{"title":"Comparative analysis of the identification efficacy of the bipolarity index and diagnostic and statistical manual of mental disorders, 5th edition, for bipolar disorder screening among college students","authors":"Juan Zhu , Hanping Bai","doi":"10.1016/j.amp.2024.09.023","DOIUrl":"10.1016/j.amp.2024.09.023","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to explore the differences in the identification efficacy of the Bipolarity Index (BPX) and the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), as screening approaches for bipolar disorder (BD).</div></div><div><h3>Methods</h3><div>A total of 150 college students with depressive episodes who underwent outpatient and inpatient treatment at Central China Normal University Hospital and the Renmin Hospital of Wuhan University between January 2021 and December 2022 were selected as research participants. We used a self-developed general data questionnaire to collect comprehensive demographic and clinical data from all participants. This questionnaire covered various aspects including gender, age, occupation, education level, drinking habits, age at onset, disease duration, frequency and duration of the current episode, comorbidities, family history of genetic conditions, diagnosis and prognosis. Participants were evaluated using the BPX, the DSM-5 and the International Classification of Diseases, 10th Revision (ICD-10). Clinical diagnosis based on the ICD-10 served as the standard against which the BPX and DSM-5 were compared for sensitivity, specificity, accuracy, positive predictive value (PPV) and negative predictive value (NPV). Additionally, we conducted a multivariate logistic regression analysis to evaluate risk factors associated with BD.</div></div><div><h3>Results</h3><div>The sensitivity, specificity, accuracy, PPV and NPV were 85.34%, 81.90%, 84.00%, 87.21% and 79.69% for the BPX screening, and 72.73%, 90.32%, 80.00%, 91.43% and 70.00% for the DSM-5 screening, respectively. The study also identified significant clinical characteristics that differentiated those who screened positive for BD<span> using the BPX. These characteristics included a younger average age at onset, a higher prevalence of atypical depression and more frequent prior affective episodes compared with those who did not meet the BPX criteria for BD. Risk factors associated with BD included atypical depression, history of suicide attempts, four or more previous affective episodes, borderline personality disorder, mixed states and a family history of BD.</span></div></div><div><h3>Conclusion</h3><div>In conclusion, our findings suggest that the BPX exhibits superior sensitivity in screening for BD among college students compared with the DSM-5. Additionally, the study identifies significant risk factors (e.g., atypical depression, history of suicide attempts and multiple previous affective episodes), which are crucial for early detection and management.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 774-779"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242290","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":"Regulating Emotions in Parenting Scale: A Validity and Reliability Study in Turkey","authors":"Amine Nur Arıkan , Müdriye Yıldız-Bıçakçı","doi":"10.1016/j.amp.2024.12.004","DOIUrl":"10.1016/j.amp.2024.12.004","url":null,"abstract":"<div><div>Emotion regulation refers to the ability to control and direct one's emotions in the face of events, as demanded by specific settings and conditions. Since one's social and emotional difficulties are encapsulated in almost all contemporary diagnostic criteria, acquiring desirable emotion regulation skills is key to leading a healthy and happy life. Parents may need to be aware of their own emotion-regulation skills to lead their children to acquire positive emotion regulation skills. The present study aimed to examine the psychometric properties of the “Regulating Emotions in Parenting Scale” (REPS) on Turkish parents. The REPS consists of 18 items within three components: adaptive strategies, suppression, and rumination. For validity concerns, we first pooled the items relying on the relevant theoretical frameworks. Next, we resorted to expert opinions and employed the Lawshe technique to explore the content validity of the scale. Then, we performed confirmatory factor analysis (CFA) to investigate the construct validity of the scale. Finally, we calculated Cronbach's alpha coefficients to reveal the internal consistency of the five-factor model. We only recruited those having only a child aged 0–18<!--> <!-->years, living with their child for at least one year, and without a child with special needs. We collected the data from a total of 718 Turkish parents (81.2% mothers, 18.8% fathers) online. The results revealed both Cronbach's alpha and McDonald's omega coefficients to be 0.85 for the adaptive strategies subscale. Respectively, they were 0.78–0.79 for the suppression subscale and 0.69–0.70 for the rumination subscale. Besides, the three-factor model showed an acceptable to moderate fit to the data. In addition, upper-lower group comparisons yielded significant differences between all the items (<em>P</em> <!--><<!--> <!-->0.05). Regarding criterion validity, we found significant correlations between the REPS subscales on the Parent-Child Communication Scale (PCCS) (<em>P</em> <!