0000000000149767

AUTHOR

Paolo Girardi

showing 6 related works from this author

Economic Aspects in the Treatment of Schizophrenia in Italy: Cost Consequences of an Early Long-acting Injectable Anti-Psychotics (lais) Approach

2017

PurposeThe aim of this analysis was to evaluate the economic consequences of a new treatment approach in the treatment of schizophrenia in the Italian setting. In terms of direct costs, in Italy was estimated that the main driver were represented by hospitalization and residential cost (71% of total direct cost per patient), followed by semi-residential services (13%), anti-psychotic and other drugs (8%) and ambulatory services (8).MethodsA probabilistic cost consequence model was developed to estimate the potential cost reductions derived from an early treatment with atypical long-acting injectable anti-psychotics (aLAIs) drugs. A systematic literature review was carried out to identify di…

medicine.medical_specialtybusiness.industryCost consequencesHealth PolicySchizophrenia (object-oriented programming)Public Health Environmental and Occupational Healthmedicine.diseaseCost reductionPsychiatry and Mental healthIndirect costsLong actingSystematic reviewSchizophreniaEnvironmental healthmedicineScenario analysisPsychiatrybusinessEconomic consequencesEuropean Psychiatry
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Clinical risk factors for bipolar disorders: A systematic review of prospective studies

2014

Background: Early phases and suspected precursor states of bipolar disorder are not well characterized. We evaluate the prevalence, duration, clinical features and predictive value of non-affective psychopathology as clinical risk factors for bipolar disorder in prospective studies. Methods: We screened PubMed, CINAHL, PsycINFO, Embase, SCOPUS, and ISI-Web of Science databases from inception up to January 31, 2014, following PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and searched: bipolar disorder AND [antecedentn OR predictn OR prodromn OR prospectn OR riskn] AND [diagnosis OR development]. We included only English language reports on prospective…

medicine.medical_specialtyComorbidityImpulsivityTreatment of bipolar disorderchild; prodrome; adolescent; bipolar disorder; risk factor; depressionPrevalence of mental disordersRisk Factorsmental disordersPrevalencemedicineHumansProspective StudiesBipolar disorderRisk factorPsychiatryRetrospective Studiesbipolar disorderchildmedicine.diseaseAnxiety DisordersprodromePsychiatry and Mental healthClinical PsychologySystematic reviewrisk factorAttention Deficit Disorder with HyperactivityadolescentImpulsive BehaviordepressionPanic DisorderAnxietyFemaleCrimemedicine.symptomPsychologyPsychopathologyClinical psychologyJournal of Affective Disorders
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Precursors of bipolar disorders: A systematic literature review of prospective studies

2015

Objective To evaluate the presence of affective signs and symptoms as precursors of bipolar disorder in prospective studies, including assessment of their prevalence, duration, and predictive value. Data sources We followed PRISMA guidelines to search PubMed, CINAHL, PsycINFO, EMBASE, SCOPUS, and ISI Web of Science databases to May 31, 2013, using the terms bipolar disorder AND (antecedent* OR predict* OR prodrom* OR prospect*) AND (diagnosis OR development). Hand searching of identified reports led to additional relevant references. Study selection We included only English-language articles containing (1) prospective, longitudinal studies with at least 2 structured clinical assessments (in…

medicine.medical_specialtyBipolar DisorderSettore MED/25 - PSCHIATRIANot Otherwise Specifiedbipolar disorder; humans; prodromal symptoms; psychiatry and mental Health; arts and humanities (miscellaneous); medicine (all)MEDLINEProdromal SymptomsPsycINFOmedicine.diseasearts and humanities (miscellaneous)Psychiatry and Mental healthSystematic reviewmental disordersmedicineHumansBipolar disorderMedical diagnosismedicine (all)PsychologyProspective cohort studyPsychiatryDepression (differential diagnoses)Clinical psychology
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Characterization of patients with mood disorders for their prevalent temperament and level of hopelessness.

