Psychiatric rehabilitation patterns in Italy: Results from the Italian Society of Psychosocial Rehabilitation (SIRP) survey

IntroductionPsychiatric rehabilitation can be considered a bidirectional technique, designed to allow patients to achieve their personal target, focusing on the individuals' strengths and challenges related to these targets and also on the community organizations in which they will live them out. Unfortunately, psychiatric rehabilitation is too often not considered a first line treatment. Moreover, rehabilitation has been confused with a generic and rough practice, consisting of extemporary actions and aimless entertainments designed to fill "the time passing". MethodsThe aim of this study was to increase the knowledge and awareness about the state of the art of different systems of management and funding of psychosocial rehabilitation in the Italian "real-world" rehabilitative settings, using a specifically developed questionnaire. ResultsThe data obtained are positive for some aspects of the rehabilitation interventions, in particular for the use of validated tools for the evaluation and revision of projects and for the trend to work on a team, even though the scarcity of evidence-based rehabilitation interventions applied in Italian psychiatric services is less encouraging. ConclusionThis survey presents, at least partially, the "real-world" of rehabilitation in Italy so that we can lay the foundations for the definition of an updated, validated and shared network of what is implemented in the context of psychiatric rehabilitation

p63 regulates Satb1 to control tissue-specific chromatin remodeling during development of the epidermis

Genome organizer Satb1 is regulated by p63 and contributes to epidermal morphogenesis by remodeling chromatin structure and gene expression at the epidermal differentiation complex locus

Differential physiological changes following internet exposure in higher and lower problematic internet users

Problematic internet use (PIU) has been suggested as in need of further research with a view to being included as a disorder in future Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association, but lack of knowledge about the impact of internet cessation on physiological function remains a major gap in knowledge and a barrier to PIU classification. One hundred and forty-four participants were assessed for physiological (blood pressure and heart rate) and psychological (mood and state anxiety) function before and after an internet session. Individuals also completed a psychometric examination relating to their usage of the internet, as well as their levels of depression and trait anxiety. Individuals who identified themselves as having PIU displayed increases in heart rate and systolic blood pressure, as well as reduced mood and increased state of anxiety, following cessation of internet session. There were no such changes in individuals with no self-reported PIU. These changes were independent of levels of depression and trait anxiety. These changes after cessation of internet use are similar to those seen in individuals who have ceased using sedative or opiate drugs, and suggest PIU deserves further investigation and serious consideration as a disorder

Visual Social Media Use Moderates the Relationship between Initial Problematic Internet Use and Later Narcissism

Background: Little is known about the temporal directionality of relationships between problematic internet use and personality disorders such as narcissism. Objective: Although these two constructs are related at a single time, no existent study has determined whether initial problematic internet use is more strongly associated with subsequent narcissism, or vice versa. So, the aim of the research is to verify if problematic internet use predicts the narcissism or vice versa. Methods: Seventy-four university student participants were studied over a four-month period, and completed the Narcissism Personality Inventory, and Problematic Internet Use Questionnaire, at baseline and follow-up. Results: The results demonstrated a relationship between problematic internet use and narcissism at baseline. Time-lagged correlations demonstrated that problematic internet use at baseline was positively related to narcissism four-months later, but not vice versa for social media users whose use was primarily visual. This relationship did not hold for social media users whose use was primarily verbal. Conclusion: These results suggest that problematic internet use may serve to discharge narcissistic personality traits for those who use social media in a visual way, but not for those who do not engage in that form of internet use

How future surgery will benefit from SARS-COV-2-related measures: a SPIGC survey conveying the perspective of Italian surgeons

