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Ajouter le résultat dans votre panierBurning the diagnosis: When burn-out masks psychiatric and sleep disorders [Brûler le diagnostic : quand le burn-out masque des troubles psychiatriques et du sommeil] [Editorial] / GEOFFROY Pierre-Alexis in L'encéphale, n°1 (Février 2026 Vol. 52)
Titre : Burning the diagnosis: When burn-out masks psychiatric and sleep disorders [Brûler le diagnostic : quand le burn-out masque des troubles psychiatriques et du sommeil] [Editorial] Auteurs : GEOFFROY Pierre-Alexis, Auteur Année de publication : 2026 Article en page(s) : 1-3 Note générale : Fig./5 réf. bibliogr. Langues : Anglais (eng) Mots-clés : SYMPTOME DIAGNOSTIC PATHOLOGIE PSYCHIATRIQUE TROUBLE DU SOMMEIL EPUISEMENT PROFESSIONNEL Résumé : The widespread use of the term burn-out has helped legitimize workplace suffering and stimulated public and institutional awareness of mental health at work. However, its growing popularity also brings unintended clinical risks. [extrait de l'introduction] En ligne : https://doi.org/10.1016/j.encep.2025.04.010 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=123999
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Titre : Evaluation of the convergent validity of Young's questionnaires [Etude de la validité convergente de deux questionnaires de Young] Auteurs : BOUVARD Martine, Auteur ; OLIVERA SILVERA Gaëlle, Auteur ; CASARIN Sandra, Auteur Année de publication : 2026 Article en page(s) : 4-10 Note générale : Tabl./22 réf. bibl. Langues : Anglais (eng) Mots-clés : ETUDIANT QUESTIONNAIRE DES SCHEMAS DE YOUNG VALIDATION TROUBLE DE LA PERSONNALITE SCHEMA COGNITIF INADAPTE Résumé : Objectives : Young's schema therapy is based on two questionnaires: the Young Schema Questionnaire (YSQ) and the Schema Mode Inventory (SMI). The YSQ describes 18 early maladaptive schemas (EMSs), and the French-language version of the YSQ has been validated. The SMI is based on 14 schema modes representing the set of EMSs that are active at a given time and that correspond to an ego state. The SMI is specific for personality disorders. The objective of the present study was to identify correlations between the YSQ and the SMI and between each of these two questionnaires and a personality questionnaire. We expected to find correlations between the YSQ-S3 and the SMI. We also expected that the YSQ-S3 and the SMI would be more strongly correlated with Neuroticism than with the EPQR-A's other dimensions. Methods : A group of 231 students filled out the French-language version of the short-form YSQ (YSQ-S3), the short-form SMI, and the Eysenck Personality Questionnaire Revised–Abbreviated (EPQR-A): 126 participants filled out paper questionnaires and 105 completed the questionnaires online. Correlation coefficients were calculated as a guide to the convergent validity of the two questionnaires. Results : All but two of the modes (Enraged Child and Bully and Attack) were correlated with the various EMSs. The Self-Aggrandiser mode had few links to the EMSs but showed a strong correlation with the Unrelenting Standards schema. Five modes were correlated with 16 EMSs, and six other modes were correlated with between 12 and 15 EMSs. The Vulnerable Child mode was strongly correlated with six EMSs. The Punitive Parent mode presented three strong correlations, and the Detached Protector and Healthy Adult modes each presented two strong correlations. Four other modes were strongly correlated with one EMS each. Neuroticism was correlated with a large number of modes and EMSs. Extraversion appeared to be less strongly linked and showed negative correlations with modes (except for the Happy Child and Healthy Adult modes). Psychoticism was correlated with few modes and very few EMSs. Discussion : The Enraged Child and Bully and Attack modes (defined by extreme anger and aggressiveness) were not correlated with many EMSs. The same was true for the Self-Aggrandiser mode. However, the latter mode was strongly and positively correlated with the Unrelenting Standards schema. The Vulnerable Child mode presented the strongest correlations with various schemas and was most strongly correlated with Neuroticism. An internalized, punitive attitude in the parent (Punitive Parent) was linked to a very negative self-image (S4), subjugation to others (S12), and negativity/pessimism (S15). Neuroticism appeared to be more strongly correlated with psychiatric disorders than with Extraversion. Psychoticism appeared to be very weakly correlated with the EMSs and only slightly more strongly with the modes. The theoretical constructs of certain modes appear to be closer to those of Psychoticism than those of the EMSs. Conclusions : The correlations between various modes and EMSs confirmed that modes are composed of different schemas: the less a person is subjugated or dependent on others, the more likely they are to present a Healthy Adult mode. [Résumé d'auteur]
En ligne : https://doi.org/10.1016/j.encep.2025.01.007 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124001
