Pub Date : 2024-05-01DOI: 10.1016/j.amp.2022.01.006
Daniel Charles French , Jean-Pol Lanquart , Marianne Rotsaert , Gwenolé Loas
Objectives
The Short Dark Triad (SD3) scale has been created by Delroy L. Paulhus and his team in 2013 (University of British Columbia, Vancouver BC, Canada). Its purpose is to provide a brief measure of three socially aversive traits known as the Dark Triad (Machiavellianism, Narcissism and Psychopathy). This study aims to explore the psychometric properties of this French version of the scale and to validate this translation.
Materials and methods
The SD3 scale has been translated from English to French, then retro-translated to English again to compare it to the original version. The validation continued with an online survey (LimeSurvey) allowing to compare the results of the three sub-scales with the results of the three existing scales previously validated in French (MACH-IV-fr, NPI-fr, LSRP-fr). A total of 787 participants answered the online survey.
Results and conclusions
Statistical analyzes suggest a good internal consistency (n = 580 and Cronbach's alpha coefficients: 0.85 on the full scale, 0.78, 0.70, 0.69 on the sub-scales of Machiavellianism, Narcissism and Psychopathy) and a good external validity of the SD3-fr translated in the present work (n = 500 and SD3 Machia–MACHIV-fr correlation: 0.70; SD3 Narcis – NPI-fr: 0.74; SD3 Psychopathy – LSRP-fr: 0.67). The confirmatory factor analysis suggests a three correlated factors model. This SD3-fr scale will be used in a further study.
{"title":"Traduction et étude de validation de la version française de l’échelle « Short Dark Triad, SD3 » (Échelle Courte de la Triade Noire)","authors":"Daniel Charles French , Jean-Pol Lanquart , Marianne Rotsaert , Gwenolé Loas","doi":"10.1016/j.amp.2022.01.006","DOIUrl":"10.1016/j.amp.2022.01.006","url":null,"abstract":"<div><h3>Objectives</h3><p>The Short Dark Triad (SD3) scale has been created by Delroy L. Paulhus and his team in 2013 (University of British Columbia, Vancouver BC, Canada). Its purpose is to provide a brief measure of three socially aversive traits known as the Dark Triad (Machiavellianism, Narcissism and Psychopathy). This study aims to explore the psychometric properties of this French version of the scale and to validate this translation.</p></div><div><h3>Materials and methods</h3><p>The SD3 scale has been translated from English to French, then retro-translated to English again to compare it to the original version. The validation continued with an online survey (LimeSurvey) allowing to compare the results of the three sub-scales with the results of the three existing scales previously validated in French (MACH-IV-fr, NPI-fr, LSRP-fr). A total of 787 participants answered the online survey.</p></div><div><h3>Results and conclusions</h3><p>Statistical analyzes suggest a good internal consistency (<em>n</em> <!-->=<!--> <!-->580 and Cronbach's alpha coefficients: 0.85 on the full scale, 0.78, 0.70, 0.69 on the sub-scales of Machiavellianism, Narcissism and Psychopathy) and a good external validity of the SD3-fr translated in the present work (<em>n</em> <!-->=<!--> <!-->500 and SD3 Machia–MACHIV-fr correlation: 0.70; SD3 Narcis – NPI-fr: 0.74; SD3 Psychopathy – LSRP-fr: 0.67). The confirmatory factor analysis suggests a three correlated factors model. This SD3-fr scale will be used in a further study.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 5","pages":"Pages 434-439"},"PeriodicalIF":0.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77042049","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 : 2024-05-01DOI: 10.1016/j.amp.2024.02.006
Guillaume R. Coudevylle , Jean-Pierre Bouchard
On the eve of the Paris 2024 Olympic and Paralympic Games, the psychological pressure is mounting as much on athletes in the process of qualifying as on those who have already qualified. Through the values conveyed by Olympism (excellence, respect and friendship), participation or even success in this competition can represent an ultimate goal for an athlete's career. Its worldwide resonance, its infrequency every 4 years and its location in Paris make it a special event that is both a source of motivation and a source of intense stress. But whether it's the Olympic and Paralympic Games or any other sporting competition, achieving the optimum level of motivation to exploit the athlete's skills and abilities to the full without putting their physical and psychological health at risk can be a real challenge. In this interview with Doctor Jean-Pierre Bouchard, Doctor Guillaume Coudevylle discusses the importance of basing any intervention on basic principles derived from sport psychology research. He goes back over these principles, reminding us that they are the result of scientific contributions over the last hundred years. In view of the multitude of parameters involved in a performance, the examination of a personality as the fruit of a singular upbringing and history, and the complexity of a performance situation, his approach helps to clarify objectives and means.
