Ilaria Lega

Ilaria Lega
Istituto Superiore di Sanità | ISS · National Center for Disease Prevention and Health Promotion

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68
Publications
8,685
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983
Citations
Citations since 2017
40 Research Items
672 Citations
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Publications

Publications (68)
Article
This review examines the association between the perinatal period and thoughts and behaviours of neonaticide, infanticide, and filicide, highlighting mothers' risk factors. A literature search was conducted on PubMed, PsycINFO, and ScienceDirect, with 2,957 articles screened and 13 determined as eligible for inclusion. Inclusion criteria were: 1) s...
Technical Report
Full-text available
In 2017, the Italian Ministry of Health promoted and financed a national project on the network of family care centres, entrusting its coordination to the Istituto Superiore di Sanità (ISS, the National Institute of Health in Italy). The report describes the results of the surveys conducted as part of the project which aimed to detect organizationa...
Technical Report
Full-text available
In 2017, the Italian Ministry of Health promoted and financed a national project on the network of family care centres, entrusting its coordination to the Istituto Superiore di Sanità (ISS, the National Institute of Health in Italy). The report describes the results of the surveys conducted as part of the project which aimed to detect organizationa...
Article
Full-text available
Background Patients hospitalised for COVID-19 may present with or acquire bacterial or fungal infections that can affect the course of the disease. The aim of this study was to describe the microbiological characteristics of laboratory-confirmed infections in hospitalised patients with severe COVID-19. Methods We reviewed the hospital charts of a...
Article
Full-text available
Background Mental health is a public health issue for European young people, with great heterogeneity in resource allocation. Representative population-based studies are needed. The Global Burden of Disease (GBD) Study 2019 provides internationally comparable information on trends in the health status of populations and changes in the leading cause...
Article
Full-text available
There has been concern about the impact of the COVID-19 outbreak on women’s mental health during the perinatal period. We conducted a cross-sectional web-based study aimed at evaluating the psychological impact (BSI-18) of the COVID-19 pandemic on this population and collecting information on the perinatal experiences (COPE-IS) during the second It...
Article
Full-text available
Background Most COVID-19-related deaths have occurred in older persons with comorbidities. Specific patterns of comorbidities related to COVID-19 deaths have not been investigated. Methods A random sample of 6085 individuals in Italy who died in-hospital with confirmed COVID-19 between February and December 2020 were included. Observed to expected...
Article
Full-text available
Background There is concern about the increased risk for SARS-CoV-2 infection, COVID-19 severe outcomes and disparity of care among patients with a psychiatric disorder (PD). Based on the Italian COVID-19 death surveillance, which collects data from all the hospitals throughout the country, we aimed to describe clinical features and care pathway of...
Article
Full-text available
In this before and after cross-sectional analysis, the authors aim to assess the impact of the bundle of research and training initiatives implemented between 2013 and 2018, and coordinated by the Italian Obstetric Surveillance System (ItOSS) to reduce obstetric haemorrhagic emergencies in five selected Italian Regions. To this purpose, the haemorr...
Article
Full-text available
PurposeWhile the number of forensic beds and the duration of psychiatric forensic psychiatric treatment have increased in several European Union (EU) states, this is not observed in others. Patient demographics, average lengths of stay and legal frameworks also differ substantially. The lack of basic epidemiological information on forensic patients...
Article
Introduction: in 2017, the Italian Ministry of Health funded the project "Analysis of the activities of the network of the Family Care Centers (FCCs) to relaunch their role" aimed at updating the state of the art of the national FCCs. The project was coordinated by the Italian National Institute of Health (INIH). The present paper focuses on a sel...
Article
Full-text available
With the exception of a few countries that chose a different approach, the worldwide reaction to the COVID-19 pandemic was a (longer or shorter) period of national lockdown. While the economic consequences of shutting down national economies were immediately evident, the sociopsychiatric implications of the social confinement of the entire populati...
Article
Introduction: Distance learning efficacy on physician performances and patient health outcomes has been demonstrated. This study explored the participation and evaluation of CME e-learning courses for Italian health care professionals addressing leading causes of maternal mortality identified by the Italian Obstetric Surveillance System (ItOSS) at...
Article
THE CONTEXT: among the community health services representing a resource to face the COVID-19 emergency, there are the Family Care Centres (FCCs). A national study coordinated by the Italian National Institute of Health (ISS) and funded by the Italian Ministry of Health, recently described their activities and needs, highlighting a large interregio...
Article
Objective To assess the impact of obesity on non‐respiratory complications in patients dying with COVID‐19. Methods medical charts of 3,694 patients dying with COVID‐19 in Italy were reviewed to extract information on demographics, pre‐existing comorbidities, and in‐hospital complications leading to death. Multivariate logistic regressions were pe...
