23 results on '"Sacrato L"'
Search Results
2. Neuropsychological profile in Italian children with neurofibromatosis type 1 (NF1) and their relationships with neuroradiological data: Preliminary results
- Author
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Parmeggiani, A., primary, Boiani, F., additional, Capponi, S., additional, Duca, M., additional, Angotti, M., additional, Pignataro, V., additional, Sacrato, L., additional, Spinardi, L., additional, Vara, G., additional, Maltoni, L., additional, Cecconi, I., additional, Pastore Trossello, M., additional, and Franzoni, E., additional
- Published
- 2018
- Full Text
- View/download PDF
3. Disturbi alimentari psicogeni in età evolutiva: profilo di personalità nella fascia 4-14 anni
- Author
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Capilupi, D, Franzoni, E, Gualandi P, Sacrato, L, PLANTULLI, ALESSIA, STREPPARAVA, MARIA GRAZIA, AAVV, Capilupi, D, Franzoni, E, Gualandi, P, Sacrato, L, Plantulli, A, and Strepparava, M
- Subjects
M-PSI/08 - PSICOLOGIA CLINICA ,Eating disorders, children, personality - Abstract
Le problematiche relative ai disturbi alimentari psicogeni in età evolutiva costituiscono un fenomeno a sempre maggiore impatto sociale e clinico (Linsheid et. al 2003; Bryant-Waugh et al. 2010). Tra le modificazioni più interessanti del DSM-V riveste un ruolo importante la riorganizzazione della classificazione dei disturbi alimentari dell’età infantile e adolescenziale/adulta che – a partire dalle osservazioni cliniche riportate in svariati lavori (es. Davies et al 2006; Bravender et. al. 2007; Attia et. al. 2013; Bryant-Waugh, 2013; Hartmann et al. 2012) - sono stati raccolti in uno stesso gruppo diagnostico. Da un punto di vista epidemiologico è sempre maggiore il numero di utenti che in età pediatrica afferiscono ai centri specializzati per i disturbi del comportamento alimentare. È questo il caso del Centro a valenza regionale per i Disturbi del Comportamento Alimentare in età evolutiva, dell’Unità Operativa di Neuropsichiatria Infantile del Policlinico Sant’Orsola di Bologna. I due aspetti di maggiore rilevanza per l’attività clinica in questo settore e con questa tipologia di popolazione sono: la valutazione diagnostica e la tipologia di intervento clinico. Verranno presentati i dati epidemiologici e di personalità - misurati con la classificazione 0-3 R (Chatoor, 2000), la classificazione di Lask, Btyan-Waugh (2000), il CBCL (Achenbach, Rescorla, 2001), l’EDI-3 (quando applicabile per la fascia di età) e griglie osservative - relativi alla popolazione di utenti afferenti al centro tra i 4 e i 14 anni di età negli anni dal 2011 al 2014; verranno inoltre illustrate le strategie di intervento articolate per fasce di età (0-3; 4-7; 8-14), alcune valutazioni di efficacia e delineate le criticità più comunemente incontrate nel trattamento degli utenti in età pediatrica e dei loro familiari.
- Published
- 2014
4. Psychometric evaluation of SAFA P test for eating disorders in adolescents: comparative validation with EDI-2
- Author
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PELLICCIARI, ALESSANDRO, GUALANDI, STEFANO, MONTI, MORENA, FRANZONI, EMILIO, Iero L, Di Pietro E, Sacrato L, Gualandi P, Pellicciari A, Gualandi S, Iero L, Monti M, Di Pietro E, Sacrato L, Gualandi P, and Franzoni E.
- Subjects
Feeding and Eating Disorders ,Psychiatric Status Rating Scales ,Adolescent ,Psychometrics ,Adolescent Behavior ,Humans ,Female ,eating disorders, psychometric evaluation, screening, SAFA, EDI-2 ,Sensitivity and Specificity - Abstract
This study evaluates the psychometric properties of self-administered psychiatric scale for children and adolescents with psychogenic eating disorders (SAFA P)--a brief self-report designed to screen and assess eating disorders (ED) in children and adolescents. Although SAFA P belongs to a broad battery of tests (SAFA) that explores different psychiatric conditions, it has not undergone appropriate validation until now.We administered SAFA P and Eating Disorder Inventory 2 (EDI-2) to 87 ED patients, with an average age of 15.4 ± 1.6 years.The internal reliability of SAFA P is good (Cronbach α = .776). Convergent validity with EDI-2 was assessed: both SAFA P subscale P1 (p .005) and EDI-2 subscale bulimia (p .001) showed a statistically significant difference among the three diagnostic categories (anorexia nervosa, bulimia nervosa and eating disorder not otherwise specified). Sensibility and specificity range from 62 to 91%, depending on the subscales. McNemar's test did not reveal statistically significant differences in assessing the concordance of the two measures. Statistically significant correlations were found between specific couples of subscales (p .001).Cross-validation with EDI-2 showed good results. SAFA P may be an alternative, useful and reliable instrument for assessing cursory ED in childhood and adolescence.
