Pub Date : 2024-10-01DOI: 10.1016/j.neurenf.2024.06.003
X. Benarous , G. Douieb Gallula , A. Malliart , J. Lavaud , B. Saudreau , G. Vila
Objectives
Over three decades, EMDR therapy became a gold standard treatment for post-traumatic stress disorder in adults. While a pediatric adaptation of EMDR therapy has been developed and disseminated in specialized trauma centers, its place in the management of psychotrauma in children and adolescents remains unclear.
Patients and method
A literature search was conducted using PubMed and Cochrane databases to identify controlled trials evaluating the benefit of EMDR therapy in subjects under 18 years of age.
Results
Fourteen studies were found (non-randomized k = 3, randomized k = 11) in which EMDR therapy was consistently more effective for trauma-related symptoms in children and adolescents compared to no intervention (waiting list) or non-specific interventions. None of the studies comparing EMDR to psychotrauma-focused psychotherapy (CBT-trauma-focused or writing-based) showed a significant difference on the primary outcomes. Two meta-analyses reported a medium effect size, d = 0.49–0.66, i.e., in the same range as other psycho-trauma focused psychotherapies.
Discussion
Although encouraging, one may regret the lack of studies evaluating the benefit EMDR therapy for youths with more complex trauma-related disorders (e.g., chronic form, association with suicidal behaviors, and/or developmental disabilities).
Conclusion
Further research would help to assess the benefit of EMDR therapy in children and adolescents, not only in terms of efficacy but also in terms of acceptability and effectiveness compared to other interventions.
{"title":"Revue critique de la littérature sur l’efficacité des interventions en Eye Movement Desensitization and Reprocessing (EMDR) chez l’enfant et l’adolescent","authors":"X. Benarous , G. Douieb Gallula , A. Malliart , J. Lavaud , B. Saudreau , G. Vila","doi":"10.1016/j.neurenf.2024.06.003","DOIUrl":"10.1016/j.neurenf.2024.06.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Over three decades, EMDR therapy became a gold standard treatment for post-traumatic stress disorder in adults. While a pediatric adaptation of EMDR therapy has been developed and disseminated in specialized trauma centers, its place in the management of psychotrauma in children and adolescents remains unclear.</div></div><div><h3>Patients and method</h3><div>A literature search was conducted using PubMed and Cochrane databases to identify controlled trials evaluating the benefit of EMDR therapy in subjects under 18 years of age.</div></div><div><h3>Results</h3><div>Fourteen studies were found (non-randomized <em>k</em> <!-->=<!--> <!-->3, randomized <em>k</em> <!-->=<!--> <!-->11) in which EMDR therapy was consistently more effective for trauma-related symptoms in children and adolescents compared to no intervention (waiting list) or non-specific interventions. None of the studies comparing EMDR to psychotrauma-focused psychotherapy (CBT-trauma-focused or writing-based) showed a significant difference on the primary outcomes. Two meta-analyses reported a medium effect size, <em>d</em> <!-->=<!--> <!-->0.49–0.66, i.e., in the same range as other psycho-trauma focused psychotherapies.</div></div><div><h3>Discussion</h3><div>Although encouraging, one may regret the lack of studies evaluating the benefit EMDR therapy for youths with more complex trauma-related disorders (e.g., chronic form, association with suicidal behaviors, and/or developmental disabilities).</div></div><div><h3>Conclusion</h3><div>Further research would help to assess the benefit of EMDR therapy in children and adolescents, not only in terms of efficacy but also in terms of acceptability and effectiveness compared to other interventions.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 6","pages":"Pages 290-299"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01DOI: 10.1016/j.neurenf.2024.07.005
E.A. Mimoun , S. Dejean , M. de Chivré , A. Salis , F. Callens , S. Chouiba , T. Inizan , C.S. Decauville , C. Gauthier-Lafaye
Introduction
The adolescent part of the EPPOC survey (flash survey in July 2020 in outpatient and hospital child psychiatry state departments in Occitania) documents the point of view of adolescents followed in pedopsychiatric settings on their screen use, and the impact of the first lockdown (March to May 2020) on this variable.
