Publications by authors named "Giuseppe Tavormina"

24 Publications

  • Page 1 of 1

The Effect of the Pandemic on the Care of Patients with Mental Disorders: Measure of "Compassion Fatigue" and "Burn-Out" in the Operator.

Psychiatr Danub 2021 Sep;33(Suppl 9):114-118

Psychiatric Rehabilitation Center "Don Tonino Bello"- Assoc. M.I.T.A.G. - Onlus, Via Venezia, 1, 72019 San Vito dei Normanni, Brindisi, Italy,

Background: The Covid-19 Pandemic has had a significant impact on psychophysical well-being and the ability to work productively in contexts concerning people's physical and mental care. The helping professions involved have seen an increase in stress levels, a sense of helplessness, fear, pain and social isolation. They are anchored to the hope of being able to return to their normality.

Method: In this study, 87 mental health operators were evaluated, divided into nurses, psychiatric rehabilitation technicians, educators, social workers, psychologists and doctors, working in two psychiatric care rehabilitation communities in Puglia and Campania in southern Italy.

Results: The results obtained with the administration of the scales ProQOL, BHS, Save-9, BDI-II, BEES reported a remarkable impact in nursing and medical professions due to the pandemic. A 11%. burn-out was reported by nurses.

Conclusions: The collected data are comparable to the previous work (Franza et al. 2015, 2020); however, there is no evidence of a high level of burnout in the helping professions involved in this study.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2021

The Emotional Impact of the Operator in the Care of Patients With Mental Disorders during the Pandemic: Measure of Interventions on Compassion Fatigue and Burn-Out.

Psychiatr Danub 2021 Sep;33(Suppl 9):108-113

Mental Health Department, ASL TA, Via Piemonte, 51, 72022 Latiano, Italy,

Background: The continuation of the health emergency due to the management of COVID-19 is having a profound effect on all aspects of society, including mental health and physical health. This observational study examined practitioners of psychiatric rehabilitation and therapeutic communities, focusing on the emotional aspects of patient care, in particular the fatigue of compassion, empathy and lack of hope, aspects that could be directly linked to the burnout of health professionals, as found in other similar studies.

Method: In this study, self-administered scale data was collected in 87 healthcare professionals recruited from 3 different psychiatric rehabilitation communities. In particular, we assessed the fatigue of compassion, vicarious trauma, burnout and hope (hopeless), empathy and depressive symptoms in the two months of May and June 2021.

Results: The results obtained after the administration of the following rating scales, ProQOL, BHS, SAVE-9, BDI-II and BEES, showed an overall increase in scores in all professional figures, a significant fatigue of compassion, while the percentage burnout is not present in several groups. The presence of high levels of hope, satisfaction of compassion is indicative of a moderate level of empathy in some professional figures; these high levels can protect workers from the risk of developing work-related stress and depressive symptoms.

Conclusions: The data obtained with this study are not similar to those of previous studies, although they may indicate the importance of factors such as hope, empathy in the care of the patient with psychic disorders in rehabilitation communities, underlining the need for interventions aimed at the emotional management of the care relationship as a tool to improve care and prevent burnout even during times of high stress, such as managing a pandemic.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2021

Loneliness and Hopelesness: Their Role in the Depressive Cases during the COVID Pandemia.

Psychiatr Danub 2021 Sep;33(Suppl 9):14-17

Psychiatric Rehabilitation Center, Casa di Cura "Villa dei Pini", 83100 Avellino, Italy,

The COVID-19 pandemic has created new problems and presented new challenges for its management. Hope, or rather its absence, social isolation and loneliness are considered risk factors for the development of anxious and depressive symptoms. Health authorities have had to address issues regarding the mental health risks that the pandemic has created. There is numerous scientific evidences of the increase in affective disorders in the last two years. Associated with these disorders, particular characteristics of personality temperament, such as affective temperament, can determine an increased risk especially in some patient populations, such as the elderly, with significant negative consequences on the quality of life and on the onset of mental and organic diseases. The hope of the end of the pandemic has been placed on mass vaccination. After an initial enthusiasm there was a growing concern about its side effects. An adequate information policy is necessary to put an end to concerns about vaccines and thus lead to an increase in hope for the future and an end to social isolation.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2021

Loneliness and Hopelesness: Their Role in the Depressive Cases during the COVID Pandemia.

