1
|
Dal Farra F, Buffone F, Risio RG, Tarantino A, Vismara L, Bergna A. Reply to the letter sent by Ceballos-Laitaa et al. Complement Ther Clin Pract 2023; 53:101790. [PMID: 37516598 DOI: 10.1016/j.ctcp.2023.101790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/31/2023]
Affiliation(s)
- F Dal Farra
- Department of Research, Institute Osteopathy Milan, Istituto Osteopatia Milano (SOMA), 20126, Milan, Italy
| | - F Buffone
- Department of Research, Institute Osteopathy Milan, Istituto Osteopatia Milano (SOMA), 20126, Milan, Italy; Division of Paediatric, Manima Non-Profit Organization Social Assistance and Healthcare, 20125, Milan, Italy; Principles and Practice of Clinical Research (PPCR), Harvard T.H. Chan School of Public Health-ECPE, Boston, MA, 02115, USA.
| | - R G Risio
- Department of Research, Institute Osteopathy Milan, Istituto Osteopatia Milano (SOMA), 20126, Milan, Italy
| | - A Tarantino
- Department of Research, Institute Osteopathy Milan, Istituto Osteopatia Milano (SOMA), 20126, Milan, Italy; Division of Paediatric, Manima Non-Profit Organization Social Assistance and Healthcare, 20125, Milan, Italy
| | - L Vismara
- Division of Neurology and Neurorehabilitation - IRCCS Istituto Auxologico Italiano, Strada Luigi Cadorna 90, 28824, Piancavallo-Verbania, Italy
| | - A Bergna
- Department of Research, Institute Osteopathy Milan, Istituto Osteopatia Milano (SOMA), 20126, Milan, Italy
| |
Collapse
|
2
|
Pagani G, Parenti M, Franzetti M, Pezzati L, Bassani F, Osnaghi B, Vismara L, Pavia C, Mirri P, Rusconi S. Invasive and Non-Invasive Human Salmonellosis Cases Admitted between 2015 and 2021 in Four Suburban Hospitals in the Metropolitan Area of Milan (Italy): A Multi-Center Retrospective Study. Pathogens 2023; 12:1298. [PMID: 38003763 PMCID: PMC10674539 DOI: 10.3390/pathogens12111298] [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] [Received: 09/13/2023] [Revised: 10/06/2023] [Accepted: 10/25/2023] [Indexed: 11/26/2023] Open
Abstract
Non-Typhoidal Salmonellas (NTSs) are diffused worldwide. In Italy, more than 3500 cases are notified each year, but despite this, data about salmonellosis are scarce. Our multi-center, retrospective, descriptive study selected 252 patients with positive cultures for Salmonella spp. (feces 79.8%, blood 8.7%, feces and blood 7.5%), aiming to describe the epidemiological and clinical characteristics of this population. Bacteremic infections constituted 16.3% (41/252) of patients. Extreme ages (≤12 and ≥65 years old) accounted for 79.7%, but only elder ages were strongly associated with bacteremic infections (aOR 5.78). Invasive infections had a 7-fold higher mortality rate than non-invasive disease (9.8% vs. 1.4%, p = 0.013), with an overall rate of 2.8%. The two more represented serogroups were O:4 (52.8%) and O:9 (22.2%). The O:9 serogroup was strongly associated with a higher frequency of invasive infection (aOR 2.96, 95% CI 1.17-7.63). In particular, S. napoli, an emerging serovar in Europe, accounted for 31.7% of bacteremic infections and only 9.5% of non-bacteremic ones (p < 0.001). Antibiotic microbial resistance (AMR) observed a steep increasing trend and was detected in 60.4% of cases (122/202): amoxicillin/clavulanate, ampicillin, and gentamicin were most commonly involved (26.7%, 21.8%, 14.3%, respectively), while TMP/SMX, ciprofloxacin, and ceftriaxone were <10%. Resistance was, in general, less common in the O:9 serogroup, while amikacin resistance was significantly more common. Factors associated with an MDR Salmonella acquisition were time (OR 1.37 per year more), O:4 serogroup (OR 2.67), and being a woman (OR 2.11). The most frequent symptoms were diarrhea (90.5%) and fever (81.7%). In conclusion, our study highlights a high burden of NTS infections, leading to severe or fatal outcomes in frail patients. Furthermore, AMR shows an increasing trend with a concerning high prevalence of cephalosporine resistance compared to the rest of Europe.
Collapse
Affiliation(s)
- Gabriele Pagani
- UOC Malattie Infettive, ASST Ovest-Milanese, Ospedale Nuovo di Legnano, Via Papa Giovanni II s.n., Legnano, 20025 Milano, Italy; (M.F.); (F.B.); (S.R.)
| | - Marco Parenti
- Dipartimento di Scienze Biomediche e Cliniche “L. Sacco”, Università Statale degli Studi di Milano, Via G.B., Grassi 74, 20157 Milano, Italy;
| | - Marco Franzetti
- UOC Malattie Infettive, ASST Ovest-Milanese, Ospedale Nuovo di Legnano, Via Papa Giovanni II s.n., Legnano, 20025 Milano, Italy; (M.F.); (F.B.); (S.R.)
| | - Laura Pezzati
- UOC Malattie Infettive, ASST Ovest-Milanese, Ospedale Nuovo di Legnano, Via Papa Giovanni II s.n., Legnano, 20025 Milano, Italy; (M.F.); (F.B.); (S.R.)
- Dipartimento di Scienze Biomediche e Cliniche “L. Sacco”, Università Statale degli Studi di Milano, Via G.B., Grassi 74, 20157 Milano, Italy;
| | - Francesco Bassani
- UOC Malattie Infettive, ASST Ovest-Milanese, Ospedale Nuovo di Legnano, Via Papa Giovanni II s.n., Legnano, 20025 Milano, Italy; (M.F.); (F.B.); (S.R.)
- Dipartimento di Scienze Biomediche e Cliniche “L. Sacco”, Università Statale degli Studi di Milano, Via G.B., Grassi 74, 20157 Milano, Italy;
| | - Bianca Osnaghi
- UOC Microbiologia, ASST Ovest-Milanese, Ospedale Nuovo di Legnano, Via Papa Giovann II s.n., 20025 Legnano, Italy (C.P.)
| | - Laura Vismara
- UOC Microbiologia, ASST Ovest-Milanese, Ospedale Nuovo di Legnano, Via Papa Giovann II s.n., 20025 Legnano, Italy (C.P.)
| | - Claudia Pavia
- UOC Microbiologia, ASST Ovest-Milanese, Ospedale Nuovo di Legnano, Via Papa Giovann II s.n., 20025 Legnano, Italy (C.P.)
| | - Paola Mirri
- UOC Microbiologia, ASST Ovest-Milanese, Ospedale Nuovo di Legnano, Via Papa Giovann II s.n., 20025 Legnano, Italy (C.P.)
| | - Stefano Rusconi
- UOC Malattie Infettive, ASST Ovest-Milanese, Ospedale Nuovo di Legnano, Via Papa Giovanni II s.n., Legnano, 20025 Milano, Italy; (M.F.); (F.B.); (S.R.)
- Dipartimento di Scienze Biomediche e Cliniche “L. Sacco”, Università Statale degli Studi di Milano, Via G.B., Grassi 74, 20157 Milano, Italy;
| |
Collapse
|
3
|
Chatoor I, Begtrup R, Cheng IY, Vismara L, Webb LE, Lucarelli L. Failure to thrive in toddlers with lack of interest in eating and food and their cognitive development during later childhood. Front Pediatr 2023; 11:1179797. [PMID: 37705600 PMCID: PMC10495572 DOI: 10.3389/fped.2023.1179797] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Accepted: 07/26/2023] [Indexed: 09/15/2023] Open
Abstract
Background Experiencing Failure to Thrive or malnutrition in early years has been associated with children later displaying low Intelligence Quotient (IQ). The current study's aim was to examine whether Failure to Thrive in Toddlers with Lack of Interest in Eating and Food, a subtype of Avoidant/Restrictive Food Intake Disorder as defined by DSM-5, which has also previously been identified as Infantile Anorexia (IA), was associated with poor cognitive development outcomes during later childhood. Methods The IQs and growth parameter of 30 children (53% female) previously diagnosed and treated for IA at 12 to 42 months of age, were reevaluated at a mean age of 10.0 years (SD = 2.1 years) and compared to 30 matched control children. Children's growth was assessed using Z-scores and their cognitive development was measured using the Wechsler Intelligence Scale for Children-4th Edition. Results None of the growth parameters were significantly related to IQ. Further, IQ scores of children previously diagnosed with IA and control children were not significantly different. However, the education level of children's fathers had a significantly positive effect on IQ. Conclusions Our study highlights the disjunction between growth parameters and IQ within our sample. Overall, our findings suggest that the primary target of intervention for these children should be the parent-child conflict around the feeding relationship, rather than a focus on the child's weight itself. Finally, our results confirm the relevance to include fathers in the intervention of these children.
Collapse
Affiliation(s)
- Irene Chatoor
- Department of Psychiatry and Behavioral Sciences, George Washington University, Washington, DC, United States
- Children's National Hospital, Washington, DC, United States
| | | | - Iris Yao Cheng
- Centers for Disease Control and Prevention (CDC), Atlanta, GA, United States
| | - Laura Vismara
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
| | - Lauren E. Webb
- Department of Psychology, Hofstra University, Hempstead, NY, United States
| | - Loredana Lucarelli
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
| |
Collapse
|
4
|
Mura G, Sechi C, Vismara L, Moi V, Neri M, Paoletti AM. Mental health in women undergoing gynecological surgery at risk of infertility. Health Care Women Int 2023; 44:440-456. [PMID: 34919020 DOI: 10.1080/07399332.2021.2009832] [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: 10/19/2022]
Abstract
Surgery for benign gynecologic conditions may lead to infertility complications. In a cross-sectional study we investigated depressive and anxiety symptoms, Quality of Life (QoL), and coping strategies in women with benign gynecologic conditions undergoing surgical treatment (G1, N = 45) compared with women that did not need surgery (G2, N = 43), through the Patient's Health Questionnaire, the Short Form Health Survey-12 items, the Self-Rating Anxiety State, and the Brief COPE. Statistical analyses showed that women in G1 had significant higher depressive (p=.04) and anxiety (p=.03) symptoms, and lower QoL (p=.01), than did those in G2. Moreover, women with more depressive or anxiety symptoms in both groups were more likely to present maladaptive coping modalities. A careful evaluation of the mental health of women undergoing gynecological surgery at risk of infertility should be included in the care for benign gynecologic conditions, in order to prevent psychosocial distress and alleviate the burden on QoL.
