Neuropsychiatrie de l''Enfance et de l''Adolescence最新文献

{"title":"L’approche Snoezelen comme soutien au lien parent-enfant lors d’hospitalisation à temps plein en pédopsychiatrie : série de cas et revue de la littérature","authors":"Sandrina Jovanovic ,&nbsp;Laurène Jaunet ,&nbsp;Xavier Benarous","doi":"10.1016/j.neurenf.2026.01.006","DOIUrl":"10.1016/j.neurenf.2026.01.006","url":null,"abstract":"<div><h3>Introduction</h3><div>During the full-time hospitalization of a child in a child and adolescent psychiatry unit, separation from the parents may be experienced both as a source of relief and as an affective rupture. Initially developed to promote relaxation through sensory stimulation, the Snoezelen approach may serve as a complementary intervention alongside other interventions supporting parenting.</div></div><div><h3>Method</h3><div>This case series describes the use of multi-weekly Snoezelen sessions involving one or both parents in three fully hospitalized children with various psychiatric disorders. Observations focused on individual benefits and the parent-child relationship. We also conducted a narrative synthesis of the existing literature on the benefits of this approach in pediatric populations.</div></div><div><h3>Results</h3><div>In all three cases parent-child Snoezelen sessions, delivered in addition to usual care, were associated with clinical and functional improvement. Beyond the child's progress, the sessions provided high-quality shared moments between parents and children, which, outside the sessions, coincided with a reduction in family tensions and improved parent–child communication (as observed during interviews and reported after visits or home leaves). Most existing controlled trials have been conducted in youth with neurodevelopmental disorders, either autistic (k<!--> <!-->=<!--> <!-->3) or non-autistic (k<!--> <!-->=<!--> <!-->4), showing effects on autistic symptom severity and behavioral problems, respectively. Only one study examined parental perceptions, although parents did not participate in the sessions.</div></div><div><h3>Discussion</h3><div>These observations provide an initial illustration of the potential value of the Snoezelen approach in supporting fragile family bonds during psychiatric hospitalization, complementing other interventions. We hypothesize that this approach offers a sensory environment that reduces both parental and child stress, thereby enabling the re-emergence of higher-quality shared parent-child experiences. Theoretically, Snoezelen sessions may enhance parental containment capacities, ultimately supporting more synchronous parent-child interactions and more effective emotional co-regulation.</div></div><div><h3>Conclusion</h3><div>Multi-weekly Snoezelen sessions involving parents appeared to be a relevant complementary approach to support the parent–child relationship for children fully hospitalized in child and adolescent psychiatry. Additional research is needed to clarify the indications, expected efficacy, and possible mechanisms of action.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 4","pages":"Pages 190-200"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193144","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":"La consultation CICO : une réponse aux besoins en santé mentale périnatale des personnes vivant avec un trouble psychique","authors":"T. Delawarde-Saïas,&nbsp;J. Comtois,&nbsp;R. Dugravier,&nbsp;M.-N. Vachon","doi":"10.1016/j.neurenf.2026.02.007","DOIUrl":"10.1016/j.neurenf.2026.02.007","url":null,"abstract":"<div><h3>Objectives</h3><div>Individuals living with severe mental illness face substantial barriers to accessing appropriate support for their parenting projects, particularly due to the structural divide between adult and child psychiatry. The CICO consultation (Consultation for Information, Guidance and Orientation) was developed in France to address these challenges. This study aimed to assess the theoretical coherence of the CICO model as a preliminary step toward evaluating its effects.</div></div><div><h3>Methods</h3><div>A theory-driven evaluation was conducted by combining a targeted review of the scientific literature on parenting-related needs among individuals with severe mental illness, a thematic analysis of six semi-structured interviews with professionals involved in the design and implementation of the CICO consultation, and the development of a logic model based on the framework proposed by Brousselle et al.</div></div><div><h3>Results</h3><div>The literature highlighted key needs, including recognition of parenting intentions, continuity and coordination of care, reduction of institutional stigma, and attention to psychosocial vulnerabilities. The reconstructed logic model demonstrated overall coherence between these needs and the resources, activities, and expected outcomes of the CICO consultation, while also identifying limitations related to the explicit integration of social determinants and post-consultation follow-up mechanisms.