS) is a rare, idiosyncratic medical emergency usually associated with the use of dopamine antagonists, commonly typical antipsychotic drugs. However, it has been observed that it can occur with atypical antipsychotics as well. NMS is characterized by altered consciousness, fever, rigidity, autonomic instability and high creatine phosphokinase (CPK) blood levels. Here, we report a case of a 44-year-old female patient with history of a treatment-resistant bipol...
Source: Rivista di Psichiatria - July 30, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Eating disorders and diabetes: behavioural patterns and psychopathology. Two case reports.
Authors: Lorettu L, Pes GM, Dore MP, Milia P, Nivoli A Abstract The relationship between eating disorders and diabetes is complex in terms of both reciprocity and comorbidity. In some cases, patients with eating disorders and diabetes develop 'purging' behaviours through the use of insulin as a bodyweight control tool, with serious physical complications that can compared to those of untreated diabetes (diabulimia). The clinical cases presented have in common the distorted use of insulin: one patient failed to take the required amounts of insulin, incurring hyperglycaemia, while the other overused it, incurring hyp...
Source: Rivista di Psichiatria - July 30, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

CoViD-19 and psychiatry: can mental illness justify further exceptions to the obligation to stay at home?
CONCLUSIONS: As the European and international provisions are hierarchically above the national provisions, the latter should be interpreted so that the non-compliance to the obligation to stay at home: a) does not constitute offence for a person tested positive to the virus, if therapeutic treatments resulting in hospitalization are deemed necessary; b) it does not constitute administrative offence if the subject proves, based on clinical and factual documented evidence, that leaving the house is necessary to avoid recrudescence of mental disorder. In addition, for evaluation purposes, particular attention should be paid ...
Source: Rivista di Psichiatria - July 30, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[Epidemic emergencies and social stigma. Which lessons should we learn from SARS and Ebola epidemics for the current CoViD-19 pandemics?]
Authors: Lasalvia A Abstract Scientific literature produced during the most recent international epidemic emergencies, such as SARS and Ebola, highlights that infected persons are often labeled, rejected, discriminated and subjected to loss of status due to their perceived link with the disease. Such experiences of discrimination may have detrimental effects on both patients, their family members, friends and communities. It is also possible that those who have been infected with COVD-19 may experience shame, guilt and sense of isolation arising from social stigma. It is therefore important to take full advantage o...
Source: Rivista di Psichiatria - July 30, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[CoViD-19 and stress in the pandemic: "sanity is not statistical"].
[CoViD-19 and stress in the pandemic: "sanity is not statistical"]. Riv Psichiatr. 2020 May-Jun;55(3):131-136 Authors: Biondi M, Iannitelli A Abstract CoViD-19 pandemic is causing serious consequences on mental health, consequences that are considered that bad that World Health Organization has affirmed that mental health defence is priority in this particular moment of development of pandemic. In light of this alertness, what we are interested in approaching in this work, is the specific stress condition caused by pandemic, which underlies and precedes the described classification of disease...
Source: Rivista di Psichiatria - June 4, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

CoViD-19 and stress in the pandemic: "sanity is not statistical".
CoViD-19 and stress in the pandemic: "sanity is not statistical". Riv Psichiatr. 2020 May-Jun;55(3):1e-6e Authors: Biondi M, Iannitelli A Abstract CoViD-19 pandemic is causing serious consequences on mental health, consequences that are considered that bad that World Health Organization has affirmed that mental health defence is priority in this particular moment of development of pandemic. In light of this alertness, what we are interested in approaching in this work, is the specific stress condition caused by pandemic, which underlies and precedes the described classification of diseases an...
Source: Rivista di Psichiatria - June 4, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Mental health outcomes of the CoViD-19 pandemic.