2014

Abstract Background Mood disorders (MD) are disabling conditions throughout the world associated with significant psychosocial impairment. Affective temperaments, as well as hopelessness, may play a significant role in the pathophysiology of MD. The present study was designed to characterize patients with MD for their prevalent affective temperament and level of hopelessness. Methods Five hundred fifty-nine (253 men and 306 women) consecutive adult inpatients were assessed using the Temperament Evaluation of Memphis, Pisa, Paris and San Diego-Autoquestionnaire version (TEMPS-A), the Gotland Scale for Male Depression (GSMD), the Beck Hopelessness Scale (BHS) and the Mini International Neurop…

AdultMalemedicine.medical_specialtyHyperthymic temperamentBipolar Disordermedia_common.quotation_subjectpsychologyHopemedicineHumansBipolar disorderTemperamentPsychiatryAgedMini-international neuropsychiatric interviewmedia_commonDepressive DisorderDepressive Disorder MajorAdult Aged Anxiety Disorders; psychology Bipolar Disorder; psychology Cross-Sectional Studies Cyclothymic Disorder; psychology Depressive Disorder; Major; psychology Female Hope Humans Irritable Mood Male Middle Aged TemperamentMajorMiddle Agedmedicine.diseaseAnxiety DisordersCyclothymic DisorderIrritable MoodPsychiatry and Mental healthClinical PsychologyCross-Sectional StudiesMood disordersBeck Hopelessness ScaleMajor depressive disorderAnxietyFemaleTemperamentmedicine.symptomPsychologyClinical psychology
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Pharmacotherapy in bipolar disorders during hospitalization and at discharge predicts clinical and psychosocial functioning at follow-up

2014

Objective Individuals with bipolar disorder (BD) usually report significant disability and psychosocial impairment. Both the nature and causes associated with this impairment are poorly understood. In particular, research examining the impact of pharmacotherapy on the different aspects of psychosocial functioning in bipolar patients is currently lacking. The aim of this study was to assess to what extent the psychotropic medications used during psychiatric hospitalization and at discharge can predict clinical psychosocial functioning and the severity of the illness at follow-up in inpatients with bipolar disorder (BD). Methods Patients were 71 adult BD patients contacted on average 31 month…

medicine.medical_specialtyLithium (medication)business.industrymedicine.diseasePsychiatry and Mental healthPharmacotherapyNeurologyTelephone interviewmedicineRaw scorePharmacology (medical)In patientNeurology (clinical)Bipolar disorderMedical prescriptionbusinessPsychiatryPsychosocialmedicine.drugHuman Psychopharmacology: Clinical and Experimental
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Predictive factors of overall functioning improvement in patients with chronic schizophrenia and schizoaffective disorder treated with paliperidone p…

2018

BACKGROUND Long-acting injectable (LAI) antipsychotics can improve medication adherence and reduce hospitalisation rates compared with oral treatments. Paliperidone palmitate (PAL) and aripiprazole monohydrate (ARI) LAI treatments were associated with improvements in global functioning in patients with schizophrenia. OBJECTIVE The objective of this study was to assess the predictive factors of better overall functioning in patients with chronic schizophrenia and schizoaffective disorder treated with PAL and ARI. METHOD Enrolled were 143 (97 males, 46 females, mean age 38.24 years, SD = 12.65) patients with a diagnosis of schizophrenia or schizoaffective disorder, whom we allocated in two gr…

AdultMalemedicine.medical_specialtyaripiprazole monohydrate; global assessment of functioning; long-acting injectable antipsychotics; paliperidone palmitate; schizoaffective disorder; schizophrenia; neurology; neurology (clinical); psychiatry and mental health; pharmacology (medical)Global Assessment of FunctioningAripiprazoleSchizoaffective disorderPharmacyOutcome Assessment (Health Care)03 medical and health sciencesYoung Adult0302 clinical medicineglobal assessment of functioningInternal medicineOutcome Assessment Health CarePaliperidone PalmitatemedicineHumansPharmacology (medical)aripiprazole monohydratearipiprazole monohydrate; global assessment of functioning; long-acting injectable antipsychotics; paliperidone palmitate; schizoaffective disorder; schizophrenia; Adult; Antipsychotic Agents; Aripiprazole; Delayed-Action Preparations; Female; Humans; Male; Middle Aged; Paliperidone Palmitate; Psychotic Disorders; Schizophrenia; Young Adult; Outcome Assessment (Health Care)Paliperidone Palmitatebusiness.industrylong-acting injectable antipsychoticsMiddle Agedschizoaffective disordermedicine.disease030227 psychiatryPsychiatry and Mental healthNeurologyPsychotic DisordersSchizophreniaDelayed-Action PreparationsSettore SECS-P/03 - Scienza delle FinanzeSchizophreniaChronic schizophreniaAripiprazoleFemaleNeurology (clinical)business030217 neurology & neurosurgeryDiagnosis of schizophreniamedicine.drugAntipsychotic AgentsHuman psychopharmacology
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