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"Fiorillo, Andrea"
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A skipping day
\"Jake and his friends Izzy and Cubby outsmart Captain Hook in this story based on the hit Disney Junior preschool series Jake and the Never Land Pirates.
Book
The consequences of the COVID-19 pandemic on mental health and implications for clinical practice
Everywhere in the world, psychiatric clinics are modifying their practice in order to guarantee care and support to persons with mental health problems, but also to those who are not mentally ill and are suffering from the psychosocial consequences of the pandemic. [...]Internet is spreading very rapidly a large amount of uncontrolled news. Most probably we will face an increase of mental health problems, behavioral disturbances, and substance-use disorders, as extreme stressors may exacerbate or induce psychiatric problems.
Journal Article
Disney Junior nine favorite tales
A collection of nine stories featuring Disney characters includes Jake and the Never Land Pirates playing pirate games, Minnie Mouse buying a robot to help with her bow-tique, and Doc McStuffins searching for her lost snowman.
Book
Mortality gap and physical comorbidity of people with severe mental disorders: the public health scandal
Background
Patients suffering from severe mental disorders, including schizophrenia, major depression and bipolar disorders, have a reduced life expectancy compared to the general population of up to 10–25 years. This mortality gap requires urgent actions from a public health perspective in order to be reduced.
Main text
Factors associated with the high mortality rates in patients with severe mental disorders can be grouped into four groups: those related to the patients, to psychiatrists, to other non-psychiatrist medical doctors and to the healthcare system. Each of these factors should become the target of specific and dedicated interventions, in order to reduce the morbidity and mortality rate in patients with severe mental disorders. All these elements contribute to the neglect of physical comorbidity in patients with severe mental. In particular, the long-standing separation of psychiatry from other branches of medicine and the lack of specific training on this issue further contribute to the poor attention dedicated to management of physical comorbidities. Recently, several professional associations have invited national bodies regulating education of healthcare professionals to include the management of physical health of people with severe mental disorders in undergraduate and postgraduate educational programs.
Conclusions
The premature mortality in patients with severe mental disorders is a complex phenomenon resulting by the interaction of several protective and risk factors. Therefore, a multilevel approach is needed, in which the different stakeholders involved in health care provision establish workforces for the long-term management of physical and mental health conditions.
Journal Article
One year after the COVID-19: What have we learnt, what shall we do next?
For the global population, one in three to six people appear adversely affected by depression, anxiety, insomnia, or suicidal ideas, the strongest predictor of these disorders being a history of mental health problems [2]. Three articles of this collection listed advices and recommendations to protect and defend the rights of patients with severe mental disorders in the circumstances of a pandemic [7], to organize basic principles of mental healthcare during the COVID-19 pandemic [8], and to help the general population to reduce stress and cope with related aspects such as confinement and lockdown [9]. [5] Wasserman D, Van der Gaag R, Wise J. The term “physical distancing” is recommended rather than “social distancing” during the COVID-19 pandemic for reducing feelings of rejection among people with mental health problems.
Journal Article
A Specific Inflammatory Profile Underlying Suicide Risk? Systematic Review of the Main Literature Findings
Consistent evidence indicates the association between inflammatory markers and suicidal behavior. The burden related to immunological differences have been widely documented in both major affective disorders and suicidal behavior. Importantly, abnormally elevated pro-inflammatory cytokines levels have been reported to correlate with suicidal behavior but whether and to what extent specific inflammatory cytokines abnormalities may contribute to our understanding of the complex pathophysiology of suicide is unknown. The present manuscript aimed to systematically review the current literature about the role of pro-inflammatory cytokines in suicidal behavior. Most studies showed a link between abnormally higher interleukin (IL)-1β, IL-6, tumor necrosis factor (TNF)-α, transforming growth factor (TGF)-β1, vascular endothelial growth factor (VEGF), kynurenic acid (KYN), and lower IL-2, IL-4, and interferon (IFN)-γ levels in specific brain regions and suicidal behavior. Unfortunately, most studies are not able to exclude the exact contribution of major depressive disorder (MDD) as a mediator/moderator of the link between inflammatory cytokines abnormalities and suicidal behavior. The association between suicidal patients (both suicide attempters or those with suicidal ideation) and the altered immune system was documented by most studies, but this does not reflect the existence of a specific causal link. Additional studies are needed to clarify the immune pathways underlying suicidal behavior.
Journal Article