Collapse
Affiliation(s)
- Gioia Mura
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
| | - Cristina Sechi
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
| | - Laura Vismara
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
| | | | - Manuela Neri
- Department of Surgical Sciences, University of Cagliari, Cagliari, Italy
| | | |
Collapse
|
5
|
Lucarelli L, Vismara L, Chatoor I, Sechi C. Parental Pre and Postnatal Depression: The Longitudinal Associations with Child Negative Affectivity and Dysfunctional Mother–Child Feeding Interactions. Children 2023; 10:children10030565. [PMID: 36980124 PMCID: PMC10047090 DOI: 10.3390/children10030565] [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] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 03/08/2023] [Accepted: 03/14/2023] [Indexed: 03/19/2023]
Abstract
Background: Many studies have shown the influence of maternal perinatal depression on a child’s emotional and behavioral regulation ability; yet there is scarce research on the impact of the father’s perinatal depression on the caregiver–infant relationship and the child’s development. Methods: Through a longitudinal study, we investigated maternal and paternal depression and its association with infants’ emotionality and mother–infant feeding interactions The sample was constituted of 136 first-time parents (68 couples, and their full-term babies at 3 and 6 months old). At T1 (28th week of pregnancy), T2 (three months old), and T3 (at six months age) parents responded to the Edinburgh Postpartum Depression Scale. At Times 2 and 3, mothers and fathers completed the Infant Behavior Questionnaire, and recorded mother–infant interactions were coded by means of the Feeding Scale. Results: Statistical analyses indicated stability of maternal and paternal depression over time. Correlations emerged between mother’s higher depression scores, negative affective state during interactions at three months age, infant food refusal and mother–infant interactional conflict at six months age. Paternal higher depressive scores were associated with the mother–child interactional conflict. To finish, higher parental depression scores were related with infant negative emotionality. Conclusion: The current study confirms the relevance of embracing a cumulative risk model to support the child’s development with early caregiver-child interventions.
Collapse
Affiliation(s)
- Loredana Lucarelli
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy
| | - Laura Vismara
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy
- Correspondence: ; Tel.: +39-333-5301106
| | - Irene Chatoor
- Department of Psychiatry and Behavioral Sciences, The George Washington University, Washington, DC 20052, USA
- Children’s National, Washington, DC 20010, USA
| | - Cristina Sechi
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy
| |
Collapse
|
6
|
Santona A, Vismara L, Gorla L, Tognasso G, Ambrosini C, Luli A, Rollè L. The Relationship between Attachment, Dyadic Adjustment, and Sexuality: A Comparison between Infertile Men and Women. Int J Environ Res Public Health 2023; 20:3020. [PMID: 36833722 PMCID: PMC9962621 DOI: 10.3390/ijerph20043020] [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] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 01/23/2023] [Accepted: 02/08/2023] [Indexed: 06/18/2023]
Abstract
Infertility impacts several life dimensions. Among them, sexuality is particularly affected; yet studies have mainly focused on infertile women. We aimed to explore infertile men's and women's experiences in sexual satisfaction, internal control, and anxiety, and the relationship between attachment, dyadic adjustment, and sexuality. The sample consisted of 129 infertile people (47.3% females, 52.7% males, Mage = 39 years) who fulfilled an ad hoc questionnaire, the Multidimensional Sexuality Questionnaire (MSQ), the Experiences in Close Relationship-Revised (ECR-R), and the Dyadic Adjustment Scale (DAS). We found a significant effect of type of infertility and infertility factors on sexual anxiety only in infertile men. As regards infertile women, dyadic adjustment predicted sexual satisfaction, anxious attachment decreased sexual internal control, and avoidant attachment reduced sexual anxiety. As regards infertile men, high dyadic adjustment increased sexual satisfaction and a high avoidant attachment predicted high levels of sexual internal control. There was no relationship between attachment, dyadic adjustment, and sexual anxiety for infertile men. From the results, it emerges how important is to consider both dyadic adjustment and attachment in studying how infertility impacts women's and men's lives.
Collapse
Affiliation(s)
- Alessandra Santona
- Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy
| | - Laura Vismara
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy
| | - Laura Gorla
- Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy
| | - Giacomo Tognasso
- Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy
| | - Carolina Ambrosini
- Department of Developmental Psychology and Socialisation, University of Padua, 35131 Padova, Italy
| | - Anisa Luli
- Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy
| | - Luca Rollè
- Department of Psychology, University of Torino, 10124 Torino, Italy
| |
Collapse
|
7
|
De Paschale M, Pavia C, Cerulli T, Cagnin D, Manco MT, Belvisi L, Paganini A, Pogliani L, Ceriani E, Porta A, Parola L, Mirri P, Osnaghi B, Vismara L, Clerici P. Prevalence of anti-parvovirus B19 IgG and IgM and parvovirus B19 viremia in pregnant women in an urban area of Northern Italy. J Med Virol 2022; 94:5409-5414. [PMID: 35764590 DOI: 10.1002/jmv.27963] [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] [Received: 05/30/2022] [Revised: 06/22/2022] [Accepted: 06/25/2022] [Indexed: 12/15/2022]
Abstract
Parvovirus B19 (B19V) infection in pregnancy is mostly asymptomatic, but can cause complications including abortion and fetal hydrops. Although its infection is ubiquitous, seroprevalence among pregnant women varies according to different geographical areas. Since seroprevalence data in Italy are limited, the prevalence of antibodies and DNA in pregnant women was evaluated retrospectively, correlating the clinical situation of mothers and newborns. One thousand eight hundred and ninety-three sequential sera were examined from pregnant women (60.8% in the first trimester, 16.6% in the second one, and 22.6% in the third one, respectively) for anti-B19V IgG and IgM (confirmed by immunoblot); 1402 (74.1%) were of Italian origin and 491 (25.9%) non-Italian women. Molecular tests were used to search for viral genome. One thousand three hundred and fifteen (69.5%) samples were IgG-positive, 21 (1.1%) IgM-positive, and 578 (30.5%) nonimmune. The difference in IgG seroprevalence between Italian (71.1%) and non-Italian women (64.8%) was statistically significant. Of the 21 IgM-positive women, 16 were confirmed positive also by immunoblot (prevalence: 0.8%), of which 11 were viraemic (prevalence: 0.6%; mean 1.3 × 104 geq/ml). Mothers were asymptomatic, and the newborns had no clinical signs of congenital infection. IgG seroprevalence in Italy is high, with differences between Italian women and non-Italian women from geographic areas with lower endemic levels of B19V. The consistent migratory flows in place could lead to an increase in the number of susceptible women. The prevalence of viremia is low, and has not been associated with evident fetal damage at birth.
Collapse
Affiliation(s)
| | - Claudia Pavia
- Microbiology Unit, Hospital of Legnano, ASST Ovest Milanese, Milan, Italy
| | - Teresa Cerulli
- Microbiology Unit, Hospital of Legnano, ASST Ovest Milanese, Milan, Italy
| | - Debora Cagnin
- Microbiology Unit, Hospital of Legnano, ASST Ovest Milanese, Milan, Italy
| | - Maria T Manco
- Microbiology Unit, Hospital of Legnano, ASST Ovest Milanese, Milan, Italy
| | - Luisa Belvisi
- Microbiology Unit, Hospital of Legnano, ASST Ovest Milanese, Milan, Italy
| | - Alessia Paganini
- Microbiology Unit, Hospital of Legnano, ASST Ovest Milanese, Milan, Italy
| | - Laura Pogliani
- Pediatric Unit, Hospital of Legnano, ASST Ovest Milanese, Milan, Italy
| | - Elena Ceriani
- Pediatric Unit, Hospital of Legnano, ASST Ovest Milanese, Milan, Italy
| | - Alessandro Porta
- Pediatric Unit, Hospital of Magenta, ASST Ovest Milanese, Milan, Italy
| | - Luciana Parola
- Pediatric Unit, Hospital of Magenta, ASST Ovest Milanese, Milan, Italy
| | - Paola Mirri
- Microbiology Unit, Hospital of Legnano, ASST Ovest Milanese, Milan, Italy
| | - Bianca Osnaghi
- Microbiology Unit, Hospital of Legnano, ASST Ovest Milanese, Milan, Italy
| | - Laura Vismara
- Microbiology Unit, Hospital of Legnano, ASST Ovest Milanese, Milan, Italy
| | - Pierangelo Clerici
- Microbiology Unit, Hospital of Legnano, ASST Ovest Milanese, Milan, Italy
| |
Collapse
|
8
|
Vismara L, Lucarelli L, Sechi C. Attachment style and mental health during the later stages of COVID‐19 pandemic: the mediation role of loneliness and COVID-19 anxiety. BMC Psychol 2022; 10:62. [PMID: 35287741 PMCID: PMC8919140 DOI: 10.1186/s40359-022-00767-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 02/28/2022] [Indexed: 11/29/2022] Open
Abstract
Background An insecure attachment style is an important risk factor for psychological problems. The aim of this study was to use Bartholomew and Horowitz’s model (Bartholomew and Horowitz in J Pers Soc Psychol 61(2): 226, 2019) to test a sample of Italian individuals to determine the mediation role of loneliness and COVID-19-related anxiety symptoms in the relationship between attachment styles and mental health issues in the context of the pandemic. Method A cross-sectional research study was conducted using a sample of 330 Italian participants (82.1% women; mean age = 34.3 years; SD = 13.16) who completed online self-reported measures of attachment styles (RQ), loneliness (RULS), COVID-19-related anxiety symptoms (C-19ASS) and mental health problems (GHQ-12). Serial mediation analyses were performed, and bootstrap tests were included. Results Our results supported the hypothesized model with respect to each attachment style (p < 0.001). In particular, insecure attachment styles predict mental health problems both directly and indirectly, through loneliness and COVID-19-related anxiety symptoms. In addition, loneliness directly influences mental health problems and also mediates the relationship between insecure attachment styles and COVID-19-related anxiety symptoms which, in turn, positively predict mental health problems. Conclusions Our findings reinforce the importance of attachment in people’s processes of adapting to experiences during the coronavirus pandemic. The study makes an important contribution to developing effective prevention and intervention strategies to support people’s wellbeing in the context of the pandemic.