Results
Eighty-four adolescents answered (mean age 14.05, 42 boys). Their answers were fractioned into two age groups (58.3% in middle school, and 41.7% in high school). In total, 90.5% of adolescents are equipped with mobile phones and 88.1% with 3 to 5 types of screens. Half of them (55.7%) have a screen in their bedroom. Intensive use (> 4 h/day) affects 32.5% of them on weekdays, 51.8% on weekends, and during lockdown (DL), these figures increase to 65.1% in both weekdays and weekends. Before lockdown (BL), three quarters of the adolescents use their devices in the afternoon or in the evening, while they use them more in the morning and before going to sleep DL. Using their devices, they mainly watch videos or listen to music (91.2% of high school students). Social networks mainly regards high school students (79.4 vs. 45.8% of middle school students). A quarter of the adolescents acknowledge the negative effects of screens on sleep and mood, and their positive effects on social relationships. About a third (27.7%) declare having been exposed to shocking content. 62.2% think they control the time they spend on their screens (47.5% DL), and 60.7% think that their parents do not set any screen time limitation. What seems to determine excessive screen use is the possession of a greater number of screens, the presence of screens in the bedroom and the lack of parental limitation. The statistic association profiles that seem to stand out from the multivariate analysis are “use of social networks/girl/ > 8 hours of use per day/high school” and “no social networks/ < 1 hour/boy/college”.
Discussion
In the main trends, screen equipment and screen use in our adolescent population are comparable to national and international results. However, the heterogeneity of conceptual frameworks and investigation methods does not allow thorough comparative reasoning. Only the 4 hours screen use per day cut off to define “intensive use” seems to achieve consensus today, due to the harmful effects observed on physical and psychological health parameters on young populations. Data on screen use among children with various diagnoses (ADHD, ASD, depression, etc.) emerge in the international literature, and would usefully lay the foundations of a future qualitative study.
{"title":"EPPOC (Écrans en pédopsychiatrie en Occitanie au temps du COVID) : enquête en juillet 2020 sur l’utilisation des écrans chez les enfants suivis en pédopsychiatrie en Occitanie avant et pendant confinement (17 mars au 11 mai) : résultats du volet adolescents","authors":"E.A. Mimoun , S. Dejean , M. de Chivré , A. Salis , F. Callens , S. Chouiba , T. Inizan , C.S. Decauville , C. Gauthier-Lafaye","doi":"10.1016/j.neurenf.2024.07.005","DOIUrl":"10.1016/j.neurenf.2024.07.005","url":null,"abstract":"<div><h3>Introduction</h3><div>The adolescent part of the EPPOC survey (flash survey in July 2020 in outpatient and hospital child psychiatry state departments in Occitania) documents the point of view of adolescents followed in pedopsychiatric settings on their screen use, and the impact of the first lockdown (March to May 2020) on this variable.</div></div><div><h3>Results</h3><div>Eighty-four adolescents answered (mean age 14.05, 42 boys). Their answers were fractioned into two age groups (58.3% in middle school, and 41.7% in high school). In total, 90.5% of adolescents are equipped with mobile phones and 88.1% with 3 to 5 types of screens. Half of them (55.7%) have a screen in their bedroom. Intensive use (> 4<!--> <!-->h/day) affects 32.5% of them on weekdays, 51.8% on weekends, and during lockdown (DL), these figures increase to 65.1% in both weekdays and weekends. Before lockdown (BL), three quarters of the adolescents use their devices in the afternoon or in the evening, while they use them more in the morning and before going to sleep DL. Using their devices, they mainly watch videos or listen to music (91.2% of high school students). Social networks mainly regards high school students (79.4 vs. 45.8% of middle school students). A quarter of the adolescents acknowledge the negative effects of screens on sleep and mood, and their positive effects on social relationships. About a third (27.7%) declare having been exposed to shocking content. 