Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique最新文献

Adversité, troubles psychiatriques adolescents et trauma complexe : comorbidités ou superposition ? 逆境、青少年精神障碍和复杂创伤：共病还是重叠？］

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique

Pub Date : 2025-12-01 DOI: 10.1016/j.encep.2025.06.009

Jean Belbèze , Claire Lamas , Jérôme Silva , Maurice Corcos , Marion Robin

Objective

In a context of debates on the place of complex trauma within psychiatric pathology, it is essential to accurately measure the extent of the effects of adversity across different disorders. Such studies are rare, however, because they often focus on a single diagnosis. The measurement of adversity is usually self-reported, retrospective, and usually includes a single dimension. Furthermore, at-risk family interactions and maltreatment constitute two distinct and central risk factors for both complex trauma and psychiatric disorders. Yet they are rarely studied together, nor through an overview of psychiatric disorders. This is the aim of this study, which hypothesizes that adversity is widely distributed across all the psychiatric disorders of adolescents admitted to psychiatric hospitals, and postulates that it is possible to discern distinct adversity profiles depending on the diagnosis.

Methodology

This cross-sectional analysis stems from the Family & Care study, which aims to measure various adversity factors in hospitalized adolescents aged 13 to 19 (n = 425). Data on abuse and neglect were collected by hetero-assessment using the European abuse and neglect database Child Abuse and Neglect via Minimum Data Set (CAN-via-MDS), and family interactions were measured using the At-Risk Family Interactions and Levers (ARFIL) scale, a 30-item clinical tool also rated by hetero-assessment.

Results

Among the 425 participants, the prevalence of emotional abuse was 46.1%, physical abuse 21.4%, sexual abuse 25.1% and neglect 70.5%. The psychiatric disorders measured were all associated with significant rates of childhood adversity, and different adversity profiles could be identified according to diagnosis. Trauma- and stress-related disorders accounted for only 13.4% of disorders. The latter, as well as borderline personality disorder and oppositional defiant disorder, were associated with higher scores of at-risk family interactions than the other diagnoses, highlighting the distinct influence of at-risk family dynamics independently of abuse or neglect.

Conclusion

The determinants linked to adversity cut across all the nosographic fields in child psychiatry, and support the idea that the complex trauma clinic overlaps strongly with all the usual diagnostic categories. Depending on the diagnosis, it seems possible to identify distinct adversity profiles, with borderline personality disorder appearing as one face of complex trauma among others. The Family & Care study reinforces the value of multiplying the sources of observation in clinical practice and in future research, by combining diagnostic aspects with the relational correlates of patients under psychiatric care, which represent both risk factors and essential therapeutic levers.

目的：在关于复杂创伤在精神病理学中的地位的争论背景下，准确测量逆境在不同疾病中的影响程度是至关重要的。然而，这样的研究很少见，因为它们通常只关注一种诊断。对逆境的测量通常是自我报告的，回顾性的，通常包括一个维度。此外，处于危险中的家庭互动和虐待构成了复杂创伤和精神障碍的两个不同的核心风险因素。然而，他们很少一起研究，也没有通过精神疾病的概述。这是本研究的目的，该研究假设逆境广泛分布于精神病院收治的所有青少年的精神障碍中，并假设有可能根据诊断来辨别不同的逆境概况。方法：本横断面分析源于家庭与护理研究，旨在测量13至19岁住院青少年的各种逆境因素（n=425）。虐待和忽视的数据通过异源评估收集，使用欧洲虐待和忽视数据库儿童虐待和忽视最小数据集（CAN-via-MDS），家庭相互作用使用风险家庭相互作用和杠杆（ARFIL）量表进行测量，这是一个30个项目的临床工具，也通过异源评估进行评估。结果：425名被调查者中，精神虐待的发生率为46.1%，身体虐待的发生率为21.4%，性虐待的发生率为25.1%，忽视的发生率为70.5%。测量的精神障碍都与童年逆境的显著率相关，并且根据诊断可以识别不同的逆境特征。创伤和压力相关的疾病仅占疾病的13.4%。后者，以及边缘型人格障碍和对立违抗性障碍，与其他诊断相比，与高风险家庭互动得分更高相关，突出了与虐待或忽视无关的高风险家庭动态的独特影响。结论：与逆境相关的决定因素贯穿了儿童精神病学的所有分科领域，并支持了复杂创伤临床与所有常规诊断类别强烈重叠的观点。根据诊断，似乎有可能识别出不同的逆境特征，边缘人格障碍表现为复杂创伤的一种。家庭与护理研究强调了在临床实践和未来研究中倍增观察来源的价值，通过将诊断方面与精神科护理患者的相关因素结合起来，这既代表了风险因素，也代表了必要的治疗杠杆。