Psychiatr Danub 2021 Sep;33(Suppl 9):14-17

Psychiatric Rehabilitation Center, Casa di Cura "Villa dei Pini", 83100 Avellino, Italy,

The COVID-19 pandemic has created new problems and presented new challenges for its management. Hope, or rather its absence, social isolation and loneliness are considered risk factors for the development of anxious and depressive symptoms. Health authorities have had to address issues regarding the mental health risks that the pandemic has created. There is numerous scientific evidences of the increase in affective disorders in the last two years. Associated with these disorders, particular characteristics of personality temperament, such as affective temperament, can determine an increased risk especially in some patient populations, such as the elderly, with significant negative consequences on the quality of life and on the onset of mental and organic diseases. The hope of the end of the pandemic has been placed on mass vaccination. After an initial enthusiasm there was a growing concern about its side effects. An adequate information policy is necessary to put an end to concerns about vaccines and thus lead to an increase in hope for the future and an end to social isolation.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2021

The Connection between Bipolar Spectrum Disorders and Eating Disorders.

Psychiatr Danub 2020 Sep;32(Suppl 1):142-145

Psychiatric Studies Center (Cen.Stu.Psi.), Piazza Portici, 11 - 25050 Provaglio d'Iseo (BS), Italy,

The bipolar spectrum of mood, in its broadest sense that includes all kinds of mood instability, presents various symptoms related to instability and mood swing, including symptoms and manifestations of "mixed states" (the symptoms of "mixity") and symptoms of eating disorders (ED). It is essential not to forget that depression itself is only "a phase" of the wider bipolar spectrum of mood, which therefore remains the pathology to be treated adequately with a polytherapy composed by mood regulators and antidepressants. "Mixed" symptoms (including symptoms of eating disorders), if not properly treated, can subtly enter the patient's life, leading to a worsening of the clinical picture to a clear chronicity.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2020

A New Rating Scale (SAVE-9) to Demonstrate the Stress and Anxiety in the Healthcare Workers During the COVID-19 Viral Epidemic.

Psychiatr Danub 2020 Sep;32(Suppl 1):5-9

Psychiatric Studies Center (Cen.Stu.Psi.), Piazza Portici, 11 - 25050 Provaglio d'Iseo (BS), Italy,

The COVID-19 epidemic has been a major global public health problem during past months in Italy and in several other Countries and on the date of publication of this article, is still a serious public health problem. The health staff, engaged in the care of the sick and in the prevention of the spread of the infection have been subjected to a further increase in psychological difficulties and work-related stress, related to the workload for the continuous influx of sick and intense and close working shifts for the viral emergency. The SAVE-9 (Stress and Anxiety to Viral Epidemics - 9 items) scale has been developed as a tool for assessing work anxiety and stress in response to the viral epidemic of health professionals working to prevent the spread of the virus and to treat infected people.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2020

A New Rating Scale (SAVE-9) to Demonstrate the Stress and Anxiety in the Healthcare Workers During the COVID-19 Viral Epidemic.

Psychiatr Danub 2020 Sep;32(Suppl 1):5-9

Psychiatric Studies Center (Cen.Stu.Psi.), Piazza Portici, 11 - 25050 Provaglio d'Iseo (BS), Italy,

The COVID-19 epidemic has been a major global public health problem during past months in Italy and in several other Countries and on the date of publication of this article, is still a serious public health problem. The health staff, engaged in the care of the sick and in the prevention of the spread of the infection have been subjected to a further increase in psychological difficulties and work-related stress, related to the workload for the continuous influx of sick and intense and close working shifts for the viral emergency. The SAVE-9 (Stress and Anxiety to Viral Epidemics - 9 items) scale has been developed as a tool for assessing work anxiety and stress in response to the viral epidemic of health professionals working to prevent the spread of the virus and to treat infected people.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2020

A New Rating Scale (SAVE-9) to Demonstrate the Stress and Anxiety in the Healthcare Workers During the COVID-19 Viral Epidemic.

Psychiatr Danub 2020 Sep;32(Suppl 1):5-9

Psychiatric Studies Center (Cen.Stu.Psi.), Piazza Portici, 11 - 25050 Provaglio d'Iseo (BS), Italy,

The COVID-19 epidemic has been a major global public health problem during past months in Italy and in several other Countries and on the date of publication of this article, is still a serious public health problem. The health staff, engaged in the care of the sick and in the prevention of the spread of the infection have been subjected to a further increase in psychological difficulties and work-related stress, related to the workload for the continuous influx of sick and intense and close working shifts for the viral emergency. The SAVE-9 (Stress and Anxiety to Viral Epidemics - 9 items) scale has been developed as a tool for assessing work anxiety and stress in response to the viral epidemic of health professionals working to prevent the spread of the virus and to treat infected people.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2020

Can writing poems and taking photos help the psychiatrist to improve his humanity and the mental health of his patients?

