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

{"title":"Évaluation de la douleur des enfants et adolescents avec troubles du spectre de l’autisme : une revue systématique","authors":"Christelle Salabura ,&nbsp;Arnaud Sourty ,&nbsp;Flora Bat-Pitault ,&nbsp;Kirsty Regnery ,&nbsp;Sandrine Mayen ,&nbsp;Sébastien Colson","doi":"10.1016/j.encep.2024.04.007","DOIUrl":"10.1016/j.encep.2024.04.007","url":null,"abstract":"<div><h3>Objective</h3><div>Pain in children and adolescents with autism spectrum disorders remains underdiagnosed due to their inherent communication difficulties. The goal of this review is to identify the most suitable methods for assessing pain in this population and for evaluating the specific perceptions of, or behavioural reactions to, pain whilst considering disorder severity and specifiers (with or without accompanying intellectual impairment, with or without accompanying language impairment).</div></div><div><h3>Method</h3><div>A systematic review and analysis of the international literature was conducted.</div></div><div><h3>Results</h3><div>Fourteen studies were selected. No difference was found in pain-related behaviours based on the age or gender of children or adolescents with autism. Three studies showed pain-related behaviours in autism spectrum disorders to be similar to control groups. Other studies showed specific behavioural responses in autism spectrum disorders with a longer physiological and behavioural recovery time associated with an episode of acute pain in this population. Similarly, the three studies that focused on sensory perceptions of pain all showed differences in the autism spectrum disorders population compared to control groups. In hospital or daily life contexts, studies essentially showed idiosyncratic expressions, hypervigilance, motor agitation, negative emotional reactions, or vocalizations. Regarding the association of autism severity with hyposensitivity to pain, the results remain unclear even when language disorders or intellectual disabilities are also present (in conjunction with autism). The Non-Communicative Children Pain Checklist and its translation into French and Italian showed good internal validity and was used by almost half of the studies in hetero-assessment, mostly by parents. Studies recommend the inclusion of parents in the assessment in order to optimise the evaluation process. Similarly, analysis of parent/child/caregiver interviews from the studies highlights the importance of personalizing pain assessment of children and adolescents, taking into account subject-specific characteristics, pathology, and context.</div></div><div><h3>Conclusion</h3><div>An integrative and personalized approach to pain assessment appears to be the most appropriate for enhancing the understanding and detection of pain in individuals with autism spectrum disorders. This approach aligns well with a care setting where a nominated professional with a good expertise in autism is responsible for pain assessment. Given the complexity of identifying pain in individuals with autism, further qualitative studies, in conjunction with new pain exploration technologies, are considered necessary as well as a more extensive categorization of the population studies.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Pages 87-94"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545433","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":"DARJELY, le dispositif lyonnais d’accompagnement multidisciplinaire des jeunes migrants en errance","authors":"Anthony Plasse ,&nbsp;Aurélie Lansiaux ,&nbsp;Kostas Daras ,&nbsp;Halima Zeroug-Vial ,&nbsp;Christophe Icard ,&nbsp;Benjamin Rolland","doi":"10.1016/j.encep.2024.04.003","DOIUrl":"10.1016/j.encep.2024.04.003","url":null,"abstract":"<div><div>Young, isolated migrants (YIMs) represent some particularly vulnerable populations that have arrived unaccompanied on the national territory and are particularly exposed to mafia networks, delinquency, and prostitution. YIMs thus cumulate social (e.g., precarity, or isolation), psychiatric (e.g., post-traumatic stress disorder, mood, or anxiety disorders), and addiction (e.g., prescription drug dependence) disorders. This addition of vulnerabilities makes the social and medical support difficult to operationalize as it requires multidisciplinary and coordinated programs. In Lyon, the 2nd-largest urban agglomeration in France, the “<em>Dispositif d’accompagnement en Réseau pour l’accès aux soins psychiatriques et addictologiques des jeunes migrants en errance à Lyon</em>” (DARJELY), (“Network System for supporting psychiatric and addiction care to YIMs in Lyon”) has been implemented since early 2023 and gathers the following components: (i) a coordinating pair of professionals (i.e., a street worker and an addiction nurse) who ensure a case management of individual situations and articulate the medical and social support with external partners, (ii) an addiction medicine team, (iii) a psychiatric team working at the same place as the addiction medicine team, and (iv) a socio-educational team that can meet YIMs “in situ” and refer them into care, in particular toward teams (ii) and (iii). Overall, DARJELY is thus an innovative system which offers multidisciplinary and coordinated missions toward YIMs including: (i) meeting YIMs on the ground and referring them to specialized care units through the coordination team; (ii) orchestrating the follow-up with other social or medical stakeholders on the local territory; (iii) collecting and synthetizing data for local decision-makers and partners; and (iv) producing research data for improving the understanding of these hard-to-reach populations. All these missions meet current needs of public health regarding these complex populations whose number has been constantly increasing over the recent years.