Journal de Thérapie Comportementale et Cognitive最新文献

{"title":"Création en établissement médico-social d’un programme d’entraînement à la reconnaissance des émotions faciales chez l’adulte TSA avec retard mental : une étude pilote","authors":"Christophe Saglier","doi":"10.1016/J.JTCC.2018.09.003","DOIUrl":"https://doi.org/10.1016/J.JTCC.2018.09.003","url":null,"abstract":"","PeriodicalId":100746,"journal":{"name":"Journal de Thérapie Comportementale et Cognitive","volume":"2013 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82681419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intervention basée sur la pleine conscience auprès de patients souffrant d’obésité et de trouble de binge eating : résultats préliminaires de l’essai contrôlé randomisé MindOb","authors":"Alexis Ruffault ,&nbsp;Sébastien Czernichow ,&nbsp;Kàtia Lurbe i Puerto ,&nbsp;Jean F. Fournier ,&nbsp;Claire Carette ,&nbsp;Cécile Flahault","doi":"10.1016/j.jtcc.2018.09.001","DOIUrl":"https://doi.org/10.1016/j.jtcc.2018.09.001","url":null,"abstract":"<div><p>La pleine conscience pourrait permettre de réduire l’impulsivité alimentaire et augmenter la motivation à pratiquer des activités physiques, à condition d’être pratiquée quotidiennement par des individus souffrant d’obésité et de trouble de <em>binge eating</em>. L’objectif est de tester l’efficacité d’une intervention à distance basée sur la pleine conscience auprès de patients obèses souffrant de trouble de <em>binge eating</em> et observer l’adhésion quotidienne mesurée de manière objective. Seize patients obèses présentant un trouble de <em>binge eating</em> ont été randomisés dans trois groupes : pleine conscience, méditation factice, liste d’attente. Les deux interventions testées consistaient en l’écoute de pistes audio sur internet, tous les jours pendant 12 mois. Le poids, les processus alimentaires, les apports énergétiques, la motivation à l’activité physique, la dépense énergétique, la détresse psychologique et les capacités de pleine conscience ont été mesurés à l’inclusion, un mois, six mois et douze mois. Parmi les 16 patients inclus (dont sept abandons ou perdus de vue), aucun n’a suivi entièrement l’intervention ni pendant le premier mois (24,76 % d’audio écouté en moyenne), ni après la première visite de suivi (9,80 % d’audio écouté en moyenne). Il semble donc difficile de tester l’efficacité d’une intervention à distance sans mettre en place des techniques ayant pour objectif d’améliorer l’adhésion des participants.</p></div><div><h3>Introduction</h3><p>Mindfulness is the ability to voluntarily focus on the present moment without judgment. Several systematic reviews and meta-analyses have demonstrated the effectiveness of mindfulness-based interventions among individuals with obesity, mainly on the reduction of binge episodes and related factors such as impulsive and emotional eating. Therefore, mindfulness could decrease impulsive eating and increase motivation toward physical activity. Furthermore, daily online mindfulness training for individuals diagnosed with binge eating disorder that benefit from usual care in a clinical nutrition department could be more adapted than standardized weekly group interventions.</p></div><div><h3>Objective</h3><p>To test the effectiveness of an online mindfulness-based intervention among patients with obesity and binge eating disorder, and to objectively observe measured daily adherence to the intervention.</p></div><div><h3>Method</h3><p>Sixteen patients with obesity and binge eating disorder (based on DSM5 criteria) were randomized to one of three of the following groups: mindfulness training (<em>n</em> <!-->=<!--> <!-->5), sham meditation (<em>n</em> <!-->=<!--> <!-->8), waitlist (<em>n</em> <!-->=<!--> <!-->3). Both interventions consisted of online 10-minute daily audio sessions lasting for 12 months in addition to usual care in nutrition. Weight, eating processes (Three-Factor Eating Questionnaire R18), energy intake (7-day dietary recall), motivation toward physical activity ","PeriodicalId":100746,"journal":{"name":"Journal de Thérapie Comportementale et Cognitive","volume":"29 1","pages":"Pages 4-24"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jtcc.2018.