78 results on '"Del Piccolo, Lidia"'
Search Results
2. Clinical phenotypes and quality of life to define post-COVID-19 syndrome: a cluster analysis of the multinational, prospective ORCHESTRA cohort
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Pinho Guedes, Mariana Nunes, Maccarrone, Gaia, Pezzani, Maria Diletta, Sibani, Marcella, Davies, Ruth Joanna, Vitali, Stefania, Franchina, Giorgia, Tomassini, Giorgia, Sciammarella, Concetta, Cecchetto, Riccardo, Gibellini, Davide, De Toffoli, Chiara Konishi, Rosini, Giulia, Perlini, Chiara, Meroi, Marco, Cioli Puviani, Filippo, Fasan, Daniele, Micheletto, Claudio, Montemezzi, Stefania, Cardobi, Nicolò, Vantini, Gianluca, Mazzali, Gloria, Stabile, Giovanni, Marcanti, Maddalena, Zonta, Marco Pattaro, Calì, Deborah, Mason, Anna, Perlini, Cinzia, Gisondi, Paolo, Mongardi, Maria, Sorbello, Simona, Wold, Karin I., Vincenti-González, María F., Veloo, Alida C.M., Harmsma, Valerie P.R., Pantano, Daniele, van der Meer, Margriet, Gard, Lilli, Lizarazo, Erley F., Knoester, Marjolein, Friedrich, Alex W., Niesters, Hubert G.M., Viale, Pierluigi, Marzolla, Domenico, Cosentino, Federica, Di Chiara, Michela, Fornaro, Giacomo, Bonazzetti, Cecilia, Tazza, Beatrice, Toschi, Alice, Vetamanu, Oana, Giacomini, Maria Eugenia, Trapani, Fabio, Marconi, Lorenzo, Attard, Luciano, Tedeschi, Sara, Gabrielli, Liliana, Lazzarotto, Tiziana, Olivares, Paula, Castilla, Javier, Vélez, Javier, Almadana, Virginia, Martín-Barrera, Lucía, Martín-Gutiérrez, Ana Belén, Gutiérrez-Campos, David, Fernández-Regaña, Marta, Silva-Campos, Ana, Fernández-Riejos, Patricia, García-Sánchez, M. Isabel, Giuliano, Carla V., López, Carlota, Neumann, Gabriela, Camporro, Julieta, de Vedia, Lautaro, Agugliaro, Hugo, Scipione, Gabriella, Dellacasa, Chiara, Chandramouli, Balasubramanian, Gioiosa, Silvia, Naranjo, Juan Mata, Ortali, Maurizio, Konnova, Angelina, Gupta, Akshita, Smet, Mathias, Hotterbeekx, An, Berkell, Matilda, Sicuri, Elisa, Bachelet, Delphine, Bouadma, Lila, Cervantes-Gonzalez, Minerva, Chair, Anissa, Charpentier, Charlotte, Chenard, Léo, Descamps, Diane, Doan, Hang, Duval, Xavier, Esposito-Farese, Marina, Hoffmann, Isabelle, Kafif, Ouifiya, Le Hingrat, Quentin, Letrou, Sophie, Mentré, France, Schneider, Marion, Tardivon, Coralie, Timsit, Jean-Francois, Tubiana, Sarah, Abrous, Amal, Couffin-Cadiergues, Sandrine, Da Silva, Fernanda Dias, Esperou, Hélène, Houas, Ikram, Jaafoura, Salma, Papadopoulos, Aurélie, Ansart, Severine, Auvet, Adrien, Bani-Sadr, Firouzé, Bernard, L., Bissuel, François, Botelho-Nevers, Elisabeth, Bouhour, Damien, Cabié, André, Caraux Paz, Pauline, Chidiac, Christian, Chirouze, Catherine, Chroboczek, Tomasz, Cordel, Hugues, Courtois, Roxane, De Castro, Nathalie, Diamamntis, Sylvain, Diehl, Jean-Luc, Djossou, Felix, Dorival, Céline, Epaulard, Olivier, Gaborieau, Valerie, Goehringer, François, Gousseff, Marie, Jamard, Simon, Joseph, Cedric, Lacombe, Karine, Le Mestre, Soizic, Le Moing, Vincent, Lelievre, Jean-Daniel, Lesens, Olivier, Machado, M., Maillet, Mylène, Manda, Victoria, Martin-Blondel, Guillaume, Martinot, Martin, Meysonnier, Vanina, Molina, Jean-Michel, Oziol, Eric, Pestre, Vincent, Piroth, Lionel, Poissy, Julien, Rabaud, Christian, Raffi, François, Rammaert, Blandine, Rapp, Christophe, Rebaudet, Stanislas, Roger, Pierre-Marie, Roux, Damien, Senneville, Eric, Tattevin, Pierre, Wiedemann, Aurélie, Zucman, David, Gentilotti, Elisa, Górska, Anna, Tami, Adriana, Gusinow, Roy, Mirandola, Massimo, Rodríguez Baño, Jesús, Palacios Baena, Zaira R., Rossi, Elisa, Hasenauer, Jan, Lopes-Rafegas, Iris, Righi, Elda, Caroccia, Natascia, Cataudella, Salvatore, Pasquini, Zeno, Osmo, Thomas, Del Piccolo, Lidia, Savoldi, Alessia, Kumar-Singh, Samir, Mazzaferri, Fulvia, Caponcello, Maria Giulia, de Boer, Gerolf, Hara, Gabriel Levy, De Nardo, Pasquale, Malhotra, Surbhi, Canziani, Lorenzo Maria, Ghosn, Jade, Florence, Aline-Marie, Lafhej, Nadhem, van der Gun, Bernardina T.F., Giannella, Maddalena, Laouénan, Cédric, and Tacconelli, Evelina
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- 2023
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3. Risk perception and affective state on work exhaustion in obstetrics during the COVID-19 pandemic
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Perlini Cinzia, Garzon Simone, Franchi Massimo, Donisi Valeria, Rimondini Michela, Bosco Mariachiara, Uccella Stefano, Cromi Antonella, Ghezzi Fabio, Ginami Maddalena, Sartori Enrico, Ciccarone Francesca, Scambia Giovanni, Del Piccolo Lidia, and Raffaelli Ricciarda
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health personnel ,covid-19 ,obstetrics ,affect ,burnout ,professional ,Medicine - Abstract
A multicenter cross-sectional survey study involving four Italian University Hospitals was performed to test the hypothesis that negative affect and positive affect (affective dimensions) mediate the association between risk perception (perceived risk of infection and death; cognitive dimensions) and the feeling of work exhaustion (WE) among obstetrics healthcare providers (HCPs) during the Coronavirus Disease 2019 (COVID-19) pandemic. Totally, 570 obstetrics HCPs were invited to complete the 104-item IPSICO survey in May 2020. A theoretical model built on the tested hypothesis was investigated by structural equation modelling. The model explained 32.2% of the WE variance. Only negative affect mediated the association between cognitive dimensions and WE and also the association between WE and psychological well-being before the pandemic, experiences of stressful events, female gender, and dysfunctional coping. Non-mediated associations with WE were observed for work perceived as a duty, experience of stressful events, support received by colleagues, and the shift strategy. Only previous psychological well-being, support by colleagues, and shift strategies were inversely associated with WE. Based on study results, monitoring negative than positive affect appears superior in predicting WE, with practical implications for planning psychological interventions in HCPs at the individual, interpersonal, and organizational levels.
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- 2022
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4. The prognostic role of fatigue, depression and anxiety on postoperative outcomes after pancreatectomy for pancreatic cancer. A prospective observational study (FAT-PRO study)
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Tuveri, Massimiliano, Perri, Giampaolo, Marinelli, Veronica, Lionetto, Gabriella, Addari, Laura, Cova, Chiara, Del Piccolo, Lidia, Salvia, Roberto, and Bassi, Claudio
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- 2022
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5. Effectiveness of a Mindful Compassion Care Program in reducing burnout and psychological distress amongst frontline hospital nurses during the COVID-19 pandemic: a study protocol for a randomized controlled trial
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Bodini, Luca, Bonetto, Chiara, Cheli, Simone, Del Piccolo, Lidia, Rimondini, Michela, Rossi, Alberto, Carta, Angela, Porru, Stefano, Amaddeo, Francesco, and Lasalvia, Antonio
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- 2022
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6. Efficacy of physical activity interventions on psychological outcomes in refugee, asylum seeker and migrant populations: A systematic review and meta-analysis
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Purgato, Marianna, Richards, Justin, Prina, Eleonora, Kip, Ahlke, Del Piccolo, Lidia, Michencigh, Giulia, Rimondini, Michela, Rudi, Doriana, Vitali, Francesca, Carta, Mauro Giovanni, Morina, Nexhmedin, Schena, Federico, and Barbui, Corrado
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- 2021
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7. Effects of COVID-19 pandemic on psychiatric and psychological consultation-liaison contacts in a general hospital in North-East of Italy: a retrospective study.