--><<!--> <!-->0.05). Overall, we concluded that the REPS is a valid and reliable measurement tool for emotion regulation among parents in the Turkish context. Parental behaviors and emotion regulation patterns may affect children who deem their parents as primary complements of their immediate environment. Therefore, the REPS may lead to future studies in assessing parents’ emotion regulation skills.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 765-773"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242293","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":"Hommage au Professeur Julien-Daniel Guelfi (28 juin 1940 à Tours – 28 février 2023 à Paris) par le Docteur Christine Mirabel-Sarron","authors":"","doi":"10.1016/j.amp.2024.05.013","DOIUrl":"10.1016/j.amp.2024.05.013","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Page 863"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242250","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}
Brahim El Kinany, Sarah Belarabi, Ferdaouss Qassimi, Amine Bout, Chadya Aarab, Rachid Aalouane
{"title":"Impact of patient death on physicians’ mental health","authors":"Brahim El Kinany, Sarah Belarabi, Ferdaouss Qassimi, Amine Bout, Chadya Aarab, Rachid Aalouane","doi":"10.1016/j.amp.2024.09.024","DOIUrl":"10.1016/j.amp.2024.09.024","url":null,"abstract":"<div><h3>Introduction</h3><div>Physicians often encounter stressful situations that can impact their mental well-being. The death of a patient represents one of the most difficult situations in routine medical practice. Literature notably lacks comprehensive studies into physicians’ personal experiences with patients’ deaths. However, it does underscore heightened levels of sorrow, guilt, and stress stemming from the passing of terminally ill patients. As a majority of studies in this realm adopt qualitative methodologies, there is merit in supplementing existing research with a quantitative approach that employs validated psychometric scales. Furthermore, the study of phenomena associated with stress, particularly the perceived professional support by physicians in stressful events, can contribute to the implementation of preventive measures to help physicians cope.</div></div><div><h3>Objective</h3><div>Our study aims to measure the traumatic impact on resident and intern physicians at national university hospitals following the death of patients, as well as to assess the perceived level of professional support among these physicians.</div></div><div><h3>Materials and methods</h3><div>We conducted a nationwide cross-sectional, descriptive, and analytical study. Participants included interns and residents from various specialties (medical, surgical and laboratory) at national university hospitals in Morocco. Assessing the traumatic impact of patients’ death on doctors was conducted using two psychometric scales: the Peri-Traumatic Distress Inventory (PDI) and the Revised Impact of Event Scale (IES-R). Additionally, we used the Perceived Professional Social Support Scale (QSSP-P) to evaluate how supportive the professional environment was towards these doctors. All scales utilized in the study are validated in the French language.</div></div><div><h3>Results</h3><div>The study included 96 participants, with 67.7% being female. The average age was 26.8 years, ranging from 23 to 39 years. The majority of participants managed more than nine patients simultaneously (58.3%) while 41.7% were scheduled for more than six 24<!--> <span>h shifts per month. During their training, over 64.6% of interns and residents faced more than ten patients’ death incidents, and 68.8% considered their first patient death as the most traumatizing. Half of the physicians evaluated the patients’ care as moderately appropriate, with 46.9% believing that the incident could have been prevented. Notably, 70.8% of interns and residents involved in patient care experienced self-blame and attributed a share of responsibility to themselves for the patient's demise. The majority of participants, 82.3%, exhibited peri-traumatic distress with a PDI score exceeding 15. Among the studied factors, only the perceived responsibility and a management system centered on a single physician (rather than a team) demonstrated a noteworthy correlation with PDI scores. The mean score on the IES-R ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 829-834"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242247","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}
Charlemagne Simplice Moukouta, Eli Kpelly, Dufeil Sounga
