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6. Multilingualism and international mental health research–The barriers for non-native speakers of English

Author

de Girolamo, Giovanni, primary, Calza, Stefano, additional, Clerici, Massimo, additional, D’Agostino, Armando, additional, De Ronchi, Diana, additional, Fagiolini, Andrea, additional, Nicolò, Giuseppe, additional, Nobile, Maria, additional, Raballo, Andrea, additional, Rucci, Paola, additional, Serretti, Alessandro, additional, Starace, Fabrizio, additional, Tiraboschi, Pietro, additional, and Brambilla, Paolo, additional

Published
2024
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15. Working alliance in treating staff and patients with Schizophrenia Spectrum Disorder living in Residential Facilities.

Author

Fusar-Poli, Laura, Panariello, Fabio, Berry, Katherine, Rocchetti, Matteo, Casiraghi, Letizia, Malvezzi, Matteo, Starace, Fabrizio, Zamparini, Manuel, Zarbo, Cristina, and de Girolamo, Giovanni

Subjects
PREDICTIVE tests, PEARSON correlation (Statistics), MEDICAL personnel, RESEARCH funding, QUESTIONNAIRES, SCHIZOPHRENIA, THERAPEUTIC alliance, SOCIODEMOGRAPHIC factors, RESIDENTIAL care, PSYCHOSOCIAL factors, REGRESSION analysis, PATHOLOGICAL psychology
Abstract

Objectives: Working Alliance (WA) is important in the care of patients with Schizophrenia Spectrum Disorders (SSD). This study aims to determine which sociodemographic and clinical factors are associated with WA, as assessed by patients and staff members in Residential Facilities (RFs), and may predict WA dyads' discrepancies. Methods: Three hundred and three SSD patients and 165 healthcare workers were recruited from 98 RFs and characterized for sociodemographic features. WA was rated by the Working Alliance Inventory (WAI) for patients (WAIP) and staff members (WAI- T). SSD patients were assessed for the severity of psychopathology and psychosocial functioning. Results: Pearson's correlation revealed a positive correlation (ρ = .314; p < .001) between WAI- P and WAI- T ratings. Linear regression showed that patients with higher education reported lower WAI- P ratings (β = -.50, p = .044), while not being engaged in work or study was associated with lower WAI- T scores (β = -4.17, p = .015). A shorter lifetime hospitalization was associated with higher WAI- P ratings (β = 5.90, p = .008), while higher psychopathology severity negatively predicted WAI- T (β = -.10, p = .002) and WAI- P ratings (β = -.19, p < .001). Better functioning level positively foresaw WAI- T (β = .14, p < .001) and WAI- P ratings (β = .12, p < .001). Regarding discrepancies, staff members' age was associated with higher dyads discrepancy in Total scale and Agreement subscale scores, which were also associated with more severe negative symptoms, while patients' age was negatively correlated to Relationship subscale discrepancy. Conclusions: This study provides insight into the factors that influence WA in SSD patients and health workers in RFs. The findings address interventions to improve WA and ultimately patient outcomes. [ABSTRACT FROM AUTHOR]

Published
2024
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17. Positivity, daily time use, mood, and functioning in patients with schizophrenia spectrum disorders: Results from the diapason multicentric study

Author

Martinelli, Alessandra, primary, Moncalieri, Giulia, additional, Zamparini, Manuel, additional, Alessandri, Guido, additional, Vittorio Caprara, Gian, additional, Castelnuovo, Gianluca, additional, Rocchetti, Matteo, additional, Starace, Fabrizio, additional, Zarbo, Cristina, additional, and de Girolamo, Giovanni, additional

Published
2023
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18. Positivity, daily time use, mood, and functioning in patients with schizophrenia spectrum disorders: Results from the diapason multicentric study.

Author

Martinelli, Alessandra, Moncalieri, Giulia, Zamparini, Manuel, Alessandri, Guido, Vittorio Caprara, Gian, Castelnuovo, Gianluca, Rocchetti, Matteo, Starace, Fabrizio, Zarbo, Cristina, and de Girolamo, Giovanni

Subjects
SCHIZOPHRENIA, AGE distribution, ACTIVITIES of daily living, SEX distribution, PSYCHOLOGICAL tests, SEVERITY of illness index, COMPARATIVE studies, PATIENTS' attitudes, QUALITY of life, DESCRIPTIVE statistics, RESEARCH funding, OPTIMISM
Abstract

Background: Positivity (POS) indicates the proclivity to see life and experiences in a positive light. There is limited research on its effects on individuals with Schizophrenia Spectrum Disorders (SSD). Very little is known about the relationship between POS and daily activities in people with SSD. Aim: The study aims to compare the POS rated by patients with SSD with those obtained in an Italian normative sample matched by age and sex and to use the Ecological Momentary Assessment (EMA) to investigate the association between POS and daily time use (i.e. productive activities, leisure activities), functioning and mood in individuals with SSD. Method: 620 SSD patients were recruited from mental health services in Italy as part of the DiAPAson project. POS, symptom severity, functioning, and quality of life (QoL) were assessed. POS scores were compared to a normative sample of 5,002 Italian citizens. Additionally, a subset of 102 patients underwent 7-day assessments using mobile EMA. Results: People with SSD did not significantly differ from the Italian normative sample in POS levels (0.035, p =.190). POS showed a significant inverse association with support network (−0.586, p =.036) and symptomatology (BPRS −0.101; 95% p <.001; BNSS B = −0.113, p <.001). A significant direct association was found between POS and QoL (B = 0.310, p <.001) and functioning (B = 0.058, p <.001). In the subsample using EMA, POS ratings showed significant associations with Positive Emotions (B = 0.167, p <.001) and Negative Emotions (B = −0.201, p <.001). Conclusion: People with SSD exhibited comparable levels of POS to the normative sample. Higher POS was linked to better functioning, QoL, fewer severe symptoms, and increased positive emotions. However, it did not relate to increased productivity or engagement in leisure activities. Further research is needed to understand the relationship between POS and time use in individuals with SSD. [ABSTRACT FROM AUTHOR]

Published
2024
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19. Ecological monitoring of emotional intensity, variability, and instability in individuals with schizophrenia spectrum disorders: Results of a multicentre study.

