RENATO LUIZ MARCHETTI
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina - Médico
3 resultados
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- Psychoses of epilepsy: A study comparing the clinical features of patients with focal versus generalized epilepsies(2011) ARAUJO FILHO, Gerardo Maria de; SILVA, Joyce Macedo da; MAZETTO, Lenon; MARCHETTI, Renato Luis; YACUBIAN, Elza Marcia T.In the literature, psychosis of epilepsy (POE) has been described as one of the most frequent psychiatric comorbidities of epilepsy, occurring particularly in association with temporal lobe epilepsy. However, the presence of such psychiatric disorders among patients with idiopathic generalized epilepsies has also been mentioned. In this study, we evaluated the clinical features of psychotic disorders in a series of patients with temporal lobe epilepsy related to mesial temporal sclerosis (TLE-MTS) and juvenile myoclonic epilepsy with the aim of describing and comparing the clinical patterns of the psychotic symptoms in such frequent and important epilepsy syndromes. POE occurred most frequently in patients with TLE-MTS (P=0.01), but no differences were observed between the groups with respect to the subtypes and core symptoms of psychoses. The clinical implications of POE in both epilepsy syndromes are discussed.
article Who's afraid Virginia Woolf?: psychopathology, time and creativity in Mrs. Dalloway(2011) CORDAS, Taki Athanassios; MARCHETRI, Renato LuizBackground: There is a growing interest in the relationship between mental illness, mainly bipolar disorder and creativity. Objectives: To explore the presence of aspects linked to the personal life and medical history in the literary works written by English writer Virginia Woolf, who suffered from bipolar disorder. Methods: One of her most important books, Miss Dalloway, was used as a means of research. This book is often cited as paradigmatic of the modern novel. Results: The exploration of concepts such as inner time and aspects of delusion periods of the illness are described and analyzed in the context of psychopathology. Discussion: The artistic brilliance of using personal experiences during periods of her illness in Miss Dalloway not only praises the work of Virginia Woolf, as it opens an interesting example to study the relationship between art, mental illness, yet little explored in the work of the author.- Emotional trauma and abuse in patients with psychogenic nonepileptic seizures(2011) PROENCA, Inah Carolina Galatro Faria; CASTRO, Luiz Henrique Martins; JORGE, Carmen Lisa; MARCHETTI, Renato LuizA history of childhood trauma and the presence of dissociative phenomena are considered to be the most important risk factors for psychogenic nonepileptic seizure disorder (PNESD). This case-control study investigated 20 patients with PNESD and 20 with temporal lobe epilepsy (TLE) diagnosed by video/EEG monitoring who were matched for gender and age. Patients with both conditions were not included in the study. Groups were evaluated for age at onset and at diagnosis, worst lifetime weekly seizure frequency, trauma history, and presence of dissociative phenomena. Age at onset (P = 0.007) and age at diagnosis (P < 0.001) were significantly higher in the PNESD group than the control group, as were the scores on the Dissociative Experiences Scale (P < 0.001) and Childhood Trauma Questionnaire (P = 0.014). Only the differences in scores on the Childhood Trauma Questionnaire subscales Emotional Neglect (P = 0.013) and Emotional Abuse (P = 0.014) reached statistical significance. Dissociative phenomena and a reported history of childhood trauma are more common in patients with PNESD than in those with TLE. However, only emotional neglect and abuse were associated with PNESD in this study.