- Published
- 2011
5. I bambini troppo bravi non mangiano: quando le aspettative e i bisogni genitoriali attaccano il Sè emrgente del figlio
- Author
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Sacrato L., PELLICCIARI, ALESSANDRO, FRANZONI, EMILIO, Sacrato L., Pellicciari A., and Franzoni E.
- Subjects
BAMBINI ,MANGIARE ,BISOGNI GENITORIALI ,cibo ,SÈ EMERGENTE - Abstract
Gli autori indagano un gruppo di pazienti con i medesimi pattern clinici e psicologici, affetti da Disturbi del Comportamento Alimentare durante l'età della latenza. Sono presentati e discussi quattro casi con Disturbo emozionale con evitamento del cibo
- Published
- 2011
6. Il ruolo del gioco in Ospedale. Dagli aspetti teorici alle sue applicazioni clinico-terapeutiche
- Author
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Sacrato L., Venerito A. M., FRANZONI, EMILIO, Sacrato L., Venerito A.M., and Franzoni E.
- Subjects
APPLICAZIONI CLINICO-TERAPEUTICHE ,BAMBINI ,GIOCO ,OSPEDALE - Abstract
Nell’esperienza degli Autori descritta nel volume, in cui si riporta la presentazione di due casi clinici – una bambina straniera di 5 anni ed un bambino italiano di 9 anni –, si è dimostrato utile, quanto fondamentale, portare il gioco all’interno del contesto clinico-ospedaliero, un contesto vissuto dal bambino come un evento traumatico nel quale la malattia crea sofferenza sia fisica sia psichica. Il gioco durante il ricovero, che si tratti di gioco individuale o di gruppo, in camera o dinamico, sotto forma di fiaba ecc., può diventare uno strumento di guarigione in grado di distrarre dalla malattia, dal dolore psico-fisico e dall’estraneità del luogo; inoltre può aiutare il bambino nella creazione di relazioni interpersonali positive diminuendo l’ansia e portando al recupero della normalità, sviluppando la sua capacità di superare le difficoltà che l’ospedalizzazione comporta. In conclusione viene riconosciuto e dimostrato come il gioco e la capacità di fantasticare del bambino svolgano un’importante funzione equilibratrice nel complesso sistema della sua vita psichico. L’attività ludica dovrebbe rientrare quindi pienamente nell’organizzazione e nei servizi offerti dall’ospedale promovendo un atteggiamento da parte dei bambino privo di timore nei confronti della stessa ospedalizzazione.
- Published
- 2007
7. Modelli integrati ed approccio globale al paziente in età infantile affetto da disturbi del comportamento alimentare: presentazione di alcuni casi
- Author
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Sacrato L., Bigini E., Conti S., FRANZONI, EMILIO, Sacrato L., Bigini E., Conti S., and Franzoni E
- Published
- 2007
8. Miglioramento della qualità della vita e gestione dello stress in un gruppo sperimentale di pazienti con DCA
- Author
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FRANZONI, EMILIO, Savarino F., Francia V., Gualandi P., Sacrato L., Capilupi D., Migliore R., Dallomo A., Franzoni E., Savarino F., Francia V., Gualandi P., Sacrato L., Capilupi D., Migliore R., and Dallomo A.
