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Ajouter le résultat dans votre panierPharmacological and nutraceutical treatments for borderline personality disorder [Traitements pharmacologiques et nutraceutiques du trouble de la personnalité borderline] [Editorial] / GEROLYMOS Cyril in L'encéphale, n°5 (Octobre 2024 Vol.50)
Titre : Pharmacological and nutraceutical treatments for borderline personality disorder [Traitements pharmacologiques et nutraceutiques du trouble de la personnalité borderline] [Editorial] Auteurs : GEROLYMOS Cyril, Auteur ; BOYER Laurent, Auteur ; MASSON Marc, Auteur ; Guillaume Fond, Auteur Année de publication : 2024 Article en page(s) : 479-482 Note générale : Tabl./27 réf.bibliogr. Langues : Anglais (eng) Mots-clés : ETAT LIMITE REGULATION EMOTIONNELLE THERAPEUTIQUE MEDICAMENTEUSE ANTIDEPRESSEUR ANTIPSYCHOTIQUE En ligne : https://www.em-premium.com/article/1689688 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121556
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Titre : Substance use disorder in the context of the economic crisis, covid-19 pandemic and social unrest: a cross-sectional study across Beirut (2020–2021) [Trouble addictif dans le contexte de la crise économique, la pandémie covid-19 et la situation sociale: une étude transversale à Beirut (2020–2021)] Auteurs : DAOU Lea, Auteur ; RACHED Ahmad, Auteur ; JRAD Manal, Auteur ; NAJA Wadih, Auteur ; HADDAD Ramzi, Auteur Année de publication : 2024 Article en page(s) : 483-489 Note générale : Fig./Tabl./24 réf. bibliogr. Langues : Anglais (eng) Mots-clés : ADDICTION USAGE COVID-19 LIBAN DEPRESSION SYNDROME POST TRAUMATIQUE ANXIETE PANDEMIE CRISE ECONOMIQUE Résumé : Background : Substance use disorder (SUD) is related to the interplay of various factors. The primary objective of this study was to assess the variation in substance use (SU) among a set of Lebanese people undergoing treatment for SUD during the Lebanese economic crisis, COVID-19 pandemic, and Beirut Blast. Methods : A cross-sectional study including Lebanese adults previously diagnosed with and being treated for SUD at the Skoun center was conducted. Data collection was done using a paper-based Arabic questionnaire tackling the economic crisis, the Covid-19 pandemic, and the Beirut Blast, as well as the following scores: APGAR, PHQ-9, GAD-7 and PCL-6. Data were analyzed using SPSS version 25.0 with P value < 0.05 considered significant. A bivariate analysis was conducted to study the association between the use of substances and study variables and scores. Results : The sample included 126 men and 10 women. Most participants had a stable consumption of illicit drugs (58.8%), alcohol (76.5%), prescription drugs (70.6%) and non-prescription drugs (89%). Additionally, most participants had concomitant mild or moderate depression (55.1%), mild or moderate anxiety (50.7%), and PTSD (61.8%). Factors found to significantly increase SU were economic distress, change in employment status, and decrease in working hours. PTSD was also identified as a risk factor for increased illicit drug and alcohol use. Furthermore, severe anxiety was found to be a risk factor for increased alcohol consumption. Conclusion : Most participants were able to maintain a stable pattern of SU despite the quadruple crisis in Lebanon highlighting the important role played by Lebanese Non-Governmental Organizations (NGOs) and efforts employed to control SUD. [Résumé d'auteur] En ligne : https://www.em-premium.com/article/1689689 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121557
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Titre : Staging's determinants in early intervention youth: a retrospective study [Les déterminants de la stadification chez les jeunes en intervention précoce: une étude rétrospective] Auteurs : HAMDAN Mirvat, Auteur ; LECARDEUR Laurent, Auteur ; HABERT Marine, Auteur ; OKASSA Mireille, Auteur ; LACROIX Aurélie, Auteur ; CALVET Benjamin, Auteur Année de publication : 2024 Article en page(s) : 490-496 Note générale : Fig./Tabl./34 réf. bibliogr. Langues : Anglais (eng) Mots-clés : ANTECEDENT FAMILIAL PSYCHIATRIE PEDOPSYCHIATRIE EVALUATION PREMIER EPISODE PSYCHOTIQUE POPULATION A RISQUE INTERVENTION PRECOCE JEUNE ADULTE Résumé : Objectives : Since 2019 our early intervention unit has assessed help-seekers, mainly referred by psychiatric departments, and we have conducted a descriptive retrospective study. Our objective was to identify clinical determinants associated to staging at assessment for our three groups: 'no psychosis', 'ultra-high risk' and 'first episode psychosis'. Methods : One hundred and thirteen participants (mean age 20.05 ± 3.28) were enrolled, mainly referred by adult psychiatry (81.4%). We tested the association of each group with the following determinants: age, gender, family history of psychosis, referral (adolescent or adult psychiatry), cognitive, depressive complaint, cannabis active consumption, and current activity (scholar or employment). Results : Multivariate analyses showed significant association with depressive symptoms (P = 0.019) but an absence of family history of psychosis (P = 0.002) or current activity (P = 0.09) for 'no psychosis' group. 