1
|
Amianto F, Arletti L, Vesco S, Davico C, Vitiello B. Therapeutic outcome and long-term naturalistic follow-up of female adolescent outpatients with AN: clinical, personality and psychopathology evolution, process indicators and outcome predictors. BMC Psychiatry 2023; 23:366. [PMID: 37231436 PMCID: PMC10210459 DOI: 10.1186/s12888-023-04855-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 05/08/2023] [Indexed: 05/27/2023] Open
Abstract
BACKGROUND Anorexia nervosa (AN) is a serious mental illness of growing prevalence in childhood and adolescence. Despite its severity, there are still no completely satisfactory evidence-based treatments. Follow-up studies represent the most effective attempt to enlighten treatment effectiveness, outcome predictors and process indicators. METHODS Seventy-three female participants affected with AN were assessed at intake (T0) and at 6 (T1) and 12 (T2) months of an outpatient multimodal treatment program. Nineteen participants were assessed 15 years after discharge (T3). Changes in diagnostic criteria were compared with the chi-square test. Clinical, personality and psychopathology evolution were tested with ANOVA for repeated measures, using the t-test or Wilcoxon test as post-hoc. T0 features among dropout, stable and healed participants were compared. Healed and unhealed groups at long-term follow-up were compared using Mann-Whitney U test. Treatment changes were correlated to each other and with intake features using multivariate regression. RESULTS The rate of complete remission was 64.4% at T2, and 73.7% at T3. 22% of participants maintained a full diagnosis at T2, and only 15.8% at T3. BMI significantly increased at each time-point. A significant decrease of persistence and increase in self-directedness were evidenced between T0 and T2. Interoceptive awareness, drive to thinness, impulsivity, parent-rated, and adolescent-rated general psychopathology significantly decreased after treatment. Lower reward dependence and lower cooperativeness characterized the dropout group. The healed group displayed lower adolescent-rated aggressive and externalizing symptoms, and lower parent-rated delinquent behaviors. BMI, personality and psychopathology changes were related with each other and with BMI, personality and psychopathology at intake. CONCLUSION A 12-months outpatient multimodal treatment encompassing psychiatric, nutritional and psychological approaches is an effective approach for the treatment of mild to moderate AN in adolescence. Treatment was associated not only with increased BMI but also with positive personality development, and changes in both eating and general psychopathology. Lower relational abilities may be an obstacle to healing. Approaches to treatment resistance should be personalized according to these finding.
Collapse
Affiliation(s)
- Federico Amianto
- Department of Neuroscience, Section of Child and Adolescent Neuropsychiatry, University of Turin, Via Cherasco, 15 - 10126, Turin, Italy.
| | - Luca Arletti
- Department of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Turin, Italy
| | - Serena Vesco
- Department of Pathology and Care of the Children, Regina Margherita Hospital, Turin, Italy
| | - Chiara Davico
- Department of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Turin, Italy
| | - Benedetto Vitiello
- Department of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Turin, Italy
| |
Collapse
|
2
|
Banzola S, Corsaro A, Capitani S, Vesco S, Dodi L, Serra O, Piazza N, Onesti S, Salvati MA, Musolino A. Breast cancer screening adhesion among migrants: a matter of communication strategy? Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac130.174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Migrants’ engagement to cancer screening programs is a relevant issue for universalistic health systems. To increase breast cancer screening coverage among migrant women, a public-private partnership involving a multidisciplinary team of Primary Care, Public Health, Hospital and private social workers has been built up in a district in Italy. The team worked in two steps, planning health promotion (HP) meetings addressing women in refugees’ reception programs and a web-based workshop involving intercultural mediators (IMs) and community health promoters.
Objectives
The workshop, involving 10 professionals among IMs and community health promoters, realized in 3 online meetings during March ‘22, aimed at identifying communication tools to enable migrants’ participation to breast cancer screening and increasing health literacy (HL) and cultural competence (CC) among the team. A participatory approach, supported by learning methods, such as storytelling and role-play, has been adopted to identify the major barriers to access to screening and public health messages. Participants worked on critical words and concepts, highlighted during HP meetings, accounting for HL, literacy, language skills, communication techniques and different perspectives about health and prevention.
