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Bruno A, Buono C, Falco A, Brondino M, Capone V, Dell’Aversana G, Giancaspro ML, Gilardi S, Girardi D, Guglielmi D, Ingusci E, Miglioretti M, Pace F, Platania S, Signore F, Spagnoli P. First validation of the technical and administrative staff quality of life at work tool (TASQ@work) in academia. Front Psychol 2024; 15:1346556. [PMID: 38680287 PMCID: PMC11048465 DOI: 10.3389/fpsyg.2024.1346556] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 03/25/2024] [Indexed: 05/01/2024] Open
Abstract
Introduction Based on the job demands-resources (JD-R) model, the present study aimed to validate "The Technical and Administrative Staff Quality of Life At Work" (TASQ@work), a new tool to assess the quality of life at work in academia focused on technical and administrative staff. Methods This tool was developed by the QoL@Work research team, a group of expert academics in the field of work and organizational psychology affiliated with the Italian Association of Psychologists. The TASQ@work was elaborated in different steps. The first phase was aimed at the identification of the dimensions of the tool. The second phase was aimed to assess the psychometric properties of the tool. The validation process involved confirmatory analysis and measurement invariance of the various constructs selected. The analyses were performed in a convenience sample of two Italian universities in different regions (one in the Northwest and the second in Central Italy). Results The sample was composed of 1820 Administrative Staff, comprising 69.4% from University 1 (N = 1,263) and 30.6% from University 2 (N = 557). The TASQ@work presented satisfactory psychometric properties (normality of the items, reliability and content, construct and nomological validity) and measurement invariance across gender, seniority, and Athenaeum. Discussion The results indicate that the tool can be considered a reliable and valid instrument to assess job demands, job resources, and outcomes in the working life of technical and administrative academic staff. In this perspective, the present study represents the first contribution to the debate on the psychosocial risks in academic contexts by presenting a new tool, the TASQ@work, aimed at contextualizing the JD-R model to understand the role played by psychosocial aspects in affecting the well-being of the academic employees.
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Affiliation(s)
- Andreina Bruno
- Department of Education Sciences, University of Genoa, Genova, Italy
| | - Carmela Buono
- Department of Psychology, University of Campania Luigi Vanvitelli, Caserta, Italy
| | - Alessandra Falco
- Department of Philosophy, Sociology, Education and Applied Psychology (FISPPA), University of Padua, Padova, Italy
| | | | - Vincenza Capone
- Department of Humanities, University of Naples “Federico II”, Napoli, Italy
| | | | | | - Silvia Gilardi
- Department of Social and Political Sciences, University of Milan, Milan, Italy
| | - Damiano Girardi
- Department of Philosophy, Sociology, Education and Applied Psychology (FISPPA), University of Padua, Padova, Italy
| | - Dina Guglielmi
- Department of Education Studies “Giovanni Maria Bertin”, Alma Mater Studiorum—University of Bologna, Bologna, Italy
| | - Emanuela Ingusci
- Human and Social Sciences Department, University of Salento, Lecce, Italy
| | | | - Francesco Pace
- Department of Economic, Business and Statistic Science, University of Palermo, Palermo, Italy
| | - Silvia Platania
- Department of Educational Sciences, Section of Psychology, University of Catania, Catania, Italy
| | - Fulvio Signore
- Department of Humanities, Letters, Cultural Heritage and Educational Studies, University of Foggia, Foggia, Italy
| | - Paola Spagnoli
- Department of Psychology, University of Campania Luigi Vanvitelli, Caserta, Italy
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Abstract
Objectives.Occupational health and safety (OHS) is a relevant issue for many systems and stakeholders. This systematic literature review aims to expand knowledge on this topic starting from the integrated safety model (ISM) and to evaluate the role of psychological capital (PsyCap) on safety behaviours (SBs) (i.e., safety performance and prevention of occupational accidents and injuries). Methods. A total of 2704 studies was initially identified in the Scopus, PsycINFO and Web of Science databases. After rigorous screening, 20 empirical studies were included. Results. The results showed the relevant contribution of PsyCap in promoting SBs as a direct antecedent, a mediator between organizational factors and SBs or a moderator between job demands and SBs. Conclusion. Findings indicate that when workers feel resourceful, they feel also more confident and engaged, and, in turn, more focused on safety issues. Moreover, the results sometimes turn out to be contradictory, showing the dark side of personal resources. Considering these results, a plan to monitor and develop PsyCap could be implemented to promote SBs and safety environment. Indeed, PsyCap can be an essential individual resource for behaving safely also by reducing job demands' perceptions and improving safety leadership.
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Affiliation(s)
| | - Alessia Negrini
- IRSST - Institut de recherche Robert-Sauvé en santé et en sécurité du travail, Canada
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Margheritti S, Giorgi I, Magnone S, Miglioretti M, Fiabane E. Physicians' Turnover Intention During the "Post-COVID-19" Era: Risk and Protective Factors. J Occup Environ Med 2023; 65:e631-e635. [PMID: 37442758 DOI: 10.1097/jom.0000000000002922] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/15/2023]
Abstract
PURPOSE This research investigates risk and protective factors affecting physicians' turnover intention during the post-COVID-19 era. DESIGN/METHODOLOGY/APPROACH A cross-sectional online survey study of 958 physicians working in Lombardy (Northern Italy) hospitals was conducted. FINDINGS In the post-COVID-19 era, burnout significantly increases physicians' turnover intention. The same is true for fear of being infected by COVID-19 (FIC), which indirectly affects turnover intention via burnout. The higher FIC and burnout, the higher intention to leave the job or working unity. Self-efficacy significantly decreases turnover intention by reducing FIC and burnout. ORIGINALITY/VALUE Implementing turnover preventive programs in healthcare professionals is essential, mainly reducing BO and promoting physicians' personal resources, such as self-efficacy.
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Affiliation(s)
- Simona Margheritti
- From the Department of Psychology, University of Milano-Bicocca, Milano, Italy (S.M., M.M.); Dipartimento di Sanità pubblica, Medicina Sperimentale e Forense, University of Pavia, Pavia, Italy (I.G.); ANAAO ASSOMED Lombardia Associazione Medici Dirigenti, Milano, Italy (ST.MA.); and Istituti Clinici Scientifici Maugeri IRCCS, Psychology Unit of Pavia Institute, Pavia, Italy (E.F.)
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Gragnano A, Corbière M, Picco E, Negrini A, Savioli G, Conti M, Corsiglia L, Miglioretti M. Adaptation and validation of the cardiovascular version of the Return-to-Work Obstacles and Self-Efficacy Scale (ROSES-CVD) to the Italian context. Disabil Rehabil 2023; 45:3573-3581. [PMID: 36124555 DOI: 10.1080/09638288.2022.2123962] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 09/08/2022] [Indexed: 11/03/2022]
Abstract
PURPOSE Effective cardiac rehabilitation interventions must provide adequate support to overcome psychosocial return-to-work (RTW) barriers. No validated instrument is available for this aim for cardiovascular patients. The Return-to-work Obstacles and Self-Efficacy Scale (ROSES) measures RTW obstacles workers perceive and the self-efficacy for overcoming them through 46 items and ten dimensions. This study aimed to adapt and validate ROSES for cardiovascular disease (CVD) in the Italian context. METHODS This prospective study involved 183 CVD working patients at baseline and 121 six months later. ROSES-CVD internal consistency, construct, and predictive validity was evaluated with Cronbach's α, Confirmatory factor analyses (CFA), and ANCOVAs. RESULTS CFAs adequately replicated the original ROSES model (CFI = .92-.96; TLI = .91-.94; RMSEA = .042-.057; SRMR = .046-.071) with α close or higher than .70 for all dimensions. Four ROSES-CVD dimensions significantly predicted the number of days to RTW controlling for age, gender, educational level, and surgery type. Workers who perceived salient RTW obstacles and low self-efficacy in any of these dimensions in mean returned to work from 38 to 53 days later. CONCLUSIONS The study supported the validity and reliability of ROSES-CVD. This tool can be used in rehabilitation to detect CVD patients at risk of a longer RTW process and define appropriate cardiac rehabilitation intervention.IMPLICATIONS FOR REHABILITATIONVocational rehabilitation interventions should provide tailor-made support to overcome RTW barriers based on individual risk assessmentThe Italian translation of ROSES-CVD is a valid and reliable tool to measure psychosocial barriers to RTW among CVD working patientsThe use of ROSES-CVD would allow detection of CVD patients at risk of longer RTW processAdministering ROSES-CVD can help focus traditional vocational intervention on individually relevant obstacles to RTW.
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Affiliation(s)
- Andrea Gragnano
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Marc Corbière
- Department of Education, Career counselling, Université du Québec à Montréal, Montreal, Canada
- Centre de recherche de l'Institut Universitaire en Santé Mentale de Montréal (CR-IUSMM), Montreal, Canada
| | - Eleonora Picco
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Alessia Negrini
- Institut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail (IRSST), Montreal, Canada
| | - Gaia Savioli
- Cardiovascular Institute of Camogli (ISCC), Camogli, Italy
| | - Massimo Conti
- Cardiovascular Institute of Camogli (ISCC), Camogli, Italy
| | - Luca Corsiglia
- Cardiovascular Institute of Camogli (ISCC), Camogli, Italy
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Miglioretti M, Gragnano A, Simbula S, Perugini M. Telework quality and employee well-being: Lessons learned from the COVID-19 pandemic in Italy. New Technol Work Employ 2022; 38:NTWE12263. [PMID: 36718468 PMCID: PMC9877874 DOI: 10.1111/ntwe.12263] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 11/08/2022] [Accepted: 11/25/2022] [Indexed: 12/13/2022]
Abstract
The coronavirus disease 2019 (COVID-19) forced organisations to implement intensive telework for many of their workers overnight. This scenario was completely new, and the emergency caused by COVID-19 created the possibility of experimenting with new ways of working with an unknown impact on employee well-being. Drawing on previous literature, we defined a model of telework quality consisting of the following four core domains: agile offices within organisations, functional remote workstations, flex-time and engaging management. We identified two high-quality and low-quality telework profiles using latent profile analysis on a data sample of 2295 insurance and financial sector employees. Demographic, occupational and procedural characteristics were associated with the probability of being in the positive or negative profiles. Our results showed that employees' emotional exhaustion and work engagement levels were related to telework quality. This study suggests that organisations need to consider the quality of telework to effectively adopt new ways of working that foster employee well-being.