Psychiatr Danub 2018 Nov;30(Suppl 7):648

"Psychiatric Studies Center" (Cen.Stu.Psi.), Piazza Portici, 11 - 25050 Provaglio d'Iseo (BS), Italy, dr.tavormina.g

The relationship between the art forms of photography and poetry and mental wellbeing is described, both for the psychiatrist and for the patient. These, as well as other art forms, improve the experience of human persons interior life. It is suggested that these art forms, as well as music and dance, can be helpful in the treatment of Depression.
View Article and Find Full Text PDF

Download full-text PDF

Source
November 2018

How understanding the temperaments can help clinicians to make a correct diagnosis of bipolar mood disorders: 10 case reports.

Psychiatr Danub 2018 Nov;30(Suppl 7):398-400

"Psychiatric Studies Center" (Cen.Stu.Psi.), Piazza Portici, 11 - 25050 Provaglio d'Iseo (BS), Italy, dr.tavormina.g

The temperament is a key factor when assessing a patient within the bipolar spectrum. The temperaments are conditions in their own right within the bipolar spectrum, since they are 'soft' forms of bipolar condition within the spectrum: they can develop over time into a more clear bipolar condition, and hence are important in early diagnosis. Bipolar disorders are very often diagnosed late (approximately 25 year late, on average, from the beginning of the illness), in part because the temperaments of the patients have not been identified early.
View Article and Find Full Text PDF

Download full-text PDF

Source
November 2018

Clinical Utilisation and Usefullness of the Rating Scale of Mixed States, ("Gt-Msrs"): a Multicenter Study.

Psychiatr Danub 2017 Sep;29(Suppl 3):365-367

Piazza Portici, 11, 25050 Provaglio d'Iseo (BS), Italy,

The rating scale "G.T. MSRS" has been designed to improve the clinical effectiveness of the clinician psychiatrists, by enabling them to make an early "general" diagnosis of mixed states. The knowledge of the clinical features of the mixed states and of the symptoms of the "mixity" of mood disorders is crucial: to mis-diagnose or mis-treat patients with these symptoms may increase the suicide risk and make worse the evolution of mood disorders going to the dysphoric state. This study is the second validation study of the "G.T. MSRS" rating scale, in order to demonstrate its usefullness.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2017

Thinking of psychiatric disorders as "normal" illness. Data from a questionnaire on social stigma: a multicenter study.

Psychiatr Danub 2016 Sep;28(Suppl-1):125-131

DSM ASL NA 3 SUD, "Centro Diurno" of Mental Health, 57, - via Marconi 66 - 80059 Torre del Greco (NA), Italy,

Prejudice and stigma about mental illness is still present in society. Patients suffer both from the disease, and from the marginalization behavior exhibited by others towards them and their families. Psychiatric professionals may also become ill and suffer for the same reason. The authors of this international multicenter study have set themselves the question of whether there may be prejudice and/or stigma among psychiatric professionals towards their suffering colleagues, among patients towards nursing staff affected by the same disease and between patients themselves. Using two standardized questionnaires which have been tested, but have not been used before they have studied 207 mental health professionals and 407 patients, of Italian, Belgian, Hungarian and Croatian nationalities. The results show that there are in fact prejudices among Mental Health Professionals about colleagues suffering from mental illness because they responded that such persons cannot treat well patients with their own pathology. However Mental Health Professionals do not demonstrate behaviors which are not frankly marginalizing or stigmatizing towards colleagues suffering from mental illness. On the other hand, among patients the prevailing view was that psychiatric professionals who suffer from mental illness, can better understand the sick, because they are also suffering. This is in analogy with the Jungian theory of the "wounded healer" in the myth of the centaur Chiron. Patients did not demonstate rejection or marginalization behavior towards other sick patients. Finally both the professionals and the patients tend to be cautious in relating to healthy persons and tend not to disclose their suffering for fear of being misjudged or marginalized.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2016

An approach to treat bipolar disorders mixed states.