62.2% think they control the time they spend on their screens (47.5% DL), and 60.7% think that their parents do not set any screen time limitation. What seems to determine excessive screen use is the possession of a greater number of screens, the presence of screens in the bedroom and the lack of parental limitation. The statistic association profiles that seem to stand out from the multivariate analysis are “use of social networks/girl/<!--> <!-->><!--> <!-->8<!--> <!-->hours of use per day/high school” and “no social networks/<!--> <!--><<!--> <!-->1<!--> <!-->hour/boy/college”.</div></div><div><h3>Discussion</h3><div>In the main trends, screen equipment and screen use in our adolescent population are comparable to national and international results. However, the heterogeneity of conceptual frameworks and investigation methods does not allow thorough comparative reasoning. Only the 4<!--> <!-->hours screen use per day cut off to define “intensive use” seems to achieve consensus today, due to the harmful effects observed on physical and psychological health parameters on young populations. Data on screen use among children with various diagnoses (ADHD, ASD, depression, etc.) emerge in the international literature, and would usefully lay the foundations of a future qualitative study.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 6","pages":"Pages 272-281"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142422296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01DOI: 10.1016/j.neurenf.2024.07.007
M. Robert
{"title":"","authors":"M. Robert","doi":"10.1016/j.neurenf.2024.07.007","DOIUrl":"10.1016/j.neurenf.2024.07.007","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 6","pages":"Page 300"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142422297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-28DOI: 10.1016/j.neurenf.2024.09.001
J. Destiné, S. Chartier, A. Blavier
The aim of this article is to evaluate the effectiveness of the Palo Alto systemic and strategic method for intervening in situations of bullying. To assess the effectiveness of this method, we decided to take a comparison group including interventions regularly mobilised by schools and their support networks. We collected testimonies from twelve pupils aged between 9 and 22 who had been bullied at school (M = 12.58, SD = 3.53). This small sample is representative of the difficulty of accessing this population and the small number of trained professionals in the field. To be able to compare and evaluate the effectiveness of the intervention methods, two interviews were conducted with the student victim: a pre-test when the professional had yet to do anything to improve the student's situation, and a post-test three months after the end of the professional's intervention. We have used a complementary mixed methodology in which the qualitative results are intended to support the quantitative results. However, given our small sample, the quantitative analyses should be considered purely exploratory and descriptive. These analyses enabled us to statistically measure the effectiveness of the interventions using four concepts: feelings of victimisation, self-esteem, acceptance by peers, and degree of suffering. Our research showed that the Palo Alto systemic and strategic method was effective in stopping bullying in five out of six situations. In the sixth situation, the bullying decreased but did not stop completely. Our results showed that the Palo Alto systemic and strategic method had a significant effect on reducing perceived suffering, increasing acceptance of the young person by peers, and reducing feelings of victimisation compared with other methods regularly used by schools and their support networks. Regarding self-esteem, our data showed a significant increase for pupils benefiting from the other types of methods compared with pupils who received support using the Palo Alto systemic and strategic method. The aim of this article is not to provide data that can be generalised to the population as a whole. Nevertheless, we believe that this research will contribute to knowledge of this innovative approach and provide food for thought for future research on the subject.
