Percorrer por autor "Giovagnoli, Anna Rita"
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- Brain, cognition, and psychoanalysis: a scoping reviewPublication . Giovagnoli, Anna Rita; Patrikelis, Panayiotis; Parente, Annalisa; Parisi, Alessandra; Meneses, Rute FBackground: Cognitive functions and brain connectivity could be influenced by psychoanalytic psychotherapy (PP), thus representing neurobiological parameters for therapy-induced changes. This study searched empirical studies on cognition and the brain to evaluate which functions have been assessed, with which instruments, and what changes have been documented in brain connectivity after PP. Methods: We used the guidelines and checklist of the Preferred Reporting Items of Systematic Reviews and Meta-analyses Extension for Scoping Reviews. The literature search was performed on the Medline–PubMed, American Psychological Association-PsycINFO, Elton Bryson Stephens Company, and Cochrane databases, and Google Scholar, including articles on patients with non-psychotic disturbances published from 1980 to September 2024. Results: Fifty-nine articles were collected. Five articles reported on cognitive outcomes. Abstraction and mentalization remained stable after individual PP in patients with adjustment disorders or anorexia nervosa. Executive functions, emotional intelligence, spatial short-term memory, attention, and balance between relatedness and self-definition improved after group PP applied alone or combined with individual PP. Twelve studies using functional magnetic resonance imaging, positron emission tomography, single-photon emission computerized tomography, or electroencephalography showed functional brain changes after different types of PP. Conclusions: An empirical approach has rarely been used to evaluate the impact of PP on the brain and cognition. The results of selected studies on neurotic and depressive disorders suggest that PP can stimulate cognitive function and brain connectivity. Further literature reviews are needed to clarify these issues and provide an avenue for research studies targeting PP in different conditions. Communication between neurology and psychoanalysis is indispensable.
- Cognitive awareness after treatment for high-grade gliomaPublication . Giovagnoli, Anna Rita; Meneses, Rute; Paterlini, Chiara; Silvani, Antonio; Boiardi, AmerigoObjective: In patients with brain lesion, awareness of cognitive deficits is an important aspect of disease awareness. Glioblastoma (GBM) and anaplastic astrocytoma (AA) can cause cognitive deficits, but, to date, awareness of these deficits has not been documented. This study aimed to test cognitive awareness in these patients after the end of treatment. Methods: Fifty patients with GBM or AA were assessed using the Multiple Ability Self-Report Questionnaire (MASQ), State-Trait Anxiety Inventory (STAI), Self Rating Depression Scale (SRDS), and memory, attention, mental speed, abstract reasoning, and flexibility neuropsychological tests. Cognitive awareness was calculated as the concordance between the composite score of neuropsychological performance (PEC) and the total MASQ score. The controls were 48 healthy subjects. Analysis of variance and regression analysis compared subject groups and explored variables predicting perceived abilities. Results: Patients with GBM or AA showed similar attention, memory, and executive deficits compared with controls. Cognitive awareness was fair/full in 64% of patients. In the entire patients group, the worst MASQ scores were associated with neuropsychological deficits, anxiety, depression, and glioma location in the right hemisphere . In patients with fair/full awareness, MASQ scores were related to affective status and neuropsychological performance, whereas, in those with scarce/no awareness, they were related only to affective status. Conclusions: After treatment, many patients with GBM or AA are aware of their cognitive deficits. Anxiety, depression, and right hemisphere tumour exacerbate the perceived difficulties. This neurocognitive approach expands the behavioural phenotypes of high-grade gliomas and may have therapeutic implications over the course of the disease.