A Fiorillo
Biographic Data
| ID | 1300394 |
|---|---|
| NAME | A Fiorillo |
| GIVEN NAMES | A |
| FAMILY NAME | Fiorillo |
| SIGNATURE | FIORILLO A |
| AFFILIATIONS | University of Campania "Luigi Vanvitelli" |
| ORCID | 0000-0002-6926-0762 |
| VERIFIED | Yes |
| TOTAL WORKS | 46 |
| TOTAL CITATIONS | 16 |
| AUTHOR COUNT | 46 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Eco-Anxiety in the Younger Generation: Mental Health Impact of Climate Change Across Age Groups in a Blood Donor Sample
INTRODUCTION: Climate change poses a serious threat to fundamental human needs, including access to water, air, food, and housing. It also contributes to a range of mental health risks. Among its psychological impacts, eco-anxiety, defined by the American Psychological Association as a chronic fear of environmental doom, is receiving increasing attention. Although awareness of eco-anxiety is growing, research on this phenomenon remains limited, e…
Impact of Sleep in Children with Neurodevelopmental Disorders on Family Well-Being: A Systematic Review of Psychological Outcomes
BACKGROUND: Neurodevelopmental disorders (NDDs) in children, such as autism spectrum disorder, attention-deficit/hyperactivity disorder, and intellectual disability, are often associated with significant sleep disturbances. These disruptions can adversely affect the child and the psychological well-being of family members. This systematic review aims to synthesize evidence on the impact of sleep disturbances in children with NDDs on the psycholog…
Suicidality and Aggressive Behaviors in Migrants: Results From an Observational Study
BACKGROUND: Suicide and aggression are significant public health concerns, particularly in vulnerable populations such as migrants. Emotional dysregulation, compounded by acculturation stress and socio-cultural challenges, may underlie both suicidality and aggression in migrants. However, little is known about the clinical profiles and predictors of these behaviors in psychiatric inpatient settings. METHODS: We retrospectively analyzed 268 migran…
Hikikomori-Like Social Withdrawal Mediates the Relationship Between Autistic Traits and Pathological Video Game Use Among University Students
BACKGROUND: With the rise of immersive digital entertainment, concerns have grown around Video Gaming addiction (VGA) and its potential link to severe social withdrawal, such as hikikomori, especially in individuals with high autistic traits (ATs). While the association between these dimension has been widely described, there are still few studies on its correlation and, so far, no study has yet investigated the three simultaneously. AIMS: Our st…
Assisted Suicide for Mental Disorders: A Critical Review of the State-of the Art in Europe and Experts’ Opinions
BACKGROUND: Medical assistance in dying (MAiD), encompassing euthanasia and assisted suicide, has expanded from its original focus on terminal somatic illness to include, in some jurisdictions, individuals with psychiatric disorders. This shift has raised major ethical, legal, and clinical concerns. While proponents argue for respecting autonomy and recognizing the severity of psychological suffering, opponents highlight diagnostic uncertainty, f…
Exploring the impact of childhood trauma on obsessive-compulsive disorder: A systematic review focused on adult populations
Impact of structured physical activity on youth’s mental health: A review of umbrella reviews
BACKGROUND: The role of physical activity (PA) in addressing mental health issues across the lifespan is expanding. Although the focus is primarily on the adult population, this underestimates the potential implementation of these complementary interventions in children and adolescents. AIM: We synthesize the outcomes of umbrella reviews addressing the effectiveness of structured PA on young people's mental health. METHODS: We searched the litera…
Rethinking social psychiatry: The pillars of the 2025 to 2027 action plan of the European Psychiatric Association
Digital mental health in Italy: Findings from the multicentric Digit-PSY study
National initiatives should firstly address education and training needs of the youngest mental health professionals, particularly those without a mentor/supervisor experienced in providing DMH/DP and in educating younger professionals in the digital clinical practice. Sex-sensitive consolidating strategies should be implemented in those mental health services already digitalized. Longitudinal studies should evaluate the efficacy in the long-term…
Social camouflaging predicts eating disorder symptomatology among female patients with Borderline Personality Disorder
