La Presse Médicale Formation最新文献

{"title":"Psychiatrie périnatale : une clinique complexe au carrefour des disciplines","authors":"Sarah Tebeka","doi":"10.1016/j.lpmfor.2026.100762","DOIUrl":"10.1016/j.lpmfor.2026.100762","url":null,"abstract":"","PeriodicalId":100859,"journal":{"name":"La Presse Médicale Formation","volume":"7 1","pages":"Article 100762"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147416986","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":"Ours redaction","authors":"","doi":"10.1016/S2666-4798(26)00021-2","DOIUrl":"10.1016/S2666-4798(26)00021-2","url":null,"abstract":"","PeriodicalId":100859,"journal":{"name":"La Presse Médicale Formation","volume":"7 1","pages":"Article 100779"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147416982","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":"Sommaire","authors":"","doi":"10.1016/S2666-4798(26)00019-4","DOIUrl":"10.1016/S2666-4798(26)00019-4","url":null,"abstract":"","PeriodicalId":100859,"journal":{"name":"La Presse Médicale Formation","volume":"7 1","pages":"Article 100777"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147416983","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":"Pénurie de médicaments : et si on changeait de paradigme ?","authors":"Annie Pierre Jonville-Béra","doi":"10.1016/j.lpmfor.2025.100746","DOIUrl":"10.1016/j.lpmfor.2025.100746","url":null,"abstract":"","PeriodicalId":100859,"journal":{"name":"La Presse Médicale Formation","volume":"7 1","pages":"Article 100746"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147416985","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":"Alcool et grossesse. Un risque évitable trop banalisé","authors":"Sarah Coscas","doi":"10.1016/j.lpmfor.2026.100768","DOIUrl":"10.1016/j.lpmfor.2026.100768","url":null,"abstract":"<div><div>Le repérage de l’usage de substances psychoactives est essentiel notamment en période périnatale.</div><div>La grossesse est une fenêtre d’opportunité pour aborder la question de l’alcool qui est la substance psychoactive la plus consommée en France mais aussi la plus dangereuse pour le fœtus.</div><div>Le risque de l’exposition à l’alcool concerne les futurs pères et les futures mères en préconceptionnelle et les mères pendant toute la grossesse et ce dès le premier verre.</div><div>Les conséquences de l’exposition à l’alcool est la survenue de troubles regroupés sous les troubles du spectre de l’alcoolisation fœtale, dont le syndrome d’alcoolisation fœtale (SAF) est la forme la plus sévère.</div><div>Le message du « zéro alcool pendant la grossesse » est encore trop banalisé. Il s’agit d’un message fort et essentiel pour prévenir de nombreux troubles évitables.</div></div><div><div>Identifying the use of psychoactive substances is essential, particularly during the perinatal period.</div><div>Pregnancy presents an opportunity to address the issue of alcohol, which is the most widely consumed psychoactive substance in France and also the most dangerous for the fetus.</div><div>The risk of alcohol exposure concerns future fathers and future mothers in the preconception period and mothers throughout pregnancy, from the very first drink.</div><div>The consequences of alcohol exposure include the development of disorders grouped under the umbrella of fetal alcohol spectrum disorders, of which fetal alcohol syndrome (FAS) is the most severe form.</div><div>The message of “zero alcohol during pregnancy” is still too often dismissed. This is a strong and essential message to prevent many avoidable disorders.</div></div>","PeriodicalId":100859,"journal":{"name":"La Presse Médicale Formation","volume":"7 1","pages":"Article 100768"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147416977","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":"Prévention des chutes chez la personne âgée : rôle clé des activités physiques adaptées","authors":"P.L. Bernard ,&nbsp;O. Maurelli ,&nbsp;T. Paillard ,&nbsp;H. Blain","doi":"10.1016/j.lpmfor.2026.100769","DOIUrl":"10.1016/j.lpmfor.2026.100769","url":null,"abstract":"<div><div>La chute chez la personne âgée est un événement multifactoriel, souvent lié à un déséquilibre entre les ressources de la personne et son environnement. La prévention repose sur trois piliers : l’évaluation individualisée, la mise en action par des activités physiques adaptées, et l’information/éducation du patient. Les programmes d’activités physiques doivent être personnalisés, progressifs, et intégrer des exercices d’équilibre, de renforcement musculaire et de marche. L’évaluation initiale (tests comme le <em>Timed Up and Go</em>, le monopodal, la vitesse de marche) permet d’orienter vers le programme le plus adapté. Des programmes validés (OTAGO, PIED, PEM-ES, Vivifrail) montrent une réduction significative du risque de chute et une amélioration de l’autonomie.</div></div><div><div>Falls in the elderly are multifacetal events, often linked to an imbalance between the individual's resources and their environment. Prevention is based on three pillars: individualized assessment, implementation of adapted physical activities, and patient information/education. Physical activity programs should be personalized, progressive, and include balance exercises, muscle strengthening, and walking. Initial assessment (using tests such as Timed Up and Go, one-leg stand, and walking speed) helps guide individuals toward the most suitable program. Validated programs (OTAGO, PIED, PEM-ES, Vivifrail) demonstrate a significant reduction in fall risk and improved autonomy.