Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique最新文献

{"title":"Acceptability of non-invasive liver fibrosis screening in psychiatric settings.","authors":"Magdalena Meszaros, Delphine Capdevielle, Stéphanie Faure, Corinne Rotrou, Marie-Christine Picot, Jérôme Attal, Alexandra Macgregor, Georges-Philippe Pageaux, Hélène Donnadieu","doi":"10.1016/j.encep.2025.04.005","DOIUrl":"https://doi.org/10.1016/j.encep.2025.04.005","url":null,"abstract":"<p><strong>Objectives: </strong>Psychiatric patients are frequently exposed to factors that increase their risk of developing chronic liver diseases. These factors include the presence of metabolic syndrome, high rates of current or past alcohol and illicit substance use, and the direct liver toxicity of certain psychiatric medications. Despite this, systematic screening for chronic liver diseases in this population is not routine. Transient elastography (FibroScan®), a non-invasive method to assess liver stiffness, could facilitate early detection of advanced hepatic fibrosis. This study aimed to assess the acceptability of non-invasive liver fibrosis evaluation using FibroScan® among psychiatric inpatients and to evaluate the prevalence of alcohol and illicit drug use, viral hepatitis, significant liver fibrosis, and linkage to somatic care.</p><p><strong>Methods: </strong>This prospective, interventional cohort study was conducted in a tertiary psychiatric hospital from March 2023 to January 2024. Liver stiffness measurement (LSM) by transient elastography (FibroScan®) screening for the detection of significant liver fibrosis was proposed to all hospitalized patients after providing informed consent. Patients responded to a structured interview that included the AUDIT-C questionnaire to assess alcohol use disorders, along with items on illicit drug use and other liver disease risk factors like metabolic syndrome or viral hepatitis. Significant fibrosis was defined as liver stiffness measurement (LSM) ≥10kPa. Demographic, clinical, biological and virological data was collected from patients' medical files.</p><p><strong>Results: </strong>A total of 180 patients were included in the study, with 122 (67.8%) consenting to FibroScan® screening. The cohort's mean age was 44.4±15.5 years, with 61% male. The seroprevalence of HCV antibodies was 2.5%, with a higher prevalence among men (6.5%). Chronic HBV infection prevalence was 0.81%. Metabolic syndrome was present in 28.7% of patients. Alcohol use disorders were identified in 45.9% of patients, with men showing higher AUDIT-C scores than women (P=0.04). Drug use was reported by 37.7% of patients, with recent use in 20%. Significant fibrosis was detected in 0.8% of patients and linkage to care was provided in this case.</p><p><strong>Conclusions: </strong>Transient elastography is an acceptable method for screening hepatic fibrosis in psychiatric settings. It represents an excellent option to assess other associated comorbidities in this underserved population and improve linkage to somatic care.</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":"144700300","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":"What factors are associated with seclusion in patients with psychosis?","authors":"Husen Ali-Diabacte, Assia Mazari, Eirini Rari, Catherine Martelli, Amine Benyamina, Bruno Romeo","doi":"10.1016/j.encep.2025.03.004","DOIUrl":"https://doi.org/10.1016/j.encep.2025.03.004","url":null,"abstract":"<p><strong>Objective: </strong>Seclusion is a measure used as a last resort in psychiatry to manage high-risk situations of hetero- or self-agression. However, few studies have investigated factors that could be associated with seclusion. The aim of this study was to assess the clinical and socio-demographic characteristics of patients who were prescribed seclusion.</p><p><strong>Patients and methods: </strong>An observational, retrospective study was carried out between January 2019 and December 2020, including patients with psychosis who had been hospitalized. Clinical and socio-demographic characteristics, as well as psychopathological scores were compared between patients who required seclusion and those who did not. A binomial logistic regression including gender, age, symptom severity, knowledge of the French language and judicial history was performed.</p><p><strong>Results: </strong>We included 127 patients (41 of whom were prescribed seclusion). Patients requiring seclusion had more severe symptoms, as indicated by the Positive And Negative Syndrome Scale total scores (98.8±21.95 vs 85.9±25.64; P=0.02), the positive symptoms subscale (28.4±8.89 vs 24±7.63; P=0.02), and the general psychopathology symptoms subscale (48.3±12.03 vs 41.9±12.21; P=0.02). These patients had poor knowledge of French (21% vs 4.7%; P<0.01) and a statistical trend was found in relation to judicial history (24% vs 11%; P=0.07). The differences in symptomatology (P=0.03) and language knowledge (P=0.04) were maintained in the multivariate analysis.