Collapse
|
9
|
Sechi C, Prino LE, Rollé L, Lucarelli L, Vismara L. Maternal Attachment Representations during Pregnancy, Perinatal Maternal Depression, and Parenting Stress: Relations to Child's Attachment. Int J Environ Res Public Health 2021; 19:69. [PMID: 35010329 PMCID: PMC8751134 DOI: 10.3390/ijerph19010069] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 11/10/2021] [Revised: 12/09/2021] [Accepted: 12/20/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND This paper aimed to explore the associations between maternal representations of attachment evaluated during pregnancy, pre and postnatal maternal depression, parenting stress and child's attachment at 15 months after childbirth. METHODS Mothers (n = 71), and their infants participated in a longitudinal study of maternal attachment, pre and postnatal depression, parenting stress and child attachment. Adult Attachment Interview (AAI) was conducted between 24 and 26 weeks of pregnancy (Time 1), depression was assessed using the Edinburgh Perinatal Depression Scale (EPDS) (at Time 1 and 6 months after childbirth, i.e., Time 2), parenting stress was assessed using the Parenting Stress Index-Short Form (PS-SF) (at Time 2) and the Strange Situation Procedure (SSP) at child's 15 months of age (Time 3). RESULTS Free-autonomous maternal classification of attachment increases the likelihood of secure child classification in her offspring, while decreases that of avoidance and ambivalence. Insecure maternal representation of attachment evaluated during pregnancy and higher levels of parenting stress at six months after childbirth was associated with higher rates of infant insecure attachment at 15 months. CONCLUSIONS Our study validates the importance of considering maternal representations of attachment crucial in determining the quality of the caregiving environment, thereby the healthy development of children, despite the presence of other contextual risk.
Collapse
Affiliation(s)
- Cristina Sechi
- Department of Education, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy; (C.S.); (L.L.)
| | - Laura Elvira Prino
- Department of Philosophy and Education Sciences, University of Torino, 10124 Torino, Italy;
| | - Luca Rollé
- Department of Psychology, University of Torino, 10124 Torino, Italy;
| | - Loredana Lucarelli
- Department of Education, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy; (C.S.); (L.L.)
| | - Laura Vismara
- Department of Education, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy; (C.S.); (L.L.)
| |
Collapse
|
10
|
Chatoor I, Sechi C, Vismara L, Lucarelli L. A cross-sectional study of father-daughter/son interactions from 1 Month to 3 years of age with the feeding and play scales: Exploring the psychometric properties. Appetite 2021; 168:105671. [PMID: 34481013 DOI: 10.1016/j.appet.2021.105671] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 08/30/2021] [Accepted: 08/31/2021] [Indexed: 11/02/2022]
Abstract
The quality of father-infant/toddler interactions has become a focal point in studies of early child development. However, studies targeting early father-infant/toddler interactions may be hampered due to the lack of specific and validated measures; indeed, most of the applied observational instruments were originally designed to evaluate mother-child interactions. In a sample of 142 fathers-infant/toddler dyads, the current study aimed to test the reliability of the Feeding and Play Scales, which were initially created to assess mother-infant/toddler interactions. Also, we compared the father-infant/toddler feeding and play interactions at different developmental stages, from 1 month to 3 years of the child's age, and we evaluated the effect of the child's gender on the father-infant/toddler feeding and play interactions. Both scales showed satisfactory internal consistency, confirming that the measures are reliable in the evaluation of father-infant/toddler feeding and play interactions. Analyses showed significant correlations between the subscales of the Feeding and Play Scales, significant effects of the child's age and significant gender differences. Our research shows that the Feeding and Play Scales are promising instruments to study the role of fathers in the development of normal and disordered feeding in infants and toddlers.
Collapse
Affiliation(s)
- Irene Chatoor
- The George Washington University and Children's National Medical Center, 111 Michigan Avenue, Washington 20010-2916 D.C, USA.
| | - Cristina Sechi
- Department of Education, Psychology, Philosophy University of Cagliari, Via Is Mirrionis, 1, Cagliari, 09123, Italy.
| | - Laura Vismara
- Department of Education, Psychology, Philosophy University of Cagliari, Via Is Mirrionis, 1, Cagliari, 09123, Italy.
| | - Loredana Lucarelli
- Department of Education, Psychology, Philosophy University of Cagliari, Via Is Mirrionis, 1, Cagliari, 09123, Italy.
| |
Collapse
|
11
|
Ahmad M, Vismara L. The Psychological Impact of COVID-19 Pandemic on Women's Mental Health during Pregnancy: A Rapid Evidence Review. Int J Environ Res Public Health 2021; 18:7112. [PMID: 34281049 PMCID: PMC8297318 DOI: 10.3390/ijerph18137112] [Citation(s) in RCA: 68] [Impact Index Per Article: 22.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Revised: 06/25/2021] [Accepted: 06/29/2021] [Indexed: 02/06/2023]
Abstract
BACKGROUND The perinatal period is a particularly vulnerable period in women's lives that implies significant physiological and psychological changes that can place women at higher risk for depression and anxiety symptoms. In addition, the ongoing pandemic of coronavirus disease 2019 (COVID-19) is likely to increase this vulnerability and the prevalence of mental health problems. This review aimed to investigate the existing literature on the psychological impact of the COVID-19 pandemic on women during pregnancy and the first year postpartum. METHOD The literature search was conducted using the following databases: Pubmed, Scopus, WOS-web of science, PsycInfo and Google Scholar. Out of the total of 116 initially selected papers, 17 have been included in the final work, according to the inclusion criteria. RESULTS The reviewed contributions report a moderate to severe impact of the COVID-19 outbreak on the mental health of pregnant women, mainly in the form of a significant increase in depression-up to 58% in Spain-and anxiety symptoms-up to 72% in Canada. In addition to the common psychological symptoms, COVID-19-specific worries emerged with respect to its potential effects on pregnancy and the well-being of the unborn child. Social support and being engaged in regular physical activities appear to be protective factors able to buffer against the effects of the pandemic on maternal mental health. CONCLUSIONS Despite the limitations of the study design, the evidence suggests that it is essential to provide appropriate psychological support to pregnant women during the emergency in order to protect their mental health and to minimize the risks of long-term effects on child development.
Collapse
Affiliation(s)
| | - Laura Vismara
- Department of Pedagogy, Psychology, Philosophy, Faculty of Human Studies, University of Cagliari, 09124 Cagliari, Italy;
| |
Collapse
|
12
|
Trombetta T, Giordano M, Santoniccolo F, Vismara L, Della Vedova AM, Rollè L. Pre-natal Attachment and Parent-To-Infant Attachment: A Systematic Review. Front Psychol 2021; 12:620942. [PMID: 33815204 PMCID: PMC8011495 DOI: 10.3389/fpsyg.2021.620942] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [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: 10/24/2020] [Accepted: 02/16/2021] [Indexed: 12/13/2022] Open
Abstract
During the perinatal period, the establishment of the attachment relationship with the fetus and subsequently with the real child is crucial for the parents' and the child's well-being. Coherently with the assumption that the attachment relationship starts to develop during pregnancy, this systematic review aims to analyze and systematize studies focused on the association between pre-natal attachment and parent-to-infant attachment, in order to clarify the emerging results and provide useful information for clinical purposes. Nineteen studies were included. Sixteen researches identified a positive relationship between pre-natal attachment and parent-to-infant attachment, and three articles highlighted a negative association between antenatal attachment and post-partum bonding disorders. These results were found both in women and men, in normative and at-risk pregnancies, adopting different assessment approaches (i.e., self-report measures, observations, and projective measures). However, only small or moderate associations were found. Future studies are needed to further confirm these findings across different populations (e.g., male samples, non-normative samples or samples in disadvantaged conditions) and with different methodological approaches (e.g., observational measures). Moreover, studies would be needed in order to clarify mechanisms through which pre-natal attachment influences parent-to-infant attachment, as well as protective and risk factors which intervene between these two variables.