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Affiliation(s)
- Massimo Miglioretti
- Department of Psychology, Bicocca Center for Applied PsychologyUniversity of Milano‐BicoccaMilanItaly
| | - Andrea Gragnano
- Department of Psychology, Bicocca Center for Applied PsychologyUniversity of Milano‐BicoccaMilanItaly
| | - Silvia Simbula
- Department of Psychology, Bicocca Center for Applied PsychologyUniversity of Milano‐BicoccaMilanItaly
| | - Marco Perugini
- Department of Psychology, Bicocca Center for Applied PsychologyUniversity of Milano‐BicoccaMilanItaly
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Previtali F, Picco E, Gragnano A, Miglioretti M. The Relationship between Work, Health and Job Performance for a Sustainable Working Life: A Case Study on Older Manual Employees in an Italian Steel Factory. Int J Environ Res Public Health 2022; 19:ijerph192114586. [PMID: 36361464 PMCID: PMC9654428 DOI: 10.3390/ijerph192114586] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 10/17/2022] [Accepted: 10/24/2022] [Indexed: 05/12/2023]
Abstract
BACKGROUND Supporting and retaining older workers has become a strategic management goal for companies, considering the ageing of the workforce and the prolongation of working lives. The relationship between health and work is especially crucial for older workers with manual tasks, considering the impact of long-standing health impairments in older age. Although different studies investigated the relationship between work ability and job performance, few studies have analysed the impact of workers' capability to balance between health and work demands, including managerial and organisational support (work-health balance). Considering health as a dynamic balance between work and health demands influenced by both individual and environmental factors, we assess the mediator role of work-health balance in the relation between work ability and job performance, both self-reported and assessed by the supervisor. METHODS The study utilises data from a case study of 156 manual workers, who were 50 years old or older and employed in a steel company in Italy. Data were collected inside the company as an organiational initiative to support age diversity. RESULTS The findings show that work-health balance partially mediates the relationship between work ability and self-rated job performance, while it does not mediate the relationship with job performance as rated by the supervisor. Supervisor-rated job performance is positively associated with work ability, while it decreases with the increasing perceived incompatibility between work and health. CONCLUSION A perceived balance between health and work is a strategic factor in increasing manual older workers' job performance. For older workers, not only the perceived capability to work is important but also the organisational health climate and supervisor's support. More studies are needed to verify if managers overlook the importance of health climate and support, as strategic elements that can foster performance for older employees.
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Affiliation(s)
- Federica Previtali
- Faculty of Social Sciences, Tampere University, 33100 Tampere, Finland
- Gerontology Research Centre, Tampere University, 33100 Tampere, Finland
- Correspondence:
| | - Eleonora Picco
- Bicocca Center for Applied Psychology–BiCApP, Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy
| | - Andrea Gragnano
- Bicocca Center for Applied Psychology–BiCApP, Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy
| | - Massimo Miglioretti
- Bicocca Center for Applied Psychology–BiCApP, Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy
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Aiello EN, Fiabane E, Margheritti S, Magnone S, Bolognini N, Miglioretti M, Giorgi I. Psychometric properties of the Copenhagen Burnout Inventory (CBI) in Italian Physicians. Med Lav 2022; 113:e2022037. [PMID: 36006095 PMCID: PMC9484286 DOI: 10.23749/mdl.v113i4.13219] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 07/28/2022] [Indexed: 06/15/2023]
Abstract
UNLABELLED This study aimed to standardize the Copenhagen Burnout Inventory (CBI), a psychometrically sound, worldwide-spread tool among Italian physicians. METHODS Nine hundred and fifteen Italian physicians were web-administered the CBI, Patient Health Questionnaire-8 (PHQ-8), Generalized Anxiety Disorder-7 (GAD-7) and General Self-Efficacy Scale (GSE). The present CBI included 18 items (range=19-90) assessing Personal, Work-related and Client-related Burnout. Client-related adaptation was performed. Construct validity, factorial structure (Confirmatory Factor Analysis) and internal consistency were tested. Diagnostic accuracy was assessed simultaneously against the PHQ-8, GAD-7 and GSE. All CBI measures yielded optimal internal consistency (Cronbach's α=0.90-0.96). RESULTS The CBI met its original three-factor model (CFI=0.94; TLI=0.93; RMSEA=0.09; SRMR=0.04), was positively related to the PHQ-8 (r=0.76) and GAD-7 (r=0.73), whereas negatively with the GSE (r=0.39) and yielded optimal diagnostics (AUC=0.93; sensitivity=0.91 and specificity=0.85 at the optimal cutoff of 69/90). CONCLUSION The CBI is thus a valid, reliable, and normed tool to assess burnout levels in physicians.
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Affiliation(s)
| | - Elena Fiabane
- Department of Physical and Rehabilitation Medicine of Genova Nervi Institute, Istituti Clinici Scientifici Maugeri, Genova.
| | | | - Stefano Magnone
- Regional Secretary, ANAAO ASSOMED Lombardia Associazione Medici Dirigenti, Milano, Italy.
| | - Nadia Bolognini
- Department of Psychology, University of Milano-Bicocca, Milano.
| | | | - Ines Giorgi
- Dipartimento di Sanità pubblica, Medicina Sperimentale e Forense, University of Pavia, Pavia.
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Picco E, Houkes I, De Rijk A, Miglioretti M. The MAastricht Instrument for Sustainable Employability - Italian version (MAISE-IT): a validation study. BMC Public Health 2022; 22:541. [PMID: 35303849 PMCID: PMC8933982 DOI: 10.1186/s12889-022-12872-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Accepted: 02/28/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Governments and employers aim to promote sustainable employability (SE) in aging societies. In the Netherlands, an instrument for capturing the employee perspective on SE, the MAastricht Instrument for Sustainable Employability (MAISE-NL), has recently been developed. This study seeks to validate the Italian version of the MAISE (MAISE-IT). METHODS The MAISE-IT (a translated and culturally adapted version of the MAISE for the Italian population), the Work-Health Balance questionnaire and a demographic survey (age, gender, education, and occupational activity) were completed online by 455 respondents (328 public administration workers and 127 respondents recruited from social networks). Construct and criterion validity were tested by CFA; reliability, correlational analyses and subgroup differences with ANOVAs. RESULTS The CFA analysis revealed that the MAISE-IT consists of 12 scales distributed in four areas: (1) Meaning of SE; (2) Level and Factors affecting SE; (3) Overall responsibility for SE; and (4) Responsibility for factors affecting SE. Construct and criterion validity and reliability were good. Italian workers reported a moderately high level of SE. They regarded employers to be somewhat more responsible for SE than employees. CONCLUSIONS This study showed the validity of the MAISE-IT in the Italian context. The MAISE-IT is valuable for tapping employees' needs in order to develop SE interventions tailored to the employee perspective.
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Affiliation(s)
- Eleonora Picco
- Department of Psychology, Bicocca Center for Applied Psychology - BiCApP, University of Milano-Bicocca, 20126, Milan, Italy.
| | - Inge Houkes
- Department of Social Medicine, Faculty of Health, Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht University, PO Box 616, 6200, MD, Maastricht, The Netherlands
| | - Angelique De Rijk
- Department of Social Medicine, Faculty of Health, Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht University, PO Box 616, 6200, MD, Maastricht, The Netherlands
| | - Massimo Miglioretti
- Department of Psychology, Bicocca Center for Applied Psychology - BiCApP, University of Milano-Bicocca, 20126, Milan, Italy
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Pain D, Aiello EN, Gallucci M, Miglioretti M, Mora G. The Italian Version of the ALS Depression Inventory-12. Front Neurol 2021; 12:723776. [PMID: 34630298 PMCID: PMC8497880 DOI: 10.3389/fneur.2021.723776] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 08/27/2021] [Indexed: 01/20/2023] Open
Abstract
Introduction: Depression is a comorbidity in patients with amyotrophic lateral sclerosis (ALS). However, its diagnosis is challenged by the co-occurrence of a similar frontotemporal (FT) behavioral symptom—i.e., apathy. Moreover, its psychometric evaluation is confounded by motor disabilities. This study aimed at investigating psychometric properties and feasibility of the ALS Depression Inventory (ADI-12), a self-report questionnaire set up for this issue—as measuring mood changes without referring to movement. Methods: Eighty-five ALS patients were administered the ADI-12 and underwent cognitive (Mini-Mental State Examination, MMSE), quality of life (McGill Quality of Life Questionnaire, MQoL) and further anxiety/mood (Hospital Anxiety and Depression Scale, HADS) assessments. Reliability, validity, sensitivity, and specificity of the ADI-12 were explored. Results: Principal component analyses revealed two related components—“Negative Mood and Lack of Energy” (ME) and “Anhedonia” (A). Both components and the inventory as a whole were internally consistent and highly related to HADS-D. ADI-12-total score was also associated with HADS-A. ADI-12 measures were inversely related to MQoL. ADI-12-total/sub-scales were not related to either MMSE or disease-related outcomes. Estimates of depression yielded by HADS-D and ADI-12 were 11.1 and 35.3%. Discussion: The ADI-12 is a valid, reliable and usable feasibile tool to assess depression in Italian ALS patients independently from motor disabilities. Its interplay with psycho-social outcomes is in agreement with previous studies. The lack of association with cognition suggests that the ADI-12 is partially independent from FT spectrum disorders. The disagreement in depression rates between the ADI-12 and HADS-D suggests the need to ALS-specific mood scales.
