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  1. Article ; Online: Second Line Volunteering in Lombardy Covid-19 Emergency as a Perspective on Medical Education and Psychological Distress.

    Mandarano, Piergiorgio / Squatrito, Valeria / Mariotti, Abigail / Presti, Giovambattista

    Clinical neuropsychiatry

    2021  Volume 18, Issue 5, Page(s) 278–287

    Abstract: Objective: Healthcare personnel across Italy were called to arms during COVID-19 emergency beginning March 2020. Despite their medical training, not all of them were able to fight in first line. Volunteering for COVID-19 Lombardy ICU Network ... ...

    Abstract Objective: Healthcare personnel across Italy were called to arms during COVID-19 emergency beginning March 2020. Despite their medical training, not all of them were able to fight in first line. Volunteering for COVID-19 Lombardy ICU Network Coordination Centre (C19-LINCC) was an opportunity to volunteer without being under biological threat: a smart-working in direct phone contact with the ICUs. Our aim was to investigate if second line volunteering during the COVID-19 outbreak had an impact on stress levels and whether medical training could mitigate them, along with personality factors, namely psychological flexibility.
    Method: Volunteers of the C19-LINCC self-rated their own medical education related to SARS-CoV-2 and psychological response to the emergency. The questionnaire included five psychological scales (PSS, IES, MBI, AAQ-II, GHQ-12) addressing burnout, stress, general health, attention, cognitive fusion, and psychological flexibility.
    Results: Psychological distress (GHQ p≤0,0001) and perception of personal achievement (MBI_p≤0,0001) change whether the subject is a volunteer or not, while perception of medical education does not have a significant impact between the two groups. No differences were found in acceptance, mindfulness, and psychological flexibility skills, however they inversely correlated with stress, burnout, and anxiety levels.
    Conclusions: During this period of mandatory lockdown, trained and in-training doctors showed to benefit from this smart home-based volunteering in the C19-LINCC. In addition to volunteering, psychological flexibility, mindfulness, and acceptance skills can act as protective factors. Potentially, these are soft skills that could be added to medical education.
    Language English
    Publishing date 2021-12-17
    Publishing country Italy
    Document type Journal Article
    ISSN 2385-0787
    ISSN (online) 2385-0787
    DOI 10.36131/cnfioritieditore20210506
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Models of Cognition and Their Applications in Behavioral Economics: A Conceptual Framework for Nudging Derived From Behavior Analysis and Relational Frame Theory.

    Tagliabue, Marco / Squatrito, Valeria / Presti, Giovambattista

    Frontiers in psychology

    2019  Volume 10, Page(s) 2418

    Abstract: This paper puts forward a rounder conceptual model for interpreting short- and long-term effects of choice behavior. As a further development of dual-process theory, Kahneman (2003) distinguished between intuition and reasoning, which served as the ... ...

    Abstract This paper puts forward a rounder conceptual model for interpreting short- and long-term effects of choice behavior. As a further development of dual-process theory, Kahneman (2003) distinguished between intuition and reasoning, which served as the respective precursors of the cognitive processing systems 1 and 2. We maintain that they reflect the more rigorous distinction between brief and immediate and extended and elaborated relational responding, which may be reinterpreted through an analysis of their functional properties. Repertoires of relational responding are offered by the multi-dimensional multi-level model. Specifically, we provide a conceptual account of how nudging, or the manipulation of environmental contingencies, works on the creation and modification of relational framing. Educative nudges, or boosts, are a subset of nudges that may more easily maintain target choice behavior in the future. The central role of verbal behavior is essential toward formulating rules, which inform and guide choice behavior over time. Although nudges are traditionally regarded as System 1-steered aspects, they are herein regarded as cues for responding to relational frames, which may induce System 2-steered aspects. We suggest adopting the implicit relational assessment procedure (IRAP) to inform how coherent and immediate responding to novel relational responding may occur in the presence of choice behavior. Several examples are included to support the claim of encompassing relational responding and choice behavior. We address the instances of consumer behavior, stereotypy and prejudices, eating behavior, and overcoming cognitive biases. The conclusions depict a promising way forward for the study of choice: an improved model for interpreting and overcoming human errors, due to changes in the contingencies of behavior.
    Language English
    Publishing date 2019-11-01
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2019.02418
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Psychological Flexibility and Mindfulness as Predictors of Individual Outcomes in Hospital Health Workers.

