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Neuropsychiatrie de l''Enfance et de l''Adolescence最新文献

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Agenda 议程
Q4 Medicine Pub Date : 2025-10-23 DOI: 10.1016/j.neurenf.2025.10.001
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引用次数: 0
Cent cas de révélations de violences sexuelles en psychiatrie de l’adolescent : une étude descriptive 100起青少年精神病学性暴力揭露案例:案例研究
Q4 Medicine Pub Date : 2025-09-23 DOI: 10.1016/j.neurenf.2025.08.003
M. Robin , T. Schupak , L. Bonnardel , C. Polge , M.-B. Couture , L. Bellone , G. Shadili , A. Essadek , M. Corcos

Background

The magnitude and nature of sexual violence (SV) are increasingly described in child and adolescent psychiatry, but the mechanisms underlying their impact remain to be understood.

Objective

This article describes the characteristics of SV identified among adolescents hospitalized in psychiatry as well as the associated clinical features.

Method

The study included 100 patients for whom SV was identified among all patients aged 13 to 17 years hospitalized over a period of approximately four years. The characteristics of SV were correlated with patients’ medical severity, as well as with the number and duration of hospitalizations and the delay in disclosure.

Results

Our findings highlight the central role of SV in adolescent psychiatry, with a prevalence of 28.5% and a cumulative length of hospitalization five times longer than average. Correlations were observed between the number of adolescents’ suicide attempts and the number of SV episodes. Medical severity increased when the identified perpetrator was an adult. The number of hospitalizations was positively correlated with the number of reported violent acts as well as with the intrafamilial and adult status of the perpetrator.

Conclusion

The magnitude and impact of a history of SV in adolescent psychiatry call for the systematic exploration of these events in patients’ histories as well as the anticipation of their consequences on pathology and care.
儿童和青少年精神病学越来越多地描述性暴力(SV)的规模和性质,但其影响的机制仍有待了解。目的本文描述了精神病学住院青少年的SV特征及其相关的临床特征。该研究纳入了100例患者,年龄在13至17岁之间,在大约4年的住院时间内确诊为SV。SV的特征与患者的病情严重程度、住院次数、住院时间以及延迟披露相关。结果我们的研究结果突出了SV在青少年精神病学中的核心作用,其患病率为28.5%,累计住院时间是平均水平的5倍。观察到青少年自杀企图的数量与SV发作次数之间存在相关性。当确定的肇事者是成年人时,医疗严重程度会增加。住院次数与报告的暴力行为次数以及犯罪者的家庭内部和成人身份呈正相关。结论青少年精神病学中SV史的规模和影响需要系统地探索患者历史中的这些事件,以及对其病理和护理后果的预期。
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引用次数: 0
Représentations parentales suite au diagnostic d’autisme : entre l’ici et le monde tamoul 自闭症诊断后的父母形象:从这里到泰米尔世界
Q4 Medicine Pub Date : 2025-09-01 DOI: 10.1016/j.neurenf.2025.05.001
N. Bergen , A. Simon , M.R. Moro , T. Baubet
This qualitative and cross-cultural study explores the experiences of Tamil parents living in France following the diagnostic disclosure of autism in their child. Understanding parental representations related to the diagnosis is seen as a crucial component of therapeutic work. Nine families followed in a mental health center called Centre Médicopsychologique were interviewed through semi-structured sessions with an interpreter, using the McGill Illness Narrative Interview method. The findings were analyzed through an interpretative phenomenological approach and are organized into three key themes: a progressive confrontation with the disorder, evolving from initial concern to a process of appropriation and a search for support within the Tamil autism parent community; a subjective reflection on the disorder, shaped by etiological questions; a dynamic mindset reflecting a drive to act, where parents express a need for concrete strategies to support their child.
这项定性和跨文化研究探讨了在他们的孩子被诊断为自闭症后,居住在法国的泰米尔父母的经历。了解与诊断相关的父母陈述被视为治疗工作的关键组成部分。在一个名为“m心理健康中心”的心理健康中心,研究人员对九个家庭进行了半结构化的访谈,并由一名口译员使用麦吉尔疾病叙述访谈法进行了访谈。研究结果通过解释性现象学方法进行了分析,并被组织成三个关键主题:与疾病的逐步对抗,从最初的关注演变为挪用的过程,并在泰米尔自闭症家长社区中寻求支持;对疾病的主观反思,由病因问题形成;一种动态的心态,反映了一种行动的动力,父母表达了支持孩子的具体策略的需要。
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引用次数: 0
Agenda 议程
Q4 Medicine Pub Date : 2025-09-01 DOI: 10.1016/j.neurenf.2025.09.002
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引用次数: 0
Q4 Medicine Pub Date : 2025-09-01 DOI: 10.1016/j.neurenf.2025.06.004
Y. Gansel
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引用次数: 0
Aux origines de la Grille Alternative Psychomotricité Prématurité Environnement Affectivité (GAPPEA) : une démarche de recherche clinique Psychomotricite prematurite环境情感(GAPPEA):一种临床研究方法
Q4 Medicine Pub Date : 2025-09-01 DOI: 10.1016/j.neurenf.2025.03.011
M. Perrier Genas , J. Boutinaud