</div></div><div><h3>Conclusions</h3><div>This theoretical evaluation indicates that the CICO consultation is grounded in a coherent and relevant intervention logic aligned with the documented needs of parents living with severe mental illness. It also provides a structured basis for future empirical evaluations of outcomes and for examining the conditions under which the model may be transferred to other contexts.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 4","pages":"Pages 173-180"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193145","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":"Acceptabilité du programme d’accompagnement PERL (Petite Enfance Recherche-action en Lorraine) : une analyse qualitative","authors":"Sophie Buchheit ,&nbsp;Gonzague You ,&nbsp;Bernard Kabuth","doi":"10.1016/j.neurenf.2026.01.004","DOIUrl":"10.1016/j.neurenf.2026.01.004","url":null,"abstract":"<div><h3>Objectives</h3><div>The aims of this study were to assess parents’ experience of having a maternal and child welfare nurse make a home visit on a regular basis, to describe and analyze the content of these visits, and finally to determine the impact of this scheme on the relationship between the child and its parents.</div></div><div><h3>Method</h3><div>Qualitative analysis of the 54 semi-structured interviews with mothers who had taken part in a primary prevention perinatal home visiting program from birth to 24 months of age, run by a maternal and child welfare nurse. The interview focused on three questions concerning the mothers’ experience of the scheme, the content of the home visit, and the impact of their representations on the relationship with their child.</div></div><div><h3>Results</h3><div>Verbatim analysis enabled us to classify the mothers’ responses into the three main themes comprising 13 sub-themes (positive assessments, child welfare nurse-child alliance, child welfare nurse-mother alliance, ambivalence, evolution of experience since the introduction of the system, discussions and exchanges, play, guidance, observation, mother's participation in play, link from one session to the next, reinforcement of parenting skills, serenity of the relationship, absence of change in the relationship, reinforcement of the relationship) and an additional theme solely of medical content.</div></div><div><h3>Discussion</h3><div>The PERL intervention showed very few dropouts at 24 months (12.9% attrition rate). The criteria for this good acceptability, which are comparable to those in the literature, are certainly linked to a positive experience of the program, good acceptance by the mothers of the presence of the child welfare nurse whose qualities and availability they recognized, reinforcement of parenting skills, and a positive relationship between the mother and the child welfare nurse recognized as being at the heart of good program management.</div></div><div><h3>Conclusion</h3><div>The vast majority of the mothers who took part in the PERL intervention reported a positive experience of being accompanied by a maternal and child welfare professional, an appreciation of the content of the home visiting, and a positive impact on the mother's feelings about her relationship with her child.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 4","pages":"Pages 160-172"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193636","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 violences en périnatalité, regards historiques (XVIIe–XIXe siècle)","authors":"E. Berthiaud","doi":"10.1016/j.neurenf.2025.12.008","DOIUrl":"10.1016/j.neurenf.2025.12.008","url":null,"abstract":"<div><div>Perinatal violence has been little studied for the pre-contemporary period, especially in terms of its impact on the mental health of mothers and children. This article examines the history of perinatal violence from the seventeenth to the nineteenth century, highlighting the diversity of its forms and the difficulty of analysing them using current criteria. It shows that such violence was not limited to intentional acts but also included cultural practices and beliefs that were often internalised or normalised. Pregnant women were regarded as potentially harmful to the fetus through their emotions, while maternal mental disorders were initially attributed to women's nature before being linked to social factors. Women also experienced violence during childbirth, both in traditional and in medical settings. Newborns, for their part, were subjected to forms of care that would now be considered violent. Medical progress helped to reduce mortality but sometimes introduced new forms of constraint. Over time, changing attitudes led to a greater recognition of children's needs. This historical perspective thus sheds light on contemporary debates on “obstetric violence” and on the consideration of perinatal mental health, underlining the depth of the continuities and ruptures that shape current practices.