    Ramaci, Tiziana / Bellini, Diego / Presti, Giovambattista / Santisi, Giuseppe

    Frontiers in psychology

    2019  Volume 10, Page(s) 1302

    Abstract: Research in organizational psychology emphasizes the idea that wellbeing and productivity outcomes are influenced both by individual differences (traits, values) and work environment characteristics (relationships, climate). Evidence on the effectiveness ...

    Abstract Research in organizational psychology emphasizes the idea that wellbeing and productivity outcomes are influenced both by individual differences (traits, values) and work environment characteristics (relationships, climate). Evidence on the effectiveness of psychological interventions for stress is currently unclear. To date, research on psychological flexibility in workplaces has not been systematically conducted in Italy. We investigated its relevance in the context of the Italian health care system. In this study, the relationship between sources of stress at work and its outcomes in terms of psychological and physical health are explored. Furthermore, the moderating effect of psychological flexibility and mindfulness on psychological and physical health are investigated. Four hundred and eleven health workers from a Sicilian hospital, with different job positions were recruited, of which 42.7% were males (
    Language English
    Publishing date 2019-06-12
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2019.01302
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Dynamics of Fear at the Time of Covid-19: A Contextual Behavioral Science Perspective.

    Presti, Giovambattista / McHugh, Louise / Gloster, Andrew / Karekla, Maria / Hayes, Steven C

    Clinical neuropsychiatry

    2021  Volume 17, Issue 2, Page(s) 65–71

    Abstract: COVID-19 is the relevant disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmitted via close contact between persons. On March 12th, 2020, WHO announced COVID-19 outbreak a pandemic, in view of its worldwide ... ...

    Abstract COVID-19 is the relevant disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmitted via close contact between persons. On March 12th, 2020, WHO announced COVID-19 outbreak a pandemic, in view of its worldwide escalation. As the pandemic disease explodes, a parallel outbreak of fear and worry is also spreading. We react to fear symbolically, by arbitrarily relating it to other objects and events through derived verbal relations, so language may alter the way we experience events and consequently affects how we are functionally or dysfunctionally oriented to the world around us. In this paper we will outline the different human learning processes connected to fear responding, from the simplest type to the more complex cognitive ones, approaching them from the point of view of contextual behavioral science, a modern form of behavioral thinking. We will outline a model of intervention to foster psychological flexibility and more functional value-based actions. We will argue that in a pandemic and in the post-pandemic phase it could be a key for adapting to new and changed circumstances.
    Language English
    Publishing date 2021-12-14
    Publishing country Italy
    Document type Journal Article
    ISSN 2385-0787
    ISSN (online) 2385-0787
    DOI 10.36131/CN20200206
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Acute Stress Response Profiles in Health Workers Facing SARS-CoV-2.

    Moderato, Luca / Lazzeroni, Davide / Oppo, Annalisa / Dell'Orco, Francesco / Moderato, Paolo / Presti, Giovambattista

    Frontiers in psychology

    2021  Volume 12, Page(s) 660156

    Abstract: Objective: The study is an explorative investigation aimed to assess the differences in acute stress response patterns of health workers facing coronavirus disease 2019 (COVID-19) during Italy's first lockdown.: Methods: A cross-sectional ... ...

    Abstract Objective: The study is an explorative investigation aimed to assess the differences in acute stress response patterns of health workers facing coronavirus disease 2019 (COVID-19) during Italy's first lockdown.
    Methods: A cross-sectional investigation using convenience sampling method was conducted in Italy during April 2020. Eight hundred fifty-eight health workers participated in the research filling out self-report measures including Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder (GAD-7), Insomnia Severity Index (ISI), and Impact of Event Scale-Revised (IES-R).
    Results: Moderate/severe depression was found in 28.9% (95% CI, 25.8-32.04), moderate/severe anxiety in 55.4% (95% CI, 51.9-58.8), insomnia in 15% (95% CI, 12.5-17.5), and distress in 52.5% (95% CI, 48.5%-56.6) of participants. The 3% of health workers reported frequent suicidal thoughts. Female sex, working for >15 h/week in a COVID-19 unit, and living apart from family were associated with a significantly higher risk of distress, anxiety, insomnia, depression, and functional impairment. Four profiles were identified on the basis of psychopathological measures: Profile_0 included 44% (
    Conclusion: The identification of specific profiles could help psychiatrists and emergency psychologists to build specific interventions in terms of both primary and secondary prevention to face future waves of the COVID-19 outbreak.
    Language English
    Publishing date 2021-05-31
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2021.660156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A group resilience training program for people with multiple sclerosis: Study protocol of a multi-centre cluster-randomized controlled trial (multi-READY for MS).