Objectives

The article presents the genesis, functioning and content of the GAPPEA grid (Grille Alternative Psychomotricité Environnement Affectivité – Alternative Psychomotricity Environment Affectivity Grid), which was devised based on needs encountered in clinical practice in CAMSPs when dealing with premature babies and their families. It responds to the need to develop a new and original tool used by psychomotricians to guide and refine their clinical observations in this field.

Patients and methods

The grid takes up and puts to work preliminary studies on cohorts of 8-month-old babies, but it also involves the networking of several dozen psychomotricians around its use. It is based on a quantitative and qualitative approach.

Results

The grid was constructed as a guide for observing specific elements exploring different areas in terms of psychomotricity and is divided into five areas of observation (first observations, the baby's psychomotor discoveries, parent/child interaction and links, the baby's response to the psychomotrician's requests, links between the clinician and the family) with specific items presented in detail for each area. It gives pride of place to issues relating to parents.

Discussion

In terms of its experimental use, the grid is original in relation to existing supports and is adapted to the needs of psychomotricians working in this clinical field. The positive feedback received from professionals who have used it testifies to its usefulness.

Conclusions

The genesis and initial uses of GAPPEA suggest that it should be used in new ways in the field of clinical approaches to babies. Putting it to the test in new ways will also allow it to be transformed and even calibrated later.
本文介绍了GAPPEA网格(格栅替代性心理活动环境情感栅格-替代性心理活动环境情感栅格)的起源、功能和内容。GAPPEA网格是基于camsp在处理早产儿及其家庭的临床实践中遇到的需求而设计的。它回应了需要开发一种新的和原始的工具,用于精神测量学家指导和完善他们在这一领域的临床观察。患者和方法网格在8个月大的婴儿中进行了初步研究,但它也涉及到数十名精神病学家在其使用方面的联系。它以定量和定性方法为基础。结果构建的网格作为观察特定元素的指南,探索不同的精神运动领域,并分为五个观察领域(首次观察、婴儿的精神运动发现、亲子互动和联系、婴儿对精神医生要求的反应、临床医生与家庭之间的联系),每个领域都有具体的详细项目。它把与父母有关的问题放在最重要的位置。讨论就其实验用途而言,网格是与现有支持相关的原创,并且适应了在该临床领域工作的心理测量学家的需要。从使用过它的专业人士那里得到的积极反馈证明了它的有用性。结论GAPPEA的起源和初步应用提示其在婴儿临床方法领域有新的应用前景。以新的方式对其进行测试也将使其能够在以后进行改造甚至校准。
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引用次数: 0
Agenda 议程
Q4 Medicine Pub Date : 2025-09-01 DOI: 10.1016/j.neurenf.2025.08.002
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引用次数: 0
Retrait scolaire : deux mots pour rassembler, comprendre et agir 离校两个词:团结、理解和行动
Q4 Medicine Pub Date : 2025-09-01 DOI: 10.1016/j.neurenf.2025.09.003
N. Catheline, L. Gicquel
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引用次数: 0
Éthique du toucher en psychiatrie de l’enfant et de l’adolescent : dialectique entre théorie et pratique 儿童和青少年精神病学中的触摸伦理学:理论与实践的辩证法
Q4 Medicine Pub Date : 2025-09-01 DOI: 10.1016/j.neurenf.2025.03.005
A. Vachez-Gatecel , F. de Sainte Maréville
Because it is within the possibility of caring for others, touch is at the very basis of ethics. It is central to the work of touch professionals, especially when dealing with children and adolescents in the field of child psychiatry. Questions are raised daily, and post-coup work becomes necessary because of the ambivalence and confusion surrounding this sense. This article focuses on the practice of psychomotricians. Their experience is invaluable in establishing a therapeutic and ethical framework for achieving the right distance between carer and cared-for. Two clinical vignettes illustrate this practice regarding touch but not without first addressing the historical-medical-philosophical dimension of this sense. Psychomotricians draw on the phenomenology of Merleau-Ponty, among others. Merleau-Ponty's thinking is based on touch, the sense of mediation between the surface and depth of being, but also on the paradigm of our relationship with the world, which is highlighted by the experience of touching–touched. It is only through rigorous elaboration and reflection that the use of touch in child psychiatry, whatever the pathological difficulties, can be therapeutic: containing and enveloping without embracing, exciting or coercing…