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Prina, Eleonora, Marquis, Alice, Tedeschi, Federico, Rabbi, Laura, Salazzari, Damiano, Ballarin, Mario, Purgato, Marianna, Ostuzzi, Giovanni, Donisi, Valeria, Perlini, Cinzia, Rimondini, Michela, Del Piccolo, Lidia, and Amaddeo, Francesco
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MEDICAL care ,MENTAL health services ,COVID-19 pandemic ,HOSPITAL wards ,PSYCHIATRIC hospitals - Abstract
Background: The COVID-19 pandemic has prompted significant changes in healthcare, particularly affecting psychiatric and psychological Consultation-Liaison (CL) services in general hospital settings. Aim: To assess the effects of COVID-19-related restrictions on utilization of psychiatric and psychological CL services in Northeast Italy during 2020, and to compare it to the use of services in the previous year (2019). Methods: The study collected data on psychiatric and psychological consultations in 2019 and 2020 from a hospital database. It categorizes consultations by type of patient (inpatient or outpatient) and referral source (hospital wards, general practitioners, other specialists). Pandemic-related restrictions were classified as "lockdown," "intermediate restrictions," and "no or reduced restrictions" based on the Covid Stringency Index (CSI). Poisson regression models were employed to analyze the data. Results: The findings reveal a significant 28% increase in the number of psychiatric and psychological consultations in 2020. Consultations for outpatients increased by 51%, while those for inpatients decreased by 11%. However, the lockdown and intermediate restriction phases were deemed responsible of a decrease of 42.9% and 19.5% in consultations respectively. Discussion: This study highlights the persistent psychological burden during the COVID-19 pandemic, alongside reduced CL services due to lockdown measures. Integrating telemedicine into these types of services becomes imperative for meeting patient needs during restrictions. These findings can inform policies and practices to improve effective mental health care delivery during and beyond pandemics. Future research should explore the impact of pandemic-related restrictions on mental healthcare across settings and clinical factors affecting service accessibility. [ABSTRACT FROM AUTHOR]
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- 2024
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8. Chronic pain management in fibromyalgia: the INTEGRO (INTEGRated Psychotherapeutic InterventiOn) protocol and its application on two case studies.
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Pasini, Ilenia, Donisi, Valeria, Veneziani, Elisa, Perlini, Cinzia, Nizzero, Marta, Lippolis, Irma, Polati, Enrico, Schweiger, Vittorio, and Del Piccolo, Lidia
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- 2024
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9. From research to clinical practice: a systematic review of the implementation of psychological interventions for chronic headache in adults
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Perlini, Cinzia, Donisi, Valeria, and Del Piccolo, Lidia
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- 2020
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10. Fostering quality of life in young adults living with multiple sclerosis: a pilot study of a co-created integrated intervention.
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Poli, Silvia, Donisi, Valeria, Mazzi, Maria Angela, Gobbin, Francesca, Giusto, Giorgia, Orlandi, Riccardo, Schena, Federico, Del Piccolo, Lidia, das Nair, Roshan, Gajofatto, Alberto, and Rimondini, Michela
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QUALITY of life ,MULTIPLE sclerosis ,PILOT projects ,MEDICAL care ,WELL-being ,YOUNG adults - Abstract
Introduction: Multiple sclerosis (MS) is generally diagnosed at an early age, making the acceptance of this chronic disease challenging. Research dedicated to young adults with MS (YawMS) is still limited. A biopsychosocial co-created intervention for YawMS integrating social, physical and psychological activities was developed (ESPRIMO intervention) in order to improve the quality of life (QoL) and well-being. This pre-post intervention assessment study examines the feasibility of the ESPRIMO intervention and its signal of efficacy. Methods: Inclusion criteria were: age 18-45 years, MS diagnosis, Expanded Disability Status Scale score < 3.5. After giving informed consent, YawMS completed a battery of questionnaires, which was repeated after the intervention. The battery included a bespoke feasibility scale, the COOP/WONCA charts, and the Short Form-12 Health Survey (SF-12). Results: Fifty-three YAwMS were enrolled and 43 (81.1%) completed the intervention. The majority of the sample positively rated the pleasantness, usefulness and feasibility of the intervention. A significant change in the COOP/WONCA "general QoL" chart (t = 3.65; p < 0.01) and SF-12 mental wellbeing component (t = -3.17; p < 0.01) was found. Discussion: ESPRIMO is an innovative intervention that is feasible; preliminary results show an improvement in QoL and mental wellbeing. Further studies are needed to test its efficacy and evaluate future implementation in health services. [ABSTRACT FROM AUTHOR]
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- 2024
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11. Cross-sectional survey evaluating the psychological impact of the COVID-19 vaccination campaign in patients with cancer: The VACCINATE study.
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Tregnago, Daniela, Avancini, Alice, Belluomini, Lorenzo, Trestini, Ilaria, Sposito, Marco, Insolda, Jessica, Bianchi, Federica, Sava, Teodoro, Gaiani, Chiara, Del Piccolo, Lidia, Guarnieri, Valentina, Verlato, Giuseppe, Tfaily, Ahmad, Vesentini, Roberta, Zuliani, Serena, Pilotto, Sara, and Milella, Michele
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PSYCHOLOGICAL factors ,COVID-19 vaccines ,VACCINATION complications ,ATTITUDES toward illness ,HEALTH attitudes - Abstract
The COVID-19 pandemic has profoundly impacted on cancer patients' psychological well-being and clinical status. We assessed the levels of anxiety, depression, and distress and the attitude towards COVID-19 vaccination in cancer patients, accepting vaccination at the Verona University Hospital and Camposampiero Hospital in the Veneto region. Self-reported questionnaires were administered to patients undergoing COVID-19 vaccination between March and May 2021 (first and second dose). Twenty-seven items were investigated: i) demographics/clinical characteristics; ii) anxiety, depression, and distress (Hospital Anxiety and Depression Scale—HADS—and Distress Thermometer—DT); iii) four specific items regarding awareness about infection risks, interference with anticancer treatments, and vaccine side effects. Sixty-two and 57% of the patients who accepted to be vaccinated responded to the survey in the two participating Hospitals, respectively. Mean age was 63 years (SD: 12 years; range 19–94 years), women were slightly more prevalent (57.6%), most participants were married (70%), and either worker or retired (60%). Borderline and clinical levels of anxiety were recorded in 14% and 10% of respondents; borderline and clinical levels of depression in 14% and 8%; and moderate and severe distress levels in 33% and 9%. Overall, there was high confidence that vaccination would reduce the risk of contracting COVID-19 (70%), which would make patients feel less worried about contracting the infection (60%). Fear that vaccine-related side effects would interfere with anticancer treatment and/or global health status was low (10% and 9% for items 3 and 4, respectively) and significantly associated with baseline levels of anxiety, depression, and distress at multivariate analysis. Results did not differ between the Verona and Camposampiero cohorts. During the COVID-19 vaccination campaign, adult cancer patients demonstrated high levels of confidence towards vaccination; baseline levels of anxiety, depression, and distress were the only significant predictors of reduced confidence. [ABSTRACT FROM AUTHOR]
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- 2024
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12. eHealth-Integrated Psychosocial and Physical Interventions for Chronic Pain in Older Adults: Scoping Review.