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72216423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le site web de l’AFTCC : état des lieux et perspectives","authors":"Nicolas Neveux (responsable NTI)","doi":"10.1016/j.jtcc.2018.12.003","DOIUrl":"https://doi.org/10.1016/j.jtcc.2018.12.003","url":null,"abstract":"<div><p>The French Association of Behavioral and Cognitive Therapy (AFTCC) is aware of the need to improve its website. Several technical changes have been made in 2018, but a deeper redesign is planned. In this article, we review the features currently available, including those available to members. Then, in a second part, are examined the functions which we plan to equip the site.</p></div>","PeriodicalId":100746,"journal":{"name":"Journal de Thérapie Comportementale et Cognitive","volume":"29 1","pages":"Pages 1-3"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jtcc.2018.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72216424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pleine conscience dispositionnelle et aptitude à manger en pleine conscience dans la perte de poids de patients opérés par chirurgie bariatrique","authors":"Fanny Gémieux,&nbsp;Patrick Raynal,&nbsp;Henri Chabrol,&nbsp;Benoît Monié","doi":"10.1016/j.jtcc.2018.08.001","DOIUrl":"https://doi.org/10.1016/j.jtcc.2018.08.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Au regard des études montrant que la pratique de la pleine conscience peut favoriser la perte pondérale, notre objectif fut d’évaluer l’influence de la pleine conscience dispositionnelle et de l’aptitude à manger en pleine conscience dans la perte pondérale chez des patients opérés par chirurgie bariatrique.</p></div><div><h3>Méthode</h3><p>Cent quatre-vingt-quinze participants, dont 174 femmes (89,23 %) et 21 hommes (10,76 %), âgés de 20 à 68 ans (respectivement M<!--> <!-->=<!--> <!-->41,71 ; ET<!--> <!-->=<!--> <!-->11,37 ; M<!--> <!-->=<!--> <!-->43,52 ; ET<!--> <!-->=<!--> <!-->11,31) ont rempli des auto-questionnaires mesurant la pleine conscience dispositionnelle, l’aptitude à manger en pleine conscience et les symptômes anxieux et dépressifs.</p></div><div><h3>Résultats</h3><p>Une étude de corrélation montre que l’aptitude à manger en pleine conscience est faiblement positivement corrélée avec la perte de poids postopératoire (<em>r</em> <!-->=<!--> <!-->0,19 ; <em>p</em> <!-->&lt;<!--> <!-->0,01). Une analyse de régression multiple montre que, parmi les deux sous-échelles de l’aptitude à manger en pleine conscience, seule l’identification des sensations alimentaires est un prédicteur significatif de la perte pondérale post-chirurgie.</p></div><div><h3>Discussion</h3><p>Cette étude montre que l’identification des sensations alimentaires pourrait être un prédicteur de la perte pondérale. Ceci suggère que l’amélioration des capacités à manger consciemment pourrait être explorée comme piste pour améliorer la perte pondérale post-chirurgie bariatrique.</p></div><div><h3>Introduction</h3><p>Obesity is a major public health problem (Charles et al., 2008; Moisan et al., 2012). It is the result of interactions of multiple factors, making its treatment difficult. In addition, psychoaffective suffering is often associated with it. They may as well be the consequence as the cause of weight gain and its maintenance (Fernandez et al., 2015). Overweight and bodily dissatisfaction cause anxiety for many patients, and even emotional distress (Croiset and Sordes-Ader, 2014). Bariatric surgery is one of the solutions used in the medical care of obesity (Schaaf et al., 2015). It tends to normalize the quality of life in the first month (Fernandez et al., 2015; Piche et al., 2005). However, such an operation is not enough to maintain weight loss in the long term. Relationships between therapeutic programs based on mindfulness learning and questions related to weight management are increasingly studied and show that this learning promotes weight loss in overweight people (Dalen et al., 2010; Kristeller et al., 2014). Such learning would also enhance the benefits of bariatric surgery (Katterman et al., 2014).</p></div><div><h3>Aim</h3><p>To our knowledge, the relationship between mindfulness-trait and the effects of bariatric surgery has not been studied to date. We can suppose the level of mindfulness-trait can play a role in the ","PeriodicalId":100746,"journal":{"name":"Journal de Thérapie Comportementale et Cognitive","volume":"29 1","pages":"Pages 25-31"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jtcc.2018.