'Ultra-high risk' was significantly correlated with a family history of psychosis (P = 0.001) and adolescent psychiatry referral (P = 0.044) but an absence of depressive complaint (P = 0.04). As for 'first episode psychosis', we found significant cognitive complaint (P = 0.026), family history (P = 0.024) and current activity (0.026). Conclusions : As all our participants were seen in tertiary care, adolescent psychiatrists were more efficient in detecting a high-risk state. 'No psychosis' help-seekers presented in fact mood issues, which have been confused with attenuated psychotic symptoms by their addressers, who have probably been misled by their absence of activity integration. High-risk and characterized psychotic episodes were logically correlated with family history. Surprisingly, 'first episode psychosis' youth were currently integrated in scholarly or professional life despite an active cognitive complaint. Robust studies, especially prospective cohorts, are needed to test these associations. [Résumé d'auteurs] En ligne : https://www.em-premium.com/article/1689690 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121558
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Titre : Validation of a French questionnaire assessing knowledge of suicide [Validation d’une échelle française d’évaluation des connaissances sur le suicide] Auteurs : WATHELET Marielle, Auteur ; Arnaud DEZETREE, Auteur ; PAUWELS Nathalie, Auteur ; VAIVA Guillaume, Auteur ; SEGUIN Monique, Auteur ; THOMAS Pierre, Auteur ; GRANDGENEVRE Pierre, Auteur ; NOTREDAME Charles-Edouard, Auteur Année de publication : 2024 Article en page(s) : 497-503 Note générale : Fig./Tabl./39 réf. Bibliogr. Langues : Anglais (eng) Mots-clés : PREVENTION VALIDATION SUICIDE LITTERATIE PSYCHOMETRIE ECHELLE D'EVALUATION Résumé : Objectives : The objective of this study was to develop and validate the Knowledge of Suicide Scale (KSS), elaborated to assess adherence to myths about suicide. Methods : The KSS is a self-questionnaire including 22 statements relating to myths about suicide for which the respondent is asked to rate his degree of adherence on a scale ranging from 0 ('strongly disagree') to 10 ('completely agree'). Using the script concordance test scoring method, the respondents’ scores were compared with those of experts to obtain, for each item, a score between 0 (maximum deviation with the experts) and 1 (minimum deviation with the experts). One thousand and thirty-five individuals (222 psychiatric interns, 332 medical interns in the first semester excluding psychiatry and 481 journalism students) were included. Results : According to the exploratory factor analysis, the KSS is a two-dimensional scale: the first subscale includes 15 items and the second seven items. The tool showed excellent face validity, correct convergent and divergent validities (multi-method multi-feature analyzes), and good internal consistency (Cronbach's alpha coefficient between 0.66 and 0.83 for scales and subscales). The KSS is moderately and negatively correlated with the Stigma of Suicide Scale (r = –0.3). It significantly discriminates groups with different expected levels of knowledge regarding suicide (P < 0.001). Conclusions : The KSS demonstrated good psychometric properties to measure adherence to myths about suicide. This tool could be useful in assessing the effectiveness of suicide prevention literacy improvement programs. [Résumé d'auteur] En ligne : https://www.em-premium.com/article/1689691 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121559
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Titre : Etomidate versus propofol for electroconvulsive therapy: An intraindividual comparative study during the COVID-19 pandemic [Etomidate versus Propofol dans le cadre de l’anesthésie pour électroconvulsivothérapie: une étude comparative intra-individuelle durant la pandémie de COVID-19] Auteurs : ENDOMBA Francky Teddy, Auteur ; AHO-GLELE Ludwig Serge, Auteur ; BENKHADRA Mehdi, Auteur ; GUILLET Clément, Auteur Année de publication : 2024 Article en page(s) : 504-509 Note générale : Tabl./45 réf. bibliogr. Langues : Anglais (eng) Mots-clés : COVID-19 PATHOLOGIE PSYCHIATRIQUE PANDEMIE ANESTHESIQUE HYPNOTIQUE SISMOTHERAPIE Résumé : Objectives : The Coronavirus disease 2019 (COVID-19) pandemic markedly influenced mental health care practices, notably regarding electroconvulsive therapy (ECT). This was due to the redistribution