Psychological difficulties among university students. University students face significant psychological challenges. According to the National Observatory of Student Life [11], 30% of surveyed students (N = 60,014) reported psychological distress, characterized by anxiety and depressive symptoms. These mental health issues are linked to lower academic performance and decreased future professional success. Additionally, addictive behaviors are prevalent among students. In 2015, 11% of men and 6% of women regularly consumed cannabis, while 40% of students drank alcohol at least once a week (4). The COVID-19 pandemic further exacerbated anxiety, depression, and substance use, particularly among already vulnerable students.
Psychological trauma in university students
Psychological distress and addictive behaviors are often associated with trauma-related symptoms, including post-traumatic stress disorder (PTSD). A 2005 study in France reported a PTSD prevalence of 2.32% in the general population, rising to 5.29% among individuals aged 18–29. Women are more frequently affected, with severe cases being more common than moderate ones. PTSD correlates with lower academic performance and increased dropout risks. Since the #MeToo movement in 2017, more student victims have spoken out, particularly about sexual violence within university settings. Research suggests that trauma occurring within an institutional setting (e.g., university) or perpetrated by institutional members (e.g., professors, administrators, fellow students) exacerbates PTSD symptoms. However, studies on PTSD among French university students remain limited.
Limited access to mental health care
Despite widespread psychological distress, students often struggle to access healthcare. Surveys highlight financial constraints, housing difficulties, and lack of social support as barriers to seeking care (12,13). In 2019, one-third of students reported forgoing medical consultations due to cost concerns or the belief that their symptoms would resolve on their own. This limited access to care can further exacerbate mental health issues and negatively impact academic success.
Methodology
This study aimed to explore students’ subjective perceptions of their psychological difficulties through an anonymous qualitative survey. Of the 438 respondents, only 135 provided complete responses. The study followed ethical guidelines, adhering to the Helsinki Declaration.
Findings
The qualitative data were analyzed using IRAMUTEQ, a text analysis software that employs Reinert's hierarchical classification method to identify thematic categories.
Key results
University as an anxiety-provoking environment: Students frequently reported stress, anxiety, and imposter syndrome. Financial precarity and perceived administrat
大学生的心理困难。大学生面临着重大的心理挑战。根据国家学生生活观察站（National Observatory of Student Life bbb）的调查，30%的受访学生（N = 6014）报告有心理困扰，其特征是焦虑和抑郁症状。这些心理健康问题与较低的学习成绩和未来职业成功的减少有关。此外，成瘾行为在学生中很普遍。2015年，11%的男性和6%的女性经常吸食大麻，而40%的学生每周至少饮酒一次(4)。COVID-19大流行进一步加剧了焦虑、抑郁和药物使用，特别是在本已脆弱的学生中。心理困扰和成瘾行为通常与创伤相关症状有关，包括创伤后应激障碍（PTSD）。2005年法国的一项研究报告称，PTSD在普通人群中的患病率为2.32%，在18-29岁的人群中上升到5.29%。妇女更经常受到影响，重症病例比中度病例更常见。创伤后应激障碍与学习成绩下降和辍学风险增加有关。自2017年#MeToo运动以来，更多的学生受害者公开发声，特别是关于大学环境中的性暴力。研究表明，发生在机构环境（如大学）或由机构成员（如教授、管理人员、同学）造成的创伤会加剧PTSD症状。然而，对法国大学生PTSD的研究仍然有限。获得精神卫生保健的机会有限尽管普遍存在心理困扰，学生往往难以获得卫生保健。调查强调，经济拮据，住房困难，缺乏社会支持的障碍寻求护理（12,13）。2019年，三分之一的学生表示，由于担心费用或认为症状会自行消退，他们放弃了医疗咨询。这种获得护理的机会有限，可能进一步加剧心理健康问题，并对学业成功产生负面影响。方法采用匿名定性调查法，探讨大学生对自身心理困难的主观认知。在438名受访者中，只有135人提供了完整的回答。这项研究遵循了《赫尔辛基宣言》的伦理准则。使用IRAMUTEQ文本分析软件对定性数据进行分析，IRAMUTEQ文本分析软件采用Reinert的分层分类方法来识别主题类别。大学是一个引发焦虑的环境：学生经常报告压力、焦虑和冒名顶替综合症。财政不稳定和行政效率低下进一步加剧了他们的困境。许多学生描述了课业繁重、缺乏空闲时间、睡眠不足以及难以保持健康的生活方式。疫情加剧了孤立感，降低了积极性，增加了焦虑，导致长期的心理影响。经济不稳定迫使许多学生平衡工作和学习，影响了他们的心理健康和表现。他们还对机构支持不足表示失望。对未来的不确定性焦虑还与外部压力因素有关，如经济不稳定、气候变化和全球危机。关系困难、家庭疏远和缺乏社会支持进一步加剧了她们的痛苦。讨论研究结果表明，累积的压力因素会导致抑郁症状。制度在学生幸福中的作用学生认为大学不支持他们，教师和管理人员对他们的挣扎漠不关心。无论这种外部归因是否可以作为心理防御的一部分，促进学生和大学工作人员之间更好的沟通仍然至关重要。学生话语中缺乏创伤和成瘾行为尽管在定量研究中成瘾和创伤后应激障碍的比例很高，但这些问题并未被参与者显著提及。可能的解释包括：缺乏个人相关性或意识；污名化和不愿披露敏感问题；这个问题的措辞可能无意中将回答转向了更普遍的学术问题。然而，潜在的压力生活事件的积累（“小创伤”）可能导致类似创伤后应激障碍的症状，尽管不符合临床创伤标准。局限性和未来方向：样本主要是女性，主要由一年级人文学科的学生组成，限制了普遍性。建议：加强心理健康支持服务：大学健康服务需要更多资源来满足学生的需求。 同伴支持项目，如KORSA，和早期心理健康干预倡议应该扩大。心理健康教育大学应将心理健康素养纳入课程，涵盖压力管理、情绪调节和弹性训练。解决财务不稳定社会经济困难加剧心理困扰。决策者必须优先考虑经济援助项目，以减轻学生的困难。加强机构支持：大学应促进师生之间的公开对话，以创造更有利的学术环境。该研究强调了迫切需要进行系统改革，以改善大学环境中学生的福祉和精神卫生保健的获取。
{"title":"Perceptions et vécus des étudiants de leurs difficultés psychologiques. Étude qualitative sur 135 participants","authors":"Guillaume Païs , Lucia Romo , Marie-Carmen Castillo , Damien Fouques","doi":"10.1016/j.amp.2025.03.009","DOIUrl":"10.1016/j.amp.2025.03.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Psychological difficulties among university students. University students face significant psychological challenges. According to the National Observatory of Student Life [11], 30% of surveyed students (<em>N</em> <!-->=<!--> <!-->60,014) reported psychological distress, characterized by anxiety and depressive symptoms. These mental health issues are linked to lower academic performance and decreased future professional success. Additionally, addictive behaviors are prevalent among students. In 2015, 11% of men and 6% of women regularly consumed cannabis, while 40% of students drank alcohol at least once a week (4). The COVID-19 pandemic further exacerbated anxiety, depression, and substance use, particularly among already vulnerable students.