Social camouflaging is significantly elevated in women with BPD and is closely associated with disordered eating symptoms. Findings highlight camouflaging as a potential transdiagnostic mechanism linking autistic traits and ED symptomatology in BPD populations, with implications for diagnostic clarity and personalized treatment strategies
A cross-sectional survey of psychiatrists’ experiences of using telepsychiatry during the Covid-19 pandemic and the relationship with burnout in selected high, middle, and low-income countries
Background: The COVID-19 pandemic necessitated substantial modifications in the delivery of patient care on a global scale. Telemedicine-based care services were implemented worldwide to maximize access to healthcare systems. Aims: This study aimed to investigate the use of and satisfaction with telepsychiatry services implemented during the COVID-19 pandemic by psychiatrists across low, middle, and high income countries, and to assess levels of …
Promoting mental health and preventing mental health problems in child and adolescent refugees and asylum seekers: A systematic review on psychosocial interventions
Microaggression toward LGBTIQ people and implications for mental health: A systematic review
Facts and myths about use of esketamine for treatment-resistant depression: A narrative clinical review
TRD represents a challenging condition, requiring precise diagnosis in order to achieve patient's full recovery. Esketamine has been proved as an effective medication to treat TRD, although it requires precautions. Evidence can inform clinical practice, in order to offer this innovative treatment to all patients with TRD
Acculturation stress and mental health outcomes in a sample of migrant inpatients: Findings from a naturalistic study
Introduction: Migrants face numerous risk factors for mental disorders, including stressors and traumatic events during the pre-, peri-, and post-migratory phases. Acculturation stress, a significant post-migratory stressor, can adversely affect mental health during the cultural adaptation process. This study aims to assess the clinical implications of acculturation stress in migrants admitted to a psychiatric intensive care unit, with a focus on…
Investigating Eating Symptoms in the LGBTQIA+ Population: Do Discrimination and Adverse Conditions Matter
Background: Eating disorders (EDs) have traditionally been studied among heterosexual cisgender women, but recent research highlights a higher prevalence in LGBTQIA+ individuals. Aims: This study aims (1) to investigate the association between different groups based on gender identity and sexual orientation (GISO) and experiencing eating symptoms, and (2) to explore the extent to which self-perceived discrimination and adverse conditions explain …
The effect of social media and infodemic on mental health during the Covid-19 pandemic: Results from the Comet multicentric trial
On January 30, 2020, the World Health Organization (WHO) declared the status of pandemic due to the COVID-19 infection. The initial phases of the pandemic were characterized by uncertainty and public fears. In order to cope with such unexpected conditions, people adopted different coping strategies, including search for information, accessing Internet, and using social media. The present study based on the COMET collaborative research network aim…
The Complex Interplay Between Physical Activity and Recovery Styles in Patients With Severe Mental Disorders in a Real-World Multicentric Study
Compared with the general population, people with severe mental disorders have significantly worse physical health and a higher mortality rate, which is partially due to the adoption of unhealthy lifestyle behaviors, such as heavy smoking, use of alcohol or illicit drugs, unbalanced diet, and physical inactivity. These unhealthy behaviors may also play a significant role in the personal and functional recovery of patients with severe mental disor…
Does antenatal depression predict post-partum depression and obstetric complications? Results from a longitudinal, long-term, real-world study
Background Main aims of the present paper are to: (1) assess the prevalence of antenatal depression (AD) and identify its predictors; (2) analyse the impact of AD on obstetric outcomes and on the incidence of post-partum depression. Methods All pregnant women referring to the Gynecology and Obstetrics inpatients unit of the University of Campania “Luigi Vanvitelli” were invited to participate. Upon acceptance, women completed the Italian version …
Covid-19-Related Social Isolation Predispose to Problematic Internet and Online Video Gaming Use in Italy
COVID-19 pandemic and its related containment measures have been associated with increased levels of stress, anxiety and depression in the general population. While the use of digital media has been greatly promoted by national governments and international authorities to maintain social contacts and healthy lifestyle behaviors, its increased access may also bear the risk of inappropriate or excessive use of internet-related resources. The presen…
