Fabrizio Starace's research while affiliated with University of Ferrara and other places

Publications (58)

Article
Time perspective (TP) influences various aspects of human life. We aimed to explore the associations between TP, daily time use, and levels of functioning among 620 patients (313 residential patients and 307 outpatients) with a diagnosis of Schizophrenia Spectrum Disorders (SSD) recruited from 37 different centres in Italy. The Brief Psychiatric Ra...
Article
Il periodo di emergenza sanitaria ha costretto gli operatori, soprattutto in un primo periodo, all'utilizzo degli strumenti della telemedicina per vicariare l'impossibilità della relazione in presenza. Tale periodo di crisi ha fornito però anche la possibilità di rivedere alcuni modelli di intervento e di verificare l'introduzione della Telemedicin...
Article
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Background Recovery and human rights promotion for people with Schizophrenia Spectrum Disorders (SSDs) is fundamental to provide good care in Residential Facilities (RFs). However, there is a concern about rehabilitation ethos in RFs. This study aimed to investigate the care quality of Italian RFs, the quality of life (QoL) and care experience of r...
Article
Objectives To 1) explore the changes in conspiracy mentality across the four waves of the coronavirus disease 2019 (COVID-19) pandemic; 2) assess the relationship between conspirative mentality and psychological/behavioural variables; 3) identify the predictors of conspirative mentality; and 4) to explore the effect of conspirative mentality on COV...
Article
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COVID-19 pandemic had a negative impact on the mental health and well-being (WB) of citizens. This cross-sectional study included 4 waves of data collection aimed at identifying profiles of individuals with different levels of WB. The study included a representative stratified sample of 10,013 respondents in Italy. The WHO 5-item well-being scale (...
Article
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Background The unwillingness to share contacts is one of the least explored aspects of the COVID-19 pandemic. Here we report the factors associated with resistance to collaborate on contact tracing, based on the results of a nation-wide survey conducted in Italy in January-March 2021. Methods and findings The repeated cross-sectional on-line surve...
Article
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Antipsychotic polypharmacy (APP) in patients with schizophrenia spectrum disorders (SSDs) is usually not recommended, though it is very common in clinical practice. Both APP and SSDs have been linked to worse health outcomes and decreased levels of physical activity, which in turn is an important risk factor for cardiovascular diseases and prematur...
Article
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Objective: We aimed to predict antipsychotic prescription patterns for people with schizophrenia using machine learning (ML) algorithms. Methods: In a cross-sectional design, a sample of community mental health service users (SUs; n = 368) with a primary diagnosis of schizophrenia was randomly selected. Socio-demographic and clinical features, i...
Article
The application of innovative technologies in psychiatry is promising, but the debate about its feasibility is not settled. Our aim was to investigate and compare adherence to and usability of 7-day monitoring with an Experience Sampling Method (ESM) and Actigraphy among a sample of individuals with a diagnosis of Schizophrenia Spectrum Disorders (...
Article
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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
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Transition of young people from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS) is a complex process. Transition rates are heterogeneously reported, with wide definitions and ranges. Few data are available regarding predictive factors of a successful transition. We explored factors associated with transiti...
Article
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Purpose The service configuration with distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) may be a barrier to continuity of care. Because of a lack of transition policy, CAMHS clinicians have to decide whether and when a young person should transition to AMHS. This study describes which characterist...
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
Background The hesitancy in taking the COVID-19 vaccine is a global challenge. The need to identify predictors of COVID-19 vaccine reluctance is critical. Our objectives were to evaluate sociodemographic, psychological, and behavioral factors, as well as attitudes and beliefs that influence COVID-19 vaccination hesitancy in the general population o...
Article
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The coronavirus pandemic and related social distancing measures have brought about dramatic changes in people's lives. In particular, health workers have been forced to change their activities both for the different needs of patients and for preventive measures against the spread of the virus. This study is aimed at comparing the urgent psychiatric...
Article
Despite the actual availability of COVID-19 vaccines to combat the pandemic, many people are still vacillating in their decision to vaccinate. In this study, we considered the effect of two relevant contextual issues on vaccination intention: the number of people infected with COVID-19 is increasing, and the pace of vaccination is gaining speed. Sp...
Article
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There is an increasing need of outcome measures for young people suitable to evaluate treatments and routine settings. However, measures must show suitable psychometric characteristics for such use. This is the first psychometric evaluation of the Italian version of the Core Young Person Clinical Outcomes in Routine Evaluation (YP-CORE). Data are r...
