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

{"title":"Short-term effects of a simulation-based training program on suicide risk assessment and intervention for first-year psychiatry residents","authors":"Océane Richard ,&nbsp;Marie-Aude Piot ,&nbsp;Fabrice Jollant","doi":"10.1016/j.encep.2023.11.017","DOIUrl":"10.1016/j.encep.2023.11.017","url":null,"abstract":"<div><h3>Objectives</h3><div>Adequate training of mental health professionals in suicide risk assessment and intervention is crucial. Simulation-based education is a relevant method to acquire competences for challenging health interventions. Here, we aimed to evaluate the effects of a simulation-based training program on first-year psychiatry residents’ skills, knowledge, attitudes and satisfaction.</div></div><div><h3>Methods</h3><div><span>We conducted pre- and immediately post-training assessments in 153 psychiatry residents during their first or second postgraduate semester in Paris, France, in 2020 and 2021. The simulation-based training occurred a few weeks after a two-hour theoretical lecture on suicidal behaviors. It consisted of a full-day training of small groups (</span><em>n</em> <!-->=<!--> <!-->5 to 9) with six scenarios played by professional actors and facilitated by two trained psychiatrists, and a 45–60<!--> <!-->minute debriefing session after each simulation. Educational objectives focused on basic aspects of patient-psychiatrist relation, the investigation of suicidal ideation, and basic interventions in various contexts (outpatient consultation, emergency room, telephone) and patient profiles. Outcome measures included the Suicide Intervention Response Inventory (SIRI-2), a short questionnaire on basic knowledge, a self-confidence four-item scale, and a satisfaction questionnaire.</div></div><div><h3>Results</h3><div>There were significant improvements in skills, basic knowledge, and self-confidence from pre- to post-training. Trainees also expressed a high level of satisfaction, an appreciation for this innovative pedagogy and a wish for more similar training.</div></div><div><h3>Conclusions</h3><div>This practical training program based on simulation improved self-confidence, knowledge and skills in suicide risk assessment and intervention in the short-term among first year psychiatry residents. Results from this study are therefore promising. Longitudinal studies are, however, needed to evaluate the persistence of changes over time, positive changes in care in real settings and health benefits for patients. In a time of easily accessible and rapidly growing factual medical knowledge, of necessary need for skilled professionals and of growing demand in mental health care, the development of simulation training in psychiatry should be a pedagogical and a public health priority.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 623-629"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681891","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":"Treatment of catatonia using ketamine in a patient with physical comorbidities","authors":"Jo Gerbaka ,&nbsp;Elina Dirani ,&nbsp;Charline Hachem ,&nbsp;Rita Feghali ,&nbsp;Ramez Dagher ,&nbsp;Jinane Jomaah ,&nbsp;Juliana Sargi ,&nbsp;Caroline Hallal ,&nbsp;Rami Bou Khalil","doi":"10.1016/j.encep.2024.03.005","DOIUrl":"10.1016/j.encep.2024.03.005","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 693-695"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900189","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":"Efficacité des psychothérapies sur les symptômes dissociatifs en population adulte : une revue de la littérature PRISMA","authors":"Camille Aujoulat ,&nbsp;Alexis Vancappel ,&nbsp;Géraldine Tapia","doi":"10.1016/j.encep.2024.01.001","DOIUrl":"10.1016/j.encep.2024.01.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Dissociation is a psychological process in reaction to threat which can be found in many psychiatric conditions. Dissociative symptoms can become very disabling, whether in daily life or in care. Nevertheless, few studies seem to have examined the efficacy of psychotherapy on the latter and its relevance as a therapeutic target.</div></div><div><h3>Method</h3><div>A systematic review of the literature (PRISMA) on the efficacy of psychotherapy on dissociative symptoms in adults with mental disorders was conducted. Effectiveness was considered in terms of reduction in dissociative symptomatology. The search was conducted on Scopus, PubMed and PsycInfo. Overall, 50 full-text articles were evaluated.</div></div><div><h3>Results</h3><div>Fourteen studies were included in the review. In all, 711 adult subjects with post-traumatic stress disorder, borderline personality disorder or dissociative disorder were included. Overall, this systematic review reports a reduction in dissociative symptoms associated with a variety of psychotherapeutic interventions, without allowing any conclusions to be drawn on the superiority of one psychotherapy over another.</div></div><div><h3>Discussion</h3><div>The conclusions of this work highlight three possible therapeutic orientations for reducing dissociative symptoms: (i) by reintegrating the dynamic subsystems, (ii) by treating the cognitive processes underlying dissociation, and (iii) by acting on the processes identified as common to the effectiveness of psychotherapy.