1,721,407 research outputs found
BBPR, Carlo Casati, Liliana Grassi, Luigi Lorenzo Secchi
No full textDescrizione soggetto produttore e complesso archivistico per i fondi/archivi BBPR, Carlo Casati, Liliana Grassi, Luigi Lorenzo Secchi
Lo stato dell'arte nella formazione specialistica in psico-oncologia: il ruolo della Società Italiana di Psico-Oncologia
No full textLa psico-oncologia ha assunto in questi anni una portata significativa a livello clinico e di ricerca, con attivazone di strutture assistenziali specifiche in molte parti del mondo. La International Psycho-Oncology society e la Federation delle National societies of Psycho-Oncology hanno attivato percorsi e task-forces relative al profilo professionale dello psico-oncologo in funzione, anche, della approvazione nel 2003 della psichiatria di consultazione (o meidicna psicosomatica) come sub-speciality della psichiatria da parte dell'American Board of Neuroloy and Psychiatry negli Stati Uniti. Lo stato attuale in Italia è contraddistinto da un lato da problematiche istituzionali tra ordini, servizi sanitari e agenzie formative (inclusa l'Università), dall'alro dal sempre crescente bisogno di definire i parametri chiave nello sviluippo del profilo professionale dello psico-oncologo
8th World Congress of Psycho-Oncology - Multidisciplinary Psychosocial Oncology: Dialogue and Interaction (Venice, October 18-21, 2006)
No full textOrganized by the Section of Psychiatry, University of Ferrara, the 8th World Congress of Psycho Oncology, entitled Multidisciplinary Psychosocial Oncology: Dialogue and Interaction and chaired by Professor Luigi Grassi, was held in Venice, Italy October 18-21, 2006. It was preceded by the event of the Psychosocial Academy - Training Workshops, that was organized and chaired by Professor Luigi Grassi in Ferrara, Ocotber 16-17, 2006.
The theme of the 8th Wordl Congress of Psycho-Oncology underlined the need for scientific societies, health care agencies and academic institutions, to work together, and to integrate their knowledge towards a common language and accepted standards in the comprehensive care of cancer patients, their families and caregivers. Among the several topics of the congress the most important were psyhciatric aspects of cancer; grief and bereavement; burn-out and psychosocial morbidity in cancer care professionals; communication skills; psychotherapy; psychopharmaoclogy.
The Congress, to which participated around 1500 professionals from 58 countries, consisted of an opening ceremony with a keynote lecture and three plenary sessions with a total of 10 keynote speakers; three round-tables in plenary sessions with a total of 10 speakers; two update courses of three hours each, with a total of 6 speakers (Assessment and treatment of depression in cancer patients; Assessment and treatment of symptoms in palliative care); 13 intersociety symposia of 90 minutes each, with a total of 60 speakers; three sponsored symposia of 90 minutes each, with a total of 10 speakers; 32 accepted special symposia, with a total of 82 speakers; four Meet-the-Expert sessions (of 60 minutes) with a total of four speakers; 25 parallel symposia consisting of the accepted abstracts for oral presentation and organized by theme, with a total of 137 speakers; and 769 posters presented during the three days of the Congress, with 1289 abstracts published in the Abstract Book published by John Wiley as a special issue of the journal Psycho-Oncology (IF 2006: 2.7
Improving health staff’s communication and assessment skills of psychosocial morbidity and quality of life in cancer patients: a study in Southern European countries. Agreement SI2.307317 (2000CVGG2-026) European Commission – University of Ferrara) Coordinator Center Ferrara Itaky, Participating Centers, Lisbon Portugal, Barcelona Spain
No full textBackground. Psychiatric lierature in oncology has demonstrated a 25-35% prevalence of emotional disorders (e.g. anxiety and depression) among cancer patients. In spite of the negative consequences of psychosocial morbidity secondary to cancer, only a minority of patients with psychopathological symptoms are correctly identified by oncologists. Training models have been shown to increase doctors' confidence in their skills and their ability to address the patient's needs. No data are available about these areas in Southern European countries, such as Italy, Spain and Portugal, where the doctor-patient relationship is still a problem.
