Sante Mentale au Quebec最新文献

{"title":"[Évaluation des propriétés psychométriques de l'échelle abrégée de Kessler (K6) parmi les adolescents québécois].","authors":"Jessica Turgeon, Stéphanie Turgeon, Jacques D. Marleau","doi":"10.7202/1094155ar","DOIUrl":"https://doi.org/10.7202/1094155ar","url":null,"abstract":"Objectives The purpose of this study was to examine the unidimensional structure and psychometric qualities of the short version of the Kessler Psychological Distress Scale (K6) in adolescents living in Quebec. Method Data analyzed were obtained from the 2013-2014 Canadian Community Health Survey and included data from 1618 adolescents. The internal structure of the K6 and invariance by gender and age were tested using confirmatory factor analyses. Convergent and divergent validity of the K6 were also assessed. Finally, Receiver Operating Characteristic (ROC) analyses were performed to determine the predictive power of the K6 in predicting the presence of a major depressive episode. Results The analyses suggest the presence of a unidimensional structure in the Quebec adolescent sample, as well as in the studied subgroups. The invariance of the measure is observed for the age subgroups but cannot be established with certainty for the gender analyses. The results support the convergent and divergent validity of the K6 with adolescents, whereas the alpha and omega values of the K6 indicate that its internal consistency ranges from questionable to acceptable for all respondents and subgroups. The results of the ROC curves reveal that the 4/5 cut-off point best predicts the presence of a major depressive episode among all participants and subgroups. Conclusion Although the K6 has several advantages, the internal consistency and invariance by gender results warrant caution regarding its use to identify the level of psychological distress of Quebec adolescents.","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"96 1","pages":"289-308"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90892580","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":"[Crisis-MBT: Mentalization-based brief hospitalization intervention].","authors":"C. Greiner, M. Debbané, V. Besch, P. Prada","doi":"10.7202/1098902ar","DOIUrl":"https://doi.org/10.7202/1098902ar","url":null,"abstract":"Context Our team works in a psychiatric hospital unit at the University Hospitals of Geneva (Switzerland). We welcome there for 7 days people in crisis situations who have either suicidal thoughts or suicidal behavior. As factors precipitating the suicidal crisis, these people go through life events that are accompanied by intense interpersonal difficulties or that threaten the image they have of themselves. In our clinical population, approximately 35% of patients suffer from borderline personality disorder (BPD). In these patients, repeated crises and suicidal behavior lead to frequent and damaging relational and therapeutic ruptures. Our objective is to develop a specific approach to this clinical problem. Intervention We have developed a brief psychological intervention informed by mentalization-based treatment (MBT) in 4 stages: welcoming of the patient, affective mentalization of the crisis elements, formulation of the problem, work on discharge and the continuation of outpatient care. This intervention is suitable for a medical-nursing team. From a MBT point of view, the welcoming phase is mainly devoted to mirroring and affective regulation in order to reduce the intensity of psychic disorganization. It is then a question of activating the capacity to mentalize, namely curiosity about mental states, through work on the crisis narrative with an affective focus. We then work with people to construct a formulation of their problem in which they can assume a role. It is about making them \"agents\" of their crises. Then we can end the intervention by working on both the separation and a projection into the immediate future. The goal is then to extend the psychological work started in our unit at the level of an ambulatory network. The termination phase sees the attachment system reactivated and the reappearance of the difficulties hitherto outside the therapeutic space. Clinical implications MBT is effective for BPD, particularly in reducing suicidal gestures and the number of hospitalizations. We have adjusted its theoretical and clinical device for individuals hospitalized due to a suicidal crisis and who present various and comorbid psychopathological profiles. MBT allows the adaptation and evaluation of empirically based psychotherapeutic tools to different clinical settings but also to different clinical populations.","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"13 1","pages":"221-233"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83873546","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":"Au-delà du logement : l’effet hétérogène de Logement d’abord sur l’implication criminelle de personnes vivant avec un trouble mental","authors":"Marichelle Leclair, Éric Latimer, Ashley J. Lemieux, Laurence Roy, Tonia L. Nicholls, Anne G. Crocker","doi":"10.7202/1094144ar","DOIUrl":"https://doi.org/10.7202/1094144ar","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71255144","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":"Surveiller, contrôler