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

{"title":"Musicothérapie réceptive et anorexie mentale. Évaluation du dispositif DéPi-AM de détente psychomusicale dans l’accompagnement d’adolescentes hospitalisées : étude pilote auprès de 8 patientes","authors":"Stéphane Scotto Di Rinaldi ,&nbsp;Catarina Silva ,&nbsp;David Da Fonseca ,&nbsp;Flora Bat-Pitault","doi":"10.1016/j.neurenf.2023.09.006","DOIUrl":"10.1016/j.neurenf.2023.09.006","url":null,"abstract":"<div><h3>Objectives</h3><p>This pilot study aims at evaluating the effectiveness of music therapy in decreasing anxiety and dysmorphophobia experienced in a care unit during the institutional and distressful moment of weighing.</p></div><div><h3>Patients and method</h3><p>We adapted a technique of receptive music therapy, the so-called DéPi-AM for psychomusical relaxation, with eight adolescent girls (14;8<!--> <!-->±<!--> <!-->2 years;4) hospitalized for four months on average for restrictive anorexia nervosa. The participants received eight music therapy sessions followed by eight control evaluation sessions without music therapy. Quantitative data were collected in three evaluation conditions (pre-session, post-session, and no music therapy).</p></div><div><h3>Results</h3><p>Results suggest that music therapy significantly reduces perceived anxiety (as measured by the STAI-Y A; <em>P</em> <!-->=<!--> <!-->0.01, and the “EVN”; <em>P</em> <!-->=<!--> <!-->0687). Moreover, compared to the control condition, music therapy significantly contributed to a reduction in the systolic blood pressure (<em>P</em> <!-->=<!--> <!-->0.03) and heart frequency (<em>P</em> <!-->=<!--> <!-->02). Results additionally showed that this weighing time significantly increases all physiological constants (systolic blood pressure; <em>P</em> <!-->=<!--> <!-->0.01, diastolic blood pressure; <em>P</em> <!-->=<!--> <!-->0.05, and heart frequency; <em>P</em> <!-->=<!--> <!-->0.04) in contrast to another trivial, emotionally “neutral” day.</p></div><div><h3>Discussion</h3><p>This first quantitative study on the effectiveness of music therapy in adolescents suffering from anorexia nervosa shows encouraging results. The proved anxiety-provoking effect of this strategic institutional time in the care of these adolescents legitimizes the use and benefits of this type of therapeutic group. Undoubtedly, methodological limitations constrain the generalization of findings. Future studies should adopt a mixed (quantitative and qualitative) and transversal methodology. They would surely contribute to refine the profile of those patients, for whom this therapy appears to represent a promising care approach.</p></div><div><h3>Conclusions</h3><p>Overall findings suggest a positive impact of receptive music therapy in decreasing experienced and perceived anxiety. Integrating programs such as the “DéPi-AM” into the therapeutic intervention offered by the care unit could therefore represent a key element when accompanying hospitalized patients during a key and anxious period.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 2","pages":"Pages 51-58"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135221114","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":"« Mon fils, voici l’histoire qui m’a fait devenir la mère que je suis. »","authors":"M. Bonnot,&nbsp;C. Boisdur,&nbsp;M. Guetta","doi":"10.1016/j.neurenf.2024.01.001","DOIUrl":"10.1016/j.neurenf.2024.01.001","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 2","pages":"Pages 95-96"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139636970","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":"Actes auto-agressifs avec substance chez les moins de 18 ans : étude prospective des cas régulés par le centre antipoison et de toxicovigilance de Marseille","authors":"A. Le Gall ,&nbsp;J. Reynoard ,&nbsp;A. Boulamery ,&nbsp;M. Glaizal ,&nbsp;C. Schmitt ,&nbsp;R. Torrents ,&nbsp;D. Da Fonseca ,&nbsp;N. Simon","doi":"10.1016/j.neurenf.2024.01.003","DOIUrl":"10.1016/j.neurenf.2024.01.003","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe poison exposures in case of self-poisoning subjects younger than 18 years old reported to the Marseille Poison Control Center.</p></div><div><h3>Patients and method</h3><p>This is a descriptive, monocentric and prospective review of self-poisoning patients aged<!--> <!-->&lt;<!--> <!-->18<!--> <!-->years who reported to the Marseille Poison Control Center from 1st October 2021 to 31st January 2022.</p></div><div><h3>Results</h3><p>The 308 subjects included were aged 11 to 17<!--> <!-->years with an average age of 14.9<!--> <!-->years (±1.5) for girls and 14.6 (±1.7) for boys (<em>P</em> <!-->=<!--> <!-->0.234). The sex ratio was 0.14. Two hundred and forty patients (77.9%) already had prior psychological or psychiatric follow-up. It was a recurrence of suicide attempts in 43.8% of cases (<em>n</em> <!-->=<!--> <!-->135). The use of an emergency department was almost systematic (<em>n</em> <!-->=<!--> <!-->277, 89.9%). Most of these were mono-intoxications (<em>n</em> <!-->=<!--> <!-->193, 62.7%). The poisonings were in most cases drug-induced (<em>n</em> <!