Elena Vegni - Academia.edu (original) (raw)
Papers by Elena Vegni
Brain Sciences
Recent literature shows that the Coronovirus-19 (COVID-19) pandemic has provoked significant chan... more Recent literature shows that the Coronovirus-19 (COVID-19) pandemic has provoked significant changes in dreaming. The current study intends to provide an update about dream variable changes during the second wave of COVID-19. A total of 611 participants completed a web survey from December 2020 to January 2021. Statistical comparisons showed that subjects had lower dream-recall frequency, nightmare frequency, lucid-dream frequency, emotional intensity, and nightmare distress during the second than the first wave of the pandemic. Dreams had a higher negative tone during the second than first wave. We revealed significant differences concerning post-traumatic growth, sleep-related post-traumatic stress disorder (PTSD) symptoms and sleep measures between groups obtained as a function of the changes in the oneiric frequency between the first and second waves. We also found significant correlations between qualitative/emotional dream features and COVID-19-related factors (job change, for...
Frontiers in Psychology
During the COVID-19 outbreak, individuals with or without mental disorders may resort to dysfunct... more During the COVID-19 outbreak, individuals with or without mental disorders may resort to dysfunctional psychological strategies that could trigger or heighten their emotional distress. The current study aims to explore the links between maladaptive daydreaming (MD, i.e., a compulsive fantasy activity associated with distress and psychological impairment), psychological symptoms of depression, anxiety, and negative stress, and COVID-19-related variables, such as changes in face-to-face and online relationships, during the COVID-19 lockdown in Italy. A total of 6,277 Italian adults completed an online survey, including socio-demographic variables, COVID-19 related information, the 16-item Maladaptive Daydreaming Scale (MDS-16), and Depression, Anxiety, and Stress Scales-21 Items (DASS-21). Based on an empirically derived cut-off score, 1,082 participants (17.2%) were identified as probable maladaptive daydreamers (MDers). A binary logistic regression revealed that compared to controls...
Current drug targets, Jan 2, 2017
Personalized medicine is becoming a widespread effort to provide the right treatment to the right... more Personalized medicine is becoming a widespread effort to provide the right treatment to the right patient at the right time. However, it lacks of consideration for nonmedical factors, such as patient preferences and psychosocial factors, that should not be avoided. The present study summarizes the psychosocial difficulties experienced by patients with inflammatory bowel disease (IBD) during different phases of the disease in order to identify methods to assess psychosocial risk factors and personalize treatment strategies. To reach this goal, the quantitative literature is matched with the patients' perspective, offering a broad overview of psychosocial risk factors that IBD patients experience. Quantitative results offer strong evidences for specific psychosocial risk factors in IBD and for weak results of psychosocial interventions, but show a lack of individually tailored researches, instruments and interventions, increasing the distance between the research findings and cli...
Recenti progressi in medicina, 2017
The literature highlights the importance of involving the patient as a partner of care, using a p... more The literature highlights the importance of involving the patient as a partner of care, using a patient-centered approach aimed at improving a process of share decision-making. However, there are clinical situations in which a shared decision-making process is difficult and its actual achievement is even more complex, as in the case of end-of-life decisions, in which a decision about death is a tremendous weight for both patients and their caregivers. In such situations, we wonder what kind of position physicians should assume in order to be patient-centered but also to reduce the patient suffering. Our proposal is to assume the perspective of palliative paternalism: doctors should provide a communication approach that determines the appropriate level of patient/parent autonomy in the process of decision making. In other words, doctors are required to share the information with patients, according to their desires, possibilities and resources, and to facilitate a share-decision maki...
European Journal of Cancer Care
Adjustment to cancer: exploring patients' experiences of participating in a psychodramati... more Adjustment to cancer: exploring patients' experiences of participating in a psychodramatic group intervention The main purpose of the present study was to understand the subjective experience of patients adjusting to cancer by focusing on how that experience might be affected by participating in a psychodramatic group intervention. In-depth interviews using an interpretative-phenomenological approach were conducted with eight cancer patients involved in a psychodrama group. Four key themes were identified: (1) outside and inside relationships; (2) identities: nurturing other selves; (3) a feelings' gym: performing the internal world; and (4) many ends: mourning death and dying. Participation in cancer group using a psychodramatic approach provided positive results. In detail, the group setting: (1) favoured relationships in which it was possible to freely express oneself and (2) empowered patients in their feelings of being able to give and receive help; the psychodramatic approach: (1) supported the physical mobilisation of sense of agency and (2) permitted to deal with the grieving process. Cancer healthcare pathways would benefit from psychotherapeutic programmes using a similar approach, since psychodrama by actively involving body seems to works on areas that are often underwhelmed by other approaches, such as (i.e., physical mobilisation, body engagement, grieving adjustment). Psychodrama supports patients to achieve insights into their own possibilities to actively participate in their own life situations despite having cancer and undergoing treatment for it.