et traiter : le consentement aux soins à la Commission québécoise d’examen","authors":"Emmanuelle Bernheim, Guillaume Ouellet, P. Pariseau-Legault, Nicolas Sallée","doi":"10.7202/1094147ar","DOIUrl":"https://doi.org/10.7202/1094147ar","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71255346","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":"Activité physique, sommeil et consommation de substances chez les adultes déclarant un trouble de personnalité limite en France et au Canada : une étude en ligne","authors":"Samuel St-Amour, L. Cailhol, Célia Kingsbury, D. Ducasse, Gabriel Landry, P. Bernard","doi":"10.7202/1098894ar","DOIUrl":"https://doi.org/10.7202/1098894ar","url":null,"abstract":"","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71266872","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":"[Services and Treatments for People with Borderline Personality Disorder: State of the Situation in Quebec and Future Prospects].","authors":"Catherine Le Corff,&nbsp;Pierre David,&nbsp;Nadine Larivière,&nbsp;Jennifer Dahak,&nbsp;Christine Therriault","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objectives People with borderline personality disorder experience significant health challenges, both in terms of their mental and physical health, resulting in significant functional repercussions. In Quebec and elsewhere in the world, it is reported that the services in place are often poorly adapted or inaccessible. The purpose of this study was to document the current situation in the different regions of Quebec for clients with borderline personality disorder, to describe the main challenges associated with the implementation of services for this clientele, and to identify possible recommendations to meet the needs of this clientele applicable in different practice settings. Method The design used was a qualitative single case study, with descriptive and exploratory aims. Twenty-three interviews were conducted in most Quebec regions with resources working in various CIUSSSs, CISSSs and non-merged institutions offering adult mental health services. In addition, where available, clinical programming documents were consulted. Mixed data analyses were conducted to provide insights based on different types of settings: urban, peripheral, and remote regions. Results Findings show that in all regions, recognized psychotherapeutic approaches are integrated but tend to need to be adapted. In addition, there is a desire to develop a continuum of care and services and some projects are already underway. Difficulties in implementing these projects and harmonizing services on the territory, due in part to financial and human resource issues, are frequently reported. Territorial issues are also to be considered. Conclusion Enhanced organizational support and the creation of clear guidelines to facilitate the development of borderline personality disorder services would be recommended, as well as the validation of rehabilitation programs and brief treatments.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"47 2","pages":"141-163"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9946668","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":"[Psychotherapy prognostic factors for personality disorders (PD) treatment: The role of self-reported questionnaires].","authors":"Nicolas Boivin,&nbsp;Louis-Philippe Gill,&nbsp;Isabelle Martin-Zément,&nbsp;Marie-Ève Provencher,&nbsp;Renée-Claude Dompierre,&nbsp;Johanne Maranda,&nbsp;Mélissa Verreault,&nbsp;Évens Villeneuve,&nbsp;Dominick Gamache,&nbsp;Claudia Savard","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Objectives Dropout rates in psychotherapy are known to be high in patients with personality disorders (PD; ranging from 25% and 64% for Borderline PD). Faced with this observation, the Treatment Attrition-Retention Scale for Personality Disorders (TARS-PD; Gamache et coll., 2017) was developed to precisely identify patients with PD at high risk of abandoning therapy based on 15 criteria, regrouped in 5 factors: Pathological Narcissism, Antisocial/Psychopathy, Secondary Gain, Low Motivation, and Cluster A Features. However, we have limited knowledge about the relevance of self-reported questionnaires commonly used with PD patients to establish treatment prognosis. Thus, the purpose of this study is to evaluate the link between such questionnaires and the five factors of the TARS-PD. Method Data was retrospectively retrieved from the clinical files of 174 participants with a PD (including 56% with borderline traits or PD), who were evaluated at the Centre de traitement le Faubourg Saint-Jean and completed the French version of the following questionnaires: Borderline Symptom List (BSL-23), Brief Version of the Pathological Narcissism Inventory (B-PNI), Interpersonal Reactivity Index (IRI), Buss-Perry Aggression Questionnaire (BPAQ), Barratt Impulsiveness Scale (BIS-11), Social Functioning Questionnaire (SFQ), Self and Interpersonal Functioning Scale (SIFS) and Personality Inventory for DSM-5- Faceted Brief Form (PID-5-FBF). The TARS-PD was completed by well-trained psychologists specialized in PD treatment. Descriptive