Author

Zarbo, Cristina, Zamparini, Manuel, Patrono, Alessandra, Calini, Cosima, Harvey, Philip D., Casiraghi, Letizia, Clerici, Massimo, Malvezzi, Matteo, Rocchetti, Matteo, Starace, Fabrizio, and de Girolamo, Giovanni

Subjects
SCHIZOPHRENIA, ENVIRONMENTAL monitoring, PEOPLE with schizophrenia, EMOTIONAL state, MENTAL health personnel, EMOTIONAL experience, WELL-being
Abstract

Background: Evaluating emotional experiences in the life of people with Schizophrenia Spectrum Disorder (SSD) is fundamental for developing interventions aimed at promoting well‐being in specific times and contexts. However, little is known about emotional variability in this population. In DiAPAson project, we evaluated between‐ and within‐person differences in emotional intensity, variability, and instability between people with SSD and healthy controls, and the association with psychiatric severity and levels of functioning. Methods: 102 individuals diagnosed with SSD (57 residential patients, 46 outpatients) and 112 healthy controls were thoroughly evaluated. Daily emotions were prospectively assessed with Experience Sampling Method eight times a day for a week. Statistical analyses included ANOVA, correlations, and generalized linear models. Results: Participants with SSD, and especially residential patients, had a higher intensity of negative emotions when compared to controls. Moreover, all people with SSD reported a greater between‐person‐variability of both positive and negative emotions and greater intra‐variability of negative emotions than healthy controls. In addition, the emotion variability in people with SSD does not follow a linear or quadratic trend but is more "chaotic" if compared to controls. Conclusions: Adequate assessments of positive and negative emotional experiences and their time course in people with SSD can assist mental health professionals with well‐being assessment, implementing targeted interventions through the identification of patterns, triggers, and potential predictors of emotional states. [ABSTRACT FROM AUTHOR]

Published
2024
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20. Ecological monitoring of physical activity, emotions and daily life activities in schizophrenia: the DiAPAson study

Author

Zarbo, Cristina, primary, Rota, Matteo, additional, Calza, Stefano, additional, Crouter, Scott E, additional, Ekelund, Ulf, additional, Barlati, Stefano, additional, Bussi, Riccardo, additional, Clerici, Massimo, additional, Placenti, Roberto, additional, Paulillo, Giuseppina, additional, Pogliaghi, Silvia, additional, Rocchetti, Matteo, additional, Ruggeri, Mirella, additional, Starace, Fabrizio, additional, Zanolini, Stefano, additional, Zamparini, Manuel, additional, and de Girolamo, Giovanni, additional

Published
2023
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22. Demographic, clinical, and service-use characteristics related to the clinician’s recommendation to transition from child to adult mental health services