- Published
- 2005
9. Disturbi alimentari psicogeni in età evolutiva: profilo di personalità nella fascia 4-14 anni
- Author
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AAVV, Capilupi, D, Franzoni, E, Gualandi, P, Sacrato, L, Plantulli, A, Strepparava, M, Gualandi P, PLANTULLI, ALESSIA, STREPPARAVA, MARIA GRAZIA, AAVV, Capilupi, D, Franzoni, E, Gualandi, P, Sacrato, L, Plantulli, A, Strepparava, M, Gualandi P, PLANTULLI, ALESSIA, and STREPPARAVA, MARIA GRAZIA
- Abstract
Le problematiche relative ai disturbi alimentari psicogeni in età evolutiva costituiscono un fenomeno a sempre maggiore impatto sociale e clinico (Linsheid et. al 2003; Bryant-Waugh et al. 2010). Tra le modificazioni più interessanti del DSM-V riveste un ruolo importante la riorganizzazione della classificazione dei disturbi alimentari dell’età infantile e adolescenziale/adulta che – a partire dalle osservazioni cliniche riportate in svariati lavori (es. Davies et al 2006; Bravender et. al. 2007; Attia et. al. 2013; Bryant-Waugh, 2013; Hartmann et al. 2012) - sono stati raccolti in uno stesso gruppo diagnostico. Da un punto di vista epidemiologico è sempre maggiore il numero di utenti che in età pediatrica afferiscono ai centri specializzati per i disturbi del comportamento alimentare. È questo il caso del Centro a valenza regionale per i Disturbi del Comportamento Alimentare in età evolutiva, dell’Unità Operativa di Neuropsichiatria Infantile del Policlinico Sant’Orsola di Bologna. I due aspetti di maggiore rilevanza per l’attività clinica in questo settore e con questa tipologia di popolazione sono: la valutazione diagnostica e la tipologia di intervento clinico. Verranno presentati i dati epidemiologici e di personalità - misurati con la classificazione 0-3 R (Chatoor, 2000), la classificazione di Lask, Btyan-Waugh (2000), il CBCL (Achenbach, Rescorla, 2001), l’EDI-3 (quando applicabile per la fascia di età) e griglie osservative - relativi alla popolazione di utenti afferenti al centro tra i 4 e i 14 anni di età negli anni dal 2011 al 2014; verranno inoltre illustrate le strategie di intervento articolate per fasce di età (0-3; 4-7; 8-14), alcune valutazioni di efficacia e delineate le criticità più comunemente incontrate nel trattamento degli utenti in età pediatrica e dei loro familiari.
- Published
- 2014
10. Reconsidering food avoidance emotional disorder through discussion of four cases
- Author
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Pellicciari, A., primary, Di Pietro, E., additional, Sacrato, L., additional, Iero, L., additional, and Franzoni, E., additional
- Published
- 2011
- Full Text
- View/download PDF
11. P02-131 - Reconsidering food avoidance emotional disorder through discussion of four cases
- Author
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Pellicciari, A., Di Pietro, E., Sacrato, L., Iero, L., and Franzoni, E.
- Published
- 2011
- Full Text
- View/download PDF
12. Emergent factors in Eating Disorders in childhood and preadolescence
- Author
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Pellicciari Alessandro, Sacrato Leonardo, and Franzoni Emilio
- Subjects
Pediatrics ,RJ1-570 - Abstract
Abstract We have reviewed the literature related to the current advances in comprehension of Eating Disorders (ED) in childhood and preadolescence. The state of art regarding the psychodynamic models concerning the onset of ED are explained. DSM-IV and ICD-10 criteria are discussed, pointing out their little value in the characterization of early eating difficulties. Historic and new diagnostic classifications are displayed in detail. We provided a clearer description of subclinical patterns. Finally we focus on the key role of the paediatrician in detecting and managing parental concerns regarding feeding.
- Published
- 2010
- Full Text
- View/download PDF
13. Autism spectrum disorder and anorexia nervosa: an Italian prospective study
- Author
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Elisabetta Malaspina, Marida Angotti, Letizia Terenzi, Paola Gualandi, Duccio Maria Cordelli, Antonia Parmeggiani, Veronica Pignataro, Emilio Franzoni, Leonardo Sacrato, Jacopo Pruccoli, Altea Solari, Pruccoli J., Solari A., Terenzi L., Malaspina E., Angotti M., Pignataro V., Gualandi P., Sacrato L., Cordelli D.M., Franzoni E., and Parmeggiani A.
