Simone Cheli

Simone Cheli
University of Florence | UNIFI · Dipartimento di Scienze della Salute

PhD

About

109
Publications
31,533
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
233
Citations
Additional affiliations
July 2017 - July 2017
Instituto Nacional de Cancerología - Mexico
Position
  • Lecturer
January 2017 - present
USL Toscana Centro, Firenze, Italy
Position
  • Chief of Research
November 2016 - December 2016
Assuta Medical Centers
Position
  • Lecturer
Education
January 2018 - January 2021
Università Telematica Guglielmo Marconi
Field of study
  • Clinical Psychology
January 2009 - December 2012
Insitute of Constructivist Psychology
Field of study
  • Psychotherapy
January 2000 - February 2005
University of Florence
Field of study
  • Clinical Psychology

Publications

Publications (109)
Article
Objective Fear of recurrence is a crucial issue in cancer care. On the one hand, the increase of cancer survival rates and complexity of care is exposing patients to this type of fear. On the other hand, it is a distressing and recurrent psychosocial risk that affects quality of life and adherence to follow‐up. Patients should have access to targe...
Article
Purpose Humans evolved within the mammalian line as a highly social species. Indeed, sociality has been a major driver of human social intelligence. From birth, social relationships have emotional and self‐regulating properties and operate through different body systems. This paper will explore how heart rate variability (HRV), an index of the vaga...
Article
Objective: The aim of this study was to pilot test a novel assessment and treatment plan for patients with a schizotypal personality disorder by integrating the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) alternative model of personality disorders, metacognitively oriented psychotherapies, and recovery approaches. Method: I r...
Article
Background: We explored the role of criticism of self and of others, and metacognitive abilities in hearing voices that may refer to god or a divine presence, and qualitatively compared differences and similarities between persons who were diagnosed with psychosis and those who were not. Methods: We recruited two samples of persons who heard divin...
Article
Metacognition among those reporting psychotic symptoms is associated with a distortion in the way they understand their own and others’ mental states. Recent advances suggest that distortion in the form of self-criticism may activate a threat response and fuel symptom expression. At high level of self-criticism metacognition may reduce its protecti...
Article
Full-text available
Background Compassion focused therapy (CFT) is an evolutionary informed, biopsychosocial approach to mental health problems and therapy. It suggests that evolved motives (e.g., for caring, cooperating, competing) are major sources for the organisation of psychophysiological processes which underpin mental health problems. Hence, evolved motives can...
Article
The tendency to hide and mask suffering and one's perceived imperfections is one of the biggest obstacles in treating those with prominent perfectionistic traits. In this single case, we present an integrative form of psychotherapy for patients with recurrent strategies aimed at neither displaying nor disclosing their perfectionism. Emily was a 26-...
Article
Full-text available
Objectives The COVID-19 pandemic is having an unprecedented detrimental impact on mental health in people around the world. It is important therefore to explore factors that may buffer or accentuate the risk of mental health problems in this context. Given that compassion has numerous benefits for mental health, emotion regulation, and social rel...
Chapter
The diagnosis of cancer often prompts people to reconsider their existential meaning and their life history. The multicultural and multifaith complexity of our societies often hinders this process and requires the development of interventions that are as sensitive and unbiased as possible. This chapter advocates the usefulness of compassion-focused...
Article
Full-text available
Background International and national oncology societies had released recommendations in favor of COVID-19 vaccination in cancer patients. In the context of the national vaccination campaign targeting the so called extremely vulnerable, we aimed to assess the safety and efficacy of the mRNA vaccines in a cohort of 623 patients. Methods Between Mar...
Article
Full-text available
Background: Patients with comorbidity are at higher risk of deteriorating COVID-19, but they need to access healthcare services regularly for their primary disease. This study aimed to investigate whether patients restricted healthcare utilization due to the COVID-19 pandemic and to understand the relations between restriction of healthcare utiliz...
Article
Full-text available
Background Historically social connection has been an important way through which humans have coped with large-scale threatening events. In the context of the COVID-19 pandemic, lockdowns have deprived people of major sources of social support and coping, with others representing threats. Hence, a major stressor during the pandemic has been a sense...
Article
Full-text available
The aim of this research is to present the linguistic and psychometric validation in Italian of the procedure developed by Paul H. Lysaker to assess metacognition. In two different studies we confirm the reliability of Metacognitive Assessment Scale-Abbreviated (MAS-A) and of clinical and non-clinical version of Indiana Psychiatric Illness Intervie...
Article
Growing awareness that many who are diagnosed with schizophrenia recover has spurred the development of new psychosocial approaches to treatment. These new approaches include forms of individual and group psychotherapy whose focus extends beyond reducing symptoms and improving skills to subjective outcomes related to sense of self. This paper intro...