Internal and emergency medicine, 2016
Sexuality is often a neglected topic in healthcare consultations. Several factors have been ident... more Sexuality is often a neglected topic in healthcare consultations. Several factors have been identified by clinicians as barriers to communication around sexuality, including lack of time, inadequate training, and personal discomfort. Within the Program to Enhance Relational and Communication Skills (PERCS), we developed a half-day interdisciplinary workshop that focuses on communication skills around sexuality and management of sexual problems with patients (PERCS-sexuality). This study reports on the efficacy of six PERCS-sexuality workshops enrolling 84 clinicians. Through a pre-post-questionnaire, participants rated their preparation, confidence, anxiety, communication and relational skills in talking with patients about sexual issues. Qualitative questions were also asked on their learning experience. The workshop increased participants' preparation (p = 0.000), confidence (p = 0.000), communication (p = 0.000), and relational skills (p = 0.000). Anxiety did not decrease. Qu...
Reproductive health, Jul 20, 2017
Background: The issue of breaking bad news in assisted reproductive technology (ART) has been onl... more Background: The issue of breaking bad news in assisted reproductive technology (ART) has been only partially explored by literature, and although some recommendations are available, specific guidelines are lacking. The present study aimed to explore the applicability of the oncologic SPIKES Protocol to the ART context. Methods: Thirteen ART clinicians (7 gynecologists; 4 psychologists; 1 biologist; 1 obstetrician) completed the Critical Incidents Report (CIR) to describe the experience of delivering bad news in ART. The CIRs were first discussed with clinicians, then a focus group was created composed of 13 clinicians, one health communication expert and a patient to discuss the applicability of the six-step (SPIKES) Buckman Protocol to ART. The discussion was audiotaped, transcribed and analyzed with content analysis. Results: The SPIKES Protocol seems to fit ART consultations and participants found it practical and easy to understand. Some specificities were found for the ART context: the reiteration of bad news, the "patient" as a couple and the fact that ability to conceive is closely related to self-esteem, as well as to social and family identity. During the discussion of the SPIKES Protocol, participants highlighted the importance of: 1) providing a caring setting, by adding a reflection on the value of communication by phone; 2) exploring patients' perceptions but also misinformation; 3) exploring patients' desires and expectations, while balancing the need to be honest and clear; 4) applying Buckman's suggestions for delivering information, and integrating clinical aspects with psychosocial ones; 5) managing and legitimizing patients' emotions, in particular anger; 6) having a strategy for follow-up and supporting couples to make meaning of the ART experience. Conclusion: The proposal of a shared protocol for giving bad news in ART could be the starting point for training and experimental studies.
Frontiers in psychology, 2017
Currently we observe a gap between theory and practices of patient engagement. If both scholars a... more Currently we observe a gap between theory and practices of patient engagement. If both scholars and health practitioners do agree on the urgency to realize patient engagement, no shared guidelines exist so far to orient clinical practice. Despite a supportive policy context, progress to achieve greater patient engagement is patchy and slow and often concentrated at the level of policy regulation without dialoguing with practitioners from the clinical field as well as patients and families. Though individual clinicians, care teams and health organizations may be interested and deeply committed to engage patients and family members in the medical course, they may lack clarity about how to achieve this goal. This contributes to a wide "system" inertia-really difficult to be overcome-and put at risk any form of innovation in this filed. As a result, patient engagement risk today to be a buzz words, rather than a real guidance for practice. To make the field clearer, we promote...
