Annales medico-psychologiques最新文献

{"title":"Le vieillissement somatique et neurocognitif des personnes autistes","authors":"Shasha Morel-Kohlmeyer,&nbsp;Emmanuelle Houy-Durand","doi":"10.1016/j.amp.2026.05.004","DOIUrl":"10.1016/j.amp.2026.05.004","url":null,"abstract":"<div><div>Over the next 30 years, the estimated number of autistic individuals over the age of 60 is projected to exceed 20 million worldwide, making it a major public health issue. Current research suggests the possibility of accelerated aging as well as increased vulnerability to develop neurodegenerative disorders such as Alzheimer's or Parkinson's disease. However, research remains insufficient, with contradictory results highlighting the need for further studies in this area. From a clinical perspective, vigilance regarding the physical and neurocognitive health of autistic adults remains essential.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 6","pages":"Pages 455-460"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148557729","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":"Structural model of body image and personality traits: The mediating role of emotion regulation in rheumatoid arthritis","authors":"Atena Pasha,&nbsp;Seyed Saeed Pournaghash Tehrani,&nbsp;Ahmad Alipour,&nbsp;GholamAli Afrooz,&nbsp;Masoud GholamAli Lavasani","doi":"10.1016/j.amp.2024.12.006","DOIUrl":"10.1016/j.amp.2024.12.006","url":null,"abstract":"<div><h3>Objective</h3><div>Despite the multiple links between pain, personality traits, and negative emotions, little is known about how body image, personality traits, and emotion regulation are linked in people with chronic disease. Some studies emphasized that chronic pain is mainly linked to emotional dysregulation rather than personality traits. However, recent studies found that individuals with Rheumatoid Arthritis (RA) who exhibit high neuroticism struggle to adapt to the disease and related stresses, leading to dissatisfaction with themselves. This study aimed to provide a model to investigate the relationship between personality traits and body image with the mediation role of emotion regulation in people with RA.</div></div><div><h3>Methods</h3><div>Using the purposive sampling method, 350 people (243 women and 107 men) with RA referred to the rheumatology centers of Tehran hospitals in 2022 were selected, considering the inclusion and exclusion criteria. The data was collected using the Multidimensional Body–Self Relations Questionnaire (MBSRQ), NEO Personality Questionnaire, and Cognitive Emotion Regulation Questionnaire (CERQ). In this study, SPSS software was used to calculate descriptive data statistics, and AMOS software was used to check hypotheses with regression methods and structural equations.</div></div><div><h3>Results</h3><div>According to the findings of the research, it was determined that the structural model of the body image relationship based on personality traits with the mediation of emotion regulation in people with RA has a good fit. Therefore, emotion regulation plays a mediating role in the relationship between personality traits and body image.</div></div><div><h3>Conclusion</h3><div>Considering the role of psychological factors in the body image of people with RA, in order to improve the body image in these people, complementary treatments focusing on cognitive, emotional, and behavioral factors are suggested.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 6","pages":"Pages 381-388"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148572298","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":"L’auto-intoxication gastro-intestinale en psychiatrie : émergence d’une théorie","authors":"Philippe Cialdella","doi":"10.1016/j.amp.2025.10.008","DOIUrl":"10.1016/j.amp.2025.10.008","url":null,"abstract":"&lt;div&gt;&lt;div&gt;At the end of the 19th century, certain psychiatric disorders were attributed to poisoning by molecules produced by resident microbes of the digestive tract (microbiota) that transform food proteins. Gastrointestinal autointoxication (GIAI) was one of the first biochemical theories in psychiatry. We summarize its history up to 1914: main authors, incriminated molecules, biological markers, and treatments. The tremendous interest in the gut microbiota and the gut-brain axis over the past twenty years, as well as the role played by indole, a precursor of serotonin, in GIAI, justify this study. Research into the causes of infection (miasmas, effluvia, putrefaction) led to the basic molecules (“alkaloids”) of cadaveric putrefaction (ptomaines) and protein catabolism (leucomaines), as well as to the odorous aromatic molecules produced by commensal intestinal microbes during protein putrefaction: phenol, skatole, cresol, and indole. Indican, an indole derivative, easily identifiable in urine, appeared to be correlated with this transformation. Few of these substances proved toxic. After studying the toxicity of normal urine and during infection, C. Bouchard inaugurated the history of autointoxication in 1887. Among the ways of producing toxic substances, he described intestinal putrefactions of which indicanuria was, according to him, a marker. He insisted on gastric dilation (GD), a pathology of his own, to which he attributed numerous complications, including psychological ones. In 1889, A.M. Bettencourt-Rodrigues applied the theory of GIAI (GD) to melancholia, rich in gastrointestinal symptoms. These, the frequency of GD and psychiatric improvements after intestinal antisepsis, were his arguments. In 1890, Mr. Féyat, in his thesis, postulated that poisoning could lead to acute delusional disorders due to constipation. Indicanuria and the psychiatric effect of evacuating or antiseptic treatments seemed to him to prove GIAI. F.