of anesthetic agents used during ECT such as propofol, for intensive care units. Because in our center propofol was switched to etomidate to avoid ECT activity discontinuation, we undertook this study in order to compare Propofol and Etomidate regarding electroencephalographic seizure duration and stimulus intensity. Methods : We performed a retrospective and comparative study, each patient being its own control. We included patients with at least two courses of ECT on propofol and two others with etomidate over the period from September 2019 to April 2021, regardless of the psychiatric diagnosis. Our data collection process notably targeted stimulus intensity, seizure duration recorded using electroencephalography, and medication used for anesthetic induction. Results : Overall, we included 18 patients with a male: female ratio of 1:2.6 and a mean (and standard deviation) age of 62.7 ± 13.4 years. We found that the mean intensity of stimulation was significantly lower with etomidate when compared to propofol (425.3 ± 250.0 vs. 658.9 ± 280.2 mC, P = 0.001). The mean duration of electroencephalographic seizure was significantly higher with etomidate in comparison to propofol (53.5 ± 16.6 vs. 35.0 ± 12.2 seconds, P < 0.001). Conclusion : By using each patient as its own control, our study found that etomidate, while compared to propofol, was related to a lower level of stimulatory intensity and a longer electroencephalographic seizure duration. [Résumé d'auteur] En ligne : https://www.em-premium.com/article/1689692 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121560
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Titre : High average daily temperature in summer and the incidence of thrombolytic treatment for acute ischemic stroke [Température quotidienne moyenne élevée en été et incidence du traitement thrombolytique pour l’accident vasculaire cérébral ischémique] Auteurs : FOLYOVICH Andras, Auteur ; MATIS Reka, Auteur ; BICZO David, Auteur ; PALOSI Mihaly, Auteur ; BERES-MOLNAR Anna K., Auteur ; AL-MUHANNA Nadim, Auteur ; JARECSNY Tamas, Auteur ; JANOSKA Dorottya, Auteur ; TOLDI Gergely, Auteur ; PALDY Anna, Auteur ; DUDAS Eszter, Auteur Année de publication : 2024 Article en page(s) : 510-515 Note générale : Fig./Tabl./50 réf. bibliogr. Langues : Anglais (eng) Mots-clés : CANICULE ACCIDENT VASCULAIRE CEREBRAL THROMBOSE THERAPEUTIQUE MEDICAMENTEUSE Résumé : Introduction : Meteorological factors can increase stroke risk; however, their impact is not precisely understood. Heat waves during summer increase total mortality. Therefore, we hypothesized that the average daily temperature in summer may correlate with the incidence of thrombolytic treatment for acute ischemic stroke in Budapest and Pest County, Hungary. Methods : We analyzed the relationship between the average daily temperature in summer months and the daily number of thrombolytic treatments (TT) performed with the indication of acute ischemic stroke between 1st June and 31st August each year from 2007 to 2016. The analysis was also performed after the omission of the data of the last day of the months due to possible psychosocial impact reported in our previous study. Spearman's correlation was used for statistical analysis. Results : No significant correlation was found between the average summer daily temperature and the number of TT in the entire sample of the 10-year period. When omitting the data of the last day of each month, positive correlations were suspected in 2014 (r = 0.225, P = 0.034) and 2015 (r = 0.276, P = 0.009). Conclusion : Our findings did not confirm an association between the average daily temperature in summer and the daily number of TT throughout the examined 10-year period. However, importantly, in 2014 and 2015, the years with the highest average daily temperatures in this period, a positive correlation was found. The level of correlation is modest, indicating that risk factors, both meteorological and non-meteorological, other than the average temperature, play equally important roles in determining the incidence of thrombolytic treatment for acute ischemic stroke on the population level. [Résumé d'auteur] En ligne : https://www.em-premium.com/article/1689693 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121561