Collapse
Affiliation(s)
| | - Maura Giordano
- Department of Psychology, University of Torino, Torino, Italy
| | | | - Laura Vismara
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
| | | | - Luca Rollè
- Department of Psychology, University of Torino, Torino, Italy
| |
Collapse
|
13
|
Vismara L, Sechi C, Lucarelli L. Reflective function in first-time mothers and fathers: Association with infant temperament and parenting stress. European Journal of Trauma & Dissociation 2021. [DOI: 10.1016/j.ejtd.2020.100147] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
|
14
|
Zarucchi A, Vismara L, Frazzitta G, Mauro A, Priano L, Maestri R, Bergna A, Tarantino AG. Efficacy of Osteopathic Manipulative Treatment on postural control in Parkinsonian patients with Pisa syndrome: A pilot randomized placebo-controlled trial. NeuroRehabilitation 2020; 46:529-537. [PMID: 32538880 DOI: 10.3233/nre-203068] [Citation(s) in RCA: 2] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
BACKGROUND Pisa syndrome (PS) is a clinical condition frequently associated with Parkinson's disease (PD). It is characterized by a trunk lateral flexion higher than 10 degrees and reversible when lying. One pathophysiological hypothesis is the altered verticality perception, due to a somatosensory impairment. Osteopathic Manipulative Treatment (OMT) manages fascial-system alterations, linked to somatic dysfunctions. Fascial system showed to be implicated in proprioceptive sensibility. OBJECTIVE The aim of the study was to assess OMT efficacy on postural control in PD-PS patients by stabilometry. METHODS In this single-blinded trial we studied 24 PD-PS patients, 12 of whom were randomly assigned to receive a multidisciplinary physical therapy protocol (MIRT) and sham OMT, while the other 12 received four OMT plus MIRT, for one month. The primary endpoint was the eye closed sway area assessment after the intervention. Evaluation of trunk lateral flexion (TLF) with DIERS formetrics was also performed. RESULTS At one month, the sway area of the OMT group significantly decreased compared to placebo (mean delta OMT - 326.00±491.24 mm2, p = 0.01). In the experimental group TLF showed a mean inclination reduction of 3.33 degrees after treatment (p = 0.044, mean d = 0.54). Moreover, a significant positive association between delta ECSA and delta TLF was observed (p = 0.04, r = 0.46). DISCUSSION Among PD-PS patients, MIRT plus OMT showed preliminary evidence of postural control and TLF improvement, compared to the control group.
Collapse
Affiliation(s)
- A Zarucchi
- Department of Brain Injury and Parkinson's Disease Rehabilitation, Ospedale "Moriggia-Pelascini", Gravedona ed Uniti (Como), Italy.,Department of Clinical Research, SOMA Istituto Osteopatia Milano, Italy
| | - L Vismara
- "Rita Levi Montalcini" Department of Neurosciences, University of Turin, Turin, Italy.,Division of Neurology and Neurorehabilitation, IRCCS Istituto Auxologico Italiano Piancavallo-Verbania, Italy.,MANIMA, Not-for-Profit Healthcare and Assistance, Milan, Italy
| | - G Frazzitta
- Department of Brain Injury and Parkinson's Disease Rehabilitation, Ospedale "Moriggia-Pelascini", Gravedona ed Uniti (Como), Italy
| | - A Mauro
- "Rita Levi Montalcini" Department of Neurosciences, University of Turin, Turin, Italy.,Division of Neurology and Neurorehabilitation, IRCCS Istituto Auxologico Italiano Piancavallo-Verbania, Italy
| | - L Priano
- "Rita Levi Montalcini" Department of Neurosciences, University of Turin, Turin, Italy.,Division of Neurology and Neurorehabilitation, IRCCS Istituto Auxologico Italiano Piancavallo-Verbania, Italy
| | - R Maestri
- Department of Biomedical Engineering, Istituti Clinici Scientifici Maugeri Spa Società Benefit, IRCCS, Montescano, Italy
| | - A Bergna
- Department of Clinical Research, SOMA Istituto Osteopatia Milano, Italy
| | - A G Tarantino
- Department of Clinical Research, SOMA Istituto Osteopatia Milano, Italy.,MANIMA, Not-for-Profit Healthcare and Assistance, Milan, Italy
| |
Collapse
|
15
|
Vismara L, Sechi C, Neri M, Paoletti A, Lucarelli L. Maternal perinatal depression, anxiety, fear of birth, and perception of infants' negative affectivity at three months. J Reprod Infant Psychol 2020; 39:532-543. [PMID: 33172285 DOI: 10.1080/02646838.2020.1843612] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [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: 02/02/2023]
Abstract
The present study aimed to investigate whether a mother's anxiety, depression, prenatal perception of childbirth, and experience with delivery, assessed from pregnancy to three months postpartum, were associated with her perception of her infant's negative affectivity (NA). The participant sample was composed of 76 primiparous mothers and their healthy babies (58% boys, 42% girls). During pregnancy, mothers independently filled out the State-Trait Anxiety Inventory (STAI), the Edinburgh Postnatal Depression Scale (EPDS), and the Wijma Delivery Expectancy/Experience Questionnaires (W-DEQ) version A. One month after giving birth, the mothers filled out the W-DEQ version B. Finally, three months after giving birth, they completed the EPDS, the STAI, and the four Infant Behaviour Questionnaire (IBQ-R) scales of NA. Linear regression analyses showed that perinatal FoB, trait anxiety, and depression were associated with a maternal perception of higher infant NA. Studies on perinatal parental health and child outcomes should include assessments of the relation between anxiety during pregnancy and postpartum depression in order to prevent any negative impacts on the temperaments of children.
Collapse
Affiliation(s)
- Laura Vismara
- Department of Education, Psychology, Philosophy, Faculty of Human Studies, University of Cagliari, Cagliari, Italy
| | - Cristina Sechi
- Department of Education, Psychology, Philosophy, Faculty of Human Studies, University of Cagliari, Cagliari, Italy
| | - Manuela Neri
- Department of Surgical Science, University of Cagliari, Cagliari, Italy
| | - Anna Paoletti
- Department of Surgical Science, University of Cagliari, Cagliari, Italy
| | - Loredana Lucarelli
- Department of Education, Psychology, Philosophy, Faculty of Human Studies, University of Cagliari, Cagliari, Italy
| |
Collapse
|
16
|
Sechi C, Vismara L, Brennstuhl MJ, Tarquinio C, Lucarelli L. Adult attachment styles, self-esteem, and quality of life in women with fibromyalgia. Health Psychol Open 2020; 7:2055102920947921. [PMID: 32850131 PMCID: PMC7427016 DOI: 10.1177/2055102920947921] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [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] [Indexed: 01/30/2023] Open
Abstract
Recently, the research on pain-related disability has increasingly paid attention to the psychological and social factors that may influence the biological condition. In the current study, we aimed to explore attachment styles, self-esteem, and quality of life in individuals with a diagnosis of fibromyalgia. Participants were 371 diagnosed women, with a mean age of 42.7 years (standard deviation = 10.6). The average number of years since diagnosis was 7.4 years (standard deviation = 2.4) years. To assess attachment, quality of life, and self-esteem, women responded, respectively, to the Relationship Questionnaire, the World Health Organization Quality of Life Questionnaire, and the Rosenberg Self-Esteem Inventory. Our results showed that secure attachment relationships and high self-esteem represent protective factors for quality of life of women with fibromyalgia, while the contrary emerged for insecure attachments and low self-esteem. The understanding of the psychological components that contribute to fibromyalgia may improve the effectiveness of interventions.
Collapse
|
17
|
Sechi C, Vismara L, Rollè L, Prino LE, Lucarelli L. First-Time Mothers' and Fathers' Developmental Changes in the Perception of Their Daughters' and Sons' Temperament: Its Association With Parents' Mental Health. Front Psychol 2020; 11:2066. [PMID: 32973623 PMCID: PMC7468484 DOI: 10.3389/fpsyg.2020.02066] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Accepted: 07/27/2020] [Indexed: 01/26/2023] Open
Abstract
OBJECTIVE Most studies investigating the role of parenting behaviors on a child's development are directed to mothers. However, recent analyses show that mothers and fathers have a different influence on a child's functioning, specifically her/his temperament. The present study explored the developmental change of parents' perception of their daughters' and sons' temperament and its association with parental mental health problems. METHODS The sample included 188 parents (94 couples) and their at-term 94 babies (55.3% boys, 44.7% girls). Assessments by self-reports were conducted at 3 (Time 1) and 12 (Time 2) months after the children's birth; at Time 1, mothers and fathers independently answered: the State-Trait Anxiety Inventory (STAI), the Edinburgh Postnatal Depression Scale (EPDS), and the Infant Behavior Questionnaire (IBQ-R). At Time 2, EPDS, STAI, and IBQ-R were again administered to mothers and fathers. RESULTS In general, mothers and fathers would give similar descriptions of their child's temperament throughout the first year of life; however, infant temperament showed developmental changes as well as gender differences. Mother and father anxiety and depression symptoms are associated with the infants' negative affectivity. Also, mothers with high anxiety and depression levels perceive their infants with a minor tendency to approach novelty, to seek environmental stimulation, and to express/experience positive emotions. CONCLUSION The results highlight the need to screen for infants' temperament vulnerabilities in the context of maternal and paternal depression in order to protect the child from behavioral, cognitive, and emotional difficulties and to create specific programs aimed at preventing dysfunctional parent-infant relationships.
Collapse
Affiliation(s)
- Cristina Sechi
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
| | - Laura Vismara
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
| | - Luca Rollè
- Department of Psychology, University of Turin, Turin, Italy
| | | | - Loredana Lucarelli
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
| |
Collapse
|
18
|
Machado J, Bruno J, Rotonda C, Siles J, Steinmetz T, Zambelli C, Vismara L, Tarquinio C. Attachement au partenaire et développement de symptômes traumatiques et anxieux-dépressifs chez les étudiants. Sexologies 2020. [DOI: 10.1016/j.sexol.2019.08.001] [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: 10/26/2022]
|
19
|
Vismara L, Sechi C, Lucarelli L. Fathers’ and mothers’ depressive symptoms: internalizing/externalizing problems and dissociative experiences in their adolescent offspring. Curr Psychol 2019. [DOI: 10.1007/s12144-019-00566-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
20
|
Vismara L, Presaghi F, Bocchia M, Ricci RV, Ammaniti M. Attachment Patterns in Subjects Diagnosed With a Substance Use Disorder: A Comparison of Patients in Outpatient Treatment and Patients in Therapeutic Communities. Front Psychiatry 2019; 10:807. [PMID: 31780968 PMCID: PMC6851193 DOI: 10.3389/fpsyt.2019.00807] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2019] [Accepted: 10/11/2019] [Indexed: 11/29/2022] Open
Abstract
The purpose of the present study is to analyze the quality of attachment in substance abuse patients in outpatient treatment vs. patients in therapeutic communities in order to identify the role of attachment insecurity in choosing a care system. The sample consisted of 127 subjects (107 males and 20 females); 97 were outpatients (83 males) and 30 therapeutic community patients (24 males). Attachment with respect to current, significant relationships was assessed using the Relationship Questionnaire. In the outpatient subgroup, the prevailing attachment style was preoccupied; for the therapeutic community patients, the prevailing attachment style was dismissive. The dimensions of care (how the caregiver is perceived as loving and caring) and overprotection (how the caregiver is perceived as intrusive and interfering)-evaluated by means of the Parent Bonding Instrument-were higher in the outpatient subgroup. Scores were higher with respect to maternal subscales regardless of treatment modality. No differences emerged with respect to self-perceived symptoms (SCL-90-R) between the subgroups; however, fearful-avoidant and dismissive-avoidant individuals reported higher self-perceived symptom regardless of treatment modality. Understanding the distribution of different attachment patterns with respect to the treatment modality may improve efficacious interventions, attuning them to the individual and his or her developmental environment.