Author

Gerritsen, S. E., van Bodegom, L. S., Dieleman, G. C., Overbeek, M. M., Verhulst, F. C., Wolke, Dieter, Rizopoulos, D., Appleton, R., van Amelsvoort, T. A. M. J., Bodier Rethore, C., Bonnet-Brilhault, F., Charvin, I., Da Fonseca, D., Davidović, N., Dodig-Ćurković, K., Ferrari, A., Fiori, F., Franić, T., Gatherer, C., de Girolamo, G., Heaney, N., Hendrickx, G., Jardri, R., Kolozsvari, A., Lida-Pulik, H., Lievesley, K., Madan, J., Mastroianni, M., Maurice, V., McNicholas, F., Nacinovich, R., Parenti, A., Paul, M., Purper-Ouakil, D., Rivolta, L., de Roeck, V., Russet, F., Saam, M. C., Sagar-Ouriaghli, I., Santosh, P. J., Sartor, A., Schulze, U. M. E., Scocco, P., Signorini, G., Singh, S. P., Singh, J., Speranza, M., Stagi, P., Stagni, P., Street, C., Tah, P., Tanase, E., Tremmery, S., Tuffrey, A., Tuomainen, H., Walker, L., Wilson, A., Maras, A., Adams, Laura, Allibrio, Giovanni, Armando, Marco, Aslan, Sonja, Baccanelli, Nadia, Balaudo, Monica, Bergamo, Fabia, Bertani, Angelo, Berriman, Jo, Boon, Albert, Braamse, Karen, Breuninger, Ulrike, Buttiglione, Maura, Buttle, Sarah, Schandrin, Aurélie, Cammarano, Marco, Canaway, Alastair, Cantini, Fortunata, Cappellari, Cristiano, Carenini, Marta, Carrà, Giuseppe, Ferrari, Cecilia, Chianura, Krizia, Coleman, Philippa, Colonna, Annalisa, Conese, Patrizia, Costanzo, Raffaella, Daffern, Claire, Danckaerts, Marina, de Giacomo, Andrea, Ermans, Jean-Pierre, Farmer, Alan, Fegert, Jörg M., Ferrari, Sabrina, Galea, Giuliana, Gatta, Michela, Gheza, Elisa, Goglia, Giacomo, Grandetto, MariaRosa, Griffin, James, Levi, Flavia Micol, Humbertclaude, Véronique, Ingravallo, Nicola, Invernizzi, Roberta, Kelly, Caoimhe, Killilea, Meghan, Kirwan, James, Klockaerts, Catherine, Kovač, Vlatka, Liew, Ashley, Lippens, Christel, Macchi, Francesca, Manenti, Lidia, Margari, Francesco, Margari, Lucia, Martinelli, Paola, McFadden, Leighton, Menghini, Deny, Miller, Sarah, Monzani, Emiliano, Morini, Giorgia, Mutafov, Todor, O’Hara, Lesley, Negrinotti, Cristina, Nelis, Emmanuel, Neri, Francesca, Nikolova, Paulina, Nossa, Marzia, Cataldo, Maria Giulia, Noterdaeme, Michele, Operto, Francesca, Panaro, Vittoria, Pastore, Adriana, Pemmaraju, Vinuthna, Pepermans, Ann, Petruzzelli, Maria Giuseppina, Presicci, Anna, Prigent, Catherine, Rinaldi, Francesco, Riva, Erika, Roekens, Anne, Rogers, Ben, Ronzini, Pablo, Sakar, Vehbi, Salvetti, Selena, Martinelli, Ottaviano, Sandhu, Tanveer, Schepker, Renate, Siviero, Marco, Slowik, Michael, Smyth, Courtney, Conti, Patrizia, Spadone, Maria Antonietta, Starace, Fabrizio, Stoppa, Patrizia, Tansini, Lucia, Toselli, Cecilia, Trabucchi, Guido, Tubito, Maria, van Dam, Arno, van Gutschoven, Hanne, van West, Dirk, Vanni, Fabio, Vannicola, Chiara, Varuzza, Cristiana, Varvara, Pamela, Ventura, Patrizia, Vicari, Stefano, Vicini, Stefania, von Bentzel, Carolin, Wells, Philip, Williams, Beata, Zabarella, Marina, Zamboni, Anna, Zanetti, Edda, HASH(0x5651c9679ff8), RS: MHeNs - R2 - Mental Health, Psychiatrie & Neuropsychologie, MUMC+: MA Med Staf Spec Psychiatrie (9), Child and Adolescent Psychiatry / Psychology, Epidemiology, Clinical Child and Family Studies, LEARN! - Child rearing, APH - Mental Health, Centre Hospitalier Régional Universitaire de Tours (CHRU Tours), Lille Neurosciences & Cognition - U 1172 (LilNCog), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Centre Hospitalier de Versailles André Mignot (CHV), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), CHU Lille, Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, The MILESTONE project was funded by EU FP7 programme under grant number 602442. SPS is part-funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care West Midlands (NIHR CLAHRC WM), now recommissioned as NIHR Applied Research Collaboration West Midlands. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. PS is the co-inventor of the HealthTrackerTM and is the Chief Executive Officer and shareholder in HealthTracker Ltd. FF is a Chief Technical Officer and AK is the Chief Finance Officer employed by HealthTracker Ltd, respectively. FCV publishes the Dutch translations of ASEBA, from which he receives remuneration. AM was a speaker and advisor for Neurim, Shire, Infectopharm, and Lilly (all not related to transition research)., European Project: 602442,EC:FP7:HEALTH,FP7-HEALTH-2013-INNOVATION-1,MILESTONE(2014), The Milestone Consortium, Gerritsen, S, van Bodegom, L, Dieleman, G, Overbeek, M, Verhulst, F, Wolke, D, Rizopoulos, D, Appleton, R, van Amelsvoort, T, Bodier Rethore, C, Bonnet-Brilhault, F, Charvin, I, Da Fonseca, D, Davidovic, N, Dodig-Curkovic, K, Ferrari, A, Fiori, F, Franic, T, Gatherer, C, de Girolamo, G, Heaney, N, Hendrickx, G, Jardri, R, Kolozsvari, A, Lida-Pulik, H, Lievesley, K, Madan, J, Mastroianni, M, Maurice, V, Mcnicholas, F, Nacinovich, R, Parenti, A, Paul, M, Purper-Ouakil, D, Rivolta, L, de Roeck, V, Russet, F, Saam, M, Sagar-Ouriaghli, I, Santosh, P, Sartor, A, Schulze, U, Scocco, P, Signorini, G, Singh, S, Singh, J, Speranza, M, Stagi, P, Stagni, P, Street, C, Tah, P, Tanase, E, Tremmery, S, Tuffrey, A, Tuomainen, H, Walker, L, Wilson, A, Maras, A, Adams, L, Allibrio, G, Armando, M, Aslan, S, Baccanelli, N, Balaudo, M, Bergamo, F, Bertani, A, Berriman, J, Boon, A, Braamse, K, Breuninger, U, Buttiglione, M, Buttle, S, Schandrin, A, Cammarano, M, Canaway, A, Cantini, F, Cappellari, C, Carenini, M, Carra, G, Ferrari, C, Chianura, K, Coleman, P, Colonna, A, Conese, P, Costanzo, R, Daffern, C, Danckaerts, M, de Giacomo, A, Ermans, J, Farmer, A, Fegert, J, Ferrari, S, Galea, G, Gatta, M, Gheza, E, Goglia, G, Grandetto, M, Griffin, J, Levi, F, Humbertclaude, V, Ingravallo, N, Invernizzi, R, Kelly, C, Killilea, M, Kirwan, J, Klockaerts, C, Kovac, V, Liew, A, Lippens, C, Macchi, F, Manenti, L, Margari, F, Margari, L, Martinelli, P, Mcfadden, L, Menghini, D, Miller, S, Monzani, E, Morini, G, Mutafov, T, O'Hara, L, Negrinotti, C, Nelis, E, Neri, F, Nikolova, P, Nossa, M, Cataldo, M, Noterdaeme, M, Operto, F, Panaro, V, Pastore, A, Pemmaraju, V, Pepermans, A, Petruzzelli, M, Presicci, A, Prigent, C, Rinaldi, F, Riva, E, Roekens, A, Rogers, B, Ronzini, P, Sakar, V, Salvetti, S, Martinelli, O, Sandhu, T, Schepker, R, Siviero, M, Slowik, M, Smyth, C, Conti, P, Spadone, M, Starace, F, Stoppa, P, Tansini, L, Toselli, C, Trabucchi, G, Tubito, M, van Dam, A, van Gutschoven, H, van West, D, Vanni, F, Vannicola, C, Varuzza, C, Varvara, P, Ventura, P, Vicari, S, Vicini, S, von Bentzel, C, Wells, P, Williams, B, Zabarella, M, Zamboni, A, and Zanetti, E