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Titre : Changes in suicide-related tweets before and during the COVID-19 pandemic in France: The importance of social media monitoring in public health prediction [Changements dans les tweets liés au suicide avant et pendant la pandémie de COVID-19 en France : l’importance de la surveillance des médias sociaux dans la prédiction de la santé publique] Auteurs : JERPAN Jeanne, Auteur ; MORICEAU Véronique, Auteur ; SALIS Alexandrine, Auteur ; KLEIN Rémy, Auteur ; OLIVIER François, Auteur ; SALLES Juliette, Auteur Année de publication : 2024 Article en page(s) : 516-523 Note générale : Fig./Tabl./49 réf. bibliogr. Langues : Anglais (eng) Mots-clés : RESEAUX SOCIAUX COVID-19 IDEATION SUICIDAIRE SANTE PUBLIQUE CONFINEMENT PANDEMIE Résumé : Introduction : The COVID-19 pandemic impacted mental health, as demonstrated by numerous studies. In recent years, especially during the pandemic, the use of social networks, including Twitter, increased. This suggests that this media could help with mental health monitoring, as attested by previous studies. Method : We conducted a multidisciplinary study on French tweets that were posted between January 1, 2019, and December 31, 2021. We selected the tweets via the Twitter API (Application Programming Interface) using five keywords relating to suicide: want to die, suicidal ideation, commit suicide, suicidal, and suicide attempt. A word frequency analysis was performed, and the data were compared with the number of emergency visits for suicidal ideation before and during the COVID-19 pandemic as recorded by the French national suicide observatory. Results : We observed that 189,005 tweets were related to suicide in 2019, 261,993 in 2020 (+38.62% of that observed in 2019), and 301,177 in 2021 (+59.35% of that observed in 2019). We also observed an increase in the number of tweets containing control words in 2020 (+30.07% of that observed in 2019), but in 2021, the number almost fell back to the level of that in 2019 (+5.96% of that observed in 2019). Furthermore, the difference between both ratios (of suicide-related tweets and of tweets containing control words) was most significant during the third lockdown. The change in the number of suicide-related tweets followed a curve that overlapped with the change in the number of emergency visits following suicidal ideations, as reported by the French national suicide observatory. In conclusion, Twitter can be an adequate and reliable tool for screening for suicidal ideation in the general population. [Résumé d'auteur] En ligne : https://www.em-premium.com/article/1689696 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121562
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Titre : Cognitive functions of patients treated with chemotherapy : A comparative study [Les fonctions cognitives des sujets sous chimiothérapie : étude comparative] Auteurs : BOU KHALIL Rami, Auteur ; HADDAD Fady, Auteur ; CORDAHI Colin Charbel, Auteur ; FIANI Dimitri, Auteur ; MOUKARZEL Jean-Marie, Auteur ; CHAMOUN Yara, Auteur ; KOURIE Hampig Raphael, Auteur ; RICHA Sami, Auteur ; KATTAN Joseph, Auteur Année de publication : 2024 Article en page(s) : 524-530 Note générale : Fig./Tabl./35 réf. bibliogr. Langues : Anglais (eng) Mots-clés : CHEMOBRAIN LIBAN CANCEROLOGIE CANCER FONCTION COGNITIVE THERAPEUTIQUE MEDICAMENTEUSE Résumé : Objectives : Chemobrain is a well-established clinical syndrome that has become an increasing concern because of the growing number of long-term cancer survivors. It refers to the post-chemotherapy related cognitive dysfunction. The aim of this study was to objectively assess the impact of cancer treatment on the cognition of cancer patients. Methods : This was a convenience sample comparative study conducted at the Hematology and Oncology Department of Hôtel Dieu de France University Hospital in Beirut, Lebanon. It included cancer patients (G1) aged under 65 years who had already been treated for cancer compared to two control groups. The first control group (G2) consisted of treatment-naïve cancer patients aged under 65, and the second group (G3) was recruited from a pool of healthy controls aged between 40 and 65 years. All participants were asked to complete the part B of the trail making test (TMT) and the digital symbolic substitution test (DSST). Results : In the bivariate analysis, patients in G1 had significantly higher scores than patients in G2 (P = 0.017) and G3 (P < 0.001) on the TMT-B. However, patients in G1 only had lower scores on DSST when compared with G3 (P = 0.017). In the logistic regression taking different groups two-by-two as the dependent variable, the only significant difference was found in the comparison between G2 and G3 with higher TMT-B scores more in favor of belonging to G2 (OR = 0.946; P = 0.003). Conclusions : Our results suggest that, after controlling for anxiety and depression symptoms, patients treated with chemotherapy have significantly poorer outcomes on the DSST and TMT-B than treatment-naïve cancer patients and healthy controls. However, when taking confounding factors into account, the difference only persisted between patients undergoing chemotherapy and healthy controls. These findings are in favor of a multifactor cognitive impairment in patients with cancer partially related to chemotherapeutic treatment. [Résumé d'auteur] En ligne : https://www.em-premium.com/article/1689698 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121563
