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Objective: Comorbidity in psychiatric patients has been widely examined in the literature, enucleating the role in misinterpretation of symptom's root in a multi-disease background, as well as the impact on the quality of life, outcome, and healthcare effects. This research aimed to examine, in an Italian population of psychiatric patients, the diagnostic continuum in the context of lifetime psychiatric comorbidity, assessing possible differences related to the onset disorder. Method: A retrospective analysis of medical records of 458 subjects, in which various psychiatric diagnoses were represented and categorized in 16 nosographic classes, was conducted. Results: Results showed that "Bipolar disorder" (22.06%) was the most frequent diagnosis, "Eating disorder" had the earliest age onset (Mean age years = 16 ± 1.41), and "Schizophrenia" showed the longest disease duration (Mean years = 24.20±12.76). Moreover, 54,4% of the final sample presented at least one psychiatric comorbidity in disease history, while "Other personality disorders" was the most comorbidity-associated diagnosis, representing 29% of all the cases with more than 3 past diagnoses. Heterotypic transition was observed in fairly all considered onset diagnoses, exception made for "Schizophrenia" with 75% of the subjects showing homotypic progression. Conclusions: Our results suggest a tendency to make multiple diagnoses over psychiatric patients' lifetime in the majority of cases, often escaping from the original onset nosographic domain. More generally, our findings agree with a broad consensus that describes psychiatric symptomatic dimensions rather overlapped and correlated with each other, leading to a more transdiagnostic clinical approach. [ABSTRACT FROM AUTHOR]

Objective: Several studies addressed the psychological and physical consequences of caregiving. Literature suggests that the majority of caregivers would benefit from a psychological support. Despite this evidence, lots of caregivers are reluctant in seeking psychological help. The aim of the present study is to identify the sociodemographic characteristics and the psychological motivations of caregivers who request a support, in terms of gender, age, occupation, type of recipient pathology, perceived burden and experienced emotions. Method: Two hundred ninety-three caregivers, 70.4% females, aged between 20 and 80 years, were interviewed with a Questionnaire for Caregiver and the Caregiver Burden Inventory (CBI). Results: Findings show that factors associated with caregivers help-seeking are not the objective ones (time spent in care, age, occupation), with the exeption for gender. The reasons are rather traceable in the type of pathology (physical vs. mental), the level of burden and the negative affects experienced. Conclusions: Focusing on the demand analysis could contribute in the clinical practice to better specify the objectives of the psychological and psychotherapeutic interventions. [ABSTRACT FROM AUTHOR]