</div></div><div><h3>Psychological trauma in university students</h3><div>Psychological distress and addictive behaviors are often associated with trauma-related symptoms, including post-traumatic stress disorder (PTSD). A 2005 study in France reported a PTSD prevalence of 2.32% in the general population, rising to 5.29% among individuals aged 18–29. Women are more frequently affected, with severe cases being more common than moderate ones. PTSD correlates with lower academic performance and increased dropout risks. Since the #MeToo movement in 2017, more student victims have spoken out, particularly about sexual violence within university settings. Research suggests that trauma occurring within an institutional setting (e.g., university) or perpetrated by institutional members (e.g., professors, administrators, fellow students) exacerbates PTSD symptoms. However, studies on PTSD among French university students remain limited.</div></div><div><h3>Limited access to mental health care</h3><div>Despite widespread psychological distress, students often struggle to access healthcare. Surveys highlight financial constraints, housing difficulties, and lack of social support as barriers to seeking care (12,13). In 2019, one-third of students reported forgoing medical consultations due to cost concerns or the belief that their symptoms would resolve on their own. This limited access to care can further exacerbate mental health issues and negatively impact academic success.</div></div><div><h3>Methodology</h3><div>This study aimed to explore students’ subjective perceptions of their psychological difficulties through an anonymous qualitative survey. Of the 438 respondents, only 135 provided complete responses. The study followed ethical guidelines, adhering to the Helsinki Declaration.</div></div><div><h3>Findings</h3><div>The qualitative data were analyzed using IRAMUTEQ, a text analysis software that employs Reinert's hierarchical classification method to identify thematic categories.</div></div><div><h3>Key results</h3><div>University as an anxiety-provoking environment: Students frequently reported stress, anxiety, and imposter syndrome. Financial precarity and perceived administrat","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 895-902"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435129","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}
Pub Date : 2025-11-01DOI: 10.1016/j.amp.2023.10.005
Elodie Murys-Chaix , Galina Iakimova , David Szekely
<div><h3>Introduction and objectives</h3><div>Addiction concerns people suffering from great psychological vulnerability due to early trauma and attachment disorders. Although several forms of therapeutic management have been shown to be effective, the relapse rate remains high, and the effects are short-lived. Therefore, the first objective of this study was to integrate the tenets and concepts of compassion-based therapy with acceptance and commitment therapies for the treatment of patients with polyaddictions by conceptualizing a therapeutic program aimed at support for maintaining abstinence. The interest in such an integration has been raised by several authors. The central concept of that integrative approach was the “compassionate flexibility”. Our second objective was to explore the feasibility, acceptability, and therapeutic effects of this intervention for patients with polyaddictions and psychiatric comorbidities, who are particularly resistant to psychotherapies.</div></div><div><h3>Material and method</h3><div>Twelve patients (8 men and 4 women) with polyaddictions (alcohol, cocaine, tobacco, cannabis) of the 24 referred for the study, followed the MyActaddiction program. The A-B multiple-case-series protocol combined qualitative and quantitative measures to monitor feasibility, acceptability, clinical (OCDS, EADS-21) and psychological (AAQ-II, EAC) progress, patient narrative feedback (perception, connection, sense of presence), complemented by follow-up observations on abstinence maintenance.</div></div><div><h3>Results</h3><div>Results show moderate feasibility, with only 50 % of study referrals accessing psychotherapy, good accessibility, with 66 % of patients completing all sessions, high satisfaction levels and positive qualitative feedback. Pre- and post-treatment assessments showed a significant clinical improvement in craving (obsessive thoughts and OCDS total score) at group level, and these changes were clinically significant at individual level by Reliable Change Index measures, for 70 % of participants. On the EDAS-21 scale, patients who had pathological scores prior to therapy improved their scores to non-pathological thresholds for anxiety, stress and depression. The Reliability Change Index (RCI) showed that the resulting change was clinically significant at the individual level for 83 % of patients on anxiety level, for 58.33 % of patients on depression, and 50 % of patients on the stress level. In terms of the psychological processes targeted by the therapeutic practices, we observed an improvement in psychological flexibility, with a clinically significant reduction in AAQ-II scores after the intervention compared to the pre-treatment score. The RCI indicated that the observed clinical change was significant. There was also a significant increase in post-test versus pre-test for two dimensions of self-compassion: “common humanity” and “mindfulness”, with a high Cohen's d. Regarding individual scores, the scores for