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Titre : DSM-5 self-rated level 1 cross-cutting symptom measure (CCSM1) : Proposal for a three-factors model and implications for the assessment of at-risk situations [Pour une approche dimensionnelle réelle de la mesure transversale des symptômes auto-évalués de niveau 1 du DSM-5 (AESTN1) : proposition d’un modèle à trois facteurs et implications pour l’évaluation des situations à risque] Auteurs : COMBALUZIER Serge, Auteur ; GOUVERNET Brice, Auteur ; LAUNAY Chloé, Auteur ; MURPHY Philip, Auteur Année de publication : 2024 Article en page(s) : 531-538 Note générale : Fig./Tabl./34 réf. bibliogr. Langues : Anglais (eng) Mots-clés : DSM 5 AUTOEVALUATION MODELE RISQUE VALIDATION PSYCHOPATHOLOGIE Résumé : Objective : The aim of this paper is to study the measurement of the DSM5 self-rated transversal symptoms level 1 (CCSM1) from a dimensional perspective in line with current models of psychopathology in three factors: internalization, thought disorders, externalization. Method : Based on the 670 non-clinical protocols we collected, we verified that the VSS is composed of three factors. We studied the 3-factor composition with half of the sample and confirmed this composition with the other half. To show that these three factors were more relevant than the original 13 dimensions, we compared the results to three clinical groups and, after a cluster analysis, we investigated the intensity and frequency of people at risk across the original dimensions. Results : While the 13 initial dimensions of the CCSM1 do not completely differentiate this sample from the clinical groups, the three high-order dimensions are discriminating. Clustering confirms these results when comparing the least and most affected subjects and allows us to see that these three HODs have significant impacts on the observation of cases at risk of clinical disorders in this non-clinical sample. Discussion : To be further validated, these three HODs should be studied in relation to tools that assess internalization, thought disorders or externalization. [Résumé d'auteur] En ligne : https://www.em-premium.com/article/1689699 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121564
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Titre : A non-randomized controlled study to assess the impact of the 'Appui Parental', an early and intensive support programme for vulnerable families: Study protocol [Etude contrôlée non randomisée évaluant l’impact de l’'Appui Parental', dispositif d’accompagnement précoce et intensif auprès de familles vulnérables : protocole de l’étude] Auteurs : RUSSET Frédérick, Auteur ; MAURICE Virginie, Auteur ; PICOT Marie-Chrisitne, Auteur ; LAURENT-VAUCLARE Monique, Auteur ; GAMON Lucie, Auteur ; ALAUZEN Anne, Auteur ; PURPER-OUAKIL Diane, Auteur ; HERVE Marie-Joelle, Auteur Année de publication : 2024 Article en page(s) : 539-548 Note générale : Fig./Tabl./54 réf. bibliogr. Langues : Anglais (eng) Mots-clés : PARENTALITE RELATION PARENT ENFANT EVALUATION VISITE A DOMICILE PROTECTION MATERNELLE ET INFANTILE PUERICULTRICE Résumé : Introduction : Early home visit programmes have been developed to help parents build an adequate relationship with their baby and to prevent child developmental delays and affective disorders. The 'Appui Parental' programme is an intervention carried out by nursery nurses to provide intensive parental support to vulnerable families. Before extending this programme, it seemed necessary to evaluate its impact objectively. Objectives : The main aim is to determine the impact of the 'Appui Parental' programme on the change in the child's symptoms. The secondary objectives are to evaluate its effects on mother-child interactions, self-assessed parental competence, perception of social support, primary caregiver's anxiety-depression symptoms, alliance with the nursery nurse, frequency of out-of-home placements, and nursery nurses’ stress. Method : This non-randomized prospective multicentre study would include 44 families who receive the 'Appui Parental' intervention for a one to 20-month-old child (intervention group) and 44 families with the same vulnerability criteria who receive care as usual by the maternal and child protection services (control group). The child, parents, mother-child interaction, nursery nurse-mother alliance, and nursery nurse's stress will be assessed at month one and month 18 after inclusion. Comparisons between groups will be performed. Conclusion : this study should provide the public authorities with objective data on this programme's impact and allow them to pursue its generalization. For professionals, the study should confirm the interest in close early parental support through home visits or should lead to rethinking some aspects of the programme. [Résumé d'auteur] En ligne : https://www.em-premium.com/article/1689701 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121565