-A. Chevalier-Lavaure's thesis revisited the old theories of the relationships between physical and psychological pathologies in light of Bouchard's work. He noted a qualitative difference in urinary toxicity between manic and melancholic patients. In 1893, he and E. Régis presented a report on auto-intoxication at a conference, in which GIAI occupied a place rivaled by bacterial toxins. Before joining GIAI, Régis already recommended gastric lavage in melancholic patients with gastrointestinal symptoms. GIAI in psychiatry had a certain success in France despite reservations. It spread to many countries, including the USA, not without criticism. The future Nobel Prize J. Wagner-Jauregg believed in the parallelism between indicanuria and the severity of mental disorders. In the USA, GIAI was supported by many psychiatrists. In 1898, C.A. Herter believed he had demonstrated the toxicity of indole in humans. Indicanuria and urinary sulfoconjugates, although contested, were used as biological markers. In 1899, A. Cullère pr","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 6","pages":"Pages 389-395"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148572299","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":"La vie en EHPAD avant et pendant les premiers confinements de la COVID-19 : paroles de résidents","authors":"Marine Zalai,&nbsp;Virginie Voltzenlogel,&nbsp;Christine Cuervo-Lombard","doi":"10.1016/j.amp.2025.02.006","DOIUrl":"10.1016/j.amp.2025.02.006","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;In France, the majority of older adults are accommodated in nursing homes for dependent adults (EHPAD). The primary reasons for institutionalization are functional and cognitive limitations. However, the decision to enter an EHPAD is often not made by the elderly individuals themselves. The transition to an EHPAD is typically a significant emotional, social, and psychological event, marked by the acceptance of loss and a disruption in identity. While this transition can enhance a sense of security, it often leads to increased depression, anxiety, and loss of independence. Previous research has highlighted various challenges for residents, including their perception of the EHPAD as a safe place and the emotional toll of leaving their home, which holds significant personal and identity-related value. The COVID-19 pandemic further exacerbated these difficulties, with strict lockdown measures causing social isolation, which has been linked to increased risks of premature mortality, depression, and cognitive decline. This study focuses on understanding the experiences of older adults in EHPADs, both before and during the COVID-19 lockdowns.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;The study included 51 older adults from nursing homes, with an average age of 87.32 years. The participants’ level of dependence was assessed using the GIR scale, with an average score of 4 (partial autonomy). Participants were recruited from eight nursing homes in the Occitanie region during the COVID-19 lockdown periods (April to December 2020). Exclusion criteria included psychiatric or neurological disorders, uncorrected sensory impairments, and legal protection measures. Participants were aged between 70 and 95 years and had been institutionalized for at least 6&lt;!--&gt; &lt;!--&gt;months. Semi-structured interviews were conducted, consisting of ten questions divided into three parts: entry into the nursing home, assessment of the institution, and experiences during the health crisis and associated restrictions. The interviews lasted between 45&lt;!--&gt; &lt;!--&gt;minutes and 1.5&lt;!--&gt; &lt;!--&gt;hours and took place in accordance with health protocols. Sociodemographic data were collected, and then the semi-structured interviews were conducted in person in the participants’ rooms. The study was approved by an ethics committee, and informed consent was obtained from all participants.