Neuropsychiatrie de l''Enfance et de l''Adolescence最新文献_第4页

Spécificités des troubles des conduites alimentaires chez les mineurs trans et non binaires : une revue de la littérature 跨性别和非二元未成年人饮食行为障碍的特殊性：文献综述

Neuropsychiatrie de l''Enfance et de l''Adolescence Pub Date : 2026-01-01 Epub Date: 2025-10-17 DOI: 10.1016/j.neurenf.2025.09.005

S. Joachim , V. Adrian , F. Medjkane

{"title":"Spécificités des troubles des conduites alimentaires chez les mineurs trans et non binaires : une revue de la littérature","authors":"S. Joachim , V. Adrian , F. Medjkane","doi":"10.1016/j.neurenf.2025.09.005","DOIUrl":"10.1016/j.neurenf.2025.09.005","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the literature to explore the particularities of eating disorders among transgender and gender diverse youth, with a scoping-review design.</div></div><div><h3>Methods</h3><div>A scoping review was carried out of literature with computed research on multiple databases like PubMed, Scopus, CINHAL Complete, PsychArticles and ResearchGate concerning studies about eating disorders among TGD youth.</div></div><div><h3>Results</h3><div>There are three great types of particularities in eating disorders among transgender and gender diverse youth: epidemiological, clinical, and therapeutical.</div></div><div><h3>Discussion</h3><div>Eating disorders appear to have a higher prevalence among transgender and gender diverse youth. Several therapeutic approaches exist, with the main one appearing to be the need for combined care addressing both eating disorders and gender affirmation.</div></div><div><h3>Conclusion</h3><div>It is essential to emphasize the need for screening for eating disorders in transgender and non-binary minors. It is important to prevent the onset of eating disorders through early integrated care that addresses both eating disorders and gender affirmation. Training for healthcare providers on issues related to transgender identity, as well as family support, are fundamental aspects to implement the best support for transgender and non-binary minors.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"74 1","pages":"Pages 12-20"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146015714","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}

引用次数: 0

Les hallucinations de l’enfant : à la limite de la dissociation et de la psychose ! 孩子的幻觉：接近分离和精神病的边缘！

Neuropsychiatrie de l''Enfance et de l''Adolescence Pub Date : 2025-12-01 Epub Date: 2025-02-21 DOI: 10.1016/j.neurenf.2025.01.003

J. Moussaoui , B. Oneib , F. El Ghazouani

引用次数: 0

Analyse docimologique des épreuves de pédopsychiatrie 儿科精神病学证据的文献分析

Neuropsychiatrie de l''Enfance et de l''Adolescence Pub Date : 2025-12-01 Epub Date: 2025-07-02 DOI: 10.1016/j.neurenf.2025.06.003

S. Bourgou , N. Boujelbene , L. Mnif , F. Charfi , N. Ben Salah , K. Kallel

{"title":"Analyse docimologique des épreuves de pédopsychiatrie","authors":"S. Bourgou , N. Boujelbene , L. Mnif , F. Charfi , N. Ben Salah , K. Kallel","doi":"10.1016/j.neurenf.2025.06.003","DOIUrl":"10.1016/j.neurenf.2025.06.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Docimology is the scientific study of assessment methods and examinations. This study aimed to evaluate, using docimological indices, the child psychiatry components of the psychiatry certification exams administered to third-year medical students in the second cycle of medical education (SCMS3) at the Faculty of Medicine of Tunis, Tunisia.</div></div><div><h3>Methods</h3><div>We analyzed the exam scores of all SCMS3 students who sat for the main session of the psychiatry certification exams over six academic years, from 2016–2017 to 2021–2022. Scores from remedial (resit) sessions were excluded. A docimological evaluation was conducted for the overall psychiatry exam, the child psychiatry component, and individual questions within that discipline.</div></div><div><h3>Results</h3><div>A total of 2780 exam papers were included. The average annual pass rate was 96.7% for the overall psychiatry certification and 85.3% for the child psychiatry component. The mean Cronbach's alpha coefficient — a measure of internal consistency — was 0.74. On average, 11.9% of students passed the overall exam without achieving a passing score in child psychiatry. Maximum scores in child psychiatry ranged from 16.5 to 19.75 out of 20. Of the child psychiatry questions, 51.7% were classified as easy, and 31.7% demonstrated at least acceptable discriminatory power. Among the 120 child psychiatry questions analyzed, 25 were identified as ideal in terms of both difficulty and discrimination indices.</div></div><div><h3>Conclusion</h3><div>The child psychiatry exam generally adheres to docimological standards. However, improvements are possible, particularly through alignment with best practices in assessment design and the implementation of faculty development programs focused on medical education and evaluation.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 8","pages":"Pages 446-452"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145527849","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}