Article
Full-text available
Purpose While the number of forensic beds and the duration of psychiatric forensic psychiatric treatment have increased in several European Union (EU) states, this is not observed in others. Patient demographics, average lengths of stay and legal frameworks also differ substantially. The lack of basic epidemiological information on forensic patient...
Article
Full-text available
Suicide has been identified as one of the most common causes of death among women within 1 year after the end of pregnancy in several high-income countries. The aim of this study was to provide the first estimate of the maternal suicide ratio and a description of the characteristics of women who died by suicide during pregnancy or within 1 year aft...
Article
Full-text available
Perinatal mental health around the world: priorities for research and service development in Italy – CORRIGENDUM - Pietro Grussu, Ilaria Lega, Rosa Maria Quatraro, Serena Donati
Article
Full-text available
Centro nazionale per la prevenzione delle malattie e la promozione della salute, Istituto superiore di sanità, Roma Corrispondenza: Laura Lauria; laura.lauria@iss.it RIASSUNTO Il CONTeSTO: tra i servizi sanitari territoriali che possono rappresentare una risorsa per fronteggiare l'emergenza CO-VID-19 ci sono i Consultori familiari (CF). Uno studio...
Article
Full-text available
In Italy, most studies on perinatal mental health and initiatives aimed at improving the early detection and management of perinatal mental disorders have been carried out at the local level. National population-based studies are lacking. A study of pregnant women, recruited and diagnosed by a university hospital, found a 12.4% prevalence of minor...
Article
Objective: To describe the Italian Obstetric Surveillance System (ItOSS) investigating maternal death through incident case reporting and confidential enquiries. Methods: All maternal deaths occurred in any public and private health facility in 8 Italian regions covering 73% of national births have been notified to the ItOSS. Every incident case...
Article
Introduction: peripartum hysterectomy is usually undertaken in cases of life-threatening obstetric hemorrhage to prevent the death of the mother. Near miss events are still under-researched and inappropriate care continues to be a critical issue, even in countries with advanced obstetric surveillance systems. The aim of the present study was to es...
Article
Suicide has been identified as one of the most common causes of death among women within 1 year after the end of pregnancy in several high-income countries. The aim of this study was to provide the first estimate of the maternal suicide ratio and a description of the characteristics of women who died by suicide during pregnancy or within 1 year aft...
Article
We thank Dr David C. Reardon for drawing attention (1) to our publication, “Maternal mortality in Italy: results and perspectives of record‐linkage analysis” (2) and asking for a disaggregation of results by different types of pregnancy outcome. We agree with Dr Reardon that it is important for researchers and health policy makers to explore discre...
Article
Full-text available
Background The effects of having a child with Autism Spectrum Disorder (ASD) on parents are multifaceted and pervasive. While ample evidence has been provided that these families are under severe stress, there are still several knowledge gaps and unresolved questions. Objective This study aimed at quantifying the subjective and objective burden of...
Article
Introduction: Accurate estimates and reliable classification of maternal deaths are imperative steps in the chain of actions targeted at reducing avoidable maternal mortality. The aims of this study were to estimate the maternal mortality ratio (MMR) in 10 Italian regions covering 77% of total national births and to identify the most suitable appr...
Article
Full-text available
Background: Drug consumption during pregnancy is a matter of concern, especially regarding drugs known or suspected to be teratogens. Little is known about drug use in pregnant women in Italy. The present study is aimed at examining the prevalence, and to detect potential inappropriateness of drug prescribing among pregnant women in Latium, a regi...
Article
Full-text available
The study aims to promote the reduction of preventable maternal and neonatal deaths related to sepsis worldwide. To achieve this goal, the study will test new WHO criteria for early identification of maternal sepsis across both low and high resource settings, describe and analyze the frequency and outcomes of suspected or confirmed maternal sepsis...
Article
Full-text available
Introduction: Deficiency of folic acid (FA) has been identified as a risk factor for neural tube defects (NTDs) as well as other congenital anomalies. Thus, periconceptional folate supplementation is recommended for all women planning to get pregnant. Methods: We conducted a KAP (knowledge, attitude, practice) survey to investigate the use of FA...
Article
Objective: There is considerable uncertainty about whether depression screening programs in primary care may improve outcomes and what specific features of such programs may contribute to success. We tested the effectiveness of a program involving substantial commitment from local mental health services. Methods: Prospective, randomised, patient...
Article
Full-text available
Filling an alarming gap in evidence-based data on the post-1978 reformed Italian psychiatric system, two turn-of-millennium nationwide projects, Progetto Residenze (PROGRES) and PROGRES-Acute, provided detailed qualitative-quantitative information about care facilities. In 2000, there were 2.9 residential beds per 10,000 inhabitants, hospital care...