- Subjects
Male ,Adolescent ,medicine.medical_treatment ,Anorexia nervosa ,behavioral disciplines and activities ,ADOS-2 ,03 medical and health sciences ,Young Adult ,BMI ,0302 clinical medicine ,Surveys and Questionnaires ,mental disorders ,medicine ,Humans ,Prospective Studies ,Autism spectrum disorder ,Prospective cohort study ,Antipsychotic ,EDI-3 ,Psychiatric Status Rating Scales ,business.industry ,Research ,lcsh:RJ1-570 ,lcsh:Pediatrics ,General Medicine ,medicine.disease ,Comorbidity ,030227 psychiatry ,Eating disorders ,Italy ,Autism ,Female ,business ,AQ ,030217 neurology & neurosurgery ,Psychopathology ,Clinical psychology - Abstract
BackgroundPotential overlaps exist between psychopathological features of Anorexia Nervosa (AN) and Autism Spectrum Disorder (ASD). The impact of malnutrition on autistic traits in patients with AN should be considered. This study investigates possible associations among the psychopathology of Eating Disorders (EDs), ASD traits and BMI in a group of young patients with AN, using the EDI-3 (Eating Disorder Inventory-3) test and gold-standard measures for ASD.MethodsProspective study involving 23 inpatients admitted to an Italian Centre for paediatric ED. ASD traits and ED psychopathology were assessed administering the ADOS-2 (Autism Diagnostic Observation Schedule-2), AQ (Autism Quotient) and EDI-3 tests. Both present and past autistic traits were investigated using different versions of AQ. Correlations were adjusted for BMI, Obsessive Compulsive Disorder (OCD) comorbidity and concurrent antipsychotic treatments.ResultsAn ASD diagnosis was possible in 22% of patients. Significant correlations were documented between ASD traits and ED psychopathology: AQ total-Interpersonal problems (IPC) (p = 0.041); AQ total-Global psychological maladjustment (GMPC) (p = 0.027); AQ social skills-Ineffectiveness (IC) (p = 0.018); AQ social skills-IPC (p = 0.019); AQ social skills-Affective problems (APC) (p = 0.025); AQ social skills-GMPC (p = 0.007); AQ attention switching-IPC (p = 0.020); ADOS-2 imagination-IC (p = 0.035). These correlations were independent of BMI, OCD and antipsychotic treatments.ConclusionsASD traits presented high prevalence in a group of young inpatients with AN. These traits were significantly correlated to 4 specific EDI-3 subscales and independent of BMI. This is the first study to investigate the relationship between ASD traits as measured with gold-standard measures, EDI-3 scores, and BMI.
- Published
- 2021
14. Neuropsychological profile in Italian children with neurofibromatosis type 1 (NF1) and their relationships with neuroradiological data: Preliminary results
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Emilio Franzoni, V. Pignataro, Lucia Maltoni, M. Duca, L. Sacrato, Giulio Vara, S. Capponi, M. Pastore Trossello, Antonia Parmeggiani, M. Angotti, F. Boiani, Luca Spinardi, I. Cecconi, and A. Parmeggiani , F. Boiani , S. Capponi , M. Duca , M. Angotti , V. Pignataro , L. Sacrato , L. Spinardi , G. Vara , L. Maltoni, I. Cecconi , M. Pastore Trossello , E. Franzoni
- Subjects
Male ,medicine.medical_specialty ,Neurofibromatosis 1 ,Adolescent ,Neurofibromatosis type1, Children, Neuropsychological profile, Specific learning disabilities, Behavior, UBOs ,Audiology ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Intellectual disability ,medicine ,Humans ,030212 general & internal medicine ,Neurofibromatosis ,Child ,Association (psychology) ,Intelligence quotient ,business.industry ,Neuropsychology ,Cognition ,General Medicine ,medicine.disease ,Magnetic Resonance Imaging ,Pediatrics, Perinatology and Child Health ,Learning disability ,Cohort ,Female ,Neurology (clinical) ,medicine.symptom ,Cognition Disorders ,business ,030217 neurology & neurosurgery - Abstract
Background Neurofibromatosis type 1 is a genetic disorder associated with cognitive deficits, learning disabilities and behavioral problems. These domains appear to have a still controversial debated association with local areas of T2-hyperintensities on MRI images, called unidentified bright objects (UBOs). Methods A cohort of 36 children (aged 7–11 years) included consecutively, underwent neuropsychological and behavioral assessment to determine their cognitive and neuropsychological profile, and the frequency of specific learning disabilities. MRI examination was used to determine the impact of UBOs' presence, number, and location on the cognitive, neuropsychological and behavioral profile, and also the presence of optic glioma. Results The mean full intelligence quotient was 104.6; only one child had mild intellectual disability. Forty one percent of children had a diagnosis of specific learning disabilities and reading was mainly involved. Twenty per cent had attention problems. All children had normal scores in visuo-motor and visuo-perceptual tests. UBOs were present in 94.0% of the MRI examinations. Two children had optic glioma. Children with UBOs in a specific location and children with UBOs elsewhere were statistically compared, no one of the location seemed to have an impact on general cognition measured with full intelligence quotient. The thalamus was associated with problems in calculation and striatum with behavioral problems. An inverse relationship between the number of UBOs and the full intelligence quotient was present, but without a statistical significance. Conclusions In this study, the specific location of UBOs did not seem to influence the general cognitive profile and also the relationship between their number and the full intelligence quotient was not significant; these results are still controversial in literature. Finally, the presence of UBOs in the thalamus and striatum may represent a neuroradiological pattern that influences performances in calculation and behavior respectively in children with Neurofibromatosis type 1.
