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Caratteristiche cliniche ed extracliniche dei pazienti revolving-door: un follow up multicentrico su pazienti al primo ricovero in SPDC
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La Depressione Perinatale Un approccio multidisciplinare
No full textLa Depressione perinatale colpisce il 10-20% delle madri, con conseguenze negative che si ripercuotono sulla salute della donna, del partner e della prole nel breve e nel lungo termine.
Un approccio multidisciplinare al problema appare indispensabile al fine di un intervento integrato tra le varie professionalità che ruotano intorno al disagio del nucleo familiar
Prevention and treatment in peripartum: The multicentric observatory for perinatal depression
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A Link between Parental Psychopathology and Preschool Depression: Take Care of Parents to Take Care of Children
Full text linkThere is a lot of evidence in the literature showing that early-onset depression determines an emotional and cognitive vulnerability for psychiatric disorders in subsequent years.
Aims: The first aim of this outcome research was to analyze the impact of parental support treatment in a sample of depressed preschool children divided into two groups of comparison (under-reactive and over-reactive) through evolution in the Clinical Global Impression (CGI). The second aim was to analyze the correlation between the presence of parental psychopathology and the severity of children's disorders.
Methods: Our clinical sample consisted of 32 preschool-age children with a final diagnosis of MDD. The children's assessment included a psychiatric assessment to establish a diagnosis of MDD, confirmed by means of a semi-structured interview, which was administered again one month after the end of parental treatment. All the parents began a six-month parent training treatment conducted by experienced child psychiatrists, whereas children were not treated. During this period, the Clinical Global Impression Scale (CGI) was filled out monthly in order to observe the evolution of the children's disorders.
Results: Post-hoc tests showed a significant difference from before the treatment to after the treatment only in the over-reactive group (p = 0.00). Regarding parental psychiatric disorders, in the over-reactive group, only 3 children had no parents with psychopathology. In the under-reactive group, no child lacked a parent with psychopathology.
Conclusion: Parent training treatment seems to be a valid intervention to improve preschool depression, especially in over-reactive groups, and to prevent dysfunctional parental styles connected to parental psychopathology
Depressione perinatale: fattori psicosociali e personalità della madre come fattori di vulnerabilità psicopatologica
No full textPer studiare i fattori psicosociali e la personalità delle donne che sviluppano una depressione perinatale (DPN), sono state reclutate presso l’ambulatorio dei disturbi dei Post-Partum della UOC di Psichiatria del Policlinico Umberto I di Roma, 170 donne tra il 7° mese di gestazione e il 1° mese post-partum, tra i 18 e i 45 anni. Il Big Five e l'EPDS sono stati gli strumenti principali per valutare la presenza di depressione e l'organizzazione di personalità
Perinatal Depression: Screening and Clinical Outcomes. The Italian Experience of a Inter-University Roman Group
No full textPerinatal depression (PND) is a global epidemic with adverse life-long consequences for the mother, the partner and the offspring.
Despite the high prevalence of PND most cases remain undetected leading to an increased burden of the disease.
The need and the modality to perform screening programs in order to prevent and reduce the negative impact of PND are still a matter of controversy.
International guidelines highlight the failure of the screening plans when they are not linked to treatment options.
Moreover a growing number of researches have recently focused on perinatal anxiety disorders (PAD), either alone or associated with PND. Nevertheless the results of the studies concerning PAD are still inconsistent.
The authors on behalf of a Inter-University Roman Group, present the protocol of a multicenter prospective clinical trial designed to find an answer to these issues.
The sample of the study consisted of 434 pregnant women at the third trimester.
All participants completed a clinical information sheet including sociodemographic, gynaecological, obstetrical, and psychiatric data. Screening for PND and PAD was performed using Edinburgh Postnatal Depression Scale (EPDS).
At baseline we also performed the Big Five Inventory (BFI), the Experiences in Close Relationships Scale (ECR), the Mood Disorder Questionnaire (MDQ) and the Highs Questionnaire (HQ).
After delivery EPDS was further administered by telephone at 1, 6 and 12 months.
The study is currently ongoing and will be closed in three months.
All data will be included in a prospective database and statistically analyzed.
The final results will be available in the early 2016
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