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Titre : Role of smoking status on motivation to reduce or stop alcohol consumption in patients with an alcohol use disorder admitted to an emergency department [Rôle du statut tabagique sur la motivation à réduire ou arrêter sa consommation d’alcool chez les patients admis dans un service d’accueil des urgences et présentant un trouble de l’usage de l’alcool] Auteurs : MENDY Anna, Auteur ; LE FAOU Anne-Laurence, Auteur ; FERRAND L, Auteur ; LIMOSIN Frédéric, Auteur ; AIRAGNES Guillaume, Auteur Année de publication : 2026 Article en page(s) : 11-18 Note générale : Fig./Tabl./40 réf.bibl. Langues : Anglais (eng) Mots-clés : ALCOOL TABAC REPERAGE PRECOCE ET INTERVENTION BREVE REPERAGE STRUCTURE D'URGENCE MOTIVATION QUESTIONNAIRE Résumé : Objective : To examine the role of smoking status on motivation to reduce alcohol consumption in patients admitted to the emergency department (ED) with alcohol use disorder (AUD). Methods : A standardized questionnaire was administered to patients admitted to the ED of the Hôpital Européen Georges-Pompidou (Paris, France), whatever the cause of admission, as part of an AUD screening, brief intervention, and referral to treatment (SBIRT) program. The questionnaire collected demographic, cognitive impairment assessment variables including school curriculum difficulties and medical characteristics, smoking status, cannabis use and the Fast Alcohol Consumption Evaluation (FACE) for AUD risk assessment. Patients aged 18–90 years with a FACE score ≥ 4 for women and ≥ 5 for men were selected. An analogue scale from 0 to 10 was used to assess motivation, estimation of the right time, and self-confidence to reduce or stop alcohol consumption. Results : Of the 3903 patients included between 2021 and 2023, 803 (21%) presented with TUA, with 72% excessive drinkers and 28% with a probable alcohol dependence. The study population was predominantly male (n = 418, 52%). Current smokers accounted for 43% of patients (n = 343), and only 8% (n = 27) wished to obtain the contact details of the national quitline Tabac-Info-Service, a percentage twice as high as that observed among smokers at low or no risk of AUD. The average age was 48.7 years (SD: 21.6), and smokers had a lower average age than the average for all participants (41 years, SD: 17.4). On the other hand, former smokers were older on average (58.3 years, SD: 20.6). In all, 36% (n = 209) of patients with excessive alcohol consumption were smokers while 59% (n = 134) of those with probable alcohol dependence were smokers. In terms of school curriculum, 13% (n = 108) had experienced learning difficulties (50% of whom were smokers), 42% (n = 339) had repeated a year (44% of whom were smokers), and 18% (n = 146) had been suspended or excluded from school (53% of whom were smokers). In terms of neurological history, 35% (n = 278) had suffered from memory loss and 19% (n = 156) from fainting (42%, 53% of whom were smokers respectively). Less than 10% reported epilepsy episodes (8.7%: n = 70) or neurodevelopmental disorders (6.4%: n = 51). Among them, 54% and 61% respectively were smokers. Past-month cannabis use concerned 14% of patients (n = 112), 85% of whom declared they smoked. In the descriptive analyses, more smokers than non-smokers felt that their admission to ED motivated them to reduce or stop their alcohol consumption, considered that it was the right time to do so, and declared a higher level of self-confidence in achieving this objective. In bivariate analyses, motivation and the right time to reduce or stop drinking were significantly associated with being a smoker, but these results were not found in the multivariate analysis. Conclusion : These results suggest that smoking status does not intervene in motivation to change drinking behaviors following a SBI for AUD risk in patients screened with AUD in the ED. These results support the idea that smoking cessation recommendations can be systematized for all patients visiting the ED, without compromising their motivation to decrease or stop their alcohol consumption. [Résumé d'auteur] En ligne : https://doi.org/10.1016/j.encep.2025.01.009 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124002
in L'encéphale > n°1 (Février 2026 Vol. 52) . - 11-18[article]Réservation
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Titre : Complex Bodily Hallucinatory Experiences Scale (CBHES): Development, structure and psychometric properties [Echelle d’Expériences Hallucinatoires Corporelles Complexes (EEHCC) : développement, structure et propriétés psychométriques] Auteurs : MICHAEL George A, Auteur ; SALGUES Sara, Auteur ; DURAN Geoffrey, Auteur Année de publication : 2026 Article en page(s) : 19-25 Note générale : Tabl./79 réf.bibl. Langues : Anglais (eng) Mots-clés : CORPS VALIDATION SYNDROME D'EKBOM HALLUCINATION ECHELLE D'EVALUATION Résumé : Objectives : Complex bodily hallucinations are not rare in psychiatric, neurological and toxicological conditions and may also be reported even in the total absence of any medical condition. Despite this, they are usually not clinically assessed independently from (and in comparison to) hallucinations in other