Annales medico-psychologiques最新文献

{"title":"L’implémentation des soins psychologiques de première ligne en Belgique : profil et satisfaction des psychologues et orthopédagogues de première ligne","authors":"Annabelle Kinard , Fabienne Glowacz , Ronny Bruffaerts , Leontien Jansen","doi":"10.1016/j.amp.2023.05.008","DOIUrl":"10.1016/j.amp.2023.05.008","url":null,"abstract":"<div><p>Primary psychological care was implemented in Belgium between January and April 2019 as part of the “psy 107” mental health reform. This is part of a wider trend of strengthening primary care at the international level. Belgium, like the Netherlands (Derksen, 2009), Ireland (Corcoran et Byrne, 2017), Australia (37), England (Clark, 2018) and the United States (McDaniel, DeGruy, 2014; McGough et al., 2016), has moved towards a public health model based on a community approach to improve access to psychological care. However, the implementation of psychological treatment in primary care is still relatively recent and has been promoted by the work of clinical researchers who have reported the need to integrate mental health care into their practice (Kaitz et al., 2020). From this perspective, integration can take different forms; in fact, there is no standard model for integrated care but rather several models (Runyan, 2011; Seaton et al., 2021). In line with the “psy107” mental health reform, the federal authorities have implemented first-line psychological care in Belgium for patients aged 18 to 64 with reimbursement from the National Institute for Health and Disability Insurance (RIZIV). For the first time in history, 4 and up to 8 primary psychological sessions per year are reimbursed for mild to moderate symptoms of anxiety, depression or dependence on alcohol or sleeping pills. The implementation of these agreements resulted in the setting up of 20 adult mental health networks delimited on a territorial basis and later the creation of 11 networks dedicated to children and adolescents. In the context of the COVID-19 health crisis, this measure was extended on 2 April 2020 to include patients under 18 years of age and over 64 years of age, as well as the reimbursement of video-consultations. Each session costs the patient 4 or 11.20 euros, depending on whether or not they have an enhanced intervention.</p></div><div><h3>Objectives</h3><p>The research for this study was commissioned through a public procurement tender and led to the research project “Evaluation of Primary Care Psychology” (EPCAP) conducted by researchers from two universities. The research, which started in February 2020, has four components, focusing respectively on the epidemiological profile of the patients, the place of primary care psychologists and orthopedagogists (PPLs) in the health care network, the economic analysis of this measure, and the development of recommendations for the sustainability of this project. The purpose of this article is to present the profile of psychologists and orthopedagogists, their personal satisfaction, and the implementation of collaborative practices with general practitioners.</p></div><div><h3>Methods</h3><p>An online survey was distributed via network coordinators to all primary care psychologists and orthopedagogists who are engaged to provide this care in at least one adult network between September 2020 and January 2021. A cen","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 4","pages":"Pages 340-347"},"PeriodicalIF":0.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134995545","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":"Où est le sujet de la psychiatrie ?","authors":"Mégane Héritier (Psychologue clinicienne),&nbsp;Célia Nasonne (Psychomotricienne),&nbsp;Audrey Moulinec (Psychiatre)","doi":"10.1016/j.amp.2024.01.013","DOIUrl":"10.1016/j.amp.2024.01.013","url":null,"abstract":"<div><p>What is psychiatry about? As professionals in the Department of Psychiatry of the Sainte-Anne Army Hospital in Toulon, we decided to formulate an initial three-way discussion between psycho-motor specialists, psychologists and psychiatrists on the subject of psychiatric care, bearing in mind the nuances and even the divergences in our practices. Our current work does not claim to lead to unequivocal thinking; it is based on a desire to support the need for continuity of care, for working together, and for decompartmentalizing the different areas where the subject of psychiatry is relevant, especially in light of the discontinuity that is present in the practice of psychiatry in France today. Our common thread will be transference as a necessary element so that this encounter can develop an unprecedented form of expression.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 4","pages":"Pages 370-377"},"PeriodicalIF":0.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139812094","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":"Des enjeux psychologiques et sociaux de femmes auteures d’un néonaticide : solitude, déni de grossesse et fragilités de la personnalité","authors":"Suzanne Léveillée ,&nbsp;Jean-Pierre Bouchard","doi":"10.1016/j.amp.2024.01.015","DOIUrl":"10.1016/j.amp.2024.01.015","url":null,"abstract":"<div><p>This interview between professors Jean-Pierre Bouchard and Suzanne Léveillée focuses on the psychosocial issues of women who have undergone neonaticide. This type of intrafamilial homicide is particularly difficult to understand and the number of cases is almost impossible to determine. These women give birth in secret, and the people around them had not observed their physical change. A psychosocial portrait is drawn up and some elements of understanding are highlighted in this text. The denial of pregnancy, the extreme loneliness of these women and mental health issues allow us to better understand them. Clinical vignettes are developed to identify some elements of these women's life trajectories as well as to set out some avenues for prevention.