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

{"title":"Accueillir l’enfant suivant un deuil périnatal : l’examen de Brazelton comme intervention thérapeutique précoce","authors":"Y. Sureau ,&nbsp;V. Garez ,&nbsp;N. Le Roux","doi":"10.1016/j.neurenf.2024.07.003","DOIUrl":"10.1016/j.neurenf.2024.07.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Previous studies have shown that children whose births occur after a childless pregnancy tend to be more prone to psychological and affective disorders, with a moderate and nonspecific degree of significance. These pathologies are most often described as a consequence of altered family dynamics rather than an actual impairment of the child's cognitive pathways. Such alterations in familial balance, when occurring in the traumatic shadow of a childless pregnancy be it from spontaneous miscarriage, stillbirth or voluntary termination due to foetal abnormalities, often take root in the prenatal period due to anticipatory representations and thoughts and can express themselves as early as the first days of the newborn's life ex utero.</div></div><div><h3>Aim of study</h3><div>We used the standardized Brazelton assessment scale to observe three such newborns in the presence of their parents and paid particular attention to the parents’ reactions and attitudes to the child's behavior and the impact our explanations had on their understanding of the newborn's response.</div></div><div><h3>Results</h3><div>This study highlights the value of early postnatal care of these dyads with a focus on the issues of caring for the individual discovery of the child by his parents, supported by psychoaffective elements of childcare. However, the specific relevance of the Brazelton's tool in this indication remains to be discussed due to its limited nature by the absence of precise indications, the absence of a reproducible equivalent later in the baby's life, as well as the absence of a result that can be communicated to parents who therefore do not systematically carry the meaning that the caregivers confer on it.</div></div><div><h3>Conclusion</h3><div>The study asserts the fundamental benefit of an early child-based intervention in these families to facilitate genuine bonding and secure attachment, but the nature of such an intervention is yet to be determined.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 8","pages":"Pages 368-378"},"PeriodicalIF":0.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660628","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}

{"title":"Le « Good Psychiatric Management-Adolescents » (GPM-A) : un modèle généraliste et accessible de traitement du trouble de la personnalité borderline chez l’adolescent","authors":"S. Cohen ,&nbsp;M. Blay ,&nbsp;M. Speranza","doi":"10.1016/j.neurenf.2024.06.001","DOIUrl":"10.1016/j.neurenf.2024.06.001","url":null,"abstract":"<div><div>The Good Psychiatric Management for Adolescents (GPM-A) is a generalist model of structured care for adolescents with borderline personality disorder. It is based on principles derived from several psychotherapies validated in the treatment of borderline personality disorder and on current good practice data. Borderline personality disorder is conceptualised as the result of a particular sensitivity to relationships (defined with the term interpersonal hypersensitivity). The GPM-A offers clinicians a pragmatic approach based on good practice in the care of adolescents with borderline personality disorder. Developed in the United States, it is currently being disseminated in the French-speaking world. This article provides a summary of the main components of the model and a discussion of the benefits expected from its implementation among French-speaking clinicians.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 8","pages":"Pages 357-367"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660627","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":"Analyse de livre","authors":"Y. Gansel","doi":"10.1016/j.neurenf.2024.07.001","DOIUrl":"10.1016/j.neurenf.2024.07.001","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 5","pages":"Pages 246-247"},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840220","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’implantation des PCO dans le dispositif français de repérage des troubles du neurodéveloppement : comparaison de l’activité de deux plateformes (Finistère/Vendée)","authors":"P. Planche ,&nbsp;E. Toussaint","doi":"10.1016/j.neurenf.2024.05.007","DOIUrl":"10.1016/j.neurenf.2024.05.007","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of the study presented here is to compare the activity of two neurodevelopmental disorders coordination and orientation platforms (PCO–TND) set up at different times in the history of this system (implemented in 2019). Two studies were conducted: A comparative cross-sectional study of the first 101 screening booklets recorded on both platforms, and a longitudinal study based on data from the Finistère PCO comparing the contents of the booklets of the first 101 children addressed to the PCO with those of the 101 booklets recorded exactly one year later. The questions we aimed to answer are as follows: did the activity of the Vendée PCOs implanted one year later benefit from feedback from the first implanted PCOs? What points of similarity were revealed from a cross-sectional comparison of the activity of these two platforms? What points of dissimilarity? A longitudinal comparison of the activity of the Finistère PCO revealed what changes had taken place over time in terms of the characteristics of the children addressed and the types of referring doctors?</p></div><div><h3>Method</h3><p>The same data collection tool was used at the Finistère and Vendée PCOs. It consisted of a Google form file which recorded the characteristics of the addressed child (age, sex), his/her other high-risk TND factors, particular instinctual, sensory and emotional behaviors, TND warning signs, the suspected disorder(s) justifying referral to the platform, and the assessments prescribed.