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De Lucia, Annalisa, Perlini, Cinzia, Chiarotto, Alessandro, Pachera, Sara, Pasini, Ilenia, Del Piccolo, Lidia, and Donisi, Valeria
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CHRONIC pain ,EVIDENCE gaps ,PSYCHOTHERAPY ,OLDER people ,BIOPSYCHOSOCIAL model - Abstract
Background: Chronic noncancer pain (CNCP) is highly present among older adults, affecting their physical, psychological, and social functioning. A biopsychosocial multimodal approach to CNCP management is currently extensively suggested by international clinical practice guidelines. Recently, the growing development and application of eHealth within pain management has yielded encouraging results in terms of effectiveness and feasibility; however, its use among the older population remains underexamined. Objective: The overall aim of this scoping review was to systematically map existing literature about eHealth multimodal interventions (including both physical and psychosocial components) targeting older adults with CNCP. Methods: This review adhered to the JBI methodology, a protocol was a priori registered as a preprint on the medRxiv platform, and the results were reported according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. Four electronic databases (PubMed, Cochrane Central Register of Controlled Trials, Web of Science, and PsycINFO) were systematically searched for relevant articles. Studies were included if they reported on multimodal interventions (including both physical and psychosocial components) delivered through any eHealth modality to an older population with any type of CNCP. Two reviewers selected the studies: first by screening titles and abstracts and second by screening full-text articles. The quality of the included studies was evaluated using the Quality Assessment Tool for Studies with Diverse Designs. The results of the studies were summarized narratively. Results: A total of 9 studies (n=6, 67% published between 2021 and 2023) with quality rated as medium to high were included, of which 7 (78%) were randomized controlled trials (n=5, 71% were pilot and feasibility studies). All the included studies evaluated self-management interventions, most of them (n=7, 78%) specifically designed for older adults. The participants were aged between 65 and 75 years on average (mean 68.5, SD 3.5 y) and had been diagnosed with different types of CNCP (eg, osteoarthritis and chronic low back pain). Most of the included studies (5/9, 56%) involved the use of multiple eHealth modalities, with a higher use of web-based programs and video consulting. Only 1 (11%) of the 9 studies involved a virtual reality–based intervention. The evaluated interventions showed signs of effectiveness in the targeted biopsychosocial outcomes, and the participants' engagement and ratings of satisfaction were generally positive. However, several research gaps were identified and discussed. Conclusions: Overall, of late, there has been a growing interest in the potential that eHealth multimodal interventions offer in terms of improving pain, physical, and psychosocial outcomes in older adults with CNCP. However, existing literature on this topic still seems scarce and highly heterogeneous, with few proper randomized controlled trials, precluding robust conclusions. Several gaps emerged in terms of the older population considered and the lack of evaluation of comorbidities. International Registered Report Identifier (IRRID): RR2-10.1101/2023.07.27.23293235 [ABSTRACT FROM AUTHOR]
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- 2024
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13. Perspectives and Experiences on eHealth Solutions for Coping With Chronic Pain: Qualitative Study Among Older People Living With Chronic Pain.
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De Lucia, Annalisa, Donisi, Valeria, Pasini, Ilenia, Polati, Enrico, Del Piccolo, Lidia, Schweiger, Vittorio, and Perlini, Cinzia
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CHRONIC pain ,PAIN management ,HEALTH of older people ,DIGITAL technology ,EVERYDAY life - Abstract
Background: Chronic noncancer pain (CNCP) is a major health issue among the older population, affecting multiple aspects of individual functioning. Recently, the use of eHealth solutions has been proposed in supporting chronic pain self-management even among older adults, although some barriers have emerged. Few qualitative studies, with none conducted in Mediterranean countries, have explored older people's experiences and perceptions regarding the types of strategies used to cope with chronic pain and eHealth tools for chronic pain management. Objective: This study's objectives were to explore the perspectives and experiences of older adults regarding the coping strategies used to manage chronic pain, the use of digital technologies in everyday life, and the potentiality and barriers in using those technologies for health and pain management. Methods: A multimethod approach (ie, self-report questionnaires and a semistructured interview) has been adopted targeting older adults (ie, those who are aged 65 to 80 years and presenting different types of CNCP) who are attending a pain therapy center in Italy. Qualitative answers were analyzed using thematic analysis. Results: Overall, participants reported using a variety of pain coping strategies; however, they showed an attitude of resignation to their CNCP condition. Nearly 70% (12/18) of the interviewees referred to using digital technologies for purposes related to health and pain management, mostly involving very basic management activities. The participants' opinions on the useful functions that need to be incorporated in eHealth tools for chronic pain management have been categorized into four themes: (1) specific pain self-management skills, (2) support in organizing various health-related aspects, (3) sharing experiences with other s, and (4) increasing pain-related personal knowledge. Conversely, the following potential barriers to adopting eHealth tools emerged: (1) computer illiteracy, (2) negative effects or risks, (3) impersonal interaction, and (4) physical limitations. Conclusions: The use of eHealth solutions still seems low, often being accompanied by a perceived lack of digital skills or attitude among a sample of older adults from Italy with CNCP. Before introducing innovative eHealth solutions, it would be of primary importance to take action to enhance, on the one hand, self-efficacy in pain management and, on the other, the digital literacy level among older people. [ABSTRACT FROM AUTHOR]
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- 2024
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14. Cues and Concerns by Patients in Medical Consultations: A Literature Review
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Zimmermann, Christa, Del Piccolo, Lidia, and Finset, Arnstein
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The aim of the current article is to review the peer-reviewed research literature on cues and concerns published between 1975 and 2006. To be included, articles had to report observational studies based on patient-physician consultations and report findings on patient expressions of cues and/or concerns. Quantitative and qualitative studies from different medical settings were considered. Fifty-eight original articles based on the analysis of audio- or videotaped medical consultations were tracked down. Definition of cues and concerns and methodological approaches differed widely. Physicians missed most cues and concerns and adopted behaviors that discouraged disclosure. Communication training improved the detection of cues and concerns. Future research progress would require different methodological approaches more appropriate for studying verbal interactions and the complexity of the various levels that influence interactions.
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- 2007
15. Preoperative Anxiety in Patients with Pancreatic Cancer: What Contributes to Anxiety Levels in Patients Waiting for Surgical Intervention.
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Marinelli, Veronica, Mazzi, Maria Angela, Rimondini, Michela, Danzi, Olivia Purnima, Bonamini, Deborah, Bassi, Claudio, Salvia, Roberto, and Del Piccolo, Lidia
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CANCER patient psychology ,PANCREATIC tumors ,STATE-Trait Anxiety Inventory ,STATISTICS ,SOCIAL support ,SCIENTIFIC observation ,ANALYSIS of variance ,CONFIDENCE intervals ,MULTIPLE regression analysis ,MULTIVARIATE analysis ,RISK assessment ,COMPARATIVE studies ,CRONBACH'S alpha ,MENTAL depression ,DESCRIPTIVE statistics ,SCALE analysis (Psychology) ,QUESTIONNAIRES ,RESEARCH funding ,QUALITY of life ,ANXIETY ,SOCIODEMOGRAPHIC factors ,PATH analysis (Statistics) ,DATA analysis - Abstract
Pancreatic cancer is one of the most lethal malignancies. Currently, the only treatment is surgical resection, which contributes to significant preoperative anxiety, reducing quality of life and worsening surgical outcomes. To date, no standard preventive or therapeutic methods have been established for preoperative anxiety in pancreatic patients. This observational study aims to identify which patients' socio-demographic, clinical and psychological characteristics contribute more to preoperative anxiety and to identify which are their preoperative concerns. Preoperative anxiety was assessed the day before surgery in 104 selected cancer patients undergoing similar pancreatic major surgery, by administering the STAI-S (State-Trait Anxiety Inventory Form) and the APAIS (Amsterdam Preoperative Anxiety and Information Scale). Our data suggest that patients with high STAI-S showed higher levels of APAIS and that major concerns were related to surgical aspects. Among psychological characteristics, depressive symptoms and trait anxiety appeared as risk factors for the development of preoperative anxiety. Findings support the utility of planning a specific psychological screening to identify patients who need more help, with the aim of offering support and preventing the development of state anxiety and surgery worries in the preoperative phase. This highlights also the importance of good communication by the surgeon on specific aspects related to the operation. [ABSTRACT FROM AUTHOR]
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- 2023
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16. e-Health Interventions Targeting Pain-Related Psychological Variables in Fibromyalgia: A Systematic Review.
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Donisi, Valeria, De Lucia, Annalisa, Pasini, Ilenia, Gandolfi, Marialuisa, Schweiger, Vittorio, Del Piccolo, Lidia, and Perlini, Cinzia
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TREATMENT of fibromyalgia ,ONLINE information services ,MEDICAL databases ,PSYCHOLOGY information storage & retrieval systems ,PAIN ,SYSTEMATIC reviews ,MOBILE apps ,VIRTUAL reality ,INTERNET ,MEDICAL care ,DESCRIPTIVE statistics ,MEDLINE ,TELEMEDICINE ,COGNITIVE therapy ,PSYCHOTHERAPY - Abstract
There is growing evidence to support the potential benefit of e-Health interventions targeting psychosocial outcomes and/or pain-related psychological variables for chronic pain conditions, including fibromyalgia syndrome (FMS). This systematic review aims at providing an in-depth description of the available e-Health psychological and/or multicomponent interventions for patients with FMS. Searches were made in PubMed, Cochrane, Web of Science, and PsycINFO up to 15 May 2023, finally including twenty-six articles. The quality of the included articles was medium–high (average quality assessment score of 77.1%). 50% of studies were randomized controlled trials (RCTs) (n = 13), and the majority of them focused exclusively on adult patients with FMS (n = 23) who were predominantly female. Four categories of e-Health modalities were identified: web-based (n = 19), mobile application (m-Health) (n = 3), virtual reality (VR) (n = 2), and video consulting (n = 2). Interventions were mainly based on the cognitive behavioral therapy (CBT) approach (n = 14) and mostly involved contact with a healthcare professional through different digital tools. Overall, a growing number of psychological and multicomponent interventions have been created and delivered using digital tools in the context of FMS, showing their potentiality for improving psychosocial outcomes and pain-related psychological variables. However, some digital tools resulted as underrepresented, and the literature on this topic appears highly heterogeneous precluding robust conclusions. [ABSTRACT FROM AUTHOR]
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- 2023
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17. A theory‐based proposal to evaluate patient‐centred communication in medical consultations : The Verona Patient‐centred Communication Evaluation scale (VR‐COPE)
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Del Piccolo, Lidia, Angela Mazzi, Maria, Scardoni, Silvia, Gobbi, Martina, Zimmermann, Christa, and Li, Han Z.
