The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) is a scale which measures aspects of the oral health-related quality of life. However, no Italian version of PIDAQ has been developed. The aim of this...The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) is a scale which measures aspects of the oral health-related quality of life. However, no Italian version of PIDAQ has been developed. The aim of this study was to translate the original English version of PIDAQ into Italian and to assess the validity and reliability of the Italian version for application among Italian adults. The questionnaire was translated into Italian, back translated, pre-tested, and cross-culturally adapted. Subsequently, the Italian version of PIDAQ and the Oral health impact Profile-14 (OHIP-14) were administered to 264 orthodontic patients aged from 18 to 83 years old, mean age was (38.39 + 16.9) belonging to Southern Italy. Cronbach’s alpha of the translated PIDAQ was 0.82, corrected item-total correlation ranged from 0.48 to 0.67. The 23 items of PIDAQ were divided into four domains. There was a logical relation among the items in the same domain and a highly significant association among scores of PIDAQ and the other scale. The translated Italian version of PIDAQ demonstrated good reliability and validity. Its sufficient discriminative and evaluative psycho-metric properties provide the theoretical evidence for further use in study on orthodontic-specific aspects of quality of life among Italian adults.展开更多
Introduction: Ego strength represents an important variable that could be predictable about health and compliance in chronic diseases. In this study we propose a new questionnaire, E.F.E. “Ego Functioning Experience...Introduction: Ego strength represents an important variable that could be predictable about health and compliance in chronic diseases. In this study we propose a new questionnaire, E.F.E. “Ego Functioning Experience”, able to reveal the psychological functioning profile in Hemodialysis patients. The aim of this work, is to underline the existing relations between emotional profile and compliance, whit E.F.E., that may be predictive of a state of psychologycal health in hemodialysis patients. Methods: Study population included 90 hemodialysis patients. The study protocol was made by three psychological tests: the E.F.E. Questionnaire, the DMI, the Self-Liking and Self-Competence Scale. Results: Factor analysis extracts three factors: 1) “Need of Ego support”;2) “Ego activity oriented to treatment”;3) “Ego strength”. The correlation coefficients between the E.F.E. Questionnaire factors (three factors) and other measures, showed a direct correlation with the first factor and “turning against object” TAO of the DMI test (correlation is significant at the 0.001 level) and an inverse relation with set mechanisms of “Principalization”, PRN of the DMI (correlation is significant at the 0.005 level). The correlations of the second and the third factors with other measures, were not statistically significant. No relations were found about other variables. Conclusions: The E.F.E. questionnaire is a simple evaluation to detect hemo-dialysis patients who may need greater attention to the psychological health and therefore the need for treatment such as psychological support. In fact, lower presence of ego strength is indicative of poor compliance to clinical treatment in hemodialysis, but also of worsening of psychiatric symptoms such as demoralization and depressed mood. In conclusion, an increased social support is needed in hemodialysis patient in order to achieve better compliance and achieve a better state of psychological health in chronic hemodialysis patients.展开更多
Introduction: Dermatological problems often present mood disorders, depression, anxiety disorders and psychological conditions relevant to psychosomatic conditions. Seborrheic dermatitis and psoriasis, both characteri...Introduction: Dermatological problems often present mood disorders, depression, anxiety disorders and psychological conditions relevant to psychosomatic conditions. Seborrheic dermatitis and psoriasis, both characterized by chronic inflammation of skin, have been linked to emotional states. The aim of our study was to compare the two emotional profiles of patients with seborrheic dermatitis and psoriasis, in order to evaluate, quantitatively and qualitatively, the emotional picture in the two groups of disease. Methods: The study group included 33 patients affected by seborrheic dermatitis (21 males and 12 females, age range 18 - 67 years, mean age 39.85 ± 15.45 years) and 36 other patients affected by psoriasis (22 males and 14 females, age range 18 - 67 years, mean age 41.11 ± 13.72 years). The protocol included clinical assessment of the skin disorder and psychological assessment of emotional profile using the test Profile of Mood States (POMS) and the Toronto Alexithymia Scale TAS-20. An exploratory factorial analysis was carried out for the POMS factor D (depression) to evaluate the composition of the items found in the two types of skin disorders. Results: The comparison between patients with psoriasis and patients with seborrheic dermatitis in relation to the TAS score and the different aspects of mood and showed a significant difference concerning factor D (depression) of the POMS. Conclusions: This study shows the correlation between depression and two skin disorders, seborrhoeic dermatitis and psoriasis. In both cases, the clinical picture falls under the definition of “depression due to a general medical condition”. However, qualitative differences make the psychologic frame of psoriatic patients close to that of “major depression”, while in patients affected by seborrheic dermatitis the psychologic frame is more similar to that of “minor depression” (DSM IV).展开更多
Background: The autonomy of dental anxiety may be compared with other psychopathologies, however, it is classified as indicative of a specific phobia. It is interesting to know how dental anxiety operates within a wid...Background: The autonomy of dental anxiety may be compared with other psychopathologies, however, it is classified as indicative of a specific phobia. It is interesting to know how dental anxiety operates within a wider context. Material and Method: The group was made by 514 subjects, recruited from several dental surgeries. The entire process, consisted in self-compilation of the Dental Anxiety Scale (DAS), and the Patient Health Questionnaire (PHQ). The software used for statistical calculations was the Statistical Package for Social Sciences (SPSS) version 16.0. The chi-square test was used for the distribution of the nominal variables. Results: The analysis of data revealed a significantly different distribution between high and low levels of dental anxiety and comorbidity in relation to only one diagnostic category, namely mood disorders. Dental fears and comorbidity were mostly in line with our expectations, except about fear of needles with eating disorders. Dental anxiety is to be considered as a dimension on a par with other psychopathologies. Conclusions: The study of comorbidity between mood disorders and dental anxiety, suggests that dental anxiety rather than belonging to the family of anxiety disorders would be better classified along with mood disorders. The findings regarding emotional inducers (fears) in relation to the distribution of psychopathology are worth noting. The above observations reaffirm the need to form links between dentistry and psychiatry.展开更多
文摘The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) is a scale which measures aspects of the oral health-related quality of life. However, no Italian version of PIDAQ has been developed. The aim of this study was to translate the original English version of PIDAQ into Italian and to assess the validity and reliability of the Italian version for application among Italian adults. The questionnaire was translated into Italian, back translated, pre-tested, and cross-culturally adapted. Subsequently, the Italian version of PIDAQ and the Oral health impact Profile-14 (OHIP-14) were administered to 264 orthodontic patients aged from 18 to 83 years old, mean age was (38.39 + 16.9) belonging to Southern Italy. Cronbach’s alpha of the translated PIDAQ was 0.82, corrected item-total correlation ranged from 0.48 to 0.67. The 23 items of PIDAQ were divided into four domains. There was a logical relation among the items in the same domain and a highly significant association among scores of PIDAQ and the other scale. The translated Italian version of PIDAQ demonstrated good reliability and validity. Its sufficient discriminative and evaluative psycho-metric properties provide the theoretical evidence for further use in study on orthodontic-specific aspects of quality of life among Italian adults.