{"title":"Accompagnement psychologique dans le sport de haut niveau : principes généraux","authors":"Guillaume R. Coudevylle , Jean-Pierre Bouchard","doi":"10.1016/j.amp.2024.02.006","DOIUrl":"10.1016/j.amp.2024.02.006","url":null,"abstract":"<div><p>On the eve of the Paris 2024 Olympic and Paralympic Games, the psychological pressure is mounting as much on athletes in the process of qualifying as on those who have already qualified. Through the values conveyed by Olympism (excellence, respect and friendship), participation or even success in this competition can represent an ultimate goal for an athlete's career. Its worldwide resonance, its infrequency every 4 years and its location in Paris make it a special event that is both a source of motivation and a source of intense stress. But whether it's the Olympic and Paralympic Games or any other sporting competition, achieving the optimum level of motivation to exploit the athlete's skills and abilities to the full without putting their physical and psychological health at risk can be a real challenge. In this interview with Doctor Jean-Pierre Bouchard, Doctor Guillaume Coudevylle discusses the importance of basing any intervention on basic principles derived from sport psychology research. He goes back over these principles, reminding us that they are the result of scientific contributions over the last hundred years. In view of the multitude of parameters involved in a performance, the examination of a personality as the fruit of a singular upbringing and history, and the complexity of a performance situation, his approach helps to clarify objectives and means.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 5","pages":"Pages 477-484"},"PeriodicalIF":0.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140787309","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 : 2024-05-01DOI: 10.1016/j.amp.2023.12.013
Camille Auriol , Margot Moulinas , Vera Walburg
<div><h3>Objectives</h3><p>Cocaine use has tended to increase over the past decade, particularly among younger populations. Cocaine is the second most commonly used illicit substance in France. Over the past few years, there has been an uptick in cocaine consumption in the country. The observed increase in consumption raises questions about the underlying motives. The goal of the present study is to construct and validate a questionnaire that explores the motivation behind cocaine use.</p></div><div><h3>Materials and methods</h3><p>This paper consists of two studies conducted on different data collections. In the first study, one thousand, one hundred and thirteen (<em>n</em> <!-->=<!--> <!-->1113) individuals participated and six hundred and seventy (<em>n</em> <!-->=<!--> <!-->670) individuals participated in the second study. All participants were current or former cocaine users. These participants completed an online sociodemographic questionnaire, a constructed questionnaire exploring motivations for cocaine use. This questionnaire was developed using the self-determination theory of (Deci & Ryan, 1985) and 11 semi-structured interviews with users. The purpose of these interviews was to explore the motivation for cocaine use, the expected benefits, and the negative consequences. From literature and the corpus of previously completed interviews, a first version of the questionnaire with 31 items was produced. The research respects the ethical recommendations of Helsinki and has received a favorable opinion from the research ethics committee. The data was collected anonymously and on a voluntary basis.</p></div><div><h3>Results</h3><p>In the first study, 574 (51.6%) men and 539 (48.4%) women participated. The mean age of the participants was 25.0 years (SD<!--> <!-->=<!--> <!-->5.83) ranging from 18 to 65 years old. In the second study 310 (46.3%) men and 360 (53.7%) women participated. The mean age of the participants was 25.7 years (SD<!--> <!-->=<!--> <!-->4.23) ranging from 18 to 48 years old. Initially, an exploratory factor analysis was carried out. This first analysis resulted in a 23-item questionnaire with a four-factor solution: pleasant sensations, social pressure and self-image, absence of motivation, and curiosity and experience. The psychometric indicators were quite satisfactory with X<sup>2</sup> (465)<!--> <!-->=<!--> <!-->15951, <em>P</em> <!--><<!--> <!-->0.001 for the Bartlett test and 0.91 for the KMO (Kaiser-Meyer-Olkin) test. In the second part of the research, the confirmatory factor analysis indicated a solution with three factors and 21 items. Psychometric indicators showed CFI (Comparative Fit Index)<!--> <!-->=<!--> <!-->0.89, RMSEA (Root Mean Square Error of Approximation)<!--> <!-->=<!--> <!-->0.06 and SRMR (Standardized Root Mean Square Residual)<!--> <!-->=<!--> <!-->0.06. The three main factors for cocaine use were: pleasant and positive sensations, social pressure and self-esteem, and amotivation.</p></
