Problematiche psicologiche e disturbi da stress post-traumatico in studenti universitari italiani durante il primo lockdown da Covid-19 e terapia EMDR online

2021 ◽  
pp. 63-81
Author(s):  
Giulia Savarese ◽  
Daniela D’Elia ◽  
Nadia Pecoraro ◽  
Lugi Curcio ◽  
Oreste Fasano ◽  
...  

La letteratura ha evidenziato problemi psicologici durante il lockdown da Covid-19. È stata condotta una ricerca con 49 studenti che si sono rivolti al Centro di Counseling psicologico dell'Università di Salerno tra marzo e maggio 2020. Gli obiettivi sono stati: a) indagare l'eventuale presenza di disturbi psicologici e in particolare di PTSD; b) valutare l'efficacia di un percorso breve con protocollo EMDR online per quegli studenti con PTSD legato alla riattivazione di traumi pregressi in seguito allo stress da pandemia e lockdown. I dati raccolti in fase di pre e post trattamento (dai colloqui psicologici e dallo scoring della Scala SCL-90-R) mostrano: PTSD (25%), ansia e stress (100%), depressione (88%). Nel post-trattamento EMDR si è evidenziata, alla Scala IES-R, una riduzione dei cut-off da range clinico a range normativo e alla SCL-90-R un passaggio da punteggi clinicamente significativi nelle scale sindromiche a punteggi normativi. In particolare, alla SCL-90, il punteggio all'indice Global Severity Index - GSI, indicatore globale dell'intensità attuale del disagio psichico percepito dal soggetto conferma, nel post trattamento, il raggiungimento di un assetto normativo.

Cephalalgia ◽  
1998 ◽  
Vol 18 (2) ◽  
pp. 101-105 ◽  
Author(s):  
BJ Wallis ◽  
SM Lord ◽  
L Barnsley ◽  
N Bogduk

Headache often compounds chronic neck pain following whiplash injury. To better understand post-traumatic headache, the SCL-90-R symptom checklist was used to determine the psychological profiles of patients with whiplash-associated headache and of patients with whiplash-associated neck pain without headache. The psychological profiles of these patients were compared with previously published SCL-90-R profiles of patients with post-traumatic and nontraumatic headache, and of the normal population. Patients with whiplash-associated headache were not significantly different from those with other forms of post-traumatic headache or with whiplash-associated neck pain without headache. However, when patients with whiplash-associated headache and patients with nontraumatic headache were compared to normal data, significant differences emerged. Patients with nontraumatic headache exhibited higher scores on all subscales, whereas patients with whiplash-associated headache differed from the normal sample only on somatization, obsessive-compulsive, depression and hostility subscales, and the global severity index. These differences imply that patients with whiplash-associated headache suffer psychological distress secondary to chronic pain and not from tension headache and generalized psychological distress.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yulan Yu ◽  
Chonghua Wan ◽  
Xudong Zhao ◽  
E. Scott Huebner ◽  
Jianfeng Tan ◽  
...  

Abstract Background Despite widespread application of the Symptom Check-List-90-R (SCL-90-R) for Chinese undergraduate students, there are no appropriate norms for them. The aim of this study is to provide norms for the Chinese version of the tool for undergraduate students using a large and representative sample. Methods Four thousand eight hundred sixty students completed the scale of SCL-90. The mean scores obtained in the present study were compared with mean scores from previous normative samples. Results The mean scores for nine subscales of the SCL-90-R ranged from (1.36 ± 0.46) ~ (1.77 ± 0.63) and the mean (standard deviation) Global Severity Index (GSI) was 1.50 (0.49). Relative to previous normative studies, the findings suggested that Chinese undergraduate students’ self-reported mental health symptoms decreased in interpersonal sensitivity, depression, hostility, and paranoid ideation subscales. Conclusion It is necessary to revise the norms of the Chinese version of the SCL-90-R for undergraduate students.


1992 ◽  
Vol 20 (4) ◽  
pp. 235-236 ◽  
Author(s):  
Thomas J. Young

For 53 Native American college students positive, moderate Pearson correlation coefficients were found for scores from the Nowicki-Strickland Internal Locus of Control Scale and the Anxiety and Depression subscales and the Global Severity Index from the Brief Symptom Inventory. These findings, in contrast to previous research with black college men, suggest a relationship between locus of control and self-reported psychopathology for a sample of nonwhite subjects.