</p><p><strong>Discussion and conclusion: </strong>Our study found that the implementation of a seclusion was associated with the severity of symptoms and with a lack of knowledge of the French language. Particular attention should therefore be paid to these specific patients in order to use de-escalation techniques and provide comprehensible explanations to patients who do not speak French.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568063","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":"Components of psychological health as determinants of psychological distress and well-being at work of frontline health professionals during pandemic.","authors":"Christine Rotonda, Abdou Yacoubou Omorou, Benoît Lalloué, Elise Eby, Florian Pisu, Claire Touchet, Cyril Tarquinio","doi":"10.1016/j.encep.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.encep.2025.04.004","url":null,"abstract":"<p><strong>Objectives: </strong>This project aimed to explore the impact of psychological distress (anxiety, depression and post-traumatic stress) and resilience on quality of life and psychological health at work (well-being or distress at work) of nursing home and healthcare staff members in the Moselle department in Northeastern France.</p><p><strong>Methods: </strong>In the spring of 2021 230 professionals replied to an online questionnaire. The theoretical model was tested through path analyses.</p><p><strong>Results: </strong>Results showed that higher resilience scores were associated with lower post-traumatic stress, anxiety, and depression scores. Anxiety and depression were negatively correlated with quality of life, while higher quality of life scores were linked to greater well-being at work. Resilience was found to have a significant impact on the psychological state of professionals, with differences observed between well-being and distress at work.</p><p><strong>Discussion: </strong>In conclusion, our study revealed that resilience plays a significant role in influencing the psychological state of professionals, ultimately impacting their psychological health at work. Therefore, interventions aimed at addressing anxiety, depression, and traumatic symptoms could potentially enhance resilience and mitigate work-related psychological disorders among frontline healthcare professionals.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568120","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":"Role of smoking status on motivation to reduce or stop alcohol consumption in patients with an alcohol use disorder admitted to an emergency department.","authors":"Anna Mendy, Anne-Laurence Le Faou, Lisa Ferrand, Frédéric Limosin, Guillaume Airagnes","doi":"10.1016/j.encep.2025.01.009","DOIUrl":"https://doi.org/10.1016/j.encep.2025.01.009","url":null,"abstract":"<p><strong>Objective: </strong>To examine the role of smoking status on motivation to reduce alcohol consumption in patients admitted to the emergency department (ED) with alcohol use disorder (AUD).</p><p><strong>Methods: </strong>A standardized questionnaire was administered to patients admitted to the ED of the Hôpital Européen Georges-Pompidou (Paris, France), whatever the cause of admission, as part of an AUD screening, brief intervention, and referral to treatment (SBIRT) program. The questionnaire collected demographic, cognitive impairment assessment variables including school curriculum difficulties and medical characteristics, smoking status, cannabis use and the Fast Alcohol Consumption Evaluation (FACE) for AUD risk assessment. Patients aged 18-90years with a FACE score≥4 for women and≥5 for men were selected. An analogue scale from 0 to 10 was used to assess motivation, estimation of the right time, and self-confidence to reduce or stop alcohol consumption.</p><p><strong>Results: </strong>Of the 3903 patients included between 2021 and 2023, 803 (21%) presented with TUA, with 72% excessive drinkers and 28% with a probable alcohol dependence. The study population was predominantly male (n=418, 52%). Current smokers accounted for 43% of patients (n=343), and only 8% (n=27) wished to obtain the contact details of the national quitline Tabac-Info-Service, a percentage twice as high as that observed among smokers at low or no risk of AUD. The average age was 48.7years (SD: 21.6), and smokers had a lower average age than the average for all participants (41years, SD: 17.4). On the other hand, former smokers were older on average (58.3years, SD: 20.6). In all, 36% (n=209) of patients with excessive alcohol consumption were smokers while 59% (n=134) of those with probable alcohol dependence were smokers. In terms of school curriculum, 13% (n=108) had experienced learning difficulties (50% of whom were smokers), 42% (n=339) had repeated a year (44% of whom were smokers), and 18% (n=146) had been suspended or excluded from school (53% of whom were smokers). In terms of neurological history, 