{"title":"La fatigue chez les personnes atteintes de schizophrénie : un obstacle majeur au rétablissement.","authors":"Zaineb Fanid, Tania Lecomte, Stéphane Raffard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 1","pages":"385-392"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640200","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}
Céline De Breucker, Geneviève Bergeron, Johana Monthuy-Blanc
{"title":"[Cultivate your self-esteem: The effects of nature on physical self-perceptions of people living with disordered eating behaviors and attitudes: A narrative review].","authors":"Céline De Breucker, Geneviève Bergeron, Johana Monthuy-Blanc","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Context Beyond the classic categorical approach to eating disorders, recent scientific articles, catalysed by the pandemic context, demonstrate the importance of considering the alternative approach of dysfunctional eating attitudes and behaviors induced by negative physical self-perceptions in order to consider the general and clinical population as a whole. In this context, interventions targeting contact with nature show positive and promising effects on physical self-perceptions, such as perceived physical appearance. Objectives The objective of this narrative review is to identify the literature pertaining to the effects of contact with nature on physical self-perceptions and, more specifically, on perceived physical appearance in a population with dysfunctional eating attitudes and behaviors. Method A comprehensive search of the scientific literature was conducted between August 2022 and September 2023, with an update in December 2023 on the principal databases in the research field. Results Five articles were selected for the narrative review. All of them demonstrate the positive effects of contact with nature on physical self-perceptions in individuals who exhibit dysfunctional eating attitudes and behaviors. These effects can be classified into two categories, namely direct and indirect (mediated) pathways. This finding is consistent with the current literature on non-clinical populations. Discussion and Conclusion Some articles in the review highlighted further implications to be considered in the relationship between nature and physical self-perceptions of individuals with dysfunctional eating attitudes and behaviors. These articles, which are consistent with the existing literature, illustrate the multi-dimensionality of the model of physical self-perceptions and show how reconnecting to one's body functionality can impact perceived physical appearance. Moreover, other articles have demonstrated the potential of nature as a medium for interventional logic and for reconnecting with the self, with others, and with nature. Nevertheless, the limited number of articles indicates a need for further studies in this area of research. Further research should be conducted to assess the actual impact of contact with nature on perceived physical appearance and more broadly on physical self-perceptions of individuals with dysfunctional eating attitudes and behaviors, and to understand how this impact works.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 1","pages":"293-318"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640831","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":"Yves Lecomte – Topette et merci pour tout !","authors":"Emmanuel Stip","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 1","pages":"11-15"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640853","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":"[From stigma to exclusion of individuals with mental health conditions: Analyzing the perceptions and emotions of stakeholders engaged in the work return and reintegration processes].","authors":"Sonia Laberon, Donatienne Desmette, Marc Corbière","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objectives The stigma surrounding individuals with mental conditions persists, making their return to work or access to employment complex. These negative stereotypes are often internalized by the affected individuals, leading to self-stigmatization. Literature shows that the medical and entrepreneurial sectors harbor many prejudices and apprehensions towards these individuals. In contrast, the fields of rehabilitation and employment support, which frequently interact with these individuals and use recovery approaches, show less resistance. Although the stigma of these populations is relatively well-documented, few studies have differentiated the perceptions of actors responsible for implementing their return and reintegration into work. This study aims to identify and compare these actors' tendencies to stigmatize individuals with mental conditions and their intentions of professional inclusion. Method As part of the international survey by the community of practice in mental health and work (CoP-SMT), data was collected through an online quantitative survey involving 586 actors in the return to work and reintegration processes. Four actor systems were identified: health, corporate, employment support, and individuals with mental disorders on sick leave or job seeking. The questionnaire included a two-factor stigma scale (perceived organizational burden and negative emotions) and a professional inclusion intention measure with three indicators (avoidance, paternalism, and collaboration). Factor analysis and internal consistency validated the psychometric