1,721,029 research outputs found
Future psychiatric services in Italy: Lesson from the COVID-19 pandemic
No full textDuring the COVID-19 epidemic, home care and remote working showed important technological innovations, leading to review all public mental health policies. In this article, some considerations based on the Italian COVID-19 experience in order to plan post-COVID psychiatric interventions are reported. (www.actabiomedica.it)
Obsessive-compulsive disorder with psychotic features: psychopathological and personological aspects
No full textAim. The aims of this study are to analyze psychopathological relations between obsessive-compulsive and psychotic symptoms in a group of patients with obsessive-compulsive disorder (OCD), and to verify if the obsessive subgroup with psychotic features can be considered as a distinct OCD subtype. Methods. The study sample included 68 patients with OCD who were divided into two different groups (OCD with and without psychotic features). All subjects completed the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), the Scale for the Assessment of Positive Symptoms (SAPS), the Hamilton Depression Rating Scale (HDRS), and the Structured Interview for DSM-IV Personality Disorders (SIDP-IV). Result. Twenty subjects (29.4%) were affected by OCD with psychotic features. They were characterized by an earlier onset of obsessive illness (p<0.05), a more frequently chronic course (p<0.01), an "atypical" obsessive-compulsive symptomatology (with poor insight and anxiety) (p<0.001), higher levels of depression (p<0.05), and a higher prevalence of schizotypal personality disorder (p<0.01). Discussion. Patients affected by OCD with psychotic symptoms appear to be a distinct subtype of obsessive-compulsive disorder, characterized by a set of specific psychopathological and personological features. However, the finding that these subjects have a higher prevalence of schizotypal personality disorder seems to suggest that they can be considered as a peculiar clinical subset belonging to the schizophrenia-spectrum disorders rather than a group of obsessive individuals placed on the most serious clinical extreme of the OCD spectrum
Alexithymia in adults with brittle type 1 diabetes
No full textBackground: The term “brittle” is used to describe an uncommon subgroup of patients with type 1 diabetes whose lives are disrupted by severe glycaemic instability with repeated and prolonged hospitalization. Psychosocial problems and emotional disturbances are the major perceived underlying causes of brittle diabetes. Aim of this study is (a) to assess alexithymia in patients with brittle and non-brittle diabetes, and (2) to examine its relationship with specific parameters of general psychopathology. Methods: Participants comprised 44 patients with brittle diabetes and a case-control group of 88 individuals with stable (non-brittle) diabetes, matched for age, gender, years of education, and diabetes duration. Alexithymia and general psychopathology were assessed using the "20-item Toronto Alexithymia Scale” (TAS-20) and the “Symptom Checklist-90-Revised” (SCL-90-R). Results: Patients with brittle diabetes were more alexithymic than the control group. Alexithymia scores showed significant correlations with SCL-90-R anxiety and somatization subscales, but were relatively independent from gender, education, diabetes duration and complications, depression and glycaemic control. Conclusions: Given the impact of alexithymia on type 1 diabetes, the early detection and intervention of alexithymic subjects are very important for a better outcome of diabetes. (www.actabiomedica.it) © Mattioli 1885
Obsessive-compulsive disorder with psychotic features: Psychopathological and personological aspects|Disturbo ossessivo-compulsivo con fenomenica psicotica: Aspetti psicopatologici e di personalità
No full textAim: The aims of this study are to analyze psychopathological relations between obsessive-compulsive and psychotic symptoms in a group of patients with obsessive-compulsive disorder (OCD), and to verify if the obsessive subgroup with psychotic features can be considered as a distinct OCD subtype. Methods: The study sample included 68 patients with OCD who were divided into two different groups (OCD with and without psychotic features). All subjects completed the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), the Scale for the Assessment of Positive Symptoms (SAPS), the Hamilton Depression Rating Scale (HDRS), and the Structured Interview for DSM-IV Personality Disorders (SIDP-IV). Result: Twenty subjects (29.4%) were affected by OCD with psychotic features. They were characterized by an earlier onset of obsessive illness (p<0.05), a more frequently chronic course (p<0.01), an "atypical" obsessive-compulsive symptomatology (with poor insight and anxiety) (p<0.001), higher levels of depression (p<0.05), and a higher prevalence of schizotypal personality disorder (p<0.01). Discussion: Patients affected by OCD with psychotic symptoms appear to be a distinct subtype of obsessive-compulsive disorder, characterized by a set of specific psychopathological and personological features. However, the finding that these subjects have a higher prevalence of schizotypal personality disorder seems to suggest that they can be considered as a peculiar clinical subset belonging to the schizophrenia-spectrum disorders rather than a group of obsessive individuals placed on the most serious clinical extreme of the OCD spectrum
Public mental health outpatient service at the time of the COVID-19 pandemic: Did we have any other choice?
