Annales medico-psychologiques最新文献

{"title":"Interventions psychotraumatisantes chez les ramasseurs de blessés : déterminants du stress post-traumatique chez les sapeurs-pompiers de Lomé","authors":"Kokou Messanh Agbémélé Soedje ,&nbsp;Daméga Wenkourama ,&nbsp;Guy-Gérard Aza-Gnandji ,&nbsp;Komlan Mensah Ketoh ,&nbsp;Adjaré-Kamé Fidèle Ahara ,&nbsp;Sonia Kanekatoua ,&nbsp;Koffi Mawussé Mensah ,&nbsp;Tchédié Etdéchié Elvyre Klikpo ,&nbsp;Hassimou Bramah ,&nbsp;Hamza Dolès Sama ,&nbsp;Kolou Simliwa Dassa","doi":"10.1016/j.amp.2023.08.008","DOIUrl":"10.1016/j.amp.2023.08.008","url":null,"abstract":"<div><h3>Purpose</h3><div>The general objective was to evaluate the factors influencing the onset of Post-Traumatic Stress Disorder (PTSD) in firefighters in Lomé.</div></div><div><h3>Method</h3><div>This was a cross-sectional, descriptive, and analytical study of the case-control and content analysis of the discourse relating to firefighters and their experience in the face of psychotraumatic interventions in Lomé. This study was carried out from June 1 to 14, 2021. Two groups were formed: one group consisted of firefighters who presented with PTSD defined by a score greater than 51 on the QSPT with the presence of the 8 DSM V criteria; a control group made up of firefighters who did not present with PTSD. One case was matched to a control.</div></div><div><h3>Results</h3><div>The firefighters were divided into 2 groups depending on whether or not they had presented with PTSD; hence 40 cases were matched to 40 controls. The male gender predominated in the case group at 75%; as in the control group, at 77.5%. The M/F sex ratio was 3/1 in the cases. Overall, the mean age was 32.4<!--> <!-->±<!--> <!-->6.1 years. With respect to personal vulnerability, being conscientious, perfectionist, they had probabilities <em>P</em> <!-->=<!--> <!-->0 each and ORs respectively equal to 21.3 [2.3–10.4] and 6.2 [1.4–5]. Those who demonstrated a reluctance to make requests, fear of being criticized, and excessive submission to others had probabilities <em>P</em> <!-->=<!--> <!-->0.0003 [1.3–4.9], <em>P</em> <!-->=<!--> <!-->0.0009 [1.3–5.6] and <em>P</em> <!-->=<!--> <!-->0 respectively, 0001 [1.4–4.9]. In terms of those experiencing trauma, both the feeling of a loss of control and that of being alone in facing situations constituted a significant risk for the onset of PTSD with <em>P</em> <!-->=<!--> <!-->0 and OR<!--> <!-->=<!--> <!-->21 [2.3–10.4]; <em>P</em> <!-->=<!--> <!-->0.0001 and OR<!--> <!-->=<!--> <!-->6.4 [1.4–4.3] respectively. In others, the desire to leave the profession, emotional exhaustion and alcohol consumption after the intervention constituted a significant risk factor in the occurrence of PTSD.</div></div><div><h3>Conclusion</h3><div>The fact of being conscientious, with a feeling of loss of control during interventions, associated with the desire to leave the profession were the main risk factors linked to the occurrence of PTSD.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 590-597"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139305551","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 dynamique transféro-contre-transférentielle entre clinicien et patient à l’épreuve d’un événement traumatique commun","authors":"Fresner André","doi":"10.1016/j.amp.2024.01.017","DOIUrl":"10.1016/j.amp.2024.01.017","url":null,"abstract":"<div><div>This article focuses on the transference-countertransference dynamic between clinicians and patients in the context where they experienced the same traumatic event. This paper takes into account a clinical experiment carried out in a makeshift camp in Haiti after the earthquake of January 12, 2010. It is a post-coup analysis of a program of psychological treatment for earthquake victims living in the Pax Villa camp. The population under care included women, men, young people, families, and children. Two clinical vignettes were selected for an analysis of the fundamental role of transference and countertransference in the therapeutic relationship in this traumatic context. This experience enabled us to understand that the fact that the clinician has witnessed and experienced the same traumatic event can contribute to the underpinning of the trusting relationship and the therapeutic process. We also understood that the transference countertransference relationship in this setting takes place between similarity and distance. To limit the harmful impact of the patient's emotional responses that are simultaneously echoed by the clinician, it is essential to work out the clinician's countertransference.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 628-638"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140283213","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":"Hypothèses étiopathogéniques du trouble de stress post-traumatique d’apparition retardée","authors":"Sophie Annette ,&nbsp;Julia Salomé ,&nbsp;Frédérique Gignoux-Froment ,&nbsp;Yorgos Dimitriadis","doi":"10.1016/j.amp.2023.04.016","DOIUrl":"10.1016/j.amp.2023.04.016","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The temporality of the emergence of symptoms following exposure to a potentially traumatic event is variable.