R. Ciano

University of Udine, Udine, Friuli Venezia Giulia, Italy

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Publications (5)10.35 Total impact

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    ABSTRACT: It is possible to find an organic cause just for 1/3 of patients admitted to hospital with chest pain [1]. For the other 2/3 we are dealing with Unexplained Chest Pain [2].Many studies demonstrated that in a high percentage of people that suffer of UCP there are mental disorders and unfavourable social and psychological factors [3,4,5].AimThe aim of this study was to estimate prevalence and to outline the psychological, social, anxious, depressive and somatoform state of patients admitted to emergency ward.Method We recruited 319 patients, 169 treated in Udine's Emergency ward for chest pain and a control group of 150 patients that went to their family doctor with other symptoms.Each of them completed self-administered tests searching socio-demographic characteristics, anxiety, depression, somatization, alexithymia, stress factors and child abuse. After 3 months we selected, using the hospitals database, patients that had confirmed diagnosis of UCP.ResultsPrevalence of UCP in patients treated in Udine's emergency room was 45,5% (n77). We found a statistically significant difference between patients with UCP and control healthy group in the somatization subscale of SCL90 (χ2 = 18,2; p < 0,0001) and anxiety subscale of HADS (χ2 = 21,5; p < 0,0001).ConclusionsA high percentage of hospitalized patients in the emergency ward for chest pain did not receive diagnosis of an organic pathology. It's possible to find in these patients a greater tendency to somatization and presence of anxiety symptoms. This data is in line with what recent literature shows.
    European Psychiatry 01/2012; 27:1. DOI:10.1016/S0924-9338(12)74414-0 · 3.21 Impact Factor
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    ABSTRACT: Research has evaluated cognitive-behavioral therapy and interpersonal psychotherapy for the treatment of binge-eating disorder (BED); other therapies, however, have received less attention. The aim of our research was to analyze the efficacy of two group therapies for BED patients: analytic psychotherapy and psychoeducation. The psychotherapeutic intervention consisted of group-analytic psychotherapy of 14 sessions over a 28-week period; the group psychoeducational intervention involved 10 sessions over a 10-week period. The Eating Disorder Inventory-2, the 16-Personality Factors questionnaire, the Hospital Anxiety and Depression Scale, and the Toronto Alexithymia Scale-20 were used for psychometric assessment. Two follow-up assessments were performed after 6 and 12 months, respectively. At the end of treatment, most patients were without eating disorders and had a lower rate of binge episodes. The psychoeducational group patients improved markedly in alexithymic traits related to the ability to describe feelings. At follow-up, most patients were still without eating disorders and had few binge episodes. Although psychoeducational group patients confirmed the amelioration on alexithymic traits, analytic psychotherapy group patients showed a trend toward an improvement in personality traits related to the ability to be at ease when communicating with others.
    Psychotherapy Research 04/2010; 12(2):231-239. DOI:10.1080/713664282 · 1.75 Impact Factor
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    ABSTRACT: Over the past 50 years, education has become more complex. The demand for quality and accountability in education had also increased. These demands have increased pressure on teachers, with the result that teaching is now regarded by teachers as highly stressful. The purpose of the study was to examine burnout among teachers in a region of Italy including the risk factors of burnout and the strategies used by teachers to prevent and deal with stress. The research was carried out on a sample of 508 teachers. The questionnaire incorporated the Maslach Burnout Inventory modified for Italian teachers--a 22 item questionnaire designed to assess the three aspects of burnout syndrome: emotional exhaustion, depersonalization and lack of personal achievement. The results highlight the presence of substantial levels of emotional exhaustion in a significant number of teachers. The rate of burnout among teachers is 19.7%. The data are lower than for a sample of Italy as a whole and than for European countries where rates of burnout range between 25% and 35%.
    Annali di igiene: medicina preventiva e di comunità 01/2010; 22(4):311-8.
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    ABSTRACT: The aim of this study was to use the Eating Attitudes Test-26 (EAT-26) as a screening instrument on a specific population with a marked prevalence of binge eating disorder (BED) and eating disorder not otherwise specified (EDNOS). The EAT-26 questionnaire was used in order to identify the high-risk subjects for referral to clinical evaluation. EAT-26 was administered to 845 subjects who, for the first time, came to the Nutritional Medicine Service looking for a diet between January 1999 and December 2002. From this initial sample, subsequently, 250 subjects were randomly selected and administered a semistructured clinical interview for DSM-IV (SCID I, version 2.0). Discriminant analysis provided a cutoff value of EAT-26=11. Logistic regression analysis indicated high Dieting (D) or Bulimia (B) subscale scores as a risk factor of EDNOS or bulimia nervosa (BN) cases, respectively; on the other hand, a high Oral Control (O) subscale score represented a protecting factor for BED cases. Our study tried to assess the usefulness of EAT-26 as a screening instrument for obese patients attending a Medical Nutritional Service. Results from this study suggest that a cutoff score of 11, lower than that indicated in the literature, improves the diagnostic accuracy of the EAT-26 in a high-risk setting regarding sensibility level (68.1%) and leading to a reduction of the false negative rate (31.9%).
    International Journal of Obesity 07/2006; 30(6):977-81. DOI:10.1038/sj.ijo.0803238 · 5.39 Impact Factor
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    ABSTRACT: The aim of this report is to analyse the impact of a psychoeducational preventive programme on the eating habits of a sample of adolescent schoolgirls. Of the 112 schoolgirls attending five classes, about 86% agreed to participate in the program. Of these, 63 participants belonged to the experimental group and 33 agreed to the control group. The psychoeducational sessions were performed once a month for each of three experimental classes. The programme involved discussions on the nature of eating disorders, on epidemiological aspects and on the importance of early detection of risk factors. The tests used to evaluate the sample were the EDI-2 and the PF-16. The results showed a significant improvement in bulimic attitudes, asceticism, feelings of ineffectiveness, and maturity fears. Anxiety traits were also better managed in the experimental group. Our conclusions suggest that correct information about eating disorders can ameliorate unhealthy attitudes towards eating behaviour.
    British Journal of Medical Psychology 10/2001; 74(Pt 3):351-8. DOI:10.1348/000711201161028