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

{"title":"Mobile app measuring sleep and behaviors: A trial in adolescents with addiction","authors":"Benjamin Pitrat ,&nbsp;Agathe Turpin ,&nbsp;Emmanuelle Peyret ,&nbsp;Tristan Hamonniere ,&nbsp;Arnaud Drain ,&nbsp;Redwan Maatoug ,&nbsp;Enora Le Roux","doi":"10.1016/j.encep.2023.11.007","DOIUrl":"10.1016/j.encep.2023.11.007","url":null,"abstract":"<div><h3>Introduction</h3><div>The smartphones generalisation allows the development of attractive “real-life” monitoring tools for care and research enabling the measurement of addictive behaviours and comorbidities such as sleep disorders. The study objective was to assess the interest of a mobile app collecting such information among adolescents with addictive behaviours in order to enhance the availability of behavioural data in consultation.</div></div><div><h3>Methods</h3><div>An open label randomised pilot study was held along two parallel arms. The patients randomised to the intervention group (<em>n</em> <!-->=<!--> <!-->18) used a mobile app to provide daily data for 15 days relating to their sleep and their behaviour (addictive behaviours with or without substances). The patients in the control group (<em>n</em> <!-->=<!--> <!-->18) used a paper diary allowing the collection of the same data, only the medium differed.</div></div><div><h3>Results</h3><div>The patients’ median age was 16 years [15.0–16.5]. A median of 67% and 10% of the expected information was completed respectively in the intervention and control groups during the 15 days of follow-up and could be used in consultation (<em>P</em> <!-->=<!--> <!-->0.08). The patient's knowledge, attitudes, intentions to change, behaviour change and seeking help related to the use of the diaries appeared higher in the intervention group (20.5/30) than in the control group (11/20).</div></div><div><h3>Conclusion</h3><div>This study described the high patient compliance with the data collection by means of the app. The diary app seems to have been more impactful for patients than the paper diary. This app could represent an important tool to improve the therapeutic alliance and care due to a better knowledge of the behaviours on the part of the clinician but also a better awareness of the patients themselves.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 590-596"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681889","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":"Comments on “Anorexia nervosa: An addiction? Application of the addiction model to eating”","authors":"Jônatas de Oliveira","doi":"10.1016/j.encep.2024.05.006","DOIUrl":"10.1016/j.encep.2024.05.006","url":null,"abstract":"","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 696-697"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146775","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":"The impact of Internet pornography on children and adolescents: A systematic review","authors":"Frank W. Paulus ,&nbsp;Foujan Nouri ,&nbsp;Susanne Ohmann ,&nbsp;Eva Möhler ,&nbsp;Christian Popow","doi":"10.1016/j.encep.2023.12.004","DOIUrl":"10.1016/j.encep.2023.12.004","url":null,"abstract":"<div><h3>Objectives</h3><div>Young people's exposure to online pornographic material has increased in the past years. Its impact is a complex topic but an important issue due to growing concerns. Therefore, we reviewed the literature on Internet pornography consumption and its impact on children and adolescents. Furthermore, we examined young people's thoughts about pornography and their reasons for consumption.</div></div><div><h3>Method</h3><div>We performed a systematic literature search in the online databases ERIC, PsycARTICLES, PsycINFO, and PSYNDEX for peer-reviewed articles in English, published between 2000 and 2022 and additionally identified secondary references.</div></div><div><h3>Results</h3><div>We could determine associations between pornography consumption and demographic variables (e.g., age, gender), personal characteristics (e.g., [sexual] sensation seeking, sexual interest and experience, general risk behavior), environmental variables (e.g., peers, family), attitudes (e.g., gender role attitudes, permissive sexual attitudes), behavior (e.g. sexual risk behaviour, sexting) and sexual aggression (e.g., sexual cybervictimization, grooming). Moreover, we found that girls have a more negative attitude towards pornography than boys who have an ambivalent opinion on the subject. Most adolescents are aware that the majority of pornographic material is exaggerated and unrealistic. Furthermore, pornography is not only watched out of curiosity and for sexual arousal but also used as a source of sexual information, especially by minority groups.