The measure of effectiveness of a short-term 2-week intensive Cardiac Rehabilitation program in decreasing levels of anxiety and depression

Research on heart disease have found a strong and consistent evidence of association between some psychosocial risk factors, including depression, anxiety, self-efficacy, lack of social support and outcome of disease. Depression increases the risk of cardiac death and is highly predictive of reduced adherence to recommended treatments; anxiety appears to be linked to adverse cardiac outcomes. It was demonstrated that Cardiac Rehabilitation (CR) leads to substantial improvements and positive outcomes because combines the prescription of physical activity with the modification of risk factors and aims to reduce symptoms related to the disease and the risk of new cardiovascular events. The main objective of this study is to determine if a short and intense CR program can produce a positive impact on anxious and depressive symptoms revealed in cardiac patients, confirming results of previous researches. The protocol was proposed to all patients referred for an outpatient CR after an acute event who attended the short 2-week intensive rehabilitation program. A total of 157 patients recruited at the operating unit of Cardiology, in the Hospital of Cittadella (Italy), was included in the analysis. The Beck Depression Inventory-II and the State-Trait Anxiety Inventory-Y were administered to the patients. SPSS 17.0 was used for statistical analysis. T-tests for paired samples were used to evaluate differences between the beginning and the end of the CR program. There was a statistically significant difference between the beginning and the end of the CR program. Results for paired samples showed significant differences in all factors of the BDI-II and in the total score. In addition, a statistically significant difference was found even in the state - anxiety subscale. No significant difference was detected for the trait anxiety. According to recent studies, this research shows that the CR program has a significant impact on levels of anxiety and depression, because all activities focus their commitment on changing the patient’s personal beliefs and perception of illness, promoting the exchange of information and sharing of concerns and fears, increasing the patient’s resilience with the aim of enabling him/her to reorganize positively his/her personal, family and professional sphere

The perception of the illness and the self-efficacy in the management of emotions in cardiac patients

Cardiac rehabilitation is the sum of psychological, physical and social treatments that are offered to cardiac patients to maintain or regain an active position in society. This study wants to evaluate changes in the perception of the illness and in the self-efficacy of the management of positive and negative emotions in patients who went through cardiac rehabilitation. Sixty-seven patients (20 females, 47 males) were selected within the cardiac rehabilitation unit in the Hospital of Cittadella (Italy). Illness Perception Questionnaire - revised version and the Scale for the self-efficacy of the management of positive and negative emotions were submitted at the beginning and at the end of the rehabilitation program. One-way analyses-of-variance were performed to evaluate different answers in questionnaires between pre- and post-evaluation, and to explore gender differences. A significant change was found in the perception of duration of illness, perceived as permanent and longer after the cardiac rehabilitation program. Furthermore, at the end of the cardiac rehabilitation program men perceived the illness more chronic than women, even if they are less worried and anxious. Intensive cardiac rehabilitation has a great emotional impact on cardiac patients, influencing their perception and management of the illness. Working on emotions, through psychological groups, helps patients change their beliefs by offering them a different perspective to approach the illness

Analysis of the Process in Brief Psychotherapy Group: The Role of Therapeutic Factors

In all group therapeutic processes, there are interacting and interdependent mechanisms and changing conditions: the therapeutic factors (Corsini & Rosenberg, 1955; Yalom, 1995). These factors are intrinsic to the therapeutic process and unrelated to the type of group (Rorhbaugh & Bartels, 1975). The present study examines the factor structure of the questionnaire Factors Aspecific and Specific in the Group Therapy (FAT.A.S.-G.; Marogna, 2009), designed to investigate specific and non-specific therapeutic factors. The questionnaire was administered to 167 patients involved in a short-term psychotherapy group. The factor analysis identified two main dimensions: interdependence and the group as Object-Self. The Cronbach Alpha coefficients range from .88 to .93, showing high internal consistency between items

Analysis of the Process in Brief Psychotherapy Group: The Role of Therapeutic Factors

In all group therapeutic processes, there are interacting and interdependent mechanisms and changing conditions: the therapeutic factors (Corsini & Rosenberg, 1955; Yalom, 1995). These factors are intrinsic to the therapeutic process and unrelated to the type of group (Rorhbaugh & Bartels, 1975). The present study examines the factor structure of the questionnaire Factors Aspecific and Specific in the Group Therapy (FAT.A.S.-G.; Marogna, 2009), designed to investigate specific and non-specific therapeutic factors. The questionnaire was administered to 167 patients involved in a short-term psychotherapy group. The factor analysis identified two main dimensions: interdependence and the group as Object-Self. The Cronbach Alpha coefficients range from .88 to .93, showing high internal consistency between items

Filoni di ricerca in psicoterapia nella Facoltdi Psicologia dellUniversitdi Padova

Il moltiplicarsi di proposte di intervento psicologico e la crescente richiesta da parte degli utenti e delle istituzioni di cura di misurare efficacy ed effectiveness delle psicoterapie, rende necessaria una valutazione empirica dei modelli di intervento applicati, attraverso lo studio di ciò che avviene in psicoterapia e dei relativi meccanismi di cambiamento e azione. Scopo del presente lavoro è introdurre il lettore ai diversi disegni di ricerca per la valutazione empirica della psicoterapia nel complesso contesto di alcuni servizi Universitari dell’Ateneo Patavino. L'interesse sarà posto sui diversi progetti e strumenti per la valutazione dell’esito, dei macro e dei micro processi di cambiamento di terapie ad indirizzo psicodinamico, caso singolo e di gruppo, anche in relazione alle neuroscienze

Between Myth and Cure: Group Experience in Narrative Medicine with Neurological Patients

This research considers the observation of certain parameters within groups formed by patients affected by multiple sclerosis. A music/art therapist and a psychologist/psychotherapist at a neuro-rehabilitation structure in Venice led the groups. Our goal is to assess how the perception of the history of disease can change in patients by using myth and expressive-narrative workshops as a means of trans-formation. The following instruments were administered at the beginning, during, and at the end of the treatment: SCL–90–R, TAS–20, FAT.A.S.–G, and CGQ. Re-sults show a change in patients? perceptions of themselves, both with respect to their disease and to other people. Therefore, myths and their narration appear to be a possible resource that can promote mental transformation processes in an institu-tional neuro-rehabilitative context

La coesione nel gruppo di terapia.

L'attenzione della ricerca, in ambito gruppale, \ue8 attualmente rivolta verso alcune dimensioni fondamentali quali: coesione, alleanza e clima di gruppo. Il presente lavoro nasce con l'obiettivo di individuare misure di valutazione del processo e dell'autcome nell'ambito della terapia di gruppo, tramite l'applicazione dell'IVAT 2.0 (A. Colli e V. Lingiardi, 2006) e della Griglia di Rappresentazione della Matrice (Ahlin, 1988)