</div></div>","PeriodicalId":100859,"journal":{"name":"La Presse Médicale Formation","volume":"7 1","pages":"Article 100769"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147416978","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":"Bilan adénopathie cervicale chez l’adulte","authors":"Nicolas Gower","doi":"10.1016/j.lpmfor.2026.100760","DOIUrl":"10.1016/j.lpmfor.2026.100760","url":null,"abstract":"","PeriodicalId":100859,"journal":{"name":"La Presse Médicale Formation","volume":"7 1","pages":"Article 100760"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147416935","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":"Les liens entre troubles psychiatriques et aide médicale à la procréation","authors":"Marie Arnal ,&nbsp;Sarah Tebeka","doi":"10.1016/j.lpmfor.2026.100763","DOIUrl":"10.1016/j.lpmfor.2026.100763","url":null,"abstract":"&lt;div&gt;&lt;div&gt;&lt;strong&gt;–&lt;/strong&gt; L’infertilité et les troubles psychiatriques ont une forte prévalence dans la population. L’infertilité concerne 15 à 25 % des couples en France tandis que 12,5 % de la population adulte déclarent avoir eu un épisode dépressif caractérisé (EDC) durant l’année 2021 en France. On estime que 28 à 44 % des femmes infertiles présenteraient un EDC.&lt;/div&gt;&lt;div&gt;&lt;strong&gt;–&lt;/strong&gt; Il existe un lien bidirectionnel entre la santé mentale et l’aide médicale à la procréation (AMP). Les troubles psychiatriques peuvent influencer l’entrée, le déroulement ainsi que l’issue des parcours d’AMP, tandis que ces parcours peuvent acutiser des vulnérabilités psychiques préexistante voir déclencher des troubles psychiatriques.&lt;/div&gt;&lt;div&gt;&lt;strong&gt;–&lt;/strong&gt; Les échecs répétés de tentative d’AMP favorisent l’apparition d’EDC et tendent à considérablement dégrader la santé mentale des couples. L’évaluation psychique devrait être systématique aux différentes étapes du parcours, et se poursuivre une fois le parcours d’AMP fini, une grossesse ayant été obtenue ou non.&lt;/div&gt;&lt;div&gt;&lt;strong&gt;–&lt;/strong&gt; L’offre de soins psychiques et psychiatriques au cours d’un parcours d’AMP est très inégale et non uniformisée en France. Et il n’existe actuellement pas de données sur les dispositifs de soutien psychologique et d’évaluation psychiatrique dans les centres d’AMP en France.&lt;/div&gt;&lt;div&gt;&lt;strong&gt;–&lt;/strong&gt; L’article souligne l’importance d’une prise en charge globale lors des parcours d’AMP. L’accompagnement lors d’un parcours d’AMP se limite trop souvent à une prise en charge médicale. L’intégration de la dimension psychique et psychiatrique dans chaque parcours paraît cruciale.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;div&gt;&lt;strong&gt;–&lt;/strong&gt; Infertility and psychiatric disorders have a high prevalence in the population. Infertility affects 15 to 25% of couples in France, while 12.5% of the adult population reported having experienced a major depressive episode (MDE) during 2021 in France. It is estimated that 28 to 44% of infertile women may experience a major depressive episode.&lt;/div&gt;&lt;div&gt;&lt;strong&gt;–&lt;/strong&gt; There is a bidirectional link between mental health and Medically Assisted Reproduction (MAR). Psychiatric disorders can influence the initiation, course, and outcome of MAR treatments, while these treatments can exacerbate preexisting psychological vulnerabilities or even trigger psychiatric disorders.&lt;/div&gt;&lt;div&gt;&lt;strong&gt;–&lt;/strong&gt; Repeated failures in MAR attempts promote the onset of MDE and tend to significantly deteriorate the mental health of couples. Psychological assessment should be systematic at each stage of the process and continue once the MAR process is completed, whether or not a pregnancy has been achieved.&lt;/div&gt;&lt;div&gt;&lt;strong&gt;–&lt;/strong&gt; The availability of psychological and psychiatric care during an MAR process is highly unequal and not standardized in France. Currently, there is no data on psychological support services and psychiatric assessment in MAR centers in ","PeriodicalId":100859,"journal":{"name":"La Presse Médicale Formation","volume":"7 1","pages":"Article 100763"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147416979","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":"Les demandes d’interruption médicale de la grossesse pour détresse psychologique","authors":"Célia du Peuty","doi":"10.1016/j.lpmfor.2026.100765","DOIUrl":"10.1016/j.lpmfor.2026.100765","url":null,"abstract":"<div><div>En France, une interruption médicale de la grossesse est possible jusqu’au terme pour des motifs qui peuvent être relatifs à la santé du fœtus ou de la femme enceinte. Les Centres pluridisciplinaires de diagnostic prénatal (CPDPN) sont en charge d’examiner et d’accompagner ces situations.