Annales medico-psychologiques最新文献

{"title":"La hiérarchie, une « base de sécurité » : validation française préliminaire de l’Échelle de la Sécurité Fournie par le Manager","authors":"Raphaëlle Postic , Mathilde Moisseron-Baudé , Charles Martin-Krumm","doi":"10.1016/j.amp.2025.07.005","DOIUrl":"10.1016/j.amp.2025.07.005","url":null,"abstract":"<div><div>The increasing level of burnout in France, which reached 34% in 2022, led us to investigate the role that managers’ ability to give security to their employees plays in this issue. To do so, we aimed to validate the Leader as Security Provider Scale (LSPS) in a French context. This scale measures how secure employees feel under their leader's guidance, linking managerial behaviours with employees’ feeling of security. The translation was conducted in compliance with the standards set out in ISO 17100:2015 and the recommendations issued by the International Test Commission, to ensure not only the quality of the translation but also its accuracy. These guidelines guaranteed that the translated scale would remain reliable and comparable to the original. To assess its validity, we tested it on a sample of 160 French workers, who had the same manager at least for one full year. We also combined it with two other established scales: the empowering leadership scale and the Maslach Burnout Inventory (MBI). The first one was used to establish concurrent validity, because empowerment is a security providing managerial behaviour and it's the closest existing French scale. Meanwhile, the MBI helped us examine the relationship between security provided by the manager and employees’ burnout levels. As it has been used in studies also using the empowerment leadership scale, it was the obvious choice for us, among the large existing number of burnout scales. For our statistical analysis, we reproduced the approach of the original LSPS study, but using R software due to its flexibility. Our results confirmed that the French version of the LSPS has a solid unifactorial structure (R<sup>2</sup> <!-->=<!--> <!-->57%). This shows that the scale reliably measures a single concept: the managers’ ability to be a source of security for their employees. The scale also demonstrated excellent internal consistency, measured with the Cronbach's alpha coefficient (α<!--> <!-->=<!--> <!-->.89). Furthermore, a robust positive correlation was identified between the LSPS and the empowering leadership scale, which provides evidence of good concurrent validity. Prior research has demonstrated that empowering leaders are capable of providing security for their followers through actions such as involving employees in decision-making processes and making way for autonomy. Finally, we observed a significant correlation between the security provided by managers and burnout levels among employees. More specifically, the regression analysis was negative, and strongly significative (β<!--> <!-->=<!--> <!-->−.24), indicating that employees who felt more secure with their managers experienced lower levels of burnout. This result highlights the key role that management plays in the prevention of burnout: managers who promote a sense of security can prevent burnout risk by reducing two of its factors: exhaustion and depersonalisation. All these findings allow us to validate the French","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 2","pages":"Pages 148-153"},"PeriodicalIF":0.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146122578","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":"Validation de l’ECR-R-16F : version française courte de l’Experience in Close Relationships Revised (ECR-R)","authors":"Valentine Rattaz , Nicolas Favez , Nilo Puglisi , Sarah Cairo Notari , Hervé Tissot","doi":"10.1016/j.amp.2025.12.003","DOIUrl":"10.1016/j.amp.2025.12.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Romantic attachment is known to be associated with the individual's psychic functioning and psychopathology. Romantic attachment is underpinned by two dimensions: anxiety and avoidance. Anxiety is related to the fear of being abandoned or rejected by the partner, whereas avoidance is related to the avoidance of intimacy and dependency in relationships. Insecure attachment is characterized by high levels of anxiety or avoidance, whereas secure attachment is characterized by low levels on these two dimensions. Romantic attachment tendencies will guide the individuals’ behaviors in close relationships, especially the couple relationship, and insecure attachment tendencies are likely to cause difficulties in these relationships. The Experience in Close Relationships Revised (ECR-R) is a 36-item questionnaire widely used to assess the two dimensions of romantic attachment. However, the length of the ECR-R is often mentioned as a limitation for its use and shorter versions are therefore needed. Short versions of the ECR-R have been developed in various languages, but there is currently no short version in French.