Aims. The aims of the study were: (i) to examine the rate of psychosocial morbidity in a series of cancer outpatients with a good performance status and its relationship with coping, level of concerns and ability to talk with family members about their illness; (ii) to examine the concordance (agreement) between patients and their doctors in rating specific area of quality of life; (iii) to develop and apply in the cancer centers participating in the study a training model for doctors addressing the recognition of emotional problems in cancer patients; (iv) to examine the efficacy of the training model both on the doctor subjective level and the doctor-patient rating of quality of life.
Methods. A series of cancer outpatients were evaluated as regards their mental status through a psychiatric interview (WHO-ICD-10), psychological morbidity (Hospital Anxiety Depression scale-HAD), coping strategies (Mini-Mental Adjustment to Cancer scale-Mini-MAC), concerns about illness (Cancer Worries Inventory- CWI), and ability to talk with their family (Openness scale). Doctors and a subgroup of patients completed also, independently, a Visual Analogue Scale (VAS) relative to quality of life issues (e.g. mood, well-being, physical symptoms, maladaptive coping, level of distress). Doctors were asked to complete a questionnaire (Confidence Questionnaire-CQ) about their own confidence in dealing with emotions of cancer patients. A training model specifically aimed at improving doctors’ knowledge and ability to rate psychological problems (depression, anxiety, adjustment disorders) was developed and applied to those who participated in the patients’ assessment phase (VAS), The efficacy of the training was examined by re-administering the CQ to doctors after the training and by re-examining the doctor-patient concordance in rating quality of life (VAS).
Results. Three-hundred and thirteen cancer patients from Italy, Spain, Portugal and Switzerland participated in the study, with regard to assessment of psychosocial morbidity. A 30.4% (n=95) prevalence of ICD-10 psychiatric diagnoses were found (especially adjustment disorders, n=67, 21.4%. On the HAD, 54 subjects (17.3%) and 28 (8.9%) proved to be cases for anxiety and depression, and a further 17.6% (n=55) and 15.3% (n=48) had sub-threshold symptoms for anxiety and depression, respectively. “Caseness” was related to high scores on the CWI, low scores on the Openness, high scores on the Hopelessness and Anxious Preoccupations sub-scales of the Mini-MAC. Concordance between doctors (n=39) and patients on quality of life domains was within a 27-43% range. Levels of doctors’ confidence in their ability to deal with emotions in cancer patients were in the mild range. A training model (video-clips, slide-kits, simulated cases, exercises in small groups) addressing psychopathology secondary to cancer was developed and applied to doctors (n=30). Satisfaction with the training model was high. At the follow-up, doctors’ confidence in their own skills significantly improved among doctors who had completed the assessment, training and post-training assessment. A slight, but insignificant trend in improvement of doctor-patient concordance about quality of life issues was observed (range 33-51%) in a second post-workshop assessment of new patients (n=67).
Discussion. The project confirmed the high level of psychosocial morbidity in cancer patients belonging to a specific cultural context: Southern Europe. It also indicated the role of cancer-related worries and maladaptive coping in psychosocial morbidity and the importance of openness about cancer problems in favouring adjustment. The low capacity of doctors to rate their patients’ quality of life, especially psychological domains, was confirmed. A specifically developed short training model to be applied in clinical oncology showed its worth in improving doctors’ confidence in their skills but only moderately on the objective ratings of psychological issues in cancer patients. Improvement of the training model and diffusion of didactic experiences in cancer settings, starting form the results presented here is an important area which merits further exploration
International Psycho-Oncology Society (IPOS) Psychosocial Academy - Training Workshops in Psychiatric and Psychological Issues in Cancer and Palliative Care (Ferrara, October 16-17, 2006)