1992 ◽  
Vol 22 (3) ◽  
pp. 213-220 ◽  
Author(s):  
Donna E. Stewart ◽  
Katherine Boydell ◽  
Christine Derzko ◽  
Valerie Marshall

Objective: This study measures psychologic distress in women attending a menopause clinic to determine if significant differences exist between perimenopausal and menopausal women. Method: Consecutive women attending a university hospital menopause clinic were administered the Brief Symptom Inventory (BSI) and a study questionnaire to determine menopausal symptoms, menstrual cycle status, and use of hormone replacement therapy (HRT). The BSI results were compared between menopausal and perimenopausal women, and to a normative sample of middle-aged women who were nonpatients. Results: Two hundred and fifty-nine menopause clinic women completed the questionnaire: 113 perimenopausal and 146 menopausal women. There was significantly greater psychologic distress on the BSI among perimenopausal as compared to menopausal women on the global severity index, and each of the anxiety, hostility, somatization, depression, paranoid, and psychoticism subscales. Perimenopausal women met BSI caseness severity criteria significantly more often than did menopausal women on the global severity index, and on the subscales for depression, anxiety, and psychoticism. On the BSI, menopausal women showed results similar to those of a normative sample of nonpatient middle-aged women. Conclusions: Perimenopausal women attending menopause clinics have significantly higher levels of psychologic distress meeting case severity criteria on the BSI. Further research is warranted to define the subgroups of perimenopausal women who are at increased risk, in the hopes of developing effective interventions.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1659-1659
Author(s):  
D. Guerro-Prado ◽  
N. Echeverria ◽  
L. Jiménez ◽  
M. Leira ◽  
E. García-Resa ◽  
...  

IntroductionFibromyalgia seems to be associated with various forms of psychopathology, particularly major affective disorders.ObjectiveTo evaluate associated psychopathology in a series of women with diagnosis of fibromyalgia.MethodsPatient inclusion from 1st March to 30th June 2010. Symptom Checklist (SCL-90-R) was used for evaluation. SPSS was used for statistical analysis of data and results.ResultsA total of 34 women voluntarily joined our study. Mean age was 52.2 years (standard deviation (SD) 7.17). 11.4% were singled, 74.3% married or unmarried couples, 8.6% were divorced, and 5.7% were widowers. 74.3% of women lived with their couple and/or children whereas 8.6% lived by their own, and 8.6% with their parents. Results obtained with SCL-90-R showed:Global Severity Index (GSI) 1.86 (Standard Deviation (SD) 0.54); Positive Symptom Distress Index (PSDI) 2.58 (SD 0.36); Positive Symptom Total (PST) 167.85 (SD 49.30); Somatization (SOM) 2.62 (SD 0.53); Obsessive-Compulsive (O-C) 2.59 (SD 0.78); Interpersonal Sensitivity (I-S) 1.50 (SD 0.86); Depression (DEP) 2.5 (SD 0.75); Anxiety (ANX) 1.75 (SD 0.74); Hostility (HOS) 1.11 (SD 0.82); Phobic Anxiety (PHOB) 1.09 (SD 0.84); Paranoid Ideation (PAR) 1.11 (SD 0.85); Psychoticism (PSY) 1.05 (SD 0.62), and other vague symptoms 2.15 (SD 0.70).ConclusionOur patients with fibromyalgia scored higher in somatization, obsession-compulsion, depression, and anxiety. In view of the results, there is an important association between fibromyalgia and various forms of psychopathology.


2021 ◽  
Vol 43 ◽  
pp. e22-44077
Author(s):  
Ronaldo Cascelli Schelb Scalla Pereira ◽  
Emanuelle Emília Ferreira Parreiras ◽  
Davi Cascelli Schelb Scalla Pereira ◽  
João Eduardo Schelb Scalla Pere Cascelli ◽  
Thaila Vidal de Oliveira ◽  
...  