COVID-19 negatively affected surgical activity, but the potential benefits resulting from adopted measures remain unclear. The aim of this study was to evaluate the change in surgical activity and potential benefit from COVID-19 measures in perspective of Italian surgeons on behalf of SPIGC. A nationwide online survey on surgical practice before, during, and after COVID-19 pandemic was conducted in March-April 2022 (NCT:05323851). Effects of COVID-19 hospital-related measures on surgical patients' management and personal professional development across surgical specialties were explored. Data on demographics, pre-operative/peri-operative/post-operative management, and professional development were collected. Outcomes were matched with the corresponding volume. Four hundred and seventy-three respondents were included in final analysis across 14 surgical specialties. Since SARS-CoV-2 pandemic, application of telematic consultations (4.1% vs. 21.6%; p < 0.0001) and diagnostic evaluations (16.4% vs. 42.2%; p < 0.0001) increased. Elective surgical activities significantly reduced and surgeons opted more frequently for conservative management with a possible indication for elective (26.3% vs. 35.7%; p < 0.0001) or urgent (20.4% vs. 38.5%; p < 0.0001) surgery. All new COVID-related measures are perceived to be maintained in the future. Surgeons' personal education online increased from 12.6% (pre-COVID) to 86.6% (post-COVID; p < 0.0001). Online educational activities are considered a beneficial effect from COVID pandemic (56.4%). COVID-19 had a great impact on surgical specialties, with significant reduction of operation volume. However, some forced changes turned out to be benefits. Isolation measures pushed the use of telemedicine and telemetric devices for outpatient practice and favored communication for educational purposes and surgeon-patient/family communication. From the Italian surgeons' perspective, COVID-related measures will continue to influence future surgical clinical practice

As small as they seem? : an experimental investigation of Italian bare participial sentences

We present the results of an experimental study designed to investigate the acceptability of bare participial structures in spoken Italian. These sentences, despite being extremely reduced, have full illocutionary force. For the study, we proposed a technique to elicit grammaticality judgements suitable for structures that, although productive, are not used in the written form of the language. Our aim is to investigate the validity of the structural analysis of these sentences (Cecchetto & Donati 2022) according to which they are generated as small as VPs and they are not elliptical structures, i.e., they are not the result of phonological deletions from full-fledged sentences. The findings globally confirm the predictions of that account, as only require the activation of projections beyond the VP-layer, are rated as fully acceptable. However, the corresponding negative structures and some reduced structures with active transitive predicates received intermediate judgments of acceptability, contrary to the predictions. In the paper, we try to account for these unexpected results and argue that phonological deletion is available as well but is subject to tight constraints; most notably, it is restricted to the top of the tree

As small as they seem?

We present the results of an experimental study designed to investigate the acceptability of bare participial structures in spoken Italian. These sentences, despite being extremely reduced, have full illocutionary force. For the study, we proposed a technique to elicit grammaticality judgements suitable for structures that, although productive, are not used in the written form of the language. Our aim is to investigate the validity of the structural analysis of these sentences (Cecchetto & Donati 2022) according to which they are generated as small as VPs and they are not elliptical structures, i.e., they are not the result of phonological deletions from full-fledged sentences. The findings globally confirm the predictions of that account, as only require the activation of projections beyond the VP-layer, are rated as fully acceptable. However, the corresponding negative structures and some reduced structures with active transitive predicates received intermediate judgments of acceptability, contrary to the predictions. In the paper, we try to account for these unexpected results and argue that phonological deletion is available as well but is subject to tight constraints; most notably, it is restricted to the top of the tree

Psychosocial Rehabilitation in Italy Today

The continuity of care in the usual context of subject’s life and the multiprofessional care is the approach to psychiatric care of severe mental disorders prototypically implemented in Italy after the Psychiatric Reform of 1978. In this framework, the practice of psychiatric rehabilitation has been gradually refining and consolidating its paradigms, offering procedures and interventions with selective and targeted objectives. In this position paper, promoted by the Italian Society for Psychosocial Rehabilitation, some relevant statements are presented about the definition of psychosocial rehabilitation, the facilities where it is done and the interventions and activities implemented, the professionals involved and their education and training, and issues of management and organization. Limits and perspectives of this area are also discussed