No full textWithin the 8th World Congress of Psycho-Oncology and the Psychosocial Academy, organized by the Section of Psychiatry Univesity of Ferrara, top worldwide experts conducted 13 high-quality 1-day or 2-day intensive and experiential workshops, on the most important topics of psycho-oncology and palliative care, namely
1. Intervention Techniques in Group Dynamics with Couples: Coping with Illness and Death (Lea BAIDER, Psycho-Oncology Unit, Institute of Oncology, Hadassah University Hospital, Jerusalem, Israel);
2. Stress, Burnout and Renewal-the Plight of Professional Cancer Caregivers (Walter BAILE, Professor and Chief of Psychiatry, University of Texas MD Anderson Cancer Center, Houston, Texas, USA - Anna COSTANTINI, Chief of the Psycho-Oncology Unit, Sant’ Andrea Hospital, Second Faculty of Medicine, University La Sapienza, Rome, Italy);
3. Psychosocial Interventions in Cancer Patients (Fawzy I. FAWZY, Professor of Psychiatry and Executive Vice-Chair of the Department of Psychiatry and Biobehavioral Sciences, UCLA School of Medicine, Los Angeles, California, USA);
4. Common Problems in Conducting Supportive Psychotherapy: Helping the Clinician Survive (Jimmie C. J. HOLLAND, Wayne E. Chapman Chair, Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York, USA);
5. Psychosocial research. Part I & II Aims and methods / Writing of applications and scientific publications (Christoffer JOHANSEN, Head of the Department of Psychosocial Cancer Research, Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark);
6. Treating Traumatic Stress in Cancer Patients (David SPIEGEL, Professor of Psychiatry and Associate Chair of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA);
7. Cultural Issues in Psycho-Oncology (Antonella SURBONE, Associate Professor of Ethics and Internal Medicne, New York University, USA);
8. Spirituality and Meaning-Centered Group Psychotherapy Interventions in Advanced Cancer (William BREITBART, Chief of Psychiatry Services, Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York, USA);
9. Organizing and Growing a Psychosocial Oncology Service (Barry BULTZ, , Director of the Department of Psychosocial Resources, Tom Baker Cancer Center, and Chief of the Division of Psychosocial Oncology, University of Calgary, Calgary, Alberta, Canada - Matthew J. LOSCALZO, Director of Patient and Family Support Services, Rebecca and John Moores Cancer Center, University of California San Diego, La Jolla, CA, USA);
10. Family focused Grief Therapy during Palliative Care and Bereavement (David KISSANE, Professor of Psychiatry, Alfred P. Sloan Chair & Chairman of the Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York, USA);
11. The Five Therapeutic Tools of Art Therapy in Psycho-Oncology (Paola LUZZATTO, ATR-BC, Faculty Member, Art Therapy Italiana, Milano-Bologna, Italy);
12. Sexual Issues in Oncology: Between Eros and Thanatos (Michele TOMAMICHEL, Director of the Socio-Psychiatric Organization, Lugano, Switzerland);
13. Therapy in Action: Sharing Ideas and Skills in Use of Cognitive Behaviour Therapy (Maggie WATSON, Head of Psychological Medicine, Royal Marsden Hospital, Sutton, Surrey, UK
ABSTRACT BOOK 8th WORLD CONGRESS OF PSYCHO-ONCOLOGY - 16th-21st October 2006 Ferrara-Venice. Italy
No full textThe book consists of 1085 abstracts of the papers presented in plenary sessions, round tables, intersociety symposia, special symposia, updated courses, podium presentations and posters at the 8th World Congress of Psycho-Oncology, organized by the Section of Psychiatry, University of Ferrara on behalf of the International Psycho-Oncology Society in Ferrara and Venice October 16-21, 2006. In the abstracts several topics discussed at the congress (e.g. psychopathology and psychiatric disorders, psychopharmacology, psychotherapy, psychoneuroendocrinology and immunology, stress and burnout, grief and bereavement, quality of life, sexuality, genetics, palliative care, training in psycho-oncology) are presented according to the standard of international scientific literature (Introduction, methods, Results, Discussion) and are published in an ISI Ciattion Index journal, Psycho-Oncology, IF 2006 2.77). The congress was one of the biggest events of the story of the International Psycho-Oncology society, funded in 1985 in new York, with delegates from 58 countries participating and bringing their research
Psychiatric and psychosocial implications in cancer care: the agenda of psycho-oncology
