title: Evaluation of the burden management in a psychiatric day center: distress and recovery style.
abstract: In psychiatric rehabilitation the individual treatment plan can be formulated from tools that provide a multidimensional assessment of the patient. This study aims to analyze the relationship between distress and recovery style (integration and sealing over) from the psychosis. Assuming that this relationship affects the burden management, the study has the additional target of gaining more elements to direct the formulation of more effective therapeutic / rehabilitation programs.
  
  
  
  The study was carried out in a psychiatric day center, semi-residential structure of mental health services of the National Health System in Italy. 45 patients enrolled have been evaluated by the
  Neuropsychiatric Inventory (NPI - Italian version) and Integration / Sealing Over Scale (ISOS - Italian version), within three months (March-June 2014).
  
  
  
  In the sample, the symptoms which cause a greater distress in the health workers, in an absolute sense, are uninhibition, irritability and apathy. Moreover, the results indicate that depression and anxiety cause a greater degree of distress in sealer patients.
  
  
  
  Uninhibition, irritability and apathy were more burdensome for mental health workers, because they require a greater engagement in the therapeutic relationship. Anxious and depressive symptoms cause a greater degree of distress in the sealers patients, reporting lower endurance of the denial of psychosis. The data seem to prove that knowing, differentiating and deepening the different aspects of the recovery style of each patient enable us to estimate the burden management, starting from the taking in charge, and to reduce the distress and the risk of burn out of the mental health workers.
authors.affiliation: Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Insubria, Varese, Italy.
authors.forename: Camilla
authors.initials: C
authors.lastname: Callegari
authors.affiliation: Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Insubria, Varese, Italy.
authors.forename: Ivano
authors.initials: I
authors.lastname: Caselli
authors.affiliation: Centro di Ricerca EPIMED - Epidemiology and Preventive Medicine, Department of Clinical and Experimental Medicine, University of Insubria, Varese, Italy.
authors.forename: Lorenza
authors.initials: L
authors.lastname: Bertù
authors.affiliation: Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Insubria, Varese, Italy.
authors.forename: Emanuela
authors.initials: E
authors.lastname: Berto
authors.affiliation: Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Insubria, Varese, Italy.
authors.forename: Simone
authors.initials: S
authors.lastname: Vender
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D003631:Day Care, Medical; D019468:Disease Management; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000209:etiology / Q000523:psychology; D010349:Patient Compliance; D010361:Patients / Q000523:psychology*; D011369:Professional-Patient Relations; D011618:Psychotic Disorders / Q000523:psychology / Q000534:rehabilitation*; D013315:Stress, Psychological / Q000209:etiology; D063189:Symptom Assessment