Results
Several barriers, such as lack of knowledge on preventive initiatives and different approaches to health, decrease the perception of cancer risk. Others, like family and work duties, influence the adhesion. Fear or shame about the exam and linguistic issues are further hampering factors. Participants pointed out text, audio and video messages, in Italian and native plain language, as useful tools to explain the screening procedure and give relevant and practical information supported by simple and clear illustrations to diffuse via WhatsApp.
Conclusions
The intervention enabled the team to improve HL and CC defining suitable communication strategies for cancer screening programs.
Key messages
Collapse
Affiliation(s)
- S Banzola
- Migrant Health Unit, Spazio Salute Immigrati, Local Health Unit , Parma, Italy
| | - A Corsaro
- Public Health Department, Local Health Unit , Parma, Italy
| | - S Capitani
- Press and Communication Office, University Hospital , Parma, Italy
| | - S Vesco
- Social Health Unit, Center for Immigration Asylum and Cooperation, CIAC Onlus , Parma, Italy
| | - L Dodi
- Healthcare Management Direction, Local Health Unit , Parma, Italy
| | - O Serra
- Breast Unit, University Hospital and Local Health Unit , Parma, Italy
| | - N Piazza
- Breast Unit, University Hospital and Local Health Unit , Parma, Italy
| | - S Onesti
- Breast Unit, University Hospital and Local Health Unit , Parma, Italy
| | - MA Salvati
- Cervical Screening Center, UOC Salute Donna, Local Health Unit , Parma, Italy
| | - A Musolino
- Breast Unit, University Hospital and Local Health Unit , Parma, Italy
| |
Collapse
|
3
|
Davico C, Amianto F, Gaiotti F, Lasorsa C, Peloso A, Bosia C, Vesco S, Arletti L, Reale L, Vitiello B. Clinical and personality characteristics of adolescents with anorexia nervosa with or without non-suicidal self-injurious behavior. Compr Psychiatry 2019; 94:152115. [PMID: 31513949 DOI: 10.1016/j.comppsych.2019.152115] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Revised: 07/16/2019] [Accepted: 08/04/2019] [Indexed: 02/04/2023] Open
Abstract
PURPOSE About one-fifth of patients with anorexia nervosa (AN) engage in non-suicidal self-injury (NSSI). This study examined clinical and temperament profile of female adolescents with both disorders (AN+NSSI) as compared with peers with AN only. METHODS A consecutive sample of 73 female adolescents with AN (mean age: 13.77 years), who had been admitted to inpatient or day-hospital services, received clinical, cognitive, and temperament/character evaluations. Of them, 32 met DSM-5 criteria also for NSSI. Assessments included demographics, standard nutrition parameters, Youth Self-Report (YSR), Wechsler Intelligence Scale for Children IV (WISC-IV), Temperament and Character Inventory (TCI), and Global Assessment of Functioning (GAF). RESULTS No differences were detected between AN+NSSI and AN in demographics, body mass index, or age at onset of AN. AN+NSSI had higher rate of binging and purging, higher YSR scores for both internalizing and externalizing psychopathology, lower total IQ, and lower Self-directedness and Cooperativeness scores. CONCLUSIONS These data suggest that adolescents with AN+NSSI have psychopathological, cognitive and overall character features that differ from patients with AN only. These characteristics may have implications for treatment and outcome.
Collapse
Affiliation(s)
- Chiara Davico
- Department of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Italy; Department of Pediatrics and Pediatric Sciences, Regina Margherita Pediatric Hospital, Turin, Italy
| | - Federico Amianto
- Department of Pediatrics and Pediatric Sciences, Regina Margherita Pediatric Hospital, Turin, Italy; Neurosciences Department, Psychiatry Section, University of Turin, Italy.