{"title":"Deuil des racines, racines des deuils : à propos d’un cas clinique","authors":"Charlemagne Simplice Moukouta, Eli Kpelly, Dufeil Sounga","doi":"10.1016/j.amp.2025.06.003","DOIUrl":"10.1016/j.amp.2025.06.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Wars and/or natural disasters have long been sources of trauma. Today, it has been demonstrated that migration can also constitute a traumatic reality. Migration can be an acute traumatic phase for some people, even if not all traumas always have negative effects and not all individuals are at equal risk of traumatization. Whether voluntary or forced, Migration remains a particularly trying ordeal and a crisis, which imposes a logic of breaking historical cultural references, changing social references, a reorganization of identity and a psychological transformation. It involves a loss of cultural heritage and the discovery of new resources and potential. Indeed, people who go into exile lose their home, their kinship, their language, their community and their roots. In addition to the various losses suffered, the subject is assailed by existential questions, essentially affecting their identity in their relationship with dyads: sameness–selfhood, time–space, here–there; present–future; illusion–reality, etc.</div></div><div><h3>Method</h3><div>Based on a clinical vignette drawn from our experience in the psychiatric field, we propose to reflect on the psychological and cultural determinants linked to the issue of grief and trauma. This case concerns Mr. B., admitted for major anxiety-depressive syndrome characterized, among other things, by moodiness, loss of appetite and sleep, and psychomotor retardation. He stopped going to work without any specific reason and had lost his usual lifestyle habits (sport, reading at bedtime, lullabies for the children). In addition to antidepressant treatment and the exploration of possible etiopathogenic factors, such as the migratory trajectory, it was possible to co-construct a transcultural psychotherapy program with the patient and his wife, where cultural data served as therapeutic levers. As such, the migratory trajectory taken as an intercultural variable can be considered here as one of the etiopathogenic factors of depressive syndrome or other related disorders to the extent that it reactivates the ontological elements linked to the basic personality of the subject and confronts them in another universe, that of the host or adopted country. In this configuration, it was necessary for us to mediate between the maternal uncle and the couple following the example of transcultural mediation developed by Bouznah.</div></div><div><h3>Conclusion</h3><div>The caregiver's understanding of these determinants will thus allow for a therapeutic approach adapted to the patient from a different world of meaning, considering not only cultural signifiers, but also the thought patterns to which they refer in relation to the question of normal and pathological. This clinical case raises several observations that influence the therapeutic approach to patients in migration situations. The first observation concerns decoding the cultural meaning given to the question of normal and pathologica","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 813-817"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242248","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}
Élodie Mao , Thomas Fovet , Christel Debien , Guillaume Vaiva , Christophe Debien , Vincent Jardon , Jean-Pierre Bouchard
{"title":"« VigilanS-Prison » : mise en place d’une veille épistolaire pour la prévention du suicide en milieu carcéral","authors":"Élodie Mao , Thomas Fovet , Christel Debien , Guillaume Vaiva , Christophe Debien , Vincent Jardon , Jean-Pierre Bouchard","doi":"10.1016/j.amp.2025.01.002","DOIUrl":"10.1016/j.amp.2025.01.002","url":null,"abstract":"<div><div>In France, suicide accounts for around half of all deaths in prisons. Every year, around 120 people die by suicide in French prisons, i.e. one suicide every three days. Preventing suicide in prisons is therefore a major public health issue. In this interview With Jean-Pierre Bouchard, Élodie Mao, Thomas Fovet, Christel Debien, Guillaume Vaiva, Christophe Debien and Vincent Jardon provide feedback on the implementation of the <em>VigilanS-Prison</em> system in Hauts-de-France. The main principles of this brief contact intervention are presented, an initial activity report is given and the development prospects for this experiment are discussed.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 854-858"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242294","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}
Gaelle Malle , Anne-Louise Pot , Isabelle Amado , Ghita Dadi
{"title":"Hôpital de jour de psychiatrie orienté réhabilitation psychosociale : quelle place pour la psychanalyse ?","authors":"Gaelle Malle , Anne-Louise Pot , Isabelle Amado , Ghita Dadi","doi":"10.1016/j.amp.2025.03.015","DOIUrl":"10.1016/j.amp.2025.03.015","url":null,"abstract":"<div><h3>Objectives</h3><div>This paper relates how relevant can be a psychoanalytic care intermixed within a psychosocial rehabilitation approach in a psychiatric day hospital. The psychiatric day hospital of the 15th district of Paris at GHU Paris Psychiatrie & Neurosciences (HDJ) specialized in the care of adult patients, primarily those suffering from schizophrenia and other severe mental disorders. Established in the 1990s, the HDJ was initially influenced by psychoanalytic theories, particularly those of Jacques Lacan. However, in 2015, the HDJ underwent a significant evolution due to the transformation of psychiatric services in the 15th district. This led to a shift towards a psychosocial rehabilitation model focused on recovery and social-professional reintegration. The HDJ redefined its identity as a transitional space for recovery, emphasizing the importance of rehabilitation and reintegration into society. The new care model introduced a structured approach to treatment, focusing on the development of individualized projects and the opportunity of professional reintegration from the outset of care. The concept for care is based on cognitive remediation, cognitive behavior therapy and psychoanalytical therapy.