No full textBecause of the increasing global cancer burden and the WHO epidemiological estimation in terms of number of new cases, deaths and long-survivors worldwide, an interdisciplinary approach, including psychiatric and psychoncology care is mandatory in oncology. About 50% of cancer patients have in fact been shown to have psychiatric disorders, including clinically significant emotional distress and/or unrecognised or untreated psychosocial conditions as a consequence of cancer at some point during the cancer trajectory. These problems are associated with the patient's reduction of quality of life, impairment in social relationships, longer rehabilitation time, poor adherence to treatment and abnormal illness behaviour. Because of these reasons, the internationally recognised IPOS Standards of Quality Cancer Care underline that psychosocial cancer care should be recognised as a universal human right; that quality cancer care must integrate the psychosocial domain into routine care and that distress should be measured as the sixth vital sign after temperature, blood pressure, pulse, respiratory rate and pain. In spite of social inequalities still existing between countries in the organisation and implementation of psychosocial oncology, recommendations and guidelines are available regarding screening, assessment and intervention to psychiatric and psychosocial disorders across the trajectory of cancer. The clinical and political agenda of psychoncology as a mandatory component of a whole comprehensive person-centred approach to cancer should therefore be acknowledged in psychiatry
NEUROPATHOLOGICAL DISEASES, Volume 1, Issue 2, 2012: Intervention in Psycho-Oncology: From Treating Cancer Patients and Their Families to Training Cancer Professionals in Psychosocial Aspects of Care
No full textThis is the second issue of the journal Neuropathological Diseases (Begell House, Redding, CT, USA), Volume 1, Issue 2, 2012, Editor-in-chief: Tullio Giraldi, Guest Editor: Luigi Grassi, dedicated to psychosocial oncology. It contains a preface and four review papers, as follows:
1. Grassi L., Giraldi T.: Preface: Intervention in Psycho-Oncology: From Treating Cancer Patients and Their Families to Training Cancer Professionals in Psychosocial Aspects of Care. Neuropath Dis, 2012; 1 (2): 125-129, DOI: 10.1615/NeuropatholDiseases.v1.i2.20; 2. Caruso A., Bigazzi V., Tramontana A., Bonaventura S: Burnout and Psychological Training for Clinical Staff in Oncology. Neuropath Dis, 2012; 1(2): 131-144, DOI: 10.1615/NeuropatholDiseases.v1.i2.30; 3. Costantini A., Navarra C., Brunetti S., Caruso R.: Psychotherapeutic Interventions in Psycho-Oncology. Neuropath Dis, 2012; 1(2)_ 145-160, DOI: 10.1615/NeuropatholDiseases.v1.i2.40; 4. Grassi L., Travado L.: Developing a Psycho-Oncology Program in Cancer Settings. Experiences from Southern Europe: the models of Ferrara and Lisbon. Neuropath Dis, 2012; 1(2): 161-178, DOI: 10.1615/NeuropatholDiseases.v1.i2.50; 5. Torta R.G.V., Miniotti M., Leombruni P.: Antidepressants in Oncology: Reason and Choice. Neuropath Dis, 2012; 1(2): 179-202 , DOI: 10.1615/NeuropatholDiseases.v1.i2.6
Psychopathology and psychiatric disorders among breast cancer patients
No full textBreast cancer is one of the most common cancers among women. Psychosocial implications of breast cancer involve sexuality, feminine and parental role, couple end interpersonal relationships. Studies investigating emotional response to breast cancer have shown that several variables intervene in influencing the patients’ coping styles and the risk of psychopathology: biological (e.g. type of intervention, reconstructive surgery, hormone-therapy), individual (e.g. personal history, life cycle, previous experiences, personality) and interpersonal variables (e.g. support from family members, stressful life events). Among the most frequent psychiatric disorders, depressive and anxiety disorders represent the most important. Specific intervention both for prevention and treatment (e.g. individual and group psychotherapy, psychopharmacotherapy) are a significant instrument to be applied in clinical care of breast cancer patients
Psiche e Soma contro il cancro: la sfida di SIPO per il prossimo futuro
No full textViene riportata l'esperienza della Società Italiana di Psico-Oncologia (SIPO) rispetto alle tematiche psichiche e alla realzione con le patolgie neoplastiche, puntualizzando le sfide future della psico-oncologia: la professione dello psico-oncologo, la formazione degli operatori, lo sviluppo di linee-guida per i trattamenti psico-oncolgici e la verifica di efficacia
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