No full textNo abstract availabl
The times they are a-changin: Implementing new psychiatric rehabilitation models within a community care in the post covid-19 era
No full textIt is a correspondence. There is no abstract (no abstract available
Basic symptoms in obsessive-compulsive disorder
No full textObjectives Aims of this study are: (1) to analyze psychopathological relations between basic symptoms and obsessive-compulsive and psychotic features in a group of patients with obsessive-compulsive disorder (OCD); and (2) to discuss the nosological position of the obsessive subgroup with psychotic features: in particular, if they should be placed on the most serious clinical extreme of the OCD-spectrum or in the area of schizophrenia-spectrum disorders. Methods The patient cohort was composed of 68 patients with OCD, in two subgroups (OCD with and without psychotic features). All subjects completed the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Scale for the Assessment of Positive Symptoms (SAPS), Bonn Scale for the Assessment of Basic Symptoms (BSABS) and the Structured Interview for DSM-IV Personality Disorders (SIDP-IV). Comparisons of sociodemographic, psychopathological, and personological features between the two subgroups were examined using Student's t, Mann-Whitney's U and c2 tests. In the total obsessive group, statistical relations between basic symptoms and obsessive-compulsive and psychotic features were examined using Spearman's correlation test. Results Twenty subjects (29.4%) were affected by OCD with psychotic features. They were characterized by an earlier onset of obsessive illness (p < 0.05), more frequently chronic course (p < 0.01), specific pattern of basic symptoms (manifested by cognitive disturbances of ideation and perception) (p < 0.01) and a higher prevalence of schizotypal personality disorder (p < 0.01). The SAPS "delusion" subscale was correlated with the BSABS "cognitive disorders of thought and perception" subscale (p < 0.01). Conclusions Patients affected by OCD with psychotic symptoms appear to be characterized by higher levels of cognitive basic symptoms and a higher prevalence of schizotypal personality disorder. These findings have previously been shown to be associated with a higher risk of developing schizophrenia and could be considered as peculiar psychopathological conditions belonging to the schizophrenia- spectrum disorders rather than a group of obsessive patients placed on the most serious clinical extreme of OCD-spectrum
Brittle diabetes: Psychopathology and personality
No full textThe term “brittle” is used to describe an uncommon subgroup of patients with type I diabetes whose lives are disrupted by severe glycaemic instability with repeated and prolonged hospitalization. Psychosocial problems are the major perceived underlying causes of brittle diabetes. Aim of this study is a systematic psychopathological and personological assessment of patients with brittle diabetes in comparison with subjects without brittle diabetes, using specific parameters of general psychopathology and personality disorders following the multi-axial format of the current DSM-IV-TR (Diagnostic and Statistical manual of Mental Disorders – IV Edition – Text Revised) diagnostic criteria for mental disorders. Patients comprised 42 subjects with brittle diabetes and a case–control group of 42 subjects with stable diabetes, matched for age, gender, years of education, and diabetes duration. General psychopathology and the DSM-IV-TR personality disorders were assessed using the Symptom Checklist-90-Revised (SCL-90-R) and the Structured Clinical Interview for axis II personality Disorders (SCID-II). The comparison for SCL-90-R parameters revealed no differences in all primary symptom dimensions and in the three global distress indices between the two groups. However, patients with brittle diabetes showed higher percentages in borderline, histrionic, and narcissistic personality disorder. In this study, patients with brittle diabetes show no differences in terms of global severity of psychopathological distress and specific symptoms of axis I DSM-IV-TR psychiatric diagnoses in comparison with subjects without brittle diabetes. Differently, individuals with brittle diabetes are more frequently affected by specific DSM-IV-TR cluster B personality disorders
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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