</div></div><div><h3>Methods</h3><div>Psychosocial rehabilitation is defined as a set of processes aimed at helping individuals with mental disorders achieving a satisfying quality of life in accordance to their expectations. It is based on the belief that every person can progress towards a personalized project for life. The rehabilitation process encompasses clinical (symptoms, treatments), functional (cognitive abilities, relationships, autonomy), and social (housing, budget management, employment) dimensions. The HDJ assumed these principles and incorporated them into a model for care, based on the clinical experience of the multidisciplinary team. This team included clinical stakeholders with psychoanalytic orientations. Practically, after an initial assessment, the treatment pathway is now organized into three phases: 1. Stabilization and clinical consolidation: The first period consists in a whole effort to reach clinical remission and consolidation. The focus is on defining treatment goals and directing patients to workshops that address their specific needs. 2. Functional Rehabilitation: Once acute crises have been overcome, this phase allows for the evaluation of residual difficulties and the identification of patient's strengths. 3. Rehabilitation and Reintegration: The final phase focuses on personalized cognitive remediation programs aimed at restoring cognitive deficits. Social workers facilitate connections with rehabilitation, social inclusion and employment services to support patient's professional wishes. The HDJ emphasizes the importance of psychoanalysis in understanding the relational dynamics of patients. Psychoanalytic principles help staff recognize and respond to patient's unconscious relational patte","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 840-846"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242431","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}
Jean-Luc Martinot , Marie Laure Paillère , Alice V. Chavanne , Éric Artiges
{"title":"Nouveaux précurseurs de dérégulation émotionnelle et cerveau adolescent « à risque » : implications pour la prévention","authors":"Jean-Luc Martinot , Marie Laure Paillère , Alice V. Chavanne , Éric Artiges","doi":"10.1016/j.amp.2025.03.005","DOIUrl":"10.1016/j.amp.2025.03.005","url":null,"abstract":"<div><div>Precursors are evoked upstream of the Capgras’ syndrome. Then, an analogy is suggested between the need for prognostic classification linked to the saturation of the asylum population at the dawn of the 20th century, and the current overflow of the psychiatric healthcare system. The contemporary situation justifies the search for information useful to mitigate ill mental health in at-risk adolescents. The article presents recent research reports on adolescents at-risk of emotional dysregulation, stemming from a longitudinal cohort database of European adolescents. The database analyses have revealed new brain and psychometric predictors of emotional dysregulation in adolescents. New early indicators were derived from easy-to-administer questionnaires, exploring emotions, symptoms and affective traits, sleep, early adversity and stress, puberty. Findings suggest that the physiology and stages of brain development could be taken into account for decisions regarding Mental Health. Studies on adolescent brain development have implications for public health, in terms of the age of protection for adolescents, and targeted prevention upstream of care.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 780-788"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242435","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":"Thérapie Intégrée d’Attachement pour le trouble dépressif persistant : une étude pilote","authors":"Lana Kheirallah , Jean Belbeze , Hassan Rahioui","doi":"10.1016/j.amp.2024.11.005","DOIUrl":"10.1016/j.amp.2024.11.005","url":null,"abstract":"<div><div>Persistent depressive disorder (PDD), newly developed in DSM-5, merges the diagnoses of chronic major depressive disorder with that of dysthymia. In comparison with the characterized depressive episode, PDD is distinguished by a more marked negative impact on the quality of life, a greater risk of hospitalization and suicide attempts, an often-earlier onset, and a duration of several years to several decades. The treatment of PDD is faced with a high rate of treatment failure or partial remission. In terms of psychotherapy, the only specific psychotherapy adapted to chronic depression is the Cognitive-Behavioral Analysis System of Psychotherapy (CBASP). The initial trial showed that it had effects comparable to those of antidepressants and significantly increased efficacy when combined with medication. Subsequent trials, however, showed mixed results. Until now, PDD does not seem to answer to any know validated therapy for depression. One of the hypotheses that can explain this lack of results is attachment insecurity. Indeed, attachment insecurity is increasingly tackled in literature without being taken into consideration in conventional therapies. Although depression is multifactorial in origin, we now know that insecure attachment