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- 2008
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18. Communication Skills in Psychiatry Residents – How Do They Handle Patient Concerns? : An Application of Sequence Analysis to Interviews with Simulated Patients
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Rimondini, Michela, Del Piccolo, Lidia, Goss, Claudia, Mazzi, Mariangela, Paccaloni, Monica, and Zimmermann, Christa
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- 2006
19. "INTEGRO INTEGRated Psychotherapeutic InterventiOn" on the Management of Chronic Pain in Patients with Fibromyalgia: The Role of the Therapeutic Relationship.
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Pasini, Ilenia, Perlini, Cinzia, Donisi, Valeria, Mason, Anna, Schweiger, Vittorio, Secchettin, Erica, Lugoboni, Fabio, Valenza, Gaetano, and Del Piccolo, Lidia
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- 2023
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20. Italian validation of the Clinical Outcomes in Routine Evaluation-10 (CORE-10): a short measure for routine outcome monitoring in clinical practice.
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La Tona, Antonino, Tagini, Sofia, Brugnera, Agostino, Poletti, Barbara, Aiello, Edoardo Nicolò, Lo Coco, Gianluca, Del Piccolo, Lidia, and Compare, Angelo
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TREATMENT effectiveness ,PSYCHOMETRICS ,CONFIRMATORY factor analysis ,FACTOR structure ,PSYCHOLOGICAL distress - Abstract
The customization of the intervention using patient feedback is an evidence-based practice aimed at the continuous evaluation, during treatment, of the patient’s change at a clinical level. There are few easy-to-use tools for common assessment of psychological distress, designed to be used for screening and during treatment to monitor progress. The Clinical Outcomes in Routine Evaluation-10 (CORE-10) is definitely one of them. Thus, the aim of the present study was to examine the psychometric properties of the Italian version of the CORE-10. A sample of 548 participants (females, N=463, 84.5%; mean age 23.29±7.21 years) was recruited in the study and filled out a battery of measures. The internal validity of the CORE-10 was investigated through a confirmatory factor analysis which evidenced a good fit to the data, suggesting a unidimensional factorial structure of the measure. Further, the scale had a good internal reliability and was significantly associated with other measures of distress, interpersonal problems, well-being, and insecure attachment. Finally, it showed excellent diagnostic accuracy, as well as intrinsic and post-test diagnostics. Given its validity and reliability, the CORE-10 may be adopted by Italian-speaking psychotherapists and researchers to evaluate the outcomes of mental health interventions as well as to track the session-to-session changes over time in psychological distress among patients. [ABSTRACT FROM AUTHOR]
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- 2023
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21. Bipolar Spectrum Symptoms in Patients with Fibromyalgia: A Dimensional Psychometric Evaluation of 120 Patients.
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Schweiger, Vittorio, Perini, Giovanni, Del Piccolo, Lidia, Perlini, Cinzia, Donisi, Valeria, Gottin, Leonardo, Martini, Alvise, Donadello, Katia, Del Balzo, Giovanna, Moro, Valentina, Secchettin, Erica, and Polati, Enrico
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- 2022
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22. Sequence analysis in multilevel models. A study on different sources of patient cues in medical consultations
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Del Piccolo, Lidia, Mazzi, Maria Angela, Dunn, Graham, Sandri, Marco, and Zimmermann, Christa
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- 2007
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23. The Psychological Impact of COVID-19 on Healthcare Providers in Obstetrics: A Cross-Sectional Survey Study.
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Del Piccolo, Lidia, Donisi, Valeria, Raffaelli, Ricciarda, Garzon, Simone, Perlini, Cinzia, Rimondini, Michela, Uccella, Stefano, Cromi, Antonella, Ghezzi, Fabio, Ginami, Maddalena, Sartori, Enrico, Ciccarone, Francesca, Scambia, Giovanni, and Franchi, Massimo
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MEDICAL personnel ,PSYCHOLOGICAL factors ,COVID-19 ,COVID-19 pandemic ,PSYCHOLOGICAL distress ,DELAY of gratification ,PERSONAL space - Abstract
Objective: To assess the psychological distress of healthcare providers (HCPs) working in the field of obstetrics during the coronavirus disease 2019 (COVID-19) pandemic and to identify factors associated with psychological distress at the individual, interpersonal, and organizational level. Design: Cross-sectional survey study. Setting: Four University hospitals in Italy. Participants: HCPs working in obstetrics, including gynecologists, residents in gynecology and obstetrics, and midwives. Methods: The 104-item survey Impatto PSIcologico COVID-19 in Ostetricia (IPSICO) was created by a multidisciplinary expert panel and administered to HCPs in obstetrics in May 2020 via a web-based platform. Main Outcome Measures: Psychological distress assessed by the General Health Questionnaire-12 (GHQ-12) included in the IPSICO survey. Results: The response rate to the IPSICO survey was 88.2% (503/570), and that for GHQ-12 was 84.4% (481/570). Just over half (51.1%; 246/481) of the GHQ-12 respondents reported a clinically significant level of psychological distress (GHQ-12 ≥3). Psychological distress was associated with either individual (i.e., female gender, stressful experience related to COVID-19, exhaustion, and the use of dysfunctional coping strategies), interpersonal (i.e., lower family support, limitations in interactions with colleagues), and organizational (i.e., reduced perception of protection by personal protective equipment, perceived delays on updates and gaps in information on the pandemic) factors in dealing with the pandemic. Conclusions: Results confirm the need for monitoring and assessing the psychological distress for HCPs in obstetrics. Interventions at the individual, interpersonal, and organizational level may relieve the psychological distress during the COVID-19 pandemic and foster resilience skills in facing emotional distress. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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24. Prevalence of depression in a cohort of 400 patients with pancreatic neoplasm attending day hospital for major surgery: Role on depression of psychosocial functioning and clinical factors.
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Del Piccolo, Lidia, Marinelli, Veronica, Mazzi, Maria Angela, Danzi, Olivia Purnima, Bonamini, Deborah, Secchettin, Erica, Tuveri, Massimiliano, Bassi, Claudio, Rimondini, Michela, and Salvia, Roberto
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SOCIAL skills , *PSYCHOLOGICAL adaptation , *ONCOLOGIC surgery , *PSYCHOLOGICAL distress , *HYPNOTICS - Abstract
Objective: (1) To determine the prevalence and type of depressive symptoms at day‐hospital clinical evaluation, before undergoing major surgery in patients diagnosed with pancreatic neoplasm. (2) To analyze the association between depression and sociodemographic, clinical, and psychosocial variables. (3) To understand how coping strategies, perceived social support, and self‐efficacy might affect depressive symptoms in this cohort of patients. Methods: Secondary data analysis collected during the baseline phase of a randomized controlled trial performed at the Pancreas Institute of the University Hospital of Verona, Italy, between June 2017 and June 2018. Results: 18.5% of pancreatic patients had a PHQ‐9 score ≥10 (cut‐off). Depressed patients were basically more often female (p = 0.07), younger (p = 0.06), and married/with a partner (p = 0.02). Depression was associated to high trait anxiety (p < 0.01), the use of anxiolytics (p < 0.01), sleep‐inducing drugs (p < 0.01), and painkillers (p < 0.01). Among psychosocial variables, depressed patients showed lower perceived self‐efficacy (p < 0.01) and family and friends' social support (p < 0.01) and used significantly more often dysfunctional coping strategies (p < 0.01), compared to nondepressed. A logistic multivariate model using psychosocial variables as explanatory and depression as dependent was calculated and post hoc analyses were conducted to describe the contribution of each psychosocial variable on depression. Conclusions: Our study advocates the need for screening for distress and depression in cancer surgery units and recommends to strengthen patients' adaptive coping, social support, and sense of effectiveness in facing the challenges related to the medical condition and treatment process. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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25. Does being accompanied make a difference in communication during breast cancer consultations? Results from a multi-centered randomized controlled trial.