Collapse
Affiliation(s)
- Laura Vismara
- Department of Educational Sciences, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
| | - Fabio Presaghi
- Department of Psychology of Development and Socialization Processes, Sapienza University of Rome, Rome, Italy
| | - Maria Bocchia
- Department of Mental Health (DSM), SERT, Local Health Service of Sarzana DSS 17, Sarzana, Italy
| | - Rosolino Vico Ricci
- Department of Mental Health (DSM), SERT, Local Health Service of Sarzana DSS 17, Sarzana, Italy
| | - Massimo Ammaniti
- Department of Psychology of Development and Socialization Processes, Sapienza University of Rome, Rome, Italy
| |
Collapse
|
21
|
Rogers SJ, Estes A, Vismara L, Munson J, Zierhut C, Greenson J, Dawson G, Rocha M, Sugar C, Senturk D, Whelan F, Talbott M. Enhancing Low-Intensity Coaching in Parent Implemented Early Start Denver Model Intervention for Early Autism: A Randomized Comparison Treatment Trial. J Autism Dev Disord 2019; 49:632-646. [PMID: 30203308 DOI: 10.1007/s10803-018-3740-5] [Citation(s) in RCA: 55] [Impact Index Per Article: 11.0] [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: 11/29/2022]
Abstract
Short-term low intensity parent implemented intervention studies for toddlers with autism spectrum disorder (ASD) have found it difficult to demonstrate significantly improved developmental scores or autism severity compared to community treatment. We conducted a randomized comparative intent-to-treat study of a parent implemented intervention to (1) test the effects of an enhanced version on parent and child learning, and (2) evaluate the sensitivity to change of proximal versus distal measures of child behavior. We randomized 45 children with ASD, 12-30 months of age, into one of two versions of parent-implemented Early Start Denver Model (P-ESDM), the basic model, in which we delivered 1.5 h of clinic-based parent coaching weekly, and an enhanced version that contained three additions: motivational interviewing, multimodal learning tools, and a weekly 1.5-h home visit. We delivered the intervention for 12 weeks and measured child and parent change frequently in multiple settings. We found a time-by-group interaction: parents in the enhanced group demonstrated significantly greater gains in interaction skills than did parents in the non-enhanced group. Both interventions were associated with significant developmental acceleration; however, child outcomes did not differ by group. We found a significant relationship between degree of change in parental interaction skill and rate of children's improvement on our proximal measure. Parents in both groups reported satisfaction with the intervention. These findings suggest that parent skills improved more in the enhanced group than the comparison group. Children in the two groups showed similar improvements. Rate of individual parent learning was associated with greater individual child progress on a measure quite proximal to the treatment, though not on standardized assessments.
Collapse
Affiliation(s)
- S J Rogers
- University of California Davis MIND Institute, Sacramento, CA, USA.
| | - A Estes
- University of Washington, Seattle, WA, USA
| | - L Vismara
- University of California Davis MIND Institute, Sacramento, CA, USA.,Emory University, Atlanta, GA, USA
| | - J Munson
- University of Washington, Seattle, WA, USA
| | - C Zierhut
- University of California Davis MIND Institute, Sacramento, CA, USA
| | - J Greenson
- University of Washington, Seattle, WA, USA
| | - G Dawson
- Duke University, Durham, NC, USA
| | - M Rocha
- University of California Davis MIND Institute, Sacramento, CA, USA
| | - C Sugar
- University of California, Los Angeles, Los Angeles, CA, USA
| | - D Senturk
- University of California, Los Angeles, Los Angeles, CA, USA
| | - F Whelan
- University of California, Los Angeles, Los Angeles, CA, USA
| | - M Talbott
- University of California Davis MIND Institute, Sacramento, CA, USA
| |
Collapse
|
22
|
Bruno J, Machado J, Ferreira Y, Munsch L, Silès J, Steinmetz T, Rotonda C, Vismara L, Tarquinio C. Impact of attachment styles in the development of traumatic symptoms in French women victims of sexual violence. Sexologies 2019. [DOI: 10.1016/j.sexol.2018.04.006] [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: 10/17/2022]
|
23
|
Molgora S, Fenaroli V, Prino LE, Rollè L, Sechi C, Trovato A, Vismara L, Volpi B, Brustia P, Lucarelli L, Tambelli R, Saita E. Fear of childbirth in primiparous Italian pregnant women: The role of anxiety, depression, and couple adjustment. Women Birth 2018; 31:117-123. [DOI: 10.1016/j.wombi.2017.06.022] [Citation(s) in RCA: 52] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Revised: 05/19/2017] [Accepted: 06/22/2017] [Indexed: 11/30/2022]
|
24
|
|
25
|
Rollè L, Prino LE, Sechi C, Vismara L, Neri E, Polizzi C, Trovato A, Volpi B, Molgora S, Fenaroli V, Ierardi E, Ferro V, Lucarelli L, Agostini F, Tambelli R, Saita E, Riva Crugnola C, Brustia P. Parenting Stress, Mental Health, Dyadic Adjustment: A Structural Equation Model. Front Psychol 2017; 8:839. [PMID: 28588541 PMCID: PMC5441134 DOI: 10.3389/fpsyg.2017.00839] [Citation(s) in RCA: 60] [Impact Index Per Article: 8.6] [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: 01/26/2017] [Accepted: 05/08/2017] [Indexed: 11/13/2022] Open
Abstract
Objective: In the 1st year of the post-partum period, parenting stress, mental health, and dyadic adjustment are important for the wellbeing of both parents and the child. However, there are few studies that analyze the relationship among these three dimensions. The aim of this study is to investigate the relationships between parenting stress, mental health (depressive and anxiety symptoms), and dyadic adjustment among first-time parents. Method: We studied 268 parents (134 couples) of healthy babies. At 12 months post-partum, both parents filled out, in a counterbalanced order, the Parenting Stress Index-Short Form, the Edinburgh Post-natal Depression Scale, the State-Trait Anxiety Inventory, and the Dyadic Adjustment Scale. Structural equation modeling was used to analyze the potential mediating effects of mental health on the relationship between parenting stress and dyadic adjustment. Results: Results showed the full mediation effect of mental health between parenting stress and dyadic adjustment. A multi-group analysis further found that the paths did not differ across mothers and fathers. Discussion: The results suggest that mental health is an important dimension that mediates the relationship between parenting stress and dyadic adjustment in the transition to parenthood.
Collapse
Affiliation(s)
- Luca Rollè
- Department of Psychology, University of TorinoTorino, Italy
| | - Laura E Prino
- Department of Psychology, University of TorinoTorino, Italy
| | - Cristina Sechi
- Department of Pedagogy, Psychology, Philosophy, University of CagliariCagliari, Italy
| | - Laura Vismara
- Department of Pedagogy, Psychology, Philosophy, University of CagliariCagliari, Italy
| | - Erica Neri
- Department of Psychology, University of BolognaBologna, Italy
| | - Concetta Polizzi
- Department of Psychological, Educational and Training Sciences, University of PalermoPalermo, Italy
| | - Annamaria Trovato
- Department of Dynamic and Clinical Psychology, Sapienza University of RomeRome, Italy
| | - Barbara Volpi
- Department of Dynamic and Clinical Psychology, Sapienza University of RomeRome, Italy
| | - Sara Molgora
- Department of Psychology, Catholic University of the Sacred HeartMilano, Italy
| | - Valentina Fenaroli
- Department of Psychology, Catholic University of the Sacred HeartMilano, Italy
| | - Elena Ierardi
- Department of Psychology, University of Milano-BicoccaMilano, Italy
| | - Valentino Ferro
- Department of Psychology, University of Milano-BicoccaMilano, Italy
| | - Loredana Lucarelli
- Department of Pedagogy, Psychology, Philosophy, University of CagliariCagliari, Italy
| | | | - Renata Tambelli
- Department of Dynamic and Clinical Psychology, Sapienza University of RomeRome, Italy
| | - Emanuela Saita
- Department of Psychology, Catholic University of the Sacred HeartMilano, Italy
| | | | - Piera Brustia
- Department of Psychology, University of TorinoTorino, Italy
| |
Collapse
|
26
|
|
27
|
Vismara L, Rollè L, Agostini F, Sechi C, Fenaroli V, Molgora S, Neri E, Prino LE, Odorisio F, Trovato A, Polizzi C, Brustia P, Lucarelli L, Monti F, Saita E, Tambelli R. Perinatal Parenting Stress, Anxiety, and Depression Outcomes in First-Time Mothers and Fathers: A 3- to 6-Months Postpartum Follow-Up Study. Front Psychol 2016; 7:938. [PMID: 27445906 DOI: 10.3389/fpsyg.2016.00938/full] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2016] [Accepted: 06/07/2016] [Indexed: 05/23/2023] Open
Abstract
OBJECTIVE Although there is an established link between parenting stress, postnatal depression, and anxiety, no study has yet investigated this link in first-time parental couples. The specific aims of this study were 1) to investigate whether there were any differences between first-time fathers' and mothers' postnatal parenting stress, anxiety, and depression symptoms and to see their evolution between three and 6 months after their child's birth; and 2) to explore how each parent's parenting stress and anxiety levels and the anxiety levels and depressive symptoms of their partners contributed to parental postnatal depression. METHOD The sample included 362 parents (181 couples; mothers' M Age = 35.03, SD = 4.7; fathers' M Age = 37.9, SD = 5.6) of healthy babies. At three (T1) and 6 months (T2) postpartum, both parents filled out, in a counterbalanced order, the Parenting Stress Index-Short Form, the Edinburgh Postnatal Depression Scale, and the State-Trait Anxiety Inventory. RESULTS The analyses showed that compared to fathers, mothers reported higher scores on postpartum anxiety, depression, and parenting stress. The scores for all measures for both mothers and fathers decreased from T1 to T2. However, a path analysis suggested that the persistence of both maternal and paternal postnatal depression was directly influenced by the parent's own levels of anxiety and parenting stress and by the presence of depression in his/her partner. DISCUSSION This study highlights the relevant impact and effects of both maternal and paternal stress, anxiety, and depression symptoms during the transition to parenthood. Therefore, to provide efficacious, targeted, early interventions, perinatal screening should be directed at both parents.