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Affiliation(s)
- Debora Pain
- Istituti Clinici Scientifici Maugeri, IRCCS, Neurorehabilitation Department of Milano Institute, Milan, Italy
| | - Edoardo Nicolò Aiello
- School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.,PhD Program in Neuroscience, University of Milano-Bicocca, Monza, Italy
| | - Marcello Gallucci
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | | | - Gabriele Mora
- Istituti Clinici Scientifici Maugeri, IRCCS, Neurorehabilitation Department of Milano Institute, Milan, Italy
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Gragnano A, Miglioretti M, Magon G, Pravettoni G. Work with cancer or stop working after diagnosis? Variables affecting the decision. Work 2021; 70:177-185. [PMID: 34511522 DOI: 10.3233/wor-213563] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Studies about work and cancer predominantly considered the return to work of cancer survivors. However, some studies highlighted that many patients work with cancer even immediately after the diagnosis. Little is known about the frequency, causes, and consequences of this behavior. OBJECTIVE This study aimed to estimate how many cancer patients continue working in the month after the diagnosis in an Italian context and to determine which factors affect the decision to stop working in the same period. METHODS One hundred seventy-six patients with breast, gastrointestinal, prostate, or female reproductive system cancer completed a survey with demographic, occupational, and psychosocial information. Clinical information was collected from medical records. We measured how many workers continued working in the month after cancer diagnosis without substantial interruptions and selected the best logistic regression model of this behavior's predictors. RESULTS Sixty-eight percent of the patients continued working in the month after the diagnosis. Patients were more likely to stop working with a higher level of perceived work-health incompatibility (OR = 2.64; 95%CI: 1.48-4.69), an open-ended contract (OR = 3.20; CI: 1.13-9.09), and a complex treatment (surgery+chemo-/radio-therapy, OR = 4.25; CI: 1.55-11.65) and less likely with breast cancer (OR = 0.20; CI: 0.07-0.56), and more children (OR = 0.59; CI: 0.37-0.96). CONCLUSIONS To continue working with cancer is a common practice among the newly diagnosed. The decision to suspend work activity relates to evaluating how much work activities hamper one's health care needs and the practical difficulties expected in handling cancer care and work.
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Affiliation(s)
- Andrea Gragnano
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | | | | | - Gabriella Pravettoni
- European Institute of Oncology (IEO), Milan, Italy.,Department of Oncology and Hematooncology, University of Milan, Milan, Italy
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Miglioretti M, Gragnano A, Margheritti S, Picco E. Not All Telework is Valuable. Revista de Psicología del Trabajo y de las Organizaciones 2021. [DOI: 10.5093/jwop2021a6] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Montali L, Gragnano A, Miglioretti M, Frigerio A, Vecchio L, Gerussi A, Cristoferi L, Ronca V, D’Amato D, O’Donnell SE, Mancuso C, Lucà M, Yagi M, Reig A, Jopson L, Pilar S, Jones D, Pares A, Mells G, Tanaka A, Carbone M, Invernizzi P. Quality of life in patients with primary biliary cholangitis: A cross-geographical comparison. J Transl Autoimmun 2021; 4:100081. [PMID: 33554101 PMCID: PMC7843515 DOI: 10.1016/j.jtauto.2021.100081] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Accepted: 12/30/2020] [Indexed: 12/12/2022] Open
Abstract
Background & aims Several symptoms impair the quality of life (QoL) of patients with primary biliary cholangitis (PBC). They are reported to vary significantly in different countries. Aim of our study was to explore whether there is a geographical clustering that accounts for symptoms in PBC. Methods Data was analysed from four cohorts of PBC patients from the UK, Spain, Japan and Italy using the PBC-27 scale. Results Overall, 569 patients from four cohorts were identified, including 515 females (90.5%) with a mean age of 61 years. The analysis provided evidence for strict factorial invariance of the scale, a robust indicator of its validity for cross-cultural research. The mean of the fatigue domain of British patients was significantly greater than that of the Japanese (p < 0.05), Italian (p < 0.05), and Spanish patients (p < 0.001). The mean of the cognitive domain after 54 years of age, was significantly greater in the British patients than in the Japanese (p < 0.05) and Spanish patients (p < 0.01). However, after 69 years of age, there were not significant differences between countries. The mean of the emotion domain after 54 years of age, was greater in the British that in the Spanish (p < 0.01) and Italian patients (p < 0.01). Conclusions Differences in the four countries concerning fatigue, cognitive and emotional dysfunction were found. The association of latitude and symptoms might provide new insights into the role of sun exposure, genetics and/or cultural component into disease phenotype in PBC.
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Affiliation(s)
- Lorenzo Montali
- Department of Psychology, University of Milan Bicocca, Milan, Italy
| | - Andrea Gragnano
- Department of Psychology, University of Milan Bicocca, Milan, Italy
| | | | | | - Luca Vecchio
- Department of Psychology, University of Milan Bicocca, Milan, Italy
| | - Alessio Gerussi
- Division of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy
- European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy
| | - Laura Cristoferi
- Division of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy
- European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy
| | - Vincenzo Ronca
- Division of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy
- European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy
| | - Daphne D’Amato
- Division of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy
- European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy
| | - Sarah Elizabeth O’Donnell
- Division of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy
- European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy
| | - Clara Mancuso
- Division of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy
- European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy
| | - Martina Lucà
- Division of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy
- European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy
| | - Minami Yagi
- Department of Medicine, Teikyo University School of Medicine, Tokyo, Japan
| | - Anna Reig
- Liver Unit, Hospital Clínic, University of Barcelona, IDIBAPS, CIBERehd, Barcelona, Spain
| | - Laura Jopson
- Institute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, UK
| | - Sesé Pilar
- Liver Unit, Hospital Clínic, University of Barcelona, IDIBAPS, CIBERehd, Barcelona, Spain
| | - Dave Jones
- Institute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, UK
| | - Albert Pares
- Liver Unit, Hospital Clínic, University of Barcelona, IDIBAPS, CIBERehd, Barcelona, Spain
| | - George Mells
- Department of Medical Genetics, University of Cambridge, Cambridge, UK
| | - Atsushi Tanaka
- Department of Medicine, Teikyo University School of Medicine, Tokyo, Japan
| | - Marco Carbone
- Division of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy
- European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy
| | - Pietro Invernizzi
- Division of Gastroenterology, Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy
- European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy
- Corresponding author. Division of Gastroenterology and Center for Autoimmune Liver Diseases, Department of Medicine and Surgery, University of Milano - Bicocca, Via Cadore 48, 20900, Monza, (MB), Italy.
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Picco E, Houkes I, De Rijk AE, Miglioretti M. The MAastricht Instrument for Sustainable Employability – Italian version: a validation study. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1358] [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
Health promotion and age management at work are top priorities for governments and employers. To promote sustainable employability (SE) in ageing societies is more necessary than ever. In the Netherlands, an instrument for tapping the employee perspective on SE (MAISE-NL), has recently been developed. This study aims to validate the Italian version of MAISE (MAISE-IT).
Methods
The MAISE-IT (a translated and adapted version of the MAISE for the Italian population), the Work-Health Balance questionnaire and demographics (age, gender, education, and occupational activity) were answered online by a total of 455 respondents (328 public administration workers and 127 respondents recruited on social networks). Construct and criterion validity were tested by CFA, reliability and correlational analyses and subgroup analyses through ANOVAs.
Results
The CFA analysis provided evidence of the MAISE-IT to consist of 12 scales divided over five areas: (1) Meaning of SE; (2) Level of SE; (3) Factors affecting SE; (4) Overall responsibility for SE; and (5) Responsibility for factors affecting SE. Construct validity, reliability and criterion validity were good. Italian employees reported a moderately high level of SE. They considered employers as being somewhat more responsible for SE than employees.
Conclusions
This study showed the validity of the MAISE-IT in the Italian context. The MAISE-IT is valuable to assess employees' needs in order to develop SE interventions that align with the employee perspective. Specific policy regulations and campaigns should be developed to make employees more aware of opportunities to increase their SE.
Key messages
The MAISE-IT can be used to measure the meaning and level of SE, factors affecting SE and responsibility for SE, in order to develop group level SE interventions. As employees in different contexts might have different ideas on SE, an instrument that measures perspectives on different SE dimensions separately is innovative.
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Affiliation(s)
- E Picco
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - I Houkes
- Department of Social Medicine, Maastricht University, Maastricht, Netherlands
| | - A E De Rijk
- Department of Social Medicine, Maastricht University, Maastricht, Netherlands
| | - M Miglioretti
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
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Luigi M, Rapisarda F, Corbière M, De Benedictis L, Bouchard AM, Felx A, Miglioretti M, Abdel-Baki A, Lesage A. Determinants of mental health professionals' attitudes towards recovery: A review. Can Med Educ J 2020; 11:e62-e73. [PMID: 33062092 PMCID: PMC7522886 DOI: 10.36834/cmej.61273] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
OBJECTIVE The attitudes of mental health professionals towards consumers' recovery are far more pessimistic than what is needed for the recovery-orientation to truly permeate systems of care. It has become pressing to depict determinants for these attitudes and how they evolve during professionalization. This, in the hopes to adjust not only medical education, but also ongoing training of professionals. METHODS A systematic search of PubMed and PsycINFO databases was conducted, yielding a net 15 303 records. Twenty-two publications from specific educational journals and reference lists were added. Finally, thirty-four full texts were read, from which twenty-two articles were included. RESULTS From the reviewed studies emerged five main determinants: profession, education, age, clinical experience, and nature of the contact with consumers. Traditional clinical placements during residency, negative experiences with acute patients, younger age and the professional attitudes of psychiatrists seem to all be determining factors for professionals' pessimistic attitudes towards recovery. CONCLUSIONS This review found specific determinants for attitudes in recovery and four out of five can be acted upon. For a recovery-orientation to be implemented across our mental health system, we formulate recommendations within the Canadian context for revision of curriculum, recovery-specific training, and operationalisation through state/provincial technical assistance centers.