{"title":"Intérêt de la psychothérapie d’acceptation et d’engagement et de la thérapie fondée sur la compassion pour soutenir le maintien de l’abstinence dans les polyaddictions","authors":"Elodie Murys-Chaix , Galina Iakimova , David Szekely","doi":"10.1016/j.amp.2023.10.005","DOIUrl":"10.1016/j.amp.2023.10.005","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Addiction concerns people suffering from great psychological vulnerability due to early trauma and attachment disorders. Although several forms of therapeutic management have been shown to be effective, the relapse rate remains high, and the effects are short-lived. Therefore, the first objective of this study was to integrate the tenets and concepts of compassion-based therapy with acceptance and commitment therapies for the treatment of patients with polyaddictions by conceptualizing a therapeutic program aimed at support for maintaining abstinence. The interest in such an integration has been raised by several authors. The central concept of that integrative approach was the “compassionate flexibility”. Our second objective was to explore the feasibility, acceptability, and therapeutic effects of this intervention for patients with polyaddictions and psychiatric comorbidities, who are particularly resistant to psychotherapies.</div></div><div><h3>Material and method</h3><div>Twelve patients (8 men and 4 women) with polyaddictions (alcohol, cocaine, tobacco, cannabis) of the 24 referred for the study, followed the MyActaddiction program. The A-B multiple-case-series protocol combined qualitative and quantitative measures to monitor feasibility, acceptability, clinical (OCDS, EADS-21) and psychological (AAQ-II, EAC) progress, patient narrative feedback (perception, connection, sense of presence), complemented by follow-up observations on abstinence maintenance.</div></div><div><h3>Results</h3><div>Results show moderate feasibility, with only 50 % of study referrals accessing psychotherapy, good accessibility, with 66 % of patients completing all sessions, high satisfaction levels and positive qualitative feedback. Pre- and post-treatment assessments showed a significant clinical improvement in craving (obsessive thoughts and OCDS total score) at group level, and these changes were clinically significant at individual level by Reliable Change Index measures, for 70 % of participants. On the EDAS-21 scale, patients who had pathological scores prior to therapy improved their scores to non-pathological thresholds for anxiety, stress and depression. The Reliability Change Index (RCI) showed that the resulting change was clinically significant at the individual level for 83 % of patients on anxiety level, for 58.33 % of patients on depression, and 50 % of patients on the stress level. In terms of the psychological processes targeted by the therapeutic practices, we observed an improvement in psychological flexibility, with a clinically significant reduction in AAQ-II scores after the intervention compared to the pre-treatment score. The RCI indicated that the observed clinical change was significant. There was also a significant increase in post-test versus pre-test for two dimensions of self-compassion: “common humanity” and “mindfulness”, with a high Cohen's d. Regarding individual scores, the scores for","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 903-915"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780900","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}
Pub Date : 2025-10-01DOI: 10.1016/j.amp.2024.09.023
Juan Zhu , Hanping Bai
Objective
This study aims to explore the differences in the identification efficacy of the Bipolarity Index (BPX) and the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), as screening approaches for bipolar disorder (BD).
Methods
A total of 150 college students with depressive episodes who underwent outpatient and inpatient treatment at Central China Normal University Hospital and the Renmin Hospital of Wuhan University between January 2021 and December 2022 were selected as research participants. We used a self-developed general data questionnaire to collect comprehensive demographic and clinical data from all participants. This questionnaire covered various aspects including gender, age, occupation, education level, drinking habits, age at onset, disease duration, frequency and duration of the current episode, comorbidities, family history of genetic conditions, diagnosis and prognosis. Participants were evaluated using the BPX, the DSM-5 and the International Classification of Diseases, 10th Revision (ICD-10). Clinical diagnosis based on the ICD-10 served as the standard against which the BPX and DSM-5 were compared for sensitivity, specificity, accuracy, positive predictive value (PPV) and negative predictive value (NPV). Additionally, we conducted a multivariate logistic regression analysis to evaluate risk factors associated with BD.