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 4","pages":"Pages 149-159"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193147","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":"Expériences fraternelles d’adolescents identifiés HPI","authors":"Marie-Amélie Martin ,&nbsp;Amélie Courtinat-Camps ,&nbsp;Myriam de Léonardis","doi":"10.1016/j.neurenf.2026.01.002","DOIUrl":"10.1016/j.neurenf.2026.01.002","url":null,"abstract":"<div><h3>Objectives</h3><div>This article seeks to enhance the understanding of sibling experiences of adolescents identified as gifted and to explore the perceived effects of this label on the sibling dynamic. These experiences are understudied; existing research is occasionally outdated, and, to our knowledge, no study has been carried out in France. However, these relationships are central to social development as they allow for the learning of social relations.</div></div><div><h3>Method</h3><div>This article presents the results of a qualitative study of 27 gifted adolescents aged 10 to 15, recruited in France via semi-structured interviews after obtaining written consent from both parents and adolescents. A thematic content analysis was performed using N’Vivo software, guided by a framework inspired by the classic dimensions of sibling relationships (warmth, opposition, identification).</div></div><div><h3>Results</h3><div>Sibling experiences appeared ambivalent, blending warmth (sharing, mutual aid, closeness) and opposition (conflicts, sometimes playful violence, antagonism), while remaining globally satisfactory. Identification and differentiation processes occurred simultaneously. The gifted label was not considered decisive; perceived effects were most notable when the label was shared among siblings.</div></div><div><h3>Discussion</h3><div>The findings suggest that a sibling who is gifted can be a relational resource and an asset for socialization, without overestimating the role of the label in light of ordinary sibling dynamics.</div></div><div><h3>Conclusions</h3><div>The sibling experiences of adolescents identified as gifted are marked by normative ambivalence and identity processes, with the label playing a secondary role unless it creates a shared norm within the sibling group.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 4","pages":"Pages 181-189"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193638","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":"","authors":"Nicolas Rabain","doi":"10.1016/j.neurenf.2026.02.002","DOIUrl":"10.1016/j.neurenf.2026.02.002","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 4","pages":"Pages 201-202"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193635","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":"Validation d’une échelle de dysrégulation émotionnelle chez les enfants atteints de trouble déficit de l’attention avec ou sans hyperactivité (TDAH)","authors":"M. Courrèges","doi":"10.1016/j.neurenf.2025.03.010","DOIUrl":"10.1016/j.neurenf.2025.03.010","url":null,"abstract":"<div><div>Emotional dysregulation is a recursive feature of ADHD clinical expression. This study's goal was to validate a targeted pediatric scale in French, and evaluate its correlations. Emotional Escalation predicted motor impulsivity, and emotional Recovery predicted anxiety and depression. Emotional dysregulation significantly differentiates an ADHD sample from a control group, and evolve correspondingly to the syndrome severity.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 2","pages":"Pages 59-66"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147417387","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":"Concertation pluridisciplinaire : une approche éthique pour aborder la santé dans les situations complexes en protection de l’enfance","authors":"M.-A. Einaudi ,&nbsp;S. Tardieu ,&nbsp;T. Krouch ,&nbsp;R. Laporte","doi":"10.1016/j.neurenf.2025.09.001","DOIUrl":"10.1016/j.neurenf.2025.09.001","url":null,"abstract":"<div><h3>Aim of the study</h3><div>Some situations relating to child protection cause multiple problems (medical, social, administrative, legal, ethical…) leading to communication troubles among partners. A structured model of dialogue space has been developed to explore these most complex situations around health issues: a multidisciplinary professional “Child Protection-Hospital-Ethics” meeting. The aim of this study was to assess the model in order to guide actions in terms of usefulness and organization. The second aim was to clarify ethical issues so as to improve practices.