is a major risk factor for developing depression. In previous studies, insecure attachment is significantly associated with long-term depression. Considering this, the Attachment Integrated Therapy was adapted for PDD from an attachment-based approach. We felt it was essential to integrate the attachmental dimension in this conception since we raise relational problems, especially those that originate in early relationships. AIT is a time-limited therapy that was developed to support clients with insecure attachment whose security requires a direct and profound restructuring of attachment. AIT focuses mainly on what underlies the activation of the attachment system (in the event of threats to the relationship with the attachment figure), namely the representations of the self and of others by working on the concepts of self-confidence and confidence in others and their link with self-esteem. Secondarily, by enabling the patient to develop attachment interaction skills. To achieve these two objectives, the AIT was developed in line with Bowlby's recommendations. Although Bowlby did not develop a therapy founded on his theory, he nevertheless identified five therapeutic tasks that can guide the attachment-oriented therapist in shaping their work. The purpose of the study was to assess the results of AIT on PDD, found at the beginning (T1) at end of therapy (T2), and one year after therapy (T3) on three levels: depressive symptoms, attachment insecurity and social support. This study included eleven clients, suffering from PDD followed in an outpatient setting, at the Sainte-Anne hospital in Paris. The assessments were conducted on three levels: Depressive symptomatology (MINI, BDI-II), Attachment (RSQ) and S","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 789-796"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145242291","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’identitovigilance en psychiatrie","authors":"Samir Jabri , Aurélia Horpin , Fanny Thomas , Dominique Januel , Virginie Moulier , Noomane Bouaziz","doi":"10.1016/j.amp.2024.01.016","DOIUrl":"10.1016/j.amp.2024.01.016","url":null,"abstract":"<div><h3>Background</h3><div>The accurate identification of patients is a serious global healthcare concern. Errors in this regard may have egregious consequences, such as administering the wrong medication to a patient, using an incorrect blood type for a blood transfusion, or assigning newborns to the wrong parents. To reduce the occurrence of these types of incidents, identity bracelets are commonly issued to patients upon their admission into a hospital setting. However, just how diligently this procedure is followed by staff, and how aware patients are of the importance of an identity bracelet as part of their hospital admission process, is rarely quantified. Identity bracelets are particularly important in psychiatry due to the nature of severe mental disorders, which can make it difficult or even impossible for the patients to confirm their identity. However, bracelets can be refused by psychiatric patients and their use can cause reluctance among caregivers.</div></div><div><h3>Objectives</h3><div>This study aims to assess patients’ and staff's awareness, opinion, and perception of the protocols of assignment of identity bracelets in a department of a public psychiatric hospital (Ville Évrard hospital, France).</div></div><div><h3>Materials and methods</h3><div>In this pilot, single-center study, both patients and staff members completed either a paper- or web-based questionnaire. The questionnaires focused on their understanding and perception of patient identification procedures, particularly the use of identity bracelets.</div></div><div><h3>Results</h3><div>(1) Regarding the staff survey, 42 participants, aged 20 to 65 years, were included: 26.2% were doctors, 21.4% secretaries, 19.0% nurses, 9.5% psychologists, 7.1% social workers, and 16.7% from other professions. On average (standard deviation), these staff members had worked in the Ville Évrard hospital for 6.9 years (7.4). Only 19.0% of respondents reported having a good or excellent understanding of the patient identification procedure. However, 72.5% considered the procedure to be useful. Notably, the majority of staff members (66.7%) reported that identity bracelets were not used in their department. (2) Regarding the patient survey, a total of 68 patients participated. For the majority of patients (65.7%), identity monitoring presented no disadvantages, and some even felt reassured by it. However, a small minority considered it was a means of data collection (2.9%) and a surveillance system (2.9%) that infringed upon their freedom. The majority of patients was familiar with identity bracelets (88.2%) and held a positive opinion of them (56.7%). However, only a minority of patients (10.3%) reported being offered the bracelet during their psychiatric hospitalization. Interestingly, 80.9% of these same patients reported having worn a bracelet while at general medical care services. At the end of the questionnaire, patients recommended two things: discreetly calling patients asid","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 8","pages":"Pages 835-839"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140466700","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}