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引用次数: 0

Psychotraumatisme complexe et analyse de réseaux : de l’enfance à l’âge adulte [复杂心理创伤与网络分析：从童年到成年]。

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique

Pub Date : 2025-12-01 DOI: 10.1016/j.encep.2025.05.005

Maud Cappelletti , Aziz Essadek , Ariane Bazan

Complex post-traumatic stress disorder is a recent diagnosis with manifestations that differ from those of post-traumatic stress disorder. Persistent functional impairment is a new dimension specific to complex trauma. Some aspects of this diagnostic category which was adopted by the international classification of diseases eleventh revision are still being studied, for example, its prevalence across the world in many cultural situations where the exposure to traumatic events differ. Network analysis offers a new conceptualization of psychopathology by focusing on interactions between symptoms beyond the usual latent class approach. It makes it possible to statistically validate the international classification of diseases’ new diagnostic criteria by differentiating the manifestations of different pathologies such as intense stress exposure pathologies or borderline disorder that share symptoms. It also provides various insights into this disorder and allows us to observe sequences of appearance and evolution depending on age and type of event. While childhood trauma appears to be particularly associated with complex post-traumatic stress disorder, literature mainly highlights the long-term consequences of such childhood events in adulthood. The persistent functional impairment cluster is particularly important within complex trauma networks. This is one of the most important developmental consequences for survivors and reflects a reality perceived by clinicians. This extends to psychotherapy which turns out to be longer and more complex because of the insecurity of the relationship experienced by the traumatized person. Network analysis applied to complex trauma gives an understanding of the dynamics of the relationships between its multitude of symptoms. They can define intervention targets for mental health professionals. And they can enable coordinated multi-professional actions which is an important issue especially in multi-factorial situations such as child protection. This work explores the contributions of network analysis to the understanding of complex post-traumatic stress disorder. For this purpose, we outline the central concepts of complex trauma and its implications. In particular, the impact of recurring traumatic situations of an interpersonal nature on self-construction and the ability to create relationships. We exhibit the fundamental principles of the network approach and compare the contributions of older cross-sectional analyzes with those of longitudinal networks. Then, we provide an overview of the knowledge acquired through the application of network analysis to complex trauma, from childhood to adulthood. Finally, we discuss criticisms of this approach and propose reflections on the future of this statistical analysis method which is growing fast.

复杂的创伤后应激障碍是最近诊断的表现不同于创伤后应激障碍。持续性功能损伤是复杂创伤所特有的一个新维度。《国际疾病分类》第11次修订采用的这一诊断类别的某些方面仍在研究中，例如，它在世界各地在许多文化情况下的流行程度，这些文化情况对创伤性事件的暴露程度不同。网络分析通过关注症状之间的相互作用，提供了一种新的精神病理学概念，而不是通常的潜在类别方法。它可以通过区分不同病理的表现，如强烈压力暴露病理或具有共同症状的边缘障碍，在统计上验证国际疾病分类的新诊断标准。它还为这种疾病提供了各种见解，并使我们能够观察到根据年龄和事件类型的外观和进化序列。虽然童年创伤似乎与复杂的创伤后应激障碍特别相关，但文献主要强调了这些童年事件在成年后的长期后果。在复杂的创伤网络中，持续性功能损伤集群尤为重要。这是幸存者最重要的发育后果之一，反映了临床医生所感知的现实。这延伸到心理治疗，结果是更长更复杂的，因为受创伤的人对关系的不安全感。应用于复杂创伤的网络分析可以理解其众多症状之间的动态关系。他们可以为心理健康专业人员确定干预目标。他们可以促成协调的多专业行动，这是一个重要的问题，特别是在多因素的情况下，如儿童保护。这项工作探讨了网络分析对理解复杂创伤后应激障碍的贡献。为此，我们概述了复杂创伤的核心概念及其含义。特别是，反复出现的人际创伤情况对自我构建和创造关系的能力的影响。我们展示了网络方法的基本原则，并比较了旧的横截面分析与纵向网络的贡献。然后，我们概述了通过将网络分析应用于从童年到成年的复杂创伤所获得的知识。最后，我们讨论了对这种方法的批评，并对这种快速发展的统计分析方法的未来提出了反思。