Epilepsy & behavior : E&B, Jan 11, 2017
Although there has recently been significant debate regarding the importance of disclosing the ri... more Although there has recently been significant debate regarding the importance of disclosing the risk of SUDEP, professional societies and clinical practice guidelines currently recommend that the risk of SUDEP be disclosed as part of a comprehensive epilepsy education program. Therefore, the primary aim of the present study was to examine whether healthcare providers treating pediatric patients with epilepsy in Italy would disclose the risk of SUDEP to the parents of children with epilepsy. The present study assessed data from a questionnaire that collected sociodemographic information and clinicians' attitudes towards SUDEP. The survey was available online from September to December 2015. Chi-squared (χ(2)) tests and multivariate logistic regression analysis were performed when appropriate, and a qualitative content analysis of open-ended questions was performed. A total of 114 medical doctors (71 females and 43 males) completed the questionnaire. Of the respondents, 18 (16.2%) ...
Frontiers in Psychology, 2016
Patient Education and Counseling, 2016
Literature highlights the importance of communication in order to achieve patient&amp... more Literature highlights the importance of communication in order to achieve patient's adherence. However, the specific dialogical components likely to favor patient adherence are not clear. In this study, the deliberation dialogue model was applied as an ideal model of optimal deliberation to real physician-patient consultations in the field of hemophilia in order to identify misalignments with the model and possible improvements in physician-patient communication. By applying the deliberation model, we analyzed a corpus of 30 check-up consultations in hemophilia. Of 30 consultations, 24 (80%) contained 43 deliberation dialogues. Twenty-two (51%) deliberation dialogues were complete (e.g., included an opening stage with a clear statement of the problem, an argumentation stage in which both physician and patient participated, and a closing stage with an explicit patient commitment), whereas 21 (49%) deliberations were incomplete. These featured: Lack of/partial argumentation stage; Lack of closing stage; Lack of/partial argumentation stage and lack of closing stage. The deliberation model can be applied to empirical data and allows to identify causes for suboptimal realizations of deliberation. Once a problem is acknowledged, attention could be paid to engage hemophilic patients in the argumentation stages and elicit their explicit commitment.
Recenti Progressi in Medicina, 2007
... Per una più am-pia descrizione dell'Archivio si veda Moja et al.20 ... I materiali video... more ... Per una più am-pia descrizione dell'Archivio si veda Moja et al.20 ... I materiali videoregistrati vengono raccolti con il consenso di tutti i partecipanti coinvolti: viene chiesto un consenso orale alla videoregistrazione prima dell'ac-cesso nell'ambulatorio e un consenso scritto dopo il ...
Recenti Progressi in Medicina, Oct 1, 2008
A 24 hrs optional course was realized with 15 students at the Medical School of Milan, with the a... more A 24 hrs optional course was realized with 15 students at the Medical School of Milan, with the aim of undertaking the management of the emotional aspects in a difficult communication in medicine. The course was realized through the use of active teaching tools; issues ...
Recenti Progressi in Medicina, Nov 1, 2014
Cephalalgia : an international journal of headache, Jan 27, 2016
Burning mouth syndrome (BMS) is a chronic medical condition characterised by hot, painful sensati... more Burning mouth syndrome (BMS) is a chronic medical condition characterised by hot, painful sensations in the lips, oral mucosa, and/or tongue mucosa. On examination, these appear healthy, and organic causes for the pain cannot be found. Several studies have yielded scant evidence of the involvement of psychological and/or psychopathological factors, and several have outlined a model for the classification of BMS. This review aims to provide a systematic review of research examining the psychological, psychiatric, and/or personality factors linked to BMS. Fourteen controlled studies conducted between 2000 and the present were selected based on stringent inclusion/exclusion criteria. All studies but one reported at least some evidence for the involvement of psychological factors in BMS. Anxiety and depression were the most common and the most frequently studied psychopathological disorders among BMS patients. Anxiety and depression play critical roles in this condition. Evidence on the...
Ricerche Di Psicologia, 1997
... MIUR subjects: null. Publication date: 1997. Citation: La comunicazione e la relazione fra me... more ... MIUR subjects: null. Publication date: 1997. Citation: La comunicazione e la relazione fra medico e paziente nella medicina patient centered / EA Moja, E. Vegni. - In: Ricerche di psicologia. - ISSN 0391-6081. - ISSN 1972-5620. - 21(1997), pp. 441-455. Type: Article (author). ...
