46 research outputs found
THE PERSISTING SADNESS, AN INCLINATION TO BECOME EMOTIONAL: THE CASE OF INSPECTOR RICCIARDI GIFTED WITH THE CAPACITY TO FEEL PAIN
Through the analysis of “Luigi Alfredo Ricciardi” the main character of detective series by Maurizio De Giovanni, the structuring
of a normal melancholic constitution, which we term the depression-prone style of personality, is reconstructed
THE PERSISTING SADNESS, AN INCLINATION TO BECOME EMOTIONAL: THE CASE OF INSPECTOR RICCIARDI GIFTED WITH THE CAPACITY TO FEEL PAIN
Through the analysis of “Luigi Alfredo Ricciardi” the main character of detective series by Maurizio De Giovanni, the structuring
of a normal melancholic constitution, which we term the depression-prone style of personality, is reconstructed
LATE LIFE DEPRESSION AND LATE ONSET DEPRESSION: ARE THE SAME CLINICAL AND PATHOPSYSIOLOGICAL PICTURE?
Phenomenological differences between older patients with late- and early-onset depression may reflect differences in aetiology
and neuropathological processes involved in these two types of depression. Early- onset depression has been mainly correlated to a
family history of depression while late-onset depression has been principally correlated to vascular dysfunction. The same cortical
and sub-cortical areas are involved in both types of depression. However, lesions in these brain areas and cognitive impairment are
most pronounced in late-onset depression. Based on these observations we propose a common neuroanatomical substrate but
different pathophysiological processes implicated in these two types of depression
GOTAN PROJECT: TANGO, A DANCE TO EXPERIENCE ONESELF
The tango brings out the true essence of the individuals, it removes every mask and stops the lies you tells yourself, forcingthe
contact with yourself even before with the others. This is the essence on which we relied to propose a course of psychotherapy with
basic elements of tango, as a peculiar mode of experiencing oneself. In this paper we analyze how Tango could become an
interesting instrument for the cure and the prevention of psychological and physical problems
PW08-03 The use of drugs for mood disorders in Italy: Preliminary results
Background:Some community surveys in Italy have shown that a proportion of subjects without lifetime psychiatric diagnosis (anxiety/depression) used antidepressants. The prescription of AD in bipolar depression appears to be another largely underestimated problem in the clinical practice and is difficult to recognise by means of traditional epidemiological methods (lay interview and structured diagnostic tools).Objectives:The purpose is to use defined and validated international semi-structured interview as diagnostic instrument administered by expert clinicians to evaluate appropriateness and amount of over and under prescription of psychotropic drugs in different Italian community areas. The focus is on general antidepressant use and use in subjects with bipolar disorder and in subsyndromal depression.Methods:Study design: Community survey. Study population: sample randomly drawn, after stratification by sex and age, from the adult population of Municipal records in 6 Italian Regions: about 4000 persons will be interviewed. Tools: Questionnaire on psychotropic drugs consumption, prescription, health services utilisation;diagnostic Structured Clinical Interview np version;Mood Disorders Questionnaire; Short Form Health Survey. Ethical aspects: a signed informed consent for each candidate. The study was approved by the ethical committee of theItalain National Health Institute.Expected results:The study aims to identify the frequency of over and under prescription of psychotropic drugs in different Italian regions and the determinants of prescription related to physicians, patients, comorbidity and symptoms and to establish the basis for a cohort prospective study to assess the future changes
Successful Pre- and Posttransplant Sofosbuvir-Based Anti-Hepatitis C Virus Treatment in Persons Living With Human Immunodeficiency Virus Infection
This retrospective study reports the data of sofosbuvir-based anti-hepatitis C virus treatment in 24 candidates and 24 recipients of liver transplantation coinfected with human immunodeficiency virus. Sustained virologic response was cumulatively 85% (90% and 100% in those treated with optimal schedules pre- and posttransplant, respectively).This retrospective study reports the data of sofosbuvir-based anti-hepatitis C virus treatment in 24 candidates and 24 recipients of liver transplantation coinfected with human immunodeficiency virus. Sustained virologic response was cumulatively 85% (90% and 100% in those treated with optimal schedules pre- and posttransplant, respectively)
The Use of Antidepressant Drugs and the Lifetime Prevalence of Major Depressive Disorders in Italy
BACKGROUND:
The increased use of antidepressant drugs (ADs) improved the response to the needs of care although some community surveys have shown that subjects without lifetime psychiatric diagnosis (anxiety/depression) used ADs.
OBJECTIVES:
To evaluate the appropriateness and amount of prescription of psychotropic drugs in people with lifetime diagnosis of Major Depressive Disorder (MDD) by means of community survey with a semi-structured interview as a diagnostic instrument, administered by clinicians.
METHODS:
STUDY DESIGN:
community survey.
STUDY POPULATION:
samples randomly drawn, after stratification from the adult population of municipal records. Sample size: 4.999 people were drawn in 7 centres of 6 Italian regions. TOOLS: questionnaire on psychotropic drug consumption, prescription, health services utilization; Structured Clinical Interview for DSM-IV modified (ANTAS); Training: interviewers were trained psychologists or medical doctors.
RESULTS:
3.398 subjects were interviewed (68% of the recruited sample). The lifetime prevalence of DSM-IV MDD was 4.3% in males and 11.5% in females; antidepressant drugs were taken by 4.7% of subjects, 2.9% male and 5.9% female. 38% of males and 57% of females with lifetime diagnosis of MDD were taking ADs.
CONCLUSIONS:
Compared with studies using lay interviewers and structured tools the prevalence of the MDD was quite lower; ADs use was higher and tallied well with the data regarding antidepressant sales in Italy; the correspondence between lifetime diagnosis of MDD and ADs use was closer
First-episode psychosis and migration in Italy (PEP-Ita migration): a study in the Italian mental health services
BACKGROUND: It has been frequently reported a higher incidence of psychotic disorders in immigrants than in native populations. There is, however, a lack of knowledge about risk factors which may explain this phenomenon. A better understanding of the causes of psychosis among first-generation migrants is highly needed, particularly in Italy, a country with a recent massive migration. METHODS/DESIGN: The "Italian study on first-episode psychosis and migration (PEP-Ita)" is a prospective observational study over a two-year period (1 January 2012-31 December 2013) which will be carried out in 11 Italian mental health centres. All participating centres will collect data about all new cases of migrants with first-episode psychosis. The general purpose ("core") of the PEP-Ita study is to explore the socio-demographic and clinical characteristics, and the pathways to care of a population of first-episode psychosis migrants in Italy. Secondary aims of the study will be: 1) to understand risk and protective factors for the development of psychotic disorders in migrants; 2) to evaluate the correlations between psychopathology of psychotic disorders in migrants and socio-demographic characteristics, migration history, life experiences; 3) to evaluate the clinical and social outcomes of first-episode psychoses in migrants. DISCUSSION: The results of the PEP-Ita study will allow a better understanding of risk factors for psychosis in first-generation migrants in Italy. Moreover, our results will contribute to the development of prevention programmes for psychosis and to the improvement of early intervention treatments for the migrant population in Italy