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Affiliation(s)
- Mimosa Luigi
- Department of Psychiatry and Addictology, University of Montreal, Quebec, Canada
| | - Filippo Rapisarda
- Department of Psychology, Università degli Studi di Milano-Bicocca, Italy
| | - Marc Corbière
- Department of Education and Pedagogy – Faculty of the Sciences of Education, University of Quebec, Quebec, Canada
| | - Luigi De Benedictis
- Department of Psychiatry and Addictology, University of Montreal, Quebec, Canada
- Program for psychotic disorders, Institut Universitaire en Santé Mentale de Montréal, CIUSSS East-of-Montreal, Quebec, Canada
| | - Anne-Marie Bouchard
- Department of Psychiatry and Addictology, University of Montreal, Quebec, Canada
| | - Amélie Felx
- Mental health and substance abuse program, Institut Universitaire en Santé Mentale Douglas, CIUSSS West-of-Montreal, Quebec, Canada
| | | | - Amal Abdel-Baki
- Department of Psychiatry and Addictology, University of Montreal, Quebec, Canada
| | - Alain Lesage
- Department of Psychiatry and Addictology, University of Montreal, Quebec, Canada
- Research Centre, Institut Universitaire en Santé Mentale de Montréal, CIUSSS East-of-Montreal, Quebec, Canada
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Houkes I, Miglioretti M, Picco E, De Rijk AE. Tapping the Employee Perspective on the Improvement of Sustainable Employability (SE): Validation of the MAastricht Instrument for SE (MAISE-NL). Int J Environ Res Public Health 2020; 17:ijerph17072211. [PMID: 32218382 PMCID: PMC7177710 DOI: 10.3390/ijerph17072211] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 03/15/2020] [Accepted: 03/22/2020] [Indexed: 11/16/2022]
Abstract
Background: Sustainable employability (SE) is top priority for employers. Measures based on the employee perspective of SE that would give direction to interventions to be initiated by employers currently fall short. This study aims to develop and validate an instrument that captures these issues: the MAastricht Instrument for Sustainable Employability (MAISE). Methods: MAISE items were generated from an extensive literature review and interviews with employers and employees. A questionnaire containing these items as well as proxy variables (health and vitality) and demographics was answered online by 632 employees (response rate 50.3%). Construct validity, reliability, and criterion validity were tested through Principal Component Analysis (PCA), Confirmatory Factor Analysis (CFA), Cronbach’s alpha, and correlational analyses. Results: The MAISE comprises 12 scales divided over five areas: (1) Meaning of SE; (2) Level of SE; (3) Factors affecting my SE; (4) Overall responsibility for SE; and (5) Responsibility for factors affecting my SE. Reliability, construct, and criterion validity were adequate to good. SE of the employees was relatively high, and SE was considered a shared responsibility of the employee and employer. Conclusions: This study showed the MAISE to be reliable and valid in various employee groups. More validation studies are needed. We recommend that employers use the MAISE as a needs assessment in order to develop SE interventions that will be readily accepted.
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Affiliation(s)
- Inge Houkes
- Department of Social Medicine, CAPHRI Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, 6200 MD Maastricht, The Netherlands
- Correspondence: ; Tel.: +31-43-3882878
| | - Massimo Miglioretti
- Department of Psychology, University of Milano-Bicocca, 20126 Milano, Italy
- BiCApP, Bicocca Center for Applied Psychology, University of Milano-Bicocca, 20126 Milano, Italy
| | - Eleonora Picco
- Department of Psychology, University of Milano-Bicocca, 20126 Milano, Italy
| | - Angelique Eveline De Rijk
- Department of Social Medicine, CAPHRI Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, 6200 MD Maastricht, The Netherlands
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Rapisarda F, Corbière M, Lesage AD, De Benedictis L, Pelletier JF, Felx A, Leblanc Y, Vallarino M, Miglioretti M. Development and validation of the mental health professional culture inventory. Epidemiol Psychiatr Sci 2019; 29:e80. [PMID: 31839026 PMCID: PMC8061147 DOI: 10.1017/s2045796019000787] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Revised: 10/02/2019] [Accepted: 10/30/2019] [Indexed: 12/03/2022] Open
Abstract
AIMS No instrument has been developed to explicitly assess the professional culture of mental health workers interacting with severely mentally ill people in publicly or privately run mental health care services. Because of theoretical and methodological concerns, we designed a self-administered questionnaire to assess the professional culture of mental health services workers. The study aims to validate this tool, named the Mental Health Professional Culture Inventory (MHPCI). The MHPCI adopts the notion of 'professional culture' as a hybrid construct between the individual and the organisational level that could be directly associated with the professional practices of mental health workers. METHODS The MHPCI takes into consideration a multidimensional definition of professional culture and a discrete number of psychometrically derived dimensions related to meaningful professional behaviour. The questionnaire was created and developed by a conjoint Italian-Canadian research team with the purpose of obtaining a fully cross-cultural questionnaire and was pretested in a pilot study. Subsequently, a validation survey was conducted in northern Italy and in Canada (Montreal area, Quebec). Data analysis was conducted in different steps designed to maximise the cross-cultural adaptation of the questionnaire through a recursive procedure consisting of performing a principal component analysis (PCA) on the Italian sample (N = 221) and then testing the resulting factorial model on the Canadian sample (N = 237). Reliability was also assessed with a test-retest design. RESULTS Four dimensions emerged in the PCA and were verified in the confirmatory factor analysis: family involvement, users' sexuality, therapeutic framework and management of aggression risk. All the scales displayed good internal consistency and reliability. CONCLUSIONS This study suggests the MHPCI could be a valid and reliable instrument to measure the professional behaviour of mental health services workers. The content of the four scales is consistent with the literature on psychosocial rehabilitation, suggesting that the instrument could be used to evaluate staff behaviour regarding four crucial dimensions of mental health care.
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Affiliation(s)
- F. Rapisarda
- Department of Psychology, University of Milano-Bicocca, 1 Piazza dell'Ateneo Nuovo, 20126, Milano, Italy
| | - M. Corbière
- Department of Education – Career Counselling, Université du Québec à Montréal, Montréal, Canada
- CIUSSS de l'Est-de-l’Île-de-Montréal, Institut Universitaire de Santé Mentale de Montréal, Montréal, Canada
| | - A. D. Lesage
- CIUSSS de l'Est-de-l’Île-de-Montréal, Institut Universitaire de Santé Mentale de Montréal, Montréal, Canada
| | - L. De Benedictis
- CIUSSS de l'Est-de-l’Île-de-Montréal, Institut Universitaire de Santé Mentale de Montréal, Montréal, Canada
| | - J. F. Pelletier
- CIUSSS de l'Est-de-l’Île-de-Montréal, Institut Universitaire de Santé Mentale de Montréal, Montréal, Canada
- Department of Psychiatry, Yale University School of Medicine, Yale Program for Recovery & Community Health, New Haven, CT, USA
| | - A. Felx
- CIUSSS de l'Est-de-l’Île-de-Montréal, Institut Universitaire de Santé Mentale de Montréal, Montréal, Canada
| | - Y. Leblanc
- CIUSSS de l'Est-de-l’Île-de-Montréal, Institut Universitaire de Santé Mentale de Montréal, Montréal, Canada
| | - M. Vallarino
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - M. Miglioretti
- Department of Psychology, University of Milano-Bicocca, 1 Piazza dell'Ateneo Nuovo, 20126, Milano, Italy
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Gragnano A, Negrini A, Miglioretti M, Corbière M. Common Psychosocial Factors Predicting Return to Work After Common Mental Disorders, Cardiovascular Diseases, and Cancers: A Review of Reviews Supporting a Cross-Disease Approach. J Occup Rehabil 2018; 28:215-231. [PMID: 28589524 DOI: 10.1007/s10926-017-9714-1] [Citation(s) in RCA: 81] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Purpose This systematic review aimed at identifying the common psychosocial factors that facilitate or hinder the return to work (RTW) after a sick leave due to common mental disorders (CMDs), cardiovascular diseases (CVDs), or cancers (CAs). Methods We conducted a review of reviews searching 13 databases from 1994 to 2016 for peer-reviewed, quantitative, cohort studies investigating factors influencing RTW after a CMD, CVD, or CA. Then, for each disease we identified additional cohort studies published after the date of the latest review included. Data were extracted following a three steps best-evidence synthesis method: the extraction of results about each predictor from studies within each single review and in the additional papers; the synthesis of results across the reviews and additional papers investigating the same disease; and the synthesis of results across the diseases. Results The search strategy identified 1029 unique records from which 27 reviews and 75 additional studies underwent comprehensive review. 14 reviews and 32 additional cohort studies met eligibility criteria. Specific predictors of RTW with different levels of evidence are provided for each disease. We found four common facilitators of RTW (job control, work ability, perceived good health and high socioeconomic status), and six barriers of RTW (job strain, anxiety, depression, comorbidity, older age and low education). Conclusion This is the first review to systematically analyze commonalities in RTW after CMDs, CVDs, or CAs. The common factors identified indicate that the RTW process presents many similarities across various diseases, thus supporting the validity of a cross-disease approach.
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Affiliation(s)
- Andrea Gragnano
- Institut de recherche Robert-Sauvé en santé et en Sécurité du travail, 505 boul. de Maisonneuve Ouest, Montreal, QC, H3A 3C2, Canada.
- Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montreal, QC, Canada.
- Department of Education, Career Counselling, Université du Québec à Montréal (UQAM), Montreal, QC, Canada.
| | - Alessia Negrini
- Institut de recherche Robert-Sauvé en santé et en Sécurité du travail, 505 boul. de Maisonneuve Ouest, Montreal, QC, H3A 3C2, Canada
| | | | - Marc Corbière
- Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montreal, QC, Canada
- Department of Education, Career Counselling, Université du Québec à Montréal (UQAM), Montreal, QC, Canada
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Affiliation(s)
| | - Claudia Meroni
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Giacomo Baiardo
- Psychological Unit, Cardiovascular Institute of Camogli, Ruta di Camogli (GE), Italy
| | - Gaia Savioli
- Psychological Unit, Cardiovascular Institute of Camogli, Ruta di Camogli (GE), Italy
| | - Veronica Velasco
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
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Steca P, Monzani D, Greco A, Franzelli C, Magrin ME, Miglioretti M, Sarini M, Scrignaro M, Vecchio L, Fattirolli F, D’Addario M. Stability and change of lifestyle profiles in cardiovascular patients after their first acute coronary event. PLoS One 2017; 12:e0183905. [PMID: 28850579 PMCID: PMC5574544 DOI: 10.1371/journal.pone.0183905] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2017] [Accepted: 08/14/2017] [Indexed: 11/29/2022] Open
Abstract
Background Acute coronary syndrome (ACS) is a major cause of morbidity and mortality. Lifestyle and health behavior changes play an important role in the primary and secondary prevention of ACS recurrence. Changes in unhealthy lifestyles after an acute coronary event have been analyzed by considering separate behaviors individually, even though research on the healthy population has demonstrated that unhealthy behaviors tend to co-occur. Purpose The aim of this study was to identify lifestyle profiles of ACS patients and to explore their pathways of change for one year after their first coronary event by adopting a typological approach. Methods Two hundred and twenty-three patients (84% male; mean age = 57.14) completed self-report measures of health-related behaviors at the beginning of cardiac rehabilitation, and six months and twelve months after. At each wave depression, anxiety and heart rate were also evaluated. Cluster analysis was performed to identify lifestyle profiles and to analyze their change over time. Differences in psychological factors and heart rate among clusters were assessed. Results Patients' diet, physical activity, and smoking behavior greatly improved six months after their first coronary event. No further improvements were detected after one year. At each wave specific lifestyle profiles were identified, ranging from more maladaptive to healthier clusters. Patients with multiple unhealthy behaviors experience greater difficulties in maintaining a healthier lifestyle over time. Moreover, the results demonstrated the association between lifestyle profiles at twelve months after the acute coronary event and depression measured six months earlier. Finally, the most maladaptive lifestyle profile had many members with elevated heart rate at twelve months after the cardiac rehabilitation. Conclusions Current findings may have a strong practical impact in the development and implementation of personalized secondary prevention programs targeting lifestyles of ACS patients.