Article
Full-text available
Objective: To explore the role of personality traits in moderating the relation between COVID-19 risk perception and treatment adherence, and between risk perception and psychosocial distress in patients diagnosed with cancer. Methods: An online survey (n= 1281) was conducted worldwide in seven countries (Austria, Germany, Hong Kong, Italy, Spain,...
Article
Full-text available
The objective of this pilot-study is to report the preliminary results of a specifically designed therapy for gifted students enrolled in highly competitive PhD programs. We outlined a case series design (n=7), with initial, final, and 1-month follow-up assessments. Inclusion criteria were: to be a student in an international PhD program; to be def...
Article
Paranoid personality disorder (PPD) is a severe condition, lacking specialized and empirically supported treatment. To provide the clinician with insights into how to treat this condition, we present a case study of a 61‐year‐old man with severe PPD who presented with ideas of persecution, emotionally charged hostility, and comorbid antisocial pers...
Article
Full-text available
Research using the integrated model of metacognition has suggested that the construct of metacognition could quantify the spectrum of activities that, if impaired, might cause many of the subjective disturbances found in psychosis. Research on social cognition and mentalizing in psychosis, however, has also pointed to underlying deficits in how per...
Article
Full-text available
Background: The COVID-19 pandemic is a massive global health crisis with damaging consequences to mental health and social relationships. Exploring factors that may heighten or buffer the risk of mental health problems in this context is thus critical. Whilst compassion may be a protective factor, in contrast fears of compassion increase vulnerabi...
Article
Full-text available
Perfectionism is considered a multidimensional and transdiagnostic personality style that can occur in severe forms of personality disorders. The aim of this study is to explore the acceptability and the feasibility of an integrative mindful compassion group intervention for patients who were diagnosed with personality disorders and reported promin...
Article
Full-text available
Despite the high prevalence and the recurrence of severe psychopathological outcomes, perfectionistic and overcontrolled personality traits have received very little attention from scholars and public health services. Recently, authors such as Paul Hewitt, Thomas Lynch and Paul Gilbert have fostered the development of psychometric and conceptual to...
Article
Full-text available
Objective: The Multidimensional Perfectionism Scale is a 45-item scale that investigates the relevance of perfectionistic personality traits. Consistent with the dynamic-relational model developed by Paul Hewitt and colleagues, three interpersonal styles are assumed: self-oriented, other-oriented, socially prescribed perfectionism. In several studi...
Article
Full-text available
Objective: The Perfectionistic Cognitions Inventory is a tool aimed at assessing perfectionistic automatic rumination. The questionnaire investigates the intrapersonal cognitive component of perfectionism by giving a general index of severity con rmed by the unifactorial structure of the original version and the Italian validation we present here....
Article
Full-text available
Objective: The Interview for Perfectionistic Behavior is a structured interview that is aimed to o ering the clinician an idiographic tool for assessing perfectionism. It investigates through 51 items the three components of the dynamic-relational model of perfectionism (traits; self-presentation strategies; automatic ruminations), allowing to rate...
Article
Full-text available
Objective: The Perfectionistic Self-Presentation Scale is a self-report questionnaire consisting of 27 items with response on a 7-point Likert scale. The aim is to investigate the interpersonal components of perfectionism as de ned by Paul Hewitt and colleagues. The aim of the present study was to con rm the predictive validity of the scale in a la...
Article
Full-text available
Objective: The Distress Overtolerance Scale is a scale whose purpose is to measure a person's ability to tolerate adverse psychological states. It assumes the existence of two sub-components: one generically linked to the ability of subjects to tolerate negative situations despite these in uencing their well-being; one related to the tendency of pe...
Article
Objective Burnout may represent a significant source of distress in health care professionals. Many studies have reported its negative effect on career satisfaction and personal life. The aim of the present study was to investigate the relation between burnout and life satisfaction in a large sample of Italian oncologists. Methods An online survey...
Article
Full-text available
The resistance of negative symptoms to pharmacologic treatment has spurred interest in understanding the psychological factors that contribute to their formation and persistence. However, little is understood about the psychological processes that reinforce and sustain the negative symptoms domain of diminished expression. Prior research has shown...
Article
Psychotherapy for obsessive-compulsive personality disorder (OCPD), where perfectionism is a defining criterion, is understudied. Despite a high prevalence few evidence-based treatments are available for the presentation. Here we describe the course of a 6-month program of meta-cognitive interpersonal therapy with an OCPD patient with prominent per...
Article
AIM: To pilot-test the effectiveness of a online compassion-focused crisis intervention for persons who were diagnosed with brief psychotic disorder and were still at high risk for a psychotic episode at the Italian announcement of lockdown on March 9th, 2020. METHODS: Six patients who, at the moment of the lockdown, were treated through different...