Introduction: ketamine is a dissociative anesthetic and, recently, its antidepressant properties has been described. Besides, its safety has been proven in the treatment of Stimulant Use Disorders. Objective: to evaluate the use of ketamine in the treatment of Stimulant Use Disorders (specially cocaine and its byproducts). Methods: patient's motivation for change was measured by URICA scale and psychiatric symptoms by EAS-40 score, both before and after the intervention. Results: it was verified, after the comparison between the Readiness Score means, an increase in the motivation for change after ketamine’s single administration, when compared to the moments before and after the intervention. Analyzing the Global Severity Index before and after ketamine administration, by EAS-40 score, we noticed a slight reduction of the psychiatric symptoms before and after the intervention. Conclusion: it was proven that ketamine's single administration led to a quick and lasting improvement on the user's motivation without worsening the mental health status.


Author(s):  
Ashok Kumar S. N. ◽  
Madan Mohan N. T. ◽  
Shwetha H. ◽  
Shanmukananda P. ◽  
Veena D. R. ◽  
...  

Background: Acne vulgaris is a dermatological disorder characterised by formation of comedones and inflammatory lesions. The treatment of acne basically involves reduction of lesions. Benzoyl peroxide, in concentrations of 5%, 10%, and 20%, has been used effectively in the treatment of acne for more than 20 years. Nicotinamide/ Niacinamide is a newly-approved anti-acne drug with a potent anti-inflammatory effect. The present study assessed the efficacy of 5% Benzoyl peroxide gel in comparison to 4% Nicotinamide gel for topical treatment of mild to moderate acne vulgaris.Methods: In this study, the patients with mild to moderate acne vulgaris with inflammation were divided into two groups, group I was treated with topical 5% Benzoyl peroxide gel whereas topical Nicotinamide gel was given to the group II. Assessment of efficacy was done by total lesion counting according acne global severity index, the results were compared at the end of 2 weeks and 4 weeks with the baseline values.Results: At the end of this study, it was found that the reduction of inflammatory and total percentage of decrease in counts of lesions from baseline were highly significant in both the groups (p<0.001), between the groups, differences were statistically significant (p<0.001), therefore 5% Benzoyl peroxide gel has better efficacy than 4% Nicotinamide gel.Conclusions: Benzoyl peroxide is more efficacious than 4 % Nicotinamide gel in mild to moderate acne.


2021 ◽  
Vol 12 ◽  
Author(s):  
Rute Pires ◽  
Joana Henriques-Calado ◽  
Ana Sousa Ferreira ◽  
Bo Bach ◽  
Marco Paulino ◽  
...  

The ICD-11 Classification of Personality Disorders delineates five trait domain qualifiers (i.e., negative affectivity, detachment, dissociality, disinhibition, and anankastia), whereas the DSM-5 Alternative Model of Personality Disorders also delineates a separate domain of psychoticism. These six combined traits not only characterize individual stylistic features, but also the severity of their maladaptive expressions. It was, therefore, the aim of this study to investigate the utility of ICD-11 and DSM-5 trait domains to differentiate patients with personality disorders (PD) from patients with other mental disorders (non-PD). The Personality Inventory for DSM-5 Brief Form Plus (PID5BF+M) was administered to a sample of patients diagnosed with a personality disorder (N = 124, Mage = 42.21, 42.7% females) along with a sample of patients diagnosed with other mental disorders (N = 335, Mage = 44.83, 46.6% females). Group differences were explored using the independent sample t test or the Mann–Whitney U test for independent samples, and discriminant factor analysis was used to maximize group differences for each trait domain and facet score. The PD group showed significantly higher scores for the total PID5BF+M composite score, for the trait domains of negative affectivity, antagonism/dissociality, and disinhibition and for the trait facets of emotional lability, manipulativeness, deceitfulness, and impulsivity. The trait domains of disinhibition, negative affectivity, and antagonism/dissociality as well as the trait facets of impulsivity, deceitfulness, emotional lability, and manipulativeness were the best discriminators between PD and non-PD patients. The global PID5BF+M composite score was also one of the best discriminators supporting its potential as a global severity index for detecting personality dysfunction. Finally, high scores in three or more of the 18 PID5BF+M facets suggested the possible presence of a PD diagnosis. Despite some limitations, our findings suggest that the ICD-11 and DSM-5 traits have the potential to specifically describe the stylistic features that characterize individuals with PD, including the severity of their maladaptive expressions.


