5 results on '"Montemagni, C."'
Search Results
2. Outcome and length of stay in psychiatric hospitalization, the experience of the University Clinic of Turin
- Author
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Rocca, Paola, primary, Mingrone, C., additional, Mongini, T., additional, Montemagni, C., additional, Pulvirenti, L., additional, Rocca, G., additional, and Bogetto, F., additional
- Published
- 2009
- Full Text
- View/download PDF
3. Clinical outcome and length of stay in an Italian Psychiatric Emergency Service.
- Author
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Frieri T, Montemagni C, Rocca G, Rocca P, and Villari V
- Subjects
- Adolescent, Adult, Aged, Analysis of Variance, Brief Psychiatric Rating Scale, Diagnostic and Statistical Manual of Mental Disorders, Female, Humans, Italy epidemiology, Length of Stay trends, Male, Mental Disorders epidemiology, Mental Disorders therapy, Middle Aged, Severity of Illness Index, Socioeconomic Factors, Treatment Outcome, Young Adult, Emergency Services, Psychiatric statistics & numerical data, Hospitalization statistics & numerical data, Length of Stay statistics & numerical data, Mental Disorders diagnosis
- Abstract
Purpose: The aims of the present study were to analyze outcome and to evaluate diagnosis-specific pattern of improvement during a brief hospitalization in a Psychiatric Emergency Service (PES) in a catchment area in Turin, Italy., Methods: A sample of 848 acute patients, consecutively hospitalized between January 2007 and December 2008 in the PES of the San Giovanni Battista Hospital, with diagnoses of non-affective psychosis-affective psychosis, depressive disorder and mania-and personality disorder (DSM-IV-TR) was recruited. All patients were assessed with the Brief Psychiatric Rating Scale (BPRS). One-way analysis of variance was used to measure patients' individual reliable and clinically significant change speed between BPRS assessments, in which change speed was referred to the division of the gap between admission and discharge scores over the number of days of length of stay (LOS)., Results: The overall sample showed a significant improvement of BPRS total score and each domain during a brief hospitalization (mean LOS 10.5 days), with a different pattern between the diagnostic groups. A significant difference in change speed of BPRS resulted in the whole sample and in each diagnostic groups; patients with mania showed a significantly faster improvement., Conclusions: A brief hospitalization in our service was shown to be highly effective. A different and diagnosis-specific patients' individual reliable and clinically significant change speed was observed, with a significantly faster improvement in patients with mania.
- Published
- 2013
- Full Text
- View/download PDF
4. Cognitive function and competitive employment in schizophrenia: relative contribution of insight and psychopathology.
- Author
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Giugiario M, Crivelli B, Mingrone C, Montemagni C, Scalese M, Sigaudo M, Rocca G, and Rocca P
- Subjects
- Adult, Educational Status, Employment, Supported statistics & numerical data, Female, Health Knowledge, Attitudes, Practice, Humans, Logistic Models, Male, Mental Disorders therapy, Middle Aged, Neuropsychological Tests, Outpatients psychology, Outpatients statistics & numerical data, Psychiatric Status Rating Scales, Psychometrics, Psychopathology, Reproducibility of Results, Schizophrenia epidemiology, Schizophrenia physiopathology, Schizophrenic Psychology, Unemployment statistics & numerical data, Verbal Learning, Employment, Supported psychology, Mental Disorders psychology, Rehabilitation, Vocational, Schizophrenia rehabilitation, Unemployment psychology
- Abstract
Purpose: This study investigated the relationships among insight, psychopathology, cognitive function, and competitive employment in order to determine whether insight and/or psychopathology carried the influence of cognitive function to competitive employment., Methods: We recruited 253 outpatients with stable schizophrenia and we further divided our sample into two groups of patients (unemployed and competitive employment subjects). Clinical and neuropsychological assessments were performed. All clinical variables significantly different between the two groups of subjects were subsequently analyzed using a binary logistic regression to assess their independent contribution to competitive employment in the two patients' groups. On the basis of the regression results two mediation analyses were performed., Results: Verbal memory, general psychopathology, and awareness of mental illness were significantly associated with competitive employment in our sample. Both awareness of mental illness and general psychopathology had a role in mediating the verbal memory-competitive employment relationship., Conclusions: Taken together, these findings confirmed the importance of cognitive function in obtaining competitive employment. Our results also highlighted the independent role of general psychopathology and awareness of illness on occupational functioning in schizophrenia. Thus, a greater attention must be given to the systematic investigation of insight and general psychopathology in light of an amelioration of vocational functioning in stable schizophrenia.
- Published
- 2012
- Full Text
- View/download PDF
5. Outcome and length of stay in psychiatric hospitalization, the experience of the University Clinic of Turin.
- Author
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Rocca P, Mingrone C, Mongini T, Montemagni C, Pulvirenti L, Rocca G, and Bogetto F
- Subjects
- Adult, Bipolar Disorder, Brief Psychiatric Rating Scale, Depressive Disorder, Diagnostic and Statistical Manual of Mental Disorders, Female, Humans, Italy epidemiology, Male, Mental Disorders diagnosis, Mental Disorders epidemiology, Psychiatric Status Rating Scales, Severity of Illness Index, Treatment Outcome, Hospitalization, Hospitals, Psychiatric statistics & numerical data, Length of Stay statistics & numerical data, Mental Disorders therapy
- Abstract
Background: Given the current tendency to shorten psychiatric hospitalization and change its organization, an issue could be raised regarding its outcomes., Purpose: To analyze features related to length of stay in a short-term inpatient treatment, to study outcomes and to evaluate the diagnosis-specific effects of hospitalization., Method: A sample of 310 consecutive hospitalized patients, with psychotic disorder, depressive disorder and bipolar disorder (DSM IV-TR), was recruited at the University Psychiatric Clinic, Service for Cognitive Disorders, Department of Neuroscience, University of Turin. Severity of illness was rated using the brief psychiatry rating scale (BPRS). We evaluated relations between length of stay and clinical and socio-demographic features (linear regression) and possible differences confronting BPRS scores at admission and discharge in the different diagnostic subgroups (ANOVA for repeated measures)., Results: All the sample of patients showed a significant improvement in symptomatology during hospitalization. Worse symptomatology in anxiety-depression domain of BPRS at admission in the whole sample was positively correlated with length of stay. A longer length of stay was also shown in patients with diagnosis of depressive disorder. Finally, a different pattern of improvement of BPRS (total score and domains) was shown between the different diagnostic groups., Conclusion: Brief hospitalization in our service was shown to be highly effective. Different diagnostic groups had different response to hospitalization, showing faster improvement in characteristic symptomatology, but the anxiety-depression domain showed the highest percentage of change for all the diagnostic groups. We therefore suppose that hospitalization has two effects: a specific (due to tailored therapies) and a non-specific one (due to non-specific therapy and to a placebo-like effect).
- Published
- 2010
- Full Text
- View/download PDF
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