Search results for " Psicologia clinica"

The alliance-outcome association in group interventions: A multilevel meta-analysis.

2022

Objective: The therapeutic alliance has been studied in group interventions, but its relationship to patient outcome is still controversial. This study systematically reviewed the association of both the member-leader and member-group alliance with patient outcomes, and assessed the effects of several theoretically informed moderators. Method: A three-level meta-analysis was conducted on 57 studies to disentangle within- and between-study variability in the alliance-outcome association. Results: The overall effect size of the unconditional model was r = -.259 (95% CI: -.302, -.214; p < .001), whereas the correlation between alliance and outcome based on the three-level meta-analytic mode…

Current Issues on Group Psychotherapy Research: An Overview

2014

Recent efforts to improve group psychotherapy have focused on codifying both evidence-based treatments and therapeutic relationships. This chapter reviews the numerous advances in empirical research on group psychotherapy and highlights therapeutic practices ensuing from the evidence. The authors synthesize some of the most crucial development in group psychotherapy research, such as the effectiveness of group treatments, the mechanisms of change of group therapies, the components of group relationship, and issues regarding methodological problems associated with the analysis of group data.

Early Response to treatment in Eating Disorders: A Systematic Review and a Diagnostic Test Accuracy Meta-Analysis

2016

Objective: Early response to eating disorders treatment is thought to predict a later favourable outcome. A systematic review of the literature and meta-analyses examined the robustness of this concept. Method: The criteria used across studies to define early response were summarised following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Diagnostic Test Accuracy methodology was used to estimate the size of the effect. Results: Findings from 24 studies were synthesized and data from 14 studies were included in the meta-analysis. In Anorexia Nervosa, the odds ratio of early response predicting remission was 4.85(95%CI: 2.94–8.01) and the summary Area Unde…

Aspetti psicologici nel trapianto renale

2005

Predictors of early dropout in treatment for gambling disorder: The role of personality disorders and clinical syndromes

2017

Several treatment options for gambling disorder (GD) have been tested in recent years; however dropout levels still remain high. This study aims to evaluate whether the presence of psychiatric comorbidities predicts treatment outcome according to Millon's evolutionary theory, following a six-month therapy for GD. The role of severity, duration of the disorder, typology of gambling (mainly online or offline) and pharmacological treatment were also analysed. The recruitment included 194 pathological gamblers (PGs) to be compared with 78 healthy controls (HCs). Psychological assessment included the South Oaks Gambling Screen and the Millon Clinical Multiaxial Inventory-III. The "treatment fail…

Identifying gene-environment interactions in schizophrenia: contemporary challenges for integrated, large-scale investigations

2014

European Community Recent years have seen considerable progress in epidemiological and molecular genetic research into environmental and genetic factors in schizophrenia, but methodological uncertainties remain with regard to validating environmental exposures, and the population risk conferred by individual molecular genetic variants is small. There are now also a limited number of studies that have investigated molecular genetic candidate gene-environment interactions (G x E), however, so far, thorough replication of findings is rare and G x E research still faces several conceptual and methodological challenges. in this article, we aim to review these recent developments and illustrate h…

Promoting Awareness about Psychological Consequences of Living in a Community Oppressed by the Mafia: A Group-Analytic Intervention

2017

The effects of the Mafia have been extensively studied from sociological, economic, and historical points of view. However, little research has investigated the influence of the Mafia on individuals and communities in terms of its psychological and social impact. In order to contribute to the advancement of our understanding of the psychological effects of the Mafia on individuals and communities and to promote a participative process of social change, a group analytic intervention was conducted within a Community Based Participatory Research carried out in Corleone, a small Sicilian town with a historically recognized role in the evolution of the Mafia, as well as in the fight against its …

Postmodernity, insecurity and job loss Focus on the unemployed's suffering

2017

International audience; Objectives Recent research shows clear correlations between the subjective perception of job's insecurity and physical, mental and relational health. This article highlights the difficulties of workers , and particularly the impact of uncertainty and job loss on their self-esteem and psycho-physical well-being. The work presents and contextualizes the perception of job insecurity as an effect of postmodern society.Methods The research involved 60 subjects that have lost the jobs and received a 3 month intervention of active policies organized in groups focusing on empowerment and employability. At two times before and after group participants filled in Rosenberg Self…

Valutazione di un rolling group ambulatoriale per pazienti con diagnosi di abuso da cocaina

2014

Lo studio utilizza un disegno longitudinale a misure ripetute per la valutazione process-outcome di un rolling groups psicodinamico per pazienti con diagnosi di abuso di cocaina. La terapia condotta su 18 pazienti è stata effettuata all’interno del Centro Clinico Cocainomani dell’ASP di Brescia. Gli strumenti utilizzati sono: DAST-20, OQ-45, DSQ, CALPAS Group, GMLCS. Le analisi condotte attraverso il Multilevel Models evidenziano dei miglioramenti attendibili sia rispetto al sintomo che riguardo al funzionamento psicologico e all’assetto difensivo. La lunghezza della partecipazione alla terapia e la stabilità del gruppo influenzano l’esito. I pazienti che restano di più in trattamento speri…

FATTORI PSICOLOGICI DI INFLUENZA SULL’ADHERENCE AL TRATTAMENTO E SULLA QUALITÀ DELLA VITA IN PAZIENTI CON VASCULOPATIE. RISULTATI PRELIMINARI

2012

Lo studio della Qualità della Vita (QdV), dell’assetto psicologico e dell’adherence alle prescrizioni mediche in pazienti affetti da disturbi vascolari è un obiettivo indispensabile, sia per la valutazione degli outcome clinici che per la scelta di trattamenti medici adeguati (Piscione et al., 2009). In accordo con la letteratura sulle malattie croniche, intendiamo valutare il peso esercitato da ansia, depressione, strategie di coping, percezione di malattia e alessitimia sullo stato di salute e sulla QdV di pazienti con vasculopatie. METODO Il disegno di ricerca prevede la somministrazione dei seguenti questionari: The Hospital Anxiety and Depression Scale (HADS) (Zigmond e Snaith, 1983); …