modalities. The objective of this study was to develop a short scale assessing complex bodily hallucinations. Methods : Based on previous research and clinical reports, we present a new short scale for the assessment of four themes of such hallucinations, i.e., delusional parasitosis, the feeling of presence, autoscopic phenomena, and body distortions. The scale was completed by 623 participants from the general population. Results : Complex bodily hallucinations are frequent, with 96.6% of the sample reporting at least one. A Confirmatory Factor Analysis showed that the data best fit a hierarchical model in which the four independent themes are linked to a higher-order factor that we tentatively identifed as bodily self-consciousness. Each one of the four themes was reported in isolation in less than 5% of the sample, but combinations of themes were more frequent. The scale has good internal consistency, a good 3-month test-retest reliability, and good convergent validity. Furthermore, the scale has a good balance between specificity and sensitivity when the 90th percentile of the total score is used as a classification criterion. Conclusion : The short scale developed has good psychometric properties and can be used both in clinical and research settings. [Résumé d'auteur] En ligne : https://doi.org/10.1016/j.encep.2025.01.011 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124003
in L'encéphale > n°1 (Février 2026 Vol. 52) . - 19-25[article]Réservation
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Titre : Peer-support and group psychoeducation for patients with borderline personality disorder: A feasibility study [Pair aidance et psychoéducation groupale pour les patients souffrant de trouble de la personnalité borderline : une étude de faisabilité] Auteurs : BLAY Martin, Auteur ; ULUDAG-MARTIN Arjin, Auteur ; LAGADEC Saioa, Auteur ; BENMAKHLOUF Ines, Auteur ; ZENOU Marion, Auteur Année de publication : 2026 Article en page(s) : 26-31 Note générale : Tabl./36 réf. bibl. Langues : Anglais (eng) Mots-clés : ETAT LIMITE PAIR AIDANT PSYCHOEDUCATION PROGRAMME DE SANTE FORMATION Résumé : Objective : Borderline personality disorder (BPD) is a common disorder associated with poor mental health and socio-professional outcomes. Even though it is known to be a treatable condition, almost half of the patients are still not responding to current psychotherapeutic treatment programs. Peer-support interventions are thought to be an interesting way to improve these treatments, but data regarding the feasibility of such interventions are scarce. Methods : The present naturalistic study aimed to assess the feasibility and acceptability of incorporating a peer-support worker (PSW) with a lived experience of BPD as a co-leader in an evidence-based psychoeducation group based on Good Psychiatric Management for patients with BPD, with a pre-post design. Results : Overall, 46 patients were included in the analysis, among whom 34 completed the post-group analysis. Almost all the patients found the presence of the PSW relevant and useful, completion rates were high, and security outcomes were satisfactory. Conclusion : Despite numerous limitations, including the naturalistic design, the absence of a control group, and the high level of training of our PSW (that limits the generalizability of our findings to less trained PSW), we believe that our study adds to the current scarce literature on the usefulness of integrating PSW with a lived experience of BPD in evidence-based treatment programs for patients with BPD. [résumé d'auteurs] En ligne : https://doi.org/10.1016/j.encep.2025.01.012 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124004
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Titre : Sociodemographic and psychopathological profiles of criminal offenders following psychiatric assessment [Profil sociodémographique et psychopathologique des mis en causes reçus en expertise psychiatrique pénale] Auteurs : FINELLE Elise, Auteur ; FRANCOIS-PURSSELL Irène, Auteur ; CHAUVET-GELINIER Jean-Christophe, Auteur ; LOISEAU Mélanie, Auteur Année de publication : 2026 Article en page(s) : 32-37 Note générale : Fig./Tabl./21 réf.bibl. Langues : Anglais (eng) Mots-clés : DISCERNEMENT EXPERTISE PSYCHIATRIQUE MEDECINE LEGALE PATHOLOGIE PSYCHIATRIQUE PROFIL PSYCHOLOGIQUE RECHERCHE QUALITATIVE Résumé : Aim of the study : Our aim was to identify the sociodemographic and psychopathological profiles of individuals undergoing criminal psychiatric assessment. Materials and methods : This observational, descriptive, retrospective, monocentric study of criminal psychiatric assessments was performed in the Forensic Medicine Department of the Dijon Bourgogne University Hospital between January 1, 2019, and December 31, 2023. Results : We included 235 criminal assessments, including 201 pre-sentence assessments. The offenders were mainly male (92.5%) with a median age of 37. According to the assessments, 63.7% of offenders suffered from psychiatric disorders, mostly psychotic. Half of the offenders had a criminal record and fewer than a third were repeat offenders (31.7%). The main offences were violence (20%), sexual offences against minors (12.8%) and robbery (10.4%). The assessments found that around two-thirds of the defendants suffered from psychiatric disorders, mainly psychotic disorders (45.3%), personality disorders (23.4%) and depressive disorders (8.6%). The expert noted impaired discernment in 44.4% of cases, and abolition in 13.6%. Finally, the expert warned of dangerousness in 69.6% of respondents, three-quarters of whom suffered from psychiatric disorders. Conclusion : Our study enabled us to describe the typical profile offenders which could be used to implement prevention and targeted care. [Résumé d'auteur] En ligne : https://doi.org/10.1016/j.encep.2025.01.013 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124005