</div><div>Au sein des demandes liées à la santé de la femme, on distingue les motifs liés à une pathologie, psychiatrique ou non, et ceux relevant d’une détresse psychologique. Les situations de détresse psychologique sont extrêmement variées. Elles sont également désignées par le terme d’IMG psychosociale.</div><div>Le parcours de soin des femmes demandant une interruption médicale de la grossesse pour détresse psychologique et la prise de décision quant à la recevabilité de la demande diffèrent d’un CPDPN à l’autre. Il s’agit de situations complexes pour les professionnels de santé car il n’existe pas de recommandations claires à ce sujet.</div><div>L’examen des demandes pour détresse psychologique repose notamment sur l’exploration de la volonté de la femme et sur l’évaluation de sa détresse.</div><div>Ces IMG pour un motif non somatique peuvent susciter un inconfort qui invite à réfléchir à la place à accorder aux aspects psychologiques et sociaux dans le champ de la santé.</div></div><div><div>In France, medical termination of pregnancy (MTP) is allowed until full term for reasons relating the fetus’ or the woman's health. Multidisciplinary Prenatal Diagnosis Centers (MPDC) are responsible for examining these situations and authorizing the procedure.</div><div>Within requests related to woman's health, we distinguish between reasons related to a medical condition, psychiatric or not, and those related to psychological distress. Situations of psychological distress are extremely varied. They are also referred to as “psychosocial MTP”.</div><div>The care pathway for women requesting a MTP for psychological distress and the decision-making process regarding the admissibility of the request differ from one MPDC to another. These are complex situations for healthcare professionals because there are no clear recommendations on this subject.</div><div>The evaluation of requests of MTP for psychological distress requires in particular exploring the woman's wishes and assessing her distress.</div><div>MTP for psychosocial reasons can cause discomfort in healthcare professionals, prompting reflection on the importance of psychological and social aspects in the field of healthcare.</div></div>","PeriodicalId":100859,"journal":{"name":"La Presse Médicale Formation","volume":"7 1","pages":"Article 100765"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147416981","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 déni de grossesse : un défi clinique et psychologique","authors":"Anne-Catherine Rolland Bride","doi":"10.1016/j.lpmfor.2026.100764","DOIUrl":"10.1016/j.lpmfor.2026.100764","url":null,"abstract":"<div><div>Le déni de grossesse, décrit depuis le 17^e siècle, nommé en 1976 mais conceptualisé seulement au 21^e siècle, se caractérise par une absence de prise de conscience de la grossesse par la mère, malgré des signes corporels souvent atténués ou absents.</div><div>La prévalence est estimée entre 1/300 et 1/475 naissances, avec des formes totales (découverte à l’accouchement) plus rares (1/2455).</div><div>Nombreux mécanismes décrits pour expliciter le déni de grossesse, avec autant de cadres théoriques que de situations rencontrées, importance de ne pas généraliser les hypothèses.</div><div>Les conséquences pour la mère et l’enfant sont variables, mais une vigilance accrue est nécessaire pour prévenir les risques de morbi-mortalité périnatale, le devenir des enfants reste méconnu.</div><div>Bien qu’il n’existe pas de profil psychiatrique ou de personnalité type chez les femmes concernées, des facteurs de vulnérabilité semblent inclure un antécédent personnel de déni de grossesse, une précarité sociale et un style d’attachement insécure.</div><div>La prise en charge doit être pluridisciplinaire, associant un accompagnement psychologique, obstétrical et social.</div></div><div><div>Denial of pregnancy, described since the 17th century, named in 1976 but conceptualized only in the 21st century, is characterized by a lack of awareness of the pregnancy by the mother, despite physical signs that are often attenuated or absent.</div><div>The prevalence is estimated to be between 1/300 and 1/475 births, with total forms (discovered at delivery) being rarer (1/2455).</div><div>Numerous mechanisms have been described to explain denial of pregnancy, with as many theoretical frameworks as there are situations encountered. It is important not to generalize hypotheses.</div><div>The consequences for the mother and child are variable, but increased vigilance is necessary to prevent risks of perinatal morbidity and mortality. The long-term outcomes for these children remain unknown.</div><div>Although there is no specific psychiatric profile or personality type among affected women, vulnerability factors seem to include a personal history of pregnancy denial, social precarity, and an insecure attachment style.</div><div>Management should be multidisciplinary, combining psychological, obstetric, and social support.</div></div>","PeriodicalId":100859,"journal":{"name":"La Presse Médicale Formation","volume":"7 1","pages":"Article 100764"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147416980","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}