    Giovannetti, Ambra Mara / Pakenham, Kenneth Ian / Presti, Giovambattista / Quartuccio, Maria Esmeralda / Confalonieri, Paolo / Bergamaschi, Roberto / Grobberio, Monica / Di Filippo, Massimiliano / Micheli, Mary / Brichetto, Giampaolo / Patti, Francesco / Copetti, Massimiliano / Kruger, Paola / Solari, Alessandra

    PloS one

    2022  Volume 17, Issue 5, Page(s) e0267245

    Abstract: Introduction: REsilience and Activities for every DaY (READY) is an Acceptance and Commitment Therapy-based group resilience-training program that has preliminary empirical support in promoting quality of life and other psychosocial outcomes in people ... ...

    Abstract Introduction: REsilience and Activities for every DaY (READY) is an Acceptance and Commitment Therapy-based group resilience-training program that has preliminary empirical support in promoting quality of life and other psychosocial outcomes in people with multiple sclerosis (PwMS). Consistent with the Medical Research Council framework for developing and evaluating complex interventions, we conducted a pilot randomized controlled trial (RCT), followed by a phase III RCT. The present paper describes the phase III RCT protocol.
    Methods and analysis: This is a multi-centre cluster RCT comparing READY with a group relaxation program (1:1 ratio) in 240 PwMS from eight centres in Italy (trial registration: isrctn.org Identifier: ISRCTN67194859). Both interventions are composed of 7 weekly sessions plus a booster session five weeks later. Resilience (primary outcome), mood, health-related quality of life, well-being and psychological flexibility will be assessed at baseline, after the booster session, and at three and six month follow-ups. If face-to-face group meetings are interrupted because of COVID-19 related-issues, participants will be invited to complete their intervention via teleconferencing. Relevant COVID-19 information will be collected and the COVID-19 Peritraumatic Distress scale will be administered (ancillary study) at baseline and 3-month follow-up. Analysis will be by intention-to-treat to show superiority of READY over relaxation. Longitudinal changes will be compared between the two arms using repeated-measures, hierarchical generalized linear mixed models.
    Conclusion: It is expected that his study will contribute to the body of evidence on the efficacy and effectiveness of READY by comparing it with an active group intervention in frontline MS rehabilitation and clinical settings. Results will be disseminated in peer-reviewed journals and at other relevant conferences.
    MeSH term(s) Acceptance and Commitment Therapy ; COVID-19 ; Clinical Trials, Phase III as Topic ; Humans ; Italy ; Multicenter Studies as Topic ; Multiple Sclerosis/psychology ; Multiple Sclerosis/therapy ; Quality of Life ; Randomized Controlled Trials as Topic
    Language English
    Publishing date 2022-05-02
    Publishing country United States
    Document type Clinical Trial Protocol ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0267245
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Increased Classroom Consumption of Home-Provided Fruits and Vegetables for Normal and Overweight Children: Results of the Food Dudes Program in Italy.

    Presti, Giovambattista / Cau, Silvia / Oppo, Annalisa / Moderato, Paolo

    Journal of nutrition education and behavior

    2015  Volume 47, Issue 4, Page(s) 338–344

    Abstract: Objective: To increase classroom consumption of home-provided fruits (F) and vegetables (V) in obese, overweight, and normal weight children.: Design: Consumption evaluated within and across the baseline phase and the end of the intervention and ... ...

