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Gagliano A, Costanza C, Bazzoni M, Falcioni L, Rizzi M, Scaffidi Abbate C, Vetri L, Roccella M, Guglielmi M, Livio F, Ingrassia M, Benedetto L. Effectiveness of an Educational Filmmaking Project in Promoting the Psychological Well-Being of Adolescents with Emotive/Behavioural Problems. Healthcare (Basel) 2023; 11:1695. [PMID: 37372813 PMCID: PMC10297831 DOI: 10.3390/healthcare11121695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 06/07/2023] [Accepted: 06/07/2023] [Indexed: 06/29/2023] Open
Abstract
Evidence suggests that adolescents respond positively to simple, early interventions, including psychosocial support and educational interventions, even when offered in non-clinical settings. Cinematherapy can help manage life challenges, develop new skills, increase awareness, and offer new ways of thinking about specific problems. This pilot trial was conducted in Italy, aiming to investigate the effects of a six-week filmmaking course on the psychological well-being of adolescents (N = 52) with emotional/behavioural problems and neurodevelopmental disorders. At the end of the project, most participants showed improvements mostly in social skills, such as social cognition (p = 0.049), communication (p = 0.009), and motivation (p = 0.03), detected using the SRS Social Responsiveness Scale. In addition, social awareness (p = 0.001) increased in all patients. Statistically significant differences resulted in four sub-scales of Youth Self-Report Scale: withdrawn/depressed (p = 0.007), social problems (p = 0.003), thought problems (p < 0.001), and rule-breaking behaviour (p = 0.03); these results showed a decrease in emotional and behavioural problems. This study is an innovative therapeutic and educational approach based on the filmmaking art. This research can offer an empirical basis for the effectiveness of alternative therapeutic tools in child and adolescent psychiatric disorders. At the same time, it can be replicated in broader contexts (e.g., school and communities) to promote children's psychological well-being.
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Affiliation(s)
- Antonella Gagliano
- Department of Human and Pediatric Pathology “Gaetano Barresi”, University of Messina, 98122 Messina, Italy; (A.G.)
| | - Carola Costanza
- Department of Sciences for Health Promotion and Mother and Child Care “G. D’Alessandro”, University of Palermo, 90128 Palermo, Italy;
| | - Marzia Bazzoni
- University of Cagliari & “A. Cao” Pediatric Hospital, Brotzu Hospital Trust, 09047 Cagliari, Italy
| | - Ludovica Falcioni
- University of Cagliari & “A. Cao” Pediatric Hospital, Brotzu Hospital Trust, 09047 Cagliari, Italy
| | - Micaela Rizzi
- University of Cagliari & “A. Cao” Pediatric Hospital, Brotzu Hospital Trust, 09047 Cagliari, Italy
| | - Costanza Scaffidi Abbate
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90141 Palermo, Italy;
| | - Luigi Vetri
- Oasi Research Institute-IRCCS, Via Conte Ruggero 73, 94018 Troina, Italy
| | - Michele Roccella
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90141 Palermo, Italy;
| | - Massimo Guglielmi
- Department of Human and Pediatric Pathology “Gaetano Barresi”, University of Messina, 98122 Messina, Italy; (A.G.)
| | - Filippo Livio
- Rehabilitation and Education Center “Dismed Onlus-Centro Studi per Le Disabilita’ del Mediterraneo”, 98100 Messina, Italy
| | - Massimo Ingrassia
- Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy
| | - Loredana Benedetto
- Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy
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Chieffo DPR, Lafuenti L, Mastrilli L, De Paola R, Vannuccini S, Morra M, Salvi F, Boškoski I, Salutari V, Ferrandina G, Scambia G. Medi-Cinema: A Pilot Study on Cinematherapy and Cancer as A New Psychological Approach on 30 Gynecological Oncological Patients. Cancers (Basel) 2022; 14:3067. [PMID: 35804839 PMCID: PMC9265104 DOI: 10.3390/cancers14133067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 06/16/2022] [Accepted: 06/20/2022] [Indexed: 02/01/2023] Open
Abstract
Background: Several subjects affected by cancer experience a significant level of multidimensional disease. This longitudinal study aims to evaluate the effectiveness of psycho-oncological support using Cinema as an emotional mediator and to promote perceived well-being by personalized psychological treatment. Methods: Thirty women diagnosed with gynecological cancer watched 12 movies and participated in a psychotherapy group co-conducted by two psychotherapists. Patients completed nine questionnaires at T0 (baseline), T1 (3 months) and T2 (6 months). Results: Patients observed significant improvements (CORE-OM: p < 0.001) in psychological well-being. The results showed statistically significant differences, even in several other dimensions, such as Anxiety (STAY-Y1-2: p < 0.001), Empathy (BEES, p < 0.001), Coping (COPE: p < 0.001), QoL (QLQ-C30, p: 0.026), couple relationship (DAS, Satisfaction: p: 0.013; Cohesion: p: 0.004) and alexithymia (TAS-20, Difficulty Identifying Feeling: p: 0.002; Externally-Oriented Thinking: p: 0.003). Conclusions: The data show that cinema, as an innovative psychological approach, could be a valid instrument to support patients in oncological pathways as well as facilitating the process of recognizing themselves in other patients and communicating about their own feelings.
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Affiliation(s)
- Daniela Pia Rosaria Chieffo
- Clinical Psychology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (D.P.R.C.); (L.M.); (R.D.P.); (S.V.)
- Medicine and Surgery Faculty, Catholic University of the Sacred Heart, 00168 Rome, Italy;
| | - Letizia Lafuenti
- Clinical Psychology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (D.P.R.C.); (L.M.); (R.D.P.); (S.V.)
- Gynecologic Oncology Unit, Women Wealth Area, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (V.S.); (G.F.)
| | - Ludovica Mastrilli
- Clinical Psychology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (D.P.R.C.); (L.M.); (R.D.P.); (S.V.)
- Gynecologic Oncology Unit, Women Wealth Area, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (V.S.); (G.F.)
| | - Rebecca De Paola
- Clinical Psychology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (D.P.R.C.); (L.M.); (R.D.P.); (S.V.)
| | - Sofia Vannuccini
- Clinical Psychology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (D.P.R.C.); (L.M.); (R.D.P.); (S.V.)
| | - Marina Morra
- Medicinema Italia Onlus, 20122 Milan, Italy; (M.M.); (F.S.)
| | - Fulvia Salvi
- Medicinema Italia Onlus, 20122 Milan, Italy; (M.M.); (F.S.)
| | - Ivo Boškoski
- Centre for Endoscopic Research Therapeutics and Training (CERTT), Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy;
| | - Vanda Salutari
- Gynecologic Oncology Unit, Women Wealth Area, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (V.S.); (G.F.)
| | - Gabriella Ferrandina
- Gynecologic Oncology Unit, Women Wealth Area, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (V.S.); (G.F.)
| | - Giovanni Scambia
- Medicine and Surgery Faculty, Catholic University of the Sacred Heart, 00168 Rome, Italy;
- Gynecologic Oncology Unit, Women Wealth Area, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy; (V.S.); (G.F.)
- Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
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