Results
The sensitivity, specificity, accuracy, PPV and NPV were 85.34%, 81.90%, 84.00%, 87.21% and 79.69% for the BPX screening, and 72.73%, 90.32%, 80.00%, 91.43% and 70.00% for the DSM-5 screening, respectively. The study also identified significant clinical characteristics that differentiated those who screened positive for BD using the BPX. These characteristics included a younger average age at onset, a higher prevalence of atypical depression and more frequent prior affective episodes compared with those who did not meet the BPX criteria for BD. Risk factors associated with BD included atypical depression, history of suicide attempts, four or more previous affective episodes, borderline personality disorder, mixed states and a family history of BD.
Conclusion
In conclusion, our findings suggest that the BPX exhibits superior sensitivity in screening for BD among college students compared with the DSM-5. Additionally, the study identifies significant risk factors (e.g., atypical depression, history of suicide attempts and multiple previous affective episodes), which are crucial for early detection and management.
{"title":"Comparative analysis of the identification efficacy of the bipolarity index and diagnostic and statistical manual of mental disorders, 5th edition, for bipolar disorder screening among college students","authors":"Juan Zhu , Hanping Bai","doi":"10.1016/j.amp.2024.09.023","DOIUrl":"10.1016/j.amp.2024.09.023","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to explore the differences in the identification efficacy of the Bipolarity Index (BPX) and the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), as screening approaches for bipolar disorder (BD).</div></div><div><h3>Methods</h3><div>A total of 150 college students with depressive episodes who underwent outpatient and inpatient treatment at Central China Normal University Hospital and the Renmin Hospital of Wuhan University between January 2021 and December 2022 were selected as research participants. We used a self-developed general data questionnaire to collect comprehensive demographic and clinical data from all participants. This questionnaire covered various aspects including gender, age, occupation, education level, drinking habits, age at onset, disease duration, frequency and duration of the current episode, comorbidities, family history of genetic conditions, diagnosis and prognosis. Participants were evaluated using the BPX, the DSM-5 and the International Classification of Diseases, 10th Revision (ICD-10). Clinical diagnosis based on the ICD-10 served as the standard against which the BPX and DSM-5 were compared for sensitivity, specificity, accuracy, positive predictive value (PPV) and negative predictive value (NPV). Additionally, we conducted a multivariate logistic regression analysis to evaluate risk factors associated with BD.</div></div><div><h3>Results</h3><div>The sensitivity, specificity, accuracy, PPV and NPV were 85.34%, 81.90%, 84.00%, 87.21% and 79.69% for the BPX screening, and 72.73%, 90.32%, 80.00%, 91.43% and 70.00% for the DSM-5 screening, respectively. The study also identified significant clinical characteristics that differentiated those who screened positive for BD<span> using the BPX. These characteristics included a younger average age at onset, a higher prevalence of atypical depression and more frequent prior affective episodes compared with those who did not meet the BPX criteria for BD. Risk factors associated with BD included atypical depression, history of suicide attempts, four or more previous affective episodes, borderline personality disorder, mixed states and a family history of BD.</span></div></div><div><h3>Conclusion</h3><div>In conclusion, our findings suggest that the BPX exhibits superior sensitivity in screening for BD among college students compared with the DSM-5. Additionally, the study identifies significant risk factors (e.g., atypical depression, history of suicide attempts and multiple previous affective episodes), which are crucial for early detection and management.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 774-779"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242290","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}
Pub Date : 2025-10-01DOI: 10.1016/j.amp.2024.12.004
Amine Nur Arıkan , Müdriye Yıldız-Bıçakçı
Emotion regulation refers to the ability to control and direct one's emotions in the face of events, as demanded by specific settings and conditions. Since one's social and emotional difficulties are encapsulated in almost all contemporary diagnostic criteria, acquiring desirable emotion regulation skills is key to leading a healthy and happy life. Parents may need to be aware of their own emotion-regulation skills to lead their children to acquire positive emotion regulation skills. The present study aimed to examine the psychometric properties of the “Regulating Emotions in Parenting Scale” (REPS) on Turkish parents. The REPS consists of 18 items within three components: adaptive strategies, suppression, and rumination. For validity concerns, we first pooled the items relying on the relevant theoretical frameworks. Next, we resorted to expert opinions and employed the Lawshe technique to explore the content validity of the scale. Then, we performed confirmatory factor analysis (CFA) to investigate the construct validity of the scale. Finally, we calculated Cronbach's alpha coefficients to reveal the internal consistency of the five-factor model. We only recruited those having only a child aged 0–18 years, living with their child for at least one year, and without a child with special needs. We collected the data from a total of 718 Turkish parents (81.2% mothers, 18.8% fathers) online. The results revealed both Cronbach's alpha and McDonald's omega coefficients to be 0.85 for the adaptive strategies subscale. Respectively, they were 0.78–0.79 for the suppression subscale and 0.69–0.70 for the rumination subscale. Besides, the three-factor model showed an acceptable to moderate fit to the data. In addition, upper-lower group comparisons yielded significant differences between all the items (P < 0.05). Regarding criterion validity, we found significant correlations between the REPS subscales on the Parent-Child Communication Scale (PCCS) (P < 0.05). Overall, we concluded that the REPS is a valid and reliable measurement tool for emotion regulation among parents in the Turkish context. Parental behaviors and emotion regulation patterns may affect children who deem their parents as primary complements of their immediate environment. Therefore, the REPS may lead to future studies in assessing parents’ emotion regulation skills.