{"title":"Évaluation de l’efficacité de la méthode systémique et stratégique de Palo Alto pour intervenir dans les situations de harcèlement scolaire : analyse de cas","authors":"J. Destiné, S. Chartier, A. Blavier","doi":"10.1016/j.neurenf.2024.09.001","DOIUrl":"10.1016/j.neurenf.2024.09.001","url":null,"abstract":"<div><div>The aim of this article is to evaluate the effectiveness of the Palo Alto systemic and strategic method for intervening in situations of bullying. To assess the effectiveness of this method, we decided to take a comparison group including interventions regularly mobilised by schools and their support networks. We collected testimonies from twelve pupils aged between 9 and 22 who had been bullied at school (M<!--> <!-->=<!--> <!-->12.58, SD<!--> <!-->=<!--> <!-->3.53). This small sample is representative of the difficulty of accessing this population and the small number of trained professionals in the field. To be able to compare and evaluate the effectiveness of the intervention methods, two interviews were conducted with the student victim: a pre-test when the professional had yet to do anything to improve the student's situation, and a post-test three months after the end of the professional's intervention. We have used a complementary mixed methodology in which the qualitative results are intended to support the quantitative results. However, given our small sample, the quantitative analyses should be considered purely exploratory and descriptive. These analyses enabled us to statistically measure the effectiveness of the interventions using four concepts: feelings of victimisation, self-esteem, acceptance by peers, and degree of suffering. Our research showed that the Palo Alto systemic and strategic method was effective in stopping bullying in five out of six situations. In the sixth situation, the bullying decreased but did not stop completely. Our results showed that the Palo Alto systemic and strategic method had a significant effect on reducing perceived suffering, increasing acceptance of the young person by peers, and reducing feelings of victimisation compared with other methods regularly used by schools and their support networks. Regarding self-esteem, our data showed a significant increase for pupils benefiting from the other types of methods compared with pupils who received support using the Palo Alto systemic and strategic method. The aim of this article is not to provide data that can be generalised to the population as a whole. Nevertheless, we believe that this research will contribute to knowledge of this innovative approach and provide food for thought for future research on the subject.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 8","pages":"Pages 389-396"},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1016/j.neurenf.2024.08.001
A. Ladois - Do Pilar Rei , S. Miravete
The question of limits and their absence in children increasingly challenges professionals across various fields of intervention, including health, early childhood, and education. These poorly limited children present a variety of symptoms that hinder their development and whose causes and meanings need to be explored. After a theoretical detour into Roger Misès’ childhood borderline pathologies and the role of the “no” in the education of young children according to Jean-Jacques Rousseau, we will illustrate this issue with the clinical vignette of a 4-year-old child seen in consultation at a medical-psychological center. Our psychodynamically-oriented clinical reading will show how this absence of limits reflects family suffering, role confusion and a lack of containment.
{"title":"Le « non » de Rousseau et du thérapeute dans la petite enfance. Une étude de cas","authors":"A. Ladois - Do Pilar Rei , S. Miravete","doi":"10.1016/j.neurenf.2024.08.001","DOIUrl":"10.1016/j.neurenf.2024.08.001","url":null,"abstract":"<div><div>The question of limits and their absence in children increasingly challenges professionals across various fields of intervention, including health, early childhood, and education. These poorly limited children present a variety of symptoms that hinder their development and whose causes and meanings need to be explored. After a theoretical detour into Roger Misès’ childhood borderline pathologies and the role of the “no” in the education of young children according to Jean-Jacques Rousseau, we will illustrate this issue with the clinical vignette of a 4-year-old child seen in consultation at a medical-psychological center. Our psychodynamically-oriented clinical reading will show how this absence of limits reflects family suffering, role confusion and a lack of containment.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 8","pages":"Pages 397-401"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-30DOI: 10.1016/j.neurenf.2024.07.003
Y. Sureau , V. Garez , N. Le Roux
Introduction
Previous studies have shown that children whose births occur after a childless pregnancy tend to be more prone to psychological and affective disorders, with a moderate and nonspecific degree of significance. These pathologies are most often described as a consequence of altered family dynamics rather than an actual impairment of the child's cognitive pathways. Such alterations in familial balance, when occurring in the traumatic shadow of a childless pregnancy be it from spontaneous miscarriage, stillbirth or voluntary termination due to foetal abnormalities, often take root in the prenatal period due to anticipatory representations and thoughts and can express themselves as early as the first days of the newborn's life ex utero.