因为它是在照顾他人的可能性之内,触摸是伦理的基础。这是触摸专业人员工作的核心,特别是在儿童精神病学领域处理儿童和青少年时。问题每天都在提出,由于围绕这种感觉的矛盾心理和混乱,政变后的工作变得必要。本文的重点是精神测量师的实践。他们的经验在建立治疗和伦理框架以实现照顾者和被照顾者之间的适当距离方面是无价的。两个临床小插曲说明了这种关于触摸的实践,但不是没有首先解决这种感觉的历史-医学-哲学维度。心理测量学借鉴了梅洛-庞蒂的现象学等。梅洛-庞蒂的思考基于触摸,即存在的表面和深度之间的中介感,但也基于我们与世界关系的范式,这是由触摸-被触摸的经验所突出的。只有通过严格的阐述和反思,在儿童精神病学中使用触摸,无论病理困难如何,都可以起到治疗作用:包容和包围,而不是拥抱,刺激或强迫……
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引用次数: 0
Le syndrome de dysfonctions non verbales (SDNV) : actualisation des connaissances et analyse d’une cohorte de 89 patients traités dans le centre expert Resodys 非语言功能障碍(NDSD):对在Resodys专家中心接受治疗的89名患者进行知识更新和分析
Q4 Medicine Pub Date : 2025-09-01 DOI: 10.1016/j.neurenf.2025.06.002
A. Joffroy-Frixons , P. Colas , K. Abed , M. Gruel , M. Habib
The so-called Non-Verbal Learning Disabilities (NVLD) syndrome is a type of learning disorder that is frequently discussed in clinical, educational, and community contexts, particularly in Anglo-Saxon countries and Quebec. However, its nosographic identity remains undefined, which hinders the early identification of affected children and adolescents and consequently delays diagnosis and the implementation of appropriate intervention protocols. In France, the term is gradually gaining recognition among professionals involved in learning disorders, while its specific impacts on daily, academic, and social life are also becoming more acknowledged. This article has three main objectives: 1/to provide an overview of current knowledge regarding the presentation and mechanisms of the disorder through a brief literature review focused on recent publications, including two meta-analyses and a summary of the few neuroimaging studies dedicated to it; 2/to address ongoing questions regarding the clinical reality of the disorder and its classification among learning disabilities and, more broadly, neurodevelopmental disorders (NDDs) by analyzing a cohort of 89 patients recently admitted to the Résodys center which is specialized in the care of severe learning disorders in the PACA region of France; 3/finally, in light of these findings, to examine the relevance of a new set of diagnostic criteria for clinicians, adopting a dimensional rather than categorical approach to better support affected children and adolescents. We thus propose a new perspective on this syndrome—one that no longer focuses on deviation from the norm but rather on two key observations: the multiplicity of moderately or partially affected cognitive domains, and the intra-individual performance discrepancies among these domains, particularly verbal and nonverbal. From this standpoint, our clinical experience diverges from a portion of the recent literature that equates NVLD with visuospatial disorder. More than an isolated cognitive deficit, the hallmark of this syndrome seems to lie in the coexistence of subtle impairments across several domains—even at a subclinical level. Though still limited, neuroimaging data tend to support the hypothesis of impaired connectivity among neural networks that jointly contribute to several of the cognitive functions involved.
所谓的非语言学习障碍(NVLD)综合征是一种学习障碍,在临床、教育和社区环境中经常被讨论,特别是在盎格鲁-撒克逊国家和魁北克。然而,其病源特征仍然不明确,这阻碍了受影响儿童和青少年的早期识别,从而延误了诊断和适当干预方案的实施。在法国,这个词逐渐得到了研究学习障碍的专业人士的认可,而它对日常、学术和社会生活的具体影响也越来越得到认可。本文有三个主要目标:1/通过对近期出版物的简要文献回顾,包括两项荟萃分析和对少数神经影像学研究的总结,概述有关该疾病的表现和机制的当前知识;2/通过分析最近在法国PACA区域专门治疗严重学习障碍的r sodys中心收治的89名患者的队列,解决有关该疾病的临床现实及其在学习障碍和更广泛的神经发育障碍(ndd)中的分类的持续问题;3 .最后,根据这些发现,审查一套新的诊断标准对临床医生的相关性,采取一种面向而非分类的办法,以便更好地支持受影响的儿童和青少年。因此,我们提出了一种新的视角来看待这种综合症——不再关注偏离规范,而是关注两个关键观察:中度或部分受影响的认知领域的多样性,以及这些领域之间的个体内部表现差异,特别是语言和非语言。从这个角度来看,我们的临床经验与最近将NVLD等同于视觉空间障碍的部分文献不同。这不仅仅是一种孤立的认知缺陷,这种综合征的标志似乎在于多个领域的细微损伤共存——甚至在亚临床水平上。尽管仍然有限,但神经成像数据倾向于支持神经网络之间连接受损的假设,这些神经网络共同导致了一些相关的认知功能。
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Neuropsychiatrie de l''Enfance et de l''Adolescence
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