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Titre : Representations and knowledge of residents about ADHD in children in two regions in France [Représentations et connaissances des internes sur le TDAH de l’enfant dans deux régions Françaises] Auteurs : THIEBAUT-NOEL Willig, Auteur ; BRUN Louise, Auteur ; PIOLLET Anne, Auteur ; DAJON Marie, Auteur ; THIOLLIER Marie-Claire, Auteur ; ASSATHIANY Rémy, Auteur ; FOURNERET Pierre, Auteur ; OUSTRIC Stéphane, Auteur ; AMOUYAL Michel, Auteur ; MASSE Magali, Auteur ; MONGE Anne, Auteur ; PURPER-OUAKIL Diane, Auteur Année de publication : 2026 Article en page(s) : 38-46 Note générale : Fig./Tabl./33 réf. bibl. Langues : Anglais (eng) Mots-clés : FRANCE REPRESENTATION TROUBLE DEFICITAIRE DE L'ATTENTION HYPERACTIVITE ADOLESCENT ENFANT FORMATION INTERNE HOSPITALIER Résumé : Introduction : In France, knowledge and awareness of childhood ADHD remain insufficient. To guide the development of training programs for medical residents, we assessed the understanding of ADHD among residents in family practice, pediatrics, and psychiatry across two major French regions in 2021. Methods : A SurveyMonkey survey was distributed to residents in two French regions, gathering information about their training experiences on child/adolescent ADHD, as well as their knowledge and perceptions of the disorder. Results : Among the 251 residents who completed the survey (response rate: 28.5%), 53.4% reported receiving no training on ADHD during their residency. Substantial differences were observed across specialties: 75% of psychiatry residents reported receiving training, compared to only 38% of family practice residents. Even brief training sessions (e.g., one hour) significantly improved knowledge and perceptions of ADHD, with greater effectiveness observed as the duration of training increased. Conclusions : Residency training on ADHD shows potential for improving access to care as post-training knowledge and perceptions align with those of trained practitioners actively managing ADHD in the same regions. Action plans are recommended to enhance training for family practice residents, with follow-up assessments planned using the same methodology. [Résumé d'auteur] En ligne : https://doi.org/10.1016/j.encep.2025.02.002 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124006
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Titre : Conceptual competences in philosophy of psychiatry: A cross-sectional survey [Compétences conceptuelles et philosophiques rapportées par les psychiatres et étudiants en psychiatrie français : implications pédagogiques pour la philosophie de la psychiatrie, une enquête transversale] Auteurs : GAULD Christophe, Auteur ; AURIACOMBE Marc, Auteur ; FOURNERET Pierre, Auteur ; ARBUS Christophe, Auteur ; NAUDIN Jean, Auteur ; GIROUX Elodie, Auteur ; CERMOLACCE Michel, Auteur ; GOZE Tudi, Auteur ; MICOULAUD-FRANCHI Jean-Arthur, Auteur ; AFTAB Awais, Auteur Année de publication : 2026 Article en page(s) : 47-55 Note générale : Fig./Tabl./32 réf. bibl. Langues : Anglais (eng) Mots-clés : PEDAGOGIE FRANCE PSYCHIATRIE CONCEPT PHILOSOPHIE EPISTEMOLOGIE ETHIQUE PRATIQUE PROFESSIONNELLE Résumé : Objectives : The complexity of psychiatry requires an integrated approach that combines empirical practice, experiential insight, and theoretical reflection. This study, integrated within a broader international project, aimed to assess self-reported conceptual competences among French psychiatry students and practitioners, underlining the pedagogical necessity of integrating philosophy into psychiatry education to address both clinical and research challenges. Methods : A cross-sectional survey was conducted among French psychiatric residents, practicing psychiatrists, and retired psychiatrists recruited through professional networks and associations. Participants completed an online questionnaire on self-reported conceptual competences in psychiatry consisting of 18 items rated on a 5-point Likert scale, plus a complementary item. The questionnaire was structured into three dimensions: perceived integration of conceptual competences (7 items), perceived execution of conceptual competences (3 items), and declared knowledge of conceptual competences (8 items). A complementary item assessed the declared nature of six psychiatric conditions. Results : A total of 353 