| | - Federica Gaiotti
- Department of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Italy
| | - Claudia Lasorsa
- Department of Pediatrics and Pediatric Sciences, Regina Margherita Pediatric Hospital, Turin, Italy
| | - Anna Peloso
- Department of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Italy; Department of Pediatrics and Pediatric Sciences, Regina Margherita Pediatric Hospital, Turin, Italy
| | - Chiara Bosia
- Department of Pediatrics and Pediatric Sciences, Regina Margherita Pediatric Hospital, Turin, Italy
| | - Serena Vesco
- Department of Pediatrics and Pediatric Sciences, Regina Margherita Pediatric Hospital, Turin, Italy
| | - Luca Arletti
- Department of Pediatrics and Pediatric Sciences, Regina Margherita Pediatric Hospital, Turin, Italy
| | - Laura Reale
- Department of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Italy; Department of Pediatrics and Pediatric Sciences, Regina Margherita Pediatric Hospital, Turin, Italy
| | - Benedetto Vitiello
- Department of Public Health and Pediatric Sciences, Section of Child and Adolescent Neuropsychiatry, University of Turin, Italy; Department of Pediatrics and Pediatric Sciences, Regina Margherita Pediatric Hospital, Turin, Italy
| |
Collapse
|
4
|
Affiliation(s)
- C. Aversa
- Dipartimento di Ingegneria dell’Impresa, Università degli Studi di Roma Tor Vergata, Roma, Italy
| | - M. Barletta
- Dipartimento di Ingegneria, Università degli Studi Roma Tre, Roma, Italy
| | - M. Puopolo
- Dipartimento di Ingegneria, Università degli Studi Roma Tre, Roma, Italy
| | - S. Vesco
- Dipartimento di Ingegneria dell’Impresa, Università degli Studi di Roma Tor Vergata, Roma, Italy
| |
Collapse
|
5
|
Menduti G, Biamino E, Vittorini R, Vesco S, Puccinelli MP, Porta F, Capo C, Leo S, Ciminelli BM, Iacovelli F, Spada M, Falconi M, Malaspina P, Rossi L. Succinic semialdehyde dehydrogenase deficiency: The combination of a novel ALDH5A1 gene mutation and a missense SNP strongly affects SSADH enzyme activity and stability. Mol Genet Metab 2018; 124:210-215. [PMID: 29895405 DOI: 10.1016/j.ymgme.2018.05.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2018] [Revised: 05/28/2018] [Accepted: 05/30/2018] [Indexed: 02/06/2023]
Abstract
Succinic semialdehyde dehydrogenase deficiency (SSADHD) is a rare autosomal recessive metabolic disorder of GABA catabolism. SSADH is a mitochondrial homotetrameric enzyme encoded by ALDH5A1 gene. We report the molecular characterization of ALDH5A1 gene in an Italian SSADHD patient, showing heterozygosity for four missense mutations: c.526G>A (p.G176R), c.538C>T (p.H180Y), c.709G>T (p.A237S) and c.1267A>T (p.T423S), the latter never described so far. The patient inherited c.526A in cis with c.538T from the mother and c.709T in cis with c.1267T from the father. To explore the effects of the two allelic arrangements on SSADH activity and protein level, wild type, single or double mutated cDNA constructs were expressed in a cell system. The p.G176R change, alone or in combination with p.H180Y, causes the abolishment of enzyme activity. Western blot analysis showed a strongly reduced amount of the p.176R-p.180Y double mutant protein, suggesting increased degradation. Indeed, in silico analyses confirmed high instability of this mutant homotetramer. Enzyme activity relative to the other p.423S-p.237S double mutant is around 30% of wt. Further in silico analyses on all the possible combinations of mutant monomers suggest the lowest stability for the tetramer constituted by p.176R-p.180Y monomers and the highest stability for that constituted by p.237S-p.423S monomers. The present study shows that when a common SNP, associated with a slight reduction of SSADH activity, is inherited in cis with a mutation showing no consequences on the enzyme function, the activity is strongly affected. In conclusion, the peculiar arrangement of four missense mutations occurring in this patient is responsible for the SSADHD phenotype.