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;The purpose of our research is to investigate the etiopathogenic hypotheses concerning the question of the latency phase which sometimes precedes the emergence of post-traumatic stress disorders.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and methods&lt;/h3&gt;&lt;div&gt;We conducted a review of the psychiatric literature concerning delayed-onset post-traumatic stress disorders. Hypotheses from the psychoanalytic literature were then discussed, as well as neuroscientific hypotheses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;This diagnosis has two possible definitions: a considerable delay in the emergence of symptoms, or the presence of early symptoms that are not very specific and not attributed to the effects of the event on the psyche. The etiological hypotheses found in the literature involve the role of denial, emotional detachment, and early avoidance. The role of the occurrence of a later triggering event, the intensity of the event with psychotraumatic potential, the protective role of social support systems, and the hypotheses related to cognitive aging were also highlighted. Furthermore, numerous studies have shown that the subjective experience of a perceived threat was a more reliable predictor of the likelihood of developing post-traumatic stress disorders than a supposedly objective assessment of danger. From a neuroscientific perspective, a study published by Smid and al. in 2022 found that since different traumatic experiences share common elements, each new event with psychotraumatic potential would activate the same memory structure, which would reinforce the interconnections of this memory network. This could explain the role of a later triggering event in the development of delayed post-traumatic disorders. On a psychoanalytical level, according to the Freudian concept of &lt;em&gt;après-coup&lt;/em&gt;, the first event is initially without consequence, but it is transformed by a second event, and it becomes retroactively traumatic. We discussed two hypotheses: either the first event left an unsymbolized trace, it was not integrated into the signifying chain, and it was subsequently integrated later on due to the second event, either the first event was symbolized at the moment of its occurrence, and in the light of a second subsequent event, it assumed a new meaning. The establishment of several psychic defense mechanisms could also explain the delayed onset of symptoms. From an interdisciplinary perspective, the study of the concept of &lt;em&gt;trace&lt;/em&gt;, developed by researchers such as F. Ansermet and P. Magistretti, has enabled us to shed light on our subject. The experience transcribed in the form of traces could undergo changes due to plasticity, the trace being thus able to associate with other traces on the occasion of exposure to other events.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Th","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 606-613"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75153705","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":"Croissance post-traumatique et stratégies de coping chez les sapeurs-pompiers civils français","authors":"Mathias Auville ,&nbsp;Baptiste Alleaume ,&nbsp;Anne Plantade-Gipch","doi":"10.1016/j.amp.2023.06.007","DOIUrl":"10.1016/j.amp.2023.06.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Often faced with potentially traumatic critical incidents, firefighters may experience both negative and positive changes. These include full or partial post-traumatic stress disorder, specific coping strategies and possibly post-traumatic growth. For firefighters, these factors might be related, and their experiences may be possibly different depending on the status of the participants (professional vs volunteer firefighters).</div></div><div><h3>Objective</h3><div>The aim of this study is to explore and predict post-traumatic growth, post-traumatic stress disorder and coping strategies in a sample of French professional and volunteer firefighters.</div></div><div><h3>Method</h3><div>A mixed research methodology was used. The Post-traumatic Stress Disorder Checklist, the Post-traumatic Growth Inventory, the Brief-Cope Inventory, and a semi-structured research interview were used with sixteen participants, divided into two equal groups: a group of eight professional firefighters and a group of eight volunteer firefighters.</div></div><div><h3>Results</h3><div>Post-traumatic growth was predicted at 63.4 % by traumatic symptomatology (altered arousal and reactivity) and by coping strategies (avoidance and positive thoughts). Spiritual changes predicted post-traumatic distress at 24.9 %. Firefighters who were not parents had more post-traumatic growth and positive thoughts than those who had children. There were no statistical difference between the volunteer and professional firefighter groups. Volunteer firefighters felt more vulnerable to critical incidents than professional firefighters because they have access to fewer effective resources.</div></div><div><h3>Conclusion</h3><div>Post-traumatic growth among firefighters could be explained by post-traumatic distress and coping strategies. Other factors influencing post-traumatic growth would need to be investigated (coping flexibility, parenting, a sense of self-efficacy).