participants, primarily women (65.2%) and psychiatry practitioners (53.4%) with an average age of 33.3 years, completed the questionnaire showing varied familiarity with conceptual issues in psychiatry. The mean scores across the three dimensions of conceptual competences were as follows: 3.19 for the perceived integration of conceptual competences dimension, 3.14 for the perceived execution of conceptual competences dimension, and 3.81 for the declared knowledge of conceptual competences dimension. Among participants, 90.1% endorsed the need for including philosophical training in psychiatric curricula, with 80.2% supporting skill development in this area. High agreement was observed on the need for multiple perspectives (94.3%). Confidence in conceptual understanding was moderate (41.9%), while critical evaluation confidence was lower (24.4%). Discussion : The findings support the need for incorporating conceptual competences into psychiatry education and practice. Frequent encounters with philosophical challenges in clinical settings, coupled with noted gaps in current training, highlight the critical importance of structured pedagogical approaches in psychiatry to examine these conceptual issues. Longitudinal studies will be needed to evaluate the potential impact of such educational programs on the evolution of participants’ conceptual competences across the three dimensions of the questionnaire. [Résumé d'auteur] En ligne : https://doi.org/10.1016/j.encep.2025.02.005 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124007
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Titre : Experience and qualitative evaluation of two soothing prototypes in psychiatry [Vécu et évaluation qualitative de deux prototypes d’apaisement en psychiatrie] Auteurs : CHATAIGNER Noémie, Auteur ; FLEURY Cynthia, Auteur ; GATEAU Valérie, Auteur Année de publication : 2026 Article en page(s) : 56-63 Note générale : Phot./Tabl./39 réf. bibl. Langues : Anglais (eng) Mots-clés : DESIGN CHAMBRE D'APAISEMENT RELATION SOIGNANT SOIGNE CONTENTION ESPACE Résumé : Objectives : The need for alternatives to restraint and seclusion in psychiatry is widely recognized. To this end, a collaborative research project between patients, caregivers and designers resulted in the production of two containing prototypes (a covering armchair and a sensory totem). The aim of the research project was to understand whether these prototypes offered a calming alternative and could limit the need for restraint. Method : Semi-structured interviews were carried out as well as participant observations, and feedback forms were given to participants. Qualitative data analysis was integral and inductive, initially thematic and then oriented according to the 'type of ward' variable. Results : The prototypes had beneficial effects on calming and empowering patients; they supported the patient-staff relationship and contributed to team reflexivity. Rather than pathologies, the prototypes responded to appeasement needs and situations of agitation or anxiety. For closed wards, the prototypes were therapeutic and supported patient autonomy in crisis situations. For open wards, they were integrated into the activities offered but needed to be accompanied by caregivers to ensure patient safety. Discussion : The results prompted discussion on three points: 1) research methods in psychiatry and the need to integrate users in research design; 2) conceptions of autonomy in psychiatric care; 3) the place of sensory rooms and soothing techniques in reducing the use of restraint and seclusion. [Résumé d'auteur] En ligne : https://doi.org/10.1016/j.encep.2025.02.008 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124008
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Titre : What factors are associated with seclusion in patients with psychosis? [Quels facteurs sont associés à l’utilisation de l’isolement chez des patients souffrant de psychose ?] Auteurs : ALI-DIABACTE Husen, Auteur ; MAZARI Assia, Auteur ; RARI Eirini, Auteur ; MARTELLI Catherine, Auteur ; BENYAMINA Amine, Auteur ; ROMEO Bruno, Auteur Année de publication : 2026 Article en page(s) : 64-69 Note générale : Fig./Tabl./44 réf. bibl. Langues : Anglais (eng) Mots-clés : FRANCAIS SYMPTOME PSYCHOSE ISOLEMENT THERAPEUTIQUE LANGUE MATERNELLE AGRESSIVITE Résumé : Objective : Seclusion is a measure used as a last resort in psychiatry to manage high-risk situations of hetero- or self-agression. However, few studies have investigated factors that could be associated with seclusion. The aim of this study was to assess the clinical and socio-demographic characteristics of patients who were prescribed seclusion. Patients and methods : An observational, retrospective study was carried out between January 2019 and December 2020, including patients with psychosis who had been hospitalized. Clinical and socio-demographic characteristics, as well as psychopathological scores were compared between patients who required seclusion and those who did not. A binomial logistic regression including gender, age, symptom severity, knowledge of the French language and judicial history was