Cura Rivista Di Comunicazione E Relazione in Medicina, 2005
ABSTRACT Riassunto La medicina centrata sul paziente si propone non tanto come un'alterna... more ABSTRACT Riassunto La medicina centrata sul paziente si propone non tanto come un'alternativa ma come un allargamento del modello tradizionale disease centred. Il contributo del modello allargato si articola in particolare intorno a due aspetti di nuova introduzione. Si tratta in primo luogo della riflessio- ne sugli scopi dell'intervento clinico, con l'introduzione della necessità di un confronto con il vissuto di malattia del paziente. Il secondo cam- po in cui il contributo della medicina centrata sul paziente è stato particolarmente proficuo è quello degli strumenti comunicativo-relazionali necessari per realizzare una consultazione centrata sul paziente. In questo lavoro discuteremo le caratteristiche specifiche di questi due ambiti di riflessione. Presenteremo infine alcune argomentazioni relative allo spazio culturale che la medicina centrata sul paziente oggi occupa nel cam- po della produzione medico-scientifica. Parole chiave: medicina centrata sul paziente, relazione medico-paziente, abilità comunicative Abstract The patient centred medicine should not be considered as an alternative to the traditional disease centred model, but as an enlargement of it. Two aspects are basically discussed in the new proposal. The first aspect concerns the aims in the clinical intervention and the necessity of a con- frontation with the patient's illness, namely the patient's agenda. The second aspect concerns the communicational and relational skills neces- sary in order to perform a patient centred clinical consultation. The paper discusses the specific features of these two aspects and presents some considerations about the cultural place occupied by the patient centred medicine in the field of medical research and education.
Health Psychology and Behavioral Medicine an Open Access Journal, Jun 4, 2014
How do patients with thrombophilia experience a physician&amp... more How do patients with thrombophilia experience a physician's request to undergo a genetic test? How do they experience the test outcome? To answer these questions, we conducted an interpretative phenomenological analysis study, based on 10 in-depth interviews with patients who underwent genetic testing for thrombophilia in Italy, half with positive and half with negative results. The experience of undergoing genetic screening for thrombophilia plays an important role in reconfiguring patients' signification of their illness experience. A positive outcome becomes a cue to reorganize in a more adaptive way the illness meaning at the cognitive and emotive levels, whereas a negative outcome appears more distressing and confusing. As a clinical implication of the study, clinicians should consider communicating carefully with the patients regardless from the positive/negative test results and they should explore the patient's specific reaction and understanding of test result.
Brain Sciences
Recent literature shows that the Coronovirus-19 (COVID-19) pandemic has provoked significant chan... more Recent literature shows that the Coronovirus-19 (COVID-19) pandemic has provoked significant changes in dreaming. The current study intends to provide an update about dream variable changes during the second wave of COVID-19. A total of 611 participants completed a web survey from December 2020 to January 2021. Statistical comparisons showed that subjects had lower dream-recall frequency, nightmare frequency, lucid-dream frequency, emotional intensity, and nightmare distress during the second than the first wave of the pandemic. Dreams had a higher negative tone during the second than first wave. We revealed significant differences concerning post-traumatic growth, sleep-related post-traumatic stress disorder (PTSD) symptoms and sleep measures between groups obtained as a function of the changes in the oneiric frequency between the first and second waves. We also found significant correlations between qualitative/emotional dream features and COVID-19-related factors (job change, for...
Frontiers in Psychology
During the COVID-19 outbreak, individuals with or without mental disorders may resort to dysfunct... more During the COVID-19 outbreak, individuals with or without mental disorders may resort to dysfunctional psychological strategies that could trigger or heighten their emotional distress. The current study aims to explore the links between maladaptive daydreaming (MD, i.e., a compulsive fantasy activity associated with distress and psychological impairment), psychological symptoms of depression, anxiety, and negative stress, and COVID-19-related variables, such as changes in face-to-face and online relationships, during the COVID-19 lockdown in Italy. A total of 6,277 Italian adults completed an online survey, including socio-demographic variables, COVID-19 related information, the 16-item Maladaptive Daydreaming Scale (MDS-16), and Depression, Anxiety, and Stress Scales-21 Items (DASS-21). Based on an empirically derived cut-off score, 1,082 participants (17.2%) were identified as probable maladaptive daydreamers (MDers). A binary logistic regression revealed that compared to controls...