35% (n=278) had suffered from memory loss and 19% (n=156) from fainting (42%, 53% of whom were smokers respectively). Less than 10% reported epilepsy episodes (8.7%: n=70) or neurodevelopmental disorders (6.4%: n=51). Among them, 54% and 61% respectively were smokers. Past-month cannabis use concerned 14% of patients (n=112), 85% of whom declared they smoked. In the descriptive analyses, more smokers than non-smokers felt that their admission to ED motivated them to reduce or stop their alcohol consumption, considered that it was the right time to do so, and declared a higher level of self-confidence in achieving this objective. In bivariate analyses, motivation and the right time to reduce or stop drinking were significantly associated with being a smoker, but these results were not found in the multivariate analysis.</p><p><strong>Conclusion: </strong>Thes","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568122","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":"An education tool on clozapin: From needs assessment to patient satisfaction.","authors":"Céline Straczek, Alba Lopez-Krahe, Ahava Cohen, Emilie Cohen, Eimma Calimouttoupoulle, Bénédicte Louvet, Muriel Paul, Baptiste Pignon, Murielle Pecal Dalle","doi":"10.1016/j.encep.2025.03.003","DOIUrl":"https://doi.org/10.1016/j.encep.2025.03.003","url":null,"abstract":"<p><p>Clozapine remains the gold-standard for resistant schizophrenia. However, it is associated with serious adverse events and a low patient adherence that could be enhanced by therapeutic education. Identifying patients' needs is a prerequisite for building educational tools. The aims of the study were to build an adapted information tool after evaluating patients' knowledge and expectations regarding their clozapine treatment, and to estimate patients' satisfaction with this tool. Patients' knowledge and expectations were evaluated by means of a short oral and semi-structured interview, based on an 11-item questionnaire developed by pharmacists and psychiatrists. Patients with schizophrenia or a schizo-affective disorder were included from four different care structures of the university psychiatry department. Finally, an education tool was built based on patients' answers and tested among them. Between February 2020 and September 2021, 51 patients (17 women) around 36 years of age were interviewed. 45% were aware of a clozapine indication. Half of the patients did not know how to react in case of forgetting a dose. Although the rhythm of blood tests was understood by most patients (84%), only 29% estimated they had a general knowledge about them. Many patients (73%) could cite no more than two adverse effects. Regarding interactions, 69% had a partial knowledge and 31% none at all. Patients preferred to receive information in the form of a brochure. The subsequent brochure was tested on 15 patients who were satisfied with it. The survey revealed a general lack of knowledge among patients about their clozapine treatment. The tool built based on patients' answers has been adapted and liked by patients.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568118","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":"Validation of the French version of the Insomnia Severity Index in a population with psychiatric disorders and sleep complaints.","authors":"Emilie Stern, Marie Chamontin, Julia Maruani, Stephane Mouchabac, Jean-Arthur Micoulaud Franchi, Sibylle Mauries, Pierre A Geoffroy","doi":"10.1016/j.encep.2025.04.003","DOIUrl":"https://doi.org/10.1016/j.encep.2025.04.003","url":null,"abstract":"<p><p>Insomnia disorder is a major health concern, particularly among patients with mood disorders. This study validates the translated version of the Insomnia Severity Index (ISI) in a French population with psychiatric disorders, particularly mood disorders. The ISI was completed by 260 patients with sleep complaints comorbid with psychiatric disorders, including 209 patients with mood disorders. The majority of participants were women (n=168), and the most diagnosed condition in the population was unipolar mood disorder (n=170). Internal and external validity analyses validated the scale's reliability and its validity in relation to sleep quality and a diagnosis of insomnia made by a sleep psychiatrist. These results support the use of the French translation of the ISI in a French population with psychiatric disorders.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568062","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":"Antinuclear antibodies profiling in Moroccan patients with schizophrenia: A single center study.","authors":"Yassmine Kassal, Aboubaker El Hessni, Abdelhalim Mesfioui, Khadija Fritah, Naila Nakidi, Wahid Boukouaci, Amine Rkhaila, Jihane Bouassida, Siham Belbachir, Fouad Laboudi, Abderrazak Ouanass, Marion Leboyer, Ryad Tamouza, Naima Arji","doi":"10.1016/j.encep.2025.05.001","DOIUrl":"https://doi.org/10.1016/j.encep.2025.05.001","url":null,"abstract":"<p><strong>Objectives: </strong>The present study investigates the prevalence of antinuclear autoantibodies among Moroccan patients with schizophrenia compared to healthy controls and examines the potential associations between the presence of antinuclear autoantibodies and selected sociodemographic and clinical characteristics of patients with schizophrenia.