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72216440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Création en établissement médico-social d’un programme d’entraînement à la reconnaissance des émotions faciales chez l’adulte TSA avec retard mental : une étude pilote","authors":"Christophe Saglier","doi":"10.1016/j.jtcc.2018.09.003","DOIUrl":"https://doi.org/10.1016/j.jtcc.2018.09.003","url":null,"abstract":"<div><h3>Objectifs</h3><p>De nombreux travaux étayent la présence d’un déficit de traitement des émotions faciales au sein des troubles du spectre de l’autisme (TSA). Bien que plusieurs programmes d’entraînement aient été créés afin de remédier à cette difficulté, peu d’entre eux ont fait l’objet d’une validation auprès d’un public TSA avec retard mental et, à notre connaissance, aucune donnée de la littérature ne mentionne l’existence d’un programme destiné aux adultes TSA avec retard mental. Cet article rend compte de la faisabilité et de l’évaluation au sein d’un établissement médico-social, d’un programme d’apprentissage des émotions faciales auprès d’adultes TSA avec retard mental.</p></div><div><h3>Méthode</h3><p>Dans un premier temps, nous avons réalisé une étude pilote explorant l’élaboration et la mise en œuvre d’un programme d’apprentissage des émotions faciales auprès d’adultes TSA avec retard mental au sein d’un institut médico-éducatif. En seconde instance, une évaluation avant et après programme a été conduite auprès de six jeunes adultes TSA avec retard mental. Le programme s’articulait autour de quatre modules : psychoéducation, orientation de l’attention sociale et du regard, émotions faciales, <em>matching</em>.</p></div><div><h3>Résultats</h3><p>Après dix séances d’entraînement, l’évaluation pré et post programme indique une amélioration significative en lecture des émotions faciales et un transfert des compétences dans la vie quotidienne.</p></div><div><h3>Conclusion</h3><p>L’ensemble des résultats met en évidence la pertinence en milieu médico-social d’un programme spécifique au traitement des émotions faciales chez l’adulte TSA avec retard mental. L’absence de données dans la littérature sur la réhabilitation psychosociale à destination de ce public nécessite de futurs travaux de recherche dans ce domaine.</p></div><div><h3>Objectives</h3><p>Many studies (Harms et al., 2010) support the presence of a deficit in facial emotion recognition in Autism Spectrum Disorder (ASD). Several hypotheses have been evoked to explain this phenomenon as an orientation process deficit in social attention (Dawson et al., 1998), an atypical visual exploration of the face with gaze avoidance (Klin et al., 2002) or a deficit in central coherence with an analytical, rather holistic, treatment of the faces (Frith and Happé, 1994). Although several training programs have been created to remedy this difficulty, few of them have been validated with an ASD population with intellectual disabilities and, to our knowledge, there is no evidence in the literature of the existence of a specific program for ASD adults with intellectual disabilities. This article reports on the feasibility and assessment of a facial emotion recognition program for adults with intellectual disabilities in a medico-social setting.</p></div><div><h3>Methods</h3><p>First, a feasibility study was conducted to explore the development and implementation of a facial emotion recognitio","PeriodicalId":100746,"journal":{"name":"Journal de Thérapie Comportementale et Cognitive","volume":"29 1","pages":"Pages 40-48"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jtcc.2018.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72255624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L’union des modèles de l’intolérance à l’incertitude et de la régulation émotionnelle renforce-t-elle le traitement cognitif-comportemental du trouble d’anxiété généralisée ?","authors":"Leslie-Ann Boily,&nbsp;Geneviève Belleville","doi":"10.1016/j.jtcc.2018.06.001","DOIUrl":"https://doi.org/10.1016/j.jtcc.2018.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>La combinaison des modèles de l’intolérance à l’incertitude (II) et de la régulation émotionnelle dysfonctionnelle (RÉD) pourrait améliorer l’efficacité du traitement cognitif-comportemental (TCC) du trouble d’anxiété généralisée (TAG). Cette étude préliminaire compare un TCC du TAG basé sur le modèle de l’II (TCC II) à un TCC du TAG basé sur la combinaison des modèles (TCC II<!--> <!-->+<!--> <!-->RÉD).</p></div><div><h3>Méthode</h3><p>Vingt participants ont complété le traitement. Des entretiens semi-structurés ont eu lieu deux semaines pré- et post-traitement. Des questionnaires ont été postés 3 et 6 mois post-traitement.</p></div><div><h3>Résultats</h3><p>Les analyses par modèles mixtes révèlent que les deux thérapies traitent efficacement le TAG (inquiétudes [<em>F</em>(3, 19,031)<!