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Affiliation(s)
- Patrizia Steca
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
| | - Dario Monzani
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
- * E-mail:
| | - Andrea Greco
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
| | - Cristina Franzelli
- Cardiac Rehabilitation Centre, Istituti Clinici di Perfezionamento Hospital, Milan, Italy
| | | | | | - Marcello Sarini
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
| | - Marta Scrignaro
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
| | - Luca Vecchio
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
| | - Francesco Fattirolli
- Department of Medical and Surgical Critical Care, Cardiac Rehabilitation Unit, University of Florence and Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
| | - Marco D’Addario
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
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Gragnano A, Miglioretti M, Frings-Dresen MHW, de Boer AGEM. Adjustment between work demands and health needs: Development of the Work-Health Balance Questionnaire. Rehabil Psychol 2017; 62:374-386. [PMID: 28318280 DOI: 10.1037/rep0000121] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
PURPOSE This study presented the construct of Work-Health Balance (WHB) and the design and validation of the Work-Health Balance Questionnaire (WHBq). More and more workers have a long-standing health problem or disability (LSHPD). The management of health needs and work demands is crucial for the quality of working life and work retention of these workers. However, no instrument exists measuring this process. The WHBq assesses key factors in the process of adjusting between health needs and work demands. METHOD We tested the reliability and validity of 38 items with cross-sectional data from a sample of 321 Italian workers (mean age = 45 ± 11 years) using exploratory factor analysis (EFA), Rasch analyses, and the correlations with other relevant variables. RESULTS The instrument ultimately consisted of 17 items that reliably measured three factors: work-health incompatibility, health climate, and external support. These dimensions were associated with well-being in the workplace, dysfunctional behaviors at work, and general psychological health. A higher level on the WHB index was associated with lower levels of presenteeism, emotional exhaustion, workaholism, and psychological distress and with higher levels of job satisfaction and work engagement, supporting the construct validity of the instrument. CONCLUSION The WHBq shows good psychometric characteristics and strong and theoretically consistent relationships with important and well-known variables. These results make the WHBq a promising tool in the study and management of health of employees, especially for the work continuation of employees returning to work with LSHPD. (PsycINFO Database Record
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Abstract
PURPOSE The purpose of this paper is to investigate the psychometric characteristics of the Questionnaire of Family members' Satisfaction about the Rehabilitation (QFSR), a new questionnaire assessing the satisfaction of patients' families with the in-hospital rehabilitation service, i.e., the organizational procedure, medical treatment, relationship with nurses/other health workers, and outcome. DESIGN/METHODOLOGY/APPROACH The QFSR (13 items) was administered to 1,226 (F=60.4 percent; mean age=57.4, SD 15 years) family members of patients admitted to two units for inpatient rehabilitation, i.e., cardiovascular and neuromotor. FINDINGS Confirmatory factor analysis (CFA) confirmed the theoretical four-factor structure of the questionnaire in a subsample of 308 respondents randomly selected from the sample (SB χ² (61)=57.4, p=0.61; RMSEA=0.0; 90 percent CI [0.0, 0.031], CFI=1.00). The remaining 708 respondents (393 relatives of cardiovascular unit inpatients and 315 relatives of neuromotor unit inpatients) were used to test measurement invariance between the groups of family members with patients in the two units. The configurial, scalar, and strict factorial invariance provided a good fit to the data. ORIGINALITY/VALUE The QFSR, specifically developed to measure the satisfaction of family members of patients undergoing rehabilitation, appears to be a promising brief questionnaire that can provide important indications for continuous improvement in the delivery of healthcare.
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Affiliation(s)
- Elisabetta Angelino
- Department of Psychology, Major Hospital Center, Salvatore Maugeri Foundation IRCCS, Turin, Italy
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Steca P, Pancani L, Cesana F, Fattirolli F, Giannattasio C, Greco A, D'Addario M, Monzani D, Cappelletti ER, Magrin ME, Miglioretti M, Sarini M, Scrignaro M, Vecchio L, Franzelli C. Changes in physical activity among coronary and hypertensive patients: A longitudinal study using the Health Action Process Approach. Psychol Health 2017; 32:361-380. [PMID: 28049344 DOI: 10.1080/08870446.2016.1273353] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVES Physical activity (PA) is a key factor in cardiovascular disease prevention. Through the Health Action Process Approach (HAPA), the present study investigated the process of change in PA in coronary patients (CPs) and hypertensive patients (HPs). DESIGN Longitudinal survey study with two follow-up assessments at 6 and 12 months on 188 CPs and 169 HPs. MAIN OUTCOME MEASURES Intensity and frequency of PA. RESULTS A multi-sample analysis indicated the equivalence of almost all the HAPA social cognitive patterns for both patient populations. A latent growth curve model showed strong interrelations among intercepts and slopes of PA, planning and maintenance self-efficacy, but change in planning was not associated with change in PA. Moreover, increase in PA was associated with the value of planning and maintenance self-efficacy reached at the last follow-up Conclusions: These findings shed light on mechanisms often neglected by the HAPA literature, suggesting reciprocal relationships between PA and its predictors that could define a plausible virtuous circle within the HAPA volitional phase. Moreover, the HAPA social cognitive patterns are essentially identical for patients who had a coronary event (i.e. CPs) and individuals who are at high risk for a coronary event (i.e. HPs).
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Affiliation(s)
- P Steca
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - L Pancani
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - F Cesana
- d Cardiology IV, Cardiovascular "A. De Gasperis" Department , Niguarda Ca' Granda Hospital , Milan , Italy.,e Health Science Department , University of Milan - Bicocca , Milan , Italy
| | - F Fattirolli
- b Department of Medical and Surgical Critical Care, Cardiac Rehabilitation Unit , University of Florence and Azienda Ospedaliero-Universitaria Careggi , Florence , Italy
| | - C Giannattasio
- d Cardiology IV, Cardiovascular "A. De Gasperis" Department , Niguarda Ca' Granda Hospital , Milan , Italy.,e Health Science Department , University of Milan - Bicocca , Milan , Italy
| | - A Greco
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - M D'Addario
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - D Monzani
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - E R Cappelletti
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - M E Magrin
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - M Miglioretti
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - M Sarini
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - M Scrignaro
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - L Vecchio
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - C Franzelli
- c Cardiac Rehabilitation Centre , Istituti Clinici di Perfezionamento Hospital , Milan , Italy
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Greco A, Cappelletti ER, Monzani D, Pancani L, D'Addario M, Magrin ME, Miglioretti M, Sarini M, Scrignaro M, Vecchio L, Fattirolli F, Steca P. A longitudinal study on the information needs and preferences of patients after an acute coronary syndrome. BMC Fam Pract 2016; 17:136. [PMID: 27646507 PMCID: PMC5028970 DOI: 10.1186/s12875-016-0534-8] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/28/2015] [Accepted: 09/14/2016] [Indexed: 01/30/2023]
Abstract
Background Research has shown that the provision of pertinent health information to patients with cardiovascular disease is associated with better adherence to medical prescriptions, behavioral changes, and enhanced perception of control over the disease. Yet there is no clear knowledge on how to improve information pertinence. Identifying and meeting the information needs of patients and their preferences for sources of information is pivotal to developing patient-led services. This prospective, observational study was aimed at exploring the information needs and perceived relevance of different information sources for patients during the twenty-four months following an acute coronary syndrome. Methods Two hundred and seventeen newly diagnosed patients with acute coronary syndrome were enrolled in the study. The patients were primarily men (83.41 %) with a mean age of 57.28 years (range 35–75; SD = 7.98). Patients’ needs for information and the perceived relevance of information sources were evaluated between 2 and 8 weeks after hospitalization (baseline) and during three follow-ups at 6, 12 and 24 months after baseline. Repeated measures ANOVA, Bonferroni post hoc tests and Cochran’s Q Test were performed to test differences in variables of interest over time. Results Results showed a reduction in information needs, but this decrease was significant only for topics related to daily activities, behavioral habits, risk and complication. At baseline, the primary sources of information were specialists and general practitioners, followed by family members and information leaflets given by physicians. Relevance of other sources changed differently over time. Conclusion The present longitudinal study is an original contribution to the investigation of changes in information needs and preferences for sources of information among patients who are diagnosed with acute coronary syndrome. One of the main results of this study is that information on self-disease management is perceived as a minor theme for patients even two years after the event. Knowledge on how patients’ information needs and perceived relevance of information sources change over time could enhance the quality of chronic disease management, leading health-care systems to move toward more patient-tailored care. Electronic supplementary material The online version of this article (doi:10.1186/s12875-016-0534-8) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Andrea Greco
- Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy
| | - Erika Rosa Cappelletti
- Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy.