{"title":"Regulating Emotions in Parenting Scale: A Validity and Reliability Study in Turkey","authors":"Amine Nur Arıkan , Müdriye Yıldız-Bıçakçı","doi":"10.1016/j.amp.2024.12.004","DOIUrl":"10.1016/j.amp.2024.12.004","url":null,"abstract":"<div><div>Emotion regulation refers to the ability to control and direct one's emotions in the face of events, as demanded by specific settings and conditions. Since one's social and emotional difficulties are encapsulated in almost all contemporary diagnostic criteria, acquiring desirable emotion regulation skills is key to leading a healthy and happy life. Parents may need to be aware of their own emotion-regulation skills to lead their children to acquire positive emotion regulation skills. The present study aimed to examine the psychometric properties of the “Regulating Emotions in Parenting Scale” (REPS) on Turkish parents. The REPS consists of 18 items within three components: adaptive strategies, suppression, and rumination. For validity concerns, we first pooled the items relying on the relevant theoretical frameworks. Next, we resorted to expert opinions and employed the Lawshe technique to explore the content validity of the scale. Then, we performed confirmatory factor analysis (CFA) to investigate the construct validity of the scale. Finally, we calculated Cronbach's alpha coefficients to reveal the internal consistency of the five-factor model. We only recruited those having only a child aged 0–18<!--> <!-->years, living with their child for at least one year, and without a child with special needs. We collected the data from a total of 718 Turkish parents (81.2% mothers, 18.8% fathers) online. The results revealed both Cronbach's alpha and McDonald's omega coefficients to be 0.85 for the adaptive strategies subscale. Respectively, they were 0.78–0.79 for the suppression subscale and 0.69–0.70 for the rumination subscale. Besides, the three-factor model showed an acceptable to moderate fit to the data. In addition, upper-lower group comparisons yielded significant differences between all the items (<em>P</em> <!--><<!--> <!-->0.05). Regarding criterion validity, we found significant correlations between the REPS subscales on the Parent-Child Communication Scale (PCCS) (<em>P</em> <!--><<!--> <!-->0.05). Overall, we concluded that the REPS is a valid and reliable measurement tool for emotion regulation among parents in the Turkish context. Parental behaviors and emotion regulation patterns may affect children who deem their parents as primary complements of their immediate environment. Therefore, the REPS may lead to future studies in assessing parents’ emotion regulation skills.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 765-773"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242293","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}
Pub Date : 2025-10-01DOI: 10.1016/j.amp.2024.05.013
{"title":"Hommage au Professeur Julien-Daniel Guelfi (28 juin 1940 à Tours – 28 février 2023 à Paris) par le Docteur Christine Mirabel-Sarron","authors":"","doi":"10.1016/j.amp.2024.05.013","DOIUrl":"10.1016/j.amp.2024.05.013","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Page 863"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242250","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}
Pub Date : 2025-10-01DOI: 10.1016/j.amp.2024.09.024
Brahim El Kinany, Sarah Belarabi, Ferdaouss Qassimi, Amine Bout, Chadya Aarab, Rachid Aalouane
<div><h3>Introduction</h3><div>Physicians often encounter stressful situations that can impact their mental well-being. The death of a patient represents one of the most difficult situations in routine medical practice. Literature notably lacks comprehensive studies into physicians’ personal experiences with patients’ deaths. However, it does underscore heightened levels of sorrow, guilt, and stress stemming from the passing of terminally ill patients. As a majority of studies in this realm adopt qualitative methodologies, there is merit in supplementing existing research with a quantitative approach that employs validated psychometric scales. Furthermore, the study of phenomena associated with stress, particularly the perceived professional support by physicians in stressful events, can contribute to the implementation of preventive measures to help physicians cope.</div></div><div><h3>Objective</h3><div>Our study aims to measure the traumatic impact on resident and intern physicians at national university hospitals following the death of patients, as well as to assess the perceived level of professional support among these physicians.</div></div><div><h3>Materials and methods</h3><div>We conducted a nationwide cross-sectional, descriptive, and analytical study. Participants included interns and residents from various specialties (medical, surgical and laboratory) at national university hospitals in Morocco. Assessing the traumatic impact of patients’ death on doctors was conducted using two psychometric scales: the Peri-Traumatic Distress Inventory (PDI) and the Revised Impact of Event Scale (IES-R). Additionally, we used the Perceived Professional Social Support Scale (QSSP-P) to evaluate how supportive the professional environment was towards these doctors. All scales utilized in the study are validated in the French language.</div></div><div><h3>Results</h3><div>The study included 96 participants, with 67.7% being female. The average age was 26.8 years, ranging from 23 to 39 years. The majority of participants managed more than nine patients simultaneously (58.3%) while 41.7% were scheduled for more than six 24<!--> <span>h shifts per month. During their training, over 64.6% of interns and residents faced more than ten patients’ death incidents, and 68.8% considered their first patient death as the most traumatizing. Half of the physicians evaluated the patients’ care as moderately appropriate, with 46.9% believing that the incident could have been prevented. Notably, 70.8% of interns and residents involved in patient care experienced self-blame and attributed a share of responsibility to themselves for the patient's demise. The majority of participants, 82.3%, exhibited peri-traumatic distress with a PDI score exceeding 15. Among the studied factors, only the perceived responsibility and a management system centered on a single physician (rather than a team) demonstrated a noteworthy correlation with PDI scores. The mean score on the IES-R