</div></div><div><h3>Objective</h3><div>The aim of the present study is to propose a short version of the ECR-R in French, the ECR-R-16F. This study details the item selection process and evaluates the psychometric properties of the ECR-R-16F in two independent samples.</div></div><div><h3>Method</h3><div>The validation of the ECR-R-16F has been conducted in two studies. In the first study, 16 items, 8 items per dimension (anxiety and avoidance), have been selected for the short version. The item selection was conducted based on the face validity of items, in order to ensure a representation of each of the main aspects of anxiety and avoidance attachment tendencies and to avoid redundancy among items. The psychometric properties have then been tested in a sample of 600 participants (300 women and 300 men). In the second study, the psychometric properties have been tested in a second sample of 174 participants (89 women and 85 men). Measurement invariance analyses regarding the respondent gender have been conducted to ensure that the scale can be used similarly in men and women. Finally, correlational analyses between the scores on the anxiety and avoidance dimensions and relationship satisfaction have been conducted to ensure the construct validity of the scale.</div></div><div><h3>Results</h3><div>In both samples, confirmatory factorial analyses have shown that the ECR-R-16F is a valid tool to assess anxiety and avoidance dimensions of romantic attachment and has good psychometric properties. The analyses confirmed the two-factor structure of the questionnaire and showed a good reliability for both dimensions. Measurement invariance analyses have been conducted in the second sample and the metric invariance was achieved, showing an invariance of factor structure and item saturation according to respondent gender.","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 2","pages":"Pages 154-159"},"PeriodicalIF":0.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146122724","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 scénarios sociaux spécifiques en bandes dessinées (3S-BD) : un nouvel outil pour l’accompagnement à la compréhension socio-émotionnelle des personnes ayant un Trouble du Spectre de l’Autisme et un Handicap Intellectuel associé","authors":"Marina Filipova ,&nbsp;Jean-Louis Adrien","doi":"10.1016/j.amp.2024.03.014","DOIUrl":"10.1016/j.amp.2024.03.014","url":null,"abstract":"<div><div>Those who suffer from Autism Spectrum Disorder (ASD) whose developmental trajectory mobilizes heterogeneous and variable expression skills require structured, concrete, explicit and long-term support. To offset the socio-emotional, behavioral and sensory alterations that characterize this lifelong handicap, specific social scenarios constitute a specialized visual support for treatment. They clearly and explicitly represent scenes of social situations, enabling these individuals, depending on their actual age and level of understanding and cognitive development, to acquire necessary lifelong skills. The themes include social communication, socio-emotional regulation and expression, biological and psychological developmental stages linked to gender differences, and puberty, and they address sensory and sexual aspects at the start of adult life as well as personal and social skills related to autonomy. Structured and accompanied access to information that is transmitted through specific scenarios allows the person with ASD (1) to learn and develop a repertoire of social response strategies for different contexts, (2) to have concrete response strategies to deploy in autonomous situations a, (3) to prevent the appearance and establishment of “problem behaviors” related to erroneous beliefs and (4) to propose alternative behavioral responses to “prohibited behaviors”. The second objective is to improve the quality of life of the person with ASD and to promote their development within their life-long social group. Having a concrete learning experience and establishing a positive spiral of experiences that reinforce self-confidence, the person with Autism Spectrum Disorder will be effectively supported in their socio-emotional development. A large number of people with ASD lack a solid understanding of a set of social, biological, bodily, sensory and developmental concepts and criteria which leads to maladaptive behaviors in society which hinders emotional and relational functioning to the point of increasing in some cases the sense of stress, anxiety and guilt. In addition, the lack of knowledge and concrete representations as well as the absence of appropriate responses to the questions brought about by natural curiosity and pubertal development, regardless of the cognitive functioning of the person with ASD, can lead to the elaboration of a set of auto- and hetero-aggressive behaviors. The structured intervention applied to the person with autism, but also to any person with other neurodevelopmental disorders, can ensure the benefit of a serene socio-emotional development.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 2","pages":"Pages 79-84"},"PeriodicalIF":0.