performed. Results : We included 127 patients (41 of whom were prescribed seclusion). Patients requiring seclusion had more severe symptoms, as indicated by the Positive And Negative Syndrome Scale total scores (98.8 ± 21.95 vs 85.9 ± 25.64; P = 0.02), the positive symptoms subscale (28.4 ± 8.89 vs 24 ± 7.63; P = 0.02), and the general psychopathology symptoms subscale (48.3 ± 12.03 vs 41.9 ± 12.21; P = 0.02). These patients had poor knowledge of French (21% vs 4.7%; P < 0.01) and a statistical trend was found in relation to judicial history (24% vs 11%; P = 0.07). The differences in symptomatology (P = 0.03) and language knowledge (P = 0.04) were maintained in the multivariate analysis. Discussion and conclusion : Our study found that the implementation of a seclusion was associated with the severity of symptoms and with a lack of knowledge of the French language. Particular attention should therefore be paid to these specific patients in order to use de-escalation techniques and provide comprehensible explanations to patients who do not speak French. [Résumé d'auteur] En ligne : https://doi.org/10.1016/j.encep.2025.03.004 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124009
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Titre : French validation of the POCS scale: A tool for screening intrusive thoughts, obsessions, and compulsions during pregnancy and postpartum [Validation de l’échelle POCS en français : un outil pour dépister les pensées intrusives, obsessions et compulsions pendant la grossesse et le post-partum] Auteurs : LORD C, Auteur ; FAURE Marie-Luce, Auteur ; EL-HAGE Wissam, Auteur ; JOLY Laurence, Auteur ; BAYLE Benoît, Auteur Année de publication : 2026 Article en page(s) : 70-76 Note générale : Tabl./33 réf.bibl. Langues : Anglais (eng) Mots-clés : PERINATALITE PERINATAL OBSESSIVE COMPULSIVE SCALE VALIDATION TROUBLE OBSESSIONNEL COMPULSIF GROSSESSE PUERPERALITE ECHELLE D'EVALUATION DEPISTAGE SANTE MENTALE Résumé : Objectives : This study addressed the growing recognition of mental health disorders during the perinatal period, in particular obsessive-compulsive disorder (OCD). OCD symptoms can affect between 3% and 10% of women during the perinatal period, a higher prevalence than in the general population. The Perinatal Obsessive-Compulsive Scale (POCS), developed in Canada, is to our knowledge the only validated tool for screening OCD in the perinatal context. This study aimed to validate the French version of the POCS in order to improve early detection of OCD symptoms among French-speaking mothers and fathers. Methods : The study included 227 pregnant women in their third trimester and 113 in the early postpartum period. The POCS was translated into French using the forward and backward translation method, in collaboration with bilingual experts from France and Quebec. Other measures included validated tools: the Obsessional Compulsive Inventory–Revised (OCI-R) for general OCD and the Edinburgh Postnatal Depression Scale (EPDS) for depressive symptoms. Data were collected in person and online during the COVID-19 pandemic. Statistical analyses included descriptive statistics, reliability tests (Cronbach's alpha), and ROC curve analysis to assess the validity and discriminative capacity of the scale. Results : The French version of the POCS showed strong internal consistency and psychometric properties similar to the English version. The POCS had good convergent validity, correlating with the OCI-R and showing a distinct link to depression symptoms via the EPDS. Exploratory analysis demonstrated that a high proportion of that perinatal sample reported OCD symptoms. Conclusions :
The French version of the POCS is reliable and valid for screening OCD symptoms in women during the perinatal period. The study highlights the need for screening tools specific to this population The POCS is a valuable clinical tool for early identification and intervention regarding perinatal OCD symptoms. Its systematic use in maternal health services could enhance mental health support for mothers during pregnancy and postpartum. [Résumé d'auteur]En ligne : https://doi.org/10.1016/j.encep.2025.04.002 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124010
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Titre : Stimulation magnétique transcrânienne dans la douleur neuropathique avec dépression comorbide : revue narrative Auteurs : DURADE-REPLAT Pierre-Edouard, Auteur ; FLOCCIA Marie, Auteur ; PHILIPPE Anne, Auteur ; BIENVENU Thomas, Auteur Année de publication : 2026 Article en page(s) : 77-86 Note générale : Fig./Tabl./49 réf. bibl. Langues : Français (fre) Mots-clés : COMORBIDITE DEPRESSION MALADIE NEUROLOGIQUE DOULEUR PRISE EN CHARGE ESSAI CLINIQUE STIMULATION MAGNETIQUE TRANSCRANIENNE REVUE DE LA LITTERATURE Résumé : La douleur neuropathique résulte d’une lésion ou d’un dysfonctionnement du système somato-sensoriel. Sa prise en charge s’avère complexe en raison d’un arsenal thérapeutique restreint avec une efficacité limitée des traitements disponibles. Par son caractère chronique et invalidant, la douleur neuropathique présente une forte association