Subjects
Adult mental health service, Adult, Mental Health Services, Parents, Health (social science), Child and adolescent mental health service, Social Psychology, RJ, Epidemiology, ADOLESCENT, Child and adolescent mental health services, Adult mental health services, Young adults, Transition, SDG 3 - Good Health and Well-being, PEOPLE, SCHIZOPHRENIA, Humans, Family, Child, Demography, Mental Disorders, CARE, Psychiatry and Mental health, Young adult, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, RA
Abstract

Purpose The service configuration with distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) may be a barrier to continuity of care. Because of a lack of transition policy, CAMHS clinicians have to decide whether and when a young person should transition to AMHS. This study describes which characteristics are associated with the clinicians’ advice to continue treatment at AMHS. Methods Demographic, family, clinical, treatment, and service-use characteristics of the MILESTONE cohort of 763 young people from 39 CAMHS in Europe were assessed using multi-informant and standardized assessment tools. Logistic mixed models were fitted to assess the relationship between these characteristics and clinicians’ transition recommendations. Results Young people with higher clinician-rated severity of psychopathology scores, with self- and parent-reported need for ongoing treatment, with lower everyday functional skills and without self-reported psychotic experiences were more likely to be recommended to continue treatment. Among those who had been recommended to continue treatment, young people who used psychotropic medication, who had been in CAMHS for more than a year, and for whom appropriate AMHS were available were more likely to be recommended to continue treatment at AMHS. Young people whose parents indicated a need for ongoing treatment were more likely to be recommended to stay in CAMHS. Conclusion Although the decision regarding continuity of treatment was mostly determined by a small set of clinical characteristics, the recommendation to continue treatment at AMHS was mostly affected by service-use related characteristics, such as the availability of appropriate services.

Published
2022

23. Interplay between negative symptoms, time spent doing nothing, and negative emotions in patients with schizophrenia spectrum disorders: results from a 37-site study.

Author

D'Anna, Giulio, Zarbo, Cristina, Cardamone, Giuseppe, Zamparini, Manuel, Calza, Stefano, Rota, Matteo, Correll, Christoph U., Rocchetti, Matteo, Starace, Fabrizio, de Girolamo, Giovanni, Barlati, Stefano, Baroncelli, Andrea, Besana, Filippo, Boero, Maria Elena, Clerici, Massimo, Di Michele, Vittorio, Durbano, Federico, Foia, Maria Gabriella, Impicci, Stefania, and Jacoponi, Filippo Maria

Published
2023
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24. DIAPASON Project - sleep-wake patterns and their associations with the negative symptoms in patients with schizophrenia spectrum disorders

Author

Mayeli, Ahmad, LaGoy, Alice D, Smagula, Stephen, Wilson, James, Zarbo, Cristina, Rocchetti, Matteo, Starace, Fabrizio, Zamparini, Manuel, Casiraghi, Letizia, Calza, Stefano, Rota, Matteo, D'Agostino, Armando, de Girolamo, Giovanni, DiAPAson Collaborators, and Ferrarelli, Fabio

Subjects
Schizophrenia Spectrum Disorder, Rest Activity Rhythm, Negative symptom, Circadian, Physical Activity, Sleep, Actigraphy
Abstract

Data related to an actigraphy study in a large cohort of patients with schizophrenia spectrum disorder and healthy controls

Published
2023
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28. Needs for care of residents with schizophrenia spectrum disorders and association with daily activities and mood monitored with experience sampling method: the DIAPASON study

Author

Martinelli, Alessandra, D'Addazio, Miriam, Zamparini, Manuel, Thornicroft, Graham, Torino, Gabriele, Zarbo, Cristina, Rocchetti, Matteo, Starace, Fabrizio, Casiraghi, Letizia, Ruggeri, Mirella, and de Girolamo, Giovanni

Subjects
schizophrenia, psychiatric services, epidemiology, community mental health
Published
2023