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引用次数: 0

Panorama des thérapeutiques du trauma complexe chez l’enfant et l’adolescent [儿童和青少年复杂精神创伤的治疗方法综述]。

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique

Pub Date : 2025-12-01 DOI: 10.1016/j.encep.2025.05.006

Julie Rolling

Complex post-traumatic stress disorder (C-PTSD), caused by repeated traumatic events of interpersonal origin (such as physical or sexual violence, or war), leads to severe disorders of emotional regulation, self-perception and interpersonal relationships. Without early diagnosis and intervention, children and adolescents with C-PTSD are at risk of developing chronic mental disorders. Rapid therapeutic interventions are thus required in order to avoid the persistence of symptoms and at-risk behaviours altering the development and life trajectory of these young people. The aim of this article is to provide a state-of-the-art overview of existing therapeutic interventions aimed at professionals who screen, diagnose or care for children or adolescents with C-PTSD. The specific clinical and treatment profiles of these patients (e.g., stabilization, trauma treatment, promoting cognitive and psychological integration processes, self-compassion and engagement in interpersonal relations, family involvement) are detailed, in order to propose a diagnostic strategy and set out the various possibilities for comprehensive management based on adaptations of existing therapeutic protocols for these paediatric populations. Therapeutic, psychological and psychopharmacological approaches that are either validated or in development are presented, along with their current level of scientific evidence. This article highlights the importance of training French-speaking child and adolescent psychiatric professionals in these therapies, and of further developing research in this field.

复杂创伤后应激障碍（C-PTSD）是由反复的人际创伤事件（如身体或性暴力，或战争）引起的，导致严重的情绪调节、自我认知和人际关系障碍。如果没有早期诊断和干预，患有C-PTSD的儿童和青少年有发展为慢性精神障碍的风险。因此，需要采取快速的治疗干预措施，以避免症状和危险行为持续存在，从而改变这些年轻人的发展和生活轨迹。本文的目的是为筛查、诊断或护理患有c型ptsd的儿童或青少年的专业人员提供最新的治疗干预措施概述。详细介绍了这些患者的具体临床和治疗概况（例如，稳定，创伤治疗，促进认知和心理整合过程，自我同情和参与人际关系，家庭参与），以便提出诊断策略，并在适应这些儿科人群的现有治疗方案的基础上提出综合管理的各种可能性。介绍了已得到验证或正在开发的治疗、心理和精神药理学方法，以及它们目前的科学证据水平。这篇文章强调了培训讲法语的儿童和青少年精神病学专业人员进行这些治疗的重要性，以及进一步发展这一领域的研究的重要性。

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引用次数: 0

Le trauma complexe : abord théorico-clinique [复杂创伤：理论和临床方法]。

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique

Pub Date : 2025-12-01 DOI: 10.1016/j.encep.2025.06.008

Delphine Collin-Vézina

The concept of complex trauma (or developmental trauma) has been proposed to refer both to chronic exposure to interpersonal experiences in children and adolescents and to the constellation of possible sequelae that cause significant difficulties throughout life. The purpose of this chapter is to provide an overview of the theoretical and clinical approaches to complex trauma in order to better understand the scope of this concept. Through a review of the literature, this chapter outlines the historical evolution of this concept, its current definition, the diagnostic issues involved, and the preferred directions for its future use in research and clinical practice. This article highlights the significant shift that has taken place over time, from a concept closely linked to the traumatic experiences of individuals and the clinical challenges they face, to a collective responsibility to implement social actions that can lead to deeper structural and systemic change.