aux troubles dépressifs. De nouvelles approches de neuromodulation telles que la stimulation magnétique transcrânienne répétitive (rTMS) constituent des options thérapeutiques novatrices, avec une efficacité documentée respectivement dans le traitement de la douleur neuropathique et de l’épisode dépressif caractérisé. En dépit de la fréquente comorbidité entre douleur neuropathique et trouble dépressif, il n’existe pas de données précises dans la littérature scientifique concernant la place de la rTMS dans le traitement combiné de ces deux pathologies. Cette revue narrative de la littérature a été menée afin d’étudier l’impact des protocoles de traitement antalgique par rTMS sur l’amélioration des symptômes dépressifs chez des patients souffrant de douleur neuropathique chronique. À l’issue d’une analyse de 20 essais cliniques répondant aux critères d’inclusion, il semblerait que les protocoles de rTMS ciblant le cortex moteur primaire (M1) avec des paramètres optimisés (fréquence d’au moins 10 Hz, au moins 2000 impulsions par séance, au moins 10 séances de stimulation) pourraient améliorer les symptômes dépressifs chez les patients souffrant de douleur neuropathique chronique. Les protocoles ciblant d’autres aires corticales telles que le cortex préfrontal dorsolatéral, l’insula, le cortex cingulaire antérieur et le cortex somato-sensoriel secondaire ne semblent pas montrer d’efficacité sur la symptomatologie dépressive chez ces patients. Les données disponibles pointent néanmoins une forte hétérogénéité dans les résultats des essais cliniques et nécessitent d’être confirmées par des essais cliniques randomisés sur de plus larges effectifs de patients. [résumé d'auteur] En ligne : https://doi.org/10.1016/j.encep.2025.05.008 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124011
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Titre : Cognitive therapies and insight in early schizophrenia: A systematic review [Thérapies cognitives et insight dans la schizophrénie précoce : une revue systématique] Auteurs : HOUDEBINE Bastien, Auteur ; RONDEAU Natacha, Auteur ; BESCHE RICHARD Chrystel, Auteur Année de publication : 2026 Article en page(s) : 87-94 Note générale : Fig./Tabl./73 réf. bibl. Langues : Anglais (eng) Mots-clés : BESOIN PSYCHOSE INFANTILE PRECOCE SCHIZOPHRENIE INSIGHT THERAPIE COMPORTEMENTALE ET COGNITIVE THERAPIE COGNITIVE REVUE DE LA LITTERATURE Résumé : Objectives : This systematic review aims to evaluate the impact of cognitive-behavioral and metacognitive therapies on cognitive and clinical insight into early schizophrenia disease. Methods : A comprehensive literature review was conducted across several databases, including Pubmed, PsycINFO, and Cochrane Library, focusing on studies published between 2006 and May 2024. The studies selected for this review were either randomized controlled trials (RCTs), cross-sectional studies, or exploratory studies. Results : Nine studies were included (7 RCTs, one cross-sectional study, and one exploratory study), using various tools to assess cognitive and clinical insight. The findings showed mixed results: cognitive-behavioral therapy (CBT) and metacognitive therapies (MCT) demonstrated varied outcomes. Some studies reported improvements in self-reflection and self-certainty, two facets of cognitive insight, especially in young patients. Conclusions : This study highlights the complexity of the relationship between different therapies and insight improvement in early schizophrenia. This result emphasizes the need for additional studies to improve our understanding of the effects of cognitive therapies, given that the current number of studies is too limited to draw conclusions. Future research should focus on developing more personalized and effective treatment strategies to better address the individual needs of young patients. [Résumé d'auteur] En ligne : https://doi.org/10.1016/j.encep.2025.05.009 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124012
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Titre : An education tool on clozapin: From needs assessment to patient satisfaction [Un outil d’éducation thérapeutique sur la clozapine : de l’évaluation des besoins à la satisfaction des patients] Auteurs : STRACZEK Céline, Auteur ; LOPEZ-KRAHE Alba, Auteur ; COHEN Emilie, Auteur ; CALIMOUTTOUPOULLE Eimma, Auteur ; LOUVET Bénédicte, Auteur ; PAUL Muriel, Auteur ; PIGNON Baptiste, Auteur ; PECAL DALLE Murielle, Auteur Année de publication : 2026 Article en page(s) : 95-100 Note générale : Fig./Tabl./20 réf.bibl. Langues : Anglais (eng) Mots-clés : CLOZAPINE OBSERVANCE BESOIN TRAITEMENT SCHIZOPHRENIE SATISFACTION EDUCATION DU PATIENT Résumé : Clozapine remains the gold-standard for resistant schizophrenia. However, it is associated with serious adverse events and a low patient adherence that could be enhanced by therapeutic education. Identifying patients’ needs is a prerequisite for building educational tools. The aims of the study were to build an adapted information tool after evaluating patients’ knowledge and expectations regarding their clozapine treatment, and to estimate patients’ satisfaction with this tool. Patients’ knowledge and expectations were evaluated by means of a short oral and semi-structured interview, based on an 11-item questionnaire developed by pharmacists and psychiatrists. Patients with schizophrenia or a schizo-affective disorder were included from four different care structures of the university psychiatry department. Finally, an education tool was built based on patients’ answers and tested among them. Between February 2020 and September 2021, 51 patients (17 women) around 36 years of age were interviewed. 