Authors: Talevi D, Socci V, Carai M, Carnaghi G, Faleri S, Trebbi E, di Bernardo A, Capelli F, Pacitti F Abstract The coronavirus disease 2019 (CoViD-19) caused by the novel Coronavirus strain SARS-CoV-2 is currently a pandemic. On January 30, 2020, the World Health Organization declared that the CoViD-19 outbreak is a public health emergency of international concern. The virus has already had a direct impact on the physical health of million people, and besides, it is supposed to pose a mental health threat of great magnitude globally. This review aims at synthesizing mounting evidence concerning the immediate psy...
Source: Rivista di Psichiatria - June 4, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Italian validation of CoViD-19 Peritraumatic Distress Index and preliminary data in a sample of general population.
CONCLUSIONS: The psychometric properties of the Italian version are satisfactory and confirm that CPDI is a tool fast, non-intrusive, administered online, and therefore 'safe' in a phase with a high risk of contagion. It allows, like a psychic thermoscan, to quickly detect the needs of the population and propose equally rapid interventions. PMID: 32489191 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - June 4, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Differences in MMPI-2 personality profiles among filicide and homicide women.
CONCLUSIONS: The results may indicate conscious attempts made by filicide mothers to avoid negative evaluations, minimize symptoms, and deny psychological suffering. These may indicate personality risk factors that could help clinicians recognize and intervene in cases where a woman presents a severe mental illness before, during, and following the birth of her child. PMID: 32489192 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - June 4, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Adult ADHD symptoms in a group of patients with substance abuse.
CONCLUSIONS: The presence of ADHD diagnosis in the selected group, has been shown to increase the vulnerability of up to twice the chronic consumption of psychostimulants, an observation of great therapeutic and prophylactic importance for clinical practice. The research also confirms the fact revealed in the latest data from the international literature regarding the consumption of psychoactive substances from young ages, with multiple comorbidities and recurrent behavioral disorders secondary to drug use and major difficulties in following the recommendations of treatment and to get the remission that put their mark on t...
Source: Rivista di Psichiatria - June 4, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Suicidal ideation, suicidal attempts and non-suicidal self-injuries in referred adolescent s.
CONCLUSIONS: Patients with severe SI and SA may represent different variants of the same clinical entity. Given the high frequency of the explored features in the whole suicidal sample, this diagnostic methodology may be helpful and informative in all the high-risk adolescents with mood disorders, namely with NSSI. PMID: 32489194 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - June 4, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

An Italian validation of the Psychological Maltreatment Review (PMR).
Authors: Pacitti F, Talevi D, Riccobono G, Imburgia L, Socci V, Stratta P, Rossi R Abstract PURPOSE: The aim of the current study was to evaluate the construct validity and the internal consistence of the Italian version of the Psychological Maltreatment Review (PMR), and to assess the concurrent validity to provide adequate and reliable instruments to measure retrospectively child psychological maltreatment in the Italian population. METHODS: The participants to our study were 209 patients and 217 nonclinical subjects. The first group consisted in 209 adult patients, 106 males and 103 females (mean age of 41.4...
Source: Rivista di Psichiatria - June 4, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Misperceptions and hallucinatory experiences in ultra-trailer, high-altitude runners.
CONCLUSIONS: This study supports the concept that anomalous perceptual experiences may occur independently of the context of psychiatric or neurological disorders. The chance of observing hallucinatory phenomena outside the context of psychiatric disorders and in extreme environmental conditions among ultra-trail runners may offer a unique opportunity to those intending to study psychopathological conditions in a 'para-physiological' context. PMID: 32489196 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - June 4, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Relationship between the core features of Tellenbach's Typus Melancholicus and unipolar depressive disorders: a cross-sectional study.
Authors: Roselli V, Tarsitani L, Mandarelli G, Maraone A, Magliocchetti V, Bersani FS, Biondi M, Pasquini M Abstract PURPOSE: One of the most consistent models investigating the relationship between premorbid personality and depression was described by Tellenbach. According to this model, concern with orderliness, conscientiousness, hyper/hetereonomia and intolerance of ambiguity are the core features of Typus Melancholicus (TM). Previous studies showed a relationship between unipolar depression and TM. The primary hypothesis of this study was that patients affected by unipolar depressive disorders bare more of TM-...