| | - Dario Monzani
- Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy
| | - Luca Pancani
- Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy
| | - Marco D'Addario
- Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy
| | - Maria Elena Magrin
- Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy
| | - Massimo Miglioretti
- Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy
| | - Marcello Sarini
- Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy
| | - Marta Scrignaro
- Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy
| | - Luca Vecchio
- Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy
| | - Francesco Fattirolli
- Department of Medical and Surgical Critical Care, Cardiac Rehabilitation Unit, University of Florence and Azienda Ospedaliero, Universitaria Careggi, Florence, Italy
| | - Patrizia Steca
- Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy
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Steca P, D’Addario M, Magrin ME, Miglioretti M, Monzani D, Pancani L, Sarini M, Scrignaro M, Vecchio L, Fattirolli F, Giannattasio C, Cesana F, Riccobono SP, Greco A. A Type A and Type D Combined Personality Typology in Essential Hypertension and Acute Coronary Syndrome Patients: Associations with Demographic, Psychological, Clinical, and Lifestyle Indicators. PLoS One 2016; 11:e0161840. [PMID: 27589065 PMCID: PMC5010181 DOI: 10.1371/journal.pone.0161840] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2016] [Accepted: 08/12/2016] [Indexed: 01/07/2023] Open
Abstract
Many studies have focused on Type A and Type D personality types in the context of cardiovascular diseases (CVDs), but nothing is known about how these personality types combine to create new profiles. The present study aimed to develop a typology of Type A and Type D personality in two groups of patients affected by and at risk for coronary disease. The study involved 711 patients: 51.6% with acute coronary syndrome, 48.4% with essential hypertension (mean age = 56.4 years; SD = 9.7 years; 70.7% men). Cluster analysis was applied. External variables, such as socio-demographic, psychological, lifestyle, and clinical parameters, were assessed. Six groups, each with its own unique combined personality profile scores, were identified: Type D, Type A-Negatively Affected, Not Type A-Negatively Affected, Socially Inhibited-Positively Affected, Not Socially Inhibited, and Not Type A-Not Type D. The Type A-Negatively Affected cluster and, to a lesser extent, the Type D cluster, displayed the worst profile: namely higher total cardiovascular risk index, physical inactivity, higher anxiety and depression, and lower self-esteem, optimism, and health status. Identifying combined personality profiles is important in clinical research and practice in cardiovascular diseases. Practical implications are discussed.
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Affiliation(s)
- Patrizia Steca
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | - Marco D’Addario
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | | | | | - Dario Monzani
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | - Luca Pancani
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | - Marcello Sarini
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | - Marta Scrignaro
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | - Luca Vecchio
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | - Francesco Fattirolli
- Department of Medical and Surgical Critical Care, Cardiac Rehabilitation Unit, University of Florence and Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
| | - Cristina Giannattasio
- Health Science Department, University of Milan “Bicocca”, Milan, Italy
- Cardiology IV, Cardiovascular “A.De Gasperis” Department, Niguarda Ca’ Granda Hospital, Milan, Italy
| | - Francesca Cesana
- Health Science Department, University of Milan “Bicocca”, Milan, Italy
- Cardiology IV, Cardiovascular “A.De Gasperis” Department, Niguarda Ca’ Granda Hospital, Milan, Italy
| | - Salvatore Pio Riccobono
- Cardiology IV, Cardiovascular “A.De Gasperis” Department, Niguarda Ca’ Granda Hospital, Milan, Italy
| | - Andrea Greco
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
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Sormani P, Colombo G, Greco A, Maloberti A, Franzosi C, Meani P, Varrenti M, Vallerio P, De Chiara B, Casadei F, Moreo A, D’Addario M, Magrin M, Miglioretti M, Sarini M, Vecchio L, Steca P, Grassi G, Mancia G, Giannattasio C. [PP.32.04] PREDICTORS OF PWV PROGRESSION OVER A THREE YEARS FOLLOW UP. J Hypertens 2016. [DOI: 10.1097/01.hjh.0000492274.66436.7b] [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: 11/25/2022]
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Sommaruga M, Tramarin R, Balestroni G, Bettinardi O, Miglioretti M, Omodeo O, Pierobon A. Organization of psychological activities in italian cardiac rehabilitation and prevention Survey on the implementation of guidelines for psychological activities in cardiac rehabilitation and prevention. Monaldi Arch Chest Dis 2016; 70:6-14. [DOI: 10.4081/monaldi.2008.430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
The present study was developed as part of a comprehensive evaluation of the state of the art of knowledge and implementation of the Italian Guidelines for psychological activities in Cardiac Rehabilitation, published in 2003 by the Working Group of Psychology of the Italian Society of Cardiac Rehabilitation (GICR). Methods. A questionnaire was designed to collect detailed information on facilities, organization, staffing level, professional background and activities carried out by psychologists working in Italian Cardiac Rehabilitation Units (CRU). Out of 144 Italian CRU (inventory 2004), 107 reported structured psychological programmes. The questionnaires were sent by conventional mail to the referring psychologist of these 107 CRU; they were invited to participate in the survey on a purely voluntary basis. Results. Responses were received from 70 (65.4%) of 107 CRU. 55 CRU (79.8%) report a good knowledge of the published GL; 10.1% declare that the psychologists did not know the current GL. 84.5% consider the GL to be fully applicable, while 15.5% believe that they are only partly applicable. Psychological assessment is performed through clinical interview (94.3%) and psychometric tests (81.4%). 92.8% of the CRU use screening instruments in order to evaluate psychosocial risk factors, in particular anxiety and depression (64.3%). Quality of life (22.8%) and cognitive impairment (17.1%) are not routinely assessed. Educational interventions are planned in 87.1% of the CR programme and are extended to the family members (51%) as well as counselling (57%). Psychological programme includes smoking (56%) and eating behaviour (55%) group interventions. Stress management is routinely planned in 69% of the CRU. Psychological intervention tailored to individual needs of the patients is performed in 62.9% CRU. Written final reports are available in 88.6% cases. The follow-up is carried out by 48.6% of the CRU, 15.7% in a structured way. Conclusions. The survey shows wide discrepancies in the provision of psychological activities in Italian CRU. Nevertheless psychological assessment and interventions seem acceptably coherent with current national GL on CR.
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Magrin ME, D'Addario M, Greco A, Miglioretti M, Sarini M, Scrignaro M, Steca P, Vecchio L, Crocetti E. Social support and adherence to treatment in hypertensive patients: a meta-analysis. Ann Behav Med 2016; 49:307-18. [PMID: 25341642 DOI: 10.1007/s12160-014-9663-2] [Citation(s) in RCA: 67] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND It is important to examine factors associated with patient adherence to hypertension control strategies. PURPOSE A meta-analysis was conducted to examine whether social support was related to adherence to healthy lifestyle and treatment medication in hypertensive patients. METHODS Journal articles were searched in medical (CINAHL, MEDLINE), psychological (PsycINFO, PsycARTICLES), and educational (ERIC) electronic databases; in reference lists of selected papers; and in the reference list of a previous review. RESULTS Findings of a set of meta-analyses indicated that (a) structural social support was not significantly related to overall adherence, (b) functional social support was significantly and positively related to overall adherence, (c) these findings were further confirmed in meta-analyses conducted on specific types of adherence, and (d) most results were characterized by heterogeneity across studies that was partially explained by moderator analyses. CONCLUSIONS Functional social support, but not structural social support, was associated with adherence in hypertensive patients.
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Steca P, Pancani L, Greco A, D'Addario M, Magrin ME, Miglioretti M, Sarini M, Scrignaro M, Vecchio L, Cesana F, Giannattasio C, Fattirolli F, Zanettini R. Changes in Dietary Behavior among Coronary and Hypertensive Patients: A Longitudinal Investigation Using the Health Action Process Approach. Appl Psychol Health Well Being 2015. [PMID: 26218746 DOI: 10.1111/aphw.12050] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Cardiovascular diseases (CVDs) are a major cause of worldwide morbidity and mortality. Nutrition plays an important role in the primary, secondary, and tertiary prevention of CVDs. The present longitudinal study used the Health Action Process Approach (HAPA) to investigate changes in dietary behavior in coronary patients (CPs) affected by acute coronary syndrome and hypertensive patients (HPs) affected by essential arterial hypertension. METHODS CPs (N = 250) and HPs (N = 246) completed a questionnaire during three measurement points (baseline, 6-month follow-up, and 12-month follow-up). Statistical analyses included a repeated measures ANOVA and a multi-sample structural equation model. RESULTS HPs showed no changes in dietary behavior, whereas CPs improved their nutrition at 6 months and then maintained the healthier diet. The multi-sample analysis indicated equivalence of the HAPA model for both patient populations. CONCLUSIONS These findings provide further evidence for the generalisability of the HAPA model, shedding light on dietary behavior among CVD patients and particularly on hypertensive patients which has received little attention. Moreover, the equivalence of the model suggests that the process of change is almost identical for individuals who are at high risk for a coronary event (i.e. HPs) and individuals who have already had the event (i.e. CPs).
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Affiliation(s)
| | | | | | | | | | | | | | | | | | - Francesca Cesana
- Niguarda Ca' Granda Hospital, Milan and University of Milan "Bicocca", Italy
| | | | - Francesco Fattirolli
- University of Florence and Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
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Miglioretti M, Gragnano A, Griffo R, Ambrosetti M, Tramarin R, Vestri AR. Does the return to work have a negative impact on the lifestyle of cardiovascular patients? Comments on the ICAROS results. Int J Cardiol 2014; 174:193-4. [PMID: 24750721 DOI: 10.1016/j.ijcard.2014.03.174] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2014] [Accepted: 03/29/2014] [Indexed: 11/26/2022]
Affiliation(s)
| | - Andrea Gragnano
- Department of Psychology, University of Milano-Bicocca, Milano, Italy
| | - Raffaele Griffo
- Camogli Cardiovascular Institute, Cardiac Rehabilitation Unit, Ruta di Camogli, Genova, Italy
| | - Marco Ambrosetti
- Cardiovascular Rehabilitation Unit, Le Terrazze Clinic, Cunardo, Varese, Italy
| | - Roberto Tramarin
- Cardiac Rehabilitation Unit, IRCCS Policlinico San Donato, Milano, Italy
| | - Anna Rita Vestri
- Department of Public Health and Infections Disease, Sapienza University of Rome, Roma, Italy
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Abstract
OBJECTIVES Recently, a range of different institutions worldwide has identified the 'culture of blame' and the fear of being punished as the principal reasons for the lack of medical error reporting and, consequently, of their reiteration and of the poor quality of patient care. Despite much theoretical debate, there currently exist no experimental studies that directly investigate the presence and pervasiveness of the blame and punishment culture in health care contexts. In order to document empirical evidence for this culture in medicine and nursing, we conducted an experimental study asking physicians and nurses to express their fear of blame or punishment in the context of having made an error that would cause: (i) no; (ii) mild; (iii) severe consequences; or (iv) the death of the patient. METHODS Two hundred and forty-nine health care providers (38 physicians, 11 medical students, 127 nurses and 73 nursing students) were included in the study. Two main data emerged: first, in general, the fear of being blamed is higher than the fear of being punished. Second, while the fear of being blamed is equally distributed among all participants, the fear of being punished varies according to the experience of subjects (it is higher in nursing students than in seniors nurses) and to their professional role (student and senior nurses are more susceptible to it than medical students and senior physicians). CONCLUSION Given the relevance of these factors in medical error reporting and the evidence that they are so deep-seated not only in senior professionals, but also in students, we argue that an educational approach, together with an organization-based intervention, is desirable to shape cultural attitudes of health care providers in the direction of a 'safety culture'.