Collapse
Affiliation(s)
| | - Elisa Biamino
- Department of Pediatrics, University of Turin, Italy
| | - Roberta Vittorini
- Department of Pediatric Neurology, Regina Margherita Children Hospital, University of Turin, Italy
| | - Serena Vesco
- Department of Pediatric Neurology, Regina Margherita Children Hospital, University of Turin, Italy
| | - Maria Paola Puccinelli
- Department of Laboratory Medicine, Azienda Ospedaliera Città della Salute e della Scienza, Turin, Italy
| | | | - Concetta Capo
- Department of Biology, University of Rome Tor Vergata, Italy
| | - Sara Leo
- Department of Biology, University of Rome Tor Vergata, Italy
| | | | | | - Marco Spada
- Department of Pediatrics, University of Turin, Italy
| | - Mattia Falconi
- Department of Biology, University of Rome Tor Vergata, Italy
| | | | - Luisa Rossi
- Department of Biology, University of Rome Tor Vergata, Italy.
| |
Collapse
|
6
|
Barletta M, Pizzi E, Puopolo M, Vesco S, Daneshvar-Fatah F. Thermal behavior of extruded and injection-molded poly(lactic acid)-talc engineered biocomposites: Effects of material design, thermal history, and shear stresses during melt processing. J Appl Polym Sci 2017. [DOI: 10.1002/app.45179] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- M. Barletta
- Dipartimento di Ingegneria; Università degli Studi Roma Tre; Via Vito Volterra 62 00146 Rome Italy
- Dipartimento di Ingegneria dell'Impresa; Università degli Studi di Roma Tor Vergata; Via del Politecnico 1 00133 Rome Italy
| | - E. Pizzi
- Dipartimento di Ingegneria dell'Impresa; Università degli Studi di Roma Tor Vergata; Via del Politecnico 1 00133 Rome Italy
| | - M. Puopolo
- Dipartimento di Ingegneria dell'Impresa; Università degli Studi di Roma Tor Vergata; Via del Politecnico 1 00133 Rome Italy
| | - S. Vesco
- Dipartimento di Ingegneria dell'Impresa; Università degli Studi di Roma Tor Vergata; Via del Politecnico 1 00133 Rome Italy
| | - F. Daneshvar-Fatah
- Polymer Technology Center, Department of Materials Science and Engineering; Texas A&M University; Reed-McDonald Building, 3003 TAMU, 575 Ross Street College Station Texas 77843
| |
Collapse
|
7
|
Barletta M, Moretti P, Pizzi E, Puopolo M, Tagliaferri V, Vesco S. Engineering of Poly Lactic Acids (PLAs) for melt processing: Material structure and thermal properties. J Appl Polym Sci 2016. [DOI: 10.1002/app.44504] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- M. Barletta
- Dipartimento di Ingegneria dell'Impresa; , Università degli Studi di Roma Tor Vergata; Via del Politecnico 1 Rome 00133 Italy
| | - P. Moretti
- Dipartimento di Ingegneria dell'Impresa; , Università degli Studi di Roma Tor Vergata; Via del Politecnico 1 Rome 00133 Italy
| | - E. Pizzi
- Dipartimento di Ingegneria dell'Impresa; , Università degli Studi di Roma Tor Vergata; Via del Politecnico 1 Rome 00133 Italy
| | - M. Puopolo
- Dipartimento di Ingegneria dell'Impresa; , Università degli Studi di Roma Tor Vergata; Via del Politecnico 1 Rome 00133 Italy
| | - V. Tagliaferri
- Dipartimento di Ingegneria dell'Impresa; , Università degli Studi di Roma Tor Vergata; Via del Politecnico 1 Rome 00133 Italy
| | - S. Vesco
- Dipartimento di Ingegneria dell'Impresa; , Università degli Studi di Roma Tor Vergata; Via del Politecnico 1 Rome 00133 Italy
| |
Collapse
|
8
|
Barletta M, Gisario A, Puopolo M, Vesco S. Manufacturing and characterization of polyether ether ketone/methyl phenyl polysiloxane composite coatings. J Appl Polym Sci 2016. [DOI: 10.1002/app.43609] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Massimiliano Barletta
- Dipartimento di Ingegneria dell'Impresa; Università degli Studi di Roma “Tor Vergata”; via del Politecnico, 1 Roma 00133 Italy
| | - A. Gisario
- Dipartimento di Ingegneria Meccanica e Aerospaziale; “Sapienza” Università di Roma; via Eudossiana, 18 Roma 00184 Italy