    Abstract Objective: To increase classroom consumption of home-provided fruits (F) and vegetables (V) in obese, overweight, and normal weight children.
    Design: Consumption evaluated within and across the baseline phase and the end of the intervention and maintenance phases.
    Setting: Three Italian primary schools.
    Participants: The study involved 672 children (321 male and 329 female) aged 5-11 years. Body mass index measures were available for 461 children.
    Intervention: Intervention schools received the Food Dudes (FD) program: 16 days of repeated taste exposure (40 g of F and 40 g of V), video modeling, and rewards-based techniques. The comparison school was only repeatedly exposed to FV.
    Main outcome measure: Grams of FV brought from home and eaten.
    Analysis: Chi-square, independent t test, repeated-measures ANOVA, and generalized estimating equation model.
    Results: Intervention schools show a significant increase in home-provided F (P < .001) and V (P < .001) consumption both in overweight and non-overweight children. Approximately half of children in the intervention schools ate at least 1 portion of FV at the end of the intervention and maintenance phases.
    Conclusions and implications: The increase in home-provided FV intake was similar in overweight and non-overweight children in the FD intervention schools compared with the comparison school. The effect of the FD program was higher at the end of the intervention phase than the end of the maintenance phase.
    MeSH term(s) Child ; Child, Preschool ; Diet/statistics & numerical data ; Feeding Behavior ; Female ; Follow-Up Studies ; Fruit ; Health Promotion/methods ; Humans ; Italy ; Male ; Overweight/epidemiology ; Program Evaluation ; Schools ; Students/statistics & numerical data ; Vegetables
    Language English
    Publishing date 2015-07
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1878-2620
    ISSN (online) 1878-2620
    DOI 10.1016/j.jneb.2015.04.331
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Increased Classroom Consumption of Home-Provided Fruits and Vegetables for Normal and Overweight Children: Results of the Food Dudes Program in Italy

    Presti, Giovambattista / Annalisa Oppo / Paolo Moderato / Silvia Cau

    Society for Nutrition Education and Behavior Journal of nutrition education and behavior. 2015 July, Aug., v. 47, no. 4

    2015  

    Abstract: To increase classroom consumption of home-provided fruits (F) and vegetables (V) in obese, overweight, and normal weight children.Consumption evaluated within and across the baseline phase and the end of the intervention and maintenance phases.Three ... ...

    Abstract To increase classroom consumption of home-provided fruits (F) and vegetables (V) in obese, overweight, and normal weight children.Consumption evaluated within and across the baseline phase and the end of the intervention and maintenance phases.Three Italian primary schools.The study involved 672 children (321 male and 329 female) aged 5–11 years. Body mass index measures were available for 461 children.Intervention schools received the Food Dudes (FD) program: 16 days of repeated taste exposure (40 g of F and 40 g of V), video modeling, and rewards-based techniques. The comparison school was only repeatedly exposed to FV.Grams of FV brought from home and eaten.Chi-square, independent t test, repeated-measures ANOVA, and generalized estimating equation model.Intervention schools show a significant increase in home-provided F (P < .001) and V (P < .001) consumption both in overweight and non-overweight children. Approximately half of children in the intervention schools ate at least 1 portion of FV at the end of the intervention and maintenance phases.The increase in home-provided FV intake was similar in overweight and non-overweight children in the FD intervention schools compared with the comparison school. The effect of the FD program was higher at the end of the intervention phase than the end of the maintenance phase.
    Keywords analysis of variance ; body mass index ; children ; equations ; females ; food and nutrition programs ; fruits ; males ; models ; overweight ; schools ; taste ; t-test ; vegetables ; Italy
    Language English
    Dates of publication 2015-07
    Size p. 338-344.e1.
    Publishing place Elsevier Inc.
    Document type Article
    ZDB-ID 2080501-9
    ISSN 1708-8259 ; 1499-4046
    ISSN (online) 1708-8259
    ISSN 1499-4046
    DOI 10.1016/j.jneb.2015.04.331
    Database NAL-Catalogue (AGRICOLA)

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  9. Article: Mental health support to staff in a major hospital in Milan (Italy) during the COVID-19 pandemic: a framework of actions.

    Presti, Giovambattista / Dal Lago, Barbara / Fattori, Alice / Mioli, Giuliana / Moderato, Paolo / Sciaretta, Lucia / Costantino, Maria Antonella

    General psychiatry

    2020  Volume 33, Issue 4, Page(s) e100244

    Language English
    Publishing date 2020-07-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 2941976-1
    ISSN 2517-729X ; 2517-729X ; 2096-5923
    ISSN (online) 2517-729X
    ISSN 2517-729X ; 2096-5923
    DOI 10.1136/gpsych-2020-100244
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: The dynamics of fear at the time of COVID-19: A contextual behavioral science perspective

    Presti, Giovambattista / McHugh, Louise / Gloster, Andrew / Karekla, Maria / Haye, Steven C.

    Clinical Neuropsychiatry: Journal of Treatment Evaluation

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #360237
    Database COVID19

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