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146122721","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":"Facteurs influençant le recours aux soignants chez l’adolescent en détresse psychique : une étude participative en méthode mixte","authors":"Kevin-Marc Valery ,&nbsp;Manon Laumier ,&nbsp;Julien Bonilla-Guerrero ,&nbsp;Meryl Caiada ,&nbsp;Jean-Marc Destaillats ,&nbsp;Simon Felix ,&nbsp;Thomas Fournier ,&nbsp;Sarah Guionnet ,&nbsp;Emma Tison ,&nbsp;Louis Violeau ,&nbsp;Antoinette Prouteau","doi":"10.1016/j.amp.2024.12.009","DOIUrl":"10.1016/j.amp.2024.12.009","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Context&lt;/h3&gt;&lt;div&gt;Many adolescents report experiencing psychological distress, yet only a small percentage seek professional help. This discrepancy has significant implications, as delayed help-seeking can exacerbate issues such as social exclusion, academic struggles, and risky behaviors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;The study aimed to: (1) Identify factors influencing professional help-seeking behaviors among adolescents with psychological distress; (2) Evaluate the perceived importance of these factors from adolescents’ perspectives. (3) Determine socio-demographic predictors of barriers to help-seeking.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This mixed-method study was conducted in two stages. In the first phase, participatory qualitative workshops were held with adolescents to generate a list of factors influencing help-seeking behaviors. These factors were then integrated into a quantitative survey disseminated among 210 high school students from a private urban school. The survey included: (1) A rating scale for the influence of 13 identified factors (e.g., parental support, societal judgment, autonomy needs); (2) Socio-demographic questions to identify potential predictors of obstacles to seeking help. The analysis employed descriptive statistics and linear regression to explore patterns and predictors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The study identified 13 factors influencing help-seeking behaviors, such as: (1) Social and relational factors: Parental support, peer support, and confidentiality were the strongest encouraging factors. For example, 98% of participants reported parental support as a motivator for seeking professional help. (2) Mental health knowledge and attitudes: Knowledge of mental health and perceived utility of care were moderate motivators, though stigma and lack of confidence in health services remained barriers for some. (3) Individual psychological factors: Autonomy, self-esteem, and past experiences with mental health care presented mixed results, often acting as barriers. Socio-demographic predictors, such as gender, age, and proximity to mental health professionals, did not significantly correlate with barriers to help-seeking.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;The findings align with existing literature, emphasizing the importance of stigma, social support, and mental health literacy. Interventions should focus on: (1) Reducing stigma and promoting mental health literacy.; (2) Enhancing adolescents’ autonomy and self-esteem; (3) Ensuring confidentiality in professional settings.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Limitations&lt;/h3&gt;&lt;div&gt;The sample was drawn from a private urban school, potentially limiting generalizability. Future research should explore diverse populations and employ implicit measures to minimize social desirability bias.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This study underscores the complexity of help-seeking behaviors in adolescents, highlighting actionable factors to guide int","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 4-9"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996432","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":"Ego (moi) and Underego (sous-moi): Freud versus Surbled","authors":"Marion Hendrickx ,&nbsp;Emmanuel Drouin","doi":"10.1016/j.amp.2025.10.001","DOIUrl":"10.1016/j.amp.2025.10.001","url":null,"abstract":"<div><div>Georges Surbled (1855–1913), physician, remains largely forgotten today, despite developing the concept of the “sous-moi”, a concept that could have enriched Freudian theory in suggesting a more fluid and less conflictual relationship between conscious and unconscious processes. In this article, we define the surbled underego in the light of Freud's theories. In the 1920s, Freud (1856–1939) began by demonstrating that the first model of dividing the psyche into unconscious, preconscious, and conscious (first topic) was no longer sufficient to account for psychic functioning. As a result, he introduced the second topic: a new division of the psyche into three instances, the ego (le moi), the id (le ça) and the underego (sur-moi). At the same time, Georges Surbled (1855–1913), a French physician, was developing his own theory. According to Surbled, the clear-cut division between conscious and subconscious in this topic was not acceptable because, as he