Technical Report
Full-text available
Since March 2012 the Istituto Superiore di Sanità (the National Institute of Health in Italy) has been coordinating the project “Assessment of Italian Forensic psychiatric Hospitals (IFHs) population aimed at suggesting changes in organizational set-up and procedures”. The main objective of the project is to collect reliable data on psychiatric dia...
Article
Full-text available
Background: Depression goes often unrecognised and untreated in non-psychiatric medical settings. Screening has recently gained acceptance as a first step towards improving depression recognition and management. The Primary Care Screener for Affective Disorders (PC-SAD) is a self-administered questionnaire to screen for Major Depressive Dis-order (...
Data
Background: Depression goes often unrecognised and untreated in non-psychiatric medical settings. Screening has recently gained acceptance as a first step towards improving depression recognition and management. The Primary Care Screener for Affective Disorders (PC-SAD) is a self-administered questionnaire to screen for Major Depressive Dis-order (...
Article
One fifth of workers reports experiencing stress in the work environment in Europe.A number of studies show that psychosocial stressors in the workplace are associated with adverse physical and mental health outcomes, including symptoms of anxiety and depression. The present paper: briefly describes the characteristics of occupational stress and th...
Article
Suicide accounts for about 1,000,000 deaths worldwide every year and is among the leading causes of death in young adults. Reports of high prevalence of suicidal ideation and increased suicide risk in several skin diseases raised concerns about deliberate self-harm in dermatological patients. The literature consistently points to an increased suici...
Article
Background: Depression goes often unrecognised and untreated in non-psychiatric medical settings. Screening has recently gained acceptance as a first step towards improving depression recognition and management. The Primary Care Screener for Affective Disorders (PC-SAD) is a self-administered questionnaire to screen for Major Depressive Dis-order (...
Article
Full-text available
Mental health is recognized worldwide as a major public health priority for the twenty-first century. Different actions are needed, including developing or strengthening national mental health information systems, based on standardized indicators that allow national and international monitoring. In 2008, the national Centre for Disease prevention a...
Article
The factors involved in the etiology of alexithymia are still unclear. While a few studies suggested substantial genetic influences on alexithymia, it remains to be determined if these influences are independent of genetic influences on other mental health variables correlated with alexithymia, such as depression. This study is aimed at confirming...
Article
Full-text available
The prevalence of depressive disorders is high among patients with skin disease. The PC-SAD is a 37-item self-administered depression screening questionnaire that has been validated in dermatological patients. The aim of this study was to develop and validate a brief depression severity instrument derived from the PC-SAD that can be used to assess...
Article
This study provides: a) rates of hospitalization for anorexia nervosa (AN) in Italy in 2004-2005 period; b) an estimate of the incidence of moderate to severe hospitalized AN in the same period among persons aged 10-19 years. 9863 hospital discharges of patients aged 10-59 years with a diagnosis of AN (ICD9CM code 307.1) were extrapolated from the...
Article
The relationship between alexithymia and psychosocial functioning has been investigated in a few studies using indirect measures of adaptation. We aimed at directly evaluating the relationship between alexithymia and global psychosocial functioning, as measured by a standardised scale. A large, consecutive sample of dermatological inpatients (N=545...
Article
Full-text available
Psychological distress has been frequently reported in the setting of skin disorders. The Diagnostic Criteria for Psychosomatic Research (DCPR) have been found to yield valuable integrative information, in addition to DSM-IV nosology, in a variety of medical diseases. The aim of this study was to verify whether this integration could also be helpfu...
Article
Full-text available
The present study was designed to investigate the relations between plasma ghrelin concentrations, eating patterns, and circulating concentrations of cortisol and thyroid hormones in women with anorexia nervosa, bulimia nervosa, and binge-eating disorder. The patterns of disordered eating behavior were assessed using the Eating Attitudes Test (EAT-...
Article
Although psychiatric disorders are frequent among dermatological patients, no study has formally assessed the performance of any psychiatric screening questionnaire in dermatological practice. This study tested the ability of the 12-item General Health Questionnaire (GHQ-12) to identify psychiatric morbidity in dermatological patients. A sample of...
Article
Introduction. Depressive disorders are frequent and are associated with increased mortality, disability, and secondary morbidity. However, they are often not recognised and adequately treated. There is a need for valid screeners, suitable for routine use. The objective of this study was to develope an Italian version of the questionnaire 'Primary C...
Article
Objective: Several studies pointed out that in non-psychiatric settings psychiatric disorders are frequent, often underestimated, and inadequately treated. This study examined the performance of the PHQ as a screener for depressive and anxiety disorders in a sample of dermatological inpatients. Methods: The Structured Clinical Interview for DSM-IV...