analyses and regression between self-reported questionnaires and the five factors of the TARS-PD as well as its total score were performed to determine which variables from the self-reported questionnaires completed by the individuals contribute most strongly to the statistical prediction of the variables of the TARS-PD rated by the clinicians. Results The subscales that significantly contribute to the Pathological Narcissism factor (adjusted R2=0,12) are: Empathy (SIFS), Impulsivity (negatively; PID-5), and Entitlement Rage (B-PNI). The subscales associated with the Antisociality/Psychopathy factor (adjusted R2=0,24) are Manipulativeness, Submissiveness (negatively), and Callousness from the PID-5, and Empathic Concern (IRI). The scales contributing substantially to the Secondary gains factor (adjusted R2=0,20) are Frequency (SFQ), Anger (negatively; BPAQ), Fantasy (negatively) and Empathic Concern (IRI), Rigid Perfectionism (negatively) and Unusual Beliefs and Experiences (PID-5). Low motivation (adjusted R2=0,10) is significantly explained by Total BSL score (negatively) and Satisfaction (SFQ) subscale. Finally, the subscales significantly associated to Cluster A features (adjusted R2=0,09) are Intimacy (SIFS) and Submissiveness (negatively, PID-5). Conclusion Some scales from self-reported questionnaires demonstrated modest but significant associations with TARS-PD factors. Those scales might be useful in the scoring of the","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"47 2","pages":"175-195"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9946667","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":"[The Project TANGO Training: Supporting intervention with clients with borderline personality disorder in youth protection and CLSCs].","authors":"Lyne Desrosiers,&nbsp;Lise Laporte","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objectives The relational mode and engagement difficulties of individuals with borderline personality disorder (BPD) can elicit a variety of emotions in the clinician. Emotional activation and compassion fatigue are thus common and can lead to counterproductive interventions. Working with this clientele requires the ability to regulate negative emotions and inhibit associated behaviors. However, the processes involved in this emotional work are rarely made explicit and even less taught. The Project TANGO training was developed to help clinicians modify their emotional and behavioral reactions in the context of common complex interventions. Strategies from dialectical behavioral therapy are taught so that they can use them to self-regulate during emotionally demanding interventions. The purpose of this study is to evaluate the effects of this training on intervention skills and readiness. Method The Project TANGO training was evaluated using a mixed-methods design with 184 practitioners working with adolescents and adults in youth protection (YP) and CLSC settings. Measures of emotion regulation, attitudes towards people with BPD, quality of professional life and self-esteem as a worker with this clientele were taken before, after and 3 months after the training. Pre- and post-training focus groups were used to document the challenges of working with this clientele and to assess the more difficult to quantify effects. Results All of the pre-test measures showed more favourable scores for PJ workers than for CLSC clinicians. Qualitative analyses suggest that they use emotional regulation strategies, such as masking the true emotion and simulating another emotion, which have been associated with burnout. Among PJ workers, the effects of Project TANGO were significant for variables associated with readiness to intervene, suggesting more positive Perceptions and Attitudes towards the clientele (p=0.011, ηp2= 0.160 and p=0.036, ηp2= 0.120), more Compassion Satisfaction and a decrease in Compassion Weariness (p=0.001, ηp2= 0.222 and p=0.002, ηp2= 0.212) three months after the training. CLSC clinicians achieved benefits on their Perceptions (p<0.001, ηp2= 0.168), Attitudes towards BPD (p<0.001, ηp2= 0.185) and Satisfaction with Compassion (p=0.042, ηp2= 0.065) upon completion of the training. Conclusion This study shows that the two groups benefit differently from the training. The results suggest that the training resulted in a more accurate reading of the challenges of intervention among YP practitioners. On the other hand, since these dispositions were more present among CLSC clinicians before the training, they seem to have benefited from the training to increase their intervention skills.