1,721,346 research outputs found
Studio immunoistochimico sulla distribuzione dei neuroni serotoninergici nell’organo paraventricolare ipotalamico di pulcino (Gallus domesticus)
Studio immunoistochimico sulla distribuzione dei neuroni serotoninergici nell’organo paraventricolare ipotalamico di pulcino (Gallus domesticus)
Psico-oncologia basata sulle evidenze.
La necessità di verificare in chiave scientifica quanto nbela pratica clinica si effettua in termini di intervento, rappresenta un punto centrale per una psico-oncologia basata sulle evidenze. Tali elementi si pongono peraltro da tempo come necessità di fatto all’interno dell’area dlela slute mentale,dalla psicologia clinica alla psichiatria. Partendo dai parametri comunemente impiegati per validare l’efficacia di un farmaco - in specifico l’esistenza di presupposti fisiopatologici e farmacologici, la presenza di risultati positivi ottenuti in trials clinici randomizzati che impiegano un adeguato gruppo di confronto, i dati provenienti da meta-analisi - viene oggi accettato che, anche per le psicoterapie, non ci si possa sottrarre da una maggiore sistematizzazione degli interventi, da un approfondimento dei fattori che determinano il cambiamento e da una rigorosa analisi dei risultati ottenuti e della loro riproducibilità. In questo capitolo sono descritti gli aspetti principali relativi alle “evidenze” maturate in questi anni nel’ambito degli interventi psico-oncologici, in particolare a livello psicoterapico e psicofarmacolgico
A prospective comparison between formerly and never violent patients living in psychiatric residential facilities in northern Italy
Extrahypothalamic distribution of vasoactive intestinal polypeptide (VIP)-like immunoreactivity in the chicken brain, Gallus domesticus.
Extrahypothalamic distribution of vasoactive intestinal polypeptide (VIP)-like immunoreactivity in the chicken brain, Gallus domesticus.
Construct validity and psychosocial correlates of the Italian version of the 21-item Medical Interview Satisfaction Scale in primary care
Background Satisfaction with the medical interview has been rarely explored in primary care outside the UK, despite evidence suggesting that a trustful doctor-patient relationship is a key ingredient to facilitate treatment adherence and relief from illness-related distress. Aims The aims of this study are to analyse the construct validity of the Italian version of the Medical Interview Satisfaction Scale (MISS-21) and its correlations with two outcome measures, the Inventory of Depressive Symptomatology - Self-Report and World Health Organization Quality Of Life Brief Version, in patients with mild-to-moderate depression, recruited in primary care practices. Method The factor structure underlying the MISS-21 was investigated with principal component analysis, and the internal consistency of the factors was evaluated with Cronbach's alpha. Network analysis was used to investigate the interrelationships among items. The importance of individual items in the network structure was determined with centrality analyses. Correlations of MISS-21 scores with changes in depression and quality of life were analysed with Spearman's correlation coefficient. Results The MISS-21 proved to have a robust four-dimensional factor structure. Cronbach's alpha for the factors ranged from 0.77 to 0.93, suggesting good to excellent internal consistency. The four factors identified were positively correlated with improvement in depressive symptoms and three quality-of-life domains. Conclusions The MISS-21 has sound psychometric properties, and comprises four factors related to clinical outcomes, which makes it suitable for clinical and research applications. The central items in the network should be considered as possible targets for quality improvement interventions in primary care
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