</div></div><div><h3>Discussion</h3><div>Many effects that impair children's development have been documented. The results found in this review are often contradictory. Therefore, further replication studies are needed. In addition, we propose several preventive measures, e.g., sexual health education at schools for both heterosexuals and LGBT (Lesbian, Gay, Bisexual, and Transgender) people.<br></div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 649-662"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is intimate partner sexual violence a singular violence?","authors":"Virginie Cailleau ,&nbsp;Laetitia Afonso ,&nbsp;Cyril Cherprenet ,&nbsp;Alexia Delbreil ,&nbsp;Guillaume Davignon ,&nbsp;Sarah Paquette ,&nbsp;Nematollah Jaafari","doi":"10.1016/j.encep.2024.01.006","DOIUrl":"10.1016/j.encep.2024.01.006","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to examine the specificities of intimate partner sexual violence among heterosexual partners, as well as to contrast them to the sexual violence perpetrated by strangers or acquaintances.</div></div><div><h3>Method</h3><div>A narrative review was conducted to identify relevant findings in the scientific and medical literature to inform about intimate partner sexual violence. Findings were also analysed with the lens of the clinical experience of the authors working with men convicted of intimate partner sexual violence.</div></div><div><h3>Results</h3><div><span>Intimate partner sexual violence was legally recognized by article 222-22 of the French Penal Code in 2006. In France rape committed by intimate partners accounts for 34% of rapes of adult women. Intimate partner sexual violence is likely to be underestimated due to variables of individual, relationship, community, and societal levels. Despite a common perception that intimate partner sexual violence is located at the lower end of the severity continuum compared with other forms of sexual violence, studies have shown that intimate sexual violence is as or even more harmful to a woman. Compared to victims of other types of sexual violence, women sexually abused by an intimate partner experience more severe mental health outcomes such as depression, anxiety, anger, self-blame, increased feelings of </span>shame, post-traumatic stress disorder, substance abuse to cope or suicide attempt. Intimate partner sexual violence is also associated with humiliation and betrayal of trust, greater physical violence, greater risk of sexually transmitted infections, re-victimization, higher risk of serious injury or homicide. Beyond the legal definition of sexual rape, intimate partner sexual violence encompasses a wide range of subtle and complex behaviors such as coercive tactics, blackmail, implicit threat or reproductive control. The COVID-19 pandemic lockdown seems to have played a “revealing” or “aggravating” role rather than a “triggering” of intimate violence. The treatment of intimate partner sexual violence is complex and should consider diverse therapeutic strategies to deconstruct the offenders’ societal misrepresentations and to make them aware of their partner's inter-subjectivity.</div></div><div><h3>Conclusions</h3><div>Identifying and understanding intimate partner sexual violence need to be improved both to refine the treatment of the offender-victim dyad and to break down the toxic relational dynamics maintaining abusive behaviors.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"50 6","pages":"Pages 663-669"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891312","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":"COVID-19 pandemic's impact on French Health Students' consumption of substances - a mixed analysis of their substance use.","authors":"Franck Rolland, Ariel Frajerman, Bruno Falissard, Amine Benyamina, Bertrand Diquet, Florent Vinchon, Gilles Bertschy, Donata Marra","doi":"10.1016/j.encep.2024.10.003","DOIUrl":"https://doi.org/10.1016/j.encep.2024.10.003","url":null,"abstract":"<p><strong>Objectives: </strong>The COVID-19 pandemic had a huge impact on global mental health. Health care students, both as young people and regarding their student condition, were a more at-risk population. During the first and the third waves, two national surveys already found high levels of psychological distress (21 to 83% of severe psychological distress). This nationwide study focused on health care student changes in substance or treatment use during the pandemic.</p><p><strong>Methods: </strong>We did an online national cross-sectional study addressing all health care students in France from April 4 to May 11, 2021. The questionnaire included sociodemographic and work conditions questions, Kessler 6 scale, and simple questions about psychotropic treatments or substance use.