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

{"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}

{"title":"Point de vue neuroconstructiviste : modèle développemental du trouble du spectre de l’autisme","authors":"A. Plusquellec,&nbsp;L. Vandromme","doi":"10.1016/j.neurenf.2023.09.003","DOIUrl":"10.1016/j.neurenf.2023.09.003","url":null,"abstract":"<div><p>Understanding how autism spectrum disorder occurs in children is a key issue in current research. This opens up the possibility of earlier detection of this neurodevelopmental disorder in order to facilitate access to care for these children. To this end, we propose here a developmental model of autism spectrum disorder based on three successive phases: a first undifferentiated phase, from birth to 6 months; a prodromal phase from 6 to 12 months; and a symptomatic phase from 12 months. The description of these phases is based on a recent scientific literature review.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 1","pages":"Pages 26-30"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135433728","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":"Repérer les violences sexuelles chez les adolescents suicidants. L’hospitalisation pédiatrique : un temps pour dire ? Étude rétrospective sur une population d’adolescents hospitalisés en pédiatrie","authors":"M. Gilsanz ,&nbsp;C. Rappaport","doi":"10.1016/j.neurenf.2023.11.006","DOIUrl":"10.1016/j.neurenf.2023.11.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Sexual violence against minors has important psychological repercussions throughout life. In adolescents, it can result in endangerment or self-aggressive behaviour such as suicide attempts. Its detection by health professionals is therefore an important issue in order to provide these young people with appropriate medical and social care. Professional recommendations call for systematic hospitalization of adolescents who have attempted suicide, but these recommendations have not yet been widely applied. At the Robert-Ballanger hospital (Aulnay-sous-Bois, Seine-St-Denis, France), a specific protocol has been established between paediatrics and child psychiatry departments, allowing all suicidal adolescents to be hospitalized in paediatrics. We conducted a study to take advantage of this hospitalization time to better identify sexual violence in adolescents.</p></div><div><h3>Methods</h3><p>We conducted a retrospective study based on the analysis of the medical records of 138 adolescents hospitalized in the paediatric ward and followed by the child psychiatry liaison team at the centre hospitalier Robert-Ballanger (Aulnay-sous-Bois) in 2021.</p></div><div><h3>Results</h3><p>We found significantly more sexually assaulted adolescents among those hospitalized for suicidal gestures or ideas (12 out of 54; 22%) than among those hospitalized for other reasons (5 out of 84; 6%). The sexual assaults described by the adolescents concerned were consistent with data from epidemiological studies and French victimization surveys : they mainly concerned girls (14 out of 17), were repeated assaults in three quarters of cases, and were intrafamilial assaults in one third of cases. The disclosure was often made to a caregiver (for 5 of 17 adolescents). Adolescents with a history of sexual assault were more concerned with intrafamilial violence but also with school harassment. We found a significantly higher number of suicide attempts among sexually assaulted adolescents, as well as a higher number of suicide attempts requiring hospitalization in intensive care.</p></div><div><h3>Conclusion</h3><p>Paediatric hospitalization of adolescents attempting suicide appears to be an interesting tool for identifying a history of sexual assault in these young people. Our study highlights an over-representation of sexually assaulted adolescents among those treated for suicidal thoughts or suicide attempts, as well as specific factors that should be vigilantly monitored. A reassuring environment, awareness-raising among professionals, and special attention to detail could all help to improve detection and hence protection and appropriate therapeutic follow-up.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 1","pages":"Pages 14-23"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139188564","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":"Psychostimulants et tics","authors":"E. Deniau ,&nbsp;A. Hartmann","doi":"10.1016/j.neurenf.2023.11.004","DOIUrl":"10.1016/j.neurenf.2023.11.004","url":null,"abstract":"<div><p>Chronic tics/Tourette syndrome (TS) are among neurodevelopmental disorders including attention deficit hyperactivity disorder (ADHD), learning disabilities, and autism spectrum disorders. Of these, ADHD is by far the most frequently associated, present in<!--> <!-->&gt;<!--> <!-->50% of individuals with TS. Thus, it would seem useful, if ADHD were to be considered sufficiently disabling so as to offer methylphenidate treatment to the patients concerned. Nevertheless, and alas, this is done far too rarely for fear that methylphenidate can increase tic severity. However, even if this possibility exists, it is an exception easy to correct if necessary. Also, the galenic formula of methylphenidate can play a determining role in its tolerance to tics, and several attempts at treatment are sometimes necessary.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"72 1","pages":"Pages 24-25"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139193544","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’engagement des adultes proches d’un enfant endeuillé par la perte d’un membre de sa fratrie : une recherche qualitative exploratoire","authors":"Alexandra Hottat ,&nbsp;Zoé Mallien ,&nbsp;Anne-Catherine Dubois ,&nbsp;Magali Lahaye","doi":"10.1016/j.neurenf.2023.04.005","DOIUrl":"10.1016/j.neurenf.2023.04.005","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this research was to establish an overview of the social support provided by the adults to a bereaved child. The death of a sibling is a terrible experience for a child. Social support is an effective protective factor against the high risk of psychological distress. However, adults are reluctant to get involved because many do not know how to support a bereaved child. To date, few studies have looked at how to empower relatives to engage with the child.