{"title":"Psychometric features of the Cocaine Use Motivation Questionnaire (CUMQ)","authors":"Camille Auriol , Margot Moulinas , Vera Walburg","doi":"10.1016/j.amp.2023.12.013","DOIUrl":"10.1016/j.amp.2023.12.013","url":null,"abstract":"<div><h3>Objectives</h3><p>Cocaine use has tended to increase over the past decade, particularly among younger populations. Cocaine is the second most commonly used illicit substance in France. Over the past few years, there has been an uptick in cocaine consumption in the country. The observed increase in consumption raises questions about the underlying motives. The goal of the present study is to construct and validate a questionnaire that explores the motivation behind cocaine use.</p></div><div><h3>Materials and methods</h3><p>This paper consists of two studies conducted on different data collections. In the first study, one thousand, one hundred and thirteen (<em>n</em> <!-->=<!--> <!-->1113) individuals participated and six hundred and seventy (<em>n</em> <!-->=<!--> <!-->670) individuals participated in the second study. All participants were current or former cocaine users. These participants completed an online sociodemographic questionnaire, a constructed questionnaire exploring motivations for cocaine use. This questionnaire was developed using the self-determination theory of (Deci & Ryan, 1985) and 11 semi-structured interviews with users. The purpose of these interviews was to explore the motivation for cocaine use, the expected benefits, and the negative consequences. From literature and the corpus of previously completed interviews, a first version of the questionnaire with 31 items was produced. The research respects the ethical recommendations of Helsinki and has received a favorable opinion from the research ethics committee. The data was collected anonymously and on a voluntary basis.</p></div><div><h3>Results</h3><p>In the first study, 574 (51.6%) men and 539 (48.4%) women participated. The mean age of the participants was 25.0 years (SD<!--> <!-->=<!--> <!-->5.83) ranging from 18 to 65 years old. In the second study 310 (46.3%) men and 360 (53.7%) women participated. The mean age of the participants was 25.7 years (SD<!--> <!-->=<!--> <!-->4.23) ranging from 18 to 48 years old. Initially, an exploratory factor analysis was carried out. This first analysis resulted in a 23-item questionnaire with a four-factor solution: pleasant sensations, social pressure and self-image, absence of motivation, and curiosity and experience. The psychometric indicators were quite satisfactory with X<sup>2</sup> (465)<!--> <!-->=<!--> <!-->15951, <em>P</em> <!--><<!--> <!-->0.001 for the Bartlett test and 0.91 for the KMO (Kaiser-Meyer-Olkin) test. In the second part of the research, the confirmatory factor analysis indicated a solution with three factors and 21 items. Psychometric indicators showed CFI (Comparative Fit Index)<!--> <!-->=<!--> <!-->0.89, RMSEA (Root Mean Square Error of Approximation)<!--> <!-->=<!--> <!-->0.06 and SRMR (Standardized Root Mean Square Residual)<!--> <!-->=<!--> <!-->0.06. The three main factors for cocaine use were: pleasant and positive sensations, social pressure and self-esteem, and amotivation.</p></","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 5","pages":"Pages 428-433"},"PeriodicalIF":0.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140767496","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 : 2024-05-01DOI: 10.1016/j.amp.2023.06.011
Aymeric Bouveau , Éric Fakra
<div><h3>Objectives</h3><p>There is in France a higher prevalence of psychiatric disorders and higher than average psychotropic consumption in the general population. Considering these elements and the need to involve two complementary medical specialities to manage these disorders, general practice and psychiatry, the necessity for optimal professional exchanges is a major public health concern. In the French public health system, primary care is overseen by self-employed general practitioners. The French psychiatric public sector is said to be “sectorised”, i.e. organised in specific sectors. These sectors include in-patient care entities and out-patient services. The private sector in psychiatry is not sectorised and is mainly composed of self-employed psychiatrists and private clinics. A 2004 law designed to govern who is authorized to refer patients to specialists, stipulated that general practitioners were the only authorized referring doctors for primary care. In the meantime, the number of general practitioners being consulted for cases of depression has doubled between 2005 and 2010. Less than a quarter of these patients were referred to a psychiatrist. Our main objective is to assess the satisfaction with and the efficiency of exchanges between psychiatrists and general practitioners. We also endeavour to identify the main channels through which collaborative care involving these two specialists can be improved.