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 4","pages":"Pages 400-405"},"PeriodicalIF":0.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140465033","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’avenir d’une illusion humaniste mobilisatrice : le soin psychique","authors":"Maurice Corcos,&nbsp;Gérard Shadili,&nbsp;Pablo Votadoro,&nbsp;Marion Robin","doi":"10.1016/j.amp.2024.01.009","DOIUrl":"10.1016/j.amp.2024.01.009","url":null,"abstract":"<div><p>A society where desolation and delirium reigns attacks first and foremost the human and social sciences, and runs the risk of breaking the bonds of intersubjectivity and solidarity. The renunciation of the latter is at the root of the collective loss of meaning and the return of fear of madness. Mental health caregivers feel the impact of this new world and, seized by the urgency of the situation, act in the present rather than looking to the future, taking history into account, medicalizing and then subjecting human problems of life and death to psychiatric analysis and treatment. The rationalization of diagnostic and therapeutic approaches dictated more by today's economism, which is not a human and social science but an ideology, threatens to sweep away the achievements of institutional child psychiatry, and the indispensable ethic of inter-human encounter that lies at the heart of care.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 4","pages":"Pages 378-383"},"PeriodicalIF":0.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140467005","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":"Évaluation de la santé mentale et des facteurs psychosociaux chez les élèves officiers de l’école de la marine marchande","authors":"Nolwenn Coadic ,&nbsp;Dominique Jégaden ,&nbsp;David Lucas","doi":"10.1016/j.amp.2023.04.015","DOIUrl":"10.1016/j.amp.2023.04.015","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;p&gt;Several studies have demonstrated the existence of mental disorders and psychosocial risks among sailors, particularly merchant navy officers. The main risk factors reported are assuming the status of an officer, longer working hours and the consequent reduction in sleep time, loneliness, separation from family, and, more recently, the impact of the COVID-19 pandemic (fear for one's own health and that of one's family, and longer embarkation times). The low decision latitude of crew members compared to that of officers has also been highlighted. To date, no studies have been carried out among merchant navy officer cadets.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;A working group including members of the Merchant Navy school and the hospital of the University of Brest was set up. A questionnaire was devised that included demographic and navigational data to which we added the GHQ-12, HAD and Karasek questionnaires. All the students were asked to complete the questionnaire anonymously and submit it electronically. The results of the questionnaires were then analyzed using internationally recognized scoring procedures. A descriptive analysis phase was conducted which was followed by an analysis according to the Karasek scoring categories.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;In all, 170 questionnaires were submitted. The participant population was predominantly male (76.4%), and the average age of the students was 21.7 years. Nearly 20% of the students stated that they had experienced a traumatic event during an on-board training course. We note that the average GHQ-12 is 13.3 and therefore higher than 12. The HAD anxiety and HAD depression averages are 6.9 and 5.37 respectively, with 18.2% and 7.6% of the students included showing signs of anxiety and depression. According to Karasek's classification, we note that the “active” class is the most represented with 29.4% of students, followed by the “tense” and “relaxed” classes with 27.6%. The “passive” class is the least represented with 15.3%.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;p&gt;This study demonstrates that the students of the French Merchant Navy Officer Training School evaluated their overall health as average, with a predominance of anxiety disorders but few signs of depression. Signs of “work strain” according to the Karasek questionnaire were found in 1/4 of these young officers. The proportion of cadets showing signs of anxiety and depression according to the HAD questionnaire is similar to that shown in studies among French and European officers. On the other hand, the proportion of cadets classified as “tense” is higher. Concerning traumatic events, in a semi-structured analysis of the students’ first deployments at sea, the main stress factors reported were how the ship was managed, damaged, piracy and then weather conditions. The period of study within the ENSM involves both a period of theoretical learning but also one of practical training. In the highly specific environm","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 3","pages":"Pages 273-278"},"PeriodicalIF":0.