Collapse
Affiliation(s)
- Laura Vismara
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari Cagliari, Italy
| | - Luca Rollè
- Department of Psychology, University of Torino Torino, Italy
| | | | - Cristina Sechi
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari Cagliari, Italy
| | - Valentina Fenaroli
- Department of Psychology, University Cattolica del Sacro Cuore Milano, Italy
| | - Sara Molgora
- Department of Psychology, University Cattolica del Sacro Cuore Milano, Italy
| | - Erica Neri
- Faculty of Psychology, University of Bologna Bologna, Italy
| | - Laura E Prino
- Department of Psychology, University of Torino Torino, Italy
| | - Flaminia Odorisio
- Department of Psychology, University Cattolica del Sacro Cuore Milano, Italy
| | - Annamaria Trovato
- Department of Dynamic and Clinical Psychology, Sapienza University of Roma Roma, Italy
| | - Concetta Polizzi
- Department of Psychological, Educational and Training Sciences, University of Palermo Palermo, Italy
| | - Piera Brustia
- Department of Psychology, University of Torino Torino, Italy
| | - Loredana Lucarelli
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari Cagliari, Italy
| | - Fiorella Monti
- Faculty of Psychology, University of Bologna Bologna, Italy
| | - Emanuela Saita
- Department of Psychology, University Cattolica del Sacro Cuore Milano, Italy
| | - Renata Tambelli
- Department of Dynamic and Clinical Psychology, Sapienza University of Roma Roma, Italy
| |
Collapse
|
28
|
Vismara L, Rollè L, Agostini F, Sechi C, Fenaroli V, Molgora S, Neri E, Prino LE, Odorisio F, Trovato A, Polizzi C, Brustia P, Lucarelli L, Monti F, Saita E, Tambelli R. Perinatal Parenting Stress, Anxiety, and Depression Outcomes in First-Time Mothers and Fathers: A 3- to 6-Months Postpartum Follow-Up Study. Front Psychol 2016; 7:938. [PMID: 27445906 PMCID: PMC4919353 DOI: 10.3389/fpsyg.2016.00938] [Citation(s) in RCA: 142] [Impact Index Per Article: 17.8] [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: 04/18/2016] [Accepted: 06/07/2016] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVE Although there is an established link between parenting stress, postnatal depression, and anxiety, no study has yet investigated this link in first-time parental couples. The specific aims of this study were 1) to investigate whether there were any differences between first-time fathers' and mothers' postnatal parenting stress, anxiety, and depression symptoms and to see their evolution between three and 6 months after their child's birth; and 2) to explore how each parent's parenting stress and anxiety levels and the anxiety levels and depressive symptoms of their partners contributed to parental postnatal depression. METHOD The sample included 362 parents (181 couples; mothers' M Age = 35.03, SD = 4.7; fathers' M Age = 37.9, SD = 5.6) of healthy babies. At three (T1) and 6 months (T2) postpartum, both parents filled out, in a counterbalanced order, the Parenting Stress Index-Short Form, the Edinburgh Postnatal Depression Scale, and the State-Trait Anxiety Inventory. RESULTS The analyses showed that compared to fathers, mothers reported higher scores on postpartum anxiety, depression, and parenting stress. The scores for all measures for both mothers and fathers decreased from T1 to T2. However, a path analysis suggested that the persistence of both maternal and paternal postnatal depression was directly influenced by the parent's own levels of anxiety and parenting stress and by the presence of depression in his/her partner. DISCUSSION This study highlights the relevant impact and effects of both maternal and paternal stress, anxiety, and depression symptoms during the transition to parenthood. Therefore, to provide efficacious, targeted, early interventions, perinatal screening should be directed at both parents.
Collapse
Affiliation(s)
- Laura Vismara
- Department of Pedagogy, Psychology, Philosophy, University of CagliariCagliari, Italy
| | - Luca Rollè
- Department of Psychology, University of TorinoTorino, Italy
| | | | - Cristina Sechi
- Department of Pedagogy, Psychology, Philosophy, University of CagliariCagliari, Italy
| | - Valentina Fenaroli
- Department of Psychology, University Cattolica del Sacro CuoreMilano, Italy
| | - Sara Molgora
- Department of Psychology, University Cattolica del Sacro CuoreMilano, Italy
| | - Erica Neri
- Faculty of Psychology, University of BolognaBologna, Italy
| | - Laura E. Prino
- Department of Psychology, University of TorinoTorino, Italy
| | - Flaminia Odorisio
- Department of Psychology, University Cattolica del Sacro CuoreMilano, Italy
| | - Annamaria Trovato
- Department of Dynamic and Clinical Psychology, Sapienza University of RomaRoma, Italy
| | - Concetta Polizzi
- Department of Psychological, Educational and Training Sciences, University of PalermoPalermo, Italy
| | - Piera Brustia
- Department of Psychology, University of TorinoTorino, Italy
| | - Loredana Lucarelli
- Department of Pedagogy, Psychology, Philosophy, University of CagliariCagliari, Italy
| | - Fiorella Monti
- Faculty of Psychology, University of BolognaBologna, Italy
| | - Emanuela Saita
- Department of Psychology, University Cattolica del Sacro CuoreMilano, Italy
| | - Renata Tambelli
- Department of Dynamic and Clinical Psychology, Sapienza University of RomaRoma, Italy
| |
Collapse
|
29
|
Cimolin V, Vismara L, Galli M, Grugni G, Cau N, Capodaglio P. Gait strategy in genetically obese patients: a 7-year follow up. Res Dev Disabil 2014; 35:1501-1506. [PMID: 24763375 DOI: 10.1016/j.ridd.2014.04.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [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: 02/18/2014] [Revised: 03/26/2014] [Accepted: 04/01/2014] [Indexed: 06/03/2023]
Abstract
The aim of this study was to quantitatively evaluate the change in gait and body weight in the long term in patients with Prader-Willi Syndrome (PWS). Eight adults with PWS were evaluated at baseline and after 7 years. During this period patient participated an in- and out-patient rehabilitation programs including nutritional and adapted physical activity interventions. Two different control groups were included: the first group included 14 non-genetically obese patients (OCG: obese control group) and the second group included 10 age-matched healthy individuals (HCG: healthy control group). All groups were quantitatively assessed during walking with 3D-GA. The results at the 7-year follow-up revealed significant weight loss in the PWS group and spatial-temporal changes in gait parameters (velocity, step length and cadence). With regard to the hip joint, there were significant changes in terms of hip position, which is less flexed. Knee flexion-extension showed a reduction of flexion in swing phase and of its excursion. No changes of the ankle position were evident. As for ankle kinetics, we observed in the second session higher values for the peak of ankle power in terminal stance in comparison to the first session. No changes were found in terms of ankle kinetics. The findings demonstrated improvements associated to long-term weight loss, especially in terms of spatial-temporal parameters and at hip level. Our results back the call for early weight loss interventions during childhood, which would allow the development of motor patterns under normal body weight conditions.
Collapse
Affiliation(s)
- V Cimolin
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, p.zza Leonardo Da Vinci 32, 20133 Milano, Italy.
| | - L Vismara
- Orthopaedic Rehabilitation Unit and Clinical Lab for Gait Analysis and Posture, Ospedale San Giuseppe, Istituto Auxologico Italiano, IRCCS, Via Cadorna 90, I-28824 Piancavallo, VB, Italy
| | - M Galli
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, p.zza Leonardo Da Vinci 32, 20133 Milano, Italy; IRCCS "San Raffaele Pisana", Tosinvest Sanità, Roma, Italy
| | - G Grugni
- Unit of Auxology, Ospedale San Giuseppe, Istituto Auxologico Italiano, IRCCS, Via Cadorna 90, I-28824 Piancavallo, VB, Italy
| | - N Cau
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, p.zza Leonardo Da Vinci 32, 20133 Milano, Italy
| | - P Capodaglio
- Orthopaedic Rehabilitation Unit and Clinical Lab for Gait Analysis and Posture, Ospedale San Giuseppe, Istituto Auxologico Italiano, IRCCS, Via Cadorna 90, I-28824 Piancavallo, VB, Italy
| |
Collapse
|
30
|
Vismara L, Tambelli R, Odorisio F, Marconi P. EPA-1274 – Maternal representations and mother-child interaction in the perinatal period: effects of depression and anxiety comorbidity. Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)78505-0] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
|
31
|
Don R, Capodaglio P, Cimolin V, Benedetti MG, D'Osualdo F, Frigo C, Vismara L, Negrini S. Instrumental measures of spinal function: is it worth? A state-of-the art from a clinical perspective. Eur J Phys Rehabil Med 2012; 48:255-273. [PMID: 22510675] [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: 05/31/2023]
Abstract
In the last decades, assessment of trunk posture and motion has gained importance in clinical practice, and several instrumental non-invasive techniques have been developed to overcome limitations of manual and radiological methods. Despite the large effort spent in improving the underlying technologies, the actual role of these measures in the clinical setting remains still undefined due to a variety of issues. The main question concerns the provision of parameters providing a significant contribution to the clinical decision making. In this paper, we review the available spine surface measurement techniques from a technical viewpoint, and point out their current and potential applications according to a clinical perspective. Conclusions are drawn on the basis of both the technical features and accessibility in daily clinical practice, as well as of the validity, reliability and clinical value of the provided parameters. A well-defined clinical role is established for surface topography in the follow-up of spine sagittal plane deformities, adulthood scoliosis and spine disorders involving the spino-pelvic alignment. Conversely, further studies are required to identify reliable key parameters for use in the clinical (adolescent scoliosis, back and neck pain), occupational (measurement of spine exposure to mechanical loads) and forensic (assessment of segmental functional impairments) fields.
