SERGIO PAULO RIGONATTI
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina - Médico
15 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 15
- Electroconvulsive Therapy in Brazil After the ""Psychiatric Reform"" A Public Health Problem-Example From a University Service(2012) RIBEIRO, Rafael Bernardon; MELZER-RIBEIRO, Debora Luciana; RIGONATTI, Sergio Paulo; CORDEIRO, QuirinoObjectives: The Brazilian public health system does not provide electroconvulsive therapy (ECT), which is limited to a few academic services. National mental health policies are against ECT. Our objectives were to analyze critically the public policies toward ECT and present the current situation using statistics from the Institute of Psychiatry of the University of Sao Paulo (IPq-HCFMUSP) and summary data from the other 13 ECT services identified in the country. Methods: Data regarding ECT treatment at the IPq-HCFMUSP were collected from January 2009 to June 2010 (demographical, number of sessions, and diagnoses). All the data were analyzed using SPSS 19, Epic Info 2000, and Excel. Results: During this period, 331 patients were treated at IPq-HCFMUSP: 221 (67%) were from Sao Paulo city, 50 (15.2%) from Sao Paulo's metropolitan area, 39 (11.8%) from Sao Paulo's countryside, and 20 (6.1%) from other states; 7352 ECT treatments were delivered-63.0% (4629) devoted entirely via the public health system (although not funded by the federal government); the main diagnoses were a mood disorder in 86.4% and schizophrenia in 7.3% of the cases. Conclusions: There is an important lack of public assistance for ECT, affecting mainly the poor and severely ill patients. The university services are overcrowded and cannot handle all the referrals. The authors press for changes in the mental health policies.
bookPart Eletroconvulsoterapia(2018) CRETAZ, Eric; RIGONATTI, Sérgio Paulo- Efficacy of electroconvulsive therapy augmentation for partial response to clozapine: a pilot randomized ECT - sham controlled trial(2017) MELZER-RIBEIRO, Debora Luciana; RIGONATTI, Sergio Paulo; KAYO, Monica; AVRICHIR, Belquiz S.; RIBEIRO, Rafael Bernardon; SANTOS, Bernardo dos; FORTES, Marisa; ELKIS, HelioBackground: Thirty percent of schizophrenia patients are treatment-resistant. Objective: This is a single-blinded sham-controlled trial to assess the efficacy of electroconvulsive therapy (ECT) as augmentation strategy in patients with clozapine-resistant schizophrenia. Methods: Twenty three subjects were randomly assigned to 12 sessions of ECT (N = 13) or placebo (Sham ECT) (N = 10). The primary outcome was improvement on psychotic symptoms as measured by the mean reduction of the PANSS positive subscale. The assessments were performed by blind raters. Results: At baseline both groups were similar, except for negative and total symptoms of the PANSS, which were higher in the Sham group. At the endpoint both groups had a significant decrease from basal score. In the ECT group the PANSS total score decreased 8.78%, from 81.23 to 74.75 (p - 0.042), while the positive subscale had a mean reduction of 19% (19.31 to 16.17, p = 0.006). In the Sham group, the mean reduction of PANSS total score was 15.27% (96.80 to 87.43; p = 0.036), and the PANSS positive subscale decreased 27.81% (22.90 to 19.14, p = 0.008). The CGI score in ECT group decreased 23.0% (5.23 to 4.17; p = 0.001) and decreased 24.31% in the Sham ECT group (5.80 to 4.86; p = 0.004). Discussion: In this pilot study, we found no difference between the groups.
- Impact of a near-death experience and religious conversion on the mental health of a criminal: case report and literature review(2013) BRAGHETTA, Camilla C.; SANTANA, Glícia P.; CORDEIRO, Quirino; RIGONATTI, Sergio P.; LUCCHETTI, GiancarloOBJECTIVE: Near-death experiences have been defined as profound psychological events that may occur to a person while close to death or in a situation of extreme physical or emotional distress. These experiences seem to have an important effect on the patients’ mental health and may occur in several situations despite their cultural and religious beliefs. CASE DESCRIPTION: The present case report describes the positive impact of a near-death experience (Greyson scale > 7) followed by religious conversion on the mental health of a former prisoner. COMMENTS: Investigation of the role of near-death experiences by the scientific community could shed light on the coping mechanisms and moral/ethical transformations that take place in these individuals.
- Availability and Public Policies for Electroconvulsive Therapy in Brazil(2013) RIBEIRO, Rafael Bernardon; MELZER-RIBEIRO, Debora Luciana; RIGONATTI, Sergio Paulo; CORDEIRO, Quirino
bookPart Neuromodulação invasiva e não invasiva e covulsoterapias: história, técnicas e macanismos de ação(2021) SIMIS, Marcel; RIGONATTI, SérgiobookPart Eletroconvulsoterapia na depressão(2021) CRETAZ, Eric; RIGONATTI, Sergio; BELLINI, HelenaconferenceObject PILOT DOUBLE BLIND, PLACEBO CONTROLLED AND RANDOMIZED STUDY TO ASSESS ELECTROCONVULSIVE THERAPY EFFICACY AS AUGMENTING STRATEGY TO CLOZAPINE IN SUPER-REFRACTORY SCHIZOPHRENIA(2015) MELZER-RIBEIRO, Debora Luciana; RIGONATTI, Sergio Paulo; KAYO, Monica; RIBEIRO, Rafael Bernardon; AVRICHIR, Belquiz; FORTES, Marisa; CAMARGO, Maria Emilia; ELKIS, HeliobookPart História da psiquiatria forense(2015) SEIXAS, André; RIGONATTI, SérgiobookPart Eletroconvulsoterapia(2015) ARATANGY, Eduardo Wagner; RIGONATTI, Sérgio Paulo; CRETAZ, Eric