states, nature does not make a leap nor hiatus. Thus, between full consciousness and subconsciousness, there are many degrees, imperceptible transitions that must be quantified. Surbled remains largely forgotten today, despite developing the concept of the “sous-moi”, a concept that could have enriched Freudian theory in suggesting a more fluid and less conflictual relationship between conscious and unconscious processes. The objective of this article is to explore the theories of Freud and Surbled, in order to compare them, and analyse their development. It appears to us that the concept of the “underego” offers valuable insights for the contemporary psychoanalyst, in particular casting light on relational model theories that emphasize the fluid boundaries of the life of the psyche. Freud sometimes cites Surbled's works, but it is likely that he only became aware of this underego (described by Surbled) at the end of his life. It lays the groundwork for a future exploration of the concept of the “sous-moi” (underego) from a Freudian perspective, using Surbled's work and modern developments.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 72-75"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996383","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":"Étude d’un dispositif d’intervention précoce infirmier sur le vécu des personnes « tiers » de la première hospitalisation en soins sans consentement d’un proche : Vécu Tiers Psy","authors":"Chantal Portas ,&nbsp;Marie Albinet ,&nbsp;Lydiane Brevard ,&nbsp;Juliette Salles","doi":"10.1016/j.amp.2025.09.011","DOIUrl":"10.1016/j.amp.2025.09.011","url":null,"abstract":"&lt;div&gt;&lt;div&gt;In France, emergency psychiatric visits have increased in recent years, making emergency services a crucial entry point for psychiatric care. In 2018, 14% of psychiatric hospital admissions originated from emergency departments. The support system around psychiatric patients, particularly their family and close ones, plays a vital role in the patient's health and stability. Current recommendations emphasize the importance of supporting family caregivers through psychoeducation interventions, which are particularly effective when implemented early, such as during the first episode of illness. These interventions improve treatment adherence and reduce relapse risk. However, while the role of relatives is significant, the impact of psychiatric illness on them throughout the care continuum—from initial treatment to chronic management—must not be overlooked. Feelings of guilt are common among caregivers, who often feel powerless against the illness. Caregiver exhaustion can lead to anxiety, isolation, frustration, and a sense of helplessness due to conflicting demands. Before treatment begins, relatives are often on the front lines, witnessing a progressive deterioration in the patient's mental health over weeks or months, which eventually leads to a psychiatric crisis. This pre-crisis period is a major stress factor, further intensified by the announcement of hospitalization or involuntary treatment decisions, which are frequent in psychiatry. In 2022, involuntary hospitalizations (SSC) accounted for 26% of psychiatric admissions in France. When involuntary treatment is enacted, relatives may be asked to act as “third parties” in the process. These third parties are mostly family members—50% from the immediate family circle, with nearly a third being spouses. Studies from England and Ireland have explored families’ experiences during involuntary hospitalizations, revealing difficulties accessing help before admission and perceptions that services react to crises rather than prevent them. Relatives often feel burdened by the responsibility of care during involuntary treatment and may experience feelings of betrayal toward the patient or guilt if they refuse to sign the third-party letter. A French study highlighted the need to better prepare relatives for involuntary treatment measures, noting that some had never heard of such measures until their loved one was hospitalized. The authors recommended systematic information provision about psychiatric care modalities and sector organization in France at the start of the patient's care journey. Some support systems exist for relatives in psychiatric emergency settings. For example, in 2013, the Rennes Hospital's psychiatric emergency service established the Family Resource Center for Psychotic Disorders (CReFaP), offering individualized support and access to nursing staff via phone or appointments. However, involving relatives in emergency care and supporting them through crisis periods remains ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 18-27"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996385","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":"Lettre ouverte au Conseil National Professionnel de Psychiatrie (CNPP)","authors":"Alexis Bourla (Psychiatre)","doi":"10.1016/j.amp.2025.11.008","DOIUrl":"10.1016/j.amp.2025.11.008","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 