Psychiatr Danub 2016 Sep;28(Suppl-1):9-12

Psychiatric Studies Center (Cen.Stu.Psi. - www.censtupsi.org), Piazza Portici, 11, 25050 Provaglio d'Iseo (BS), Italy,

Very often clinicians meet great difficulties in making a correct diagnosis of mood disorders which they are assessing, above all when mixed states are present: this because the patients mainly focus on their own symptoms of depressive uneasiness; mixed symptoms can insidiously infiltrate into the mood and life of the patients causing a chronic and worsening clinical state. It is essential not to forget that the depression is only one phase of a broader bipolar mood disorder, and this has to be the illness to be treated by psychiatrists and, generally, by clinicians managing an appropriate polytherapy with mood-stabilisers and antidepressants.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2016

A questionnaire to assess social stigma.

Psychiatr Danub 2015 Sep;27 Suppl 1:S328-31

Mental Health Department of Torre del Greco, Naples, Italy,

Psychiatric patients often suffer for two reasons: due to the illness and due to the social stigma of mental illness, that increases the uneasiness and psychic pain of the person suffering from serious psychiatric disorder. This unwell person is often the object of stigma because he is "different" from others, and he also can be margenalised by society. In this study we intend to assess whether these margenalising attitudes might be also present among mental health professionals who have presented psychic problems in a previous period of their life, against sick persons suffering of the same illness even if he is a mental health professional. Two questionnaires have been developed, one for professionals and another for the patients, with the aim of identifying these marginalising attitudes. We intend that this study shall be a multicenter, observational and international study, promoted by the Mental Health Dept. of Naples (ASL Naples 3 South, Italy).
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2015

A questionnaire to assess social stigma.

Psychiatr Danub 2015 Sep;27 Suppl 1:S328-31

Mental Health Department of Torre del Greco, Naples, Italy,

Psychiatric patients often suffer for two reasons: due to the illness and due to the social stigma of mental illness, that increases the uneasiness and psychic pain of the person suffering from serious psychiatric disorder. This unwell person is often the object of stigma because he is "different" from others, and he also can be margenalised by society. In this study we intend to assess whether these margenalising attitudes might be also present among mental health professionals who have presented psychic problems in a previous period of their life, against sick persons suffering of the same illness even if he is a mental health professional. Two questionnaires have been developed, one for professionals and another for the patients, with the aim of identifying these marginalising attitudes. We intend that this study shall be a multicenter, observational and international study, promoted by the Mental Health Dept. of Naples (ASL Naples 3 South, Italy).
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2015

Treating the bipolar spectrum mixed states: a new rating scale to diagnose them.

Psychiatr Danub 2014 Nov;26 Suppl 1:6-9

"Psychiatric Studies Center" (Cen.Stu.Psi.), Piazza Portici,11, 25050 Provaglio d'Iseo (BS), Italy, dr.tavormina.g

The mixed states are the most serious clinical state in the bipolar spectrum, having the major risk of sucidality among all sub-types of the spectrum. The aim of this study is to help diagnosis and treatment of the patients having bipolar disorder mixed state, giving to psychiatrists and physicians a new efficacy rating scale focusing on this illness.
View Article and Find Full Text PDF

Download full-text PDF

Source
November 2014

A long term clinical diagnostic-therapeutic evaluation of 30 case reports of bipolar spectrum mixed states.

Psychiatr Danub 2013 Sep;25 Suppl 2:S190-3

"Psychiatric Studies Center" (Cen.Stu.Psi.), Piazza Portici,11, 25050 Provaglio d'Iseo (BS), Italy,

The aim of this study is to show how managing long term patients who are diagnosed as having bipolar disorder with an affective mixed states can cause them to achieve a high level of recovery from the illness and quality of life. This study observed all consecutive new patients who were seen in a private psychiatry practice during the years 2008-2009-2010 who had a diagnosis within the mixed states sub-group (Irritable Cyclothymia, Mixed Disphoria and Agitated Depression)Thirty patients were selected who presented with a score of less than 40 on the Global Assessment Scale (GAS). They were reassessed by readministering the GAS scale after six months and after two years treatment. The final results demonstrate an improvement of the mood of the patients and their increasing quality of life. Almost all reached a value on the GAS scale of between 60 and 80 after six months, and between 90 and 100 scores after two years.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2013

An approach to the diagnosis and treatment of patients with bipolar spectrum mood disorders, identifying temperaments.

Psychiatr Danub 2012 Sep;24 Suppl 1:S25-7

Psychiatric Studies Centre, Provaglio d'Iseo, Italy.

Disorders of the bipolar spectrum (including sub-threshold forms) are very common, more so than is normally considered: these pathologies are often underestimated, not diagnosed or badly treated. In this article we describe a method hereby a patient with bipolar disorder is evaluated clinically, having regard to establishing the patient's underlying temperament.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2012

Are somatisation symptoms important evidence for an early diagnosis of bipolar spectrum mood disorders?