</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 639-645"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139191836","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":"Exposition aux événements traumatogènes et coping : analyse lexicométrique du discours de patients en service de victimologie","authors":"Ornella Ouagazzal ,&nbsp;Nelly Goutaudier ,&nbsp;Olivier Bodic ,&nbsp;Abdel Halim Boudoukha","doi":"10.1016/j.amp.2024.03.016","DOIUrl":"10.1016/j.amp.2024.03.016","url":null,"abstract":"<div><h3>Aim</h3><div>Exposure to traumatic events is a common phenomenon in the general population. Indeed, according to international epidemiological studies, 80% of individuals have been exposed to at least one traumatic event during their lifetime. Traumatic events can lead to post-traumatic (post-traumatic stress disorder (PTSD) specific symptoms) and dissociative symptoms (PTSD nonspecific symptoms). However, few French studies in the field of the epidemiology and psychopathology of traumatic events take into account the emotional experience in individuals exposed to a traumatic event. Our research focus on (1) the characteristics of traumatic events and (2) the strategies to cope with it.</div></div><div><h3>Method</h3><div>Fourteen patients met at a victimization service participated in this study. The sample includes three men and eleven women aged between 21 and 54 (mean age<!--> <!-->=<!--> <!-->37.07 years-old; standard deviation<!--> <!-->=<!--> <!-->10.10). For the recruitment of patient, each patient was approached by the psychiatrist, head of the unit, to participate in the study during a consultation. An individual appointment was scheduled with patients for conducting the interview. Interviews were transcribed and we produced a lexicometric analysis with the software Iramuteq, based on the Alceste method. The Alceste method is a technique that consist in a modeling of the distribution of words in a speech and language patterns to identify the most words used by the subjects.</div></div><div><h3>Results</h3><div>Results demonstrated, (a) four types of traumatic events to which the patients were exposed (car accidents, interpersonal violence, domestic and intra-family violence), but the intensity of the subjective experience of the event does not appear in a specific class, and (b) that among the strategies used to cope with it, the use of active and problem-centered coping strategies appears explicitly in two specific classes: seeking for social support (18.40% of the corpus) and searching for information and understanding (19.10% of the corpus).</div></div><div><h3>Discussion</h3><div>We categorized the traumatic events to which the patients were personally exposed, nevertheless, as an event has a different impact on victims, the intensity of the subjective experience of the traumatic event was not clearly highlighted in the patient's speech. This finding suggests the need to focus on the potentially traumatic nature of the event in order to better understand the psychopathological repercussions. We described the use of adapted strategies (i.e., social support, the search for information and solutions) that may mediate the negative effects of the experience of traumatic events on the physical and mental health of victims. The use of emotional-related strategies may increase the conditional risk of developing post-traumatic stress disorder.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 614-619"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703745","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":"Identifier et traiter les traumatismes psychiques : quelle place pour l’intelligence artificielle ? Actualisation des travaux en langue française et appel à une étude nationale","authors":"Yann Auxéméry ,&nbsp;Robin Quillivic ,&nbsp;Salma Mesmoudi","doi":"10.1016/j.amp.2025.04.008","DOIUrl":"10.1016/j.amp.2025.04.008","url":null,"abstract":"<div><div>Anchored in the recent clinical and therapeutic advancements stemming from the rise of psychotraumatology over the past decade, this article explores how cutting-edge developments in psycholinguistics enhance the identification of post-traumatic symptoms. The linguomarkers that define what we propose as a <em>syndrome psycholinguistic traumatic (SPLIT)</em> appear to be more specific and fine-grained than the current description of <em>post-traumatic stress disorder (PTSD)</em> in international nosographic classifications – particularly in the characterization of dissociative phenomena. In parallel with the rapid progress in artificial intelligence over the past two years, we present findings from a French software tool designed to support diagnostic strategies and to assess the effectiveness of evidence-based psychotherapies. These psychotherapeutic processes are conceived as acts of language emerging within the therapeutic dialogue – acts that activate and reorganize our networks of mental representations. By seeking to elucidate the structure of trauma and, consequently, the paths toward recovery, psychotherapy promotes the refunctionalization and re-harmonization of these representational networks, through the homeostatic reduction of excessive internal tensions. Drawing on language sciences, our approach advocates for the coexistence of <em>objectivity</em> – the foundation of quantifiable, replicable scientific inquiry – with <em>subjectivity</em>, as an essential marker of each individual's singular human experience. Might we soon be able to identify the specific words, phrases, and discourses that facilitate healing? We call for a nationwide psycholinguistic study to better detect and address post-traumatic psychological suffering among our fellow citizens.