- Published
- 2018
15. Emergent factors in Eating Disorders in childhood and preadolescence
- Author
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Alessandro Pellicciari, Leonardo Sacrato, Emilio Franzoni, Sacrato L, Pellicciari A, and Franzoni E
- Subjects
medicine.medical_specialty ,Review ,Models, Psychological ,Developmental psychology ,Diagnosis, Differential ,Feeding and Eating Disorders ,Risk Factors ,Medicine ,Humans ,Parent-Child Relations ,Psychiatry ,Child ,Preadolescence ,Maternal and child health ,business.industry ,Incidence ,Disease progression ,lcsh:RJ1-570 ,lcsh:Pediatrics ,Psychodynamics ,medicine.disease ,Comprehension ,Eating disorders ,Italy ,State of art ,PARENTAL CONCERNS ,Disease Progression ,business - Abstract
We have reviewed the literature related to the current advances in comprehension of Eating Disorders (ED) in childhood and preadolescence. The state of art regarding the psychodynamic models concerning the onset of ED are explained. DSM-IV and ICD-10 criteria are discussed, pointing out their little value in the characterization of early eating difficulties. Historic and new diagnostic classifications are displayed in detail. We provided a clearer description of subclinical patterns. Finally we focus on the key role of the paediatrician in detecting and managing parental concerns regarding feeding.
- Published
- 2010
16. The refusal of food in childhood: From our clinical experience to an evaluation of recent diagnostic classifications
- Author
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Luisa Iero, Leonardo Sacrato, Alessandro Pellicciari, Alberto Verrotti, Paola Gualandi, A Cimino, A Fracasso, Emilio Franzoni, Franzoni E, Fracasso A, Pellicciari A, Iero L, Gualandi P, Cimino A, Verrotti A, and Sacrato L
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,MEDLINE ,Psychological intervention ,Feeding and Eating Disorders ,medicine ,Humans ,Early childhood ,Psychiatry ,Child ,Feeding and Eating Disorders of Childhood ,Eating disorders in children and adolescents ,Chi-Square Distribution ,business.industry ,Diagnostic classifications ,ED sample ,Clinical Psychology ,Psychiatry and Mental Health ,Incidence (epidemiology) ,Infant ,medicine.disease ,Eating disorders ,Child, Preschool ,Female ,business ,Chi-squared distribution - Abstract
The aim of this study, which was carried out because of the importance of eating disorders (EDs) acquired by the young and the need to organise resources and interventions for patients and their families, was to quantify the increased incidence of EDs arising early in life in order to identify the nosographic classification that best reflects the complexity of the symptoms. Between 2003 and 2008, we assessed 128 subjects aged less than 14 years and observed a constant increase in ED-related problems. Our analysis shows the importance of representative classification criteria suitable for young patients in order to improve diagnosis and therapeutic planning. The need for a specific classification for early childhood is underlined by the fact that comorbidities and overlapping patterns often complicate adequate assessment.
17. Feeding and eating disorders in children and adolescents during the COVID-19 pandemic: real-word data from an observational, naturalistic study.