The Transition From Maternity Blues to Full-Blown Perinatal Depression: Results From a Longitudinal Study
Background: The aims of the present study are to: (1) assess the frequency of maternity blues (MB); (2) identify the clinical and social characteristics more frequently associated with the onset of depressive symptoms after delivery; and (3) verify the hypothesis that the presence of maternity blues is a risk factor for the onset of a full-blown depressive episode in the 12 months after delivery. Methods: This is a longitudinal observational stud…
Loneliness in Young Adults During the First Wave of Covid-19 Lockdown: Results From the Multicentric Comet Study
The COVID-19 pandemic has affected the mental and physical health of the general population at any age, but it is expected to have a protracted and severe consequences for younger populations. The pandemic has had several consequences on mental health including anger and irritability, depressive symptoms and somatic complaints, insomnia, lack of motivation, and loneliness. In particular, loneliness and its related negative feelings are thought to…
Affective temperament, attachment style, and the psychological impact of the Covid-19 outbreak: An early report on the Italian general population
Effects of the lockdown on the mental health of the general population during the Covid-19 pandemic in Italy: Results from the Comet collaborative network
Background The Coronavirus disease 2019 (COVID-19) pandemic is an unprecedented traumatic event influencing the healthcare, economic, and social welfare systems worldwide. In order to slow the infection rates, lockdown has been implemented almost everywhere. Italy, one of the countries most severely affected, entered the “lockdown” on March 8, 2020. Methods The COvid Mental hEalth Trial (COMET) network includes 10 Italian university sites and the…
The consequences of the Covid-19 pandemic on mental health and implications for clinical practice
There is a wide consensus that the COVID-19 pandemic not only affects physical health, but also mental health and well-being The current pandemic is changing priorities for the general population, but it is also challenging the agenda of health professionals, including that of psychiatrists and other mental health professionals Everywhere in the world, psychiatric clinics are modifying their practice in order to guarantee care and support to pers…
The effect of social network on burden and pessimism in relatives of patients with schizophrenia
The authors explored the social network of caregivers of patients with schizophrenia in relation to relatives' sociodemographic characteristics, patients' clinical variables, family burden, and pessimism about the consequences of the disease. They evaluated 709 key relatives of patients with schizophrenia concerning the above-mentioned variables by means of well-validated questionnaires. A more supportive social network was found in relatives who…
Beliefs of Psychiatric Nurses about Schizophrenia: A Comparison with Patients’ Relatives and Psychiatrists
Background: What patients’ relatives and health professionals think about causes, treatments and psychosocial consequences of schizophrenia can influence its detection and outcome. Aims: To compare the beliefs about schizophrenia in 190 nurses, 110 psychiatrists and 709 relatives of patients with this mental disorder, recruited in 30 randomly selected mental health centres. Methods: In each centre, the key-relatives of the first consecutive 25 su…
Family burden in long-term diseases: A Comparative Study in Schizophrenia vs. Physical Disorders
Social network in long-term diseases: A comparative study in relatives of persons with schizophrenia and physical illnesses versus a sample from the general population
Development and Validation of a Self-Reported Questionnaire On Users’ Opinions About Schizophrenia: A Participatory Research
Background: Although users’ involvement in mental health research has repeatedly been acknowledged as having a positive influence on research quality, this rarely happens. Aims: To develop and validate a Questionnaire on Users’ Opinions (QOU) about schizophrenia, in close collaboration with 279 persons affected by this disorder. Methods: A preliminary list of items concerning the opinions of users with schizophrenia regarding causes, treatments a…
The impact of a psychoeducational intervention on family members’ views about schizophrenia: Results from the Oasis Italian multi-centre study