29. Cohort profile

Author

Gerritsen, Suzanne E., Maras, Athanasios, van Bodegom, Larissa S., Overbeek, Mathilde M., Verhulst, Frank C., Wolke, Dieter, Appleton, Rebecca, Bertani, Angelo, Cataldo, Maria G., Conti, Patrizia, Da Fonseca, David, Davidović, Nikolina, Dodig-Ćurković, Katarina, Ferrari, Cecilia, Fiori, Federico, Franić, Tomislav, Gatherer, Charlotte, De Girolamo, Giovanni, Heaney, Natalie, Hendrickx, Gaëlle, Kolozsvari, Alfred, Levi, Flavia Micol, Lievesley, Kate, Madan, Jason, Martinelli, Ottaviano, Mastroianni, Mathilde, Maurice, Virginie, McNicholas, Fiona, O'Hara, Lesley, Paul, Moli, Purper-Ouakil, Diane, de Roeck, Veronique, Russet, Frédérick, Saam, Melanie C., Sagar-Ouriaghli, Ilyas, Santosh, Paramala J., Sartor, Anne, Schandrin, Aurélie, Schulze, Ulrike M. E., Signorini, Giulia, Singh, Swaran P., Singh, Jatinder, Street, Cathy, Tah, Priya, Tanase, Elena, Tremmery, Sabine, Tuffrey, Amanda, Tuomainen, Helena, van Amelsvoort, Therese A. M. J., Wilson, Anna, Walker, Leanne, Dieleman, Gwen C., Adams, Laura, Allibrio, Giovanni, Armando, Marco, Aslan, Sonja, Baccanelli, Nadia, Balaudo, Monica, Bergamo, Fabia, Berriman, Jo, Rethore, Chrystèle Bodier, Bonnet-Brilhault, Frédérique, Boon, Albert, Braamse, Karen, Breuninger, Ulrike, Buttiglione, Maura, Buttle, Sarah, Cammarano, Marco, Canaway, Alastair, Cantini, Fortunata, Cappellari, Cristiano, Carenini, Marta, Carrà, Giuseppe, Charvin, Isabelle, Chianura, Krizia, Coleman, Philippa, Colonna, Annalisa, Conese, Patrizia, Costanzo, Raffaella, Daffern, Claire, Danckaerts, Marina, Giacomo, Andrea de, Dineen, Peter, Ermans, Jean-Pierre, Farmer, Alan, Fegert, Jörg M., Ferrari, Alessandro, Ferrari, Sabrina, Galea, Giuliana, Gatta, Michela, Gheza, Elisa, Goglia, Giacomo, Grandetto, MariaRosa, Griffin, James, Healy, Elaine, Holmes, Keith, Humbertclaude, Véronique, Ingravallo, Nicola, Invernizzi, Roberta, Jardri, Renaud, Keeley, Helen, Kelly, Caoimhe, Killilea, Meghan, Kirwan, James, Klockaerts, Catherine, Kovač, Vlatka, Lida-Pulik, Hélène, Liew, Ashley, Lippens, Christel, Lynch, Fionnuala, Macchi, Francesca, Manenti, Lidia, Margari, Francesco, Margari, Lucia, Martinelli, Paola, McDonald, James, McFadden, Leighton, Menghini, Deny, Migone, Maria, Miller, Sarah, Monzani, Emiliano, Morini, Giorgia, Mutafov, Todor, Nacinovich, Renata, Negrinotti, Cristina, Nelis, Emmanuel, Neri, Francesca, Nikolova, Paulina, Nossa, Marzia, Noterdaeme, Michele, Operto, Francesca, Panaro, Vittoria, Parenti, Aesa, Pastore, Adriana, Pemmaraju, Vinuthna, Pepermans, Ann, Petruzzelli, Maria Giuseppina, Presicci, Anna, Prigent, Catherine, Rinaldi, Francesco, Riva, Erika, Rivolta, Laura, Roekens, Anne, Rogers, Ben, Ronzini, Pablo, Sakar, Vehbi, Salvetti, Selena, Sandhu, Tanveer, Schepker, Renate, Scocco, Paolo, Siviero, Marco, Slowik, Michael, Smyth, Courtney, Spadone, Maria Antonietta, Speranza, Mario, Stagi, Paolo, Stagni, Pamela, Starace, Fabrizio, Stoppa, Patrizia, Tansini, Lucia, Toselli, Cecilia, Trabucchi, Guido, Tubito, Maria, Dam, Arno van, Gutschoven, Hanne Van, West, Dirk van, Vanni, Fabio, Vannicola, Chiara, Varuzza, Cristiana, Varvara, Pamela, Ventura, Patrizia, Vicari, Stefano, Vicini, Stefania, Bentzel, Carolin von, Wells, Philip, Williams, Beata, Zabarella, Marina, Zamboni, Anna, Zanetti, Edda, RS: MHeNs - R2 - Mental Health, Psychiatrie & Neuropsychologie, MUMC+: MA Med Staf Spec Psychiatrie (9), Child and Adolescent Psychiatry / Psychology, Clinical Child and Family Studies, LEARN! - Child rearing, and APH - Mental Health