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Pruccoli J, Rosa S, Chiavarino F, Cava M, Gazzano A, Gualandi P, Marino M, Moscano F, Rossi F, Sacrato L, Salce B, Santini M, Valeriani B, Cordelli DM, and Parmeggiani A
- Abstract
Background: The COVID-19 pandemic had a substantial impact on the mental health of children and adolescents. The literature lacks large-scale research evaluating its consequences on teenagers with feeding and eating disorders (FED). This study aims to assess the impact of the COVID-19 pandemic on a population of patients of developmental age., Methods: This single-center observational study compares two historical cohorts of children and adolescents diagnosed with FED, with a first consultation before (1
st March 2018 to 31st October 2019) and during (1st March 2020 to 31st October 2021) pandemic. Demographic, clinical, nutritional, and treatment variables were assessed., Results: We enrolled 479 patients (F=398, 83.1%), including 205 (F=161, 78.5% mean age 14.5±2.5, range 7.9-17.9 years) belonging to the first historical cohort and 274 (F=237, 86.5%; 14.4±2.1, range 6.5-17.9) to the second one (+33.7%). Increased mean new accesses/month (P=0.042) and a greater percentage of females (P=0.042) during the pandemic compared to the pre-pandemic period emerged. Physical hyperactivity (P=0.022) and suicidal behaviors (P=0.030) increased, while fewer patients required hospitalization (P=0.013)., Conclusions: An increase in first visits for FED after the COVID-19 pandemic emerged, with females being the most affected. Physical hyperactivity and self-harming behaviors were intensified, while patients in need of hospitalization were reduced. Longitudinal studies are required.- Published
- 2024
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18. Clinical and psychopathological profiles of children with somatic symptom disorders in a pediatric emergency unit: an observational study before and during the SARS-CoV-2 pandemic.
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Pruccoli J, Biagi C, Andreozzi L, Fetta A, Sacrato L, Tartarini C, Cordelli DM, and Lanari M
- Subjects
- Adolescent, Humans, Child, SARS-CoV-2, Pandemics, Emergency Service, Hospital, COVID-19 epidemiology, Medically Unexplained Symptoms, Mental Disorders diagnosis, Mental Disorders epidemiology
- Abstract
Somatic symptom disorders (SSDs) are a group of clinical conditions characterized by heterogeneous physical symptoms, not directly supported by a demonstrable organic process. Despite representing a growing problem in the pediatric age, the literature lacks studies assessing the psychopathological and clinical features of subjects with SSD, particularly during the SARS-CoV-2 pandemic. This is a retrospective, observational study, involving two historical cohorts of children admitted to a tertiary referral Italian hospital over the 2 years preceding and following the start of the SARS-CoV-2 pandemic. Demographic, clinical, socio-economical, and psychological variables were investigated. Standardized tests for the developmental age were administered to assess psychopathological variables. Overall rates and trends of accesses for SSD, as compared to the total accesses for any cause at the Pediatric Emergency Room during the same periods, were reported as well. Fifty-one (pre-pandemic, 29; pandemic, 22) children with SSD were enrolled (age, 11.4 ± 2.4 years, F = 66.7%). Subjects in the pandemic historical cohort reported more frequently fever (p < 0.001), headache (p = 0.032), and asthenia (p < 0.001), as well as more chronic conditions in personal and family history, and fewer previous hospital accesses, as compared to the pre-pandemic cohort. Depressed mood and anxious traits were documented in both samples. None of them had an ongoing or a previously reported SARS-CoV-2 infection. During the pandemic, a clinical psychologist was more frequently consulted before the hospital discharge to mental health services, to support the diagnosis. Conclusion: This study showed the significant burden of SSD in children, highlighting the need to implement pediatricians' education to optimize the management of these patients. Children with SSD who accessed during the SARS-CoV-2 pandemic presented specific clinical features. Future studies, conducted on longitudinal and controlled samples, are indicated to further investigate children with these conditions. What is Known: • Somatic symptoms disorders (SSDs) are frequent in the pediatric age, especially in early adolescence. • Evidence remains scarce on the impact of the SARS-CoV-2 pandemic on SSDs in children. What is New: • Children with SSD who accessed during the SARS-CoV-2 pandemic presented specific clinical features. • The implementation of pediatricians' education and a multidisciplinary approach are needed to optimize the management of SSDs., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
- Published
- 2023
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19. Anorexia nervosa among first- and second-generation immigrant children and adolescents in Italy: treatment and clinical outcomes.