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Buizza, Chiara, Cela, Herald, Ferrari, Clarissa, Goss, Claudia, Bottacini, Alessandro, Mazzi, Maria Angela, Del Piccolo, Lidia, and Ghilardi, Alberto
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BREAST tumors ,CANCER patient psychology ,COMMUNICATION ,MEDICAL cooperation ,MEDICAL referrals ,ONCOLOGISTS ,PHYSICIAN-patient relations ,RESEARCH ,PATIENT participation - Abstract
This study is based on a multi-centered RCT conducted on breast cancer patients during their first consultation with an oncologist. The main aim was to evaluate whether the introduction of a communication tool (i.e., the Question Prompt Sheet or Question Listing), with or without a companion, impacted the number of questions asked by patients during the consultation, and subsequent psychological and relational outcomes. The sample consisted of 324 breast cancer patients who were randomly placed into one of the two intervention groups: Question Prompt Sheet or Question Listing. Before and after the consultation, patients completed a set of standardized instruments: Satisfaction with decisions made during the consultation (SWD), Shared Decision Making Questionnaire (SDMQ-9), Patient Enablement Instrument (PEI), Patient Health Questionnaire Depression scale (PHQ-9), General Health Questionnaire (GHQ-12), The results indicate that the number of questions asked during the consultation was higher when a Question Listing was provided and when the patient was unaccompanied. Unaccompanied patients asked more questions in both groups and had significantly lower scores than accompanied on the GHQ-12 and on the PHQ-9, indicating lower clinical symptomatology. Results are in contrast with previous literature, indicating that being unaccompanied help patients to interact more with the oncologist. Further studies are needed to evaluate how the presence or not of a companion really impacts breast cancer patients during their first consultation with an oncologist. ClinicalTrials.gov NCT01510964 [ABSTRACT FROM AUTHOR]
- Published
- 2021
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26. A Bio-Psycho-Social Co-created Intervention for Young Adults With Multiple Sclerosis (ESPRIMO): Rationale and Study Protocol for a Feasibility Study.
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Donisi, Valeria, Gajofatto, Alberto, Mazzi, Maria Angela, Gobbin, Francesca, Busch, Isolde Martina, Ghellere, Annamaria, Klonova, Alina, Rudi, Doriana, Vitali, Francesca, Schena, Federico, Del Piccolo, Lidia, and Rimondini, Michela
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PSYCHOTHERAPY ,YOUNG adults ,MULTIPLE sclerosis ,PSYCHOLOGICAL well-being ,PERCEIVED control (Psychology) ,PSYCHOSOCIAL development theory - Abstract
Background: Multiple sclerosis (MS), the most common neurological disease that causes disability in youth, does not only affect physical functions but is also associated with cognitive impairment, fatigue, depression, and anxiety and can significantly impact health-related quality of life (HRQoL). Since MS is generally diagnosed at a young age—a period of great significance for personal, relational, and professional development—adaptation can become highly challenging. Therefore, enhancing the competence of young people to adaptively cope with these potential challenges is of utmost importance in order to promote their potentialities and talents. It has been shown that psychological interventions targeting MS patients can enhance resilience and HRQoL and that regular physical activity (PA) and social engagement can improve psychological well-being. However, literature on the development of global interventions based on the bio-psycho-social model of the disease is missing. Even less attention has been paid to interventions dedicated to young adults with MS (YawMS) and to the involvement of patients in the development of such programs. Aims: In collaboration with MS patients, this study aims to develop a bio-psycho-social intervention (ESPRIMO) for YawMS, aiming to improve their HRQoL and to explore its feasibility, acceptability, and effects. Methods: To tailor the intervention to the specific needs of YawMS, "patient engagement principles" will be adopted in the co-creation phase, performing a web survey and focus groups with patients and healthcare professionals. In the intervention phase, a pilot sample of 60 young adults with MS will be enrolled. The co-created intervention, composed of group sessions over a 12-week period, will cover psycho-social strategies and include physical activities. Adopting a longitudinal, pre–post evaluation design, self-report questionnaires measuring HRQoL and other bio-psycho-social features (e.g., resilience, well-being, mindfulness traits, self-efficacy, perceived social support, psychological symptoms, illness perception, committed action, fatigue, attitudes, subjective norms, perceived behavioral control, motivation, perception of autonomy support for PA, barriers and intentions to PA) will be administered, the quantity and quality of PA will be measured, and a questionnaire developed by the authors will be used to evaluate the feasibility and acceptability of the ESPRIMO intervention. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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27. Rehabilitation and Biomarkers of Stroke Recovery: Study Protocol for a Randomized Controlled Trial.
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Picelli, Alessandro, Filippetti, Mirko, Del Piccolo, Lidia, Schena, Federico, Chelazzi, Leonardo, Della Libera, Chiara, Donadelli, Massimo, Donisi, Valeria, Fabene, Paolo Francesco, Fochi, Stefania, Fonte, Cristina, Gandolfi, Marialuisa, Gomez-Lira, Macarena, Locatelli, Elena, Malerba, Giovanni, Mariotto, Sofia, Milanese, Chiara, Patuzzo, Cristina, Romanelli, Maria Grazia, and Sbarbati, Andrea
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RANDOMIZED controlled trials ,CLINICAL trial registries ,SOMATOSENSORY evoked potentials ,REHABILITATION ,BIOMARKERS ,STROKE - Abstract
Background: Stroke is a leading cause of disability. Nonetheless, the care pathway for stroke rehabilitation takes partially into account the needs of chronic patients. This is due in part to the lack of evidence about the mechanisms of recovery after stroke, together with the poor knowledge of related and influencing factors. Here we report on the study protocol "Rehabilitation and Biomarkers of Stroke Recovery," which consists of 7 work-packages and mainly aim to investigate the effects of long-term neurorehabilitation on stroke patients and to define a related profile of (clinical-biological, imaging, neurophysiological, and genetic-molecular) biomarkers of long-term recovery after stroke. The work-package 1 will represent the main part of this protocol and aims to compare the long-term effects of intensive self-rehabilitation vs. usual (rehabilitation) care for stroke. Methods: We planned to include a total of 134 adult subacute stroke patients (no more than 3 months since onset) suffering from multidomain disability as a consequence of first-ever unilateral ischemic stroke. Eligible participants will be randomly assigned to one of the following groups: intensive self-rehabilitation (based on the principles of "Guided Self-Rehabilitation Contract") vs. usual care (routine practice). Treatment will last 1 year, and patients will be evaluated every 3 months according to their clinical presentation. The following outcomes will be considered in the main work-package: Fugl-Meyer assessment, Cognitive Oxford Screen Barthel Index, structural and functional neuroimaging, cortical excitability, and motor and somatosensory evoked potentials. Discussion: This trial will deal with the effects of an intensive self-management rehabilitation protocol and a related set of biomarkers. It will also investigate the role of training intensity on long-term recovery after stroke. In addition, it will define a set of biomarkers related to post-stroke recovery and neurorehabilitation outcome in order to detect patients with greater potential and define long-term individualized rehabilitation programs. Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT04323501. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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28. PREPARE: PreoPerative Anxiety REduction. One-Year Feasibility RCT on a Brief Psychological Intervention for Pancreatic Cancer Patients Prior to Major Surgery.
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Marinelli, Veronica, Danzi, Olivia Purnima, Mazzi, Maria Angela, Secchettin, Erica, Tuveri, Massimiliano, Bonamini, Deborah, Rimondini, Michela, Salvia, Roberto, Bassi, Claudio, and Del Piccolo, Lidia
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PANCREATIC cancer ,CLINICAL trial registries ,CANCER patients ,PAIN perception ,ANXIETY ,MINDFULNESS-based cognitive therapy ,PAIN - Abstract
Introduction: The aim of the present paper is to establish feasibility and required power of a one-session psychological intervention devoted to increasing patient's self-efficacy and awareness in dealing with anxiety symptoms before major pancreatic cancer surgery. Methods: Parallel assignment RCT. All consenting patients listed for pancreatic major surgery during day-hospital visits (T0) between June 2017–June 2018 were assigned randomly in blocks of ten to a psychological intervention vs usual care group to be held the day before surgery (T1). The psychological intervention provided the patient the opportunity to increase self-efficacy in dealing with anxiety by talking with a psychologist about personal concerns and learning mindfulness based techniques to cope with anxiety. Results: 400 patients were randomized into the experimental vs. usual care group. 49 and 65, respectively, completed baseline and post-intervention measures. The dropout rate between day-hospital (T0) and pre-surgery intervention (T1) was high (74.5%) due to several management and organization pitfalls. The main outcome, perceived self-efficacy in managing anxiety, showed a significant increase in the intervention group compared to the control group (p < 0.001), and was related to a reduction in state anxiety (p < 0.001). The intervention group perceived also lower emotional pain (p = 0.03). A power analysis was performed to define the appropriate sample size in a definitive RCT. Conclusion: Beneath the complexity in retaining patients along their trajectory in pancreatic surgery department, when they had the opportunity to follow a brief psychological intervention, most of them adhered, showing a significant reduction in preoperative emotional distress and less emotional pain perception after surgery. Even if results need caution because of the high attrition rate, we can infer that our psychological intervention has the potential to be proposed in surgical setting, being short, easy to learn and applicable to a wide range of patients. Clinical Trial Registration: The trial was registered on ClinicalTrials.gov (identifier: NCT03408002). The full protocol is available from the last author. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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29. Focal cognitive impairment in mitochondrial encephalomyopathies: a neuropsychological and neuroimaging study
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Turconi, Anna Carla, Benti, Riccardo, Castelli, Enrico, Pochintesta, Simona, Felisari, Giorgio, Comi, Giacomo, Gagliardi, Chiara, Del Piccolo, Lidia, and Bresolin, Nereo
- Published
- 1999
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30. Adult Mild Encephalitis With Reversible Splenial Lesion Associated With Delirious Mania: A Case Report.
