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

{"title":"Disclosure of sexual abuse by adolescents treated in a psychiatry department","authors":"Emilie Carretier ,&nbsp;Marine Jourdan ,&nbsp;Sophie Duchesne ,&nbsp;Julien Flouriot ,&nbsp;Jonathan Lachal ,&nbsp;Marie-Rose Moro","doi":"10.1016/j.encep.2023.12.003","DOIUrl":"10.1016/j.encep.2023.12.003","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of the study is to describe the population of adolescents who have disclosed sexual abuse to a health professional during their care in a psychiatric department. We also want to discuss the circumstances that enable adolescents to make this disclosure.</div></div><div><h3>Methods</h3><div>This single-center retrospective observational study is based on the mandatory reports (<em>n</em> <!-->=<!--> <span>139) sent by a Paris adolescent psychiatry department between 2005 and 2021 after patients disclosed previous sexual abuse. R® (3.6.1) and RStudio® (1.2.5001) software were used for statistical analysis.</span></div></div><div><h3>Results</h3><div>Girls accounted for almost all the adolescents who disclosed (95.7%). First abuse occurred around the age of 12 years and was first disclosed to a health professional a mean of 3.5 years later; 66 (47.5%) patients were admitted for inpatient care during their follow-up. The most common diagnoses were depression, eating disorders, posttraumatic stress disorders, and other anxiety disorders. Before disclosing to a health professional, most of these adolescents had already talked about it, mainly to a family member (69.8%) or peers (24.7%).</div></div><div><h3>Conclusion</h3><div>This is the first study in France on the reporting of sexual abuse after its disclosure by adolescents being treated in a psychiatry unit. Our results show that child sexual abuse is rarely reported and that health care professionals are far from being the first recipients of these disclosures. We recommend routine screening for sexual abuse in adolescent psychiatry units, improved training for staff receiving these disclosures, and consideration of how best to coordinate medical, social, and legal services for these adolescents.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Pages 46-52"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140208171","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}

{"title":"Link between neurodevelopmental disorders and suicidal risk in children","authors":"Julie Lévy-Bencheton,&nbsp;Pauline Chaste,&nbsp;Mélisande Sansen","doi":"10.1016/j.encep.2023.12.002","DOIUrl":"10.1016/j.encep.2023.12.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Suicide represents a significant public health issue among children and adolescents. However, in this population, while the literature seems to support a link between suicidal risk and neurodevelopmental disorders, there are still few studies on the subject. The psychopathological description of children who have realized a suicide attempt with a high potential for lethality, which can be defined as “serious”, appears to resemble that of children who have died by suicide. This study aimed to characterize the dimensional aspects of the neurodevelopmental profile of a population of children and adolescents hospitalized at Necker-Enfants–Malades Hospital for a serious suicide attempt.</div></div><div><h3>Methods</h3><div>This is an observational, prospective, and single-center study. Questionnaires for collecting general information and dimensional scales of neurodevelopment (Autism-Tics, ADHD, and Other Comorbidities Inventory, Social Responsiveness Scale, and Conners-3 for parents) were used. This study included 21 patients aged 9 to 15 years at the time of their hospitalization.</div></div><div><h3>Results</h3><div>The results supported the presence of at least one neurodevelopmental disorder (autistic traits, attention-deficit/hyperactivity disorder, learning disorder, or motor disorder) in 70% (<em>n</em> <!-->=<!--> <!-->14) of the subjects, and at least one behavioral disorder (oppositional defiant disorder, conduct disorder) in 65% (<em>n</em> <!-->=<!--> <!-->13) of these subjects.</div></div><div><h3>Conclusion</h3><div>The observed frequency of traits indicative of neurodevelopmental disorders in our population was higher than that observed in the general population, without the presented symptoms being eligible for categorical diagnosis. Considering the dimensional aspects of neurodevelopmental symptoms would therefore enable better identification of children at suicidal risk and more tailored interventions to contribute to the prevention of suicide in children.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Pages 39-45"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140208172","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}