Current drug targets, Jan 2, 2017
Personalized medicine is becoming a widespread effort to provide the right treatment to the right... more Personalized medicine is becoming a widespread effort to provide the right treatment to the right patient at the right time. However, it lacks of consideration for nonmedical factors, such as patient preferences and psychosocial factors, that should not be avoided. The present study summarizes the psychosocial difficulties experienced by patients with inflammatory bowel disease (IBD) during different phases of the disease in order to identify methods to assess psychosocial risk factors and personalize treatment strategies. To reach this goal, the quantitative literature is matched with the patients' perspective, offering a broad overview of psychosocial risk factors that IBD patients experience. Quantitative results offer strong evidences for specific psychosocial risk factors in IBD and for weak results of psychosocial interventions, but show a lack of individually tailored researches, instruments and interventions, increasing the distance between the research findings and cli...
Recenti progressi in medicina, 2017
The literature highlights the importance of involving the patient as a partner of care, using a p... more The literature highlights the importance of involving the patient as a partner of care, using a patient-centered approach aimed at improving a process of share decision-making. However, there are clinical situations in which a shared decision-making process is difficult and its actual achievement is even more complex, as in the case of end-of-life decisions, in which a decision about death is a tremendous weight for both patients and their caregivers. In such situations, we wonder what kind of position physicians should assume in order to be patient-centered but also to reduce the patient suffering. Our proposal is to assume the perspective of palliative paternalism: doctors should provide a communication approach that determines the appropriate level of patient/parent autonomy in the process of decision making. In other words, doctors are required to share the information with patients, according to their desires, possibilities and resources, and to facilitate a share-decision maki...
European Journal of Cancer Care
Adjustment to cancer: exploring patients' experiences of participating in a psychodramati... more Adjustment to cancer: exploring patients' experiences of participating in a psychodramatic group intervention The main purpose of the present study was to understand the subjective experience of patients adjusting to cancer by focusing on how that experience might be affected by participating in a psychodramatic group intervention. In-depth interviews using an interpretative-phenomenological approach were conducted with eight cancer patients involved in a psychodrama group. Four key themes were identified: (1) outside and inside relationships; (2) identities: nurturing other selves; (3) a feelings' gym: performing the internal world; and (4) many ends: mourning death and dying. Participation in cancer group using a psychodramatic approach provided positive results. In detail, the group setting: (1) favoured relationships in which it was possible to freely express oneself and (2) empowered patients in their feelings of being able to give and receive help; the psychodramatic approach: (1) supported the physical mobilisation of sense of agency and (2) permitted to deal with the grieving process. Cancer healthcare pathways would benefit from psychotherapeutic programmes using a similar approach, since psychodrama by actively involving body seems to works on areas that are often underwhelmed by other approaches, such as (i.e., physical mobilisation, body engagement, grieving adjustment). Psychodrama supports patients to achieve insights into their own possibilities to actively participate in their own life situations despite having cancer and undergoing treatment for it.
Internal and emergency medicine, 2016
Sexuality is often a neglected topic in healthcare consultations. Several factors have been ident... more Sexuality is often a neglected topic in healthcare consultations. Several factors have been identified by clinicians as barriers to communication around sexuality, including lack of time, inadequate training, and personal discomfort. Within the Program to Enhance Relational and Communication Skills (PERCS), we developed a half-day interdisciplinary workshop that focuses on communication skills around sexuality and management of sexual problems with patients (PERCS-sexuality). This study reports on the efficacy of six PERCS-sexuality workshops enrolling 84 clinicians. Through a pre-post-questionnaire, participants rated their preparation, confidence, anxiety, communication and relational skills in talking with patients about sexual issues. Qualitative questions were also asked on their learning experience. The workshop increased participants' preparation (p = 0.000), confidence (p = 0.000), communication (p = 0.000), and relational skills (p = 0.000). Anxiety did not decrease. Qu...