Subjects
Adult, Internationality, SAMPLE, RJ, child & adolescent psychiatry, ADOLESCENT, Jugendpsychiatrie, Cohort Studies, SDG 3 - Good Health and Well-being, ddc:150, QUALITY-OF-LIFE, Psychiatrische Versorgung, Child psychiatry, Humans, Prospective Studies, SCALE, Demography, Retrospective Studies, Psychiatry, Internationalität, OUTCOMES, DDC 150 / Psychology, Adolescent psychiatry, international health services, General Medicine, WHOQOL-BREF, Europe, Mental Health, Mental health services, CROSS, Adolescent Health Services, EXPERIENCE, Kinderpsychiatrie, adult psychiatry, RA, TRANSITION, RC
Abstract

PurposeThe presence of distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) impacts continuity of mental health treatment for young people. However, we do not know the extent of discontinuity of care in Europe nor the effects of discontinuity on the mental health of young people. Current research is limited, as the majority of existing studies are retrospective, based on small samples or used non-standardised information from medical records. The MILESTONE prospective cohort study aims to examine associations between service use, mental health and other outcomes over 24 months, using information from self, parent and clinician reports.ParticipantsSeven hundred sixty-three young people from 39 CAMHS in 8 European countries, their parents and CAMHS clinicians who completed interviews and online questionnaires and were followed up for 2 years after reaching the upper age limit of the CAMHS they receive treatment at.Findings to dateThis cohort profile describes the baseline characteristics of the MILESTONE cohort. The mental health of young people reaching the upper age limit of their CAMHS varied greatly in type and severity: 32.8% of young people reported clinical levels of self-reported problems and 18.6% were rated to be ‘markedly ill’, ‘severely ill’ or ‘among the most extremely ill’ by their clinician. Fifty-seven per cent of young people reported psychotropic medication use in the previous half year.Future plansAnalysis of longitudinal data from the MILESTONE cohort will be used to assess relationships between the demographic and clinical characteristics of young people reaching the upper age limit of their CAMHS and the type of care the young person uses over the next 2 years, such as whether the young person transitions to AMHS. At 2 years follow-up, the mental health outcomes of young people following different care pathways will be compared.Trial registration numberNCT03013595., publishedVersion

Published
2021

30. A public early intervention approach to first‐episode psychosis: Treated incidence over 7 years in the Emilia‐Romagna region.

Author

Belvederi Murri, Martino, Ferrara, Maria, Imbesi, Massimiliano, Leuci, Emanuela, Marchi, Mattia, Musella, Vincenzo, Natali, Alba, Neri, Anastasia, Ragni, Sabrina, Saponaro, Alessio, Tarricone, Ilaria, Tullini, Andrea, Starace, Fabrizio, Ventura, Sandra, Salaris, Maristella, Chiesa, Silvia, Rossetti, Massimo, Bettinardi, Ornella, Pelizza, Lorenzo, and Squarcia, Antonella

Subjects
PSYCHOSES, WATERSHEDS, SOCIOCULTURAL factors, POPULATION density, LIVING conditions
Abstract

Aim: To estimate the treated incidence of individuals with first‐episode psychosis (FEP) who contacted the Emilia‐Romagna public mental healthcare system (Italy); to examine the variability of incidence and user characteristics across centres and years. Methods: We computed the raw treated incidence in 2013–2019, based on FEP users aged 18–35, seen within or outside the regional program for FEP. We modelled FEP incidence across 10 catchment areas and 7 years using Bayesian Poisson and Negative Binomial Generalized Linear Models of varying complexity. We explored associations between user characteristics, study centre and year comparing variables and socioclinical clusters of subjects. Results: Thousand three hundred and eighteen individuals were treated for FEP (raw incidence: 25.3 / 100.000 inhabitant year, IQR: 15.3). A Negative Binomial location‐scale model with area, population density and year as predictors found that incidence and its variability changed across centres (Bologna: 36.55; 95% CrI: 30.39–43.86; Imola: 3.07; 95% CrI: 1.61–4.99) but did not follow linear temporal trends or density. Centers were associated with different user age, gender, migrant status, occupation, living conditions and cluster distribution. Year was associated negatively with HoNOS score (R = −0.09, p <.001), duration of untreated psychosis (R = −0.12, p <.001) and referral type. Conclusions: The Emilia‐Romagna region presents a relatively high but variable incidence of FEP across areas, but not in time. More granular information on social, ethnic and cultural factors may increase the level of explanation and prediction of FEP incidence and characteristics, shedding light on social and healthcare factors influencing FEP. [ABSTRACT FROM AUTHOR]

Published
2023
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31. Willingness to share contacts in case of COVID-19 positivity–predictors of collaboration resistance in a nation-wide Italian survey

Author

Bikbov, Boris, primary, Tettamanti, Mauro, additional, Bikbov, Alexander, additional, D’Avanzo, Barbara, additional, Galbussera, Alessia Antonella, additional, Nobili, Alessandro, additional, Calamandrei, Gemma, additional, Candini, Valentina, additional, Starace, Fabrizio, additional, Zarbo, Cristina, additional, and de Girolamo, Giovanni, additional

Published
2022
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33. The cost of caring during recent epidemics: a rapid review of risk factors, psychological manifestations, and strategies for its treatment

Author

Ferrara, Maria, Funaro, Melissa, Vacca, Francesca, Kusmann, Federica, Tedeschini, Enrico, and Starace, Fabrizio

Subjects
treatment, pandemic, education, coronavirus, Social and Behavioral Sciences, epidemic, health care workers, psychiatric diagnosis, covid-19, prevention, Medicine and Health Sciences, psychological, intervention, management, mental health
Abstract

Rapid review on psychological consequences of epidemics on health care workers: risk factors, prevalence of psychiatric disorders, and strategies for its treatment. We aim to identify and synthesize the available evidence on: 1) Risk factors for psychological distress, and identification of prevalence of psychiatric diagnosis during epidemics in health care workers (HCW). We will include all evidence of mental disorders in HCW, as a consequence of SARS, MERS, and COVID-19, and the related predisposing risk factors; 2) Strategies for the prevention and treatment of psychological distress in HCW during epidemics. We will include all evidence on strategies aimed at preventing or reducing the consequences of epidemic on psychological wellbeing in HCW, which have been adopted during and after past or current epidemics.