{"title":"Impact of patient death on physicians’ mental health","authors":"Brahim El Kinany, Sarah Belarabi, Ferdaouss Qassimi, Amine Bout, Chadya Aarab, Rachid Aalouane","doi":"10.1016/j.amp.2024.09.024","DOIUrl":"10.1016/j.amp.2024.09.024","url":null,"abstract":"<div><h3>Introduction</h3><div>Physicians often encounter stressful situations that can impact their mental well-being. The death of a patient represents one of the most difficult situations in routine medical practice. Literature notably lacks comprehensive studies into physicians’ personal experiences with patients’ deaths. However, it does underscore heightened levels of sorrow, guilt, and stress stemming from the passing of terminally ill patients. As a majority of studies in this realm adopt qualitative methodologies, there is merit in supplementing existing research with a quantitative approach that employs validated psychometric scales. Furthermore, the study of phenomena associated with stress, particularly the perceived professional support by physicians in stressful events, can contribute to the implementation of preventive measures to help physicians cope.</div></div><div><h3>Objective</h3><div>Our study aims to measure the traumatic impact on resident and intern physicians at national university hospitals following the death of patients, as well as to assess the perceived level of professional support among these physicians.</div></div><div><h3>Materials and methods</h3><div>We conducted a nationwide cross-sectional, descriptive, and analytical study. Participants included interns and residents from various specialties (medical, surgical and laboratory) at national university hospitals in Morocco. Assessing the traumatic impact of patients’ death on doctors was conducted using two psychometric scales: the Peri-Traumatic Distress Inventory (PDI) and the Revised Impact of Event Scale (IES-R). Additionally, we used the Perceived Professional Social Support Scale (QSSP-P) to evaluate how supportive the professional environment was towards these doctors. All scales utilized in the study are validated in the French language.</div></div><div><h3>Results</h3><div>The study included 96 participants, with 67.7% being female. The average age was 26.8 years, ranging from 23 to 39 years. The majority of participants managed more than nine patients simultaneously (58.3%) while 41.7% were scheduled for more than six 24<!--> <span>h shifts per month. During their training, over 64.6% of interns and residents faced more than ten patients’ death incidents, and 68.8% considered their first patient death as the most traumatizing. Half of the physicians evaluated the patients’ care as moderately appropriate, with 46.9% believing that the incident could have been prevented. Notably, 70.8% of interns and residents involved in patient care experienced self-blame and attributed a share of responsibility to themselves for the patient's demise. The majority of participants, 82.3%, exhibited peri-traumatic distress with a PDI score exceeding 15. Among the studied factors, only the perceived responsibility and a management system centered on a single physician (rather than a team) demonstrated a noteworthy correlation with PDI scores. The mean score on the IES-R ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 829-834"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242247","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}
Pub Date : 2025-10-01DOI: 10.1016/j.amp.2025.06.003
Charlemagne Simplice Moukouta, Eli Kpelly, Dufeil Sounga
<div><h3>Introduction</h3><div>Wars and/or natural disasters have long been sources of trauma. Today, it has been demonstrated that migration can also constitute a traumatic reality. Migration can be an acute traumatic phase for some people, even if not all traumas always have negative effects and not all individuals are at equal risk of traumatization. Whether voluntary or forced, Migration remains a particularly trying ordeal and a crisis, which imposes a logic of breaking historical cultural references, changing social references, a reorganization of identity and a psychological transformation. It involves a loss of cultural heritage and the discovery of new resources and potential. Indeed, people who go into exile lose their home, their kinship, their language, their community and their roots. In addition to the various losses suffered, the subject is assailed by existential questions, essentially affecting their identity in their relationship with dyads: sameness–selfhood, time–space, here–there; present–future; illusion–reality, etc.