-->=<!--> <!-->281, 91.2%). Analgesics-antipyretics were the most used drug class (<em>n</em> <!-->=<!--> <!-->147 patients, 47.7%), followed by anxiolytics (<em>n</em> <!-->=<!--> <!-->62, 20.1%). Paracetamol proved to be the most ingested substance (<em>n</em> <!-->=<!--> <!-->108, 35.1%). One hundred and six patients remained asymptomatic (34.4%). Of the 308 cases included, 78.6% were hospitalized for an average of four days. Two hundred forty-nine cases (80.8%) had one psychiatric evaluation in an emergency department and 200 (64.9%) will have an appointment for a psychiatric consultation on discharge.</p></div><div><h3>Discussion</h3><p>The demographic characteristics of young suicides and those of intoxication were globally like those found in the literature although our recurrence rate was higher than those in the literature. More than two years after the start of the SARS-CoV-2 pandemic, the malaise of young people remains while the care offer is already saturated. To reverse the trend by 2027 the French Ministry of Health and Prevention has updated its national prevention strategy by various means. A subsequent study could be interesting to see the impact of these measures.</p></div><div><h3>Conclusion</h3><p>This study is limited but seems to complement some indicators, which shows that the pediatric mental health crisis is worsening, especially among the youngest adolescents who have an increased recurrence rate. We must remain vigilant and continue to implement screening actions and means of prevention, particularly of recurrences.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 2","pages":"Pages 76-82"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139872589","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":"Complexité diagnostique des troubles de stress post-traumatiques chez les mineurs non accompagnés : un cas clinique","authors":"Romain Sibut ,&nbsp;Laure Boyer ,&nbsp;Justine Besse ,&nbsp;Jonathan Lachal","doi":"10.1016/j.neurenf.2024.01.005","DOIUrl":"https://doi.org/10.1016/j.neurenf.2024.01.005","url":null,"abstract":"<div><p>The migratory journey of unaccompanied refugee minors is often marked by hardship and can give rise to complex post-traumatic stress disorders. Their care in France can also be complex. Several studies have investigated this issue, finding both diagnostic difficulties and an increased representation of psychosis-related diagnoses. Other studies have shown the value of a transcultural vision of the situation. By means of a clinical case that is highly representative of the difficulties encountered by professionals dealing with these patients, we attempt to provide a more global vision, both in terms of diagnosis to avoid misdiagnosis and in terms of treatment.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 2","pages":"Pages 91-94"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140139070","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":"Impact de la maltraitance sur le fonctionnement psychologique et le vécu corporel de l’enfant","authors":"Morgane Gillet ,&nbsp;Frédérique Legros ,&nbsp;Isabelle Fraeys ,&nbsp;Isabelle Lambotte","doi":"10.1016/j.neurenf.2023.10.003","DOIUrl":"https://doi.org/10.1016/j.neurenf.2023.10.003","url":null,"abstract":"<div><h3>Objectives</h3><p>The impact of maltreatment (physical, psychological or severe neglect) on the psychological, affective and cognitive functioning and body experience of children aged six to twelve years using projective media.</p></div><div><h3>Methodology</h3><p>A qualitative and partially quantitative and prospective study of the following variables: quality of life, emotional and psychopathological functioning, intellectual functioning, psychic functioning and body image. Investigation tools: Wisc-V, depression scale (MDI-C), quality of life self-assessment survey (AUQUEI), CAT, self-portrait, modeling of figurines in plasticine and semi-directive interview.</p></div><div><h3>Population</h3><p>Ten children aged six to twelve years, in care at Clairs-Vallons (a medical-psychological residential institution, Belgium).</p></div><div><h3>Results</h3><p>The maltreatment of a child has an impact on the probability of depression (higher than average), on anxiety, on intelligence quotient (more heterogeneous profiles), on self-esteem and on the defensive mechanisms of children. The primary defense mechanisms are to affect distancing, inhibition, cleavage and fragmentation. Disturbances of the body image are noted by the realization of fragmented, damaged and perforated bodies of the figurine models. The models are disproportioned, see-through, some parts of the body left unassembled or juxtaposed. The analysis of the data highlights separation anxieties linked to the disorganized/disoriented attachment style (difficulties in managing separation anxiety), insecurity or anxiety about a part of the body, a certain inability to elaborate a sufficiently organized psychic envelope, a tendency to flee and a hostility in the social relationship.