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Pruccoli J, La Tempa A, Francia V, Gualandi P, Malaspina E, Moscano F, Rossi F, Sacrato L, Rucci P, and Parmeggiani A
- Subjects
- Adolescent, Body Mass Index, Child, Humans, Retrospective Studies, Anorexia Nervosa therapy, Emigrants and Immigrants, Feeding and Eating Disorders
- Abstract
Purpose: Cultural and environmental factors have frequently been implicated in the pathogenesis of Eating Disorders (ED). Although ED have been considered as "Western culture-bound syndromes", increasing rates of ED among non-Western groups are being documented. The present study aims to investigate treatment and clinical outcomes among first-generation immigrant children and adolescents (FGI) (patients born abroad) and second-generation immigrant youth (SGI, patients born in Italy) with Anorexia Nervosa (AN)., Methods: The study retrospectively compares treatment, hospitalizations, traumatic past events, clinical features, and treatment outcome (improvement in percentual body-mass index - %BMI) between FGI and SGI young patients with AN (10-18 years). Correlations were adjusted for age and severity (%BMI) at presentation. Treatments and outcomes were investigated at the baseline (T0), 2 weeks (T1), one month (T2), 3 months (T3), 6 months (T4), and 12 months (T5)., Results: Thirty-six patients (50% FGI) were enrolled. At T1 (F(1.26)=6.335, p=0.018), and at T2 (F(1.30)=18.752, p<0.001) FGI presented a significantly higher %BMI improvement than SGI. FGI required significantly less (OR=0.379, p=0.017), and shorter (F(1.32)=5.827, p=0.022) hospitalizations, when compared with SGI., Conclusions: When compared to SGI, FGI with AN required fewer and shorter hospitalizations and had a better early-treatment weight outcome. Larger nationwide studies should investigate the need for and access to treatment of immigrant populations with AN.
- Published
- 2022
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20. Phonic and Motor Stereotypies in Autism Spectrum Disorder: Video Analysis and Neurological Characterization.
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Lanzarini E, Pruccoli J, Grimandi I, Spadoni C, Angotti M, Pignataro V, Sacrato L, Franzoni E, and Parmeggiani A
- Abstract
Stereotypies are among the core symptoms of Autism spectrum disorder (ASD) and can cause significant clinical impairment. At present, phonic stereotypies in ASD have been scarcely explored. This study investigates the frequency, variability, and typologies of phonic and motor stereotypies in children with ASD and their association with clinical neurological variables. We examined 35 patients by recording standardized video sessions and administering the Autism Diagnostic Observation Schedule-Second Edition (ADOS-2). Phonic stereotypies were present in 83.0% of the patients. The most prevalent subtypes were noncommunicative vocalizations (60.0%), single syllables (37.1%), and echolalic stereotypies (22.9%). Noncommunicative vocalizations were more frequent in nonverbal patients (OR = 4.629, p = 0.008), while echolalic stereotypies were more represented in verbal patients (OR = 0.279, p = 0.028). Patients with intellectual disability (ID) showed a higher number (F(1,26) = 9.406, p = 0.005) and variability (F(1,25) = 7.174, p = 0.013) of motor stereotypies, with a higher number (F(1,26) = 13.268, p = 0.005) and variability (F(1,26) = 9.490, p = 0.005) of stereotypies involving the head/trunk/shoulders category. Patients with guttural stereotypies showed a higher variability of total motor stereotypies (OR = 1.487, p = 0.032) and self-directed motor stereotypies (OR = 4.389, p = 0.042). These results, combined with a standardized video-analysis, document the frequency and variability of phonic stereotypies among children with ASD. Correlations between specific phonic stereotypies and verbal abilities should be investigated further.