</p></div><div><h3>Materials and methods</h3><p>Our work is an observational, transverse, monocentric and descriptive study carried out using analogous feedback forms mailed by post from June to September 2016. The feedback forms were designed to be analysed both separately and comparatively. Two hundred and ninety nine self-employed general practitioners and 46 psychiatrists employed in the public sector returned the forms. The psychiatric private sector was excluded. All of these doctors worked within three specific geographical treatment zones: Saint-Étienne, Ondaine and Pays de Gier (350,000 inhabitants). The results were treated anonymously via Microsoft Excel® and IBM Corporation SPSS Statistics®. This study was approved by the ethics committee of the university hospital center (CHU) of Saint-Étienne. The doctors’ registers were retrieved via the databases of the Departmental Council of Doctors (CDOM) of the Loire and that of the CHU of Saint-Étienne.</p></div><div><h3>Results</h3><p>One hundred and twenty four general practitioners and 30 psychiatrists responded to the feedback form completely. Response rates were 41.4 % for the family physicians and 65.2 % for the psychiatrists. Respectively, 57 % and 70 % knew the identity of their counterpart. A public sector psychiatrist saw 91.9 % of the patients also treated by general practitioners. Of the attending doctors, 79.8 % reported a one third or less return rate of follow-up information from the psychiatrist for the patients they treated together. Similarly, 76.7 % of the
{"title":"Évaluation des échanges professionnels entre médecins généralistes et psychiatres","authors":"Aymeric Bouveau , Éric Fakra","doi":"10.1016/j.amp.2023.06.011","DOIUrl":"10.1016/j.amp.2023.06.011","url":null,"abstract":"<div><h3>Objectives</h3><p>There is in France a higher prevalence of psychiatric disorders and higher than average psychotropic consumption in the general population. Considering these elements and the need to involve two complementary medical specialities to manage these disorders, general practice and psychiatry, the necessity for optimal professional exchanges is a major public health concern. In the French public health system, primary care is overseen by self-employed general practitioners. The French psychiatric public sector is said to be “sectorised”, i.e. organised in specific sectors. These sectors include in-patient care entities and out-patient services. The private sector in psychiatry is not sectorised and is mainly composed of self-employed psychiatrists and private clinics. A 2004 law designed to govern who is authorized to refer patients to specialists, stipulated that general practitioners were the only authorized referring doctors for primary care. In the meantime, the number of general practitioners being consulted for cases of depression has doubled between 2005 and 2010. Less than a quarter of these patients were referred to a psychiatrist. Our main objective is to assess the satisfaction with and the efficiency of exchanges between psychiatrists and general practitioners. We also endeavour to identify the main channels through which collaborative care involving these two specialists can be improved.</p></div><div><h3>Materials and methods</h3><p>Our work is an observational, transverse, monocentric and descriptive study carried out using analogous feedback forms mailed by post from June to September 2016. The feedback forms were designed to be analysed both separately and comparatively. Two hundred and ninety nine self-employed general practitioners and 46 psychiatrists employed in the public sector returned the forms. The psychiatric private sector was excluded. All of these doctors worked within three specific geographical treatment zones: Saint-Étienne, Ondaine and Pays de Gier (350,000 inhabitants). The results were treated anonymously via Microsoft Excel® and IBM Corporation SPSS Statistics®. This study was approved by the ethics committee of the university hospital center (CHU) of Saint-Étienne. The doctors’ registers were retrieved via the databases of the Departmental Council of Doctors (CDOM) of the Loire and that of the CHU of Saint-Étienne.</p></div><div><h3>Results</h3><p>One hundred and twenty four general practitioners and 30 psychiatrists responded to the feedback form completely. Response rates were 41.4 % for the family physicians and 65.2 % for the psychiatrists. Respectively, 57 % and 70 % knew the identity of their counterpart. A public sector psychiatrist saw 91.9 % of the patients also treated by general practitioners. Of the attending doctors, 79.8 % reported a one third or less return rate of follow-up information from the psychiatrist for the patients they treated together. Similarly, 76.7 % of the ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 5","pages":"Pages 461-467"},"PeriodicalIF":0.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140759565","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 : 2024-05-01DOI: 10.1016/j.amp.2021.12.004