</p><p><strong>Results: </strong>We obtained 16,937 answers, including 54% nurses and 16% medical students. Increased psychoactive substance use (alcohol, tobacco and cannabis) was associated with males, older students, those having financial difficulties and using more psychotropic treatments. Nursing students were more at risk than others. Increased psychotropic treatment use (anxiolytics, hypnotics) was associated with being a woman, older, having financial difficulties, having high psychological distress, and using more psychoactive substances. Medical, pharmacy, dental and midwife students were more at risk than others. The response rate was low (5,6%), and nursing students represented more than half of the respondents.</p><p><strong>Conclusions: </strong>Compared to our first national survey, substance use (21% versus 13%) and psychotropic treatment use (18% versus 7.3%) increased hugely. These results highlight the need to identify the specific causes of substance use by health care students to better support them. As future health professionals, this is a major public health issue.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711860","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":"Tardive seizure after electroconvulsive therapy: Prevalence and associated factors.","authors":"Rania Lansari, Karim Souabni, Yosra Ben Nasr, Emna Karoui, Amine Larnaout, Wahid Melki","doi":"10.1016/j.encep.2024.10.004","DOIUrl":"https://doi.org/10.1016/j.encep.2024.10.004","url":null,"abstract":"<p><strong>Introduction: </strong>Tardive seizure refers to a spontaneous seizure, which occurs after electroconvulsive therapy (ECT). It is a rare and poorly understood phenomenon that can lead to other serious consequences such as status epilepticus. Risk factors may be associated, and its management is by no means consensual. However, tardive seizure remains little explored in the absence of feedback and data sharing. The purpose of this study was to report the prevalence of late-onset seizures following ECT during the acute phase of treatment at the stimulation unit of Razi Hospital during its seven years of activity and to identify variables associated with this adverse event.</p><p><strong>Methods: </strong>This is a descriptive and retrospective study that was carried out at the ECT unit of Razi Hospital, Tunisia, based on the medical records of patients treated with ECT between December 2015 and September 2023. Every recorded ECT session during the initial course of treatment with available EEG tracings was included in the study. Maintenance ECT sessions, undocumented sessions, those without clinical observations, and/or those without EEG tracings were all excluded. A tardive seizure was retained according to criteria that included both recorded motor manifestations such as \"motor jerks\" or \"generalized tonic-clonic seizures\" which began spontaneously after ECT and the resumption of a state of consciousness concurrent with an equivocal EEG tracing.</p><p><strong>Results: </strong>A total of 162 patients received at least one course of ECT during the research period. Ultimately, we included 1931 well documented sessions that were completed for 157 patients in all. Of the 157 patients, seven had experienced at least one late seizure after receiving ECT, accounting for 4.45% of patients. Among the 1931 sessions, 11 late seizures were noted. The prevalence of tardive seizures in our series was 0.57%. Several factors have been associated to the onset of a tardive seizure, including being a male, the presence of a neurological lesion, treatment that lowers the epileptogenic threshold, anesthesia with etomidate, stimulation charge near seizure threshold or maximum electrical load, prolonged induced seizure, and poor post-ictal suppression on the induced seizure tracing.</p><p><strong>Conclusion: </strong>Despite the dearth of information, tardive seizure following ECT is considered to be a rare event. Risk factor management would be the first action to be taken to prevent such an event.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710241","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":"Does multimodal inpatient treatment help some adolescents with severe ARFID?","authors":"Sélim Benjamin Guessoum, Alexandra Loisel, Brunella Fabrizio, Caroline Barry, Tancrède Albertelli, Marie Rose Moro, Corinne Blanchet","doi":"10.1016/j.encep.2024.10.001","DOIUrl":"https://doi.org/10.1016/j.encep.2024.10.001","url":null,"abstract":"<p><strong>Introduction: </strong>Avoidant Restrictive Food Intake Disorder (ARFID) is a recently described disorder. Data on inpatient treatment is still scarce, ARFID mainly being an outpatient condition. The purpose of this study is to describe a rare population of adolescents with severe ARFID receiving full-time multimodal inpatient care by examining their clinical characteristics, management, and evolution.