Psychiatr Danub 2011 Sep;23 Suppl 1:S13-4

Psychiatric Studies Centre, Piazza Portici, Provaglio d'Iseo, Italy.

Four-hundred and twenty three consecutive patients who have been seen in a private psychiatric clinic were assessed for bipolar disorder. A large proportion of these patients were found to demonstrate a number of somatic syndromes. The main somatic syndromes found on the patients' "first visit" have been: colitis (45% of the patients), gastritis (25%), migraine (8%) others (above all with dermatological symptoms: 2%). All the patients presented muscular tension at their "first visit". Somatic syndromes constitute an important pointer for the diagnosis of bipolar spectrum disorders.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2011

Are somatisation symptoms important evidence for an early diagnosis of bipolar spectrum mood disorders?

Psychiatr Danub 2011 Sep;23 Suppl 1:S13-4

Psychiatric Studies Centre, Piazza Portici, Provaglio d'Iseo, Italy.

Four-hundred and twenty three consecutive patients who have been seen in a private psychiatric clinic were assessed for bipolar disorder. A large proportion of these patients were found to demonstrate a number of somatic syndromes. The main somatic syndromes found on the patients' "first visit" have been: colitis (45% of the patients), gastritis (25%), migraine (8%) others (above all with dermatological symptoms: 2%). All the patients presented muscular tension at their "first visit". Somatic syndromes constitute an important pointer for the diagnosis of bipolar spectrum disorders.
View Article and Find Full Text PDF

Download full-text PDF

Source
September 2011

A study of the incidence of bipolar spectrum disorders in a private psychiatric practice.

Psychiatr Danub 2007 Dec;19(4):370-4

"Psychiatric Studies Centre", Piazza Portici, 11, 25050 Provaglio d'Iseo (BS), Italy.

An audit of the diagnosis of 300 consecutive new cases presenting in a private practice over the period of the last four years (from January 2003 to December 2006) is presented. The main observation is the high percentage of patients who fall within the bipolar spectrum who are diagnosed and reported. In particular, there is a large proportion of patients who suffer from Bipolar II illness. The consequences of this in the diagnosis and management of patients is discussed.
View Article and Find Full Text PDF

Download full-text PDF

Source
December 2007

The prevalence of psychiatric disease in the significant others of patients with known mood and anxious disease.

Clin Pract Epidemiol Ment Health 2005 Aug 2;1:12. Epub 2005 Aug 2.

Background: Information about the Significant Others (S.O.) of 530 patients with mood and anxious spectrum disorders has been tabulated in this multicentre, retrospective, clinical observational study in order to learn the prevalence of the same mood and/or anxious spectrum diseases in the S.O. of the patients.

Methods: The 530 outpatients (of age range from 18 to 70 years) with mood and anxious spectrum disorders have been treated by the authors, observed for a seven year period (from January 1995 until May 2003). The patients live in 16 different Italian provinces, but are predominantly from Lombardia and Veneto. Mood disease (includes substance abuse) was present in 72% of the patients and anxious disease was present in 28% (DSM-IV diagnoses based upon clinical interviews). The S.O. (various heterosexual long-term relationships) of each patient was interviewed for this study to establish a DSM-IV diagnosis of any psychiatric disease that might be present. In cases in which the patient had no S.O. or in which information about the S.O. was unavailable, that information was collected. As data was collected, 10 item report was completed for each patient and the respective S.O.

Results: Patients had an S.O. with a similar mental disease to their own in 41% of cases; only 16% of the patients chose their S.O. with no mental disease; 18% of the patients did not have any S.O. and in 26% of the cases the health of the S.O. was unknown.

Conclusion: In this multicentre, retrospective, clinical observational study, the corresponding Significant Others of 530 patients with mood and anxious spectrum disorders presented with a high percentage of similar disease to the patients. These findings suggest that it may be appropriate to counsel our patients with these diseases to encourage their respective S.O. to undergo a psychiatric evaluation for possible treatable disease: the first objective of an S.O. is preventive care, secondarily the well-being of the partner may improve the treatment outcomes for the patient. Furthermore, eventual studies could demonstrate whether the disease of S.O. precedes couple life (therefore a pre-existent cognitive functioning set out for the partner's choice) and whether it might stem from a difficult interpersonal relationship or chronic stress reaction to a life event.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1186/1745-0179-1-12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1190200PMC
August 2005
-->