Reproductive health, Jul 20, 2017
Background: The issue of breaking bad news in assisted reproductive technology (ART) has been onl... more Background: The issue of breaking bad news in assisted reproductive technology (ART) has been only partially explored by literature, and although some recommendations are available, specific guidelines are lacking. The present study aimed to explore the applicability of the oncologic SPIKES Protocol to the ART context. Methods: Thirteen ART clinicians (7 gynecologists; 4 psychologists; 1 biologist; 1 obstetrician) completed the Critical Incidents Report (CIR) to describe the experience of delivering bad news in ART. The CIRs were first discussed with clinicians, then a focus group was created composed of 13 clinicians, one health communication expert and a patient to discuss the applicability of the six-step (SPIKES) Buckman Protocol to ART. The discussion was audiotaped, transcribed and analyzed with content analysis. Results: The SPIKES Protocol seems to fit ART consultations and participants found it practical and easy to understand. Some specificities were found for the ART context: the reiteration of bad news, the "patient" as a couple and the fact that ability to conceive is closely related to self-esteem, as well as to social and family identity. During the discussion of the SPIKES Protocol, participants highlighted the importance of: 1) providing a caring setting, by adding a reflection on the value of communication by phone; 2) exploring patients' perceptions but also misinformation; 3) exploring patients' desires and expectations, while balancing the need to be honest and clear; 4) applying Buckman's suggestions for delivering information, and integrating clinical aspects with psychosocial ones; 5) managing and legitimizing patients' emotions, in particular anger; 6) having a strategy for follow-up and supporting couples to make meaning of the ART experience. Conclusion: The proposal of a shared protocol for giving bad news in ART could be the starting point for training and experimental studies.
Frontiers in psychology, 2017
Currently we observe a gap between theory and practices of patient engagement. If both scholars a... more Currently we observe a gap between theory and practices of patient engagement. If both scholars and health practitioners do agree on the urgency to realize patient engagement, no shared guidelines exist so far to orient clinical practice. Despite a supportive policy context, progress to achieve greater patient engagement is patchy and slow and often concentrated at the level of policy regulation without dialoguing with practitioners from the clinical field as well as patients and families. Though individual clinicians, care teams and health organizations may be interested and deeply committed to engage patients and family members in the medical course, they may lack clarity about how to achieve this goal. This contributes to a wide "system" inertia-really difficult to be overcome-and put at risk any form of innovation in this filed. As a result, patient engagement risk today to be a buzz words, rather than a real guidance for practice. To make the field clearer, we promote...
Epilepsy & behavior : E&B, Jan 11, 2017
Although there has recently been significant debate regarding the importance of disclosing the ri... more Although there has recently been significant debate regarding the importance of disclosing the risk of SUDEP, professional societies and clinical practice guidelines currently recommend that the risk of SUDEP be disclosed as part of a comprehensive epilepsy education program. Therefore, the primary aim of the present study was to examine whether healthcare providers treating pediatric patients with epilepsy in Italy would disclose the risk of SUDEP to the parents of children with epilepsy. The present study assessed data from a questionnaire that collected sociodemographic information and clinicians' attitudes towards SUDEP. The survey was available online from September to December 2015. Chi-squared (χ(2)) tests and multivariate logistic regression analysis were performed when appropriate, and a qualitative content analysis of open-ended questions was performed. A total of 114 medical doctors (71 females and 43 males) completed the questionnaire. Of the respondents, 18 (16.2%) ...
Frontiers in Psychology, 2016
Patient Education and Counseling, 2016
Literature highlights the importance of communication in order to achieve patient&amp... more Literature highlights the importance of communication in order to achieve patient's adherence. However, the specific dialogical components likely to favor patient adherence are not clear. In this study, the deliberation dialogue model was applied as an ideal model of optimal deliberation to real physician-patient consultations in the field of hemophilia in order to identify misalignments with the model and possible improvements in physician-patient communication. By applying the deliberation model, we analyzed a corpus of 30 check-up consultations in hemophilia. Of 30 consultations, 24 (80%) contained 43 deliberation dialogues. Twenty-two (51%) deliberation dialogues were complete (e.g., included an opening stage with a clear statement of the problem, an argumentation stage in which both physician and patient participated, and a closing stage with an explicit patient commitment), whereas 21 (49%) deliberations were incomplete. These featured: Lack of/partial argumentation stage; Lack of closing stage; Lack of/partial argumentation stage and lack of closing stage. The deliberation model can be applied to empirical data and allows to identify causes for suboptimal realizations of deliberation. Once a problem is acknowledged, attention could be paid to engage hemophilic patients in the argumentation stages and elicit their explicit commitment.
Recenti Progressi in Medicina, 2007
... Per una più am-pia descrizione dell'Archivio si veda Moja et al.20 ... I materiali video... more ... Per una più am-pia descrizione dell'Archivio si veda Moja et al.20 ... I materiali videoregistrati vengono raccolti con il consenso di tutti i partecipanti coinvolti: viene chiesto un consenso orale alla videoregistrazione prima dell'ac-cesso nell'ambulatorio e un consenso scritto dopo il ...