Aim of study
We used the standardized Brazelton assessment scale to observe three such newborns in the presence of their parents and paid particular attention to the parents’ reactions and attitudes to the child's behavior and the impact our explanations had on their understanding of the newborn's response.
Results
This study highlights the value of early postnatal care of these dyads with a focus on the issues of caring for the individual discovery of the child by his parents, supported by psychoaffective elements of childcare. However, the specific relevance of the Brazelton's tool in this indication remains to be discussed due to its limited nature by the absence of precise indications, the absence of a reproducible equivalent later in the baby's life, as well as the absence of a result that can be communicated to parents who therefore do not systematically carry the meaning that the caregivers confer on it.
Conclusion
The study asserts the fundamental benefit of an early child-based intervention in these families to facilitate genuine bonding and secure attachment, but the nature of such an intervention is yet to be determined.
{"title":"Accueillir l’enfant suivant un deuil périnatal : l’examen de Brazelton comme intervention thérapeutique précoce","authors":"Y. Sureau , V. Garez , N. Le Roux","doi":"10.1016/j.neurenf.2024.07.003","DOIUrl":"10.1016/j.neurenf.2024.07.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Previous studies have shown that children whose births occur after a childless pregnancy tend to be more prone to psychological and affective disorders, with a moderate and nonspecific degree of significance. These pathologies are most often described as a consequence of altered family dynamics rather than an actual impairment of the child's cognitive pathways. Such alterations in familial balance, when occurring in the traumatic shadow of a childless pregnancy be it from spontaneous miscarriage, stillbirth or voluntary termination due to foetal abnormalities, often take root in the prenatal period due to anticipatory representations and thoughts and can express themselves as early as the first days of the newborn's life ex utero.</div></div><div><h3>Aim of study</h3><div>We used the standardized Brazelton assessment scale to observe three such newborns in the presence of their parents and paid particular attention to the parents’ reactions and attitudes to the child's behavior and the impact our explanations had on their understanding of the newborn's response.</div></div><div><h3>Results</h3><div>This study highlights the value of early postnatal care of these dyads with a focus on the issues of caring for the individual discovery of the child by his parents, supported by psychoaffective elements of childcare. However, the specific relevance of the Brazelton's tool in this indication remains to be discussed due to its limited nature by the absence of precise indications, the absence of a reproducible equivalent later in the baby's life, as well as the absence of a result that can be communicated to parents who therefore do not systematically carry the meaning that the caregivers confer on it.</div></div><div><h3>Conclusion</h3><div>The study asserts the fundamental benefit of an early child-based intervention in these families to facilitate genuine bonding and secure attachment, but the nature of such an intervention is yet to be determined.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 8","pages":"Pages 368-378"},"PeriodicalIF":0.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-29DOI: 10.1016/j.neurenf.2024.06.001
S. Cohen , M. Blay , M. Speranza
The Good Psychiatric Management for Adolescents (GPM-A) is a generalist model of structured care for adolescents with borderline personality disorder. It is based on principles derived from several psychotherapies validated in the treatment of borderline personality disorder and on current good practice data. Borderline personality disorder is conceptualised as the result of a particular sensitivity to relationships (defined with the term interpersonal hypersensitivity). The GPM-A offers clinicians a pragmatic approach based on good practice in the care of adolescents with borderline personality disorder. Developed in the United States, it is currently being disseminated in the French-speaking world. This article provides a summary of the main components of the model and a discussion of the benefits expected from its implementation among French-speaking clinicians.