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Titre : Constipation in hospitalized psychiatric patients : An underestimated common phenomenon. Retrospective epidemiological study in an adult psychiatric hospital setting [Constipation chez les patients psychiatriques hospitalisés : un phénomène courant sous-estimé. Étude épidémiologique rétrospective en milieu hospitalier spécialisé] Auteurs : DAURIAC-LE MASSON Valérie, Auteur ; BORNES Cédric, Auteur ; HADJEDJ Lisa, Auteur ; MONTARIOL Philippe, Auteur ; NGUYEN-MACHET Sylvie, Auteur ; HALLOUCHE Nabil, Auteur Année de publication : 2024 Article en page(s) : 549-556 Note générale : Fig./Tabl./40 réf. bibliogr. Langues : Français (fre) Mots-clés : PREVENTION HOPITAL PSYCHIATRIQUE PATHOLOGIE PSYCHIATRIQUE CONSTIPATION PREVALENCE ANTICHOLINERGIQUE PSYCHOTROPE Résumé : Objective : Constipation is more common in patients with mental disorders than in the general population. However, its frequency in hospitalized patients, its association with drugs and how teams become aware of it and take care of it are not fully identified. Method : The retrospective study included 141 male and 127 female new patients admitted for routine treatment at France's largest psychiatric hospital between November 15 and December 11, 2017. A physician reviewed electronic medical records to diagnose constipation and record variables of interest: socio-demographic factors, diagnosis, drugs prescribed and taken. We calculated an anticholinergic impregnation score (AIS) for each patient by using a validated French scale. Patients were then classified into two groups by state of constipation defined by the physician. Univariate and multivariate analyses were used to study the frequency of constipation, factors associated with it and its management. Results : The prevalence of constipation was 38% (95% CI 32–44). Associated factors were taking antipsychotics and the burden of anticholinergic treatment. On multiple regression analysis, the only remaining factor was anticholinergic treatment: AIS ≥ 5 was associated with constipation (odds ratio 1.80 [95% CI 1.07–3.14], P = 0.027). Only 44.0% of patients were prescribed a preventive laxative, systematically in half of the cases. Above all, only 11.2% were administered this laxative (i.e., 25% of that prescribed). Digestive transit was poorly recorded in the table of constants (34.7%). We found one case of sub-occlusion as a severe case. Conclusion : Constipation is common in psychiatric inpatients. The more the patient is prescribed drugs with a pronounced anticholinergic effect, the greater the risk. Alongside the preventive measures common to all psychiatric patients which must be promoted (concerning diet, physical activity, etc.), polymedication with this type of anticholinergic must be better monitored to prevent complications: prescription and administration of a preventive laxative, monitoring transit in the table of constants. Thus, a better knowledge of the subject and specific training are essential. [Résumé d'auteur] En ligne : https://www.em-premium.com/article/1689703 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121566
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Titre : Prevalence of prolonged grief disorder in bereaved children and adolescents : A systematic review [Prévalence du trouble du deuil prolongé chez les enfants et les adolescents endeuillés : une revue systématique] Auteurs : FALALA Aude, Auteur ; LANNES Alice, Auteur ; BUI Eric, Auteur ; REVET Alexis, Auteur Année de publication : 2024 Article en page(s) : 557-565 Note générale : Fig./Tabl./56 réf. bibliogr. Langues : Anglais (eng) Mots-clés : DEUIL PATHOLOGIQUE EVITEMENT STRESS PREVALENCE ADOLESCENT ENFANT REVUE DE LA LITTERATURE Résumé : Purpose : Prolonged Grief Disorder (PGD) is a condition recently introduced in international classifications of mental disorders. Although PGD is associated with significant distress and impairment that may have developmental consequences, to date, little is known about its prevalence and associated factors in children and adolescents. The present systematic review registered in PROSPERO (CRD42021236026) aimed to: (i) review existing data on the prevalence of PGD in bereaved children and adolescents; and (ii) identify factors associated with PGD in this population. Methods : Six electronic databases, grey literature and a manually searched journal identified 1,716 articles with no backward limit to September 2021. Epidemiological studies were included if they reported the prevalence of PGD in bereaved children and adolescents. Study