Publications by authors named "Vicari S"

Down syndrome (DS) is the most frequent genetic cause of intellectual disability (ID). Individuals with DS exhibit an elevated risk of other neurodevelopmental disorders, including autism spectrum disorder (ASD). The primary objective of this study was to explore the clinical characteristics of co-occurring ASD in children and adolescents with DS using a case-control approach.

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  • Sleep disturbances (SD) are common in children and adolescents with ADHD, affecting their treatment outcomes, particularly with stimulant medications like methylphenidate (MPH).
  • A study with 43 participants found that those with higher levels of SD experienced greater improvements in attention and reduced variability in reaction times after taking MPH.
  • The research suggests that factors such as externalizing behaviors and IQ also play a role in how children respond to MPH, highlighting the need for early identification of SD for better treatment predictions, while calling for further investigation into these relationships.
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The physical, psychological and social changes that occur during adolescence constitute a physiological crisis that is necessary for development and growth. The establishment of a suitable "self-image" is important for facilitating harmonious psychophysical development during this time. In the current era, digital technology (DT) serves as an extraordinary means of communication for young people, who make significant use of images as a mode of expression.

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Prospective memory (PM) is the ability to remember and realize one's intentions in the future; therefore, it is crucial for the daily functioning of children and adolescents and their ability to become independent from caregivers. PM errors can have repercussions during childhood, such as influencing school performance and social relationships. The aim of this systematic review was to synthesize studies analysing PM in children and adolescents (age range: 0-16 years) following PRISMA guidelines.

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Background: Transitioning into adulthood can be challenging for individuals with Autism Spectrum Disorder (ASD). Work is one of the most enduring and impactful aspects of adult life, as it plays a key role in helping people find meaning. However, research on the effectiveness of pre-employment programs in improving the health and well-being of autistic adolescents and young adults remains limited.

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Autism spectrum disorder (ASD) is a neurodevelopmental disorder. Investigations of gut microbiota (GM) play an important role in deciphering disease severity and symptoms. Overall, we stratified 70 ASD patients by neuropsychological assessment, based on Calibrated Severity Scores (CSSs) of the Autism Diagnostic Observation Schedule-Second edition (ADOS-2), Child Behavior Checklist (CBCL) and intelligent quotient/developmental quotient (IQ/DQ) parameters.

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Background: To date, there have been numerous metataxonomic studies on gut microbiota (GM) profiling based on the analyses of data from public repositories. However, differences in study population and wet and dry pipelines have produced discordant results. Herein, we propose a biostatistical approach to remove these batch effects for the GM characterization in the case of autism spectrum disorders (ASDs).

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  • Children and adolescents with intellectual disability (ID) are at a higher risk of developing post-traumatic stress disorder (PTSD) due to their vulnerability to traumatic events.
  • The study investigated the differences in mental health issues and functioning between those with and without ID, finding those with ID showed more severe post-traumatic symptoms and social problems.
  • The results suggest that specific types of interpersonal trauma, like physical and sexual abuse, result in worse outcomes than neglect, emphasizing the need for specialized treatment for affected individuals.
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Aims: The current range of labeling terms-at-risk mental state (ARMS), ultra-high risk for psychosis (UHR), and attenuated psychotic syndrome (APS)-used to refer to the psychosis-risk concept is varied, and their acceptability and potential stigma are not well understood. By involving Italian youth with lived experience of mental ill-health, we aimed to generate new labeling terms for psychosis-risk, and to evaluate literacy, attitudes, and preferences regarding these and the existing terms. Additionally, we investigated opinions of disclosure of the at-risk concept in clinical practice.

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Sleep disturbances (SD) are commonly reported concerns among parents and caregivers of children and adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD). While it is widely acknowledged that SD can worsen various aspects of children and adolescents' well-being (e.g.

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  • Fragile X Syndrome (FXS) is a genetic disorder that causes intellectual disabilities and behavioral issues, and there's a lack of research on psychosocial treatments for individuals with FXS.
  • This study tested a group therapy called "Corp-osa-Mente" (CoM II) on ten young adults with FXS to improve their emotional management and social communication skills over twelve months.
  • Results showed reduced symptoms of depression and anxiety, improved communication skills, and enhanced family quality of life, indicating that group nCBT can be beneficial for young adults with FXS, but more rigorous studies are needed to confirm these findings.
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First-person representations of illness have been studied as key to the cultural fabric disrupting dominant practices of ill health or disease regimes. However, the role that digital platforms play in shaping this fabric in contemporary societies has been mostly overlooked. We address this gap by investigating how mainstream social media, as mundane spaces modelled by corporate-driven techno-commercial structures, frame specific forms of visuality or ways to see ill health.