</p></div><div><h3>Methodology</h3><p>We conducted an exploratory inductive qualitative study. Seven adults who had been involved with a child experiencing the loss of a sibling participated in a cycle of three group workshops. An analysis by coding, categorizing, and relating the data set was conducted.</p></div><div><h3>Results</h3><p>The results identified four phenomena that lead adults to avoid dealing with the child's grief. These are grief anxiety, grief cognitions, feeling of legitimacy, and tendency to avoid. The way parents and child function also contributes to the barriers participants identified to engaging with the bereaved child.</p></div><div><h3>Conclusions</h3><p>Categorizing and relating the phenomena led to a better understanding and a new knowledge of the difficulties encountered by the adults around a bereaved child. Clinical and research perspectives emerged from our results, notably the identification of a reference person, the design of an inventory of the bereaved child's needs, and collaborative work between parents, child, and their relatives, in order to promote adult involvement and prevent psychosocial risks for the bereaved child.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"71 8","pages":"Pages 437-445"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43629270","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":"Soins sans consentement, mesures d’isolement et de contention en pédopsychiatrie : une analyse des défis éthiques en France","authors":"J. Lefèvre-Utile ,&nbsp;J. Guivarch ,&nbsp;D. Cohen ,&nbsp;C. Cravero ,&nbsp;A.-C. Rolland ,&nbsp;Groupe de travail de pédopsychiatrie de la Commission nationale de psychiatrie","doi":"10.1016/j.neurenf.2023.06.002","DOIUrl":"10.1016/j.neurenf.2023.06.002","url":null,"abstract":"<div><h3>Background</h3><p>In France, child psychiatry care can involve significant ethical challenges. Following the last recommendations of the Controller General of places of deprivation of liberty (CGLPL) and the modifications of the law framing the control measures (seclusion room and restraints) in adult psychiatry, it is necessary to reflect on their operationalization in providing care in order to find the balance between the imperatives of protection and the respect of the young people hospitalized in child psychiatry.</p></div><div><h3>Aim</h3><p>To develop recommendations concerning the use of seclusion and restraint in child psychiatry in the light of recent legislative changes and associated ethical issues.</p></div><div><h3>Methods</h3><p>Within the framework of the national commission of psychiatry, a working group bringing together many child psychiatrists was set up in 2021 to reflect on contemporary issues in our discipline. One of the axes studied – in connection with the forensic psychiatry group – was specifically concerned with isolation and restraint in child psychiatry. An analysis of the ethical issues based on the four principles of Beauchamp and Childress is defined and adapted for the child psychiatric context.</p></div><div><h3>Results</h3><p>The working group identified the legal and ethical issues specific to their discipline. Based on the ethical analysis of two difficult support situations in child psychiatry: (1) the practice of electroconvulsive therapy with adolescents; and (2) the management of violence in young people with autism and intellectual disabilities, the main conflicts of values were identified referring to the principles of non-maleficience, beneficence, autonomy and justice.</p></div><div><h3>Conclusion</h3><p>Based on research in childhood ethics, the relational dimension of autonomy is discussed with reference to the concepts of “shared vulnerability” and “shared care planning”. Specific recommendations for child psychiatry are proposed in order to promote the recognition as moral agents of children and adolescents hospitalized in child psychiatry.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"71 8","pages":"Pages 427-436"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135347242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le vocabulaire mathématique de l’enfant : revue de littérature systématique et synthèse narrative","authors":"Anne Lafay ,&nbsp;Nathalie Maumus Cornet ,&nbsp;Mélanie Barilaro","doi":"10.1016/j.neurenf.2023.06.004","DOIUrl":"10.1016/j.neurenf.2023.06.004","url":null,"abstract":"<div><p>There is a strong link between the development of spoken language in children and the development of their mathematical skills. The objective of the current research is to identify studies and synthesize the scientific knowledge acquired to date on mathematical vocabulary in children. The research method used was a systematic literature review. The results are presented in a narrative synthesis. This review showed that different terminologies are identified in the articles. Mathematical vocabulary is most often assessed in comprehension only, and it is a strong predictor of many mathematical and cognitive skills. The review points out also that children with mathematics learning difficulties have difficulties with mathematical vocabulary. Furthermore, the present synthesis highlights the interest of explicit learning of mathematical vocabulary in children between the ages of 6 and 11 years, particularly through shared reading for the youngest. Finally, no study has investigated mathematical vocabulary in French.</p></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"71 8","pages":"Pages 399-410"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45301318","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}