</p><p><strong>Methods: </strong>We conducted a retrospective study on a series of patients diagnosed with ARFID who were hospitalised from 2005 to 2022. This study was carried out at the Adolescent Medicine department of a University Hospital in Paris, France, specialising in the treatment of eating disorders.</p><p><strong>Results: </strong>Sixteen adolescents aged 12 to 17 were hospitalised for severe ARFID associated with malnutrition, growth retardation, pubertal delay, and/or psychiatric comorbidities. All but one had body mass indexes less than -2 standard deviations. Mean BMI upon admission was 14,1 [standard deviation=1,8]. They benefited from multimodal treatment plans supported by a multidisciplinary team, including nutritional, somatic and psychiatric transdisciplinary assessment and care, residential care, and family involvement. Length of stay was five months on average, and 50% had achieved normal body mass index at discharge.</p><p><strong>Conclusions: </strong>Full-time inpatient care with multimodal and multidisciplinary interventions and tailored management can help restore normal weight for some adolescents. These interventions are aimed at patients with severe ARFID with major complications such as stunted growth and delayed puberty, and/or comorbidities such as depression. Specific subtypes of patients with severe ARFID need to be identified to delineate their characteristics, prognosis, and treatments effective for this group.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696098","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":"Social media addiction among college students in Tunisia.","authors":"Emna Bergaoui, Azza Bouallagui, Abir Hkiri, Marwa Zrelli, Mariem Moalla, Ghassen Amri, Rym Ghachem","doi":"10.1016/j.encep.2024.09.005","DOIUrl":"https://doi.org/10.1016/j.encep.2024.09.005","url":null,"abstract":"<p><strong>Introduction: </strong>Excessive use of social media can lead to addiction with adverse consequences for health. Through this work, we evaluated the prevalence of addiction to social media of college students from different fields and the associated factors.</p><p><strong>Methods: </strong>We conducted a survey of 115 students by means of a questionnaire posted online during two weeks in groups of students aged between 19 and 30years from different fields in Tunisia. The questionnaire consisted of an information sheet and three self-administered questionnaires: Bergen social media addiction scale, Hospital Anxiety and Depression scale, and UCLA 3-item loneliness scale.</p><p><strong>Results: </strong>Our population was 70% female. The average age was 25.1±3.5years. Regarding lifestyle habits, twenty-nine students (25.2%) were smokers, thirty-three students (28.7%) consumed alcohol, and nine students (7.8%) used cannabis. The average number of years of social media use was 11.77±3.28years. The average time on line per day was 3.8±1.81hours. The main social networks were Facebook (98.3%), Instagram (93%), Whatsapp (80.9%), Tiktok (28.7%), Snapchat (20%), and Twitter (19.1%). The use of social networks was the first action in the morning when waking up in 71.3% of the students and before sleeping in almost all students (94%). According to the results of the Bergen Social Media Addiction Scale, 31.3% of students had problematic social media use, defined by a score≥19/30. Thirty-three students (28.7%) had moderate to severe anxiety symptomatology and 41 students (35.7%) had moderate to severe depressive symptomatology. Sixty-two students (53.9%) were considered lonely according to the UCLA loneliness scale. Marital status was significantly associated with social media addiction score, with higher rates among single students. Smoking was also associated with higher social media addiction scores. Social media addiction scores were positively and significantly correlated with anxiety, depression, and loneliness scores. Frequency of going out with friends was negatively and significantly associated with social media addiction score, as well as depression and loneliness scores.</p><p><strong>Conclusions: </strong>This study shows that social media addiction is a major health problem. Therefore, it is important for college students to recognize a problematic social media use and take steps to use it in a healthy way.