</p><p><strong>Methods: </strong>A cross-sectional assessment was conducted between May 2020 and December 2022. The study involved a total of 157 patients who were diagnosed with schizophrenia and admitted to the Ar-Razi Psychiatric Hospital of Ibn Sina University Hospital Center of Rabat, Morocco. A total of 115 healthy controls (blood donors) were recruited from the transfusion center of Kenitra, Morocco. Antinuclear autoantibodies screening was performed by an indirect immunofluorescence assay (IFA) using HEp-2 cells/liver (Monkey), and 16 specificities of nuclear antigens (ENA) were tested using immunodot assay on an automated platform.</p><p><strong>Results: </strong>The prevalence of antinuclear autoantibodies was significantly higher in patients as compared to healthy control (35 vs. 12.7% with P<0.05) suggesting strongly underlying autoimmune processes in the studied patients. Among the 55 samples tested positive for antinuclear autoantibodies in patients, a total of 29 samples had a positive immunodot result against the following antigens: Jo1, SSA, SSB, Ro 52, AMA-M2, PM-Scl, Sm and Sm/RNP. Logistic regression analysis identified tobacco consumption as the only significant predictor of positive antinuclear autoantibodies (B=2.179, P=0.018).</p><p><strong>Conclusion: </strong>This preliminary study provides original data on the prevalence of antinuclear autoantibodies in Moroccan patients with schizophrenia and reveals a strong association between tobacco consumption and antinuclear autoantibodies positivity. The present findings replicate the previously reported association between autoimmune processes and schizophrenia in other geographical areas and warrant extension to other circulating autoantibodies towards a full profiling of autoimmunity in Moroccan patients with schizophrenia.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568119","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":"French validation of the POCS scale: A tool for screening intrusive thoughts, obsessions, and compulsions during pregnancy and postpartum.","authors":"Catherine Lord, Marie-Luce Faure, Wissam El-Hage, Laurence Joly, Benoît Bayle","doi":"10.1016/j.encep.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.encep.2025.04.002","url":null,"abstract":"<p><strong>Objectives: </strong>This study addressed the growing recognition of mental health disorders during the perinatal period, in particular obsessive-compulsive disorder (OCD). OCD symptoms can affect between 3% and 10% of women during the perinatal period, a higher prevalence than in the general population. The Perinatal Obsessive-Compulsive Scale (POCS), developed in Canada, is to our knowledge the only validated tool for screening OCD in the perinatal context. This study aimed to validate the French version of the POCS in order to improve early detection of OCD symptoms among French-speaking mothers and fathers.</p><p><strong>Methods: </strong>The study included 227 pregnant women in their third trimester and 113 in the early postpartum period. The POCS was translated into French using the forward and backward translation method, in collaboration with bilingual experts from France and Quebec. Other measures included validated tools: the Obsessional Compulsive Inventory-Revised (OCI-R) for general OCD and the Edinburgh Postnatal Depression Scale (EPDS) for depressive symptoms. Data were collected in person and online during the COVID-19 pandemic. Statistical analyses included descriptive statistics, reliability tests (Cronbach's alpha), and ROC curve analysis to assess the validity and discriminative capacity of the scale.</p><p><strong>Results: </strong>The French version of the POCS showed strong internal consistency and psychometric properties similar to the English version. The POCS had good convergent validity, correlating with the OCI-R and showing a distinct link to depression symptoms via the EPDS. Exploratory analysis demonstrated that a high proportion of that perinatal sample reported OCD symptoms.</p><p><strong>Conclusions: </strong>The French version of the POCS is reliable and valid for screening OCD symptoms in women during the perinatal period. The study highlights the need for screening tools specific to this population The POCS is a valuable clinical tool for early identification and intervention regarding perinatal OCD symptoms. Its systematic use in maternal health services could enhance mental health support for mothers during pregnancy and postpartum.