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The participants of the study were admitted to nursing homes primarily after hospitalization or directly from their homes, due to health issues, widowhood, falls, or loss of autonomy. The majority were admitted quickly, but some waited up to a year. Additionally, a large portion of participants did not give explicit consent for their admission. During the interviews, participants expressed mixed views about life in the institution. Many mentioned negative feelings related to boredom, lack of direction, and a need for freedom, but some positive aspects, such ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 6","pages":"Pages 429-435"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148557730","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":"Prévalence et retentissement du trouble dysphorique prémenstruel chez les femmes médecins en formation","authors":"Rim Feki,&nbsp;Sana Larbi,&nbsp;Hana Hakim,&nbsp;Sana Omri,&nbsp;Imen Gassara,&nbsp;Nada Charfi,&nbsp;Mohamed Mâalej,&nbsp;Manel Mâalej Bouali,&nbsp;Najeh Smaoui,&nbsp;Kais Chaabene,&nbsp;Lobna Zouari","doi":"10.1016/j.amp.2025.11.001","DOIUrl":"10.1016/j.amp.2025.11.001","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Premenstrual dysphoric disorder (PMDD) is a serious condition characterized by intense emotional and physical symptoms that significantly impair daily functioning. While PMDD has been widely studied in the general population, few investigations have focused on its impact among women in medical training, a professional group particularly exposed to high occupational stress and irregular work schedules. Given the increasing attention to mental health in healthcare professionals, examining the burden of PMDD in this population appears essential. The objectives of the present study were to determine the prevalence of PMDD among women in medical training, to identify associated factors, and to analyze its relationship with quality of life and professional productivity. The diagnosis of PMDD was established according to the criteria of the &lt;em&gt;Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition&lt;/em&gt; (DSM-5). We used the &lt;em&gt;World Health Organization Quality of Life-BREF&lt;/em&gt; (WHOQOL-BREF) questionnaire to assess quality of life, and professional productivity was evaluated using the &lt;em&gt;Work Productivity and Activity Impairment&lt;/em&gt; &lt;em&gt;–&lt;/em&gt; &lt;em&gt;General Health&lt;/em&gt; (WPAI-GH) scale. A total of 401 women participated in the study, with a mean age of 27.44 years. The overall prevalence of PMDD was 35.4%, markedly higher than the 3–8% reported in the general population, highlighting the vulnerability of women in medical training to this condition. Regarding clinical presentation, psycho-affective symptoms were the most prevalent, affecting 95.3% of participants. The most frequent manifestations included marked emotional lability (78%), and irritability (65%). Physical symptoms were also highly represented (93.5%), with breast tenderness (66.6%), abdominal bloating (65.3%), and pelvic pain (62.3%) being the most common. Behavioral symptoms were reported by 91.5% of participants, notably excessive fatigue (63.3%), significant appetite changes (52.6%), and decreased interest in daily activities (40.4%). Furthermore, 75.5% of the women reported a clear impairment in their socio-professional functioning during the premenstrual phase. Statistical analysis revealed that PMDD was significantly associated with single marital status and alcohol consumption, suggesting that both social and lifestyle factors may influence its occurrence. Regarding quality of life, the physical health domain score of the WHOQOL-BREF was lower among women with PMDD compared to their counterparts without the disorder, although the difference did not reach statistical significance (57.47 vs. 60.42; &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.082). PMDD was strongly associated with decreased work productivity and daily activity levels. Women with PMDD reported markedly higher rates of presenteeism (42.1 vs. 30.4%; &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.001) and impairment in daily activities (48 vs. 37.5%; &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.001). These findings emphasize the tangible","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 6","pages":"Pages 396-403"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148571867","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":"Le schéma corporel : un trait d’union dans la clinique du spectre de la schizophrénie chez l’enfant et l’adolescent","authors":"Marine Fiorentino,&nbsp;Arnaud Carré,&nbsp;Laura Vandemeulebroucke,&nbsp;Morgane Metral","doi":"10.1016/j.amp.2026.01.004","DOIUrl":"10.1016/j.amp.2026.01.004","url":null,"abstract":"&lt;div&gt;&lt;div&gt;This article explores the variability of diagnostic approaches to psychotic symptoms in children and adolescents, focusing on the concept of body schema distortion as a transdiagnostic marker within the schizophrenia spectrum and related developmental disorders. We argue for the clinical utility of assessing body schema as both a diagnostic and therapeutic tool, particularly in the early detection of psychosis, where traditional diagnostic methods may fall short. Diagnoses of childhood psychosis remain heterogeneous depending on the clinical framework employed. International classifications such as the DSM-5 typically refer to early-onset schizophrenia and very early-onset schizophrenia, while the French psychiatric classification, such as the CFTMEA R-2020, include entities like multiple and complex developmental disorders and psychotic disharmony. These differing taxonomies