</p></div><div><h3>Results</h3><p>The age of addressed children tended to fall within the length of time the platform had been in operation. The type of referring doctor varied according to the territory in which the PCO was located. A quarter of the children referred to the two platforms were thought to have an overall developmental delay (motor skills, language and cognition). Sleep disorders and “exaggerated intolerance to change” were identified in around 25 % of children referred to the two PCOs. The longitudinal study carried out on the Finistère PCO revealed an evolution in the quantitative and qualitative characteristics of the activity in the direction of greater compliance with the original objectives of the system.</p></div><div><h3>Discussion–Conclusion</h3><p>Once this screening system has found its place in the host region, at-risk children can be identified earlier and their care provided more promptly which would improve their prognosis. Over time, first-line doctors will become more familiar with the booklet and with TND symptoms and will therefore be better able to identify them, which in turn increases the rate of referral of at-risk children to the platform.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 5","pages":"Pages 217-225"},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703275","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":"Un espace d’accueil au sein d’un CMP : un lieu entre l’intime, le familial et l’institutionnel","authors":"Dimitra Laimou ,&nbsp;Aikaterini Riga ,&nbsp;Lucia Florez-Pulido ,&nbsp;David Martinez ,&nbsp;Marjorie Roques ,&nbsp;Laure Malety","doi":"10.1016/j.neurenf.2024.05.002","DOIUrl":"10.1016/j.neurenf.2024.05.002","url":null,"abstract":"<div><p>The specificities of the current clinical practice demand a constant reflection regarding the symbolizing and containing potential of our therapeutic settings as a means to support families whose backgrounds are often marked by traumatic migratory experiences. Clinicians need to modify traditional therapeutic settings in order to culturally, socially and intrapsychically permit injured families to adhere to the proposed clinical interventions. As a way of better responding to the demands of those families, both in terms of time and content, we have set up a parent/child space. This multi-disciplinary observation place enables us to elaborate about the child's care, but it also constitutes a first therapeutic space that supports the institutional transfer which is often weakened by the traumatic impact of the history of the families we receive at the CMP. Inspired by Françoise Dolto's Maison Verte, this space encourages the parents’ involvement in their child's development, by enhancing their investment in the institution and in their child. The aim is to provide a more individualized support so that children can regain a subjective position, and their parents can be heard and supported in their suffering while dealing with their child's disorders and disorganization.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 5","pages":"Pages 226-230"},"PeriodicalIF":0.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142089607","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":"Sur le chemin de Fatou : intervention d’une équipe mobile en psychiatrie périnatale","authors":"","doi":"10.1016/j.neurenf.2024.05.004","DOIUrl":"10.1016/j.neurenf.2024.05.004","url":null,"abstract":"<div><p>Access to parenthood is not always easy, and various difficulties can sometimes emerge. Often underdiagnosed, these peri- and post-partum disorders have a major impact on the quality of early interactions. Prevention and fast care are fundamental. In Nancy, France, a mobile perinatal psychiatry team (EMPPer) was created in September 2021 with the aim of “reaching out” to these vulnerable populations with care access difficulties. A clinical case combining precariousness, migration, maternal psychopathological disorders, baby's psycho-affective and psychomotor development trouble is exposed. This article aims to present the multidisciplinary network intervention of EMPPer.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 5","pages":"Pages 231-236"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141416013","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":"Suivi de la prise en charge scolaire et médicosociale des enfants inclus dans le registre des handicaps de l’enfant de Guyane : entre théorie et réalité","authors":"","doi":"10.1016/j.neurenf.2024.04.006","DOIUrl":"10.1016/j.neurenf.2024.04.006","url":null,"abstract":"<div><h3>Introduction</h3><p>In France, to benefit from appropriate medical, social and educational care, children with autism spectrum disorders must obtain a referral from the Maison Départementale des Personnes Handicapées (MDPH), and these notifications must then be implemented. In French Guiana, social and territorial inequalities in health are omnipresent. However, there are no data on the care of adolescents with Autism Spectrum Disorder in French Guiana.</p></div><div><h3>Aim and methodology</h3><p>The aim of the project was to explore the educational and medico-social pathways of children included in Guiana's autism spectrum disorder register since 2016 (who were living in Guiana in 2016 and whose ASD had been diagnosed before their 8th birthday) by means of a telephone interview and data collection at the MDPH. We included 52 young people aged 11 to 18, including 40 families contacted by telephone. The results obtained through the variables collected show that, despite a diagnosis made before the age of 8, only 29 young people (out of 47 completed) benefit from medical, social and educational care that coincides with the recommendations of the current Commission des droits et de l’autonomie des personnes handicapées (CDAPH).