</p></div><div><h3>Conclusion</h3><p>Abuse has a significant impact on the psychological development of children aged 6–12 years. The integration of the more physical aspects, in particular through the use of modeling, allows access to the traumatic bodily experience and to the (non)-integration of sensory, emotional and relational experiences of the child.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 2","pages":"Pages 83-90"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140139069","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":"Revue de littérature sur la qualité d’attachement des enfants avec un trouble du spectre de l’autisme avec ou sans une déficience intellectuelle associée","authors":"P. Pichou,&nbsp;N. Marec-Breton,&nbsp;L. Lemoine","doi":"10.1016/j.neurenf.2023.11.001","DOIUrl":"https://doi.org/10.1016/j.neurenf.2023.11.001","url":null,"abstract":"<div><h3>Objectives</h3><p>The purpose of this study is to conduct a systematic review of studies conducted on autism spectrum disorder (ASD) and attachment. We explore the possibility for children with ASD to establish a secure attachment relationship with their caregiver compared to neurotypical children. Given the current knowledge on ASD and attachment, we expect that ASD is a vulnerability factor in the construction of secure attachment. We also hypothesize that the presence of an associated intellectual disability potentiates the risks for children with ASD to develop insecure attachment compared to children with ASD without associated intellectual disability.</p></div><div><h3>Method</h3><p>We identified on the following databases, PsycInfo, Pubmed, Francis, and Pascal, studies on attachment types in individuals with ASD. Twenty-three articles were selected for our analysis.</p></div><div><h3>Results</h3><p>Their analysis shows that, overall, children with ASD seem to be more likely to develop an insecure type of attachment. There is an over-representation of the disorganized/disoriented type reinforced by the presence of an intellectual disability. However, the risk of developing an insecure attachment is not verified in the whole corpus and these observations are not always scientifically valid (sometimes, there are no inferential statistics because too few subjects; sometimes the results are not statistically significant). Furthermore, we were able to highlight a strong heterogeneity in the indices used in the studies (e.g., characteristics of the population included or measures of attachment), which may bias the interpretation of these studies or at least make them impossible to generalize.</p></div><div><h3>Conclusion</h3><p>Further research is needed to define the study population more rigorously in order to minimize bias in the research (language level, intellectual efficiency, theory of mind, presence or absence of comorbidities, etc.). Future work should allow us to better understand the links between ASD and attachment fragility, which seem to us to be more complex and multifactorial than what the first studies were able to put forward.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 1","pages":"Pages 31-46"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139719513","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":"Christian Mille","doi":"10.1016/j.neurenf.2023.11.002","DOIUrl":"10.1016/j.neurenf.2023.11.002","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 1","pages":"Pages 47-48"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139297620","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":"Conséquences à l’adolescence des violences sexuelles dans l’enfance : penser le repérage au cours de l’hospitalisation pédopsychiatrique des adolescents","authors":"B. d’Harcourt,&nbsp;C. Mebazaa,&nbsp;M. Gilsanz,&nbsp;L. Nadereau,&nbsp;N. Leble,&nbsp;C. Rappaport","doi":"10.1016/j.neurenf.2023.11.005","DOIUrl":"10.1016/j.neurenf.2023.11.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Few studies have systematically searched for a history of sexual violence in adolescents with severe psychiatric disorders hospitalized in departments of child psychiatry. Here, we present the results of a retrospective study conducted on the records of all adolescents hospitalized in a child psychiatry department in the Seine Saint-Denis department between 2017 and 2021.</p></div><div><h3>Study objectives</h3><p>The aim of the study was to investigate the frequency of Antecedents of Sexual Aggression (AAS) in adolescents hospitalized in child psychiatry departments and to attempt to describe chronological and symptomatological links between these antecedents and hospitalization in child psychiatry, with the aim of proposing possible screening and management recommendations.</p></div><div><h3>Material and methods</h3><p>We conducted a retrospective study based on analysis of the medical records of 141 adolescents hospitalized in a child psychiatry department between 2017 and 2021.