45% were aware of a clozapine indication. Half of the patients did not know how to react in case of forgetting a dose. Although the rhythm of blood tests was understood by most patients (84%), only 29% estimated they had a general knowledge about them. Many patients (73%) could cite no more than two adverse effects. Regarding interactions, 69% had a partial knowledge and 31% none at all. Patients preferred to receive information in the form of a brochure. The subsequent brochure was tested on 15 patients who were satisfied with it. The survey revealed a general lack of knowledge among patients about their clozapine treatment. The tool built based on patients’ answers has been adapted and liked by patients. [Résumé d'auteur] En ligne : https://doi.org/10.1016/j.encep.2025.03.003 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124013
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Titre : L’universitarisation des territoires en psychiatrie – faciliter l’accès aux soins, lutter contre la désertification médicale Auteurs : HORN Mathilde, Auteur Année de publication : 2026 Article en page(s) : 101-103 Note générale : Fig./9 réf.bibl. Langues : Français (fre) Mots-clés : ACCES AUX SOINS UNIVERSITE HAUTS DE FRANCE PROJET DE LIAISON UNIVERSITAIRE DE TERRITOIRE DU NORD PSYCHIATRIE TERRITOIRE DE SANTE RECHERCHE FORMATION Résumé : Les troubles psychiatriques sont en constante augmentation, alors que l’accès aux soins pour les personnes qui en souffrent devient de plus en plus difficile. Dans cet article, nous présentons le Projet de Liaison Universitaire de TerritOire du Nord (PLUTON), une initiative visant à promouvoir l’accès aux soins psychiatriques sur un territoire de la région Hauts-de-France et à lutter contre la désertification médicale. Conçu à l’origine pour répondre à une situation de crise sanitaire, PLUTON a progressivement évolué pour repenser l’organisation des soins psychiatriques d’un territoire. Son objectif était de préserver la structuration des soins de secteur tout en leur insufflant une dimension universitaire dans les domaines cliniques, de recherche et d’enseignement. La réussite de ce projet est le fruit d’une approche innovante et collaborative, fondée sur la mutualisation des ressources existantes. Cette méthodologie désormais éprouvée permet de reproduire aisément et efficacement le projet dans d’autres territoires. [Résumé d'auteur] En ligne : https://doi.org/10.1016/j.encep.2025.04.009 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124014
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Titre : Intravenous ketamine for suicide ideation in borderline personality and depression [Kétamine intraveineuse pour les idées suicidaires dans le trouble borderline et la dépression] Auteurs : BACHIR Yara, Auteur ; KASSAB Raymond, Auteur ; HALLAL Caroline, Auteur ; CHARBEL CORDAHI Colin, Auteur ; BOU KHALIL Rami, Auteur ; EL-HACHEM Charline, Auteur Année de publication : 2026 Article en page(s) : 104-107 Note générale : Fig./22 réf.bibl. Langues : Anglais (eng) Mots-clés : KETAMINE COMORBIDITE CAS CLINIQUE ETAT LIMITE TROUBLE DE L'HUMEUR DEPRESSION RESISTANTE IDEATION SUICIDAIRE Résumé : Objective : This case report explores the efficacy of intravenous Ketamine in treating active suicidal ideation in a 24-year-old female with comorbid major depressive disorder (MDD), borderline personality disorder (BPD), posttraumatic stress disorder (PTSD), and functional neurological disorder (FND). Case description : The patient, with a history of multiple suicide attempts and treatment-resistant MDD, demonstrated significant improvement following nine intravenous ketamine sessions. The Montgomery-Åsberg Depression Rating Scale score decreased from 45 to 11, accompanied by sustained reductions in impulsivity, irritability, and depressive symptoms. Discussion : This report highlights ketamine's rapid action on glutamate pathways and its potential benefits in complex psychiatric profiles where traditional treatments like electroconvulsive therapy often fail. A proposed staging model for suicidal behavior management underscores the importance of early intervention with non-classical treatments in high-risk cases. Conclusion : Intravenous ketamine offers a promising therapeutic option for patients with severe suicidality and comorbidities, warranting further research on its long-term efficacy and safety. [résumé d'auteur] En ligne : https://doi.org/10.1016/j.encep.2025.04.008 Permalink : https://ch-poitiers.fr/opac_css/index.php?lvl=notice_display&id=124015
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