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Pages 100-103"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900076","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":"How (highly unique) Mrs Jones can meet (highly scientific) precision medicine? An introduction to values-based practice","authors":"KWM (Bill) Fulford ,&nbsp;Arnaud Plagnol","doi":"10.1016/j.encep.2024.11.006","DOIUrl":"10.1016/j.encep.2024.11.006","url":null,"abstract":"<div><div>There is a tension in contemporary clinical care between generalization, as required in the scientific process of evidence-based medicine, and personalization, as required for the autonomy and care's meaning of an always unique patient. We present here some of the key elements of values-based practice, a shared decision-making process that aims to reconcile these two major trends in clinical care. Values practice is rooted in pioneer work about values from ‘ordinary language’ analytic philosophy (the ‘Oxford School’). As such, it has developed in response to key insights from ways of thinking the world, highlighting the universality of values in care. Values-based practice is a partner to both evidence-based practice and ethics for supporting shared decision-making when complex and sometimes conflicting values are is in play. The story of Mrs Jones’ knee, an everyday situation of surgical care, and the Montgomery ruling, a famous legal case from the UK Supreme Court, show why it is so essential to incorporate the values of the individual patient within a model of shared decision-making. Values-based practice relies on learnable clinical skills allowing clinicians to take into account the actual values of every unique person involved in a unique situation. This is required if precision medicine is to deliver genuinely personalized medicine as the basis of truly person-centred clinical care.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Pages S17-S22"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824703","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":"Somatic conversion in adolescents: A case study","authors":"Yassine Benhaddouch ,&nbsp;Françoise Dumont ,&nbsp;Naima Boukhalfa ,&nbsp;Amine Bout ,&nbsp;Chadya Aarab ,&nbsp;Rachid Aalouane","doi":"10.1016/j.encep.2024.02.010","DOIUrl":"10.1016/j.encep.2024.02.010","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 1","pages":"Pages 104-106"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187218","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":"Dysfunctional eating attitudes and behaviors among athletes: The role and potential of virtual reality.","authors":"Marie-Josée St-Pierre, Giulia Corno, Stéphanie Meriaux, Johana Monthuy-Blanc","doi":"10.1016/j.encep.2024.10.005","DOIUrl":"https://doi.org/10.1016/j.encep.2024.10.005","url":null,"abstract":"<p><p>This brief article discusses the current state of knowledge on the use of virtual reality in assessing and/or treating body image and body image disturbances among athletes with dysfunctional eating attitudes and behaviors ( i.e., eating disorders and disordered eating). The scientific void on this subject, as demonstrated by the literature review, clearly demonstrates that more research is needed to fully understand the contribution of virtual reality in in this field.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973128","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":"E-health app-based mindfulness program for smoking cessation.","authors":"Anastasia Demina, Benjamin Petit, Benoit Trojak","doi":"10.1016/j.encep.2024.11.010","DOIUrl":"https://doi.org/10.1016/j.encep.2024.11.010","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967275","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":"Validity evidence for a French version of the Stigma of Occupational Stress Scale for Doctors (SOSS-D).","authors":"Nadia M Bajwa, Sohie Favre, Thomas Perneger, Melissa Dominicé Dao, Marie-Claude Audetat, Mathieu R Nendaz, Noëlle Junod Perron, Hélène Richard-Lepouriel","doi":"10.1016/j.encep.2024.10.002","DOIUrl":"https://doi.org/10.1016/j.encep.2024.10.002","url":null,"abstract":"<p><strong>Objectives: </strong>Physicians demonstrate low rates of help seeking for psychiatric disorders, occupational stress, and burnout due to perceived stigma. The Stigma of Occupational Stress Scale for Doctors (SOSS-D) is a brief standardized tool designed to measure stigma (personal, perceived other, and perceived structural) in physicians. The aim of this study was to gather validity evidence for a French version of the SOSS-D.</p><p><strong>Methods: </strong>The SOSS-D was translated into French and piloted with 12 physicians. The scale was administered to physicians at the Geneva University Hospitals. We computed descriptive statistics and internal consistency coefficients. Construct validity was analyzed using exploratory (EFA) and confirmatory factor (CFA) analyses.</p><p><strong>Results: </strong>In total, 323 physicians participated in the survey. The internal consistency coefficient for the French SOSS-D was 0.72, 0.55 for the personal stigma subscale, 0.66 for the perceived other stigma subscale, and 0.65 for the perceived structural stigma subscale. CFA indicated a marginal fit. EFA revealed three factors: personal, perceived other, and perceived structural stigma.