</p></div><div><h3>Results</h3><p>By recalling the epidemiology of sexual aggression in childhood and adolescence (frequent, involving both boys and girls, in a third of cases intrafamilial, and in about half of the situations uncrushed and unaccompanied) our study underlines the importance of their detection by physicians and caregivers. The significantly higher prevalence of suicide attempts and self-harm should draw particular attention to the risk of a history of sexual assault, as these symptoms are strongly associated in our study. The significantly higher prevalence of depression and borderline personality disorder may provide a better understanding of the repercussions of sexual assault in adolescence. The short delay between the sexual assault and its disclosure in our observation, and the fact that most disclosures of intra-family sexual assaults were made during hospitalization, underline the value of systematic hospitalization of adolescents, particularly after a suicide attempt. The reassuring environment of hospitalization may encourage a more rapid disclosure of sexual assault, and thus lessen its devastating psychic effects during adolescence. A potential weakness of our study is that, even in a specialized service, such antecedents are probably still undervalued and insufficiently noted in medical records. More attention should certainly be paid during child psychiatric interviews to any history of sexual assault. Nevertheless, given the scarcity of systematic studies on the subject, this study paves the way for prospective studies. Recommendations can also be made for less serious situations, with no proven psychiatric disorders, but following a suicide attempt. In such cases, the patient could be hospitalized in a pediatric ward, with appropriate psychological support, rather than in a child psychiatry ward. Regardless of where adolescents who have attempted suicide are psychologically cared for, greater attention needs to ","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 1","pages":"Pages 9-13"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139193266","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":"Violences sexuelles chez les mineurs et conséquences psychopathologiques à l’adolescence : aspects historiques et contemporains","authors":"Marine Gilsanz ,&nbsp;Clémentine Rappaport","doi":"10.1016/j.neurenf.2023.11.008","DOIUrl":"https://doi.org/10.1016/j.neurenf.2023.11.008","url":null,"abstract":"<div><p>In recent years, sexual crimes and offenses, in particular among minors, have been the subject of significant media coverage in France as well as a modification of the French law in April 2021. This new law carried several legislative transformations towards a better recognition and protection of children and adolescents who are victims of such violence. This societal and political concern was also exposed by the creation in 2020 by the French government of the Independent Commission on Incest and Sexual Violence against Children. In 2022, this commission issued a certain number of recommendations aimed at professionals in contact with minors, particularly in the field of paediatrics and child psychiatry. We propose in this article, in the light of the current context, to review and comment on how the scientific and medical community has been interested in this question since the 19th century, going through several periods of polemics, before arriving at the interest that exists today for this subject. By studying the scientific literature available since the 1990s, it appears that sexual violence among minors and their psychological reactions has constituted a subject of research that is now very topical, yet still complex to study, concerned by very specific ethical and methodological issues. Data concerning the long-term psychological consequences of sexual violence suffered in childhood and adolescence are quite numerous, demonstrating a considerable impact on mental health, with increased risks of anxiety-depressive disorders, post-traumatic stress disorders, and an increased suicidal risk. On the other hand, the literature focusing on more immediate consequences is less extensive and appears to be an area in which medical research can still develop. We present an inventory focusing on the psychological and psychiatric consequences in adolescents whose clinical traits of trauma, intertwined with that of adolescence, can be confusing. If medical research has provided much data on the psychopathological impact of sexual violence for over 30 years, many areas of research remain to be considered, in particular in the field of child psychiatry and within the framework of care services, to continue to understand this delicate topic.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 1","pages":"Pages 1-8"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139719512","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":"Agenda","authors":"","doi":"10.1016/S0222-9617(24)00022-9","DOIUrl":"https://doi.org/10.1016/S0222-9617(24)00022-9","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 1","pages":"Pages 49-50"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0222961724000229/pdfft?md5=5cbab82da24a4570a81bb46b003e000e&pid=1-s2.0-S0222961724000229-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139719449","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}