may reflect a broader divergence in conceptualizing the nature and progression of early psychotic disorders. First, we wanted outlining diagnostic criteria for early onset schizophrenia, noting that these conditions are characterized by hallucinations, delusions, disorganized speech or behavior, and negative symptoms such as affective flattening and social withdrawal. In children, symptoms often emerge more insidiously, with a higher prevalence of auditory hallucinations and negative symptoms. The presence of anosognosia and somatic concerns is also common. We then discuss about Multiple and Complex Developmental Disorders and Psychotic Disharmony; commonly used in French child psychiatry. Multiple and Complex Developmental Disorders describes children with developmental delays across various domains, emotional dysregulation, and thought discontinuities without reaching the full criteria for schizophrenia. Psychotic disharmony, defined in the CFTMEA, highlights developmental asynchrony involving language, motor skills, and affect regulation, often accompanied by intense anxiety and perceptual distortions. These syndromes present early in life and are characterized by fluctuating clinical presentations over time. Despite some overlapping features with schizophrenia, they are conceptualized as distinct entities with different developmental trajectories. One of the article's central contributions is the proposition that distortions in body representation, particularly in the non-conscious, sensorimotor construct known as the body schema, may constitute a core symptom across these diagnoses. Body schema refers to the brain's automatic and continuously updated representation of bodily posture and movement. It integrates sensory inputs from proprioception, vision, and balance, and is primarily processed in parietal and insular brain regions. In both schizophrenia and psychotic disharmony, disruptions in this schema are thought to contribute significantly to clinical symptoms. In schizophrenia, patients frequently exhibit abnormal multisensory integration, particularly in","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 6","pages":"Pages 375-380"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148572280","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":"Analyse critique des outils d’évaluation de l’apathie chez la personne âgée","authors":"Audric Joël Farrié,&nbsp;Jean-Pierre Jacus,&nbsp;Christine Vanessa Cuervo-Lombard","doi":"10.1016/j.amp.2025.06.002","DOIUrl":"10.1016/j.amp.2025.06.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Apathy is a multidimensional concept characterized by a reduction in goal-directed behaviours, thoughts, and emotions. Apathy increases with age; it is therefore common during aging, especially since it is often associated with neuro-evolutive diseases and/or psychiatric diseases. Apathy has significant repercussions on the patient's life, their entourage, and their care pathway. To understand apathy, it is necessary to establish a consensus on its definition and causes. However, the scientific literature reports different definitions and its causes do not seem to be consensual. This multiplicity can be complex to understand and lead to diagnostic difficulties. The tools for evaluating apathy are, like its definitions and causes, numerous. The risk is then to use a tool that is poorly adapted to the population or to the problems of the older persons. The objectives were to review the different conceptualisations of apathy, to analyse the tools for critically assessing apathy in the older persons and to present the correlates of apathy.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The following equation was used in EBSCOHOST, web of science and pubmed databases: “&lt;em&gt;apathy OR lack of motivation OR motivation reduction&lt;/em&gt;” et “&lt;em&gt;questionnaire OR survey OR scale OR instrument OR measure OR assessment&lt;/em&gt;”.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Historically, the concept of apathy has been centered around three components (cognitive, behavioral, and emotional). Initially underpinned by the concept of motivation, it will be reoriented towards a reduction in goal-directed behaviors through loss of interest (cognitive), decreased self-initiation (behavior), and affective-emotional blunting. Apathy is considered as a symptom of a mental illness or as a neurological syndrome in its own right. Apathy has been extensively investigated in its syndromic and symptomatic forms in the context of neuroevolutive and psychiatric diseases. It is currently diagnosed on the basis of three criteria: reduced initiative, reduced interest and reduced emotional expression or response. Apathy assessment tools reflect its conceptual evolution and causes: we identify 7 in the literature. The scales can be grouped into three categories: those assessing apathy in older adults without pathologies or with a psychiatric illness; those assessing apathy in people with neurodevelopmental disorders; and those developed for older adults with a specific neurodevelopmental disorder. The psychometric characteristics of these scales are described