</div></div><div><h3>Discussion</h3><div>The study highlights the impact of cumulative vulnerabilities on child protection support. It questions perceptions, representations and expectations of professionals towards each other. It focuses on organizational issues from field professionals, managers of the system and institutional leaders. It highlights three types of ethical issues in order to improve practices: the characterization of complexity in child protection (clinical, partnership, institutional and political), the notion of “crisis” (from a teenager in crisis to institutional crisis, in a context of societal crisis) and the contribution of deliberation (as a recognition of everyone and which, by clarifying ethical issues, allows finding remedies to overcome conflicts and to meet needs of children).</div></div><div><h3>Conclusion</h3><div>Child protection complexity requires dialogue, reassurance of professionals in their own missions with children, pooling of expertise and adaptation of practices. “Child Protection-Hospital-Ethics” is appreciated for its originality, which is revealed by the model.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 2","pages":"Pages 67-74"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147417290","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":"Adolescence et cybergrooming, une violence méconnue en France","authors":"H. Romano ,&nbsp;S. Fierdepied ,&nbsp;A. Ribadier","doi":"10.1016/j.neurenf.2025.12.001","DOIUrl":"10.1016/j.neurenf.2025.12.001","url":null,"abstract":"<div><div>Information and communication technologies (ICT) have revolutionized relationships between individuals and modes of communication. For teenagers, the use of screens and social media is now an integral part of their lives, with the frequency and duration of use increasing steadily over the years. ICT has many positive aspects: staying in touch with loved ones; sharing news with friends; quickly receiving information on countless topics; accessing learning and entertainment resources, etc. But it also presents risks that are now better understood, including online sexual abuse via cybergrooming to which more and more young people are exposed. While there are numerous publications on cybergrooming at the international level, they remain surprisingly limited in France with, for example, a lack of quantitative data. However, it is essential to pay attention to cybergrooming, as this form of violence has consequences related to both cyberbullying and sexual assault. This article provides an update on current knowledge about cybergrooming based on an action research study conducted at the Maison des Adolescents du Cher (18) and illustrated by a clinical vignette, that of Cassie, 18, which will shed light on our comments.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 2","pages":"Pages 75-80"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147417293","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":"Effets de la thérapie assistée par l’animal pour les enfants et adolescents ayant vécu des traumatismes interpersonnels : une revue systématique","authors":"A. Dumouchel,&nbsp;A. Soubelet","doi":"10.1016/j.neurenf.2025.12.002","DOIUrl":"10.1016/j.neurenf.2025.12.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Childhood exposure to violence constitutes a major public health concern. This systematic review aimed to evaluate the effectiveness of animal-assisted therapy in children and adolescents who have experienced interpersonal trauma.</div></div><div><h3>Patients and methods</h3><div>The review was conducted according to PRISMA guidelines. Searches were carried out in the PubMed, PsycInfo, and PsycArticles databases, in both French and English. Included studies were those assessing the effects of animal-assisted therapy in young people exposed to psychological, physical, or sexual abuse.</div></div><div><h3>Results</h3><div>Fifteen quantitative studies were included, including one randomized controlled trial. Beneficial effects of animal-assisted therapy were found on various clinical symptoms, notably post-traumatic stress disorder, depression, and anxiety. However, some findings remain nuanced or contradictory.</div></div><div><h3>Discussion</h3><div>Methodological weaknesses of the studies (small sample sizes, lack of randomization, variability in protocols, etc.) limited the strength of the conclusions. Despite these limitations, animal-assisted therapy appears to be a promising intervention, complementary to traditional approaches.</div></div><div><h3>Conclusion</h3><div>These findings support the need for further rigorous research, using more robust methodologies, to better assess the true effectiveness of animal-assisted therapy and to understand its underlying mechanisms of action.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 2","pages":"Pages 81-94"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147417383","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}