复杂创伤（或发展性创伤）的概念已被提出，既指儿童和青少年长期暴露于人际经历，也指在整个生活中造成重大困难的可能的后遗症。本章的目的是概述复杂创伤的理论和临床方法，以便更好地理解这一概念的范围。通过对文献的回顾，本章概述了该概念的历史演变，其当前定义，所涉及的诊断问题，以及其在研究和临床实践中未来使用的首选方向。这篇文章强调了随着时间的推移所发生的重大转变，从一个与个人创伤经历和他们所面临的临床挑战密切相关的概念，到实施社会行动的集体责任，这可能导致更深层次的结构和系统变化。

引用次数: 0

A conceptual and paradigm shift whose time has come 观念和模式的转变已经到来

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique

Pub Date : 2025-12-01 DOI: 10.1016/j.encep.2025.12.001

Christine A. Courtois

引用次数: 0

Le trauma complexe dans la réalité clinique quotidienne en pédopsychiatrie [探索和治疗儿童和青少年精神病学日常临床现实中的复杂创伤]。

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique

Pub Date : 2025-12-01 DOI: 10.1016/j.encep.2025.05.003

Marion Robin

引用次数: 0

Problèmes comportementaux en protection de l’enfance : comprendre et intervenir à partir du concept de trauma complexe 儿童保护中的行为问题：从复杂创伤的概念出发的理解与干预

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique

Pub Date : 2025-12-01 DOI: 10.1016/j.encep.2025.05.004

Sandrine Bonneton , Aziz Essadek

Introduction

Adolescents supported by child protection services (CPS) represent a population exposed to repeated relational trauma that significantly increases the risk of developing complex trauma characterized by polymorphic symptomatology. The behavioral problems presented by adolescents followed by CPS may fit within this nosographic framework. They can lead to major difficulties in adapting to their environment, especially when the trajectory of polyvictimization is pronounced. Unfortunately, the failure of professionals to recognize this diagnosis remains frequent. As a result, institutional responses are often poorly adapted to the needs of the adolescents concerned, promoting an excessive psychiatrisation of their behavioral manifestations at the expense of a comprehensive and holistic approach rooted in their traumatic history.

Method

This work offers a theoretical-clinical reflection on complex trauma expressed through behavioral problems among adolescents supported by CPS. It is based on the main recent clinical and scientific contributions, particularly research related to integrative and systemic approaches.

Results

Theoretical and clinical data highlight both the importance and the difficulties of identifying manifestations of complex trauma among adolescents supported by CPS, especially when they present behavioral problems. The analysis emphasizes the contributions of clinical support systems and trauma-informed practices in structuring institutional responses. These practices, particularly the Attachment, Regulation of Affect, Competence (ARC) model, by promoting a developmental and relational understanding of behavioral symptoms, provide a structured framework for operationalizing the educational support of adolescents within CPS, moving beyond crisis management logic and enabling the effective use of specific care modalities when necessary.

Discussion

Recognizing traumatic history, often marked by polyvictimization, appears essential to adequately meet the needs of the adolescents concerned. While integrative and systemic approaches represent promising levers for transforming professional practices within CPS, their implementation remains marginal in France. Avenues for reflection and research are discussed to promote the concrete adoption of these models by institutions, particularly in terms of training, team support, and structuring connections between institutions, with the aim of building better-coordinated educational and therapeutic interventions.

儿童保护服务（CPS）支持的青少年代表了一个暴露于反复关系创伤的人群，这显著增加了发展以多形症状为特征的复杂创伤的风险。采用CPS治疗的青少年表现出的行为问题可能符合这一病种学框架。他们可能导致在适应环境方面遇到重大困难，特别是当多重受害的轨迹明显时。不幸的是，专业人士未能认识到这一诊断仍然很常见。因此，机构的反应往往不能很好地适应有关青少年的需要，促进了对其行为表现的过度精神化，而牺牲了基于其创伤历史的全面和整体的办法。方法：本研究对CPS支持下青少年通过行为问题表达的复杂创伤进行理论-临床反思。它是基于最近主要的临床和科学贡献，特别是与综合和系统方法有关的研究。结果：理论和临床数据强调了在CPS支持的青少年中识别复杂创伤表现的重要性和困难，特别是当他们出现行为问题时。分析强调了临床支持系统和创伤知情实践在构建机构反应中的贡献。这些做法，特别是依恋、情感调节、能力（ARC）模式，通过促进对行为症状的发展和关系理解，为在CPS内实施青少年教育支持提供了一个结构化框架，超越了危机管理逻辑，并在必要时能够有效地使用特定的护理模式。讨论：认识到往往以多重受害为特征的创伤历史，似乎对充分满足有关青少年的需要至关重要。虽然综合和系统的方法代表了转变CPS专业实践的有希望的杠杆，但它们的实施在法国仍然处于边缘地位。讨论了反思和研究的途径，以促进机构具体采用这些模型，特别是在培训，团队支持和机构之间的结构连接方面，目的是建立更好协调的教育和治疗干预措施。