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Affiliation(s)
- Alessandra Gorini
- Centro Interdipartimentale di Ricerca e Intervento sui Processi Decisionali (IRIDe), Università degli Studi di Milano, Milan, Italy.
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Mazzini L, Mareschi K, Ferrero I, Miglioretti M, Stecco A, Servo S, Carriero A, Monaco F, Fagioli F. Mesenchymal stromal cell transplantation in amyotrophic lateral sclerosis: a long-term safety study. Cytotherapy 2011; 14:56-60. [PMID: 21954839 DOI: 10.3109/14653249.2011.613929] [Citation(s) in RCA: 159] [Impact Index Per Article: 12.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
BACKGROUND AIMS Mesenchymal stem cells/marrow stromal cells (MSC) represent a promising tool for stem cell-based clinical trials in amyotrophic lateral sclerosis (ALS). We present the results of long-term monitoring of 19 ALS patients enrolled in two phase I clinical trials of autologous MSC transplantation. METHODS Nineteen patients (11 male and eightfemale) with ALS were enrolled in two consecutive phase I clinical trials. The patients were followed-up for 6-9 months and then treated with autologous MSC isolated from bone marrow and implanted into the dorsal spinal cord with a surgical procedure. The patients were monitored regularly before and after transplantation with clinical, psychological and neuroradiologic assessments every 3 months, at the tertiary referral ALS center in Novara (Italy), until death. RESULTS Follow-up brain magnetic resonance imaging (MRI) revealed no structural changes (including tumor formation) relative to the baseline throughout the follow-up. There was no deterioration in the psychosocial status and all patients coped well. No clear clinical benefits were detected in these patients but the recruitment and selection of appropriate patients into larger trials will be needed to test the efficacy of the treatment. CONCLUSIONS This study is the first to show the safety of MSC transplantation in the central nervous system during a follow-up of nearly 9 years, and is in support of applying MSC-based cellular clinical trials to neurodegenerative disorders.
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Affiliation(s)
- Letizia Mazzini
- ALS Centre Department of Neurology 'Eastern Piedmont' University, Maggiore della Carità Hospital, Novara, Italy.
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32
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Montali L, Tanaka A, Riva P, Takahashi H, Cocchi C, Ueno Y, Miglioretti M, Takikawa H, Vecchio L, Frigerio A, Bianchi I, Jorgensen R, Lindor KD, Podda M, Invernizzi P. A short version of a HRQoL questionnaire for Italian and Japanese patients with Primary Biliary Cirrhosis. Dig Liver Dis 2010; 42:718-23. [PMID: 20163995 DOI: 10.1016/j.dld.2010.01.004] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2009] [Revised: 12/21/2009] [Accepted: 01/07/2010] [Indexed: 12/11/2022]
Abstract
BACKGROUND The available self-report questionnaire for the quality of life in patients with primary biliary cirrhosis (PBC-40) is currently validated only in the British population but it lacks an evaluation of its dimensionality. AIMS To validate the Italian and Japanese versions of PBC-40 and to assess the dimensionality of the original structure of PBC-40 by a confirmatory factor analysis. PBC-40 was translated to Italian and Japanese using the forward-backward method and then reviewed in focus groups in the framework of a large multicentric study. METHODS A sample of 290 patients with PBC (125 Italian and 165 Japanese) was administered two questionnaires previously validated for PBC-specific (PBC-40) and general quality of life (SF-36). RESULTS The confirmatory model failed to fit adequately the original hypothesized structure. A principal component analysis led to a seven-factor structure, with exclusion of 13 items characterized by lower load; PBC-27 questionnaire was the final instrument. The validity of the PBC-27 was supported by its strong correlation with the SF-36 scores. CONCLUSION We here propose an alternative structure of the quality of life questionnaire for PBC, namely PBC-27, which appears to be effective in detecting the impact of PBC on quality of life in Italian and Japanese patients.
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Affiliation(s)
- Lorenzo Montali
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
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Mazzini L, Ferrero I, Luparello V, Rustichelli D, Gunetti M, Mareschi K, Testa L, Stecco A, Tarletti R, Miglioretti M, Fava E, Nasuelli N, Cisari C, Massara M, Vercelli R, Oggioni GD, Carriero A, Cantello R, Monaco F, Fagioli F. Mesenchymal stem cell transplantation in amyotrophic lateral sclerosis: A Phase I clinical trial. Exp Neurol 2009; 223:229-37. [PMID: 19682989 DOI: 10.1016/j.expneurol.2009.08.007] [Citation(s) in RCA: 294] [Impact Index Per Article: 19.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2009] [Revised: 07/31/2009] [Accepted: 08/02/2009] [Indexed: 01/01/2023]
Abstract
Amyotrophic Lateral Sclerosis (ALS) is a devastating incurable disease. Stem-cell-based therapies represent a new possible strategy for ALS clinical research. The objectives of this Phase 1 clinical study were to assess the feasibility and toxicity of mesenchymal stem cell transplantation and to test the impact of a cell therapy in ALS patients. The trial was approved and monitored by the National Institute of Health and by the Ethics Committees of all participating Institutions. Autologous MSCs were isolated from bone marrow, expanded in vitro and analyzed according to GMP conditions. Expanded MSCs were suspended in the autologous cerebrospinal fluid (CSF) and directly transplanted into the spinal cord at a high thoracic level with a surgical procedure. Ten ALS patients were enrolled and regularly monitored before and after transplantation by clinical, psychological, neuroradiological and neurophysiological assessments. There was no immediate or delayed transplant-related toxicity. Clinical, laboratory, and radiographic evaluations of the patients showed no serious transplant-related adverse events. Magnetic resonance images (MRI) showed no structural changes (including tumor formation) in either the brain or the spinal cord. However the lack of post mortem material prevents any definitive conclusion about the vitality of the MSCs after transplantation. In conclusion, this study confirms that MSC transplantation into the spinal cord of ALS patients is safe and that MSCs might have a clinical use for future ALS cell based clinical trials.
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Affiliation(s)
- L Mazzini
- Department of Neurology Eastern Piedmont University, Maggiore della Carità Hospital, 28100 Novara, Italy.
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Miglioretti M, Mazzini L, Oggioni GD, Testa L, Monaco F. Illness perceptions, mood and health-related quality of life in patients with amyotrophic lateral sclerosis. J Psychosom Res 2008; 65:603-9. [PMID: 19027451 DOI: 10.1016/j.jpsychores.2008.05.012] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2007] [Revised: 04/23/2008] [Accepted: 05/06/2008] [Indexed: 12/14/2022]
Abstract
OBJECTIVES To divide amyotrophic lateral sclerosis (ALS) patients in two clusters according to their illness representation, and to identify, between the two clusters, the differences in functional state, mood, and quality of life. METHODS Seventy-four patients with ALS were recruited at our ALS Centre from different Italian regions, having been for multidisciplinary consultations. The patients' functional impairment was evaluated by the ALS Functional Rating Scale as well as the Bulbar Score and Forced Vital Capacity. Psychological Characteristics and quality of life of ALS patients were evaluated by Profile of Mood State, Illness Perception Questionnaire, and 36-item Short Form Health Survey. RESULTS Only few of the ALS patients studied showed critical mood ratings. On the whole, the perceived quality of life, mood state, and the dimensions relating to their illness representation seem to be correlated to the functional state and respiratory capacity. The clustering of patients according to their illness representations allowed to highlight that ALS patients can be divided into two groups: adaptors and nonadaptors. The patients of the two groups, adaptors and nonadaptors, differed in respiratory capacity as well as in their mood and health-related quality of life. CONCLUSIONS This study supports the Common Sense Model (CSM) of illness representation when considering ALS patients. Their psychological reactions to illness and quality of life depend not only on the severity of the illness but also on the way the illness is represented. Therefore, CSM could become the theoretical framework for psychological interventions in ALS patients.
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Zotti AM, Balestroni G, Cerutti P, Ferrario SR, Angelino E, Miglioretti M. Application of the General Perceived Self-Efficacy Scale in cardiovascular rehabilitation. Monaldi Arch Chest Dis 2008; 68:178-83. [PMID: 18361215 DOI: 10.4081/monaldi.2007.451] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Psychosocial support, education and self-management are important complements of rehabilitation programs. A central concept in self-management is self-efficacy, which refers to oneself confidence in reaching a desired goal. The General Perceived Self-Efficacy scale (GSE), developed to measure self-efficacy at the broadest level, could be useful in the rehabilitation setting, in order to assess patients' self-management difficulties as well as to design specific interventions for specific diseases. Aim of this work is to verify the GSE Italian version psychometric properties applied to the rehabilitation setting. Data were analyzed from 395 in-patients attending cardiac (83.8%) and neurological (16.2%) rehabilitation. Cardiac patients suffered from post-MI, CABG or heart-failure; all of the neurological patients suffered from amiotrophic lateral sclerosis (ALS). They were mostly males (84.5%), and the mean age was 55.7 years. Principal component factor analysis confirmed that GSE has a monofactorial structure with internal consistency of .85. As in previous studies, a gender difference emerged. There was no difference in cardiac patients, on the basis of their specific disease, but they showed higher self-efficacy perception compared to ALS patients. The findings confirm that GSE is a valid measure of self-efficacy in settings characterised by different levels of functional abilities, as in cardiac and neurological rehabilitation.
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Affiliation(s)
- Anna Maria Zotti
- Salvatore Maugeri Foundation, Institute for Clinical Care and Research, Italy.