Article
Full-text available
Background The resistance of negative symptoms to pharmacologic treatment has spurred interest in understanding the psychological factors that contribute to their formation and persistence. However, little is understood about the psychological processes that reinforce and sustain the negative symptoms domain of diminished expression. Prior research...
Article
Full-text available
I mutamenti nei flussi migratori e il costante ed inarrestabile processo di ibridazione culturale della nostra società impone ai clinici la definizione e lo sviluppo di interventi specificamente rivolti a persone con storia di recente o rilevante migrazione. L’obiettivo del presente articolo è quello di delineare alcuni principi fondati sulla prosp...
Chapter
Palliative care may be considered a frontier of research in psycho-oncology. Although a few standardized protocols have been developed, the available studies are frequently biased. Ethical concerns, sampling and methodological biases, and unstructured delivery settings have affected the quality of clinical research. The aim of this chapter is to su...
Chapter
Full-text available
Il libro che qui presentiamo al pubblico italiano rappresenta a nostro avviso uno strumento che coniuga due pregi assai rari: una coerenza espositiva e scientifica, nonché una fruibilità e trasferibilità pratica. "Mindful Compassion" (Gilbert e Choden 2013) si prefigge infatti l'ambizioso (e riteniamo raggiunto) obiettivo di integrare in maniera op...
Article
Full-text available
Cognitivismo Clinico, 16(1) Obiettivo del presente contributo è quello di condurre una review narrativa e meta-sintesi degli studi esistenti sui costrutti di bizzarrie e schizotipia secondo una prospettiva evoluzionistica. La schizotipia rappresenta a seconda degli autori uno spectrum o taxon comprendente fenomeni diversi che vanno da esperienze b...
Article
Schizotypal personality disorder represents a broad range of maladaptive behaviour, which has been linked to both personality disorder and schizophrenia spectrum disorders; however, to date, little effort has been devoted to developing psychosocial treatment approaches to address it. In response, we conducted two case studies exploring the effects...
Article
Introduction In Italy, long-term outcomes of esophageal atresia (EA) are poorly understood. The Italian Association ‘Family with Esophageal Atresia’ (F.AT.E.) and Tages Onlus, and some Italian pediatric centers of reference for AE, collaborated to define the first work about long-term outcomes and quality of life (QoL) in a cohort of Italian adults...
Article
Full-text available
The raising of alternative models of personality disorder together with a trauma/dissociation paradigm may represent a turning point for the understanding of the schizotypal personality disorder. Accumulating evidence on this complex phenomenon urges for further research: little is known about the disease trajectories and therapeutic options are sc...
Article
Full-text available
There is an increasing base of evidence that mindfulness-based interventions are effective in reducing stress in nurses. Little is known about the potential effect of mindfulness in fostering nursing education. The present article reports the preliminary data of a pilot study aimed to introduce a mindfulness-based education program for nursing stud...
Article
The present paper is devoted to the description of a model that may support the theoretical integration and the clinical advance of current psychotherapy. On one hand, it reports a narrative review of the common trends of the so‐called Third Wave of Cognitive‐Behavioural Therapy and other modern approaches. On the other hand, it defines epistemolog...
Article
Gli interventi su persone con recente o comunque rilevante storia di migrazione rappresentano un ambito di implementation science in cui dobbiamo coniugare una conoscenza approfondita delle linee guida esistenti con un’attenzione specifica al contesto culturale di provenienza. Se da un lato questo richiede saper rendere flessibile ed adattabile il...
Preprint
Full-text available
Radical Constructivism is an epistemological position stating that knowledge is an agent’s active and dynamic construction, and its own value is established by its viability in the agent’s world of experience rather than in comparison to an external reality. The concept of Radical Constructivism was coined by Ernst von Glasersfeld (Munich, Germany,...
Article
Full-text available
The unprecedented wave of refugee migration from Africa and the Middle East to Europe presents major challenges to European health professionals and to society at large. A recent workshop which took place in Syracuse, Sicily, brought together physicians, nurses and psychologists and managers of governmental agencies from Italy, Lebanon, Israel, Ira...
Article
Full-text available
The continuous waves of refugees from Africa and the Middle East to Europe present major inter­cultural challenges to European health professionals and to society at large. A recent workshop in Sicily brought together local physicians, nurses, psychologists and managers of governmental agencies, along with representatives from Lebanon, Israel, Iraq...
Article
Full-text available
The present paper is devoted to the description of a model that may support the theoretical integration and the clinical advance of current psychotherapy. On the one hand, it reports an extensive review of the common trends of the so-called Third Wave of Cognitive-Behavioral Therapy and other modern approaches. On the other hand, it defines a few e...
Conference Paper
The aim of this study is to propose an integration of the epistemological traditions of constructivism and systemics, and of the contemporary theorizations of physics and complex system models. All these theoretical viewpoints subsume a revolutionary construction of truth and reality, that supports and expands the concept of emergence. I hypothesis...
