1,720,982 research outputs found
Clinical psychology for cardiac disease
No full textFrom its very beginning, modern scientific psychology has dealt with issues regarding mind-body, health-disease relationships; in particular, clinical psychology, in its various applications, has tried to provide a structure to psychological concepts tied to organic disease. Clinical psychology is described as the “area of psychology whose objectives are the explanation, understanding, interpretation and reorganization of dysfunctional or pathological mental processes, both individual and interpersonal, together with their behavioral and psychobiological correlates” [2]. Clinical psychology is characterized by a variety of models, methods, theories and techniques, each of which has its own historical reason. Its core and indispensable common denominator is clinical practice, be it intended for individuals, groups or collectives [3]. Among its areas of application we can include psychosomatics, health psychology and hospital psychology, where clinical psychology offers a relevant and coherent scientific, professional and training frame through contributions aimed at health maintenance and promotion, identification of etiological and diagnostic correlates, analysis and improvement of health care, and enhancement of public health [4]
Una psicologia clinica per la malattia cardiaca
No full textLa moderna psicologia scientifica si è sin dagli inizi occupata di problematiche riguardanti il legame tra salute/malattia del corpo e salute/malattia della mente. In particolare la psicologia clinica ha cercato, nelle sue diverse applicazioni, di dare una sempre maggiore sistematicità ai concetti psicologici collegati alla malattia organica. La psicologia clinica viene descritta come:“un settore della psicologia i cui obbiettivi sono la spiegazione, la comprensione, l’interpretazione e la riorganizzazione dei processi mentali disfunzionali o patologici, individuali e interpersonali, unitamente ai loro correlati comportamentali e psicobiologici”
Improving partnership to improve health outcomes
No full textThe word prostate cancer (PCa) can evoke very
different meanings and scenarios in the actors that
are involved in the clinical consultation. For the
doctor, the word can refer to abnormalities of the
structure and function of body organs and systems
that he is called to restore. For the patient, the same
word can mean a strange feeling of powerlessness
and anxiety or something to fight. During the clinical
visit, the attention – both of patients and doctors – is
on the ill part of the body. The main expected work
of the doctor is to define the optimal treatment, and
the main one of the patient is to adhere to this
optimal treatment. However, this medical vision does
not reflect entirely what really happens during the
clinical consultation. Scholars and clinicians are more
and more recognizing that curing the disease is not
always only a medical matter. Indeed, what patients
feel and experience concerning their disease and the
relationship they establish with the disease can make
the difference in the disease course and substantially
change the clinical pathway. Patients might
consequently choose not to adhere to treatments, or
conversely can be highly engaged in healthpromoting
behaviours and reduce the burden of the
disease. The question now is how can patients and
doctors become partners in navigating the illness
journey
Clinical and psychological telemonitoring and telecare of high risk heart failure patients
No full textWe conducted a trial of telemonitoring and telecare for patients with chronic heart failure leaving hospital after being treated for clinical instability. Eighty patients were randomized before hospital discharge to a usual care group (n 1⁄4 40: follow-up at the outpatient clinic) or to an integrated management group (n 1⁄4 40: patients learned to use a handheld PDA and kept in touch daily with the monitoring centre). At enrolment, the groups were similar for all clinical variables. At one-year follow-up, integrated management patients showed better adherence, reduced anxiety and depression, and lower NYHA class and plasma levels of BNP with respect to the usual care patients (e.g. NYHA class 2.1 vs 2.4, P < 0.02). Mortality and hospital re-admissions for congestive heart failure were also reduced in integrated management patients (P < 0.05). Integrated management was more expensive than usual care, although the cost of adverse events was 42% lower. In heart failure patients at high risk of relapse, the regular acquisition of simple clinical information and the possibility for the patient to contact the clinical staff improved drug titration, produced better psychological status and quality of life, and reduced hospitalizations for heart failure
Monitoraggio psicologico e cardiologico a distanza mediante tecnologie wireless in pazienti con scompenso cardiaco: il progetto ICAROS
No full textCardiological and psychological mobile care through telematic technologies for heart failure patients: ICAROS Project
No full textProstate cancer patients on active surveillance: is physical activity associated with health-related quality of life?
No full textThe benefits of physical activity (PA), even of low intensity, on disease progression, urinary symptoms, psychological wellbeing, and health-related quality of life (HRQoL) of prostate cancer (PCa) patients have been documented by several studies (Richman 2011; Chipperfield 2014; Thorsen 2008). To our knowledge, there are no studies investigating the effects of PA on HRQoL among PCa patients in Active Surveillance (AS).
The present research aimed to study the relationship between the level of PA performed by patients in AS and their HRQoL
Clinical and psychological telemonitoring and telecare of high risk heart failure patients.
No full textWe conducted a trial of telemonitoring and telecare for patients with chronic heart failure leaving hospital after being treated for clinical instability. Eighty patients were randomized before hospital discharge to a usual care group (n=40: follow-up at the outpatient clinic) or to an integrated management group (n=40: patients learned to use a handheld PDA and kept in touch daily with the monitoring centre). At enrolment, the groups were similar for all clinical variables. At one-year follow-up, integrated management patients showed better adherence, reduced anxiety and depression, and lower NYHA class and plasma levels of BNP with respect to the usual care patients (e.g. NYHA class 2.1 vs 2.4, P<0.02). Mortality and hospital re-admissions for congestive heart failure were also reduced in integrated management patients (P<0.05). Integrated management was more expensive than usual care, although the cost of adverse events was 42% lower. In heart failure patients at high risk of relapse, the regular acquisition of simple clinical information and the possibility for the patient to contact the clinical staff improved drug titration, produced better psychological status and quality of life, and reduced hospitalizations for heart failure
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