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89021619","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 troubles mnésiques au cours de l’électroconvulsivothérapie","authors":"Emna Bergaoui ,&nbsp;Rania Lansari ,&nbsp;Badii Amamou ,&nbsp;Amine Larnaout ,&nbsp;Lotfi Gaha ,&nbsp;Ahmed Mhalla ,&nbsp;Wahid Melki","doi":"10.1016/j.amp.2024.01.007","DOIUrl":"10.1016/j.amp.2024.01.007","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;p&gt;Electroconvulsive therapy (ECT) is the oldest technique still in use in psychiatry. Nevertheless, its adverse cognitive side effects are frequent, particularly complaints about memory. The main objective of this review is to describe the nature of ECT-related memory disorders, their short- and long-term evolution and associated risk factors, and to propose recommendations for appropriate evaluation and follow-up.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;À systematic review of the literature was conducted in April 2022, using the PRISMA methodology. The English search equations gleaned from the literature published were entered into PubMed and Cochrane using the search queries: ‘cognition’ and ‘electroconvulsive therapy’ or ‘amnesia’ and ‘electroconvulsive therapy’ or ‘adverse effects’ and electroconvulsive therapy’. The search was carried out on literature published between 2000 to 2022.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Our review included 20 articles, including 4 articles on types of memory disorders, 3 articles on mechanisms, 6 articles on risk factors, 3 articles on cognitive testing and 4 articles on treatment. The data indicated impairment of both anterograde and retrograde memory. In the days following the session of ECT, the ability to recall events that occurred post-treatment, as well as general and autobiographical knowledge, was impaired. However, most cognitive functions improve within 4 weeks. Nevertheless, some patients, may show autobiographical memory deficits for from 3 to 6 months after ECT. The duration of the confusion is a predictive factor for the persistence of memory disorders. Subjective complaints are not correlated with objective memory disorders, but rather with the severity of depression. They last longer than objective disorders. The greater the proximity of the events to the ECT, the greater the impairment. In light of the studies included, we found altered hippocampal function and cerebral slowing. Indeed, the presence of EEG theta waves in frontotemporal regions was associated with the duration of post-ictal confusion and retrograde amnesia. There are several factors associated with the onset of memory disorders. These include the nature and charge of the electrical current, electrode placement, frequency of sessions, anaesthetic product administered, as well as individual factors such as age and gender. The use of ultra-short current with right unilateral electrode placement considerably reduces undesirable cognitive effects and preserves efficacy. Different cognitive tests were used, depending on the cognitive domain to be assessed. The Mini-Mental State Examination (MMSE) was the most widely used test for global assessment. Some studies used a cognitive array of tests with evaluation ranging from 1 to 6 months after treatment. Various molecules have been tried during ECT, notably anticholinesterase drugs and piracetam, with no conclusive results. However, the results of trials with ketamine","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 3","pages":"Pages 302-315"},"PeriodicalIF":0.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139872495","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":"Modèles descriptifs de l’adversité vécue durant l’enfance (Adverse Childhood Experiences) et implications pour la recherche : état des lieux et perspectives","authors":"Camille Louise Tarquinio ,&nbsp;Marion Trousselard ,&nbsp;Christine Rotonda ,&nbsp;Cyril Tarquinio","doi":"10.1016/j.amp.2023.06.008","DOIUrl":"10.1016/j.amp.2023.06.008","url":null,"abstract":"<div><p>The literature in the field of ACEs (Adverse Childhood Experiences) has, since the seminal study begun in 1998 by Felitti and his team, provided the link between childhood adversity and the emergence of health problems in adulthood. This relationship between life history and health is based on a cumulative risk model. Since then, different models have been proposed, but for most studies, the cumulative adversity model is the main one considered. This model, although relevant, has important limitations that must be taken into account. It therefore seems essential to take stock of the existing models in the literature in consideration of their interests and their limitations in order to better understand the relationship between adversity experienced during childhood and health in adulthood. The objective of this article is to provide an overview of the most relevant models in the literature so as to understand their importance for research in the field. Finally, we will put the data of the literature into perspective to propose the deployment of more precise research approaches in the field of ACEs.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 3","pages":"Pages 242-250"},"PeriodicalIF":0.