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 581-589"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241847","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 psychotraumatologie : une jeune spécialité qui continue de se développer","authors":"Yann Auxéméry","doi":"10.1016/j.amp.2025.04.007","DOIUrl":"10.1016/j.amp.2025.04.007","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 579-580"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241846","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 thérapie des schémas est-elle pertinente pour une population adulte souffrant de TSPT et de TSPT-complexe ? Une revue de littérature systématique qualitative","authors":"Émilie Ubico ,&nbsp;Anne Plantade-Gipch ,&nbsp;Nathalie Duriez","doi":"10.1016/j.amp.2024.09.010","DOIUrl":"10.1016/j.amp.2024.09.010","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Context&lt;/h3&gt;&lt;div&gt;Schema therapy (ST) involves two core concepts: early maladaptive schemas and modes. Early maladaptive schemas play a key role in the development and maintenance of post-traumatic stress disorder (PTSD), while observed modes reflect the internalized relationships of the traumatized individual. Given this context, how might ST be an interesting psychotherapeutic approach for a population suffering from PTSD or complex post-traumatic stress disorder (CPTSD)?&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Considering the impact of trauma and/or adversity on the subject's psychological development, ST could be relevant for a population suffering from PTSD or CPTSD. This study aims to explore the effectiveness of ST in treating an adult population suffering from PTSD or CPTSD, through a review of qualitative literature.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Following the PRISMA guidelines, articles were searched from December 2023 to May 2024 on PubMed, Google Scholar, PsycInfo, and the Cochrane Library, with specific eligibility criteria: studies on ST, adult population with PTSD or CPTSD, with no publication year limit. Data extraction considered the studied pathology (PTSD or CPTSD), research methodology, therapeutic setting (group/individual), measurement tools, and therapy effects.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Numerous studies explore the early maladaptive schemas of traumatized individuals, while others observe the effectiveness of ST in various clinical populations. However, few studies focus specifically on PTSD or CPTSD. The research process, summarized in a flow diagram, identified 989 articles, of which twelve were selected and analyzed, involving for 302 participants. Given the predominantly qualitative nature of the studies, a qualitative synthesis was deemed appropriate. Researchers’ chosen diagnoses varied according to the nosographic reference (DSM-5 for PTSD, ICD-11 for CPTSD). ST was found to reduce post-traumatic symptoms but also impacts overall psychiatric symptoms, anxiety, depression, suicidal thoughts, and the severity of substance and/or alcohol addiction. Improvements were observed in overall functioning, emotional regulation, interpersonal relationships, socio-professional life, quality of life, and self-esteem. ST is found to be relevant when exposure therapy was ineffective for trauma treatment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Research methodologies vary&lt;/h3&gt;&lt;div&gt;Quantitative studies demonstrated ST's effectiveness, while case studies explore the process of change at work in therapy and ST's efficacy. Some biases were noted, particularly in session transcription practices, the small number of comparison groups, and the absence of independent evaluations. Psychotherapeutic interventions included individual and/or group-based approaches, utilizing cognitive, behavioral, and experiential tools, including imagery rescripting or chair work. Only one study adapted its group therapy content to the three-phase approa","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 662-672"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241843","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":"Les violences conjugales dans les couples appartenant aux « minorités sexuelles » : quelles causes traumatologiques ?","authors":"Telma Mimault ,&nbsp;Suzanne Léveillée ,&nbsp;Yann Auxéméry","doi":"10.1016/j.amp.2024.09.009","DOIUrl":"10.1016/j.amp.2024.09.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Most prevention and awareness-raising programs are heteronormative and do not take into account the presence of violence in sexual minority couples.</div></div><div><h3>Method</h3><div>The aim of this study is to review the literature on domestic violence in sexual minority couples in relation to any traumatic experiences that may be causes and/or consequences.