{"title":"Le « Good Psychiatric Management-Adolescents » (GPM-A) : un modèle généraliste et accessible de traitement du trouble de la personnalité borderline chez l’adolescent","authors":"S. Cohen , M. Blay , M. Speranza","doi":"10.1016/j.neurenf.2024.06.001","DOIUrl":"10.1016/j.neurenf.2024.06.001","url":null,"abstract":"<div><div>The Good Psychiatric Management for Adolescents (GPM-A) is a generalist model of structured care for adolescents with borderline personality disorder. It is based on principles derived from several psychotherapies validated in the treatment of borderline personality disorder and on current good practice data. Borderline personality disorder is conceptualised as the result of a particular sensitivity to relationships (defined with the term interpersonal hypersensitivity). The GPM-A offers clinicians a pragmatic approach based on good practice in the care of adolescents with borderline personality disorder. Developed in the United States, it is currently being disseminated in the French-speaking world. This article provides a summary of the main components of the model and a discussion of the benefits expected from its implementation among French-speaking clinicians.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 8","pages":"Pages 357-367"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-17DOI: 10.1016/j.neurenf.2024.07.001
Y. Gansel
{"title":"Analyse de livre","authors":"Y. Gansel","doi":"10.1016/j.neurenf.2024.07.001","DOIUrl":"10.1016/j.neurenf.2024.07.001","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 5","pages":"Pages 246-247"},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-02DOI: 10.1016/j.neurenf.2024.05.007
P. Planche , E. Toussaint
Objective
The aim of the study presented here is to compare the activity of two neurodevelopmental disorders coordination and orientation platforms (PCO–TND) set up at different times in the history of this system (implemented in 2019). Two studies were conducted: A comparative cross-sectional study of the first 101 screening booklets recorded on both platforms, and a longitudinal study based on data from the Finistère PCO comparing the contents of the booklets of the first 101 children addressed to the PCO with those of the 101 booklets recorded exactly one year later. The questions we aimed to answer are as follows: did the activity of the Vendée PCOs implanted one year later benefit from feedback from the first implanted PCOs? What points of similarity were revealed from a cross-sectional comparison of the activity of these two platforms? What points of dissimilarity? A longitudinal comparison of the activity of the Finistère PCO revealed what changes had taken place over time in terms of the characteristics of the children addressed and the types of referring doctors?
Method
The same data collection tool was used at the Finistère and Vendée PCOs. It consisted of a Google form file which recorded the characteristics of the addressed child (age, sex), his/her other high-risk TND factors, particular instinctual, sensory and emotional behaviors, TND warning signs, the suspected disorder(s) justifying referral to the platform, and the assessments prescribed.
Results
The age of addressed children tended to fall within the length of time the platform had been in operation. The type of referring doctor varied according to the territory in which the PCO was located. A quarter of the children referred to the two platforms were thought to have an overall developmental delay (motor skills, language and cognition). Sleep disorders and “exaggerated intolerance to change” were identified in around 25 % of children referred to the two PCOs. The longitudinal study carried out on the Finistère PCO revealed an evolution in the quantitative and qualitative characteristics of the activity in the direction of greater compliance with the original objectives of the system.
Discussion–Conclusion
Once this screening system has found its place in the host region, at-risk children can be identified earlier and their care provided more promptly which would improve their prognosis. Over time, first-line doctors will become more familiar with the booklet and with TND symptoms and will therefore be better able to identify them, which in turn increases the rate of referral of at-risk children to the platform.