Denis Tiberghien
In 1875, Gustave Bouchereau (1835–1900), Gustave Lolliot (1835–1882) and Valentin Magnan (1833–1916) opened a private nursing home for psychiatric patients (insane or not) in Suresnes, known as “le Château de Suresnes” (1875). This establishment took care of patients declared insane according to the terms of the law of 1838. G. Lolliot was the first medical director. In 1882, Honoré Saury (1854–1924) succeeded him. His physician assistant was Léon Victor Revertégat (1860–1938), a former intern of the Seine asylums (1894). This latter became in turn the medical director in 1893–94. Later, he was the founder of a private nursing home in Sannois (Val d’Oise). One of his patients was the painter Maurice Utrillo (1883–1955); he was hospitalized between 1912 and 1914 over there. L. Revertégat was a member of the Société Médico-Psychologique and of the Société clinique de médecine mentale respectively in 1906 and 1908. Afterwards, while V. Magnan was still alive, other doctors followed suite: Gabriel Stanislas Jacques (1860–1914), Socrate Lalou (1875–1930), Jules-Albert Baronnet (1852–1936), Jean-Maurice Sardain (1876–1961) and Aimable-Clovis Crété (1875–1934). Among them, G. Jacques and J.-M Sardain were members of the mental medicine society in 1910. G. Jacques died in his 50th year while he was medical director. S. Lalou was more interested in experimental research rather than clinical study; he returned to his native country (Romania) where he was appointed professor of pharmacology (Bucarest). After working in a private nursing home for the psychiatric ill in Fontenay-sous-Bois, A.-C. Crété. worked in that of Suresnes and finished his career in a sanatorium in Guervenan (Bretagne) which completed the social hygiene and anti-tuberculosis dispensaries. J.-A. Baronnet, L.-V. Revertégat et J.-M. Sardain were doctors who did not seem to particularly appreciate the satisfaction brought by the psychiatry specialty and later became dentists; most probably for financial reasons.
{"title":"Jules-Albert Baronnet (1852–1914), Amable-Clovis Crété (1875–1934) Gabriel Jacques (1860–1914), Socrate Lalou (1875–1930), Léon Victor Revertégat (1860–1938) et Jean-Maurice Sardain (1876–1961) : des médecins directeurs ou adjoints à la maison de santé de Suresnes fondée par Gustave Bouchereau (1835–1900), Gustave Lolliot (1835–1882) et Valentin Magnan (1833–1916) en 1875","authors":"Denis Tiberghien","doi":"10.1016/j.amp.2021.12.004","DOIUrl":"https://doi.org/10.1016/j.amp.2021.12.004","url":null,"abstract":"<div><p>In 1875, Gustave Bouchereau (1835–1900), Gustave Lolliot (1835–1882) and Valentin Magnan (1833–1916) opened a private nursing home for psychiatric patients (insane or not) in Suresnes, known as “le Château de Suresnes” (1875). This establishment took care of patients declared insane according to the terms of the law of 1838. G. Lolliot was the first medical director. In 1882, Honoré Saury (1854–1924) succeeded him. His physician assistant was Léon Victor Revertégat (1860–1938), a former intern of the Seine asylums (1894). This latter became in turn the medical director in 1893–94. Later, he was the founder of a private nursing home in Sannois (Val d’Oise). One of his patients was the painter Maurice Utrillo (1883–1955); he was hospitalized between 1912 and 1914 over there. L. Revertégat was a member of the <em>Société Médico-Psychologique</em> and of the <em>Société clinique de médecine mentale</em> respectively in 1906 and 1908. Afterwards, while V. Magnan was still alive, other doctors followed suite: Gabriel Stanislas Jacques (1860–1914), Socrate Lalou (1875–1930), Jules-Albert Baronnet (1852–1936), Jean-Maurice Sardain (1876–1961) and Aimable-Clovis Crété (1875–1934). Among them, G. Jacques and J.-M Sardain were members of the mental medicine society in 1910. G. Jacques died in his 50th year while he was medical director. S. Lalou was more interested in experimental research rather than clinical study; he returned to his native country (Romania) where he was appointed professor of pharmacology (Bucarest). After working in a private nursing home for the psychiatric ill in Fontenay-sous-Bois, A.-C. Crété. worked in that of Suresnes and finished his career in a sanatorium in Guervenan (Bretagne) which completed the social hygiene and anti-tuberculosis dispensaries. J.-A. Baronnet, L.-V. Revertégat et J.-M. Sardain were doctors who did not seem to particularly appreciate the satisfaction brought by the psychiatry specialty and later became dentists; most probably for financial reasons.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 5","pages":"Pages 485-493"},"PeriodicalIF":0.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946861","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 : 2024-05-01DOI: 10.1016/j.amp.2024.03.002