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 670-681"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140208170","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":"Bien manger pour bien vivre : la psychonutrition est-elle prête pour la pratique clinique en santé mentale ?","authors":"Guillaume Fond,&nbsp;Marc Masson","doi":"10.1016/j.encep.2024.11.001","DOIUrl":"10.1016/j.encep.2024.11.001","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 587-589"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792453","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":"Pattern of encounters to emergency departments for suicidal attempts in France: Identification of high-risk days, months and holiday periods","authors":"Michaël Rochoy ,&nbsp;Isabelle Pontais ,&nbsp;Céline Caserio-Schönemann ,&nbsp;Christine Chan-Chee ,&nbsp;Luce Gainet ,&nbsp;Yann Gobert ,&nbsp;Jan Baran ,&nbsp;Vincent Dodin ,&nbsp;Luc Defebvre ,&nbsp;Claire Collins ,&nbsp;Emmanuel Chazard ,&nbsp;Christophe Berkhout ,&nbsp;Pierre Balayé","doi":"10.1016/j.encep.2023.11.018","DOIUrl":"10.1016/j.encep.2023.11.018","url":null,"abstract":"<div><h3>Introduction</h3><div>Seasonal change in patterns of suicidal attempts is not well known in France and may differ from other western countries. We aimed to determine the peak times (days, months and holiday periods) of suicidal attempts in France.</div></div><div><h3>Methods</h3><div>We carried out a multicentre retrospective epidemiological study, using data from the Organization for Coordinated Monitoring of Emergencies (OSCOUR®) network. We aggregated daily data from January 1, 2010, to December 31, 2019. Variations in suicidal attempts on specific days were investigated by comparing their frequencies (ad hoc Z-scores).</div></div><div><h3>Results</h3><div>114,805,488 ED encounters were recorded including 233,242 ED encounters regarding suicidal attempts. Men accounted for 45.7%. A significantly higher frequency of ED encounters for suicidal acts were found on Sundays in the months of May-June for both sexes and on New Year's Day for all genders and age groups. An increased risk was also noted on July 14th (National Day) and June 22nd (Summer Solstice). A protective effect was noted on the day after Valentine's Day, on Christmas Day and Christmas time (in particular December 24 and 26).</div></div><div><h3>Conclusion</h3><div>Sundays, June, New Year's Day were at increased risk of suicidal attempts in France requiring a strengthening of prevention.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 630-640"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693520","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":"COVID-19 lockdown: Impact on youth mental health using gold standard interviews – Insights and lessons from the CoCo20 study protocol","authors":"Ariel Revah ,&nbsp;Morgane Gindt ,&nbsp;Jokthan Guivarch ,&nbsp;Olivier Fossard ,&nbsp;Victoria Metelkina-Fernandez ,&nbsp;Ophélie Nachon ,&nbsp;Aurélien Richez ,&nbsp;Florence Askenazy ,&nbsp;Arnaud Fernandez","doi":"10.1016/j.encep.2024.07.001","DOIUrl":"10.1016/j.encep.2024.07.001","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 691-692"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378587","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":"Attention deficit hyperactivity disorder, self-esteem and the impact of treatments","authors":"Laurie Sürig ,&nbsp;Hala Kerbage ,&nbsp;Elodie Courtabessis ,&nbsp;Emanuel Diaz ,&nbsp;Antoine Visier ,&nbsp;Erica Fongaro ,&nbsp;Diane Purper-Ouakil","doi":"10.1016/j.encep.2023.11.009","DOIUrl":"10.1016/j.encep.2023.11.009","url":null,"abstract":"<div><h3>Objectives</h3><div>Children with attention deficit hyperactivity disorder (ADHD) experience repetitive failures in their school and social life and often receive negative feedback from their environment, endangering the development of their self-esteem. Self-esteem is a forecasting factor for social, psychological, professional and familial well-being. Poor self-esteem is a risk factor for the development of depression, anxiety disorder, and personality disorder. The aim of this article is to evaluate the child's self-esteem at the initial time of ADHD diagnosis, describe self-esteem evolution after diagnosis and identify clinical and therapeutic factors associated with improved self-esteem.</div></div><div><h3>Methods</h3><div>In a longitudinal descriptive study, 6–12-year-old patients with ADHD underwent a multidisciplinary evaluation including a diagnostic<span> interview (Kiddie Schedule for Affective Disorders and Schizophrenia Present/Lifetime version: K-SADS), a symptoms severity assessment with parent questionnaires (Attention Deficit Hyperactivity Disorder Rating Scale: ADHD-RS), a neurocognitive testing of attention and IQ, and a self-esteem interview (Self-Esteem Inventory of Coopersmith: SEI). The follow-up assessment included a K-SADS-PL, ADHD-RS and SEI assessments and recorded treatment history. We compared the score of self-esteem between these two assessments.</span></div></div><div><h3>Results</h3><div>Among the 108 screened patients, we obtained complete data from 55 patients at the second assessment. At first evaluation, two-thirds of children with ADHD had low self-esteem scores. At the second evaluation, our results indicate a significant improvement of global, personal, and social self-esteem score (SEI) and symptoms severity score (K-SADS-PL and ADHD-RS).