{"title":"L’implantation des PCO dans le dispositif français de repérage des troubles du neurodéveloppement : comparaison de l’activité de deux plateformes (Finistère/Vendée)","authors":"P. Planche , E. Toussaint","doi":"10.1016/j.neurenf.2024.05.007","DOIUrl":"10.1016/j.neurenf.2024.05.007","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of the study presented here is to compare the activity of two neurodevelopmental disorders coordination and orientation platforms (PCO–TND) set up at different times in the history of this system (implemented in 2019). Two studies were conducted: A comparative cross-sectional study of the first 101 screening booklets recorded on both platforms, and a longitudinal study based on data from the Finistère PCO comparing the contents of the booklets of the first 101 children addressed to the PCO with those of the 101 booklets recorded exactly one year later. The questions we aimed to answer are as follows: did the activity of the Vendée PCOs implanted one year later benefit from feedback from the first implanted PCOs? What points of similarity were revealed from a cross-sectional comparison of the activity of these two platforms? What points of dissimilarity? A longitudinal comparison of the activity of the Finistère PCO revealed what changes had taken place over time in terms of the characteristics of the children addressed and the types of referring doctors?</p></div><div><h3>Method</h3><p>The same data collection tool was used at the Finistère and Vendée PCOs. It consisted of a Google form file which recorded the characteristics of the addressed child (age, sex), his/her other high-risk TND factors, particular instinctual, sensory and emotional behaviors, TND warning signs, the suspected disorder(s) justifying referral to the platform, and the assessments prescribed.</p></div><div><h3>Results</h3><p>The age of addressed children tended to fall within the length of time the platform had been in operation. The type of referring doctor varied according to the territory in which the PCO was located. A quarter of the children referred to the two platforms were thought to have an overall developmental delay (motor skills, language and cognition). Sleep disorders and “exaggerated intolerance to change” were identified in around 25 % of children referred to the two PCOs. The longitudinal study carried out on the Finistère PCO revealed an evolution in the quantitative and qualitative characteristics of the activity in the direction of greater compliance with the original objectives of the system.</p></div><div><h3>Discussion–Conclusion</h3><p>Once this screening system has found its place in the host region, at-risk children can be identified earlier and their care provided more promptly which would improve their prognosis. Over time, first-line doctors will become more familiar with the booklet and with TND symptoms and will therefore be better able to identify them, which in turn increases the rate of referral of at-risk children to the platform.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 5","pages":"Pages 217-225"},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The specificities of the current clinical practice demand a constant reflection regarding the symbolizing and containing potential of our therapeutic settings as a means to support families whose backgrounds are often marked by traumatic migratory experiences. Clinicians need to modify traditional therapeutic settings in order to culturally, socially and intrapsychically permit injured families to adhere to the proposed clinical interventions. As a way of better responding to the demands of those families, both in terms of time and content, we have set up a parent/child space. This multi-disciplinary observation place enables us to elaborate about the child's care, but it also constitutes a first therapeutic space that supports the institutional transfer which is often weakened by the traumatic impact of the history of the families we receive at the CMP. Inspired by Françoise Dolto's Maison Verte, this space encourages the parents’ involvement in their child's development, by enhancing their investment in the institution and in their child. The aim is to provide a more individualized support so that children can regain a subjective position, and their parents can be heard and supported in their suffering while dealing with their child's disorders and disorganization.
{"title":"Un espace d’accueil au sein d’un CMP : un lieu entre l’intime, le familial et l’institutionnel","authors":"Dimitra Laimou , Aikaterini Riga , Lucia Florez-Pulido , David Martinez , Marjorie Roques , Laure Malety","doi":"10.1016/j.neurenf.2024.05.002","DOIUrl":"10.1016/j.neurenf.2024.05.002","url":null,"abstract":"<div><p>The specificities of the current clinical practice demand a constant reflection regarding the symbolizing and containing potential of our therapeutic settings as a means to support families whose backgrounds are often marked by traumatic migratory experiences. Clinicians need to modify traditional therapeutic settings in order to culturally, socially and intrapsychically permit injured families to adhere to the proposed clinical interventions. As a way of better responding to the demands of those families, both in terms of time and content, we have set up a parent/child space. This multi-disciplinary observation place enables us to elaborate about the child's care, but it also constitutes a first therapeutic space that supports the institutional transfer which is often weakened by the traumatic impact of the history of the families we receive at the CMP. Inspired by Françoise Dolto's Maison Verte, this space encourages the parents’ involvement in their child's development, by enhancing their investment in the institution and in their child. The aim is to provide a more individualized support so that children can regain a subjective position, and their parents can be heard and supported in their suffering while dealing with their child's disorders and disorganization.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 5","pages":"Pages 226-230"},"PeriodicalIF":0.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142089607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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