文摘Introduction: Ego strength represents an important variable that could be predictable about health and compliance in chronic diseases. In this study we propose a new questionnaire, E.F.E. “Ego Functioning Experience”, able to reveal the psychological functioning profile in Hemodialysis patients. The aim of this work, is to underline the existing relations between emotional profile and compliance, whit E.F.E., that may be predictive of a state of psychologycal health in hemodialysis patients. Methods: Study population included 90 hemodialysis patients. The study protocol was made by three psychological tests: the E.F.E. Questionnaire, the DMI, the Self-Liking and Self-Competence Scale. Results: Factor analysis extracts three factors: 1) “Need of Ego support”;2) “Ego activity oriented to treatment”;3) “Ego strength”. The correlation coefficients between the E.F.E. Questionnaire factors (three factors) and other measures, showed a direct correlation with the first factor and “turning against object” TAO of the DMI test (correlation is significant at the 0.001 level) and an inverse relation with set mechanisms of “Principalization”, PRN of the DMI (correlation is significant at the 0.005 level). The correlations of the second and the third factors with other measures, were not statistically significant. No relations were found about other variables. Conclusions: The E.F.E. questionnaire is a simple evaluation to detect hemo-dialysis patients who may need greater attention to the psychological health and therefore the need for treatment such as psychological support. In fact, lower presence of ego strength is indicative of poor compliance to clinical treatment in hemodialysis, but also of worsening of psychiatric symptoms such as demoralization and depressed mood. In conclusion, an increased social support is needed in hemodialysis patient in order to achieve better compliance and achieve a better state of psychological health in chronic hemodialysis patients.
文摘Introduction: Dermatological problems often present mood disorders, depression, anxiety disorders and psychological conditions relevant to psychosomatic conditions. Seborrheic dermatitis and psoriasis, both characterized by chronic inflammation of skin, have been linked to emotional states. The aim of our study was to compare the two emotional profiles of patients with seborrheic dermatitis and psoriasis, in order to evaluate, quantitatively and qualitatively, the emotional picture in the two groups of disease. Methods: The study group included 33 patients affected by seborrheic dermatitis (21 males and 12 females, age range 18 - 67 years, mean age 39.85 ± 15.45 years) and 36 other patients affected by psoriasis (22 males and 14 females, age range 18 - 67 years, mean age 41.11 ± 13.72 years). The protocol included clinical assessment of the skin disorder and psychological assessment of emotional profile using the test Profile of Mood States (POMS) and the Toronto Alexithymia Scale TAS-20. An exploratory factorial analysis was carried out for the POMS factor D (depression) to evaluate the composition of the items found in the two types of skin disorders. Results: The comparison between patients with psoriasis and patients with seborrheic dermatitis in relation to the TAS score and the different aspects of mood and showed a significant difference concerning factor D (depression) of the POMS. Conclusions: This study shows the correlation between depression and two skin disorders, seborrhoeic dermatitis and psoriasis. In both cases, the clinical picture falls under the definition of “depression due to a general medical condition”. However, qualitative differences make the psychologic frame of psoriatic patients close to that of “major depression”, while in patients affected by seborrheic dermatitis the psychologic frame is more similar to that of “minor depression” (DSM IV).
文摘Background: The autonomy of dental anxiety may be compared with other psychopathologies, however, it is classified as indicative of a specific phobia. It is interesting to know how dental anxiety operates within a wider context. Material and Method: The group was made by 514 subjects, recruited from several dental surgeries. The entire process, consisted in self-compilation of the Dental Anxiety Scale (DAS), and the Patient Health Questionnaire (PHQ). The software used for statistical calculations was the Statistical Package for Social Sciences (SPSS) version 16.0. The chi-square test was used for the distribution of the nominal variables. Results: The analysis of data revealed a significantly different distribution between high and low levels of dental anxiety and comorbidity in relation to only one diagnostic category, namely mood disorders. Dental fears and comorbidity were mostly in line with our expectations, except about fear of needles with eating disorders. Dental anxiety is to be considered as a dimension on a par with other psychopathologies. Conclusions: The study of comorbidity between mood disorders and dental anxiety, suggests that dental anxiety rather than belonging to the family of anxiety disorders would be better classified along with mood disorders. The findings regarding emotional inducers (fears) in relation to the distribution of psychopathology are worth noting. The above observations reaffirm the need to form links between dentistry and psychiatry.