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Griffo R, Urbinati S, Giannuzzi P, Jesi AP, Sommaruga M, Sagliocca L, Bianco E, Tassoni G, Iannucci M, Sanges D, Baldi C, Rociola R, Carbonelli MG, Familiari MG, Cristinziani GR, Amari C, Richichi I, Alessandrini F, Mordenti F, Mauro B, Mozzetta S, Miglioretti M, Buchberger R, Cammarano R, Sampaolo L, Pellegrini L, Rusticali B, Mele A, Ceci V, Chieffo C, Bolognese L, Schweiger C, Michielin P, Baglio G, Nobile A, Scrutinio D, Vigorito C. [Italian guidelines on cardiac rehabilitation and secondary prevention of cardiovascular disease: executive summary]. G Ital Cardiol (Rome) 2008; 9:286-297. [PMID: 18543799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Affiliation(s)
- Raffaele Griffo
- U.O. di Cardiologia Riabilitativa, ASL 3 Genovese, Ospedale La Colletta, Arenzano, GE.
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Miglioretti M, Pravettoni G. Intention to Be Physically Active: A Theory-Guided Study in Italian Teenagers. Psychol Rep 2007; 100:939-48. [PMID: 17688114 DOI: 10.2466/pr0.100.3.939-948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study investigated the relationship of self-efficacy, outcome expectancies, and risk perception on intention to increase physical activity in a group of adolescents. The 833 participants ( M age = 16.2 yr., SD =1.5) completed a Survey of Health Behavior anonymously. 88% of the sample said that they engaged in physical activity; 42.1% said that they spent 4 hours per week exercising. Boys appeared to be more active than girls. The results indicated self-efficacy, outcome expectancies, and risk perception as key factors in explaining behavioural intention in teenagers. As regards outcome expectancies, it seems that adolescents are effectively motivated by objectives which affect them closely, such as maintaining the right weight, and which may influence their everyday life.
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Affiliation(s)
- Massimo Miglioretti
- Department of Psychology, Faculty of Psychology, University of Milano-Bicocca, Italy.
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Argentero P, Miglioretti M, Angilletta C. Quality of work life in a cohort of Italian health workers. G Ital Med Lav Ergon 2007; 29:A50-4. [PMID: 17650742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
BACKGROUND Quality of work life (QWL) includes some objective and subjective factors which may condition operations and other inner aspects concerning the quality of relationships and methods of management. AIM To analyse the quality of work life indicators in a cohort of Italian health workers. METHODS Semi-structured interviews were conducted, to assess the quality of work life through the identification of the most important indicators and to evaluate the degree of satisfaction and the importance of each indicator. 112 health operators were interviewed. All workers belonged to the same local health service in North West Italy. RESULTS We have pointed out some macro areas which are relevant to define work life quality of the analysed sample: relationships with colleagues, work organization, taking care of patients, professional ability and professional growth. The weekly number of patients seems to be important to determine the differences among the workers in the quality perceived in their work life. CONCLUSIONS The collected data contribute to define which indicators must be taken into consideration in order to complete an evaluation of the quality of health organizations; this includes also the subjective variables connected to the quality of the work life.
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Sommaruga M, Tramarin R, Balestroni G, Bettinardi O, Cauteruccio MA, Miglioretti M, Monti M, Omodeo O, Pierobon A, Vaghi P. ISYDE-Ψ* First step of the implementation of guidelines for psychology activities in cardiac rehabilitation and prevention *Italian SurveY on CarDiac REhabilitation – Psychology. Monaldi Arch Chest Dis 2005; 64:53-8. [PMID: 16128167 DOI: 10.4081/monaldi.2005.614] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The Italian SurveY on CarDiac REhabilitation – Psychology (ISYDE-Ψ) was developed, in line with the indications of the Italian National Guidelines Program, as part of a project to implement and apply the guidelines for psychology interventions in cardiac rehabilitation and prevention published in 2003. The Task Force on Psychological Interventions in Cardiac Rehabilitation conducted this pilot survey of the existing situation of Psychology in order to prepare the ground for implementation of the guidelines through interactive training. As part of the evaluation of training requirements a questionnaire was elaborated to gather information on the models of organization of and activities carried out by psychologists working in the surveyed cardiac rehabilitation facilities. Data collection for ISYDE-Ψ terminated at the end of March 2005, with replies from 68/107 (63.6%) structures. In the light of this response, the Task Force has developed a training project for psychologists working in cardiac rehabilitation, sponsored by the Italian Council of Psychologists, that will be implemented in different regions of the country with the aim of disseminating the guidelines and promoting their correct application despite the existing regional disparities in organization.
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Affiliation(s)
- Marinella Sommaruga
- Gruppo di Lavoro della Task Force sull'intervento psicologico in cardiologia riabilitativa del Gruppo Italiano di Cardiologia Riabilitativa e Preventiva, Italy.
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Pravettoni G, Miglioretti M. Italian Youth Subculture: Collection, Self-Esteem, and Self-Efficacy. Psychol Rep 2004; 95:564-76. [PMID: 15587221 DOI: 10.2466/pr0.95.2.564-576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
63 young people ( M age = 23.9 yr., SD = 2.4, 50 men, 13 women) belonging to four subculture groups (New American Punk, Cyberpunk, Trash Style, and Rasta-Hippy) were studied to examine the relationship between self-esteem, self-efficacy, and the development of a body modification collection. A survey was created to evaluate quality of life, risk behaviour, and body modification. Self-esteem and self-efficacy were assessed using the Rosenberg Self-esteem Scale and General Perceived Self-efficacy Scale. Belonging to a group which permits neglect of standard norms of communal life makes it possible to avoid facing up to low self-esteem. Adherence to a group appears, from the results of this study, to be correlated with self-efficacy; inability to cope with life situations suggests a state of malaise in these young people.
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Affiliation(s)
- Gabriella Pravettoni
- Department of Social Studies, Faculty of Political Sciences, University of Milan, Italy.
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Sommaruga M, Tramarin R, Angelino E, Bettinardi O, Cauteruccio MA, Miglioretti M, Monti M, Pierobon A, Sguazzin C. [Guidelines on psychological intervention in cardiac rehabilitation- methodological process]. Monaldi Arch Chest Dis 2003; 60:40-4. [PMID: 12827831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023] Open
Abstract
The development and the role of cardiac rehabilitation in healthcare programs related to cardiovascular diseases has led to the growth of knowledge, experience and specific technical, scientific, organizational and cultural skills on the part of the different health professionals engaged with the cardiologist in the management of rehabilitation programs. The need to define the characteristics of the psychological intervention in cardiac rehabilitation programs on the basis of scientific evidence encouraged the Board of the Italian Group of Cardiac Rehabilitation and Prevention [Gruppo Italiano di Cardiologia Riabilitativa e Preventiva (GICR)] to set up a working group (WG), composed of psychologists chosen on the basis of their proven specific experience in clinical research, with the task of defining the state-of-the-art of the psychological intervention in cardiac rehabilitation on the basis of documented efficacy, as a first step to formulating Guidelines on Psychological Intervention in Cardiac Rehabilitation. The methodology adopted by the WG was in line with the recommendations of the National Guidelines Program of the Italian Ministry of Health; the WG chose, in addition, to exploit a detailed critical review of clinical psychology practice in order to provide systematic evidence for recommendations and clinical approaches at present supported only by expert opinion. The document, which represents the basis upon which the Guidelines on the psychological activity in cardiac rehabilitation will be drawn up, is subdivided into three parts: an introduction, the main body of the text, and some appendices. In the introduction, the theme and context of the Guidelines are defined, preceded by a series of notes and user instructions; also defined in this section are the intended audience. The main body of the document is structured on the basis of the steps that characterize the interactions between the patient suffering from heart disease and the psychologist, through a qualitative analysis of the intervention offered by the psychologist. The phases of this process have been schematized as follows: selection, entry, evaluation, intervention, follow-up. For each of these phases, the evidence is given in support of the evaluative and therapeutic tools at the psychologist's disposition in the context of cardiac rehabilitation. The appendices to the document contain syntheses of the scientific information, some tables, a glossary and a section providing more in-depth information on specific topics. The recommendations contained in the document elaborated by the WG were formulated on the basis of a systematic review of the evidence available in the Italian and international literature, codified according to the National Guidelines Program. Also included is a series of recommendations or working instructions based on the shared clinical experience of the members of the WG. The state of progress of the work of formulating the Guidelines, the objectives, the methodological premises and the deadlines set for the phases of development, diffusion and implementation were presented at the VI National Congress of the GICR which was held in Cosenza, 3-5 October 2002. The base-draft of the document was submitted to the Scientific Committee of Reviewers. In October 2002 the Executive Committee of the GICR announced to the National Guidelines Program of the Ministry of Health, in the persons of the Presidents of the Advanced Institute of Health and of the Regional Health Services Agency, the planning and the timetable for the formulation of the Guidelines. In the course of the first 4 months of 2003 the document produced will be discussed and reviewed jointly by the WG, the Cardiologic Scientific Board instituted by the GICR enlarged to include a delegate of the patient and volunteer no-profit worker associations. The following phases will include the publication by mid 2003 of a position-paper. The final draft of the Guidelines on Psychological Intervention in Cardiac Rehabilitation will be submitted to the Commission of the National Guidelines Program.
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Abstract
The aim of this single case study was to evaluate the applicability of a graphic and statistical time-series analyses in the observation of an agitation disturbance in a 16-year-old patient who had sustained a severe traumatic brain injury. The agitation was measured using the Agitated Behaviour Scale. The experimental model was of the A-B type: phase A corresponded to the period of vegetative state, and phase B to the period following the reawakening from coma. The data were submitted to visual and statistical analysis by the split-middle trend line method, function of autocorrelation, and C statistic. The results show the different nature and frequency of the agitated behaviour during the vegetative state and after reawakening from coma. The application of a statistical analysis to establish whether the behavioural disturbance is random or a response to the environment allows the adoption of specific and potentially more efficacious treatments.
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Affiliation(s)
- Elisabetta Angelino
- Psychology Unit, Salvatore Maugeri Foundation, IRCCS, Scientific Institute of Veruno, Via per Revislate 13, 28010 Veruno, Italy.
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