{"title":"[Exploring and treating complex trauma in everyday clinical reality in child and adolescent psychiatry].","authors":"Marion Robin","doi":"10.1016/j.encep.2025.05.003","DOIUrl":"https://doi.org/10.1016/j.encep.2025.05.003","url":null,"abstract":"<p><strong>Objective: </strong>This case report explores the efficacy of intravenous (IV) Ketamine in treating active suicidal ideation in a 24-year-old female with comorbid major depressive disorder (MDD), borderline personality disorder (BPD), post-traumatic stress disorder (PTSD), and functional neurological disorder (FND).</p><p><strong>Case description: </strong>The patient, with a history of multiple suicide attempts and treatment-resistant MDD, demonstrated significant improvement following nine IV Ketamine sessions. The Montgomery-Åsberg Depression Rating Scale score decreased from 45 to 11, accompanied by sustained reductions in impulsivity, irritability, and depressive symptoms.</p><p><strong>Discussion: </strong>This report highlights Ketamine's rapid action on glutamate pathways and its potential benefits in complex psychiatric profiles, where traditional treatments like electroconvulsive therapy often fail. A proposed staging model for suicidal behavior management underscores the importance of early intervention with non-classical treatments in high-risk cases.</p><p><strong>Conclusion: </strong>IV Ketamine offers a promising therapeutic option for patients with severe suicidality and comorbidities, warranting further research on its long-term efficacy and safety.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Embracing digital psychiatry: Readiness or resistance?","authors":"Ludovic Samalin","doi":"10.1016/j.encep.2025.08.001","DOIUrl":"10.1016/j.encep.2025.08.001","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 5","pages":"Pages 469-470"},"PeriodicalIF":1.0,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute psychiatric care: Initial findings from a post-emergency department unit.","authors":"Lou Madieta, François Kazour, Bénédicte Gohier","doi":"10.1016/j.encep.2025.06.002","DOIUrl":"https://doi.org/10.1016/j.encep.2025.06.002","url":null,"abstract":"<p><p>To permit swift care of psychiatric and suicidal crisis, a post-emergency department unit (named UPSAM) opened on 25th March 2024 at the Angers University hospital. This unit permits a brief stay in a secure environment during which psychiatric care allows a decrease in suicidal ideation and etiological diagnosis followed by a multimodal suicide prevention strategy and ambulatory care organization. For 6 months 348 patients were hospitalized from all 3 corresponding departments. The mean length of stay was 5.6 days resulting in mean bed occupancy of 87.4% discharge; only 37.9% of patients needed public psychiatric care. UPSAM permitted a decrease in waiting time before hospitalization, with a mean delay before hospitalization of 59.4hours in April and 27.4hours in September. Other models of short-stay unit have been tested and showed efficacy in decreasing emergency department waiting time. Further work is needed to better understand appropriate care regimens according to clinical and topographical situations.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christophe Gauld, Élise Hassler, Nicolas Oriol, Damien Depannemaecker, Delphine Maucort-Boulch, Pierre Fourneret
{"title":"The artisan, the anthropologist, and the cartographer: The usefulness of digital twins and digital shadows for clinical psychiatry.","authors":"Christophe Gauld, Élise Hassler, Nicolas Oriol, Damien Depannemaecker, Delphine Maucort-Boulch, Pierre Fourneret","doi":"10.1016/j.encep.2025.04.011","DOIUrl":"https://doi.org/10.1016/j.encep.2025.04.011","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Burning the diagnosis: When burn-out masks psychiatric and sleep disorders.","authors":"Pierre A Geoffroy","doi":"10.1016/j.encep.2025.04.010","DOIUrl":"https://doi.org/10.1016/j.encep.2025.04.010","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yara Bachir, Raymond Kassab, Caroline Hallal, Colin Charbel Cordahi, Charline El Hachem, Rami Bou Khalil
{"title":"Intravenous ketamine for suicide ideation in borderline personality and depression.","authors":"Yara Bachir, Raymond Kassab, Caroline Hallal, Colin Charbel Cordahi, Charline El Hachem, Rami Bou Khalil","doi":"10.1016/j.encep.2025.04.008","DOIUrl":"https://doi.org/10.1016/j.encep.2025.04.008","url":null,"abstract":"<p><strong>Objective: </strong>This case report explores the efficacy of intravenous Ketamine in treating active suicidal ideation in a 24-year-old female with comorbid major depressive disorder (MDD), borderline personality disorder (BPD), posttraumatic stress disorder (PTSD), and functional neurological disorder (FND).</p><p><strong>Case description: </strong>The patient, with a history of multiple suicide attempts and treatment-resistant MDD, demonstrated significant improvement following nine intravenous ketamine sessions. The Montgomery-Åsberg Depression Rating Scale score decreased from 45 to 11, accompanied by sustained reductions in impulsivity, irritability, and depressive symptoms.</p><p><strong>Discussion: </strong>This report highlights ketamine's rapid action on glutamate pathways and its potential benefits in complex psychiatric profiles where traditional treatments like electroconvulsive therapy often fail. A proposed staging model for suicidal behavior management underscores the importance of early intervention with non-classical treatments in high-risk cases.