Article
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The rapid evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emergency involved Italy as the first European country. Meanwhile, China was the only other country to experience the emergency scenario, implementing public health recommendations and raising concerns about the mental health of the population. The Italian National...
Article
Introduction: Treatment resistant depression (TRD) is a severe form of major depressive disorder associated with high symptoms severity, disability and health resource utilization. Aim: The purpose of this study is to estimate the coss of TRD in Italy Methods: The study was carried on a sample of Italian patients diagnosed with TRD in 2019. In tota...
Preprint
Full-text available
The coronavirus pandemic and related social distancing measures have brought about dramatic changes in people's lives. In particular, health workers have been forced to change their activities both for the different needs of patients and for preventive measures against the spread of the virus. This study is aimed at comparing the urgent psychiatric...
Article
Full-text available
Background: During epidemics, health care workers (HCWs) are particularly exposed to the risk of secondary trauma. If not effectively addressed, the consequences of such psychological distress can progress to more severe conditions. Methods: A systematic search of several databases on the effect of SARS, MERS, and COVID-19 epidemics on the menta...
Article
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Objectives : to assess the changes in prevalence, incidence and hospitalisation rates during the first four months of 2020, compared to the same period of 2019, in Friuli Venezia Giulia Mental Health Departments (MHDs); to analyse the features of MHDs patients tested for Sars-Cov-2, and to monitor whether MHDs applied and adhered to regional recomm...
Article
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Le persone nello spettro autistico e/o con disabilità intellettiva necessitano di massima attenzione nell’ambito delle strategie di prevenzione e controllo dell’epidemia da COVID-19. Il distress legato alla pandemia e le misure che sono state decise per contenerla possono impattare negativamente sulla loro salute e sui loro comportamenti. Inoltre,...
Article
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This study aims to identify clinical and socio-demographic variables associated with the outcome of vocational rehabilitation programs (VRPs). All users of an Italian Community Mental Health Centre (CMHC) included in VRPs delivered according to the model of Supported Employment in years 2011–2016 were retrospectively enrolled. Fifty users who ended...
Article
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Background: Schizophrenia spectrum disorders (SSD) are ranked among the leading causes of disabilities worldwide. Many people with SSD spend most of their daily time being inactive, and this is related to the severity of negative symptoms. Here, we present the 3-year DiAPAson project aimed at (1) evaluating the daily time use among patients with S...
Article
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Importance This article briefly reports the experience of mental health services and the lessons learned during the coronavirus disease 2019 (COVID-19) crisis. In particular, this report offers opportunities to build on experience gained in managing the COVID-19 emergency in the Departments of Mental Health and Addiction (DMHAs) in Lombardy, the we...
Technical Report
Full-text available
Le persone nello spettro autistico e/o con disabilità intellettiva necessitano di massima attenzione nell’ambito delle strategie di prevenzione e controllo dell’epidemia da COVID-19. Il distress legato alla pandemia e le misure che sono state decise per contenerla possono impattare negativamente sulla loro salute e sui loro comportamenti. Inoltre,...
Article
Full-text available
During the current COVID-19 disease emergency, it is not only an ethical imperative but also a public health responsibility to keep the network of community psychiatry services operational, particularly for the most vulnerable subjects (those with mental illness, disability, and chronic conditions). At the same time, it is necessary to reduce the s...
Technical Report
Full-text available
The distress linked to COVID-19 outbreak and the restricted measures that have been decided to contain it can have a negative impact on health and behavior of autistic people and their families. In fact, people on the autism spectrum may face additional challenges related to their difficulties in comprehension, communication, and changes to their d...
Article
Background Autism Spectrum Disorder (ASD) is a neuro-developmental disorder that affects communication and behavior with a prevalence of approximately 1% worldwide. Health outcomes of interventions for ASD are largely Participant Reported Outcomes (PROs). Specific guidelines can help support the best care for people with ASD to optimize these healt...
Article
In the early 1900s Ernest Amory Codman, a surgeon from Boston, proposed that physicians should not only measure what they did in the hospital but also track the results of their work over time. He was strongly criticized from his colleagues at Massachusetts General Hospital when he proposed that data on physician and hospital performance should be...
Article
Aim To report on the development of an early intervention service in Modena, Italy, with information relevant to the first 4 years of implementation. Methods The 2‐year service was offered to people aged 18‐35 with psychotic manifestations, within 2 years from psychosis onset/or naïve to antipsychotics, by teams placed within community mental heal...
