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    Music Hospital: An acceptability study of music therapy activities in a psychiatric ward through listening and analysis of author tunes

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    : A study was conducted on the acceptability of a music therapy intervention in a group context, in a psychiatric ward where people with acute psychopathological conditions are hospitalized. The objectives of the intervention are both therapeutic (stress reduction) and informative-descriptive, on topics ranging from stress management, to the first signs of crisis and drugs. For this purpose, musical stimuli provided by the presentation, listening and analysis of author's pieces were used, through the diffusion of pleasant sounds at moderate rhythm and volume among patients and operators. Acceptability was assessed through a satisfaction questionnaire. The responses to the questionnaire were very positive, confirming the narrative observations of the operators who found favorable ways of interacting with the patients with whom they shared the activity in all its contents. Participation in the music therapy intervention in a group context led users to an improvement in their stress management skills and to a more positive adaptation to the condition of hospitalization

    Disturbo Affettivo Stagionale e Sindrome Premestruale

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    Objective. It has been accepted, since ancient times that seasonal environmental changes affect human behaviour and mood. Modern psychiatric research has proved the existence of pathological chronobiological factors. One of the main features in such disorders is the cyclical pattern, such as the well-known Seasonal Affective Disorder (SAD) first described by Rosenthal in the 80’s. Of the cyclical disorders, the Premenstrual Syndrome (PMS) shows clinical analogies compared with Seasonal Affective Disorder. Aim of the study is to: a. evaluate the prevalence either of the Seasonal Affective Disorder and of the Premenstrual Syndrome in a sample of women unaffected by psychiatric disturbances, and b. evaluate the statistical prevalence of the Premenstrual Syndrome in a sub-group of women with a diagnosis of Seasonal Affective Disorder and the probability of association between the two disturbances, if any. Methods. A sample of 511 women in reproductive age and living in Central Italy (latitude of 41°-44°N) were studied. The subjects filled in an Italian adapted version of the Seasonal Pattern Assessment Questionnaire (SPAQ). Added to the questionnaire was a section to investigate the mood and tendency in changing behaviour during the ovulatory cycle. To discriminate the subjects affected by SAD, Subsyndromal-SAD, Summer-SAD, PMS and healthy subjects, a SPAQ scores methodology was adopted, in accordance with “Kenes criteria”. The prevalence of SAD, Subsyndromal-SAD and PMS were calculated using the descriptive statistical tool. The statistical relation between SAD and PMS was analysed using the Prevalence Odds Ratio. Results. In the sample, the prevalence of SAD is 4.1%, Subsyndromal-SAD 13.9%, Summer-SAD 1.6% (Chart 2). The prevalence of PMS in the whole sample is 20.7% (Chart 2). The prevalence of PMS in the sub-sample of women affected by SAD is 42.9%, while in the sub-sample of women affected by Subsyndromal-SAD the prevalence is 32.4% (Chart 3). The Prevalence Odds Ratio for PMS and SAD is 3.03 (95% CI = 1.24-7.41); the Prevalence Odds Ratio for PMS and Subsyndromal-SAD/SAD is 2.48 (95% CI = 1.512-4.088). Conclusions. The prevalence of the Seasonal Affective Disorder emerging from the study results is comparable to that of similar studies performed in areas at Central Italy latitudes. Likewise, the results related to the prevalence of PMS are not unlike those from similar studies. Thus, the Premenstrual Syndrome and Seasonal Affective Disorder seem to be widespread in the female population of Central Italy. In addition, at a glance, it is reasonable to hypothesize that Seasonal Affective Disorder and Premenstrual Syndrome are disturbances with a high grade of overlapping as far as concerns epidemiology. Furthermore, the prevalence Odds Ratio value > 1 confirms the hypothesis of the vulnerability to the premenstrual mood and behavioural variations in women affected by Seasonal Affective Disorder

    A preliminary study on similarities and dissimilarities of Neurological Soft Signs in schizophrenic and obsessive-compulsive disorders suggests a common maldevelopmental model

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    Aim. Neurological Soft Signs (NSS) represent minor neurological signs related to non-specific cerebral alterations. They have been documented in many psychiatric disorders including schizophrenia (SCZ) and obsessive-compulsive disorder (OCD). Aim of this study was to determine and compare the incidence and severity of NSS in patients with SCZ, in patients with OCD, and healthy control subjects (HCs). Methods. Using the Neurological Evaluation Scale (NES), this study investigated NSS in 15 SCZ patients, 14 OCD patients, and 15 HCs. PANSS and Y-BOCS were used to evaluate clinical picture in both groups. Results. Patients with SCZ showed significantly higher scores compared to HCs in the NES total and each of the three NES subscales (Integrative Sensory Function, Motor Coordination, and Sequencing of Complex Motor Acts). Patients with OCD also showed significantly higher scores compared to HCs in the NES total, Motor Coordination and Sequencing of Complex Motor Acts, but not in Integrative Sensory Function. No significant differences emerged in the NES total and the various subscales scores between the two patients’ groups. Conclusions. Our results seem to confirm the presence of NSS in both SCZ and OCD. The different types of NSS presented by the two patients’ groups versus HCs further supports the findings of widespread cerebral alterations in SCZ, on the other hand, with a preferential involvement of prefrontal and frontal cortex in OCD
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