Collapse
Affiliation(s)
- R Don
- Orthopedic Rehabilitation Unit and Clinical Lab for Gait Analysis and Posture, Ospedale San Giuseppe, Istituto Auxologico Italiano IRCCS, Piancavallo, Verbania, Italy
| | | | | | | | | | | | | | | |
Collapse
|
32
|
Tonella M, Maronati A, Giraldo C, Pozzoni A, Cassani MR, Maltagliati S, Colombo L, Contato V, Iemmolo M, Vincenzi A, Vismara L, Vignati G, Osnaghi B. Mycoplasma pneumoniae: IgG and IgM antibody response in presence of different antigens. Evaluation of commercial tests. Microbiol Med 2011. [DOI: 10.4081/mm.2011.2342] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
|
33
|
Fontana MP, Menegoni F, Vismara L, Galli M, Romei M, Bergamini E, Petroni ML, Capodaglio P. Balance in patients with anorexia and bulimia nervosa. Eur J Phys Rehabil Med 2009; 45:335-340. [PMID: 19221547] [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: 05/27/2023]
Abstract
AIM Neuro-muscular adaptations to the loss or increase in body weight may induce postural alterations. The aim of this study was to investigate the effect of body weight alterations on postural stability in patients with anorexia nervosa and bulimia. METHODS The study enrolled 15 women affected by anorexia nervosa (AN), (mean body mass index [BMI] 15.8+/-1.8 kg/m(2)), 15 women affected by bulimia nervosa (BN), (mean BMI 20.1+/-2.9 kg/m(2)) and 11 healthy matched women (HC), (mean BMI 20.1+/-1 kg/m(2)). Two quiet standing conditions with eyes open (EO) and closed (EC) were analysed with an optoelectronic system (Vicon 460, Viconpeak, Oxford, UK) with passive markers to estimate the centre of mass (CoM) position. RESULTS BN patients were more unstable than HC, showing statistically significant differences in antero-posterior CoM excursions and path length. AN patients showed non significant differences from HC. Only HC showed differences between EO and EC conditions, with significantly greater excursions in medio-lateral direction in EC condition (P<0.013) as well as an increased sway area (P<0.022). CONCLUSIONS In BN, musculoskeletal factors seem to play a major role in the diminished postural control, which appear to be linked to body weight fluctuations rather than to BMI absolute values. No clear-cut postural instability was demonstrated in patients with AN as compared to HC. Visual input appears not to affect balance in patients with eating disorders. Possible further causes of postural instability in BN and implications for rehabilitation treatment are discussed.
Collapse
Affiliation(s)
- M P Fontana
- San Giuseppe Hospital, Italian Auxologic Institute, IRCCS, Piancavallo, Verbania, Italy.
| | | | | | | | | | | | | | | |
Collapse
|
34
|
Ricci A, Mariotta S, Bronzetti E, Bruno P, Vismara L, De Dominicis C, Laganà B, Paone G, Mura M, Rogliani P, Mastrangeldo M, Sciacchitano S, Saltini C. Serum CA 15-3 is increased in pulmonary fibrosis. Sarcoidosis Vasc Diffuse Lung Dis 2009; 26:54-63. [PMID: 19960789] [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: 05/28/2023]
Abstract
BACKGROUND AND AIM OF THE WORK Carbohydrate antigen CA 15-3 is a glycoprotein whose expression, aberrant intracellular localization and changes in glycosylation have been associated with a wide range of cancers. Pulmonary fibrosis represents the final evolution of a chronic inflammation and is defined by the overgrowth of fibroblasts and exaggerated extracellular matrix deposition. The aim of the present study was to evaluate the possible diagnostic role of CA 15-3 in fibrosis in different idiopathic interstitial pneumonias. METHODS CA 15-3 was measured in serum samples from healthy subjects (n=25) and patients affected with idiopathic pulmonary fibrosis (IPF/UIP) (n=20), sarcoidosis (n=22) at different stages (I, II, and III) and systemic sclerosis (n=25). CA 15-3 protein expression was also evaluated by immunohistochemistry in 21 lung biopsies and in 6 primary lung fibroblasts cell lines. RESULTS The CA 15-3 serum levels were significantly higher in patients with IPF/UIP and with clinically advanced sarcoidosis (stage III). Serum CA 15-3 levels were slightly increased in patients with systemic sclerosis. No difference was observed between serum CA 15-3 levels in patients with sarcoidosis at stages I and II compared with control subjects. In IPF/UIP and in sarcoidosis at stage III elevated CA 15-3 serum levels significantly correlated with decreased total lung capacity, decreased diffusing capacity of carbon monoxide and high resolution computed tomography findings. Immunohistochemical analysis showed an intense specific CA 15-3 staining in fibroblasts within fibroblastic foci, surrounding sarcoid granulomas and in all cell cultures of lung fibroblasts from IPF/UIP lungs. CONCLUSIONS Our results indicate that increased CA 15-3 levels are associated with pulmonary interstitial damage, fibroblast activity and progression to fibrosis of the lung. Therefore, CA-15-3 may be considered a sensitive marker useful in the identification of patients with advanced fibrosis and more severe prognosis.
Collapse
Affiliation(s)
- A Ricci
- Università di Roma La Sapienza, Azienda Ospedaliera Sant'Andrea, Dipartimento Scienze Cardiovascolari Respiratorie e Morfologiche, Rome, Italy.
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
35
|
D'Andrilli A, Vismara L, Rolla M, Ibrahim M, Venuta F, Pochesci I, Masciangelo R, Rendina EA. Computed tomography with volume rendering for the evaluation of parenchymal hyperinflation after bronchoscopic lung volume reduction. Eur J Cardiothorac Surg 2008; 35:403-7. [PMID: 19084426 DOI: 10.1016/j.ejcts.2008.10.045] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [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: 07/02/2008] [Revised: 10/08/2008] [Accepted: 10/16/2008] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVE To assess computed tomography with volume rendering (CT-VR) as a tool to evaluate parenchymal hyperinflation before and after bronchoscopic lung volume reduction (BLVR) in patients with advanced stage emphysema. MATERIALS AND METHODS Between March 2006 and October 2007, we have prospectively studied pre- and postoperatively by spiral multislice CT scan and functional tests seven patients (six male, one female; age range 51-77 years, mean 64) with advanced stage heterogeneous emphysema who underwent BLVR using the Emphasys one-way valves (Emphasys, Redwood City, CA, USA). CT parameters considered were: the volume of the 'target' lobe and of the entire treated lung, the diameters (antero-posterior and cranio-caudal) of the treated hemithorax and the emphysematous parenchyma rate with respect to the normal parenchyma rate of the treated lobe. Lung parenchyma has been classified as emphysematous if the density was in the -1024/-900 Hounsfield units (HU) range and as normal if the density was in the -900/-200 HU range. Preoperative radiological data were compared with postoperative data and plotted against spirometric data observed 1 month after treatment. RESULTS Overall, 24 valves have been implanted in the 7 patients. Valves have been placed in the right upper lobe in two patients, in the left upper lobe in four and in both the left upper lobe and the right lower lobe in one. Volume reduction as a proportion of the 'target' lobe and of the entire lung has been observed in all patients with significant differences between mean preoperative and postoperative values [p=0.016 (target lobe); p=0.031 (lung)]. Lobar volume reduction ranged between 1.3% and 53.7% of preoperative values. Volume reduction of the entire lung ranged between 3.1% and 16.8%. Thoracic diameters decreased in all patients after treatment with significant mean differences [p=0.007 (antero-posterior); p=0.004 (cranio-caudal)]. FEV1 increased in six of seven patients with significant mean differences (p=0.025). The higher volume reduction rate has been observed in the three patients showing the better FEV1 improvement. Emphysematous lung parenchyma rate decreased postoperatively in six of seven patients with mean differences being not significant (p=0.17). CONCLUSIONS CT-VR is an excellent tool to confirm the efficacy of BLVR in reducing parenchymal hyperinflation. Functional advantages are proportional to the volume reduction as measured by CT-VR.