Article
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Background: People with psychotic illness suffer from reduced quality of life and often from an insufficient level of social inclusion. These variables are associated with several negative outcomes, such as higher neuro-cognitive deficits, negative symptoms, internalised stigma, increased cardiovascular risk and, most importantly, excess mortality...
Article
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Background: The triple-dip recession taking place in Italy in 2008-2014 impacted negatively on health, mainly by increasing the rate of unemployment. This increased the prevalence of mental health disorders, while reducing the number of available places on vocational rehabilitation programs (VRPs) delivered by the psychiatric services. Objectives...
Article
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Background Early interventions services (EIS) for psychosis are not uniformly available in the Italian public mental health care system. In 2012, Region Emilia Romagna funded the implementation of a comprehensive population based program to deliver EIS. These services provide a package of care including psychiatric consultation, family psychoeducat...
Article
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Purpose: People with mental disorders show mortality rates up to 22.2 times higher than that of the general population. In spite of progressive increase in life expectancy observed in the general population, the mortality gap of people suffering from mental health problems has gradually widened. The aim of this paper was to study mortality rates i...
Article
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Introduction In mental healthcare, one area of major concern identified by health information systems is variability in antipsychotic prescribing. While most studies have investigated patient- and prescriber-related factors as possible reasons for such variability, no studies have investigated facility-level characteristics. The present study ascer...
Article
Despite the call by the scientific community for a systematic monitoring of physical health in people with psychiatric illnesses, national and international audits have reported poor quality of cardiovascular risk assessments and management in this vulnerable population. Available evidence indicates that in people affected by mental illness, life e...
Article
‘Early psychological intervention’ is defined as commencing treatment within three months of the traumatic event, with the aim to prevent or treat posttraumatic stress disorder, ongoing distress or acute stress disorder. In natural disaster situations, specific issues may limit the amount of time available for treatment and the possibility of inter...
Article
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Background St John’s wort (Hypericum perforatum) has been known for centuries for its therapeutic properties and its efficacy as an antidepressant has been confirmed by a growing body of evidence. During the last two decades it has also come to prominence with a wider public, due to advertising efforts across Europe and United States of America. Ho...
Article
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Purpose During economic recession people with mental health problems have higher risk of losing their job. This paper analyses the issue by considering the Italian rates of unemployment amongst individuals with and without mental health problems in 2005 and 2013, that is prior and during the economic crisis. Methods We used data from the National...
Data
Self-reported unemployment status among individuals with and without mental health problems (aged 18–64 years old) by regions in ISTAT 2005 and 2013. (DOCX)
Article
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Objective To assess effectiveness and acceptability of a Psycho-education Group Intervention (PGI) on a sample of patients admitted to a Psychiatric Inpatient Unit (PIU) and on ward nurses. Methods Case-control study. PGI was delivered according to the model of Vendittelli and colleagues (2008). Male and female patients aged 18-70 were eligible. Ca...
Article
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Background: The Great Recession has caused worldwide tangible costs in terms of cuts in employment and income, which have been widely recognised also as major social determinants of mental health. Italy has not been spared from the financial crisis with severe societal and mental health consequences. In addition, a strong earthquake hit the provin...
Article
This controlled, non-randomized study explored the feasibility of introducing a Combined Individual and Group Intervention (CIGI) for users with mental disorders in residential facilities, and tested whether users who received the CIGI had better functioning than users who received the Treatment-As-Usual (TAU), at two-year follow up. In the CIGI, a...
Article
Background: Despite several guidelines recommend the use of psychoeducational family interventions (PFIs) as add-on in the treatment of patients with bipolar I disorder, their implementation on a large scale remains limited. The aim of the present study is to identify obstacles for the feasibility of PFIs in routine care. Methods: This was a mul...
Article
To examine clinical and demographic factors associated with continuity of care from child–adolescent (CAMHS) to adult mental health services (AMHS), we undertook a record-linkage study to the Adult Mental Health Information System including all those 16 years old and over who were listed between 2010 and 2013 in the Child and Adolescent Neuropsychi...
Conference Paper
Introduction In recent years, psychoeducational interventions involving inpatients have been steadily increasing, in Italy. Yet, few studies were carried on to assess their effectiveness in preventing relapse and rehospitalization. Aims To assess the effectiveness of group psychoeducation on inpatients and ward atmosphere. Methods Case-control st...
Article
Objectives To review the strategies implemented in clinical practice to increase monitoring and active interventions to reduce cardiovascular risk in individuals with severe mental illness and their possible implementation in first episode psychosis (FEP) care. Methods A PubMed literature search was performed using the following key words: "metabol...