in terms of sensitivity, reliability and validity. The main correlates of apathy identified among older persons were cognitive functioning, depression and anosognosia. This clearly suggests the influence of cognition on apathy and the interest in considering the cognitive status of the individual whose apathy one wishes to evaluate, understanding the anosognosia of apathy and its connection to the severity of cognitive dis","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 6","pages":"Pages 436-445"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148557731","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":"L’établissement d’hébergement pour personnes âgées dépendantes (Ehpad), dernier lieu de vie et espace du vivre jusqu’au bout","authors":"Nicolas Nieuviarts,&nbsp;Francis Albert,&nbsp;Romain Jallet,&nbsp;Aline Cheynet de Beaupré,&nbsp;Bertrand Fougère,&nbsp;Hélène Dieudonné-Plaisir,&nbsp;Jean-Pierre Bouchard","doi":"10.1016/j.amp.2026.04.002","DOIUrl":"10.1016/j.amp.2026.04.002","url":null,"abstract":"<div><div>This second interview conducted by Professor Jean-Pierre Bouchard forms part of a four-part series devoted to Établissements d’Hébergement pour Personnes Âgées Dépendantes (EHPAD, French long-term care facilities for dependent older adults). After the first paper traced the institutional and historical trajectory of EHPADs and highlighted the contemporary paradoxes of the “living-care space”, this second contribution focuses on the psychic and existential experience of residents and their relatives. It examines EHPADs as spaces where dependence, aging, and end of life are experienced in their most acute form. Adopting both a clinical and institutional perspective, the transition into residential care is understood as a biographical rupture that necessitates a reconfiguration of one's relationship to self, others, and the world. The move from home to EHPAD often activates defensive mechanisms that are mistakenly interpreted as “behavioral disorders”, whereas they more accurately express psychic survival efforts in the face of loss of autonomy and social detachment. The analysis highlights the tension between safety and freedom, between managerial control and presence, and underlines the desubjectivizing effects of organizational standardization when the resident's voice and shared decision-making are absent. The palliative approach is presented here as a transversal culture of care, refocusing practice on continuity of being, dignity, personal temporality, and the recognition of vulnerability as a fundamental mode of existence. The psychologist's role is described through three complementary registers: the resident's clinical care, mediation between families and teams, and institutional containment, contributing to the prevention of professional exhaustion, moral distress, and the banalization of suffering. Finally, the paper calls for greater investment in staffing, training, and clinical supervision, as essential conditions for an ethics of care capable of integrating technical competence, humanity, and symbolization. Transforming EHPADs into genuine living spaces, rather than places of waiting, means recognizing, even within dependency, a subject who remains alive, thinking, and desiring, and supporting the possibility of inhabiting the end of life within the collective.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 6","pages":"Pages 473-482"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148571878","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":"L’adaptation à la fibromyalgie : le rôle de la représentation de la maladie face à la douleur","authors":"Eléna Macabrey,&nbsp;Florence Sordes,&nbsp;Damien Oudin Doglini","doi":"10.1016/j.amp.2026.03.009","DOIUrl":"10.1016/j.amp.2026.03.009","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Fibromyalgia is a chronic pain syndrome characterised by widespread musculoskeletal pain, profound fatigue, sleep disturbances, and cognitive impairments, often referred to as ‘fibrofog’. Beyond its physical manifestations, it is frequently associated with significant psychological distress, including anxiety and depression. Given the absence of a clear organic lesion, fibromyalgia is increasingly understood through the lens of ‘nociplastic pain’, involving central sensitisation. This study investigates the psychological adjustment of patients within the framework of the Common-Sense Model (CSM) of self-regulation. The CSM suggests that individuals create ‘lay’ representations of their illness—structured around dimensions such as identity, cause, timeline, consequences, and controllability—which, in turn, guide their coping strategies and influence health outcomes. The primary aim of this research was to examine the relationships between illness representations, pain beliefs, cognitive and emotional coping strategies, and the overall impact of the disease in a French population. Furthermore, the study sought to identify distinct patient profiles based on their illness representations to better understand the heterogeneity of adjustment patterns in fibromyalgia. A cross-sectional study was conducted using a secured