| | - M. Puopolo
- Dipartimento di Ingegneria dell'Impresa; Università degli Studi di Roma “Tor Vergata”; via del Politecnico, 1 Roma 00133 Italy
- Polymer Technology Center, Mechanical Engineering Department; College station, Texas A&M University; Texas 77843-3123
| | - S. Vesco
- Dipartimento di Ingegneria dell'Impresa; Università degli Studi di Roma “Tor Vergata”; via del Politecnico, 1 Roma 00133 Italy
| |
Collapse
|
9
|
Barletta M, Rubino G, Tagliaferri V, Vesco S. Design and manufacture of photoluminescent coatings on stainless steel substrates. Colloids Surf A Physicochem Eng Asp 2014. [DOI: 10.1016/j.colsurfa.2014.04.044] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
10
|
Barletta M, Vesco S, Tagliaferri V. Self-cleaning and self-sanitizing coatings on plastic fabrics: design, manufacture and performance. Colloids Surf B Biointerfaces 2014; 120:71-80. [PMID: 24892563 DOI: 10.1016/j.colsurfb.2014.05.012] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2013] [Revised: 04/18/2014] [Accepted: 05/08/2014] [Indexed: 11/28/2022]
Abstract
Self-cleaning and self-sanitizing coatings are of utmost interest in several manufacturing domains. In particular, fabrics and textile materials are often pre-treated by impregnation or incorporation with antimicrobial pesticides for protection purposes against bacteria and fungi that are pathogenic for man or other animals. In this respect, the present investigation deals with the design and manufacture of self-cleaning and self-sanitizing coatings on plastic fabrics. The functionalization of the coatings was yield by incorporating active inorganic matter alone (i.e., photo-catalytic TiO2 anatase and Ag(+) ions) inside an organic inorganic hybrid binder. The achieved formulations were deposited on coextruded polyvinylchloride-polyester fabrics by air-mix spraying and left to dry at ambient temperature. The performance of the resulting coatings were characterized for their self-cleaning and self-sanitizing ability according to standardized testing procedure and/or applicable international regulations.
Collapse
Affiliation(s)
- M Barletta
- Dipartimento di Ingegneria dell'Impresa, Università degli Studi di Roma "Tor Vergata", Via del Politecnico, 1 - 00133 Roma, Italy.
| | - S Vesco
- Dipartimento di Ingegneria dell'Impresa, Università degli Studi di Roma "Tor Vergata", Via del Politecnico, 1 - 00133 Roma, Italy
| | - V Tagliaferri
- Dipartimento di Ingegneria dell'Impresa, Università degli Studi di Roma "Tor Vergata", Via del Politecnico, 1 - 00133 Roma, Italy
| |
Collapse
|
11
|
Cistaro A, Pazè F, Durando S, Cogoni M, Faletti R, Vesco S, Vallero S, Quartuccio N, Treglia G, Ramenghi U. Autoimmune lymphoproliferative syndrome and non-Hodgkin lymphoma: what 18F-fluorodeoxyglucose positron emission tomography/computed tomography can do in the management of these patients? Suggestions from a case report. Rev Esp Med Nucl Imagen Mol 2014; 33:99-102. [PMID: 23845452 DOI: 10.1016/j.remn.2013.05.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2013] [Revised: 05/17/2013] [Accepted: 05/24/2013] [Indexed: 02/07/2023]
Abstract
A young patient with undefined autoimmune lymphoproliferative syndrome (ALPS-U) and low back pain underwent a CT and MRI study that showed enhancing vertebral lesions, some pulmonary nodules and diffuse latero-cervical lymphadenopathy. A (18)F-FDG-PET/CT scan showed many areas of intense (18)F-FDG uptake in multiple vertebrae, in some ribs, in the sacrum, in the liver, in both lungs, in multiple lymph nodes spread in the cervical, thoracic and abdominal chains. A bone marrow biopsy showed a "lymphomatoid granulomatosis", a rare variant of B-cell non-Hodgkin lymphoma (NHL). After the treatment, the (18)F-FDG-PET/CT scan showed a complete metabolic response.
