1,721,072 research outputs found

    La diede mamma-bambino nei disturbi alimentari in gravidanza: aspetti psichiatrici ed epidemiologici

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    Questo libro nasce con l'intento di ampliare le conoscenze riguardanti gli aspetti psicopatologici dell'anoressia nervosa nel particolare periodo della vita rappresentato dalla gravidanza. A tale scopo si sono resi necessari contributi clinici e scientifici di diverso orientamento, con l'obiettivo di comporre un percorso di ricerca finalizzato ad approfondire i significati legati a questo vissuto, evidenziando importanti tematiche derivanti dal rapporto madre-figlia, particolarmente significativo nell'ambito dei disturbi del comportamento alimentare. Le tre aree in cui si articola il testo - epidemiologia, psicologia e psicopatologia, ricerca clinica - sviluppano i contributi di ricercatori e clinici nel tentativo di creare e fornire competenze per affrontare percorsi di cura estremamente complicati, quali le psicoterapie delle varie forme anoressiche. Infatti, nonostante la gravidanza possa sembrare una scelta e un'esperienza rischiosa per queste pazienti, il periodo della gestazione costituisce una finestra di tempo importante per l'identificazione e il trattamento dell'anoressia nervosa. Il volume nasce per colmare una mancanza di letteratura riguardante la psicopatologia nel corso della gravidanza e intende rivolgersi agli operatori sanitari e sociali della salute mentale: medici, ostetriche, psicologi, educatori impegnati ad approfondire le proprie conoscenze sulla "relazione madre-figlia" e a promuovere il miglioramento dei sintomi delle pazienti, evitando la ricaduta nella malattia nel post-partum. Inoltre, considerata la trasversalità dei temi trattati, il libro assume rilevanza per lo staff medico e infermieristico delle unità di ginecologia e ostetricia al fine di una migliore comprensione dei disturbi del comportamento alimentare nelle donne gestanti

    La neuropsicologia dei disturbi psichiatrici

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    La neuropsicologia indaga i deficit comportamentali, cognitivi ed emotivo-motivazionali di pazienti affetti da lesioni o disfunzioni cerebrali, con finalità conoscitive, diagnostiche e riabilitative. Frutto del contributo di alcuni dei maggiori studiosi italiani in materia, il manuale, qui presentato in una nuova edizione riveduta, ampliata e aggiornata, con nuovi autori e contributi, descrive lo stato dell’arte della disciplina, illustrando con chiarezza le manifestazioni cliniche, la diagnosi e i correlati neuroanatomici di tali deficit, senza tralasciare l’ambito riabilitativo. Fornisce inoltre elementi di neurologia, di neuropsicologia delle sindromi psichiatriche e di neuropsicologia forense

    Addressing Weight Bias in the Cisgender Population: Differences between Sexual Orientations

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    (1) Background: Weight bias (WB) is an implicit psychological construct that can influence attitudes, beliefs, body experience, and evaluation of specific psychopathology relationships. Sexual orientation has played a crucial role in developing and maintaining psychiatric conditions linked to body evaluation, but few studies have evaluated possible connected biases. Thus, the paper aims to assess potential relationships between sexual orientation and WB, looking at potential roles in specific psychopathology; (2) Methods: A total of 836 cisgender subjects participated in an online survey, aged between 18 and 42 years old. Two specific aspects of WB were evaluated with validated scales about beliefs about obese people and fat phobia. Demographic variables, as well as depression and eating concerns were evaluated; (3) Results: Gay men and bisexual women showed higher levels of fat phobia, depression, and eating concerns. Regression analysis showed that sexual orientation significantly predicted fat phobia (p < 0.001) and beliefs about obese people (p = 0.014); (4) Conclusions: This study confirms the vulnerability of gay men and bisexual women to cognitive bias about their own bodies, showing a potential vulnerability about body and weight concerns

    Enhancing emotional abilities in anorexia nervosa treatment: A rolling-group cognitive remediation and emotional skills training protocol

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    Introduction: Anorexia nervosa (AN) is characterised by limited remission rates and emotional dimensions are often neglected. Cognitive remediation and emotional skills training (CREST) protocol aims to address cognitive and emotional factors. This study evaluates the feasibility and effectiveness of a modified rolling-group CREST protocol in an inpatient setting. Methods: Quasi-experimental design evaluated CREST protocol in a rehabilitation programme. A total of 116 females diagnosed with AN were included, of whom 63 were included in the CREST protocol and 53 in the standard rehabilitation treatment. Various standardized measures were employed to assess psychopathology. Data collection occurred longitudinally, before and after CREST implementation. Results: No significant differences emerged between groups regarding changes in specific eating psychopathology. CREST group exhibited significant improvements in emotion regulation (p = 0.002) and social skills (p = 0.014), besides a reduction in alexithymia (p < 0.001) and cognitive rigidity (p = 0.013). Empathic features remained stable. Participants reported positive perceptions of the CREST intervention. Discussion: The study highlights the potential benefits of integrating emotional training within multidisciplinary intensive treatment for AN. Results emphasise the importance of treatment protocol with more affective and hot-cognition-related interventions, beyond weight-related psychopathology. Implementing a rolling-group CREST protocol in an inpatient setting showed promise in enhancing the emotional abilities of AN patients

    The Eating Disorder Quality of Life (EDQoL) Scale 72: Methods and Applications

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    Patients with an eating disorder present a severe reduction of their quality of life (QoL) during the acute phase, which could also impact their treatment outcome. Different studies have pointed out the role of QoL in both physical and psychological well-being, and slight differences have been pointed out between eating disorder diagnoses, showing a transdiagnostic impairment in this specific aspect of patients’ lives. Different domains have been included in the evaluation of the QoL: psychological, physical, cognitive, financial, work/school, and interpersonal. The relevance of the interpersonal domain is profoundly discussed in the chapter and how it has been included in the original version of the EDQoL questionnaire. Despite the role of this aspect in the patients’ lives, the literature’s evidence is limited, and possible future directions are discussed

    Visuospatial Abilities in Eating Disorders

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    A consistent body of research reports reduced ability in visuospatial processing in the eating disorder population. It has been hypothesized that this neurocognitive alteration may be a consequence of the eating disorder per se or an underlying trait-marker. Visuospatial difficulties, in particular weak central coherence (a bias towards detail-focusing thinking style), along with executive dysfunctions, have been proposed as endophenotypic traits for anorexia nervosa individuals. In particular, anorexia nervosa patients and their unaffected relatives show a specific detail-focused information processing bias along with a central coherence weakness, with limited ability to gain and integrate contextual information. In bulimia nervosa individuals’ visuospatial profile appears less compromised, and, if a dysfunction is present, it seems to characterize specifically bulimia nervosa individuals with a prior history of anorexia nervosa. Visuospatial abilities should be detected and addressed in specific treatment programs due to their potentially negative role in both treatment outcome and body image disturbance, which typically affect individuals on the whole eating disorders spectrum

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The 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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