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Bellani, Marcella, Zanette, Giovanni, Zovetti, Niccolò, Barillari, Marco, Del Piccolo, Lidia, and Brambilla, Paolo
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ANTI-NMDA receptor encephalitis ,ENCEPHALITIS ,MANIA ,PROPOFOL infusion syndrome ,INTENSIVE care units ,BIPOLAR disorder ,CORPUS callosum - Abstract
Mild encephalitis with reversible splenial lesion is a rare clinic-radiological entity presenting with neurological and neuropsychiatric symptoms associated with cerebral lesion/s. Delirious mania is a severe psychiatric syndrome characterized by acute onset of delirium, excitement, and psychosis with a high mortality rate. In this paper, we present a case report of mild encephalitis with reversible splenial lesion clinically presenting as delirious mania and evolving into life-threatening multi-organ failure. The patient was treated with aripiprazole and benzodiazepine with poor effect and, after 4 days, the patient's condition significantly worsened requiring transfer to the intensive care unit where deep sedation with propofol was started. Our findings are in contrast with the traditional literature description of self-resolving and harmless mild encephalitis with reversible splenial lesion. Moreover, rapid clinical recovery and the progressive improvement of psychiatric symptoms after deep sedation with propofol in this case—considering propofol's neuroprotective and anti-inflammatory effects—supports the notion of propofol-mediated deep sedation for the treatment of severe manic symptoms associated with life-threatening conditions. Little is known about neural markers of the manic state, and the corpus callosum has been described to be involved in bipolar disorder. Abnormalities in this structure may represent a marker of vulnerability for this disorder. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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31. Factors related to the expression of emotions by early-stage breast cancer patients.
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Del Piccolo, Lidia, Mazzi, Maria Angela, Mascanzoni, Andrea, Lonardi, Miriam, De Felice, Mariangela, Danzi, Olivia Purnima, Buizza, Chiara, Ghilardi, Alberto, Bottacini, Alessandro, and Goss, Claudia
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- *
BREAST cancer , *CANCER patients , *SELF-expression , *ANXIETY testing , *MEDICAL consultation , *WORRY - Abstract
Objective: (1) To report the number and type of emotional expressions (cues/concerns) raised by breast cancer patients; (2) to identify the influence of setting, patient characteristics, and doctor-patient interaction on emotional expression.Methods: 308 Italian-speaking female patients were recruited at their first breast cancer consultation. The visits were audio-recorded and analysed for number and type of emotional expressions (VR-CoDES). Oncologists' interaction skills were rated by the VR-COPE. Socio-demographic, clinical and personality variables were gathered before the consultation. Clinical variables and oncologists' evaluations of the patient were collected after.Results: Breast cancer patients raised emotional issues mainly as cues. The setting (centre where the consultations took place), the oncologist's attribution of anxiety, regardless of anxiety test screening (STAI-X1) score before the consultation, and the oncologist's ability to pick up on patient's worries, handle emotional needs or understand psychosocial condition were all positively related with the number of emotional expressions. More tightly structured consultations had fewer emotional expressions.Conclusion: Both contextual and interactional aspects have an impact on patient emotional expressions.Practice Implications: Oncologists need to be trained to manage both the content and the process of medical consultation. Work organization of the consultation setting needs to be taken into account. [ABSTRACT FROM AUTHOR]- Published
- 2019
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32. Effectiveness of a brief training program in relational/communication skills for medical residents.
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Barbosa, Miguel, Del Piccolo, Lidia, and Barbosa, António
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RESIDENTS (Medicine) , *COMMUNICATIVE competence , *MEDICAL communication , *EXPERIMENTAL films , *TRAINING of medical residents , *SIMULATED patients - Abstract
Objective: To assess the effectiveness of a brief training program in relational/communication skills (RCS) for medical residents.Methods: This longitudinal study enrolled 64 medical residents who participated in a RCS training program in small groups. Teaching was based on interviews with standardized patients and reflective practice. Video-recorded consultations were coded according to the Verona-Coding-Definitions-of-Emotional-Sequences (VR-CoDES) and a coding system developed to assess ten communication skills for breaking bad news. The outcome measures were: independent raters' score in RCS for breaking bad news and the percentage of providing space and empathic responses, by comparing baseline (T1) skills with those after three-days (T2) and three-months (T3).Results: After the training program residents provided more space for further disclosure of cues and concerns according to VR-CoDES definitions. There were significant improvements in seven of the ten communication skills for breaking bad news. All of these improvements were observed either at T2 or at T3.Conclusion: This study demonstrates the effectiveness of a brief RCS training program designed to improve medical residents' ability to respond appropriately to patients' cues and concerns and to conduct a breaking bad news encounter.Practice Implications: Brief RCS training programs adopting multiple approaches, should be offered as mandatory during residency programs. [ABSTRACT FROM AUTHOR]- Published
- 2019
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33. COVID-19 and mental health in the obstetric population: a lesson from a case of puerperal psychosis.
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FRANCHI, Massimo, DEL PICCOLO, Lidia, BOSCO, Mariachiara, TOSADORI, Carlotta, CASARIN, Jvan, LAGANÀ, Antonio Simone, and GARZON, Simone
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GYNECOLOGY periodicals ,MENTAL health ,COVID-19 pandemic - Published
- 2020
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34. Patients' autonomic activation during clinical interaction: A review of empirical studies.
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Del Piccolo, Lidia and Finset, Arnstein
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PHYSICIAN-patient relations , *PATIENT psychology , *MEDICAL history taking , *EMPIRICAL research , *AROUSAL (Physiology) , *ATTITUDE (Psychology) , *AUTONOMIC nervous system , *COMMUNICATION , *EMOTIONS , *EXPERIMENTAL design , *MEDICAL personnel , *PATIENT-professional relations , *MEDICAL referrals , *PHYSICIANS , *STRESS management ,HEALTH of patients - Abstract
Objective: To investigate how patients' autonomic responses are related to verbal or non-verbal communication during clinical encounters.Methods: The SCOPUS database was searched to identify papers. Studies were included if measures of autonomic arousal were related to patients' emotions or patient-clinician interaction during clinical consultations such as psychotherapy, counseling or medical interviews. The search was conducted according to PRISMA criteria. The included studies were assessed using the 16 item quality assessment tool QATSDD.Results: A total of 24 publications were identified. The studies varied greatly in design and quality. However, a few trends could be observed across studies. Patients' expressions of emotions were associated with significant autonomic arousal. Clinician behavior affected arousal levels; and in a few studies, a patient centered way of presenting information was found to attenuate arousal level, interpreted as stress reduction. There was a general, but not consistent, trend in the reduction of arousal level over time within the consultation. Examples of individual differences in autonomic responses were found.Conclusion and Practice Implications: Increased awareness of potential impact of clinician behavior on patient' arousal level may be helpful for clinicians, in particular how different communication styles may augment or attenuate arousal in response to stressors. [ABSTRACT FROM AUTHOR]- Published
- 2018
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35. Psychological impact of COVID-19 vaccination in patients with cancer: The VACCINATE study.
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Tregnago, Daniela, Avancini, Alice, Belluomini, Lorenzo, Trestini, Ilaria, Sposito, Marco, Insolda, Jessica, Bianchi, Federica, Sava, Teodoro, Gaiani, Chiara, Del Piccolo, Lidia, Guarnieri, Valentina, Verlato, Giuseppe, Tfaily, Ahmad, Vesentini, Roberta, Zuliani, Serena, Bria, Emilio, Pilotto, Sara, and Milella, Michele
- Published
- 2023
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36. Patient Expression of Emotions and Neurologist Responses in First Multiple Sclerosis Consultations.