</div></div><div><h3>Method</h3><div>Based on a clinical vignette drawn from our experience in the psychiatric field, we propose to reflect on the psychological and cultural determinants linked to the issue of grief and trauma. This case concerns Mr. B., admitted for major anxiety-depressive syndrome characterized, among other things, by moodiness, loss of appetite and sleep, and psychomotor retardation. He stopped going to work without any specific reason and had lost his usual lifestyle habits (sport, reading at bedtime, lullabies for the children). In addition to antidepressant treatment and the exploration of possible etiopathogenic factors, such as the migratory trajectory, it was possible to co-construct a transcultural psychotherapy program with the patient and his wife, where cultural data served as therapeutic levers. As such, the migratory trajectory taken as an intercultural variable can be considered here as one of the etiopathogenic factors of depressive syndrome or other related disorders to the extent that it reactivates the ontological elements linked to the basic personality of the subject and confronts them in another universe, that of the host or adopted country. In this configuration, it was necessary for us to mediate between the maternal uncle and the couple following the example of transcultural mediation developed by Bouznah.</div></div><div><h3>Conclusion</h3><div>The caregiver's understanding of these determinants will thus allow for a therapeutic approach adapted to the patient from a different world of meaning, considering not only cultural signifiers, but also the thought patterns to which they refer in relation to the question of normal and pathological. This clinical case raises several observations that influence the therapeutic approach to patients in migration situations. The first observation concerns decoding the cultural meaning given to the question of normal and pathologica
{"title":"Deuil des racines, racines des deuils : à propos d’un cas clinique","authors":"Charlemagne Simplice Moukouta, Eli Kpelly, Dufeil Sounga","doi":"10.1016/j.amp.2025.06.003","DOIUrl":"10.1016/j.amp.2025.06.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Wars and/or natural disasters have long been sources of trauma. Today, it has been demonstrated that migration can also constitute a traumatic reality. Migration can be an acute traumatic phase for some people, even if not all traumas always have negative effects and not all individuals are at equal risk of traumatization. Whether voluntary or forced, Migration remains a particularly trying ordeal and a crisis, which imposes a logic of breaking historical cultural references, changing social references, a reorganization of identity and a psychological transformation. It involves a loss of cultural heritage and the discovery of new resources and potential. Indeed, people who go into exile lose their home, their kinship, their language, their community and their roots. In addition to the various losses suffered, the subject is assailed by existential questions, essentially affecting their identity in their relationship with dyads: sameness–selfhood, time–space, here–there; present–future; illusion–reality, etc.</div></div><div><h3>Method</h3><div>Based on a clinical vignette drawn from our experience in the psychiatric field, we propose to reflect on the psychological and cultural determinants linked to the issue of grief and trauma. This case concerns Mr. B., admitted for major anxiety-depressive syndrome characterized, among other things, by moodiness, loss of appetite and sleep, and psychomotor retardation. He stopped going to work without any specific reason and had lost his usual lifestyle habits (sport, reading at bedtime, lullabies for the children). In addition to antidepressant treatment and the exploration of possible etiopathogenic factors, such as the migratory trajectory, it was possible to co-construct a transcultural psychotherapy program with the patient and his wife, where cultural data served as therapeutic levers. As such, the migratory trajectory taken as an intercultural variable can be considered here as one of the etiopathogenic factors of depressive syndrome or other related disorders to the extent that it reactivates the ontological elements linked to the basic personality of the subject and confronts them in another universe, that of the host or adopted country. In this configuration, it was necessary for us to mediate between the maternal uncle and the couple following the example of transcultural mediation developed by Bouznah.</div></div><div><h3>Conclusion</h3><div>The caregiver's understanding of these determinants will thus allow for a therapeutic approach adapted to the patient from a different world of meaning, considering not only cultural signifiers, but also the thought patterns to which they refer in relation to the question of normal and pathological. This clinical case raises several observations that influence the therapeutic approach to patients in migration situations. The first observation concerns decoding the cultural meaning given to the question of normal and pathologica","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 813-817"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242248","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}
Pub Date : 2025-10-01DOI: 10.1016/j.amp.2025.01.002
Élodie Mao , Thomas Fovet , Christel Debien , Guillaume Vaiva , Christophe Debien , Vincent Jardon , Jean-Pierre Bouchard
In France, suicide accounts for around half of all deaths in prisons. Every year, around 120 people die by suicide in French prisons, i.e. one suicide every three days. Preventing suicide in prisons is therefore a major public health issue. In this interview With Jean-Pierre Bouchard, Élodie Mao, Thomas Fovet, Christel Debien, Guillaume Vaiva, Christophe Debien and Vincent Jardon provide feedback on the implementation of the VigilanS-Prison system in Hauts-de-France. The main principles of this brief contact intervention are presented, an initial activity report is given and the development prospects for this experiment are discussed.