</p><p><strong>Conclusion: </strong>Intravenous ketamine offers a promising therapeutic option for patients with severe suicidality and comorbidities, warranting further research on its long-term efficacy and safety.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Baclofen, a French exception: Like the Mediator?]","authors":"Alain Braillon, Florian Naudet","doi":"10.1016/j.encep.2025.04.012","DOIUrl":"https://doi.org/10.1016/j.encep.2025.04.012","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Internet and video game addiction among adolescents: A preliminary study.","authors":"Hafsa Choujaa, Sofia Zoukal, Mohamed Agoub","doi":"10.1016/j.encep.2024.11.012","DOIUrl":"https://doi.org/10.1016/j.encep.2024.11.012","url":null,"abstract":"<p><strong>Objectives: </strong>Internet and gaming addiction were emerging mental health problems, particularly among adolescents. We aimed to determine the prevalence of Internet use disorder and gaming addiction among high school students and its predictors in the city of Mohammedia, Casablanca.</p><p><strong>Methods: </strong>We conducted a cross-sectional study of 427 students at a public high school in Mohammedia from May to June 2022, which was selected by convenience. Internet addiction was assessed using the Young's Internet Addiction Test-20 items, and gaming addiction was assessed using the problem video gaming scale. Statistical Analysis was done using percentages, means, χ<sup>2</sup> or Fisher's exact tests, Student's t-tests, and logistic regression in final analysis.</p><p><strong>Results: </strong>The mean age of participants was 16.3±1.2, with a female predominance (71%). Among the high school students, 47.8% were from the first year and 52.2% from the second. The majority (52.7%) reported using a smart mobile phone. They used the Internet to play games (68.4%), 32.8% to communicate on social media platforms, and 34.4% to gather general information. The prevalence of Internet addiction was 93.2%. Using the Internet alone was significantly associated with Internet addiction (aOR=2.21; 95% CI 1.02-4.76). The prevalence of Internet game disorder was 14.1% and failing at least one grade was a significant risk factor (aOR=4.54; 95% CI 2.38-8.68).</p><p><strong>Conclusion: </strong>Moroccan adolescents seem to be at great risk of Internet and gaming addictions. Targeted action of modifiable factors would be useful for prevention.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valentin Revillard, Geoffrey Duran, George A Michael
{"title":"French validation of the Sexual Sensation Seeking and Sexual Compulsivity Scales.","authors":"Valentin Revillard, Geoffrey Duran, George A Michael","doi":"10.1016/j.encep.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.encep.2025.04.006","url":null,"abstract":"<p><strong>Context: </strong>Sexual sensation seeking and sexual compulsivity are two characteristics associated with sexual risk taking and can be studied in different contexts, one of these being that of forensics. Among the different tools used to assess these characteristics, the Sexual Sensation Seeking Scale (SSSS) and the Sexual Compulsivity Scale (SCS) are particularly concise and specific.</p><p><strong>Method: </strong>This study proposes a French translation of those scales, the fSSSS and the fSCS, validated among a sample of 536 participants from France. Assessments of factor structure, internal consistency and reliability showed good psychometric properties. Convergent and divergent validities were assessed using various forensic-related measures and demonstrated the relevance of both scales in this context.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yassine Benhaddouch, Youssef Ouazzani Housni Touhami, Fadila Bousgheiri, Adil El Ammouri, Adil Najdi, Rachid Aalouane
{"title":"The Social Functioning Questionnaire (SFQ) in Moroccan dialectal Arabic: Towards better local evaluation.","authors":"Yassine Benhaddouch, Youssef Ouazzani Housni Touhami, Fadila Bousgheiri, Adil El Ammouri, Adil Najdi, Rachid Aalouane","doi":"10.1016/j.encep.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.encep.2025.04.007","url":null,"abstract":"<p><strong>Introduction: </strong>Social functioning is an individual's ability to interact effectively and appropriately with his or her social environment. In psychiatry, acting on social functioning is necessary to reduce the intensity of symptoms and promote patient life in the community. This study proposes a cross-cultural validation of the Social Functioning Questionnaire (SFQ) in Moroccan dialectal Arabic.</p><p><strong>Methods: </strong>This work consists of creating a translated version according to a rigorous methodology, including direct and reverse translation, as well as evaluation by linguistic experts. A sample of 160 participants was then selected to evaluate the psychometric properties of the SFQ in a statistical study.</p><p><strong>Results: </strong>The validation study showed high acceptability and reliability, with a Cronbach's alpha coefficient of 0.803. The results also showed good reproducibility, with perfect inter-observer stability between the test and the retests.</p><p><strong>Conclusion: </strong>This version of the SFQ is reliable and valid for measuring social functioning in our Moroccan population.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}