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Del Piccolo, Lidia, Pietrolongo, Erika, Radice, Davide, Tortorella, Carla, Confalonieri, Paolo, Pugliatti, Maura, Lugaresi, Alessandra, Giordano, Andrea, Heesen, Christoph, Solari, Alessandra, and null, null
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- *
MULTIPLE sclerosis treatment , *SELF-expression , *MULTIPLE sclerosis , *NEUROLOGISTS , *PHYSICIAN-patient relations , *PSYCHOLOGY , *PATIENTS - Abstract
Background: Anxiety and depression are common in people with multiple sclerosis (MS), but data on emotional communication during MS consultations are lacking. We assessed patient expressions of emotion and neurologist responses during first-ever MS consultations using the Verona Coding Definitions of Emotional Sequences (VR-CoDES). Methods: We applied VR-CoDES to recordings/transcripts of 88 outpatient consultations (10 neurologists, four MS Italian centers). Before consultation, patients completed the Hospital Anxiety and Depression Scale (HADS). Multilevel sequential analysis was performed on the number of cues/concerns expressed by patients, and the proportion of reduce space responses by neurologists. Results: Patients expressed 492 cues and 45 concerns (median 4 cues and 1 concern per consultation). The commonest cues were verbal hints of hidden worries (cue type b, 41%) and references to stressful life events (type d, 26%). Variables independently associated with number of cues/concerns were: anxiety (HADS-Anxiety score >8) (incidence risk ratio, IRR 1.08, 95% CI 1.06-1.09; p<0.001); patient age (IRR 0.98, 95% CI 0.98-0.99; p<0.001); neurologist age (IRR 0.94, 95% CI 0.92-0.96; p=0.03); and second opinion consultation (IRR 0.72, 95% CI 0.60-0.86; p=0.007). Neurologists reacted to patient emotions by reducing space (changing subject, taking no notice, giving medical advice) for 58% of cues and 76% of concerns. Anxiety was the only variable significantly associated with ‘reduce space’ responses (odds ratio 2.17, 95% CI 1.32-3.57; p=0.003). Conclusions: Patient emotional expressions varied widely, but VR-CoDES cues b and d were expressed most often. Patient anxiety was directly associated with emotional expressions; older age of patients and neurologists, and second opinion consultations were inversely associated with patient emotional expression. In over 50% of instances, neurologists responded to these expressions by reducing space, more so in anxious patients. These findings suggest that neurologists need to improve their skills in dealing with patient emotions. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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37. VR-CoDES and patient-centeredness. The intersection points between a measure and a concept.
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Del Piccolo, Lidia
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PATIENT-centered care , *EMOTIONS , *PHYSICIAN-patient relations , *MEDICAL consultation , *MEDICAL communication , *COMMUNICATION , *MEDICAL referrals , *PROMPTS (Psychology) , *MEDICAL coding - Abstract
Objective: The Verona Coding Definitions of Emotional sequences (VR-CoDES) system has been applied in a wide range of studies, in some of these, because of its attention on healthcare provider's ability to respond to patient emotions, it has been used as a proxy of patient-centeredness. The paper aims to discuss how the VR-CoDES can contribute to the broader concept of patient-centeredness and its limitations.Methods: VR-CoDES and patient-centeredness concept are briefly described, trying to detect commonalities and distinctions. The VR-CoDES dimensions of Explicit/non explicit responding and Providing or Reducing Space are analysed in relation to relevant aspects of patient-centred communication.Results: Emotional aspects are encompassed within patient-centeredness model, but they represent only one of the numerous dimensions that contribute to define patient-centeredness as well as Explicit/non explicit responding and Providing or Reducing Space serve different functions during communication.Conclusion: The VR-CoDES can contribute to operationalize the description of emotional aspects emerging in a consultation, by inducing coders to adopt a factual attitude in assessing how health providers react to patient's expression of emotions.Practice Implications: To better define empirically which measure affective aspects and dimensions of health provider responses are relevant and may contribute to patient-centeredness in different clinical settings. [ABSTRACT FROM AUTHOR]- Published
- 2017
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38. How psychiatrist's communication skills and patient's diagnosis affect emotions disclosure during first diagnostic consultations.
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Del Piccolo, Lidia, Danzi, Olivia, Fattori, Nives, Mazzi, Maria Angela, and Goss, Claudia
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COMMUNICATION , *EMOTIONS , *PSYCHIATRISTS , *COGNITION , *PATHOLOGICAL psychology , *PSYCHIATRY - Abstract
Objective To describe how emotions are disclosed during psychiatric diagnostic consultations and the contribution of the psychiatrists in facilitating their expression. Methods Descriptive naturalistic study. Sixteen psychiatrists recorded their first consultations with 104 patients. Emotions and the immediate response given by the psychiatrist were coded with the Verona Coding Definitions of Emotional Sequences. For each disclosed emotion, the potential link to preceding expressions with affective content (cue or concern) was checked and the immediate response given by the psychiatrist was coded. Results Most emotions were expressions of anxiety in terms of psycho-physiological or cognitive correlates. Concerns were present in 94% of the consultations, 47.6% were not linked to previous cues/concerns. Cues which became concerns and concerns which were further elaborated by the patient were those that had been acknowledged and handled by the psychiatrist by actively providing space to their expression. Compared to all other diagnostic groups, patients with mood disorders talked more explicitly and more often about their feelings. Conclusion The type and frequency of expressed emotions varies with patient diagnosis, suggesting different cognitive processes underlining psychopathology. Practice Implications Psychiatrist's competence in providing space by using active listening skills is essential to uncover patients emotions. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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39. How emotions emerge and are dealt with in first diagnostic consultations in psychiatry
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Del Piccolo, Lidia, Mazzi, Maria Angela, Goss, Claudia, Rimondini, Michela, and Zimmermann, Christa
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EMOTIONS , *PSYCHIATRIC consultation , *PSYCHIATRIC diagnosis , *MEDICAL consultation , *PSYCHIATRISTS , *GENDER differences (Psychology) , *HEALTH planning - Abstract
Abstract: Objective: To illustrate how patients introduce cues and concerns during clinical consultations and how psychiatrists respond to them. Method: Sixteen psychiatrists recorded 104 first diagnostic consultations, coded with the Verona Coding Definitions of Emotional Sequences (VR-CoDES). Cues, concerns and responses were analyzed in relation to patient gender and ICD-10 diagnosis, and psychiatrists’ age, gender, clinical experience and consultation process. Results: Cues were more frequent among female patients and were equally distributed among diagnostic categories. Concerns were more frequent among patients with “Mood” or “Neurotic” disorders. Psychiatrists’ responses to cues tended to “provide space” without being explicit. Referral to the affective part was restricted to concerns which had been solicited by the psychiatrist. Empathic responses were infrequent. Cues and concerns received more attention by female psychiatrists. Conclusion: The study confirms gender differences in expressing and dealing with emotions both by patients and psychiatrists. Females tend to give more space to this topic. Psychiatrists ‘responses differed according to cues, concerns, gender, diagnosis and to who prompted the cue/concern, showing a preference for topics introduced by themselves. Practice implications: The VR-CoDES is a useful tool to define the strategies psychiatrists adopt when handling patients’ emotions in terms of cues and concern. [Copyright &y& Elsevier]
- Published
- 2012
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40. Development of the Verona coding definitions of emotional sequences to code health providers’ responses (VR-CoDES-P) to patient cues and concerns
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Del Piccolo, Lidia, de Haes, Hanneke, Heaven, Cathy, Jansen, Jesse, Verheul, William, Bensing, Jozien, Bergvik, Svein, Deveugele, Myriam, Eide, Hilde, Fletcher, Ian, Goss, Claudia, Humphris, Gerry, Kim, Young-Mi, Langewitz, Wolf, Mazzi, Maria Angela, Mjaaland, Trond, Moretti, Francesca, Nübling, Matthias, Rimondini, Michela, and Salmon, Peter
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- *
EMOTIONS , *PATIENTS , *PSYCHIATRIC consultation , *SELF-expression , *STATISTICAL sampling , *QUANTITATIVE research , *INTERVIEWING - Abstract
Objective: To present a method to classify health provider responses to patient cues and concerns according to the VR-CoDES-CC (Del Piccolo et al. (2009) and Zimmermann et al. (submitted for publication) ). The system permits sequence analysis and a detailed description of how providers handle patient's expressions of emotion. Methods: The Verona-CoDES-P system has been developed based on consensus views within the “Verona Network of Sequence Analysis”. The different phases of the creation process are described in detail. A reliability study has been conducted on 20 interviews from a convenience sample of 104 psychiatric consultations. Results: The VR-CoDES-P has two main classes of provider responses, corresponding to the degree of explicitness (yes/no) and space (yes/no) that is given by the health provider to each cue/concern expressed by the patient. The system can be further subdivided into 17 individual categories. Statistical analyses showed that the VR-CoDES-P is reliable (agreement 92.86%, Cohen's kappa 0.90 (±0.04) p <0.0001). Conclusion: Once validity and reliability are tested in different settings, the system should be applied to investigate the relationship between provider responses to patients’ expression of emotions and outcome variables. Practice implications: Research employing the VR-CoDES-P should be applied to develop research-based approaches to maximize appropriate responses to patients’ indirect and overt expressions of emotional needs. [Copyright &y& Elsevier]
- Published
- 2011
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41. Coding patient emotional cues and concerns in medical consultations: The Verona coding definitions of emotional sequences (VR-CoDES)
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Zimmermann, Christa, Del Piccolo, Lidia, Bensing, Jozien, Bergvik, Svein, De Haes, Hanneke, Eide, Hilde, Fletcher, Ian, Goss, Claudia, Heaven, Cathy, Humphris, Gerry, Kim, Young-Mi, Langewitz, Wolf, Meeuwesen, Ludwien, Nuebling, Matthias, Rimondini, Michela, Salmon, Peter, van Dulmen, Sandra, Wissow, Larry, Zandbelt, Linda, and Finset, Arnstein
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- *
PATIENTS , *EMOTIONAL state , *MEDICAL consultation , *PSYCHIATRIC consultation , *THERAPEUTIC alliance , *MEDICAL personnel , *COMPARATIVE studies , *QUALITY of service - Abstract
Objective: To present the Verona Coding Definitions of Emotional Sequences (VR-CoDES CC), a consensus based system for coding patient expressions of emotional distress in medical consultations, defined as Cues or C oncerns. Methods: The system was developed by an international group of communication researchers. First, consensus was reached in different steps. Second, a reliability study was conducted on 20 psychiatric consultations. Results: A Cue is defined as a verbal or non-verbal hint which suggests an underlying unpleasant emotion that lacks clarity. A Concern is defined as a clear and unambiguous expression of an unpleasant current or recent emotion that is explicitly verbalized with or without a stated issue of importance. The conceptual framework sets precise criteria for cues and concerns and for whom (health provider or patient) elicits the cue/concern. Inter-rater reliability proved satisfactory (agreement 81.5%, Cohen's Kappa 0.70). Conclusion: The VR-CoDES CC will facilitate comparative research on provider–patient communication sequences in which patients express emotional distress. Practice implications: The VR-CoDES CC may be used to help clinicians in recognizing or facilitating cues and concerns, thereby improving the recognition of patients’ emotional distress, the therapeutic alliance and quality of care for these patients. [Copyright &y& Elsevier]
- Published
- 2011
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42. Involving patients in decisions during psychiatric consultations.