Network

Cited By

Projects

Projects (3)
Project
The main goal of Riseup-PPD COST Action is to establish a Pan-European multidisciplinary network of researchers dedicated to the understanding of Peripartum Depression Disorder (PPD), from its prevention and assessment to its treatment and global impact.
Project
Forensic psychiatric care is aimed at improving mental health and reducing the risk of recidivism of mentally disordered offenders. Due to different legal frameworks, policies and resources in EU countries, treatment programs and care provided for these offenders vary substantially within Europe. During the last two decades the number of forensic beds has increased rapidly in several countries. The duration of treatment is also increasing. Strong societal demands for coercive measures against “dangerous” mentally disordered persons and an increasing focus on reducing risk, as well as reduced funding for aftercare are likely contributory factors for these changes. And consequently, a significant proportion of mentally disordered offenders may require long-term, potentially life-long, forensic psychiatric care. Within this COST Action researchers and clinicians join their expertise and research activities to set the basis for comparative evaluation and research on effective treatment and the development of ´best practice´ in long-term forensic psychiatry in Europe. Their aim is to develop cost effective policies in forensic services, evidence-based practice in long-term forensic care and optimize patients´ quality of life.
Project
Set up a network of Italian GBD collaborators. Improve GBD estimates for Italy and subnational locations. Increase the level of data sharing and revisions. Promote the use of GBD estimates for evidence based planning. Itentify gaps in good quality data needed for planning.