Published
2022
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34. The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990–2019: Findings from the Global Burden of Disease Study 2019

Author

Castelpietra, Giulio, primary, Knudsen, Ann Kristin Skrindo, additional, Agardh, Emilie E., additional, Armocida, Benedetta, additional, Beghi, Massimiliano, additional, Iburg, Kim Moesgaard, additional, Logroscino, Giancarlo, additional, Ma, Rui, additional, Starace, Fabrizio, additional, Steel, Nicholas, additional, Addolorato, Giovanni, additional, Andrei, Catalina Liliana, additional, Andrei, Tudorel, additional, Ayuso-Mateos, Jose L, additional, Banach, Maciej, additional, Bärnighausen, Till Winfried, additional, Barone-Adesi, Francesco, additional, Bhagavathula, Akshaya Srikanth, additional, Carvalho, Felix, additional, Carvalho, Márcia, additional, Chandan, Joht Singh, additional, Chattu, Vijay Kumar, additional, Couto, Rosa A.S., additional, Cruz-Martins, Natália, additional, Dargan, Paul I., additional, Deuba, Keshab, additional, da Silva, Diana Dias, additional, Fagbamigbe, Adeniyi Francis, additional, Fernandes, Eduarda, additional, Ferrara, Pietro, additional, Fischer, Florian, additional, Gaal, Peter Andras, additional, Gialluisi, Alessandro, additional, Haagsma, Juanita A., additional, Haro, Josep Maria, additional, Hasan, M. Tasdik, additional, Hasan, Syed Shahzad, additional, Hostiuc, Sorin, additional, Iacoviello, Licia, additional, Iavicoli, Ivo, additional, Jamshidi, Elham, additional, Jonas, Jost B., additional, Joo, Tamas, additional, Jozwiak, Jacek Jerzy, additional, Katikireddi, Srinivasa Vittal, additional, Kauppila, Joonas H., additional, Khan, Moien A.B., additional, Kisa, Adnan, additional, Kisa, Sezer, additional, Kivimäki, Mika, additional, Koly, Kamrun Nahar, additional, Koyanagi, Ai, additional, Kumar, Manasi, additional, Lallukka, Tea, additional, Langguth, Berthold, additional, Ledda, Caterina, additional, Lee, Paul H., additional, Lega, Ilaria, additional, Linehan, Christine, additional, Loureiro, Joana A., additional, Madureira-Carvalho, Áurea M, additional, Martinez-Raga, Jose, additional, Mathur, Manu Raj, additional, McGrath, John J., additional, Mechili, Enkeleint A., additional, Mentis, Alexios-Fotios A., additional, Mestrovic, Tomislav, additional, Miazgowski, Bartosz, additional, Mirica, Andreea, additional, Mirijello, Antonio, additional, Moazen, Babak, additional, Mohammed, Shafiu, additional, Mulita, Francesk, additional, Nagel, Gabriele, additional, Negoi, Ionut, additional, Negoi, Ruxandra Irina, additional, Nwatah, Vincent Ebuka, additional, Padron-Monedero, Alicia, additional, Panda-Jonas, Songhomitra, additional, Pardhan, Shahina, additional, Pasovic, Maja, additional, Patel, Jay, additional, Petcu, Ionela-Roxana, additional, Pinheiro, Marina, additional, Pollok, Richard Charles G., additional, Postma, Maarten J., additional, Rawaf, David Laith, additional, Rawaf, Salman, additional, Romero-Rodríguez, Esperanza, additional, Ronfani, Luca, additional, Sagoe, Dominic, additional, Sanmarchi, Francesco, additional, Schaub, Michael P, additional, Sharew, Nigussie Tadesse, additional, Shiri, Rahman, additional, Shokraneh, Farhad, additional, Sigfusdottir, Inga Dora, additional, Silva, João Pedro, additional, Silva, Renata, additional, Socea, Bogdan, additional, Szócska, Miklós, additional, Tabarés-Seisdedos, Rafael, additional, Torrado, Marco, additional, Tovani-Palone, Marcos Roberto, additional, Vasankari, Tommi Juhani, additional, Veroux, Massimiliano, additional, Viner, Russell M., additional, Werdecker, Andrea, additional, Winkler, Andrea Sylvia, additional, Hay, Simon I., additional, Ferrari, Alize J., additional, Naghavi, Mohsen, additional, Allebeck, Peter, additional, and Monasta, Lorenzo, additional

Published
2022
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37. COVID-19 Vaccine Hesitancy in Italy: Predictors of Acceptance, Fence Sitting and Refusal of the COVID-19 Vaccination

Author

Zarbo, Cristina, primary, Candini, Valentina, additional, Ferrari, Clarissa, additional, d'Addazio, Miriam, additional, Calamandrei, Gemma, additional, Starace, Fabrizio, additional, Caserotti, Marta, additional, Gavaruzzi, Teresa, additional, Lotto, Lorella, additional, Tasso, Alessandra, additional, Zamparini, Manuel, additional, and de Girolamo, Giovanni, additional

Published
2022
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41. Organizzazione, strutture e personale della salute mentale.