{"title":"Problèmes comportementaux en protection de l’enfance : comprendre et intervenir à partir du concept de trauma complexe","authors":"Sandrine Bonneton , Aziz Essadek","doi":"10.1016/j.encep.2025.05.004","DOIUrl":"10.1016/j.encep.2025.05.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Adolescents supported by child protection services (CPS) represent a population exposed to repeated relational trauma that significantly increases the risk of developing complex trauma characterized by polymorphic symptomatology. The behavioral problems presented by adolescents followed by CPS may fit within this nosographic framework. They can lead to major difficulties in adapting to their environment, especially when the trajectory of polyvictimization is pronounced. Unfortunately, the failure of professionals to recognize this diagnosis remains frequent. As a result, institutional responses are often poorly adapted to the needs of the adolescents concerned, promoting an excessive psychiatrisation of their behavioral manifestations at the expense of a comprehensive and holistic approach rooted in their traumatic history.</div></div><div><h3>Method</h3><div>This work offers a theoretical-clinical reflection on complex trauma expressed through behavioral problems among adolescents supported by CPS. It is based on the main recent clinical and scientific contributions, particularly research related to integrative and systemic approaches.</div></div><div><h3>Results</h3><div>Theoretical and clinical data highlight both the importance and the difficulties of identifying manifestations of complex trauma among adolescents supported by CPS, especially when they present behavioral problems. The analysis emphasizes the contributions of clinical support systems and trauma-informed practices in structuring institutional responses. These practices, particularly the Attachment, Regulation of Affect, Competence (ARC) model, by promoting a developmental and relational understanding of behavioral symptoms, provide a structured framework for operationalizing the educational support of adolescents within CPS, moving beyond crisis management logic and enabling the effective use of specific care modalities when necessary.</div></div><div><h3>Discussion</h3><div>Recognizing traumatic history, often marked by polyvictimization, appears essential to adequately meet the needs of the adolescents concerned. While integrative and systemic approaches represent promising levers for transforming professional practices within CPS, their implementation remains marginal in France. Avenues for reflection and research are discussed to promote the concrete adoption of these models by institutions, particularly in terms of training, team support, and structuring connections between institutions, with the aim of building better-coordinated educational and therapeutic interventions.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 6","pages":"Pages S17-S23"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vers une physiopathologie intégrative du trauma complexe [对复杂创伤的综合理解]。

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique

Pub Date : 2025-12-01 DOI: 10.1016/j.encep.2025.06.007

Marion Robin , Michel Spodenkiewicz , Jean Belbèze , Maurice Corcos

The body of knowledge on trauma is rapidly expanding. Since 2022, the WHO has been calling for the history of adversity to be systematically taken into account when assessing the state of health of all individuals. But at this stage, our understanding of the precise mechanisms of complex trauma remains incomplete. In fact, its pathophysiology lies at the crossroads of neurobiological, psychological and relational fields of study. The aim of this review is to set out the key elements of this scientific literature in order to move towards a more global and comprehensive vision, which remains a challenge. The clinical forms of complex trauma are analyzed in the light of the neurobiology of chronic and early stress, cognitive-emotional disorders, and relational and attachment imbalances. Four dimensions each play a major role in the psycho-traumatic equation: characteristics relating to adversity factors, circumstances of onset, any prior vulnerabilities, and environmental resources (particularly relational support). Borderline personality disorder appears to be one of the faces of complex trauma, and a valuable model for understanding a pathophysiology that takes place in two stages, in which previous psychobiological changes contribute to the disproportionate or unrelated appearance of symptoms in relation to current environmental factors. This pathophysiology of a profound link between early experiences, alterations in the self and affective regulation disorders in adolescence or adulthood, raises new questions about the definition and understanding of psychiatric disorders, and first and foremost personality disorders, which are at the crossroads of the shift from “simple” trauma to complex trauma. Understanding the mechanics of trauma ultimately involves a shift from a symptom-centered approach to a dual approach involving the symptom in a synchronic (instantaneous) perspective and the patient's history in a diachronic (temporal evolution) perspective. It is also a shift from the subject to his or her environment, which calls for a global and systemic vision.