Background: The opinions of relatives of patients with schizophrenia about this disorder can influence its course and outcome. Aims: In 2003, the Italian Psychiatric Association promoted a study on family psychoeducational intervention to explore its effectiveness in improving relatives’ opinions and beliefs about schizophrenia. Methods: In each of the 10 Italian mental health centres, 30 patients with schizophrenia and 30 key relatives were rand…
Who cares for it? How to provide psychosocial interventions in the community
BACKGROUND: Since the Mental Health Reform Law 1978/180, in Italy mental hospitals have been progressively closed and a community-centred psychiatric care oriented to rehabilitation began. After almost 35 years, the de-institutionalization process is now complete. However, psychosocial interventions in the community are provided only rarely, although a specific mental health professional, the psychiatric rehabilitation technician, has been establ…
Pathways to mental health care in Italy: Results from a multicenter study
BACKGROUND AND AIMS: In Italy, the reform of the mental health system in 1978 should have drastically changed the provision of care and pathways of patients seeking to obtain it. The aim of this article is to examine the current pathways to psychiatric care in Italy. METHODS: We used a method developed in the World Health Organization international collaborative studies to investigate pathways to care in 15 Italian mental health centers. We recru…
The role of relatives in pathways to care of patients with a first episode of psychosis
AIMS: To explore the role of relatives in pathways to care of patients with a recent onset of psychosis. METHODS: A total of 34 consecutive patients and their relatives from the Department of Psychiatry of the University of Naples SUN participated in the study. Pathways to care were retrospectively evaluated by administering the Pathways to Care Form and the Nottingham Onset Schedule (NOS) to patients, relatives and treating physicians. Relatives…
University students’ identification of stigmatizing schizophrenia in Italian newspapers
Stigma associated with mental disorders represents one main obstacle to receive appropriate care for people with mental disorders. Compared to adults, university students have higher levels of stigmatizing attitudes toward patients with schizophrenia. The primary aim of this case-control study was to assess university students' ability to identify stigma toward schizophrenia in Italian newspapers. Secondary aims were: a) to explore differences in…
Perceived insecurity, mental health and urbanization: Results from a multicentric study
AIMS: This article aims to (1) explore the levels of perceived insecurity in a sample of patients with mood or anxiety disorders and (2) assess whether living in 'big cities' can influence the levels of patients' perceived insecurity and social contacts compared to living in a non-urbanized context. METHODS: A total of 24 Italian mental health centers (MHCs) have been invited to participate. Twenty patients consecutively accessing the MHC have be…
Pathways to care and duration of untreated psychosis in patients with a first episode of psychosis in Italy
This study aimed to examine the pathways to care and the duration of untreated psychosis (DUP) in first-episode psychosis patients in Italy. Sociodemographic and clinical characteristics of patients were collected using an ad-hoc schedule. Pathways to care of patients were evaluated by the Nottingham Onset Schedule, administered to patients, key-relatives and key-workers. Forty patients from the Department of Psychiatry of University of Naples we…
Social versus biological psychiatry: It’s time for integration
A Randomized Controlled Trial on the Efficacy of a Psychosocial Behavioral Intervention to Improve the Lifestyle of Patients With Severe Mental Disorders: Study Protocol
2015C7374S
Perceived Coercion Among Patients Admitted in Psychiatric Wards: Italian Results of the Eunomia Study
The decision to use coercive measures (restraint, seclusion and forced medication) in psychiatric practice is controversial in mental health care. The EUNOMIA study was funded by the European Commission and carried out in 11 countries in order to develop European recommendations for good clinical practice on the use of coercive measures. The aim of the study is to identify sociodemographic and clinical predictors of the levels of perceived coerci…
Comorbidity of Obsessive-Compulsive Disorder and Schizotypal Personality Disorder: Clinical Response and Treatment Resistance to Pharmacotherapy in a 3-Year Follow-Up Naturalistic Study
The present study aims to analyze the clinical and socio-demographic characteristics of patients with obsessive-compulsive disorder (OCD) in comorbidity with schizotypal personality disorder (SPD), as well as the response rate to pharmacological treatments. OCD+SPD patients had a younger age at onset, a higher probability to have more severe obsessive-compulsive symptoms, a higher rate of schizophrenia spectrum disorders in their first-degree rel…