</div></div><div><h3>Results</h3><div>A link between childhood trauma, stress or a combination of the two in the perpetration of domestic violence in sexual minorities is highlighted just like the recent creation of typologies in these couples.</div></div><div><h3>Discussion</h3><div>Suffering from significant methodological biases, nevertheless, these studies, which are all too rare, deserve to highlight phenomena that should be better appreciated. Although domestic violence in minority couples appears to be similar to violence in heterosexual couples, two-way violence is more prevalent. This bidirectional violence could largely be the result of a cyclical process of violence from childhood to adulthood, moving from intrafamilial trauma in childhood to societal stress related to sexual orientation in adolescence and finally to mutual violence within the couple in adulthood.</div></div><div><h3>Conclusion</h3><div>The origins of the perpetration of domestic violence in a sexual minority couple appear to be linked to: the consequences, particularly psychological, of stress related to sexual minorities, which mediate the subsequent violence; the cycle of violence with the internalisation of an appropriate violent relationship model, thus representing a generational transmission and a pattern of repetition; the presence of bidirectional violence, also involving defence and reaction behaviours, accentuated by traumatic experiences or stress related to minorities.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 681-691"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241845","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 Centre Régional de Psychotraumatisme Paris Centre et Sud : quel profil psychotraumatique pour les victimes appelant sa plateforme téléphonique ?","authors":"Déborah Malet ,&nbsp;Gaëlle Abgrall ,&nbsp;William Zephir ,&nbsp;Ségolène Rolland ,&nbsp;Giovanni Mollica","doi":"10.1016/j.amp.2023.11.008","DOIUrl":"10.1016/j.amp.2023.11.008","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Context&lt;/h3&gt;&lt;div&gt;Psychotrauma is a public health issue. Prior to 1995 in France, support for victims of psychotrauma was mainly provided by associations. Following the terrorist bombing in the Paris metro at the Saint-Michel station on 25 July 1995, a new emergency care unit, the Cellule d’Urgence Médico-Psychologique (CUMP), was created. Its main mission is to provide immediate and post-traumatic event care to victims of disasters or events involving a large number of victims and likely to result in significant psychological repercussions. Following the 2015 attacks in Paris and Saint-Denis, the creation of the National Resource and Resilience Center and the Regional Psychotrauma Centers in 2018, represented a major step forward in the field of victim care and resilience. The Regional Psychotrauma Center for Central and Southern Paris (CRPPCS), which covers an area that consists of several departments (including Paris and the south of the Île-de-France region), is organized on a model of the federation of several care and associative structures. The originality of the CRPPCS system lies in the establishment of a call center, assessment, and referral platform. Three state-certified nurses trained in psychotraumatology engage callers in a semi-structured interview, explaining the course and purpose of the interview; noting the reason for the call, then evaluating any psychotraumatic symptoms according to a grid inspired by the Posttraumatic Stress Disorder Checklist version DSM-5. They also evaluate potential comorbidities (associated depression, addictions, suicidal behaviors, somatoform disorders, etc.). The callers’ psychiatric and addictological history are explored.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;The aim of this study is to establish the profiles of callers, studying the different types of trauma, addictive comorbidity, treatment approaches and demographic data.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and methods&lt;/h3&gt;&lt;div&gt;This is a descriptive and retrospective observational study that was carried out from September 2020 to the end of June 2021. Our sample comprised 502 people, 75% of whom were women, 70% of whom were aged between 25 and 60, and the majority of whom were from the Île-de-France region (98%).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Psychotrauma was diagnosed in 411 out of the 502 individuals. The main causes of trauma, in descending order of importance, were: domestic violence (32%), rape, physical assault, psychological assault, sexual assault other than rape, traumatic bereavement, confrontation with death, traffic accidents, verbal aggression/psychological violence/harassment at work, fire/explosion, traumatic migration path, assistance provided to a loved one in danger, and serious medical problems. For 24% of the sample, a previous history of traumatic events was reported. Among, these callers, 289 were redirected to a specialized structure for further treatment, and 20% of them also had an addictive comorbidity. Of t","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 6","pages":"Pages 620-627"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140465892","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}