2001 ◽  
Vol 29 (1) ◽  
pp. 41-51 ◽  
Author(s):  
Fernando Garzon ◽  
Stacey Garver ◽  
David Kleinschuster ◽  
Erica Tan ◽  
Jennifer Hill

This quasi-experimental investigation examined the psychological effects of participating in an intensive Freedom in Christ workshop offered at a graduate school of divinity. Pre-seminar, post-seminar, and three-week follow-up data were collected on 24 graduate student volunteers. Measures used included the Rosenberg Self Esteem Inventory, the Beck Anxiety Inventory, the Symptom Checklist 90-R (SLC-90-R), and a non-psychometrically normed 12-item inventory. Statistically significant reductions ( p<.05 or lower) were found in several scales of the SCL-90-R (global severity index, anxiety, depression, obsessive-compulsive, interpersonal sensitivity, hostility, somatization, paranoid ideation, and psychoticism). Anxiety was reduced as measured by the Beck Anxiety Inventory, and statistically significant increases in self-esteem and spirituality items were also found. The quasi-experimental nature of this research suggests great caution in interpreting these findings. Nevertheless, the results do demonstrate the appropriateness of further investigations of this healing model with more empirical designs.


Blood ◽  
2006 ◽  
Vol 108 (11) ◽  
pp. 3356-3356
Author(s):  
David H. Henry ◽  
Hema N. Viswanathan ◽  
Shawn M. Wade ◽  
Mariana Servin ◽  
David Cella

Abstract INTRODUCTION: Cancer-related anemia can contribute to fatigue among cancer patients (pts). Few large scale surveys of cancer pts have been conducted to characterize fatigue from the patient’s perspective. This study was conducted to assess the prevalence of fatigue in cancer pts and examine relationships between fatigue, anxiety, depression, and somatization (physical symptoms). METHODS: A cross-sectional survey was conducted from April to May 2006 using a random sample of pts from a chronic illness panel of 550,233 pts. Inclusion criteria were being at least 18 years of age, diagnosed with cancer, and receiving chemotherapy and/or radiotherapy either currently or during the 12 months prior to participating in the study. An 8-item brief fatigue questionnaire developed from four validated instruments (scores ranging from 0–100, higher being better status) and the 13-item Functional Assessment of Cancer Therapy - Fatigue (FACT-F; scores ranging from 0–52, higher being better status) were used to assess fatigue. The 18-item Brief Symptom Inventory (BSI; scores ranging from 0–100, higher being worse status) was used to measure anxiety, depression, somatization and to obtain a global severity index. Single items with numerical rating scales ranging from 0 to 10 were used to assess degree of debilitation related to fatigue and importance of fatigue reduction. Pearson correlation coefficients were used to assess relationships between continuous variables. RESULTS: A total of 1,569 cancer pts were surveyed. Online interviews were conducted with 1,302 pts and phone interviews with 267 pts. No significant differences were found between phone and online respondents. Most patients were white (84%) and 50% were males. Most females were diagnosed with breast cancer (56%) and most males with prostate cancer (40%). Approximately 79% of pts rated fatigue as the most common symptom of cancer treatment. One in three patients considered a reduction in fatigue to be very important. Approximately 54% of patients rated their fatigue to be debilitating (six or higher on a ten point scale). Worse levels of fatigue measured by the FACT-F were significantly associated with higher levels of anxiety (r = −0.56, p < 0.0001), depression (r = −0.63, p < 0.0001), somatization (r = −0.75, p < 0.001), and the global severity index (−0.71, p < 0.001). Scores from the brief fatigue questionnaire confirmed results obtained with the FACT-F. CONCLUSIONS: Fatigue was the most common symptom reported in this study and was significantly associated with anxiety and depression. More research is needed to examine the relationship between physical and psychological symptoms in cancer patients. Table 1. Correlations between Fatigue and Scores from the Brief Symptom Inventory among All Cancer Patients Brief Fatigue Questionnaire (n=1569) FACT-F (n=1569) Variable Pearson’s R Lower CI (95%) Upper CI (95%) Pearson’s R Lower CI (95%) Upper CI (95%) * p < 0.0001 Global Severity Index −0.71* −0.69 −0.73 −0.73 −0.71 −0.75 Anxiety −0.54* −0.5 −0.57 −0.56* −0.53 −0.59 Depression −0.61* −0.58 −0.64 −0.63* −0.6 −0.66 Somatization (physical symptoms) −0.75* −0.73 −0.77 −0.75* −0.73 −0.77


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