{"title":"Parental involvement and adjustment during the diagnostic evaluation of autism spectrum disorder at two diagnostic centers","authors":"Emilie Cappe ,&nbsp;Johanna Despax ,&nbsp;Amandine Pedoux ,&nbsp;Pascale Zylberberg ,&nbsp;Pauline Chaste ,&nbsp;Aude De Gaulmyn ,&nbsp;Catherine Doyen ,&nbsp;Noël Pommepuy","doi":"10.1016/j.encep.2024.01.002","DOIUrl":"10.1016/j.encep.2024.01.002","url":null,"abstract":"<div><h3>Objectives</h3><div>The primary objective of this study was to determine the effects of permanent, mediated parental presence during all autism spectrum disorder diagnostic evaluations on parental adjustment (perceived parental stress and sense of parental competence) compared with procedures that traditionally only involve parents in pivotal periods of the diagnosis. The level of satisfaction with the diagnostic procedure and parents’ needs were also evaluated to complete this first objective. The secondary objective was to assess the effects of psychosocial, individual, and contextual variables on perceived parental stress and sense of parental competence.</div></div><div><h3>Methods</h3><div>The total sample of 49 parents was divided (using simple randomization) into two subgroups, each for a different procedure. Participants were met with once before the first consultation and once after. They completed self-reported questionnaires on parental stress, sense of parental competence, satisfaction with the procedure, social support, locus of control, and appraisal of life events. Statistical analysis was conducted using SPAD and SPSS software.</div></div><div><h3>Results</h3><div>There was no difference between the two groups in the variables assessed. Satisfaction with the diagnostic procedure was high in both groups, but parents highlighted that they had important needs following the diagnosis. The child's level of autonomy, the presence of disruptive behaviors, and satisfaction with social support were found to be important for determining parental adjustment.</div></div><div><h3>Conclusions</h3><div>Several hypotheses may explain the lack of differences between the two groups, including that parents may not yet have been in a position to benefit from the procedure aimed at integrating them. Our suggestion is that professional interventions should focus on improving the child's autonomy and helping the parent to develop a satisfactory support network. Finally, parents’ needs for the post-diagnosis phase should be given greater consideration, particularly in future research.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Pages 53-60"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140208173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quand les psychiatres et les neurologues travaillent de concert : de la bouffée délirante aiguë à l’encéphalite auto-immune","authors":"Hugo Tiercelin ,&nbsp;Nicolas Mélé ,&nbsp;Louise Todorov ,&nbsp;Alexandra Pham-Scottez ,&nbsp;Raphaël Gourevitch","doi":"10.1016/j.encep.2024.08.001","DOIUrl":"10.1016/j.encep.2024.08.001","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Pages 107-108"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378559","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}

{"title":"Is there such a thing as emergency ethics in psychiatry? A cross-analysis of interventional cardiology and surgery","authors":"Edouard Leaune ,&nbsp;Emmanuel Poulet ,&nbsp;Patrick Le Bihan ,&nbsp;Sami Richa ,&nbsp;Emmanuelle Corruble ,&nbsp;Hugo Bottemanne","doi":"10.1016/j.encep.2024.11.005","DOIUrl":"10.1016/j.encep.2024.11.005","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Pages S33-S38"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824704","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}

{"title":"The importance of ethics in psychiatry","authors":"Sami Richa","doi":"10.1016/j.encep.2024.11.007","DOIUrl":"10.1016/j.encep.2024.11.007","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Page S1"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824794","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}

{"title":"Prevalence of hepatitis C, hepatitis B and HIV and their therapeutic management in a French public psychiatric hospital","authors":"Foulques Icole ,&nbsp;Vincent Haghnejad ,&nbsp;Cyrille Jeannoel ,&nbsp;Philippe Besançon ,&nbsp;Frédéric Boulanger ,&nbsp;Jean-Pierre Bronowicki","doi":"10.1016/j.encep.2023.11.023","DOIUrl":"10.1016/j.encep.2023.11.023","url":null,"abstract":"<div><h3>Introduction</h3><div>Several studies suggest that the prevalence of hepatitis C, hepatitis B and HIV are higher in psychiatric patients than in the general population; however, few French studies have been published. The aims of this study were to determine the seroprevalence of the three viruses, describe the profile of infected patients and evaluate the initiation of antiviral treatment in a population of patients hospitalized in a psychiatric hospital.</div></div><div><h3>Method</h3><div>Between January and October 2020, screening for hepatitis C virus, hepatitis B virus and HIV was systematically offered to all patients admitted to the intersectoral reception and orientation unit of a psychiatric hospital. If serology was positive, viral load was automatically determined from the same blood sample. As direct-acting antivirals (DAAs) are not financed “in addition” to hospital charges, it was decided a priori to start treatment for HCV immediately before discharge.</div></div><div><h3>Results</h3><div>Between January 7 and October 1, 2020, 407 patients accepted screening. Of these patients, 17 (4.2%; 95% CI: 2.2–6.1%) were anti-HCV positive and two were anti-HIV+/anti-HCV− (0.49%). HCV RNA was detectable in 9/17 anti-HCV+ patients, with a prevalence of infection of 2.2% (CI: 0.8–3.6%). Drug use was identified in 16 anti-HCV+ patients (94%), ten with active drug use. Of the nine viraemic patients, only four received a prescription for DAA treatment at the end of hospitalization, and only one was followed up by his general practitioner with the confirmation of virological cure three months after treatment cessation. No patient tested positive for hepatitis B surface antigen, but 3% had serological markers indicating HBV past infection. The anti-HBV vaccination coverage rate was only 39% in the entire population and only 41% for patients with a history of drug use.</div></div><div><h3>Conclusion</h3><div>Our study confirms that the prevalence of HCV infection is significantly higher in the psychiatric population than in the general population. By far, the main risk factor for HCV infection is drug use. This justifies the systematic performance of regular screening in this population. The way in which DAAs are financed in psychiatric hospitals seems to be a major obstacle to the initiation of treatment for chronic HCV infection during hospitalization and therefore to the elimination of HCV infection in the psychiatric population.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Pages 9-14"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139898365","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}