Article
Retrieved from: https://www.rivisteweb.it/doi/10.1421/87332
Chapter
Full-text available
Sincerity and ethics are two elusive and multifaceted constructs. As people and contexts change, ethical questions look similar, whereas answers do not. From my point of view, talking about ethics means asking oneself why lying or conflicting, for example, could be the preferable choices for someone. It means bringing both one’s own and other peopl...
Article
Full-text available
Introduction Systematic reviews and meta-analyses report low-quality evidence to suggest a significant differential effectiveness between standard psychosocial interventions in reducing substance consumption. They highlight the presence of several types of treatments that usually integrate different approaches in a multimodal manner. CBT-based inte...
Article
Introduction In the last 15 years several new waves have been described within CBT. At the same time, two constraints seem to define the role of psychotherapy: an integrative theoretical trend; an increasing incidence of chronic psychiatric disorders and psychiatric morbidity in chronic conditions. Objectives We discuss the viability of a Comple...
Poster
Il cancro rappresenta una delle maggiori sfide dei nostri sistemi sanitari. I dati italiani del 2016 riportano 3 milioni di casi prevalenti e 360.000 nuovi casi all’anno. Nel corso della vita in media un uomo su 2 e una donna su 3 si ammaleranno di tumore; la mortalità è in riduzione e l’Italia si attesta tra i paesi a più alto incremento dell’aspe...
Article
Full-text available
The aim of this qualitative research is to explore the perception of the organizational climate in Italian cancer units. The survey was the first step of a two year action-research project, involving 14 hospitals and different professions (n=475). We report the methodology and the thematic clusters that emerged in analysing the answers to three que...
Article
Background: The experience of cancer patients is difficult to be framed up through standard psychodiagnostic criteria. The most of the studies report a constellation of depressive, anxious, and posttraumatic symptoms. Therefore, transdiagnostic approaches such as Mindfulness‐Based Cognitive‐Behavioural Therapy (MBCT) and Metacognitive Therapy (MCT)...
Article
Retrieved from: https://thepsychologist.bps.org.uk/brexit-poll
Conference Paper
Full-text available
A pop assumption states we must understand our past to create our future. From a more rigorous perspective, this probably means we need to understand the context of past choices, in order to set present choices up and image the future ones. Therefore, we assume that if we yearn for a new spirit in PCP, we must recognize how and why our founding fat...
Article
Full-text available
L’oncologia con il suo peso in termini di incidenza, prevalenza e complessità assistenziale rappresenta una delle sfide più ardue per il sistema sanitario del nostro Paese e può rappresentare oggi un fondamentale banco di prova per le aspirazioni insite nella riforma del sistema sanitario della Toscana. Per articolare operativamente una riforma amb...
Conference Paper
Full-text available
Introduction: The experience of a cancer patient usually walks far from the psychodiagnostic criteria. The most of the studies report a constellation of depressive, anxious, and post-traumatic symptoms. Therefore, transdiagnostic approaches such as Mindfulness-Based Cognitive-Behavioral Therapy (MBCT) and Metacognitive Therapy (MCT) are receiving g...
Conference Paper
Full-text available
Metacognitive Therapy (MCT) could be very effective in treating disorders and symptoms that are very common in cancer patients: worry, anxiety and depression. At the same time, little is known about the application of MCT on cancer patients. The aim of this study is to pilot-test the effectiveness of a revised MCT intervention tailored for breast c...
Method
Full-text available
Italian Version of the Body Image Scale (Hopwood et al. 2001): questionnaire and scoring (Cheli et al.. 2016). Versione Italiana della Body Image Scale (Hopwood et al. 2001): questionario e scoring (cheli et al. 2016).
Article
Full-text available
The aim of this study was to evaluate reliability and sensitivity in the Italian version of Body Image Scale in a sample of women with breast cancer. The participants consisted of 219 postoperative breast cancer patients. We estimated internal consistency using Cronbach’s α and split-half technique. Test-criterion validity was evaluated through ANO...
Conference Paper
Full-text available
La vivencia del paciente oncológico es difícilmente atribuible a una específica sintomatología. La mayoría de las investigaciones refieren una constelación de síntomas ansiosos, depresivos y post-traumáticos. Por esta razón y por los datos sobre efectividad, los enfoques transdiagnósticos están difundiéndose cada vez más en la psicooncología. En pa...
Article
BACKGROUND Health-Related Quality of Life (HRQOL), a ubiquitous construct, has proven difficult to define. It covers the subjective perceptions of the positive and negative aspects of patients' symptoms, including physical, emotional, social, and cognitive functions and, specifically, disease symptoms and side effects of treatment. Despite the diff...