{"title":"« VigilanS-Prison » : mise en place d’une veille épistolaire pour la prévention du suicide en milieu carcéral","authors":"Élodie Mao , Thomas Fovet , Christel Debien , Guillaume Vaiva , Christophe Debien , Vincent Jardon , Jean-Pierre Bouchard","doi":"10.1016/j.amp.2025.01.002","DOIUrl":"10.1016/j.amp.2025.01.002","url":null,"abstract":"<div><div>In France, suicide accounts for around half of all deaths in prisons. Every year, around 120 people die by suicide in French prisons, i.e. one suicide every three days. Preventing suicide in prisons is therefore a major public health issue. In this interview With Jean-Pierre Bouchard, Élodie Mao, Thomas Fovet, Christel Debien, Guillaume Vaiva, Christophe Debien and Vincent Jardon provide feedback on the implementation of the <em>VigilanS-Prison</em> system in Hauts-de-France. The main principles of this brief contact intervention are presented, an initial activity report is given and the development prospects for this experiment are discussed.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 854-858"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242294","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}
Pub Date : 2025-10-01DOI: 10.1016/j.amp.2025.03.015
Gaelle Malle , Anne-Louise Pot , Isabelle Amado , Ghita Dadi
<div><h3>Objectives</h3><div>This paper relates how relevant can be a psychoanalytic care intermixed within a psychosocial rehabilitation approach in a psychiatric day hospital. The psychiatric day hospital of the 15th district of Paris at GHU Paris Psychiatrie & Neurosciences (HDJ) specialized in the care of adult patients, primarily those suffering from schizophrenia and other severe mental disorders. Established in the 1990s, the HDJ was initially influenced by psychoanalytic theories, particularly those of Jacques Lacan. However, in 2015, the HDJ underwent a significant evolution due to the transformation of psychiatric services in the 15th district. This led to a shift towards a psychosocial rehabilitation model focused on recovery and social-professional reintegration. The HDJ redefined its identity as a transitional space for recovery, emphasizing the importance of rehabilitation and reintegration into society. The new care model introduced a structured approach to treatment, focusing on the development of individualized projects and the opportunity of professional reintegration from the outset of care. The concept for care is based on cognitive remediation, cognitive behavior therapy and psychoanalytical therapy.</div></div><div><h3>Methods</h3><div>Psychosocial rehabilitation is defined as a set of processes aimed at helping individuals with mental disorders achieving a satisfying quality of life in accordance to their expectations. It is based on the belief that every person can progress towards a personalized project for life. The rehabilitation process encompasses clinical (symptoms, treatments), functional (cognitive abilities, relationships, autonomy), and social (housing, budget management, employment) dimensions. The HDJ assumed these principles and incorporated them into a model for care, based on the clinical experience of the multidisciplinary team. This team included clinical stakeholders with psychoanalytic orientations. Practically, after an initial assessment, the treatment pathway is now organized into three phases: 1. Stabilization and clinical consolidation: The first period consists in a whole effort to reach clinical remission and consolidation. The focus is on defining treatment goals and directing patients to workshops that address their specific needs. 2. Functional Rehabilitation: Once acute crises have been overcome, this phase allows for the evaluation of residual difficulties and the identification of patient's strengths. 3. Rehabilitation and Reintegration: The final phase focuses on personalized cognitive remediation programs aimed at restoring cognitive deficits. Social workers facilitate connections with rehabilitation, social inclusion and employment services to support patient's professional wishes. The HDJ emphasizes the importance of psychoanalysis in understanding the relational dynamics of patients. Psychoanalytic principles help staff recognize and respond to patient's unconscious relational patte
{"title":"Hôpital de jour de psychiatrie orienté réhabilitation psychosociale : quelle place pour la psychanalyse ?","authors":"Gaelle Malle , Anne-Louise Pot , Isabelle Amado , Ghita Dadi","doi":"10.1016/j.amp.2025.03.015","DOIUrl":"10.1016/j.amp.2025.03.015","url":null,"abstract":"<div><h3>Objectives</h3><div>This paper relates how relevant can be a psychoanalytic care intermixed within a psychosocial rehabilitation approach in a psychiatric day hospital. The psychiatric day hospital of the 15th district of Paris at GHU Paris Psychiatrie & Neurosciences (HDJ) specialized in the care of adult patients, primarily those suffering from schizophrenia and other severe mental disorders. Established in the 1990s, the HDJ was initially influenced by psychoanalytic theories, particularly those of Jacques Lacan. However, in 2015, the HDJ underwent a significant evolution due to the transformation of psychiatric services in the 15th district. This led to a shift towards a psychosocial rehabilitation model focused on recovery and social-professional reintegration. The HDJ redefined its identity as a transitional space for recovery, emphasizing the importance of rehabilitation and reintegration into society. The new care model introduced a structured approach to treatment, focusing on the development of individualized projects and the opportunity of professional reintegration from the outset of care. The concept for care is based on cognitive remediation, cognitive behavior therapy and psychoanalytical therapy.</div></div><div><h3>Methods</h3><div>Psychosocial rehabilitation is defined as a set of processes aimed at helping individuals with mental disorders achieving a satisfying quality of life in accordance to their expectations. It is based on the belief that every person can progress towards a personalized project for life. The rehabilitation process encompasses clinical (symptoms, treatments), functional (cognitive abilities, relationships, autonomy), and social (housing, budget management, employment) dimensions. The HDJ assumed these principles and incorporated them into a model for care, based on the clinical experience of the multidisciplinary team. This team included clinical stakeholders with psychoanalytic orientations. Practically, after an initial assessment, the treatment pathway is now organized into three phases: 1. Stabilization and clinical consolidation: The first period consists in a whole effort to reach clinical remission and consolidation. The focus is on defining treatment goals and directing patients to workshops that address their specific needs. 2. Functional Rehabilitation: Once acute crises have been overcome, this phase allows for the evaluation of residual difficulties and the identification of patient's strengths. 3. Rehabilitation and Reintegration: The final phase focuses on personalized cognitive remediation programs aimed at restoring cognitive deficits. Social workers facilitate connections with rehabilitation, social inclusion and employment services to support patient's professional wishes. The HDJ emphasizes the importance of psychoanalysis in understanding the relational dynamics of patients. Psychoanalytic principles help staff recognize and respond to patient's unconscious relational patte","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 840-846"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242431","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}
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