{"title":"Simulation-based teaching of psychiatric interviewing to residents: A comparison of peer-to-peer and teacher role-play on confidence in clinical skills","authors":"Arnaud Pouchon ,&nbsp;Antoine Bertrand ,&nbsp;Mircea Polosan ,&nbsp;Clément Dondé","doi":"10.1016/j.encep.2023.11.027","DOIUrl":"10.1016/j.encep.2023.11.027","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the effects of two simulation-based teaching programs of psychiatric interviewing using two role-play modalities on first-year psychiatry residents’ confidence in their psychiatric clinical skills.</div></div><div><h3>Methods</h3><div>The teaching program consisted of seven 2-hour sessions per month led by two psychiatrists and academic teachers. In the peer-to-peer role-play group, students played either the patient's or doctor's role, and case scenarios were proposed by the students; in the teacher role-play group, a teacher played the patient’ role and case scenarios were written by teachers. Simulation debriefing was teacher-guided in both groups. Confidence was measured with the Confidence in Psychiatric Clinical Skills Questionnaire (CPCQ) before and after the teaching program.</div></div><div><h3>Results</h3><div>Both strategies induced a significant improvement in the CPCQ total score. However, the peer-to-peer role-play program induced a significantly larger improvement in the CPCQ total score.</div></div><div><h3>Discussion</h3><div>Compared to teacher role-play, peer-to-peer role-play may enable a better comprehension of the patient perspective, reduce performance anxiety during the simulated scenario, and provide a partly improvised scenario that is more transferable to real-life clinical experiences.</div></div><div><h3>Conclusion</h3><div>Teaching psychiatric interviewing using the peer-to-peer role-play approach enables greater improvement in confidence in clinical skills than teacher role-play.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Pages 22-25"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998231","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}

{"title":"French validation of the barriers to access to care evaluation (BACE-3) scale","authors":"Feten Fekih-Romdhane ,&nbsp;Youssef Boukadida ,&nbsp;Bouthaina Abassi ,&nbsp;Leila Sarra Chaibi ,&nbsp;Philippe Conus ,&nbsp;Marie-Odile Krebs ,&nbsp;Graham Thornicroft ,&nbsp;Majda Cheour ,&nbsp;Haitham A. Jahrami","doi":"10.1016/j.encep.2023.11.020","DOIUrl":"10.1016/j.encep.2023.11.020","url":null,"abstract":"<div><h3>Background</h3><div>The aim of this study was to develop and evaluate a French version of the Barriers to Access to Care Evaluation (BACE-3) scale that is tailored to the socio-cultural and language setting of the study.</div></div><div><h3>Methods</h3><div>The translation of the BACE-3 into French and its validation were the two key components of this psychometric investigation. An online survey was created and circulated to French-speaking participants who volunteered to participate in the study.</div></div><div><h3>Results</h3><div>For all translated questions, the reliability analysis key results (Cronbach's alpha and McDonald's Omega) were both<!--> <!-->&gt;<!--> <!-->0.95, which is an excellent reliability value. The BACE-3 items were shown to be positively related to one another, implying excellent validity. Results of exploratory and confirmatory factor analyses showed that all stigma-related items were loaded under the same factor.</div></div><div><h3>Conclusions</h3><div>The BACE-3 has been validated in French, and its psychometric qualities have been thoroughly evaluated and found to be excellent.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Pages 1-8"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681875","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}

{"title":"Étudier conjointement l’isolement, la contention mécanique et la contention chimique : étude pilote dans trois établissements psychiatriques français","authors":"Anne-Cécile Blandin ,&nbsp;Samy Dallel ,&nbsp;Julien Degry ,&nbsp;Éric Fakra ,&nbsp;Sébastien Hardy ,&nbsp;Justine Liothier ,&nbsp;Delphine Moreau ,&nbsp;Fabrice Lagrange ,&nbsp;Yvonne Quenum ,&nbsp;Sébastien Saetta ,&nbsp;l’équipe PLAID-Care","doi":"10.1016/j.encep.2024.02.013","DOIUrl":"10.1016/j.encep.2024.02.013","url":null,"abstract":"<div><div>Psychiatric wards that only exceptionally use isolation and mechanical restraint may be suspected of using “chemical restraint”. However, in the case of these services, the hypothesis of a reduction in the general level of restraint can also be formulated. Prior to a comprehensive study to test these hypotheses, the current research aims to assess indicators which define high levels of the use of these measures and a relevant sample. The study was conducted in three facilities with 254 hospitalized patients over a week. Five per cent experienced isolation, 2% mechanical restraint, and 13% received high doses of medication (including “as needed” treatments). These figures are below literature data and national averages. Variances exist among centers, with one showing higher percentages for all three measures. While confirming the feasibility of studying these measures together, the study suggests the need for longer observations and continuous evaluation of prescription practices to better reflect yearly isolation and restraint trends. Future studies should involve more centers and include case studies for a nuanced understanding of administration practices in relation to prescriptions.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Pages 95-99"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900079","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}