Source: Rivista di Psichiatria - June 4, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

[The integration between Primary Care and Mental Health Services: review of the scientific literature and on-field experience in three Italian regions].
Authors: Gemignani S, Ricca V, Cardamone G Abstract This paper focuses on the integration between Mental Health Services and Primary Care in Italy, a topic that has been discussed for many years but still remains to be achieved nationwide. After a brief review of the scientific literature considering different models of integration, the experiences of three Italian Regions (Lombardy, Emilia-Romagna and Tuscany) are described and discussed, in order to detect different options to fulfill the needs of an adequate cooperation in this field of public health. PMID: 32489198 [PubMed - in process] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - June 4, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Principi di farmacodinamica e farmacocinetica nello switch tra antipsicotici: focus su cariprazina.
Authors: Fagiolini A, Bolognesi S, Goracci A, Beccarini Crescenzi B, Cuomo A Abstract Cariprazina {RGH-188; trans-N- [4- [2- [4- (2,3-diclorofenil) piperazin-1-il] etil] cicloesil] -N_, N_-dimetilurea cloridrato} è un antipsicotico atipico di nuova generazione, con un originale profilo farmacodinamico e farmacocinetico. Cariprazina ha due metaboliti attivi, uno dei quali ha un'emivita di 1-3 settimane, che è la più lunga di qualsiasi antipsicotico atipico, con emivita effettiva funzionale totale (cariprazina più due metaboliti) di 7 giorni. Il farmaco mostra un'affinità che &egrav...
Source: Rivista di Psichiatria - April 21, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Esperienze di switch a cariprazina in pazienti schizofrenici con comparsa di effetti collaterali/comorbilit à mediche.
In conclusione, il modello di trattamento personalizzato sulla base delle condizioni cliniche e delle esigenze del paziente rappresenta l'approccio maggiormente adeguato nella gestione di ogni singolo caso. PMID: 32310933 [PubMed - as supplied by publisher] (Source: Rivista di Psichiatria)
Source: Rivista di Psichiatria - April 21, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Esperienze di switch a cariprazina in pazienti affetti da schizofrenia con risposta parziale.
Authors: Mencacci C, Cerveri G, Palazzo C, Gesi C, Salvi V Abstract Tra gli antipsicotici cosiddetti "di terza generazione", dotati di agonismo parziale sui recettori D 2 , cariprazina è in particolare contraddistinta da agonismo parziale D 3 /D 2 con affinità particolarmente elevata per i recettori D 3 , oltre che da un'azione di antagonismo 5HT2B e 5TH2A e agonismo parziale 5TH1A. L'insieme di queste attività recettoriali conferisce a cariprazina un profilo di azione sia sui sintomi positivi sia su quelli negativi, offrendo nuove opportunità di trattamento per disturbi dello ...
Source: Rivista di Psichiatria - April 21, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Esperienze di switch a cariprazina in pazienti affetti da schizofrenia con ricorrenze.
Authors: Vita A, Ceraso A, Valsecchi P Abstract Nel trattamento a lungo termine dei pazienti affetti da schizofrenia, il problema delle ricadute di malattia è di fondamentale rilevanza clinica e tuttora dibattuto. Una possibile strategia di intervento, in caso di riacutizzazione, è quella dello switch da un farmaco antipsicotico a un altro. Sarebbe utile, in questo senso, avere a disposizione molecole in grado di garantire uno stato di remissione clinica persistente nel tempo. Fra queste è possibile senz'altro considerare cariprazina, un farmaco di recente introduzione, dotato di un profilo d'a...
Source: Rivista di Psichiatria - April 21, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research