Collapse
Affiliation(s)
- A Cistaro
- Positron Emission Tomography Centre, IRMET S.p.A., Euromedic Inc., Turin, Italy.
| | - F Pazè
- Department of Radiology, San Luigi Gonzaga Hospital, Turin, Italy
| | - S Durando
- Department of Radiology, San Luigi Gonzaga Hospital, Turin, Italy
| | - M Cogoni
- Department of Neuroradiology, CTO Hospital, Turin, Italy
| | - R Faletti
- Department of Radiology, San Giovanni Battista Hospital, Turin, Italy
| | - S Vesco
- Department of Physical Medicine and Rehabilitation, Martini Hospital, Turin, Italy
| | - S Vallero
- Pediatric Department, University of Turin, Turin, Italy
| | - N Quartuccio
- Department of Radiological Sciences, Nuclear Medicine Unit, University of Messina, Messina, Italy
| | - G Treglia
- Department of Nuclear Medicine and PET/CT Centre, Oncology Institute of Southern Switzerland, Bellinzona, Switzerland
| | - U Ramenghi
- Pediatric Department, University of Turin, Turin, Italy
| |
Collapse
|
12
|
Cistaro A, Pazè F, Durando S, Cogoni M, Faletti R, Vesco S, Vallero S, Quartuccio N, Treglia G, Ramenghi U. Autoimmune lymphoproliferative syndrome and non-Hodgkin lymphoma: What 18F-fluorodeoxyglucose positron emission tomography/computed tomography can do in the management of these patients? Suggestions from a case report. Rev Esp Med Nucl Imagen Mol 2014. [DOI: 10.1016/j.remnie.2014.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
13
|
Gazzillo F, Lingiardi V, Peloso A, Giordani S, Vesco S, Zanna V, Filippucci L, Vicari S. Personality subtypes in adolescents with anorexia nervosa. Compr Psychiatry 2013; 54:702-12. [PMID: 23618607 DOI: 10.1016/j.comppsych.2013.03.006] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2012] [Revised: 02/24/2013] [Accepted: 03/04/2013] [Indexed: 11/19/2022] Open
Abstract
The aims of this study are to (1) empirically identify the personality subtypes of adolescents with anorexic disorders and (2) investigate the personality disorders, identity disturbances, and affective features associated with the different subtypes. We assessed 102 adolescent patients with Eating Disorders (anorexia nervosa and eating disorder not otherwise specified) using three clinical instruments: the Shedler-Westen Assessment Procedure for Adolescents (SWAP-200-A) (Westen D, Shedler J, Durrett C, Glass S, Martens A. Personality diagnoses in adolescence: DSM-IV Axis II diagnoses and an empirically derived alternative. Am J Psychiatry 2003;160:952-966), the Affective Regulation and Experience Questionnaire (AREQ) (Zittel Conklin C, Bradley R, Westen D. Affect regulation in borderline personality disorder. J Nerv Ment Dis 2006;194:69-77), and the Identity Disorder Questionnaire (IDQ) (Wilkinson-Ryan T, Westen D. Identity disturbance in borderline personality disorder: An empirical investigation. Am J Psychiatry 2000;157:528-541). We performed a Q factor analysis of the SWAP-200-A descriptions of our sample to identify personality subtypes. We correlated these personality styles with AREQ and IDQ factors and explored the personality differences among individuals with the different types of ED. The Q factor analysis identified three personality subtypes: high-functioning/perfectionist, emotionally dysregulated, and overcontrolled/constricted. Each subtype showed specific identity and affective features, comorbidities with different personality disorders, and clinical implications. These results contribute to the understanding of adolescents with ED and seem to be relevant for treatment planning.
Collapse
Affiliation(s)
- Francesco Gazzillo
- Department of Dynamic and Clinical Psychology, Sapienza University of Rome, via degli Apuli1, 00185 Rome.