qualities of these measures. Variance analyses with post-hoc comparisons allowed the comparison of responses from categories of 20 or more actors, reducing the sample to 473 participants. Results The results highlight a significant effect of the actor system on stigma and professional inclusion intention. They reveal that actors involved before employment (rehabilitation and employment support) are less prone to stigmatize and more open to including individuals returning or reintegrating into work than those within the company (hierarchy, colleagues, and occupational health professionals). They also show the persistence of self-stigmatization among individuals with mental health issues returning or reintegrating into work. Conclusion To better interpret the results, the experience of coexistence and inclusion in the ordinary work environment of individuals with mental health conditions is explored, considering the roles of various stakeholders. Knowledge, conceptual orientations around mental health, and collaborative multidisciplinary work are suggested as anti-stigma strategies. Based on these findings, research perspectives and recommendations are formulated.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 1","pages":"171-196"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640942","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}
Pierre-Luc Bossé, Juan Manuel Moreno, Paul Morin, Catherine Hudon
{"title":"[Factors Influencing the Implementation of the Barometre Practice Model in the Field of Psychosocial Rehabilitation in Mental Health: Results from a Multiple Case Study].","authors":"Pierre-Luc Bossé, Juan Manuel Moreno, Paul Morin, Catherine Hudon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Over the past few years, several psychosocial rehabilitation strategies in mental health (PSR) have been developed to assist individuals living with severe mental health disorders (SMHDs) to fully exercise their social participation. However, the effectiveness of PSR strategies is often undermined as they remain fragmented, compartmentalized, and not cohesively integrated with one another. Furthermore, while there is scientific consensus and evidence on the usefulness and need for integrative PSR practice models, their effective implementation is not well understood and continues to be a marginal practice. Objective The main objective of this research is to identify and describe the contextual factors (enablers, barriers) influencing the implementation of the Baromètre Practice Model in different organisational contexts. The research also aims to co-produce recommendations with various stakeholders to improve the BPM and the strategies for its implementation. Methodology Drawing from the organizational participatory approach, a qualitative multiple case study was conducted with two French organization's housing individuals living with SMHD. Data collection involved multiple sources including participant observations, focus groups with accompanied persons, semi-structured dyad interviews with health professionals, and round-table discussions with a scientific committee. A theoretical synthesis combining the Capability and Personalised Care and Services approaches, and the Consolidated Framework for Implementation Research (CFIR), guided the iterative thematic analysis process. Results More than 40 contextual factors were identified and grouped into four main interrelated categories: organizational context and process; interprofessional practices; support practices; personal recovery process and maximum participation of people living with SMHDs. The interactions between these different factors led to the emergence of specific systemic dynamics: the contagion of experiences (positive or problematic); inertia, leading to a return to previous habits and modes of operation; and dynamization, which brings about a reinforcement of the motivation among actors to adopt and implement new practices. Conclusion This research provides a better understanding of the internal organizational contextual factors that influence the implementation of the Baromètre Practice Model. It also shows that it is possible to operationalise this model in various organisations offering care and services to individuals living with SMHDs. Research must continue to facilitate the implementation within health care and health service networks wishing to realize collaborative practices that promote the rights of individuals, their self-determination, and their personal recovery.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"50 1","pages":"341-364"},"PeriodicalIF":0.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640940","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":"[Addiction to psychoactive substances among resident physicians in Morocco: A multicenter cross-sectional study].","authors":"Sara Echater, Mohammed Hasnaoui, Mohammed Barrimi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Introduction Substance use among resident physicians is an underestimated, poorly understood, and serious problem because of its negative consequences for the health of physicians and also for the health and safety of the patients in their care. Objective To estimate the prevalence and identify factors associated with addictive behaviors among resident physicians at different university hospitals in Morocco. Method We conducted a multicenter cross-sectional descriptive and analytical study involving resident doctors