</p></div><div><h3>Results</h3><p>Of the 52 young people monitored, at least nine – or 17.3% – were not receiving any form of education. Thirty one young people were receiving medical, social, health and/or educational care at the time of the survey, compared with 16 who were not receiving any, mainly because they had been on a waiting list for an average of five years. In addition, 34% said they were not satisfied with the overall care their child received, mainly because of staff shortages.</p></div><div><h3>Conclusion</h3><p>In conclusion, in French Guiana, there is a significant gap between what is recommended to parents for their teenage child's care and what is actually possible.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 5","pages":"Pages 208-216"},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0222961724000813/pdfft?md5=ebaedc2e62cd4cac486c5cd21844222f&pid=1-s2.0-S0222961724000813-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141274362","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}

{"title":"","authors":"Nicolas Schlösser","doi":"10.1016/j.neurenf.2024.03.001","DOIUrl":"10.1016/j.neurenf.2024.03.001","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 4","pages":"Page 194"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140778405","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 stéréotypes sur l’enfant ayant un diagnostic de TDAH chez les neuropsychologues en France","authors":"K.-M. Valery ,&nbsp;M. Roulin ,&nbsp;M. Caiada ,&nbsp;S. Felix ,&nbsp;S. Guionnet ,&nbsp;E. Tison ,&nbsp;T. Fournier ,&nbsp;L. Violeau ,&nbsp;L. Chadapeaud ,&nbsp;J.-B. Pachnopoulos ,&nbsp;A. Prouteau","doi":"10.1016/j.neurenf.2024.04.002","DOIUrl":"10.1016/j.neurenf.2024.04.002","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to identify the content of the stereotype of a child with a diagnosis of attention deficit disorder with or without hyperactivity (ADHD) among French neuropsychologists, and then to identify the factors associated with a stereotyped representation of ADHD.</p></div><div><h3>Method</h3><p>An online survey was conducted in France among 88 neuropsychologists working with children diagnosed with ADHD. Stereotypes were identified using differential semantic scales. In line with the Stereotype Content model, seven “competence” stereotypes and seven “warmth” stereotypes were assessed. Individual factors potentially associated with stereotyping included categorical and continuum beliefs, beliefs in high quality of life opportunities, feelings of professional usefulness, perceived general similarities and perceived specific similarities. Sociodemographic factors were also collected.</p></div><div><h3>Results</h3><p>Compared with neurotypical children, participants perceived children with an ADHD diagnosis as having more difficulty concentrating, being less competent at controlling their emotions, more extroverted, more irritable, more insolent, less competent at maintaining friendly relationships, less competent academically, more competent at sports, more warm-hearted and more arrogant. The more the participants perceived themselves to be similar to children with a diagnosis of ADHD, the fewer stereotypes they themselves reported. Neuropsychologists with the fewest years of experience, the most frequent contact with children diagnosed with ADHD and working in private practice reported a more stereotyped view of ADHD.</p></div><div><h3>Conclusion</h3><p>Even though neuropsychologists play an important role in supporting children with ADHD, many stereotypes can be found in their representation of the children they work with. These stereotypes are discussed, along with anti-stigma solution.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 4","pages":"Pages 157-164"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140762149","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":"Médiations culturelles : modalités de mise en œuvre dans une institution de pédopsychiatrie","authors":"Lou Vernier ,&nbsp;Joana Matos ,&nbsp;Amélie Bion ,&nbsp;Nicolas Hespel ,&nbsp;Barnabé Louche ,&nbsp;David Cohen","doi":"10.1016/j.neurenf.2024.04.003","DOIUrl":"10.1016/j.neurenf.2024.04.003","url":null,"abstract":"<div><h3>Context</h3><p>Art-mediated activities and cultural care have become a component of most hospital institutions for children and adolescents. Yet their funding is not specified. Based on the experience of a university hospital department, we would like to consider measures that might encourage their continuation.</p></div><div><h3>Methods</h3><p>We conducted an observational study and interviews (<em>n</em> <!-->=<!--> <!-->15) to list all the activities carried out by an external contributor in 2023, their themes, the target audience, their objectives, the nature of the contributors, the existence of a formalized agreement, funding, as well as their frequency and duration.</p></div><div><h3>Results</h3><p>Thirty-five different partners carried out 685 actions in 2023, 10% of which were carried out outside the hospital. The themes addressed are extremely varied (sports, performing arts, literature, visual arts, etc.). These activities represent an average of 210 interventions per unit, or 4 per week. However, they are less numerous in the intensive care unit and units for autistic patients with challenging behaviors, and virtually absent from outpatient units. Finally, specific funding or agreements are often absent.</p></div><div><h3>Discussion</h3><p>Despite their frequency and the substantial investment made by the team and its partners, there are a number of weaknesses. We are developing the idea that the creation of a cultural policy co-constructed between a cultural and sponsorship department and the clinical components (in our case, child psychiatry) would make it possible to resolve some of these weaknesses and promote a better inclusion in patient care.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 4","pages":"Pages 165-174"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141051495","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}