Collapse
|
36
|
Gondoni LA, Vismara L, Marzullo P, Vettor R, Liuzzi A, Grugni G. Growth hormone therapy improves exercise capacity in adult patients with Prader-Willi syndrome. J Endocrinol Invest 2008; 31:765-72. [PMID: 18997487 DOI: 10.1007/bf03349255] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
BACKGROUND Prader-Willi syndrome (PWS) is associated with an inappropriate proportion of fat mass (FM) to non-FM compared to simple obesity. Altered body composition in PWS resembles that seen in subjects with GH deficiency, in which a reduction of lean body mass (LBM) is observed. The low LBM may contribute to the reduced motor skills seen in PWS patients. AIM The objective of the study was to investigate the effects of GH therapy on exercise capacity and body composition in a group of adult subjects with PWS. SUBJECTS AND METHODS Twelve PWS adults (7 males and 5 females, aged 26.4+/-4.4 yr, body mass index 44.3+/-4.6 kg/m2) participated in the study. Body composition analysis and exercise stress test were carried out throughout the 12 months GH therapy. Body composition was measured by Dual Energy X-ray Absorptiometry. Physical performance was evaluated using treadmill exercise test. Exercise intensity was expressed as metabolic equivalents (MET, 1 MET= 3.5 ml O2 kg(-1) min(-1)). Statistical analysis was performed by repeated-measures analysis of variance followed by post-hoc analysis with t test for paired data for comparisons among the different follow ups. RESULTS Compared to baseline GH therapy increased LBM at 6 (p<0.0001) and 12 months (p<0.005) (45.3+/-7.7 kg vs 48.6+/-6.7 kg vs 48.2+/-7.5 kg). FM% was significantly reduced both after 6 and 12 months (p<0.02) (56.1+/-4.8% vs 53.7+/-4.2% vs 53.3+/-4.8%). Attained MET were found to be improved by 16% after 6 months and by 19% after 12 months of GH (p<0.001), while the small further rise between 6 and 12 months was not significant. CONCLUSIONS Our findings seem to support the view that GH therapy has beneficial effects on physical activity and agility as well as on body composition of adult patients with PWS.
Collapse
Affiliation(s)
- L A Gondoni
- Division of Cardiac Rehabilitation, S. Giuseppe Hospital, Research Institute, Istituto Auxologico Italiano, Verbania, Italy
| | | | | | | | | | | |
Collapse
|
37
|
Menegoni F, Vismara L, Capodaglio P, Crivellini M, Galli M. Kinematics of trunk movements: protocol design and application in obese females. J Appl Biomater Biomech 2008; 6:178-185. [PMID: 20740463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
PURPOSE Whether kinematic analysis of the trunk can provide useful clinical insight into the relationship between function and various spinal conditions is still under debate. The aim of this study was to develop a clinical protocol and an associated biomechanical model to characterize quantitatively the trunk movements in obese subjects. METHODS Twenty (10 obese, 10 control) female subjects were evaluated with an optoelectronic system and passive markers attached to the spine during forward flexion, lateral bending, and rotation of the trunk. RESULTS We found a systematic error due to skin artifacts of less than 5 degrees in both groups. Intra- and inter-subject standard deviation was less than 6 degrees . Obese subjects demonstrated a significantly reduced motion in the thoracic spine associated with an increased pelvic tilt angle as compared to controls. CONCLUSIONS Our protocol was able to characterize trunk mobility in obese and normal subjects suggesting that kinematics could represent, even in an obese population, a promising method to investigate subclinical spinal disorders and to assess the effectiveness of rehabilitation programs.
Collapse
Affiliation(s)
- F Menegoni
- Bioengineering Department, Politecnico di Milano, Milano and Orthopedic Rehabilitation Unit - IRCCS ''Istituto Auxologico Italiano'', Piancavallo (VB) - Italy
| | | | | | | | | |
Collapse
|
38
|
Ammaniti M, Speranza AM, Tambelli R, Muscetta S, Lucarelli L, Vismara L, Odorisio F, Cimino S. A prevention and promotion intervention program in the field of mother–infant relationship. Infant Ment Health J 2006. [DOI: 10.1002/imhj.20081] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
|
39
|
Abstract
Anxious and insecure attachment, fear of abandonment and difficulties with autonomy differentiate young women with eating disorders from their normal peers. This paper uses the Adult Attachment Interview (AAI) as the correlation between eating disorders and state of mind regarding attachment (7 females and 6 males) with anorexia nervosa and EDNOS. There was a higher frequency of dismissing or entangled states of mind. The sample is far too small to allow statistical inferences to be drawn about differences between men and women in the style of state of mind regarding attachment. An inference is none the less made with regard to the role of psychotherapy in these results.
Collapse
Affiliation(s)
- A Ramacciotti
- Istituto di Neuroscienze, Università degli Studi di Firenze, Italy
| | | | | | | | | | | |
Collapse
|
40
|
Quagliarini F, Molinari S, FSandrucci F, Vismara L. [Peritoneal metastasis of squamous cell carcinoma of the lung]. Radiol Med 2001; 102:89-90. [PMID: 11677448] [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: 02/22/2023]
Affiliation(s)
- F Quagliarini
- Radiologia Centrale, Ospedale Carlo Forlanini, Rome, Italy
| | | | | | | |
Collapse
|
41
|
Sandrucci F, Vismara L, Molinari S, Regimenti P, Rebeck L. [Percutaneous needle biopsy guided with computerized tomography of the chest. Personal experience with 1,605 cases]. Radiol Med 1998; 96:375-83. [PMID: 9972218] [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: 02/10/2023]
Abstract
INTRODUCTION Fine-needle aspiration biopsy (FNAB) plays an important role in the diagnosis of lung diseases. We report the results of 1605 CT-guided chest biopsies performed September, 1992, to December, 1997, and introduce a new method for specimen storage and handling. MATERIALS AND METHODS A lubricated flexible connection was placed between the needle and the syringe to cushion the improper movements transmitted on the needle by the operator during aspiration. 22-G needles were most frequently used. The pathologist's report included not only the presence/absence of tumor cells, but also the presence of suspicious/questionable cells, which latter finding led to another biopsy in 152 cases. RESULTS 64.7% of the lesions were < or = 3 cm and 55.5% were < or = 2 cm. Pneumothorax occurred in 16.0% of cases and it required a chest tube in 5.0%. The specimens were not smeared on a slide but kept in a test tube and quickly sent to the pathologist. 84.3% of the specimens were adequate for diagnosis and special care was given to typifying microcytoma/non-microcytoma histotypes, because treatment is different. 1003 of 1313 cases (76.38%) were true positives, 192 (14.2%) true negatives, 101 (7.69%) false negatives and 17 (1.92%) false positives. Sensitivity was 90.85%, specificity 91.86% and diagnostic accuracy 91.01%. The positive and the negative predictive values were 98.3% and 65.5%, respectively. CONCLUSIONS The use of a 60 mL syringe with a flexible connection reduces the rate of complications (eg, pneumothorax, bleeding) and also the biopsy time. It also improved the sampling accuracy, cushioning any possible inappropriate movement by the operator, and finally improved the material aspiration thanks to better vacuum than with the 20-30 mL syringes which are usually placed into biopsy guns.
Collapse
Affiliation(s)
- F Sandrucci
- Servizio di Radiologia Centrale, Azienda Ospedaliera S. Camillo, C. Forlanini, Roma
| | | | | | | | | |
Collapse
|
42
|
Malandrini A, Carrera P, Ciacci G, Gonnelli S, Villanova M, Palmeri S, Vismara L, Brancolini V, Signorini E, Ferrari M, Guazzi GC. Unusual clinical features and early brain MRI lesions in a family with cerebral autosomal dominant arteriopathy. Neurology 1997; 48:1200-3. [PMID: 9153443 DOI: 10.1212/wnl.48.5.1200] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [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: 02/04/2023] Open
Abstract
Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a recently described inherited disorder. The pathologic gene maps on chromosome 19. The clinical spectrum of the disease consists of recurrent strokes, migraine, transient ischemic attacks, mood changes, and dementia. We report a genetically assessed CADASIL family with atypical clinical presentations of epileptic seizures. In two asymptomatic family members there were early brain abnormalities on MRI. Our report expands the clinical spectrum of CADASIL and suggests that it is possibly an undiagnosed disorder.
Collapse
Affiliation(s)
- A Malandrini
- Istituto Scienze Neurologiche, Università di Siena, Italy
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
43
|
Malandrini A, Carrera P, Palmeri S, Cavallaro T, Fabrizi GM, Villanova M, Fattapposta M, Vismara L, Brancolini V, Tanganelli P, Calì A, Morocutti C, Zeviani M, Ferrari M, Guazzi GC. Clinicopathological and genetic studies of two further Italian families with cerebral autosomal dominant arteriopathy. Acta Neuropathol 1996; 92:115-22. [PMID: 8841656 DOI: 10.1007/s004010050498] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.8] [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: 02/02/2023]
Abstract
We report on two Italian families with an early-adult onset autosomal dominant disorder, characterized by leukoencephalopathy, migraine, psychiatric disturbances, stroke and dementia. These findings fulfill the diagnostic criteria for cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) syndrome. Moreover, to confirm the CADASIL gene location to 19p12, we performed a linkage analysis with four microsatellite markers. The results of the genetic study gave positive but not significant lod scores, indicating only weak evidence of a linkage with 19p12. In one autopsy case, we found extensive ischemic changes due to the selective involvement of the small muscular arteries of the cerebral white matter. The lesions consisted of a thickening of the media with deposition of granular eosinophilic material. Ultrastructural examination of the arterial walls showed graded damage to smooth muscle cells, mostly of the longitudinal layer, and an abnormal proliferation of basal lamina components. Immunocytochemical analysis showed strong reactivity using antibodies to collagen IV and smooth myosin proteins. The results suggest a primary involvement of the smooth muscle cells of small cerebral arteries, with a secondary alteration of basal lamina components and elastic tissue.
Collapse
Affiliation(s)
- A Malandrini
- Institute of Neurological Sciences, University of Siena, Policlinico Le Scotte, Italy
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
44
|
Vismara L. Clinical studies of Norpace (Part II). Angiology 1975; 26:132-6. [PMID: 1090213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
|
45
|
Vismara L, Hughes J, Bonanno J, Massumi RA, Zelis RF, Mason DT, A. Amsterdam E. Incidence and nature of arrhythmias in the early hospital post-coronary care unit phase of acute myocardial infarction. Am J Cardiol 1972. [DOI: 10.1016/0002-9149(72)90793-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
46
|
|