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"47 2","pages":"269-297"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9644533","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":"[Physical activity, sleep, and substance use in adults reporting a borderline personality disorder in France and Canada: An online study].","authors":"Samuel St-Amour,&nbsp;Lionel Cailhol,&nbsp;Célia Kingsbury,&nbsp;Déborah Ducasse,&nbsp;Gabrielle Landry,&nbsp;Paquito Bernard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Introduction Borderline personality disorder (BPD) is associated with many unhealthy behaviors. Psychoactive substance (alcohol and drugs) use is present in 78% of adults with BPD. Moreover, a poor sleep seems linked to the clinical profile of adults with BPD. Finally, some physical comorbid disorders like obesity, cardiovascular diseases, and diabetes are linked to physical inactivity and sedentary behaviors. However, to this day no study analyzed these behaviors in French-speaking individuals with BPD. Objectives This study's goal is to document health behaviors in adults with BPD in Canada and in France. Method This cross-sectional study consists of an online survey on the LimeSurvey platform including validated questionnaires distributed in France and Canada. To measure physical activity, we used the \"Global Physical Activity Questionnaire.\" Insomnia was measured with the \"Insomnia Severity Index.\" Substance use was measured with the \"Alcohol, Smoking and Substance Involvement Test.\" Descriptive statistics (N,% and mean) are used to describe previously mentioned health behaviors. Five regression models have been realized to find the main associated variables (age, perceived social status, education level, household income, body mass index, emotional regulation difficulties, BPD symptoms, depression level, previous suicide attempts and psychotropic medication use) to health behaviors. Results A total of 167 participants (92 Canadians, 75 French; 146 women, 21 men) filled out the online survey. In this sample, 38% of Canadians and 28% of French reported doing less than 150 minutes of physical activity weekly. Insomnia affected 42% of Canadians and 49% of French. Tobacco use disorder affected 50% of Canadians and 60% of French. Alcohol use disorder affected 36% of Canadians and 53% of French. Cannabis use disorder affected 36% of Canadians and 38% of French. All tested variables were linked to physical activity (R² = 0.09). Insomnia was only linked with BPD symptoms (R² = 0.24). Tobacco use disorder was linked to social status and alcohol use disorder (R² = 0.13). Alcohol use disorder was linked to social status, body mass index, tobacco use disorder, and depression (R² = 0.16). Finally, cannabis use disorder was linked to age, body mass index, tobacco use disorder, depression, and past suicide attempts (R² = 0.26). Conclusion These results are essential to design health prevention interventions in French-speaking adults with BPD in Canada and in France. They help identify the main factors associated with these health behaviors.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"47 2","pages":"41-67"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9644535","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":"[Methods and Current Issues Related to Risk Assessment of Other-Directed Violence].","authors":"Jean-Pierre Guay,&nbsp;Joao Da Silva Guerreiro,&nbsp;Anne G Crocker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Objectives This article provides an overview of the approaches and instruments used to assess the risk of other-directed violence, with particular focus on risk formulation. Issues pertaining to the development and implementation of these instruments are briefly reviewed. Method A critical analysis of the literature pertaining to the methods and current issues related to risk assessment of other-directed violence is proposed. Results Violence risk assessment instruments are used to manage offenders struggling with mental health issues. They help inform decisions regarding monitoring, supervision, treatment and sentencing in correctional and forensic mental health settings. There are different approaches to violence risk assessment and numerous instruments offered to professionals working in these settings. Considering the structured professional judgement (SPJ) tools, they have considerably evolved in the last years with regard to the types of violence and the methods used to assess and manage risk. Examples of these innovations include taking into consideration victim safety planning and strategies to facilitate risk communication such as scenario planning based on an explanatory framework informed by risk formulation. Risk formulation is a relatively new step in the administration SPJ tools, and invites users to go beyond documenting the presence and relevance of specific risk factors by allowing them to consider the nature and the etiology of violence in an individualized manner. Risk formulation integrates both relevant risk and protective factors that facilitate the process of scenario planning and the identification of successful risk management strategies. Conclusion Although structured approaches to violence risk assessment of offenders struggling with mental health issues have become more and more frequent in many settings, some methodological and implementation issues still have to be tackled. In spite that these issues warrant further discussion based on new empirical data, their contribution to risk reduction and to the success of social rehabilitation of the individuals at the centre of these assessments is undeniable.</p>","PeriodicalId":44148,"journal":{"name":"Sante Mentale au Quebec","volume":"47 1","pages":"63-85"},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10419881","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}