| | | | | | | | | | | | | | | |
Collapse
|
14
|
Abbate Daga G, Campisi S, Marzola E, Rocca G, Peris C, Campagnoli C, Peloso A, Vesco S, Rigardetto R, Fassino S. Amenorrhea in eating disorders: poor stability of symptom after a one-year treatment. Eat Weight Disord 2012; 17:e78-85. [PMID: 22024566 DOI: 10.3275/7962] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE To examine whether patients with Eating Disorders (ED) who restore menses differ from those who remain amenorrheic after treatment and to provide longitudinal data about this debated criterion of Anorexia Nervosa (AN). METHODS 184 outpatients were recruited: 50 patients with AN Restrictive type, 75 amenorrheic Eating Disorder Not Otherwise Specified (EDNOS) patients, 24 patients who recovered from AN with persistent amenorrhea, and 35 amenorrheic patients without ED. All participants were clinically assessed by psychiatrists and gynaecologists at the beginning of treatment and at the one-year follow-up. They also completed several psychometric tests: Eating Disorder Inventory-2, Temperament and Character Inventory, and Beck Depression Inventory. RESULTS After treatment, a large portion of the sample resumed menses but very few recovered completely from the ED. No psychopathological variables could clearly predict the recovery of menses in the different groups. However, Body Mass Index and some biological variables were associated with restoration of menses in ED patients. CONCLUSION Resumption of menses was not associated with a less severe eating symptomatology at the beginning of treatment nor with unequivocal psychopathological changes after treatment. It is important that clinicians consider not only the presence or absence of regular menses but also that they improve both ED screening and assessment in amenorrheic patients. Amenorrhea does not seem to represent a specific predictor of severity of illness or to show prognostic value.
Collapse
Affiliation(s)
- G Abbate Daga
- Department of Neuroscience, Section of Psychiatry, Eating Disorders Centre, University of Turin, Via Cherasco 11, 10126 Turin, Italy.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
15
|
Meneely J, Ricci F, Vesco S, Abouzied M, Sulyok M, Krska R, Elliott C. A comparative study of qualitative immunochemical screening assays for the combined measurement of T-2/HT-2 in cereals and cereal-based products. WORLD MYCOTOXIN J 2011. [DOI: 10.3920/wmj2011.1313] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Many different immunochemical platforms exist for the screening of naturally occurring contaminants in food from the low cost enzyme linked immunosorbent assays (ELISA) to the expensive instruments such as optical biosensors based on the phenomenon of surface plasmon resonance (SPR). The primary aim of this study was to evaluate and compare a number of these platforms to assess their accuracy and precision when applied to naturally contaminated samples containing HT-2/T-2 mycotoxins. Other important factors considered were the speed of analysis, ease of use (sample preparation techniques and use of the equipment) and ultimately the cost implications. The three screening procedures compared included an SPR biosensor assay, a commercially available ELISA and an enzymelinked immunomagnetic electrochemical array (ELIME array). The qualitative data for all methods demonstrated very good overall agreements with each other, however on comparison with mass spectrometry confirmatory results, the ELISA and SPR assay performed slightly better than the ELIME array, exhibiting an overall agreement of 95.8% compared to 91.7%. Currently, SPR is more costly than the other two platforms and can only be used in the laboratory whereas in theory both the ELISA and ELIME array are portable and can be used in the field, but ultimately this is dependent on the sample preparation techniques employed. Sample preparative techniques varied for all methods evaluated, the ELISA was the most simple to perform followed by that of the SPR method. The ELIME array involved an additional clean-up step thereby increasing both the time and cost of analysis. Therefore in the current format, field use would not be an option for the ELIME array. In relation to speed of analysis, the ELISA outperformed the other methods.
Collapse
Affiliation(s)
- J. Meneely
- Institute of Agri-Food and Land Use, Queen's University Belfast, David Keir Building, Stranmillis Road, Belfast, BT9 5AG, United Kingdom
| | - F. Ricci
- Dipartimento di Scienze e Tecnologie Chimiche, Università di Roma Tor Vergata, Via della Ricerca Scientifica, 00133 Rome, Italy
| | - S. Vesco
- Dipartimento di Scienze e Tecnologie Chimiche, Università di Roma Tor Vergata, Via della Ricerca Scientifica, 00133 Rome, Italy
| | - M. Abouzied
- Neogen Corporation, 620 Lesher Place, Lansing MI 48912, USA
| | - M. Sulyok
- Department IFA-Tulln, University of Natural Resources and Life Sciences, Konrad Lorenzstr. 20, 3430 Tulln, Austria
| | - R. Krska
- Department IFA-Tulln, University of Natural Resources and Life Sciences, Konrad Lorenzstr. 20, 3430 Tulln, Austria
| | - C. Elliott
- Institute of Agri-Food and Land Use, Queen's University Belfast, David Keir Building, Stranmillis Road, Belfast, BT9 5AG, United Kingdom
| |
Collapse
|