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Background: Sharing and fairness are important prosocial behaviors that help us navigate the social world. However, little is known about how and whether individuals with Williams Syndrome (WS) engage in these behaviors. The unique phenotype of individuals with WS, consisting of high social motivation and limited social cognition, can also offer insight into the role of social motivation in sharing and fairness when compared to typically developing (TD) individuals.

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The co-occurrence Oppositional Defiant Disorder (ODD) in children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD) has been associated to difficulties in regulating adverse states, elevated functional impairment, deficits in Executive Functions and high risk for psychopathology. Recent studies have shown that ODD is a negative predictor of a positive response to methylphenidate (MPH) treatment for ADHD symptoms in children and adolescents and that patients with a diagnosis of comorbid ADHD and ODD are less likely to respond favorably to pharmacological treatment with MPH. We conducted a naturalistic study to understand the clinical characteristics of drug-naïve children and adolescents with ADHD that influence the response to MPH by measuring the effect on attention.

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Numerous studies have identified connections between child maltreatment and sleep-related issues. However, poor is known on potential links between sleep patterns and day-to-day functioning, along with psychopathology in maltreated youths. Additionally, existing research on the relationship between sleep difficulties and maltreatment often lacks investigation into specific sleep difficulty profiles across different age ranges.

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  • The study analyzed sleep disturbances in 242 children and adolescents with Autism Spectrum Disorder (ASD) to identify predictors of sleep disorders and explore co-sleeping behaviors.
  • Approximately 33% of participants showed clinically relevant sleep disorders, with the most common issues related to difficulty falling and staying asleep.
  • Results indicated that higher IQ/DQ, internalizing problems, and parental stress contributed to sleep disturbances, while co-sleeping children tended to be younger with lower IQ/DQ scores and reduced well-being compared to non-co-sleepers.
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Background: Individuals with intellectual disability, including people with Down syndrome (DS), often exhibit restricted and repetitive behaviours (RRBs). However, RRBs have not been deeply characterised in children and adolescents with DS.

Method: The study encompassed a cohort of 151 participants aged 4 to 18 years with DS.

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Importance: There are suggestions that school pressure may be stressful and a factor in child and adolescent mental health disturbances, but data about this association are scarce and inconclusive.

Objective: To assess whether varying degrees of school interruption were associated with changes in emergency department (ED) psychiatric visits of children and adolescents before and after the COVID-19 outbreak.

Design, Setting, And Participants: A cross-sectional observational study was conducted at 9 urban university hospitals in Italy.

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Background And Objectives: Fragile X Syndrome (FXS) is the most common cause of inherited intellectual disability, caused by CGG-repeat expansions (> 200) in the FMR1 gene leading to lack of expression. Espansion between 55 and 200 triplets fall within the premutation range (PM) and can lead to different clinical conditions, including fragile X- primary ovarian insufficiency (FXPOI), fragile X-associated neuropsychiatric disorders (FXAND) and fragile X-associated tremor/ataxia syndrome (FXTAS). Although there is not a current cure for FXS and for the Fragile X-PM associated conditions (FXPAC), timely diagnosis as well as the implementation of treatment strategies, psychoeducation and behavioral intervention may improve the quality of life (QoL) of people with FXS or FXPAC.

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  • The SMARCB1 gene, associated with Coffin-Siris Syndrome (CSS) type 3, influences physical and cognitive development, with mutations leading to severe disabilities in many cases.
  • A unique case was reviewed where a patient with a SMARCB1 mutation displayed normal intelligence and only mild cognitive deficits, despite typical challenges like feeding issues and growth delays.
  • The findings underscore the diverse neuropsychological impacts of CSS and stress the need for personalized interventions, while also presenting future research paths to better understand variations in intellectual outcomes among affected individuals.
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  • Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder often seen alongside ADHD, where behavioral therapy is the primary treatment, but medication may also be necessary for severe symptoms like agitation.
  • Intravenous valproate (IV-VPA) has shown promise in treating agitation in patients with ASD, potentially offering a safer alternative to conventional medications, although it is not yet widely approved for this use.
  • A case study of an 11-year-old boy demonstrated successful treatment with IV-VPA after first-line approaches failed, reinforcing the potential benefits and reduced adverse effects associated with this medication based on existing literature.
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Correct classification of irritability is extremely important to assess prognosis and treatment indications of juvenile mood disorders. We assessed factors associated with low versus high parent- and self-rated irritability using the affective reactivity index (ARI) in a sample of 289 adolescents diagnosed with a bipolar or a major depressive disorder. Bivariate analyses were followed by multilinear logistic regression model.

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