{"title":"Séance du lundi 15 décembre 2023","authors":"","doi":"10.1016/j.amp.2024.03.002","DOIUrl":"https://doi.org/10.1016/j.amp.2024.03.002","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 5","pages":"Pages 475-476"},"PeriodicalIF":0.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946858","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 : 2024-05-01DOI: 10.1016/j.amp.2023.04.013
Raphaël Der Kasbarian , Alexis Revet , Marie Frere , Ivan Gicquel , Olivier Azema , Isabelle Claudet , Nadège Costa , Laurent Molinier , Vanessa Houze-Cerfon , Michel Vignes , Jean-Philippe Raynaud , Valeriane Leroy
<div><h3>Objectives</h3><p>Crisis situations are common during adolescence. Current data show that adolescents in crisis are either directly referred to hospital psychiatric emergency rooms, or they make an appointment for a specialized consultation, in a medical-psychological center (CMP), in a medical-psychological-pedagogical center (CMPP), or with a private practitioner. The Departmental Reactive System for Adolescents was implemented in 2017 in the French department of Haute-Garonne to provide adolescents in crisis an immediate specialized psychiatric consultation including on-going support for three months. Our objective was to measure the effect of the implementation of this health system organization (HSO) on the evolution of the annual incidence of emergency room visits and hospitalizations of adolescents for psychiatric reasons at the Toulouse University Hospital, the sole facility for such care in Haute-Garonne.</p></div><div><h3>Methods</h3><p>We conducted a quasi-experimental study comparing the evolution, before and after the implementation of the DDRA31, the annual incidence rates of emergency room visits (pediatric and adult) and hospitalizations related to mental health at the Toulouse University Hospital for adolescents aged 12 to 17 years of age, residing in Haute-Garonne, from 2014 to 2019. Factors associated with the risk of hospitalization were analyzed using mixed-effects logistic regression to measure the effect of the system, over time, with the specific year as the primary explanatory variable, adjusted for sex and age.</p></div><div><h3>Results</h3><p>From 2014 to 2019, 6 686 emergency room visits by 4 245 adolescents took placefor psychiatric motives or diagnostics. The annual incidence rate of emergency department visits related to mental health was stable from 14.0 (95 % CI: 13.2–14.9), per 100 adolescents in 2014 to 13.9 (95 % CI: 13.2–14.7) in 2019, with a higher incidence rate for girls and adolescents aged from 15 to 17 years old. The main reasons for emergency room visits were behavioral problems or agitation, drug intoxications or suicide attempts, and drug or alcohol use or abuse. The annual incidence of hospitalizations decreased significantly since 2017, from 38.3 (95 % CI: 34.1–42.8) per 100 adolescents in 2014 to 24.2 (95 % CI: 21.2–27.4) per 100 adolescents in 2019. This decrease was shown for both males and females but only for adolescents aged from 15 to 17 years old, from 21.8 (CI 95 %: 17.9–26.1) in 2014 to 2.6 (CI 95 %: 1.5–4.1) in 2019. Modeling of the hospitalization risk showed a significant reduction from 2017 onward inclusive with an odds ratio ranging from 0.63 (95 % CI: 0.49–0.80) in 2017 to 0.52 (95 % CI: 0.41–0.67) in 2019.</p></div><div><h3>Discussion</h3><p>The fact that an impact of the HSO was found only for adolescents aged 15 to 17 years of age could indicate a selective effectiveness depending on age possibly caused by differences in physician attitudes depending on the age of the pat