Psychoeducational Intervention for Perinatal Depression: Study Protocol of a Randomized Controlled Trial
Perinatal depression (PD) is a severe and disabling condition impacting negatively on children in terms of adverse neonatal outcomes and on the well-being of women and their families. All pregnant women attending the unit of Gynecology and Obstetrics Service of the University of Campania "L. Vanvitelli" will be screened for PD using the Edinburgh Postpartum Depression Scale (EPDS). Women with a score 10 at the EPDS will be invited to receive a fu…
How to Measure Knowledge About Mental Disorders? Validation of the Italian Version of the Maks
Affective temperament, attachment style, and the psychological impact of the Covid-19 outbreak: An early report on the Italian general population
Effects of the lockdown on the mental health of the general population during the Covid-19 pandemic in Italy: Results from the Comet collaborative network
Background The Coronavirus disease 2019 (COVID-19) pandemic is an unprecedented traumatic event influencing the healthcare, economic, and social welfare systems worldwide. In order to slow the infection rates, lockdown has been implemented almost everywhere. Italy, one of the countries most severely affected, entered the “lockdown” on March 8, 2020. Methods The COvid Mental hEalth Trial (COMET) network includes 10 Italian university sites and the…
The consequences of the Covid-19 pandemic on mental health and implications for clinical practice
There is a wide consensus that the COVID-19 pandemic not only affects physical health, but also mental health and well-being The current pandemic is changing priorities for the general population, but it is also challenging the agenda of health professionals, including that of psychiatrists and other mental health professionals Everywhere in the world, psychiatric clinics are modifying their practice in order to guarantee care and support to pers…
The Impact of Quarantine and Physical Distancing Following Covid-19 on Mental Health: Study Protocol of a Multicentric Italian Population Trial
The COVID-19 pandemic and its related containment measures-mainly physical distancing and isolation-are having detrimental consequences on the mental health of the general population worldwide. In particular, frustration, loneliness, and worries about the future are common reactions and represent well-known risk factors for several mental disorders, including anxiety, affective, and post-traumatic stress disorders. The vast majority of available …
What Happened to Patients With Obsessive Compulsive Disorder During the Covid-19 Pandemic? A Multicentre Report From Tertiary Clinics in Northern Italy
After the outbreak of Coronavirus disease was declared a pandemic by the World Health Organization, this resulted in extraordinary public health measures to control the infection, such as entire countries being placed under quarantine. The psychopathological consequences of the pandemic and quarantine were anticipated to be of particular relevance, especially in patients with psychiatric disorders such as Obsessive Compulsive Disorder (OCD). Aim …
Reduced Hedonic Tone and Emotion Dysregulation Predict Depressive Symptoms Severity during the Covid-19 Outbreak: An Observational Study on the Italian General Population
The COVID-19 pandemic has spiked stress-related symptoms worldwide. This study aims to assess depressive symptoms related to the early phase of the COVID-19 outbreak among the Italian general population and to analyze anhedonia and emotion dysregulation as potential predictors of depression severity. Through an online questionnaire, we collected sociodemographic and lockdown-related information; depressive symptoms, hedonic tone, and emotion dysr…
The Transition From Maternity Blues to Full-Blown Perinatal Depression: Results From a Longitudinal Study
Background: The aims of the present study are to: (1) assess the frequency of maternity blues (MB); (2) identify the clinical and social characteristics more frequently associated with the onset of depressive symptoms after delivery; and (3) verify the hypothesis that the presence of maternity blues is a risk factor for the onset of a full-blown depressive episode in the 12 months after delivery. Methods: This is a longitudinal observational stud…
Psychiatry (36 works) · Medicine (33 works) · Psychology (33 works) · Mental health (24 works) · Clinical Psychology (19 works) · Schizophrenia research and treatment (16 works) · Clinical Psychology (13 works) · Psychological intervention (13 works) · Mental Health Treatment and Access (12 works) · Population (11 works)