Recenti Progressi in Medicina, Oct 1, 2008
A 24 hrs optional course was realized with 15 students at the Medical School of Milan, with the a... more A 24 hrs optional course was realized with 15 students at the Medical School of Milan, with the aim of undertaking the management of the emotional aspects in a difficult communication in medicine. The course was realized through the use of active teaching tools; issues ...
Recenti Progressi in Medicina, Nov 1, 2014
Cephalalgia : an international journal of headache, Jan 27, 2016
Burning mouth syndrome (BMS) is a chronic medical condition characterised by hot, painful sensati... more Burning mouth syndrome (BMS) is a chronic medical condition characterised by hot, painful sensations in the lips, oral mucosa, and/or tongue mucosa. On examination, these appear healthy, and organic causes for the pain cannot be found. Several studies have yielded scant evidence of the involvement of psychological and/or psychopathological factors, and several have outlined a model for the classification of BMS. This review aims to provide a systematic review of research examining the psychological, psychiatric, and/or personality factors linked to BMS. Fourteen controlled studies conducted between 2000 and the present were selected based on stringent inclusion/exclusion criteria. All studies but one reported at least some evidence for the involvement of psychological factors in BMS. Anxiety and depression were the most common and the most frequently studied psychopathological disorders among BMS patients. Anxiety and depression play critical roles in this condition. Evidence on the...
Ricerche Di Psicologia, 1997
... MIUR subjects: null. Publication date: 1997. Citation: La comunicazione e la relazione fra me... more ... MIUR subjects: null. Publication date: 1997. Citation: La comunicazione e la relazione fra medico e paziente nella medicina patient centered / EA Moja, E. Vegni. - In: Ricerche di psicologia. - ISSN 0391-6081. - ISSN 1972-5620. - 21(1997), pp. 441-455. Type: Article (author). ...
Cura Rivista Di Comunicazione E Relazione in Medicina, 2005
ABSTRACT Riassunto La medicina centrata sul paziente si propone non tanto come un'alterna... more ABSTRACT Riassunto La medicina centrata sul paziente si propone non tanto come un'alternativa ma come un allargamento del modello tradizionale disease centred. Il contributo del modello allargato si articola in particolare intorno a due aspetti di nuova introduzione. Si tratta in primo luogo della riflessio- ne sugli scopi dell'intervento clinico, con l'introduzione della necessità di un confronto con il vissuto di malattia del paziente. Il secondo cam- po in cui il contributo della medicina centrata sul paziente è stato particolarmente proficuo è quello degli strumenti comunicativo-relazionali necessari per realizzare una consultazione centrata sul paziente. In questo lavoro discuteremo le caratteristiche specifiche di questi due ambiti di riflessione. Presenteremo infine alcune argomentazioni relative allo spazio culturale che la medicina centrata sul paziente oggi occupa nel cam- po della produzione medico-scientifica. Parole chiave: medicina centrata sul paziente, relazione medico-paziente, abilità comunicative Abstract The patient centred medicine should not be considered as an alternative to the traditional disease centred model, but as an enlargement of it. Two aspects are basically discussed in the new proposal. The first aspect concerns the aims in the clinical intervention and the necessity of a con- frontation with the patient's illness, namely the patient's agenda. The second aspect concerns the communicational and relational skills neces- sary in order to perform a patient centred clinical consultation. The paper discusses the specific features of these two aspects and presents some considerations about the cultural place occupied by the patient centred medicine in the field of medical research and education.
Health Psychology and Behavioral Medicine an Open Access Journal, Jun 4, 2014
How do patients with thrombophilia experience a physician&amp... more How do patients with thrombophilia experience a physician's request to undergo a genetic test? How do they experience the test outcome? To answer these questions, we conducted an interpretative phenomenological analysis study, based on 10 in-depth interviews with patients who underwent genetic testing for thrombophilia in Italy, half with positive and half with negative results. The experience of undergoing genetic screening for thrombophilia plays an important role in reconfiguring patients' signification of their illness experience. A positive outcome becomes a cue to reorganize in a more adaptive way the illness meaning at the cognitive and emotive levels, whereas a negative outcome appears more distressing and confusing. As a clinical implication of the study, clinicians should consider communicating carefully with the patients regardless from the positive/negative test results and they should explore the patient's specific reaction and understanding of test result.