--> <!-->=<!--> <!-->20,667, <em>p</em> <!-->&lt;<!--> <!-->0,001], sévérité du TAG [<em>F</em>(3, 29,567)<!--> <!-->=<!--> <!-->20,567, <em>p</em> <!-->=<!--> <!-->&lt;<!--> <!-->0,001]). La régulation émotionnelle s’améliore dans les deux conditions (<em>F</em>[3,17,401]<!--> <!-->=<!--> <!-->11,390, <em>p</em> <!-->&lt;<!--> <!-->0,001). Une différence intergroupe sur la régulation émotionnelle est identifiée par contraste entre le suivi 3 et 6 mois : les participants de la condition combinée s’améliorent davantage (<em>t</em>[15,678]<!--> <!-->=<!--> <!-->2,133, <em>p</em> <!-->=<!--> <!-->0,049, <em>d</em> de Cohen<!--> <!-->=<!--> <!-->0,076).</p></div><div><h3>Discussion</h3><p>Un traitement du TAG intégrant la régulation émotionnelle pourrait entraîner une meilleure tolérance aux émotions.</p></div><div><h3>Introduction</h3><p>Generalized anxiety disorder (GAD) is characterised by excessive and incontrollable worry, and is associated with anxiety symptoms such as restlessness, insomnia, concentration difficulties and irritability. This condition has consequences in personal life, such as social withdrawal, and in societal life, such as absenteeism and an increased number of medical consultations. In addition, the evolution of GAD tends to be chronic without adequate treatment. Cognitive-behavioral therapy (CBT) successfully treats generalized anxiety disorder (GAD). More than 50% of individuals with GAD experience a complete remission or significant clinical change after CBT. However, a significant number of people still present GAD symptoms following CBT. Combining interventions from different theoretical GAD models could improve CBT efficacy. In this regard, theoretical links have been suggested between intolerance of uncertainty (IU ; Dugas et al., 1998) and emotion dysregulation (EDr ; Mennin et al., 2005) models (Ouellet, 2014; Riskind, 2005). The IU model posits that GAD development and maintenance is explained by a vulnerability to uncertainty. This vulnerability influences beliefs and attitudes towards worry as well as generates cognitive avoidance. The EDr model explains GAD by difficulties with emotion regulation. GAD","PeriodicalId":100746,"journal":{"name":"Journal de Thérapie Comportementale et Cognitive","volume":"28 4","pages":"Pages 185-195"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jtcc.2018.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72284611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment apprendre ce que sont les TCC ? Une mission de la commission d’enseignement","authors":"Stéphane Rusinek","doi":"10.1016/j.jtcc.2018.09.004","DOIUrl":"https://doi.org/10.1016/j.jtcc.2018.09.004","url":null,"abstract":"","PeriodicalId":100746,"journal":{"name":"Journal de Thérapie Comportementale et Cognitive","volume":"28 4","pages":"Pages 175-176"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jtcc.2018.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72284612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mobile cognitive testing in patients with schizophrenia: A controlled study of feasibility and validity","authors":"M. Dupuy, D. Misdrahi, B. N'Kaoua, A. Tessier, A. Bouvard, P. Schweitzer, M. Auriacombe, F. Serre, M. Fatseas, J. Swendsen","doi":"10.1016/J.JTCC.2018.02.002","DOIUrl":"https://doi.org/10.1016/J.JTCC.2018.02.002","url":null,"abstract":"","PeriodicalId":100746,"journal":{"name":"Journal de Thérapie Comportementale et Cognitive","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83731706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Des outils pour évaluer la sensibilité au renforcement sous Excel, R et Matlab","authors":"P. Caron","doi":"10.1016/J.JTCC.2018.01.003","DOIUrl":"https://doi.org/10.1016/J.JTCC.2018.01.003","url":null,"abstract":"","PeriodicalId":100746,"journal":{"name":"Journal de Thérapie Comportementale et Cognitive","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84102340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prochains congrès","authors":"","doi":"10.1016/S1155-1704(18)30111-3","DOIUrl":"https://doi.org/10.1016/S1155-1704(18)30111-3","url":null,"abstract":"","PeriodicalId":100746,"journal":{"name":"Journal de Thérapie Comportementale et Cognitive","volume":"28 4","pages":"Page 214"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1155-1704(18)30111-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72212761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}