Citations

... Some of the assessment tools (i.e., sociodemographic/clinical surveys) were completed by the treating clinician, while research assistants helped the patients complete a range of self-reported questionnaires and an ad hoc-developed Time Use Survey (TUS) (for details see the study protocol) (de Girolamo et al., 2020; see also Martinelli et al., 2022;Oliva et al., 2022;Zarbo et al., 2022). This study focused on psychiatric symptoms severity, levels of functioning, TUS, and TP. ...
... There is further evidence that the co-occurrence of another risk, or a higher risk perception of another hazard, leads to threats such as climate change being taken more seriously as a global environmental health risk [39], but, the high complexity of the relationship between environment and health, in addition to the lack of knowledge and understanding, can contribute to uncertainties regarding individual risk assessment and of possible consequences of climate change. There are also indications from the literature that people may have an ambivalent attitude towards the existence and extent not only of the current pandemic [40] but also of climate change, since the scientific evidence seemed unreliable, insufficient, or contradictory [12,41]. In addition, political and social controversies in dealing with the consequences of crises such as the pandemic and climate change further strengthened the insecurity [12]. ...
... Some of the assessment tools (i.e., sociodemographic/clinical surveys) were completed by the treating clinician, while research assistants helped the patients complete a range of self-reported questionnaires and an ad hoc-developed Time Use Survey (TUS) (for details see the study protocol) (de Girolamo et al., 2020; see also Martinelli et al., 2022;Oliva et al., 2022;Zarbo et al., 2022). This study focused on psychiatric symptoms severity, levels of functioning, TUS, and TP. ...
... In Italy, previous research has shown the sociodemographic, psychological, belief, and behavioral characteristics of three groups: accepters, rejecters, and fence sitters (those that have to decide) [32]. The fence sitters group included individuals of younger age, lower educational level, and not a stable economic situation. ...
... Alcohol, tobacco, and other drug use (ATOD) by adolescents is a major public health concern worldwide (1). During adolescence, major developmental milestones can be negatively impacted by substance use, which often begins during this life period (2)(3)(4)(5). Early onset of substance use can lead to negative short-term and long-term consequences, such as an increased risk of developing substance use disorders (SUDs) later in life (4), disruption of physical and social development (6), and various other negative health outcomes (5). ...
... Suicidal behavior is a leading cause of death and disability worldwide (1,2). Although there are inconsistencies and varying definitions, suicidal behavior as a general term encompassing any suicidal thought or actions without taking additional steps to distinguish thoughts from plans, from non-fatal attempts, and from attempts that result in death (2). ...
... When young people reach the upper age limit of their CAMHS, it is up to their CAMHS clinician to decide whether the young person needs continued treatment and should be referred to AMHS. In a previous study investigating the clinician's recommendation, we found that self-reported suicidal behaviour was not associated with the clinician's recommendation to continue treatment (Gerritsen et al., 2022). This lack of an association was unexpected, but may be explained by clinicians' unawareness of their patients' suicidal behaviour. ...
... This finding goes against Bir and Wildmar's [14] and Bryson's [44] recent studies that concluded that social pressure can be a significant motive to adopt social group behavior. Our counterintuitive finding can be attributed to free-riding behavior [23,45,46], as an adverse and unforeseen reaction to social pressure or even to inattention and mistakes made by other people. For example, customers entering a store with a high proportion of customers wearing masks may decide not to wear masks, as they perceive the store to be a safe area given that the rest are wearing masks. ...
... The students rated how often over the last week they had felt in the way described by each item, by using a 5-point scale that ranges from 1 ("not at all") to 5 ("most or all of the time"). The psychometric properties of the YP-CORE have been investigated in clinical as well as in nonclinical samples [e.g., (67,68)] and there is evidence of its good psychometric properties in different countries [e.g., (69,70)], as well as in the Italian context (71). The alpha coefficient for the current study was 0.74 at T1 and 0.84 at T2. ...
... The study by Taipale and colleagues [33] reported 100.1 days lost for TRD in a period of 8 months; a European study reported a working time loss of 57% [27], while another study conducted in Belgium [34] showed an average number of calendar days 'not working' per month of 22.2 during a major depressive episode. A study conducted in Italy [35] reported a mean of 42 working days lost per year for patients with TRD, while a study conducted in the UK showed an overall work impairment of 51% for those patients [36]. The overall average working time lost was 51.40% (SD 20.22%). ...