characteristics, diagnostic and assessment tools, population, loss-related characteristics and prevalence of PGD were reviewed. Results : Five studies met our inclusion criteria. The reported prevalences of PGD ranged from 10.4% to 32%. Female gender, cognitive avoidance, chronic stressors such as economic hardship, exposure to trauma or other losses appear to be associated with more severe symptoms or even a higher risk of PGD. Conversely, data suggest social support may be protective. Conclusion : This first systematic review found a relatively high prevalence of PGD in bereaved children and adolescents. While further large epidemiological studies are needed, this review highlights the importance of evaluating PGD in current clinical practice and suggests that further research into diagnostic and therapeutic approaches targeting this disorder is warranted. [Résumé d'auteur] En ligne : https://www.em-premium.com/article/1689705 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121567
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Titre : L’anorexie mentale : une addiction ? Application du modèle addictologique aux troubles du comportement alimentaire. Une revue narrative commentée Auteurs : COLLOMBAT Julie, Auteur ; CHAPRON Sophie-Athéna, Auteur ; SARRAM Saman, Auteur ; FATSEAS Mélina, Auteur ; SERRE Fuschia, Auteur ; AURIACOMBE Marc, Auteur Année de publication : 2024 Article en page(s) : 566-572 Note générale : Fig./76 réf. bibliogr. Langues : Français (fre) Mots-clés : ADDICTION CRAVING TROUBLE DU COMPORTEMENT ALIMENTAIRE ANOREXIE MENTALE REVUE DE LA LITTERATURE Résumé : Objectifs : L’addiction offre un modèle de compréhension des troubles du comportement alimentaire, et l’addiction à l’alimentation (food addiction) fait l’objet d’un intérêt croissant. Cependant, l’application du modèle addictologique à l’anorexie mentale demeure controversée. Nous proposons d’examiner et de discuter la dimension addictologique de l’anorexie mentale. Méthodes : Revue narrative et commentée de la littérature. Résultats : L’anorexie mentale pourrait être la conséquence de la perte de contrôle de plusieurs objets de renforcement positif : la restriction alimentaire, l’hyperactivité physique, et l’alimentation elle-même. Le craving serait moins retrouvé dans l’anorexie mentale, dans laquelle il est néanmoins rapporté. L’existence d’un craving à l’alimentation préexistant au début des troubles, ou son apparition secondairement à la restriction est actuellement discutée. Parallèlement, la question d’un craving à la restriction, sous-tendu par l’effet gratifiant du jeûne, est posée. Conclusions : La prise en charge des troubles du comportement alimentaire a toute sa place au sein des filières de soins des addictions. Une approche intégrative doit être privilégiée, en particulier de l’anorexie mentale, associant d’une part la prise en charge nutritionnelle classique, et d’autre part une prise en charge addictologique. Enfin, une évaluation rigoureuse chez les personnes présentant un trouble du comportement alimentaire de la présence d’une addiction à l’alimentation, à la restriction alimentaire et à l’activité physique, comprenant une évaluation systématique du craving, serait à systématiser. [Résumé d'auteur] En ligne : https://www.em-premium.com/article/1689706 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121568
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Titre : Anorexia nervosa : Enhancing motivation to change with self-determination theory [Anorexie mentale : améliorer la motivation au changement avec la théorie de l’autodétermination] Auteurs : FLAUDIAS Valentin, Auteur ; PIRES Sylvie, Auteur ; MARTINOT Delphine, Auteur ; BOUDOUKHA Abdel-Halim, Auteur ; DAMASE Emma, Auteur ; MONDILLON Laurie, Auteur ; LLORCA Pierre-Michel, Auteur ; SILVERT Laetitia, Auteur Année de publication : 2024 Article en page(s) : 573-577 Note générale : Tabl./20 réf.bibliogr. Langues : Anglais (eng) Mots-clés : CHANGEMENT ANOREXIE MENTALE PRISE EN CHARGE MOTIVATION Résumé : Motivational deficits (little or no motivation to change) are often reported in patients with eating disorders, particularly anorexia nervosa. The motivational approaches frequently used by French clinicians rely solely on a dichotomous view of motivation (intrinsic vs. extrinsic). In self-determination theory, certain forms of extrinsic motivation can strengthen an individual's commitment to an activity, providing they are self-determined. This theory therefore extends and enriches the dual motivational approach by highlighting potentially useful forms of extrinsic motivation and by emphasizing the importance of behavioral regulation. Empirical work is now needed to assess how clinicians can use self-determination theory to enhance motivation to change among patients with anorexia nervosa and encourage their adherence to care management plans. [Résumé d'auteur] En ligne : https://www.em-premium.com/article/1689708 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121569