{"title":"Évaluation quantitative de l’effet sur le passage aux urgences et les hospitalisations d’un dispositif départemental innovant de prise en charge des situations de crise durant l’adolescence en Haute-Garonne, France","authors":"Raphaël Der Kasbarian , Alexis Revet , Marie Frere , Ivan Gicquel , Olivier Azema , Isabelle Claudet , Nadège Costa , Laurent Molinier , Vanessa Houze-Cerfon , Michel Vignes , Jean-Philippe Raynaud , Valeriane Leroy","doi":"10.1016/j.amp.2023.04.013","DOIUrl":"10.1016/j.amp.2023.04.013","url":null,"abstract":"<div><h3>Objectives</h3><p>Crisis situations are common during adolescence. Current data show that adolescents in crisis are either directly referred to hospital psychiatric emergency rooms, or they make an appointment for a specialized consultation, in a medical-psychological center (CMP), in a medical-psychological-pedagogical center (CMPP), or with a private practitioner. The Departmental Reactive System for Adolescents was implemented in 2017 in the French department of Haute-Garonne to provide adolescents in crisis an immediate specialized psychiatric consultation including on-going support for three months. Our objective was to measure the effect of the implementation of this health system organization (HSO) on the evolution of the annual incidence of emergency room visits and hospitalizations of adolescents for psychiatric reasons at the Toulouse University Hospital, the sole facility for such care in Haute-Garonne.</p></div><div><h3>Methods</h3><p>We conducted a quasi-experimental study comparing the evolution, before and after the implementation of the DDRA31, the annual incidence rates of emergency room visits (pediatric and adult) and hospitalizations related to mental health at the Toulouse University Hospital for adolescents aged 12 to 17 years of age, residing in Haute-Garonne, from 2014 to 2019. Factors associated with the risk of hospitalization were analyzed using mixed-effects logistic regression to measure the effect of the system, over time, with the specific year as the primary explanatory variable, adjusted for sex and age.</p></div><div><h3>Results</h3><p>From 2014 to 2019, 6 686 emergency room visits by 4 245 adolescents took placefor psychiatric motives or diagnostics. The annual incidence rate of emergency department visits related to mental health was stable from 14.0 (95 % CI: 13.2–14.9), per 100 adolescents in 2014 to 13.9 (95 % CI: 13.2–14.7) in 2019, with a higher incidence rate for girls and adolescents aged from 15 to 17 years old. The main reasons for emergency room visits were behavioral problems or agitation, drug intoxications or suicide attempts, and drug or alcohol use or abuse. The annual incidence of hospitalizations decreased significantly since 2017, from 38.3 (95 % CI: 34.1–42.8) per 100 adolescents in 2014 to 24.2 (95 % CI: 21.2–27.4) per 100 adolescents in 2019. This decrease was shown for both males and females but only for adolescents aged from 15 to 17 years old, from 21.8 (CI 95 %: 17.9–26.1) in 2014 to 2.6 (CI 95 %: 1.5–4.1) in 2019. Modeling of the hospitalization risk showed a significant reduction from 2017 onward inclusive with an odds ratio ranging from 0.63 (95 % CI: 0.49–0.80) in 2017 to 0.52 (95 % CI: 0.41–0.67) in 2019.</p></div><div><h3>Discussion</h3><p>The fact that an impact of the HSO was found only for adolescents aged 15 to 17 years of age could indicate a selective effectiveness depending on age possibly caused by differences in physician attitudes depending on the age of the pat","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 5","pages":"Pages 418-427"},"PeriodicalIF":0.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81055480","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 : 2024-04-01DOI: 10.1016/j.amp.2024.01.012
Marianne Daudin
Determining medical fitness for service in the armed forces is one of the missions of the military health service, which is well acquainted with the different situations in which soldiers are deployed. Medico-psychological expertise in a military environment requires a thorough knowledge of psychiatric pathology, of soldiers’ psychopathology, environmental constraints and regulatory standards specific to each specialty. It is today the responsibility of the medical officers, who can call on the support of specialists from psychiatric wards in military hospitals, with a twofold mission of providing care and assessing fitness for duty.
{"title":"La psychiatrie militaire et le soin : une subversion de la pratique expertale ?","authors":"Marianne Daudin","doi":"10.1016/j.amp.2024.01.012","DOIUrl":"10.1016/j.amp.2024.01.012","url":null,"abstract":"<div><p>Determining medical fitness for service in the armed forces is one of the missions of the military health service, which is well acquainted with the different situations in which soldiers are deployed. Medico-psychological expertise in a military environment requires a thorough knowledge of psychiatric pathology, of soldiers’ psychopathology, environmental constraints and regulatory standards specific to each specialty. It is today the responsibility of the medical officers, who can call on the support of specialists from psychiatric wards in military hospitals, with a twofold mission of providing care and assessing fitness for duty.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 4","pages":"Pages 397-399"},"PeriodicalIF":0.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140468508","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}