关于创伤的知识体系正在迅速扩展。自2022年以来，世卫组织一直呼吁在评估所有人的健康状况时系统地考虑逆境的历史。但在这个阶段，我们对复杂创伤的确切机制的理解仍然不完整。事实上，其病理生理学处于神经生物学、心理学和相关研究领域的交叉点。这篇综述的目的是列出这一科学文献的关键要素，以便朝着一个更全球和全面的愿景迈进，这仍然是一个挑战。从慢性和早期应激、认知-情绪障碍、关系和依恋失衡的神经生物学角度分析了复杂创伤的临床形式。每个维度在心理创伤方程中都起着重要作用：与逆境因素有关的特征、发病环境、任何先前的脆弱性和环境资源（特别是关系支持）。边缘型人格障碍似乎是复杂创伤的一种表现，也是理解分两个阶段发生的病理生理学的一个有价值的模型，在这两个阶段中，先前的心理生物学变化导致了与当前环境因素相关的不成比例或不相关的症状出现。这种早期经历、自我改变和青春期或成人期情感调节障碍之间的深刻联系的病理生理学，提出了关于精神障碍的定义和理解的新问题，首先是人格障碍，它正处于从“简单”创伤向复杂创伤转变的十字路口。对创伤机制的理解最终涉及从以症状为中心的方法向双重方法的转变，其中包括以共时（瞬时）视角观察症状，以历时（时间演变）视角观察患者病史。这也是一个从主体到他或她的环境的转变，这需要一个全球和系统的视野。

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引用次数: 0

A conceptual and paradigm shift whose time has come 观念和模式的转变已经到来

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique

Pub Date : 2025-11-20 DOI: 10.1016/j.encep.2025.11.001

Christine A. Courtois

引用次数: 0

Harnessing exercise for brain health: BDNF, neuroplasticity & well-being. 利用运动促进大脑健康：BDNF，神经可塑性和健康。

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique

Pub Date : 2025-11-07 DOI: 10.1016/j.encep.2025.08.006

Abdulkarim Tutakhail, Fodié Diarra, François Coudoré, Indira Mendez-David, Denis J David

Physical activity is increasingly recognized not only for its physical benefits but also for its profound impact on brain health. We reviewed the effects of exercise on mood and cognition with a particular focus on the underlying biological mechanisms, notably brain-derived neurotrophic factor (BDNF) and neuroplasticity. Emerging evidence indicated that exercise, particularly aerobic activity, elevates BDNF levels in key brain regions such as the hippocampus, fostering neurogenesis and synaptogenesis. These processes contribute to improved emotional regulation, alleviating symptoms of depression and anxiety, while also enhancing cognitive functions such as memory and attention. Furthermore, we investigated the implications of these findings across diverse age cohorts, including children, adults, and older adults, to elucidate age-specific effects on neurobiological processes such as growth, survival, differentiation, and neurogenesis. We also propose future research directions to enhance understanding of these mechanisms, with a particular emphasis on the therapeutic potential of physical activity as a broadly accessible intervention for promoting mental health and cognitive function across the lifespan.

人们越来越认识到体育活动不仅对身体有益，而且对大脑健康有深远的影响。我们回顾了运动对情绪和认知的影响，特别关注潜在的生物学机制，特别是脑源性神经营养因子（BDNF）和神经可塑性。新出现的证据表明，运动，尤其是有氧运动，可以提高大脑关键区域（如海马体）的BDNF水平，促进神经发生和突触发生。这些过程有助于改善情绪调节，减轻抑郁和焦虑症状，同时还能增强记忆力和注意力等认知功能。此外，我们研究了这些发现在不同年龄群体中的意义，包括儿童、成人和老年人，以阐明年龄对神经生物学过程（如生长、生存、分化和神经发生）的特异性影响。我们还提出了未来的研究方向，以加强对这些机制的理解，特别强调体育活动作为一种广泛可及的干预措施，在整个生命周期中促进心理健康和认知功能的治疗潜力。

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引用次数: 0