引用次数: 0

Are Turkish-language YouTube videos a reliable source of information about Tic disorder? 土耳其语YouTube视频是抽搐障碍的可靠信息来源吗？

Neuropsychiatrie de l''Enfance et de l''Adolescence Pub Date : 2025-12-01 Epub Date: 2025-06-30 DOI: 10.1016/j.neurenf.2025.06.001

H. Kırışman Keleş , E.R. Taşpolat , C. Yeşilkaya , C. Mutlu

{"title":"Are Turkish-language YouTube videos a reliable source of information about Tic disorder?","authors":"H. Kırışman Keleş , E.R. Taşpolat , C. Yeşilkaya , C. Mutlu","doi":"10.1016/j.neurenf.2025.06.001","DOIUrl":"10.1016/j.neurenf.2025.06.001","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the reliability, educational quality, and popularity of Turkish-language YouTube videos on Tic disorders and Tourette Syndrome. The focus was on content accuracy, comprehensiveness, and the influence of uploader type.</div></div><div><h3>Methods</h3><div>Using the keywords “Tic Disorder” and “Tourette Syndrome,” 87 videos were initially identified. After applying inclusion and exclusion criteria, 50 Turkish-language videos were selected. Reliability was assessed using the Modified DISCERN tool, educational quality with the Global Quality Scale, and popularity with metrics such as view rate and Video Power Index. Videos were categorized based on source: doctors, other mental health professionals, patients/their relatives, news channels, and others. Inter-rater reliability was measured using Cohen's kappa.</div></div><div><h3>Results</h3><div>Only 28% of the videos were uploaded by doctors. Differential diagnosis was discussed in 28% of videos, while 78% included treatment information. Inter-rater agreement for Modified DISCERN, GQS, and usefulness had Cohen's kappa coefficients of 0.885, 0.883, and 0.897, respectively. The median the Modified DISCERN tool score was 3, indicating moderate reliability. In terms of quality, 34% were rated high, 42% medium, and 24% low. Videos uploaded by patients or their relatives demonstrated significantly higher view rates and Video Power Index scores than those by professionals. However, there were no significant differences in reliability, quality, or usefulness among uploader groups.</div></div><div><h3>Conclusions</h3><div>The quality and reliability of Turkish YouTube videos on Tic disorders and Tourette Syndrome vary considerably. Although patient-uploaded videos gain more attention, they may lack medical accuracy. Enhancing health professionals’ involvement in online content creation is crucial for promoting accurate, evidence-based public education.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 8","pages":"Pages 438-445"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145527773","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}

引用次数: 0

Au-delà des silences : explorer le « faire fratrie » dans le contexte de la déficience intellectuelle 超越沉默：在智力缺陷的背景下探索“兄弟情谊”

Neuropsychiatrie de l''Enfance et de l''Adolescence Pub Date : 2025-12-01 Epub Date: 2025-04-05 DOI: 10.1016/j.neurenf.2025.03.003