online survey. The sample consisted of 170 adults (predominantly women) diagnosed with fibromyalgia, recruited through three national patient associations. Participants completed a battery of validated psychometric instruments: (1) The Revised Illness Perception Questionnaire (IPQ-R) to assess fibromyalgia representations; (2) The Pain Beliefs and Perceptions Inventory (PBPI) to evaluate beliefs regarding the mystery, constancy, and duration of pain; (3) The Chronic Pain Coping Inventory (CPCI) for specific coping strategies (e.g. resting, guarding, task persistence); (4) The Chronic Pain Acceptance Questionnaire (CPAQ) and the Pain Catastrophizing Scale (PCS) for psychological processes associated with pain; (5) The Hospital Anxiety and Depression Scale (HADS) and the Fibromyalgia Impact Questionnaire (FIQ) to measure clinical and functional outcomes. The participants reported high levels of pain intensity and a severe functional impact on daily life. Prevalence rates for clinically significant anxiety and depressive symptoms were notably high. Correlation analyses revealed that illness representations characterised by severe perceived consequences and high emotional burden were strongly associated with viewing pain as ‘mysterious’ and ‘constant’. Such beliefs were linked to maladaptive coping strategies, such as excessive resting and guarding, and a higher tendency toward catastrophising. A cluster analysis identified two distinct patient profiles: (i) Cluster 1 (High-Threat Profile): This group exhibited a ‘maladaptive’ pattern, characterised by low illness coherence (lack of understanding), low perceived control, and high ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 6","pages":"Pages 404-419"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148557728","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":"De la maison de retraite à l’EHPAD : mutations institutionnelles et enjeux psychiques du soin en fin de vie. Histoire, organisation et paradoxes du lieu de vie-soin","authors":"Nicolas Nieuviarts,&nbsp;Francis Albert,&nbsp;Romain Jallet,&nbsp;Aline Cheynet de Beaupré,&nbsp;Bertrand Fougère,&nbsp;Hélène Dieudonné-Plaisir,&nbsp;Jean-Pierre Bouchard","doi":"10.1016/j.amp.2026.02.001","DOIUrl":"10.1016/j.amp.2026.02.001","url":null,"abstract":"<div><div>This article is the first in a series of four papers devoted to Établissements d’Hébergement pour Personnes Âgées Dépendantes (EHPAD, French long-term residential care facilities for dependent elderly adults). The first volume (I) analyzes the historical and institutional transition from the former “retirement/nursing home” to the modern EHPAD, highlighting the contemporary paradoxes inherent in the “living-care environment”: clashes between the home-like model and hospital-based approach, between security issues and freedom of movement, between managerial rationalization and the recognition of subjectivity. By integrating demographic data, legal frameworks, and assessment tools (AGGIR, PATHOS), the study examines their effect on the quality of life, the temporality of dying, and the psychic containment provided within institutions. The second paper will explore the subjective experiences of residents and their relatives — including transitions, consent, relational bonds, and loss. The third will propose a comprehensive approach to palliative care in an EHPAD, integrating psychological, social, and legal dimensions around the medical axis. The fourth will focus on clinical and organizational expertise within an EHPAD — addressing issues of sexuality, addictions, grief, behavioral disorders, and the environmental development of the living space. These interviews, undertaken and conducted by Professor Jean-Pierre Bouchard, a clinical psychologist, bring together a multidisciplinary group of professionals — clinical psychologists and researchers, a geriatrician and facility coordinator, a neuropsychologist and nursing home director, and a professor of private law and criminal sciences — offer a pluralistic, dialogical, and interdisciplinary perspective of the contemporary challenges in institutional care. Through a series of cross-disciplinary interviews, the reader is invited to explore the ethical, clinical, and existential complexity of palliative care in an EHPAD, examining how these institutions might once again become settings of life, relationships, and meaning, rather than mere systems of maintenance or dependency management. The authors advocate for the development — with the support of public authorities — of a genuine palliative culture of presence and relational care, centered on recognizing the individual in their vulnerability and desires. Grounded in the concept that subjectivity is at the very heart of care, this approach invites us to reimagine the EHPAD as a space of hospitality, where the elderly person remains a subject of history, memory, and temporality, even when faced with their own mortality.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 6","pages":"Pages 461-472"},"PeriodicalIF":0.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148571877","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}