</p><p><strong>Discussion: </strong>Our findings support the hypothesis that stigma is a multi-dimensional construct. However, the French version of the SOSS-D scale did demonstrate some differences when compared to its English version. Identifying stigmatization beliefs among physicians may allow for increased identification of physicians at risk, and increased communication concerning preventive actions. Moreover, being aware of and fighting stigma can reduce barriers to help seeking and increased access to care resources for burnt-out physicians.</p><p><strong>Conclusion: </strong>The results provide evidence of the validity and reliability of the French version of the SOSS-D indicating its suitability for use in a French-speaking physician population.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824803","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":"L’électroconvulsivothérapie chez les médecins tunisiens : les controverses et les insuffisances","authors":"Samir Samaâli ,&nbsp;Rania Lansari ,&nbsp;Jihene Hamdoun ,&nbsp;Amine Larnaout ,&nbsp;Wahid Melki","doi":"10.1016/j.encep.2023.12.001","DOIUrl":"10.1016/j.encep.2023.12.001","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 682-685"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900878","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":"Exploring the psychometric qualities of prenatal attachment inventory in France","authors":"Jessica Letot ,&nbsp;Emmanuel Devouche ,&nbsp;Mélina Audic ,&nbsp;Amélie Paul ,&nbsp;Jaqueline Wendland","doi":"10.1016/j.encep.2023.11.014","DOIUrl":"10.1016/j.encep.2023.11.014","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of the study was to explore the structure of the Prenatal Attachment Inventory (PAI) on a French sample of pregnant women.</div></div><div><h3>Methods</h3><div>Three hundred and nine pregnant women were recruited in gynecology-obstetrics departments and on social networks. To be included, women had to be pregnant, aged between 18 and 45 years old, and not have somatic complications of pregnancy. The women completed a questionnaire including questions on sociodemographic information, and the PAI. The structure of PAI was explored with an exploratory structural equation model (ESEM).</div></div><div><h3>Results</h3><div>Three factorial solutions were explored: two-, three- and four-factor. The 2-factor solution was excluded due to its CFI, TLI and RMSEA indexes, which were lower than the reference values. The choice between the 3- and 4-factor solutions was made according to the clinical meaning of the items included in the factors. The 3-factor solution was retained with the factors: “current and future representations of the baby”, “maternal–fetal relationship”, and “proprioceptive feeling”. The scale had good internal consistency.</div></div><div><h3>Conclusions</h3><div>The PAI is the first standardized multidimensional assessment tool for maternal–fetal attachment in the French language<span>. In view of the results obtained, this tool can be disseminated and used by professionals in perinatal care.</span></div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 616-622"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681874","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":"Impact of the COVID-19 pandemic and lockdowns on emergency data related to mental health disorders in Nouvelle-Aquitaine, France","authors":"Maëva Rosely ,&nbsp;Laure Meurice ,&nbsp;Sophie Larrieu ,&nbsp;Pascal Vilain ,&nbsp;Edouard Chatignoux ,&nbsp;Cécile Forgeot ,&nbsp;Laurent Filleul","doi":"10.1016/j.encep.2023.11.019","DOIUrl":"10.1016/j.encep.2023.11.019","url":null,"abstract":"<div><div>This study estimates the association between emergency department (ED) visits for mental health disorders (MHDs) and the health context of the COVID-19 pandemic in the French region of Nouvelle-Aquitaine. This retrospective study took place between 2018 and 2021 using ED data. We defined the main exposure according to five periods: “Pre-pandemic (reference)”, “First lockdown”, “Second lockdown”, “Third lockdown”, and “Pandemic out-of-lockdown.” We constructed the daily indicators for each MHD-related ED visit based on medical diagnoses. We described and then modeled the daily time series using generalized additive models with a quasi-Poisson regression. The analysis included 5,693,341 ED visits of which MHDs accounted for 4%. We observed a decline in ED use for most indicators, particularly during the first lockdown. Models revealed a statistically significant relative increase in ED visits for almost all MHDs during the first lockdown; for anxiety and child psychiatric disorders during the second lockdown; and only for child psychiatric disorders during the pandemic out-of-lockdown period. The public health crisis and lockdowns associated with the COVID-19 pandemic have been important sources of stress that could partially explain the deterioration of MHD indicators, thus leading to new public health concerns (notably among the youngest age group). Mental health is a major determinant of overall health and should therefore be considered in the management of crises that may require similar responses in the future.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 641-648"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681876","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}