A. Frenk-Renaud , A. Courtinat-Camps

{"title":"Au-delà des silences : explorer le « faire fratrie » dans le contexte de la déficience intellectuelle","authors":"A. Frenk-Renaud , A. Courtinat-Camps","doi":"10.1016/j.neurenf.2025.03.003","DOIUrl":"10.1016/j.neurenf.2025.03.003","url":null,"abstract":"<div><div>This research examines sibling experiences within families where one child has an intellectual disability, giving a voice to all members, including the child with the disability. Unlike studies focused on parental perceptions, it directly explores the lived experiences of siblings, who are often overlooked, particularly younger ones. Through an exploratory approach, the study highlights the uniqueness of sibling dynamics and the meaning each child attributes to their relationships within the family. We initially met with four sibling groups, consisting of children aged 4 to 18, each sharing a common history with their brothers and sisters but experiencing it in a unique way. To illustrate these singular positions, we focused on one sibling group composed of four brothers and sisters, the eldest of whom — Florian — has an intellectual disability. Thematic analyses revealed ambivalent interactions marked by conflicts, violence, and moments of complicity. These relationships oscillated between solidarity and rivalry, often exacerbated by parental expectations or redistributed responsibilities. Barbara, for instance, embodied a “functional eldest” assuming a parental role due to her brother's disability. These responsibilities can foster altruistic behaviors but also mask latent suffering. Silence around the disability is a recurring theme. Children avoid discussing it, which reinforces their isolation and limits their understanding of the challenges associated with disability. Florian verbalized a feeling of exclusion, while his siblings sometimes expressed guilt or incomprehension. This research underscores the importance of recognizing children's voices, whether they have a disability or not, to understand their perceptions and support their development. It highlights the necessity of specific support systems to assist families facing disability-related challenges.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 8","pages":"Pages 419-427"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145527775","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}

引用次数: 0

Groupe de soutien à l’attention de frères et sœurs de personnes avec un trouble du spectre de l’autisme : effets sur le développement psychoaffectif des participants et sur la dynamique de leur famille 自闭症谱系障碍患者的兄弟姐妹支持小组：对参与者心理-情感发展及其家庭动态的影响

Neuropsychiatrie de l''Enfance et de l''Adolescence Pub Date : 2025-12-01 Epub Date: 2025-10-27 DOI: 10.1016/j.neurenf.2025.09.006

S. Claudel

{"title":"Groupe de soutien à l’attention de frères et sœurs de personnes avec un trouble du spectre de l’autisme : effets sur le développement psychoaffectif des participants et sur la dynamique de leur famille","authors":"S. Claudel","doi":"10.1016/j.neurenf.2025.09.006","DOIUrl":"10.1016/j.neurenf.2025.09.006","url":null,"abstract":"<div><div>This article presents a clinical and systemic evaluation of a new support group program for siblings of individuals with autism spectrum disorder (with or without intellectual disability). Designed and implemented as an action-research project involving researchers and practitioners, the program was built around precise criteria based on siblings’ needs, as identified by previous research, and on a paradigm that included the dynamics of the whole family. An autism resource center in France implemented the program with a group of nine children (5–11 years old) and a group of six adolescents (12–17 years old) with participants attending monthly sessions led by two clinical psychologists. The program continued for three years during which time we adjusted the protocol as a function of the psychological processes observed within the support groups. We measured the effects of the program's conceptual model via a mixed methodology combining clinical and projective tools (semi-structured interviews and Family Aperception Test) with standardized tools (Anxiety and Depression Scales) with the aim of identifying participants’ developmental difficulties and potential changes to family organization. Results showed that this type of program must adopt a long-term approach, as it takes time for participants to share their authentic feelings within a support group and for the support group's impacts to modify a family's structural dynamics.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 8","pages":"Pages 428-437"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145527774","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}

引用次数: 0

Hospitalisations de post-urgence pédopsychiatriques en service de pédiatrie : état des lieux à l’hôpital des enfants de Toulouse 儿科急诊后儿童精神科医院：图卢兹儿童医院的情况

Neuropsychiatrie de l''Enfance et de l''Adolescence Pub Date : 2025-12-01 Epub Date: 2025-05-05 DOI: 10.1016/j.neurenf.2025.03.008