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Goss, Claudia, Moretti, Francesca, Mazzi, Maria Angela, Del Piccolo, Lidia, Rimondini, Michela, and Zimmermann, Christa
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PSYCHIATRIC research ,DECISION making ,PSYCHOTHERAPY patients ,PRIMARY care ,MENTAL health services ,HEALTH outcome assessment ,MENTAL illness treatment ,OUTPATIENT medical care ,ANALYSIS of variance ,ATTITUDE (Psychology) ,COMMUNICATION ,MEDICAL personnel ,PHYSICIAN-patient relations ,PSYCHOMETRICS ,RESEARCH evaluation ,PATIENT participation - Abstract
Background: Patient involvement in the decision-making process is a key element for good clinical practice. Few data are available on patient involvement in psychiatry.Aims: To assess in a psychiatric out-patient context how psychiatrists involve patients in therapeutic decisions and to determine the extent to which patient and psychiatrist characteristics contribute to patient involvement.Method: Eighty transcripts from audiotaped first out-patient consultations, conducted by 16 psychiatrists, were rated with the OPTION (observing patient involvement) scale. Interrater reliability indices were obtained for 30 randomly selected interviews. Associations between OPTION scores and some clinical and socio-demographic variables were tested using t-test, ANOVA and Pearson's correlation coefficient where appropriate. The distribution of scores for each psychiatrist was assessed by intracluster correlation coefficients.Results: Interrater reliability and internal consistency of the OPTION scale in the psychiatric setting were satisfactory. The total score and the ratings for the single OPTION items showed a skewed distribution, with a prevalence of scores in the low range of abilities, corresponding to minimal attempts to involve patients or a minimal skill level.Conclusions: The OPTION scale proves to be a reliable instrument to assess patient involvement in a psychiatric setting. Psychiatrists showed poor patient involvement abilities parallel to previous findings in psychiatry and primary care. They need to be encouraged to share treatment decisions with their patients and to apply patient involvement skills. Further research is needed to establish which patient variables and clinical settings in psychiatry are more amenable to shared decisions, and how participation of psychiatric patients in treatment decisions will affect the outcome. [ABSTRACT FROM AUTHOR]- Published
- 2008
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43. The biopsychosocial domains and the functions of the medical interview in primary care: construct validity of the Verona Medical Interview Classification System
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Del Piccolo, Lidia, Putnam, Samuel M., Mazzi, Maria Angela, and Zimmermann, Christa
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MEDICAL history taking , *HEALTH of physicians , *FACTOR analysis , *PATIENT education - Abstract
Factor analysis (FA) is a powerful method of testing the construct validity of coding systems of the medical interview. The study uses FA to test the underlying assumptions of the Verona Medical Interview Classification System (VR-MICS). The relationship between factor scores and patient characteristics was also examined. The VR-MICS coding categories consider the three domains of the biopsychosocial model and the main functions of the medical interview—data gathering, relationship building and patient education. FA was performed on the frequencies of the VR-MICS categories based on 238 medical interviews. Seven factors (62.5% of variance explained) distinguished different strategies patients and physicians use to exchange information, build a relationship and negotiate treatment within the domains of the biopsychosocial model. Three factors, Psychological, Social Inquiry and Management of Patient Agenda, were related to patient data: sociodemographic (female gender, age and employment), social (stressful events), clinical (GHQ-12 score), personality (chance external health locus of control) and clinical characteristics (psychiatric history, chronic illness, attributed presence of emotional distress). [Copyright &y& Elsevier]
- Published
- 2004
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44. Fratelli sani di bambini disabili: possibili indicatori di rischio di evoluzione psicopatologica.
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Fara, Donatella, Seassaro, Ulla, Sorrentino, Anna Maria, Cattaneo, Maria Caterina, Del Piccolo, Lidia, and Molteni, Massimo
- Published
- 2003
45. Patient centered approach from general practice to psychiatry.
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Rimondini, Michela and Del Piccolo, Lidia
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- 2002
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46. Inter and intra individual variations in physicians' verbal behaviour during primary care consultations.
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Del Piccolo, Lidia, Mazzi, Mariangela, Saltini, Anna, and Zimmermann, Christa
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MEDICAL communication , *PRIMARY care , *MEDICAL consultation - Abstract
It is well established that most medical interviews in primary care are characterised by a scarcity of patient-centred interventions and a predominance of doctor-centred behaviours. Less information is available on the intra- and interindividual variability between the physicians' use of these categories. The study aimed to examine the impact of physician, physician's attribution of emotional distress, patients' GHQ-12 status and gender on the frequency of doctor and patient-centred verbal behaviours. A matched pair design involved six General Practitioners (GPs) and 238 patients. GPs'speech was classified using nine main categories derived from the Verona medical interview classification system (VR-MICS/D). Frequencies of the behaviours were calculated as percentages of total utterances per interview. Parametric and non-parametric ANOVAs were performed with GHQ-12 score, GP attribution of psychological distress, gender, and the six GPs as main factors. GPs varied in their use of the various interviewing behaviours. GHQ12 status had no impact on GPs' interview behaviour, while GPs' distress attribution was associated with an increase of closed psychosocial questions and a decrease of closed medical questions. Within comparisons showed that each GP tended to change very little and only as a function of attribution: four out of six GPs increased closed psychosocial questions with patients they thought to be distressed. Patients' gender did not significantly alter GPs' interviewing behaviour. The variability in the use of specific verbal behaviours among GPs indicates a highly individualised approach and the lack of a common interview strategy. The fact that GPs' interviewing styles did not change according to patient characteristics, such as emotional distress, but only according to attribution further indicates that GPs untrained in communication techniques tend to use a predominant doctor-centred approach to the medical interview. [ABSTRACT FROM AUTHOR]
- Published
- 2002
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47. Psycho-social problem disclosure during primary care consultation.
- Author
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Del Piccolo, Lidia
- Published
- 2000
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48. An instrument for evaluating medical interview in general practice: the VR-MICS/D (Verona-Medical Interview Classification System/Doctor).
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Saltini, Anna, Cappellari, Davide, Cellerino, Paola, Del Piccolo, Lidia, and Zimmermann, Christa
- Published
- 1998
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49. Doctor-patient interaction: a comparison between analysis systems.
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Del Piccolo, Lidia
- Published
- 1998
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50. "If You Can't Control the Wind, Adjust Your Sail": Tips for Post-Pandemic Benefit Finding from Young Adults Living with Multiple Sclerosis. A Qualitative Study.
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Poli, Silvia, Rimondini, Michela, Gajofatto, Alberto, Mazzi, Maria Angela, Busch, Isolde Martina, Gobbin, Francesca, Schena, Federico, Del Piccolo, Lidia, and Donisi, Valeria
- Published
- 2021
- Full Text
- View/download PDF
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