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Biomedical subjects

G Ba

Publications and source records attributed to G Ba.

9 recordsLinked to original sources
PubMed2003

Social adjustment in three cultures: data from families affected by chronic blood disorders. A sibling study.

This study explores the rate of psychosocial dysfunction in affected and unaffected children from families with haemophilia or beta-thalassaemia, as part of a cross-sectional, multicentre study into the resilience of 115 families with blood disorders. Sociodemographic and developmental data were collected from the parents using a standardized and semi-structured interview format, and medical data were obtained from the clinician. The children's social functioning over the year prior to the assessment was assessed with The Social Adjustment Scale adapted for school-aged children. Children with beta-thalassaemia showed significantly higher rates of social dysfunction than their unaffected siblings or children with haemophilia and their siblings. Older children showed significantly higher social dysfunction at school. The high rate of social dysfunction in children with beta-thalassaemia compared with unaffected siblings is likely to have a basis in the negative experiences associated with their medical problems. In contrast, the therapeutic advances in haemophilia allows boys to lead an almost normal life. Overall, the rates of social dysfunction in families with both these disorders proved commoner than reported in population surveys, but with the unavailability of local population controls, caution needs to be exercised in the interpretation of this finding.

Adolescent↗
PubMed2002

Psychopathology in children from families with blood disorders: a cross-national study.

BACKGROUND: This study examines the prevalence of psychiatric disorders in affected and in unaffected siblings from families with haemophilia or beta-thalassaemia. METHOD: Based on data derived from a cross-sectional and multi-centre study into the resilience of 115 families with blood disorders. Sociodemographic and developmental data were collected from the parent using a standardised and semi-structured interview, and medical data were elicited from the attending clinician. The children's psychopathology was assessed with the Schedule for Affective Disorders and Schizophrenia (K-SADS). RESULTS: Children with beta-thalassaemia were twice as likely to receive a diagnosis of psychiatric disorder and more likely to show a higher degree of impairment of general functioning than haemophilic boys or unaffected children from families with blood disorders. Clinical severity of haemophilia or beta-thalassaemia was not associated with significant differences in prevalence of child psychiatric disorders or impairment. Mothers' evaluation of their relationship with their child as 'less than easy' predicted psychopathology. CONCLUSIONS: The high prevalence of psychopathology in children with beta-thalassaemia reported in this study suggests that specific blood disorders have differential impact on affected children. This difference may be related to medical therapy advances in haemophilia so that haemophilic boys can lead an almost normal life.

Adolescent↗
PubMed1992

The training of the psychiatrist in relation to the new trends in psychiatry.

One of the most important things to realize about modern Psychiatry is that many factors are involved in the pathogenesis and especially in the evolution of mental diseases. The results of epidemiological research and the development of different schools with separate specializations have shown the importance of extrasubjective factors such as family environment, social context, life events and life stressors, and therefore the need to find therapeutic strategies which are able to influence the different areas. From this wide spectrum arises the necessity for a functional integration of the different therapeutic areas in the operative context, also because of the nonhomogeneity and the frequent random choice of reference models by the operators and the mental health services. In this study we propose a training model which allows the achievement of this integration ability at an operative level, and which at the same time defines its limits.

Community Mental Health Centers↗
PubMed1991

Group therapy with elderly patients.

In our research we try to suggest a type of group therapy for elderly patients to favor the communication process and to make the patient acquire an active role in the group. The group has an open structure with weekly sessions that last one hour and a half each. The group is conducted by therapists who coordinate the work, acting as stimulus and supporting the relationship between the patients. It is composed of 8 patients, some of whom have been inpatients of the department while others were sent by territorial social service. Age is not the only component for selection; above all, problems regarding loneliness, difficulties in interpersonal relationships and consequent loss of contact and interest in the other are considered.

Adaptation, Psychological↗
PubMed1989

Integrated psychotherapy in the project of the treatment of psychoses.

We present a model of integrated psychotherapy of schizophrenia. When we do an integrated therapy with a patient, attention must always be directed to the calibration of the interventions which constitute the therapeutic compound. This kind of calibration has to be done by a therapist with an integrative function. Experience and competence are necessary conditions, but not sufficient ones for carrying out such a function; the therapist must have also the authority which is due not only to his hierarchic role, but which has to be empathically recognized by the other therapists and the patient. The theoretical reflection has been possible only by starting from a clinical experience (the case of a young woman who in the light of the nosographical categories was considered an 'impossible patient') which allowed us to translate the clinical language into a conceptual form.

Adult↗
PubMed1988

Strategies of rehabilitation in the Day Hospital.

A correct and fruitful rehabilitation strategy should consider the following points: (1) the achievement of a psychic equilibrium with a reduction of the psychopathological symptoms; (2) the evaluation of the psychological handicap; (3) a profile of the abilities of the subject that undergoes rehabilitation. You can easily achieve the first two points during hospitalization. The third point can be achieved through the study of the interaction of the subject with his or her environment. This study can be carried out in the Day Hospital where, through groups of psychotherapy, family counseling and various sociotherapeutic activities, it is possible to increase and improve the ability of the subject to relate with the others and to cope adequately with his or her environment. In this paper we present the philosophy and the therapeutic strategies of the Day Hospital of the Psychiatric Department of the University of Milan.

Art Therapy↗
PubMed1977

[Role of the family group in attempted suicide among the young].

Data from 1848 cases of attempted suicide on the files of the Milan University Emergency Psychiatry Ward and 990 suicides recorded by the Milan Legal Medicine Department in the period 1964-1969 were computerised on specially prepared cards, designed to permit objective study of acts of self-destruction in the light of the relations between the subject, his family, and the community. The results point to the importance of extra-subjective factors (loss of cohesion in the family, the way in which parents carry out their respective roles, various environmental factors) as motive forces in attempted suicide.

Adult↗