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134993812","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":"De l’épreuve de deuil au désir d’enfant : quand le symptôme d’infertilité secondaire fait sens","authors":"Carelle Vanessa Koumba","doi":"10.1016/j.amp.2022.07.008","DOIUrl":"10.1016/j.amp.2022.07.008","url":null,"abstract":"<div><h3>Objective</h3><p>Based on a clinical situation taken from doctoral research, the author wishes to show how the unconscious psychic issues re-actualized by migration and bereavement can hinder the occurrence of a subsequent pregnancy. The choice of this clinical vignette is explained by its paradigmatic dimension, the richness, and the quality of clinical elements.</p></div><div><h3>Method</h3><p>This clinical situation is based on a qualitative methodology of descriptive case analysis which integrates the “grounded theory”.</p></div><div><h3>Results</h3><p>The analysis underlines, on the intrapsychic level, issues of the order of unelaborated traumas (unplanned mourning) and a negativity of the relationship to the maternal figure which hinder the desire for a child. Psychotherapeutic care would seem to be necessary in order to offer the opportunity for development in the event that the pregnancy did not take place, to initiate a process of grieving over the numerous losses (migration, father, fetuses, reproductive function), and to work on the relationship to the mother figure.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 3","pages":"Pages 221-225"},"PeriodicalIF":0.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89036327","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":"Is there a relationship between problematic Internet use and attachment styles, self-esteem, and loneliness in medical school students?","authors":"Çağla Çelikkol Sadiç ,&nbsp;Şevval Akyürek ,&nbsp;Mehmet Uyar ,&nbsp;Nazlican Çavunt ,&nbsp;Hasan Altin ,&nbsp;İrem Aydin ,&nbsp;Yunus Emre Toros ,&nbsp;Yekta Özkan ,&nbsp;Hacer Gizem Gerçek ,&nbsp;Aziz Kara","doi":"10.1016/j.amp.2024.02.001","DOIUrl":"https://doi.org/10.1016/j.amp.2024.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Problematic Internet use (PIU) is defined as a person's inability to control his/her Internet that leads to a disruption and a deterioration in fulfilling social, work, and personal responsibilities. PIU is reported to be more common in university students, especially in medical school students, than in the general population. Research has indicated that social media use in the classroom, an anxious attachment style and low self-esteem were associated with PIU in medical school students. This study aims to determine whether PIU is associated with attachment styles, self-esteem, loneliness, and social media use in the classroom, as well as to provide theoretical information about factors associated with PIU among medical students.</p></div><div><h3>Method</h3><p>Participants were asked to fill out a socio-demographic form, the Addiction Profile Index Internet Addiction Form (APIINT), the Experiences of Close Relationships-Revised (ECR-R), the Coopersmith Self-Esteem Inventory (CSEI), and the UCLA Loneliness Scale.</p></div><div><h3>Results</h3><p>Participants who scored above the APIINT total score cut-off point were found to have significantly higher rates of social media use, higher UCLA and ECR-R anxiety subscale scores than those who scored below the APIINT total score cut-off point, while CSEI scores were found to be significantly lower compared to participants who scored below the APIINT total score cut-off point. According to the results of a logistical regression analysis, it was observed that social media use in the classroom, anxious attachment style and low self-esteem were associated with PIU.</p></div><div><h3>Conclusion</h3><p>The results of the study indicate that the use of social media in the classroom, anxious attachment style, and low self-esteem are significant risk factors for PIU.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 3","pages":"Pages 266-272"},"PeriodicalIF":0.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180503","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 premiers moments de l’introduction de la psychanalyse en pédopsychiatrie dans l’entre-deux-guerres en France","authors":"Annick Ohayon","doi":"10.1016/j.amp.2023.12.010","DOIUrl":"10.1016/j.amp.2023.12.010","url":null,"abstract":"<div><p>In this paper, the author describes the first moments of the introduction of psychoanalysis in child psychiatry and the context of their emergence in the 1920s and 1930s in France. They are contemporaneous with the difficult introduction of psychoanalysis into the medical world. Child psychoanalysis then appeared as a prophylaxis of neurotic disorders, and aroused the interest of educational psychologists and educators. It traces the pioneering work of psychoanalyst Sophie Morgenstern in Georges Heuyer's child psychiatry consultation, and that of Pierre Mâle in Henri Rousselle's child psychiatry consultation. After the Liberation, he became the recognized specialist in adolescent psychotherapy. On the other hand, Morgenstern's legacy will be forgotten or disowned by those who will succeed her, and the author wonders about the reasons for this phenomenon. This pioneering work, which drew a new face of normal and abnormal childhood, was to be greatly expanded after the Second World War.</p></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"182 3","pages":"Pages 279-283"},"PeriodicalIF":0.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635004","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}