from the 7 university hospital centers in Morocco. Resident doctors were invited to participate voluntarily in the study by completing an anonymous self-questionnaire created on Google Forms and sent via email. Results The questionnaire was completed by 310 resident physicians, representing 11.07% of the total population of resident physicians in Morocco. Among the participants, 16.1% (n=50) reported consuming one or more psychoactive substances, including 11.1% (n=37) for tobacco, 10% (n=31) for alcohol, and 6.1% (n=19) for cannabis. The consumption of ecstasy and cocaine was observed in 0.7% (n=2) for each substance. Additionally, 11.9% (n=37) of resident physicians had psychiatric disorders, and 3.2% (n=10) had attempted suicide at least once. The consumption of psychoactive substances among resident physicians was statistically significantly associated with the male gender (4.59 [2.20-9.57]; p=0.000), as well as with surgical specialty (0.48 [0.26-0.88]; p=0.017). Conclusion At the end of this work, we found that the use of psychoactive substances is frequent among resident doctors, which explains the need for preventive measures and appropriate management.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"49 1","pages":"145-162"},"PeriodicalIF":0.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113216","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":"Love in the time of fentanyl: Risk in Saint-Henri, Montreal.","authors":"Emmanuel Stip","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"49 1","pages":"15-21"},"PeriodicalIF":0.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113225","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":"[Émile Nelligan (1879-1941) Our Contemporary: Between Freedom and Constraint].","authors":"Vincenzo Di Nicola","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Introduction This essay reviews the case of Émile Nelligan, Quebec's most celebrated poet and the Institute's most famous patient. Writing a clinical case study should be relevant for readers of a scientific medical journal. This allows the transfer of important clinical knowledge for optimal medical care of patients. Yet, how do we approach a poet? What method can we adopt to avoid betraying him-neither as a poet nor as a patient? Method The approach is open. We must start by reading the poet and consult the different archives and authors who have already studied him. We trace the journey from Nelligan as a poetic prodigy to being interned in a Montreal asylum, all before he turned 20. Case Presentation An overview of the salient facts of Nelligan's family life, education, poetry, and the onset of his dementia praecox. Arguments are reviewed for Nelligan as a case study of the tension between psychiatry/antipsychiatry, freedom/constraint, madness/creativity, developmental/social determinants of health, as well as the \"two solitudes\" of Quebec society. Implications A reading of Nelligan torn between the dualities of the two solitudes, liberty and constraint; light and darkness; and what it means to read him as our contemporary for psychiatry, for literature and for Quebec identity.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"49 2","pages":"321-332"},"PeriodicalIF":0.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830227","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":"[An integrative review documenting creativity in the utilization of digital health and artificial intelligence at the Institut universitaire en santé mentale de Montréal].","authors":"Alexandre Hudon, Mélissa Beaudoin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objective Founded in 1873, the Institut universitaire en santé mentale de Montréal (IUSMM) has a captivating history that significantly reflects the evolution of psychiatry over the years. In recent years, the primary sectors of modern medicine have turned to digital health innovations to enhance patient care development. The main objective of this review is to document advancements in digital health within the IUSMM and its affiliated research center over the past 150 years. Method An integrative review focusing on digital health innovations at the IUSMM was conducted. The Medline, Web of Science, PsycNet (PsycINFO), and Google Scholar databases were consulted from their inception until December 2023. Result The literature review initially identified 239 articles, with 108 duplicates removed during the preliminary analysis. Among the remaining 131 studies, 63 articles were excluded based on title and abstract review, as they did not meet inclusion criteria. After a comprehensive analysis of the initially selected 68 articles for eligibility evaluation, a total of 22 articles were retained. Five categories of articles were identified: virtual reality, digital applications, remote services and therapies, the use of artificial intelligence, and digital personal assistants. Conclusion On the occasion of the 150th anniversary of the IUSMM, this integrative review reveals that digital health innovations are primarily concentrated in the last decade, suggesting promising potential for digital applications in supporting individuals with mental health disorders, although the transition to clinical practice may progress slowly.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"49 2","pages":"105-125"},"PeriodicalIF":0.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830216","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}