- Published
- 2021
- Full Text
- View/download PDF
21. Autism spectrum disorder and anorexia nervosa: an Italian prospective study.
- Author
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Pruccoli J, Solari A, Terenzi L, Malaspina E, Angotti M, Pignataro V, Gualandi P, Sacrato L, Cordelli DM, Franzoni E, and Parmeggiani A
- Subjects
- Adolescent, Anorexia Nervosa psychology, Autism Spectrum Disorder psychology, Female, Humans, Italy, Male, Prospective Studies, Psychiatric Status Rating Scales, Surveys and Questionnaires, Young Adult, Anorexia Nervosa complications, Autism Spectrum Disorder complications, Autism Spectrum Disorder diagnosis
- Abstract
Background: Potential overlaps exist between psychopathological features of Anorexia Nervosa (AN) and Autism Spectrum Disorder (ASD). The impact of malnutrition on autistic traits in patients with AN should be considered. This study investigates possible associations among the psychopathology of Eating Disorders (EDs), ASD traits and BMI in a group of young patients with AN, using the EDI-3 (Eating Disorder Inventory-3) test and gold-standard measures for ASD., Methods: Prospective study involving 23 inpatients admitted to an Italian Centre for paediatric ED. ASD traits and ED psychopathology were assessed administering the ADOS-2 (Autism Diagnostic Observation Schedule-2), AQ (Autism Quotient) and EDI-3 tests. Both present and past autistic traits were investigated using different versions of AQ. Correlations were adjusted for BMI, Obsessive Compulsive Disorder (OCD) comorbidity and concurrent antipsychotic treatments., Results: An ASD diagnosis was possible in 22% of patients. Significant correlations were documented between ASD traits and ED psychopathology: AQ total-Interpersonal problems (IPC) (p = 0.041); AQ total-Global psychological maladjustment (GMPC) (p = 0.027); AQ social skills-Ineffectiveness (IC) (p = 0.018); AQ social skills-IPC (p = 0.019); AQ social skills-Affective problems (APC) (p = 0.025); AQ social skills-GMPC (p = 0.007); AQ attention switching-IPC (p = 0.020); ADOS-2 imagination-IC (p = 0.035). These correlations were independent of BMI, OCD and antipsychotic treatments., Conclusions: ASD traits presented high prevalence in a group of young inpatients with AN. These traits were significantly correlated to 4 specific EDI-3 subscales and independent of BMI. This is the first study to investigate the relationship between ASD traits as measured with gold-standard measures, EDI-3 scores, and BMI.
- Published
- 2021
- Full Text
- View/download PDF
22. Psychometric evaluation of SAFA P test for eating disorders in adolescents: comparative validation with EDI-2.
- Author
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Pellicciari A, Gualandi S, Iero L, Monti M, Di Pietro E, Sacrato L, Gualandi P, and Franzoni E
- Subjects
- Adolescent, Female, Humans, Psychometrics standards, Sensitivity and Specificity, Adolescent Behavior psychology, Feeding and Eating Disorders diagnosis, Psychiatric Status Rating Scales standards, Psychometrics instrumentation
- Abstract
Objective: This study evaluates the psychometric properties of self-administered psychiatric scale for children and adolescents with psychogenic eating disorders (SAFA P)--a brief self-report designed to screen and assess eating disorders (ED) in children and adolescents. Although SAFA P belongs to a broad battery of tests (SAFA) that explores different psychiatric conditions, it has not undergone appropriate validation until now., Method: We administered SAFA P and Eating Disorder Inventory 2 (EDI-2) to 87 ED patients, with an average age of 15.4 ± 1.6 years., Results: The internal reliability of SAFA P is good (Cronbach α = .776). Convergent validity with EDI-2 was assessed: both SAFA P subscale P1 (p < .005) and EDI-2 subscale bulimia (p < .001) showed a statistically significant difference among the three diagnostic categories (anorexia nervosa, bulimia nervosa and eating disorder not otherwise specified). Sensibility and specificity range from 62 to 91%, depending on the subscales. McNemar's test did not reveal statistically significant differences in assessing the concordance of the two measures. Statistically significant correlations were found between specific couples of subscales (p < .001)., Conclusions: Cross-validation with EDI-2 showed good results. SAFA P may be an alternative, useful and reliable instrument for assessing cursory ED in childhood and adolescence., (Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association.)
- Published
- 2012
- Full Text
- View/download PDF
23. Emergent factors in eating disorders in childhood and preadolescence.
- Author
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Sacrato L, Pellicciari A, and Franzoni E
- Subjects
- Child, Diagnosis, Differential, Disease Progression, Humans, Incidence, Italy epidemiology, Risk Factors, Feeding and Eating Disorders diagnosis, Feeding and Eating Disorders epidemiology, Feeding and Eating Disorders psychology, Models, Psychological, Parent-Child Relations
- Abstract
We have reviewed the literature related to the current advances in comprehension of Eating Disorders (ED) in childhood and preadolescence. The state of art regarding the psychodynamic models concerning the onset of ED are explained. DSM-IV and ICD-10 criteria are discussed, pointing out their little value in the characterization of early eating difficulties. Historic and new diagnostic classifications are displayed in detail. We provided a clearer description of subclinical patterns. Finally we focus on the key role of the paediatrician in detecting and managing parental concerns regarding feeding.
- Published
- 2010
- Full Text
- View/download PDF
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