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696105","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":"Emotional information processing in depressed elderly with suicidal behavior.","authors":"Yoan Barsznica, Pierre Vandel, Bérénice Lambert, Julie Monnin, Magali Nicolier, Claire De Pinho, Julia Hickel, Stephane Richard-Devantoy, Cynthia Morgny, Monika Szymanska, Emmanuel Haffen, Eric Laurent, Gilles Chopard, Nicolas Noiret","doi":"10.1016/j.encep.2024.09.004","DOIUrl":"https://doi.org/10.1016/j.encep.2024.09.004","url":null,"abstract":"<p><p>Elderly suicide is a public health problem, especially in the presence of unipolar depression. Very few tools have been developed to assess suicide risk in the elderly. Suicidal behaviors (SB) are often associated with perturbations of emotional information processing. Recent eye-tracking evidence has indicated specific visual exploration of emotional facial expressions based on age, pathological status, or type of facial emotion expression, which encourage the development of more specific and reliable tools to help in the detection of SB in depressed elderly patients. The aim of this study was to characterize emotional facial information processing in elderly depressed patients with SB vs. patients without SB. We assessed fixation time on their facial expressions (SB n=10 and with noSB n=11). Results showed that depressed SB patients spent more time on emotional regions (i.e. eyes and mouth) of disgust, fear and neutral emotions than did depressed noSB patients. Conversely, fixation time did not differ between the groups for angry, sad and happy emotions. We discuss the difficulties in disengaging attention from emotional information congruent with the patient's emotional state. Specific visual exploration observed in suicidal depressed patients could be used as novel risk factors to more accurately assess and predict suicide risk.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696101","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 Stigma Resistance Scale in a sample of people with psychotic disorders.","authors":"Sarah Gomez, Jérôme Attal, Manon Besson, Martine Boggero, Thierry Bottai, Bianca Gaubert, Jean-Yves Giordana, David Masson, Geneviève Mora, Cécile Milles-Simonet, Aurélie Schandrin, Benoit Simonet, Laurent Lecardeur","doi":"10.1016/j.encep.2024.07.005","DOIUrl":"https://doi.org/10.1016/j.encep.2024.07.005","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to translate the Stigma Resistance Scale into French and to examine its psychometric qualities to measure stigma resistance in people with psychotic disorders.</p><p><strong>Methods: </strong>The Stigma Resistance Scale was rigorously translated into French, involving translation, back-translation, and adjustments based on focus groups. The French version of the Stigma Resistance Scale comprises 20 items divided into five subscales measuring resistance to stigma at different levels. The psychometric qualities of the French version were assessed in comparison with other scales such as the Internalized Stigma of Mental Illness, the Beck Depression Inventory, the Self-Evaluation of Negative Symptoms, and the Schizophrenia Quality of Life Questionnaire Short Form. The study involved 59 patients with psychotic disorders and was approved by a committee for the protection of individuals. Participants were recruited from seven investigating centers, and data were collected via semi-structured interviews and self-questionnaires.</p><p><strong>Results: </strong>The five-factor structure developed by the original scale for a multi-diagnostic population was not found by confirmatory factor analysis on our sample. An exploratory factor analysis revealed a two-factor structure. Internal consistency, measured by Cronbach's alpha coefficient, was greater than 0.7 in favor of a strong internal consistency of the psychometric instrument. The correlation result obtained with the only instrument measuring stigma resistance (Internalized Stigma of Mental Illness subscale) demonstrated good convergent validity (r=-0.37). Similarly, scores on the Stigma Resistance Scale were strongly correlated with scores on other scales measuring negative symptomatology, depression, quality of life and insight. This demonstrates the satisfactory divergent validity of the instrument.</p><p><strong>Conclusion: </strong>The study aimed to validate the Stigma Resistance Scale in French, revealing a two-factor structure in patients with psychotic disorders. The two dimensions identified reflect a proactive attitude to stigma (egocentrism) and a willingness to defend the rights of people with mental disorders (allocentrism). Cultural factors may explain the differences in the factorial models between the original and French versions. The Stigma Resistance Scale is the first tool validated in the French language to provide a specific self-assessment of stigma resistance with good psychometric properties for patients suffering from psychotic disorders.</p>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640241","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}