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568121","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":"Psychiatrists’ beliefs, awareness, and attitudes toward gender variance: A French cross-sectional study","authors":"Ilona Lemaitre ,&nbsp;Lucie Jurek ,&nbsp;Ludovic Souiller","doi":"10.1016/j.encep.2024.05.007","DOIUrl":"10.1016/j.encep.2024.05.007","url":null,"abstract":"<div><h3>Objectives</h3><div>The evolution of knowledge and recommendations concerning transgender health has led to various representations, especially for health professionals, that can influence the medical management of transgender individuals. The main objective of this study was to explore the representation of psychiatrists in France regarding gender variance. The secondary objective was to compare these data based on their characteristics.</div></div><div><h3>Methods</h3><div>This is a cross-sectional observational study based on the distribution in April 2022 of a questionnaire to psychiatrists and psychiatric residents in France. The questionnaire was developed after exploring the results of qualitative studies in the scientific literature.</div></div><div><h3>Results</h3><div>Among 359 respondents, 181 were psychiatric residents and 178 were senior psychiatrists. Ninety percent had already met a transgender person in their professional practice. The representations observed among the respondents were heterogeneous. Most respondents did not consider “transgenderism” a symptom of a psychiatric disorder, and nearly all respondents used the gender and name their patients ask for. About 60% reported insufficient knowledge about “transgenderism”, with 86% considering that they had not been trained to adequately support transgender people.</div></div><div><h3>Conclusions</h3><div>The study reveals that representations, although weakened by a lack of knowledge recognized by psychiatrists, favor a non-pathologizing apprehension of gender variance and recognition of the importance of respecting gender diversity and self-determination. The heterogeneity of representations, as well as the high prevalence of professionals who describe a lack of knowledge, skills, and training, support the need for guidelines and the integration of evidence-based knowledge about gender variance into the psychiatric curriculum.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 3","pages":"Pages 293-299"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378589","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":"Learning to observe art to better understand the patients: A pilot study","authors":"Ismaël Conejero ,&nbsp;Hélène Lorblanchet ,&nbsp;Émilie Olié ,&nbsp;Philippe Courtet","doi":"10.1016/j.encep.2024.04.002","DOIUrl":"10.1016/j.encep.2024.04.002","url":null,"abstract":"<div><h3>Objectives</h3><div>We describe an artwork observation training program proposed to the first-year psychiatry residents in the school of medicine of Montpellier-Nîmes (Université de Montpellier). This course aimed at improving the ability to observe, tolerate ambiguity in healthcare, work as a team, communicate, and develop empathy. We also evaluated the impact of this program on the enhancement of emotional and communication skills in a pilot study.</div></div><div><h3>Materials and methods</h3><div>The artwork observation program based on Visual Thinking Strategies consisted of three sessions of ninety minutes involving two groups of eight medical students. First-year volunteer psychiatry residents were recruited. Before the sessions participants completed the Groningen Reflection ability Scale to evaluate reflection skills. Then, all the participants examined paintings and drawings of the Atger collection, were encouraged to observe carefully, and to engage in active group discussion by means of a structured questioning. Following the session, participants responded to a short survey to assess potential improvement of socio-emotional and communication skills.</div></div><div><h3>Results</h3><div>Fifteen psychiatry residents participated in the pilot study, eight were males. The median age was twenty-five years. The artwork observation program was well accepted by the participants. All the respondents reported improvement of emotional and communication skills, except regarding three empathy items, including the ability to feel the suffering of others which was increased only for 62% of respondents.</div></div><div><h3>Discussion</h3><div>Our program relying on Visual Thinking Strategies may improve the ability to observe carefully, to perceive the mental states of others, and to tolerate uncertainty. Training of such skills may encourage the adoption of self-reflective attitudes.</div></div><div><h3>Conclusions</h3><div>Such an artistic innovative program should be extended to undergraduate students in medical curriculum.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 3","pages":"Pages 255-260"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900168","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}