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Titre : Management strategies for antidepressant-related sexual dysfunction [Correction des troubles sexuels liés aux antidépresseurs] Auteurs : LACH Franck, Auteur ; BOTTEMANE Hugo, Auteur ; HINGRAY Coraline, Auteur ; PAPETA Didier, Auteur ; ROUSSEAU Amélie, Auteur ; JAVELOT Hervé, Auteur Année de publication : 2024 Article en page(s) : 578-581 Note générale : Tabl./23 réf. bibliogr. Langues : Anglais (eng) Mots-clés : DEPRESSION DYSFONCTION SEXUELLE EFFET SECONDAIRE ANTIDEPRESSEUR Résumé : Antidepressant-related sexual dysfunction is one of the most frequently met adverse effects for individuals suffering from major depressive disorder. When primary prevention by non-pharmacological measures fails, empirical coping strategies might be proposed. In this article, we present a brief overview of pharmacological strategies for antidepressant-related sexual dysfunction, considering antidepressants and conceivable corrective medications. We suggest dividing these strategies into three groups: (1) tapering (dose reduction, therapeutic window or short-term treatment interruption); (2) maintenance (focusing on spontaneous remission); (3) optimizing treatment (substitution for another antidepressant or addition of treatments to correct sexual side effects). Whichever strategy is selected, we encourage the clinician to propose the most adequate therapeutic option for the patient, while considering the efficacy and overall tolerance of the current antidepressant strategy, the affected phase of sexuality and patient preferences and gender. This summary is limited to antidepressant treatments and correctors marketed in France and aimed at a clinician reading to help manage patients suffering from antidepressant-induced sexual dysfunction. [Résumé d'auteur] En ligne : https://www.em-premium.com/article/1689710 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121570
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Titre : Functions of binge eating: Cross-cultural adaptation to Brazilian Portuguese [Fonctions de l’hyperphagie boulimique : adaptation interculturelle au portugais brésilien] [Letter to the editor] Auteurs : OLIVEIRA Jonatas, Auteur ; DE OLIVEIRA SERPA Alexandre Luiz, Auteur Année de publication : 2024 Article en page(s) : 582 Note générale : 5 réf. bibliogr. Langues : Anglais (eng) Mots-clés : BRESIL BOULIMIE HYPERPHAGIE ECHELLE D'EVALUATION En ligne : https://www.em-premium.com/article/1689711 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121571
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Titre : Intra-nasal esketamine induced psychotic disorder in a post COVID-19 major depressive episode: A case report [Trouble psychotique induit par l’eskétamine intra-nasale dans un épisode dépressif majeur post-COVID-19 : un cas clinique] Auteurs : TANG Julie, Auteur ; MUNOZ Thomas, Auteur ; JOLIVET Isabelle, Auteur ; CHAPPELL Kenneth, Auteur ; CHOUCHA Walid, Auteur ; COLLE Romain, Auteur ; VERSTUYFT Céline, Auteur ; LEPINAU Jean de, Auteur ; CORRUBLE Emmanuelle, Auteur ; GASNIER Matthieu, Auteur Année de publication : 2024 Article en page(s) : 583-584 Note générale : 7 réf. bibliogr. Langues : Anglais (eng) Mots-clés : COVID-19 ESKETAMINE NEUROPSYCHIATRIE CAS CLINIQUE PSYCHOSE DEPRESSION MAJEURE RISQUE SUICIDAIRE PANDEMIE En ligne : https://www.em-premium.com/article/1689713 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121572
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Titre : Comment on 'Non-pharmacological treatment of attention deficit disorder with or without hyperactivity (ADHD). Overview and report of the first international symposium on the non-pharmacological management of ADHD' : Focus on neurofeedback, its consensus, recent reviews, and the impact of new technologies on accessibility [Commentaire sur 'Prise en charge non pharmacologique du trouble déficit de l’attention avec ou sans hyperactivité (TDAH). Etat des lieux et compte-rendu du premier symposium international sur la prise en charge non pharmacologique du TDAH'. Focus sur le neurofeedback, son consensus, les revues récentes et l’impact des nouvelles technologies sur l’accessibilité Auteurs : AOUN SEBAIÏTI Mehdi, Auteur ; ASSADOURIAN Sacha, Auteur Année de publication : 2024 Article en page(s) : 585-586 Note générale : 10 réf. bibliogr. Langues : Français (fre) Mots-clés : NEUROFEEDBACK NOUVELLES TECHNOLOGIES TROUBLE DEFICITAIRE DE L'ATTENTION HYPERACTIVITE THERAPEUTIQUE NON MEDICAMENTEUSE En ligne : https://www.em-premium.com/article/1689714 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=121573
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