</div></div><div><h3>Conclusions</h3><div>Self-esteem improved in patients with ADHD after specific treatments.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 603-609"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681870","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":"Validation of the French COVID-Related Thoughts and Behavioral Symptoms Questionnaire (Cov-Tabs): A self-report assessment","authors":"Ali Oker ,&nbsp;Yasmine Laraki ,&nbsp;Royce Anders ,&nbsp;Erica Fongaro ,&nbsp;Delphine Capdevielle ,&nbsp;Stéphane Raffard","doi":"10.1016/j.encep.2023.11.010","DOIUrl":"10.1016/j.encep.2023.11.010","url":null,"abstract":"<div><h3>Objectives</h3><div>The COVID-Related Thoughts and Behavioral Symptoms (Cov-Tabs) is a self-reported questionnaire developed to identify the presence of psychological distress and anxiety-related behavior associated with COVID-19. This scale has been used since the first episodes of mass contamination of COVID-19 disease in the USA without psychometric validation analysis. The objective of this paper is to validate the French version of the Cov-TaBS.</div></div><div><h3>Method</h3><div>In this study, we assessed a French translation of Cov-Tabs in 300 subjects from the general population. Moreover, we assessed convergent and discriminant validities using an anxiety and depression scale and a paranoid ideation scale. Statistical analyses consisted of evaluating internal consistency, test-retest reliability, and construct validity as well.</div></div><div><h3>Results</h3><div>The French translation of the Cov-Tabs demonstrated high internal consistency and reliability, as well as good temporal stability over a period of less than 2 weeks. It also showed strong convergent validity with anxiety and depression traits and divergent validity with paranoid ideation.</div></div><div><h3>Conclusion</h3><div>Our study indicates that the French version of the Cov-Tabs has robust psychometric properties and is a valid tool for evaluating behavioral symptomatology and thoughts related to COVID-19 disease. Therefore, the French version of the Cov-Tabs is a valid tool that can be used in French-speaking individuals.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 610-615"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681893","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":"Opinions of French psychiatrists on the regulatory status of cannabis: Results from the “PsyCan – Encéphale” national online survey","authors":"Léa Leclerc ,&nbsp;Eric Fakra ,&nbsp;Baptiste Pignon ,&nbsp;Amine Benyamina ,&nbsp;Raphaël Gaillard ,&nbsp;Benjamin Rolland","doi":"10.1016/j.encep.2023.11.008","DOIUrl":"10.1016/j.encep.2023.11.008","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the opinions of French psychiatrists toward the legalization of medical or recreational use of cannabis in France.</div></div><div><h3>Methods</h3><div><em>Psycan</em> was an anonymous Internet survey conducted between September 28, 2021 and March 29, 2022, among subscribers of the <em>Encéphale</em> Online community, i.e., approximately 4000 French psychiatrists. Participants were asked to complete a structured questionnaire, collecting their socio-demographic features, clinical experience, opinions toward cannabis legalization, and perceived impact of cannabis derivatives for psychiatric disorders. Logistic regression models were used to identify factors associated with being for or against cannabis legalization.</div></div><div><h3>Results</h3><div>In total, 413 psychiatrists answered the survey, of whom 253 (61.3%) declared being in favour of recreational cannabis, and 349 (84.4%) of medical cannabis. Being in favour of legalization of recreational cannabis was negatively associated with being female (odd ratio [OR]<!--> <!-->=<!--> <!-->0.61; 95% confidence interval [CI]<!--> <!-->=<!--> <!-->0.41–0.93), and with the frequency of meeting patients with cannabis use disorder (OR<!--> <!-->=<!--> <!-->0.60; 95%CI<!--> <!-->=<!--> <!-->0.43–0.83). Most respondents were concerned about the development of psychotic disorders. The most frequent pro-legalization arguments were improved prevention, better control of product content, and better protection of youth, respectively. Arguments against legalization were increased societal damages, increased impact on health, including mental health.</div></div><div><h3>Conclusions</h3><div>A majority of French psychiatrists were in favour of the marketing of medical cannabis, and, to a lesser extent, the legalization of recreational cannabis. For recreational cannabis, the proportion of pro-legalization psychiatrists was slightly more elevated than that found in the French general population.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 597-602"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681890","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":"Un outil prometteur pour l’évaluation de la douleur psychologique ?","authors":"Denis Paris ,&nbsp;Matthieu Bier ,&nbsp;Matthieu Nacher","doi":"10.1016/j.encep.2024.01.003","DOIUrl":"10.1016/j.encep.2024.01.003","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 686-690"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140332301","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}