Author

Starace, Fabrizio

Subjects
*MENTAL health services, *ORGANIZATIONAL change, *PUBLIC spaces, *MENTAL health, *MEDICAL care, *PUBLIC health personnel
Abstract

How will the network of Italian mental health services be structured in view of the health care reorganization drawn up by Ministerial Decree no. 77/2022 and by the State-Regions Agreement of December 21, 2022, on the "new methodology for calculating the personnel needs of the National Health System"? Changes concern organizational and structural aspects and the personnel standards needed for the full functioning of the community mental health system. It is undoubtedly a step forward to promote the overcoming of inter-regional inequalities and to quantify personnel needs in an area of public health which in the last decade has seen an increase in the demand for care, made exponential by the effects produced by the COVD-19 pandemic, conflicts and economic crisis. The estimates proposed show that the full application of the standards would lead to an expenditure for mental health equal to 3.6% of the public health funding. [ABSTRACT FROM AUTHOR]

Published
2023
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47. The costs of treatment resistant depression: evidence from a survey among Italian patients.

Author

Ruggeri, Matteo, Drago, Carlo, Mandolini, Donatella, Francesa Morel, Pier, Mencacci, Claudio, and Starace, Fabrizio

Abstract

Treatment resistant depression (TRD) is a severe form of major depressive disorder associated with high symptoms severity, disability, and health resource utilization. The purpose of this study is to estimate the coss of TRD in Italy The study was carried on a sample of Italian patients diagnosed with TRD in 2019. In total, 306 observations were collected. The first step was to estimate the health and social costs of TRD resulting from the survey applying the Italian tariffs, daily wages, and prices. Secondly, we focused on the determinants of out of pocket expenditure (OOPE). A parametric analysis was performed to explore the association between the costs of TRD and a set of co-variates. In total, the average healthcare costs were €2,653. A national average of 42 lost working days was estimated resulting in a total cost of €7,140 per patient. Regarding OOPE an average of € 615 per patient was found. Regression results showed how relevant regional gradients are likely to affect the amount of OOPE for TRD. the study confirms the important burden of TRD in Italy with specific focus on out of pocket expenditure. High heterogeneity is shown concerning regional settings. [ABSTRACT FROM AUTHOR]

Published
2022
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48. Factors associated with the transition of adolescent inpatients from an intensive residential ward to adult mental health services

Author

Pontoni, Giancarlo, primary, Di Pietro, Elena, additional, Neri, Tommaso, additional, Mattei, Giorgio, additional, Longo, Fedora, additional, Neviani, Vittoria, additional, Neri, Giovanni, additional, Stagi, Paolo, additional, Caffo, Ernesto, additional, Starace, Fabrizio, additional, and Galeazzi, Gian Maria, additional

Published
2021
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50. Stakeholders’ views on vocational rehabilitation programs: a call for collaboration with Occupational Health Physicians

Author

Mattei, Giorgio, Sacchi, Valentina, Alfieri, Salvatore, Bisi, Antonella, Colombini, Niccolò, Ferrari, Silvia, Giubbarelli, Giuseppe, Gobba, Fabriziomaria, Modenese, Alberto, Pingani, Luca, Rigatelli, Marco, Rossetti, Marisa, Venturi, Giulia, Starace, Fabrizio, and Galeazzi, Gian Maria

Subjects
Adult, Mental Disorders, Teaching, occupational health medicine, Nurses, Rehabilitation, Vocational, economic crisis, Focus Groups, psychiatry, vocational rehabilitation programs, Economic Recession, Mental Health, Economic crisis, Great recession, Occupational health medicine, Psychiatry, Vocational rehabilitation programs, Italy, Stakeholder Participation, Surveys and Questionnaires, Occupational Health Physicians, Prevalence, Humans, Original Article, Great Recession, Occupational Health
Abstract

Background: The triple-dip recession taking place in Italy in 2008-2014 impacted negatively on health, mainly by increasing the rate of unemployment. This increased the prevalence of mental health disorders, while reducing the number of available places on vocational rehabilitation programs (VRPs) delivered by the psychiatric services. Objectives: To explore the different points of views of stakeholders (namely, users and professionals) involved in VRPs developed inside an Italian Community Mental Health Center (CMHC). Methods: A sample of users, psychiatrists, educators and nurses of an Italian CMHC involved in VRPs took part in a focus group. Content analysis was performed with MAXQDA 12, by developing a hierarchical code system a posteriori (i.e., derived from the data). The respondent validation phase was carried out by means of a multiple-choice questionnaire, administered to all participants. Results: A total of 86 emerging issues were coded, divided into two macro-areas: Positive and Negative Reinforcements (48 contributions, 56%, and 38 contributions, 44%, respectively), further subdivided into three areas: professional (service) factors, personal (i.e, user-related) factors, and work environment features (including relationships in the workplace). Some contributions raised issues concerning occupational health protection (e.g. need of information about the rights and duties of the users-workers, as well as the risks they are exposed to in the workplace). Conclusions: The analysis suggested to address specific issues concerning work and VRPs by means of psycho-education group interventions currently carried out at CMHCs, and pointed to the need to foster collaboration between mental health professionals and the occupational health physician of the company where the VRP is started and where the user might be employed.

Published
2018

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