M. Chardac , A. Revet , J.-P. Raynaud , G. Benvegnu

{"title":"Hospitalisations de post-urgence pédopsychiatriques en service de pédiatrie : état des lieux à l’hôpital des enfants de Toulouse","authors":"M. Chardac , A. Revet , J.-P. Raynaud , G. Benvegnu","doi":"10.1016/j.neurenf.2025.03.008","DOIUrl":"10.1016/j.neurenf.2025.03.008","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to analyze the characteristics of children hospitalized for psychiatric reasons in the context of increasing demand and limited resources.</div></div><div><h3>Patients and methods</h3><div>A retrospective, single-center observational study was conducted using hospitalization data from August 2020 to August 2022. Participants included children under 15 years old hospitalized for psychiatric reasons.</div></div><div><h3>Results</h3><div>The study included 764 hospitalizations, with an average age of 13.3 years, of whom 73.3% were female. The average length of hospitalization was 4.6 days. Suicide crises accounted for 73.8% of the hospitalization reasons. Approximately 14% of all stays led to referral to a child pediatric psychiatry service inpatient unit.</div></div><div><h3>Discussion</h3><div>A strength of this study is the completeness of its data. Its limitations include the single-center design and lack of prior data. Subgroups, such as those under social or judicial measures, highlight the need for collaboration with social partners. The increase in referrals and the challenges of guiding prepubertal populations underscore the need for expanded child psychiatry resources, both inpatient and outpatient.</div></div><div><h3>Conclusion</h3><div>This single-center study highlights most hospitalizations for suicidal crises in young female patients with complex care pathways. It emphasizes the need for a reasoned strengthening of child psychiatric care and calls for further multicenter studies to better understand the national situation.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 8","pages":"Pages 409-418"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145527851","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}

引用次数: 0

Agenda 议程

Neuropsychiatrie de l''Enfance et de l''Adolescence Pub Date : 2025-12-01 Epub Date: 2025-11-14 DOI: 10.1016/j.neurenf.2025.10.002

引用次数: 0

Agenda 议程

Neuropsychiatrie de l''Enfance et de l''Adolescence Pub Date : 2025-11-01 Epub Date: 2025-10-23 DOI: 10.1016/j.neurenf.2025.10.001

引用次数: 0

Les effets traumatiques du cancer chez les adolescents et jeunes adultes – AJA – en trois temps : parcours pré-diagnostic, parcours médical et passage à la rémission 癌症对青少年和年轻人的创伤影响——三个阶段：诊断前、治疗和缓解

Neuropsychiatrie de l''Enfance et de l''Adolescence Pub Date : 2025-11-01 Epub Date: 2025-07-16 DOI: 10.1016/j.neurenf.2025.03.009

V. Kirakosyan , C. Vérité , L. Digue

{"title":"Les effets traumatiques du cancer chez les adolescents et jeunes adultes – AJA – en trois temps : parcours pré-diagnostic, parcours médical et passage à la rémission","authors":"V. Kirakosyan , C. Vérité , L. Digue","doi":"10.1016/j.neurenf.2025.03.009","DOIUrl":"10.1016/j.neurenf.2025.03.009","url":null,"abstract":"<div><h3>Introduction</h3><div>The onset of cancer in adolescents and young adults (AYA) corresponds to a period of fragility marked by a dull anxiety in the face of what the subject perceives as a threat to his or her body. This anxiety is alleviated to some extent by the announcement of the diagnosis and the implementation of the treatment protocol which gives this anxiety a concrete and real dimension. While some young people manage to adapt to the disease, others develop a ‘surface adaptation’. In this case, the traumatic effects may go unnoticed during the curative phase. This article analyzes the trauma in three stages in order to show the long-term effects.</div></div><div><h3>Methods</h3><div>We used a qualitative methodology based on a semi-structured interview.</div></div><div><h3>Results</h3><div>The results showed that trauma manifested itself in three stages. Firstly, the period of the first signs and symptoms appeared as a pre-trauma, helping the patient to enter gradually into the illness, while over-investing in the event to come as particularly threatening. This pre-trauma fulfilled an anti-traumatic function, because the time taken for prior medical investigation can act as a buffer against the onset of trauma. Then, during the medical course marked by the treatments, the trauma seemed to be put in latency: the young patient being protected by an inevitable dependence on the nursing team which temporarily suspends all psychic work. Finally, when the disease went into remission, the traumatic effects emerged requiring psychological work.</div></div><div><h3>Conclusion</h3><div>It is essential for the various healthcare professionals involved in the care of an AJA patient to provide support in order to prevent the traumatic effects and support the necessary psychological work.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 7","pages":"Pages 392-400"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145340460","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}

引用次数: 0