1-3"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996387","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":"Interprofessional collaboration between general practitioners and psychiatrists in a French rural multi-professional health center: Assessment of doctors’ needs and patients’ expectations using a mixed methods approach","authors":"Shérazade Kinouani ,&nbsp;Lucile Schmidt ,&nbsp;Sophie Giraudier ,&nbsp;Thibaut Colomb ,&nbsp;Thierry Bailly","doi":"10.1016/j.amp.2024.09.007","DOIUrl":"10.1016/j.amp.2024.09.007","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The effectiveness of interprofessional collaboration (IPC) in primary care is unclear. It may have health benefits for patients with cardiovascular or mental health problems. The increase in the prevalence of mental disorders (particularly depressive episodes) in France over the last decade will mobilize both primary care and mental health actors in the future. They have a vested interest in working together to meet the growing needs of the French population. A consultation-liaison with a private psychiatrist was tested over 4 years within a French multi-professional health center (MHC) located in a French rural town. The overall aim of the study was to assess the care needs of GPs and their patients who benefited from this IPC. A study using a mixed methods approach was carried out with the following specific aims: (1) the main objective of the quantitative study was to describe the reasons for referral to psychiatrist by GP. The secondary objectives were to describe the responses given by the psychiatrist and to estimate the association between reasons for referral and patients characteristics; (2) the main objective of the qualitative study was to explore how patients perceived the GP-psychiatrist IPC, and the collaboration they experienced in this MHC. The secondary objectives were to explore their actual experiences in the French mental health system and their perceived needs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A convergent parallel design study was set up by combining a retrospective cross-sectional study by analyzing data from the medical records of patients, a qualitative study using semi-directed individual interviews and a non-participant observation with volunteer patients, and an integrative analysis phase to mirror the results of the two substudies. The analysis of data from the quantitative study was descriptive, followed by multivariate logistic regression analyses. The analysis of data from the qualitative study was inspired by Grounded Theory. The target population was adult patients who had visited at least one GP in the MHC.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;One hundred patients were included in the quantitative study (women: 65%, mean age: 47.2 years), who were seen by the psychiatrist in 117 consultations. Three types of request were made by GPs to the psychiatrist: therapeutic requests (83.7%), diagnostic requests (35.9%), and administrative requests related to work absence (4.2%). After adjustment, patients were more likely to be referred to the psychiatrist for a therapeutic reason if they had depressive or anxiety disorder (AOR&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;4.46, 95% CI: 1.57–12.69). Patients with bipolar disorder were more likely to be referred for diagnostic advice (AOR&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;10.59, 95% CI: 1.88–59.72). The psychiatrist's response was mainly therapeutic (91.5%): pharmacological in 74.3% of cases and psychotherapeutic in 50.4%. A diagnostic response was given in 41.9% of consulta","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 32-40"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996384","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’électroconvulsivothérapie, toute une (psycho)éducation !","authors":"Jules Vivier,&nbsp;Emilie Musset,&nbsp;Maeva Magnat,&nbsp;Thomas Fovet,&nbsp;Ali Amad","doi":"10.1016/j.amp.2024.03.009","DOIUrl":"10.1016/j.amp.2024.03.009","url":null,"abstract":"<div><h3>Background</h3><div>Electroconvulsive therapy (ECT) remains an essential, yet often stigmatized, treatment in psychiatry. Addressing this issue, our study introduces and evaluates a psychoeducational intervention aimed at demystifying ECT for patients and their caregivers, using the QuAKE (Questionnaire on Attitudes and Knowledge of ECT).</div></div><div><h3>Methods</h3><div>This psychoeducational approach was designed for individuals indicated for ECT and their caregivers. The session's effectiveness was gauged by comparing pre- and post-intervention QuAKE scores. Statistical significance was determined using paired Student <em>t</em>-test.</div></div><div><h3>Results</h3><div>The study included 20 participants, with caregivers constituting 90% of the sample. The intervention led to a statistically significant increase in knowledge (mean increase of 7.55 points, <em>p</em> <!-->&lt;<!--> <!-->0.001) and a notable decrease in stigmatizing attitudes (mean decrease of 9 points, <em>p</em> <!-->&lt;<!--> <!-->0.001) towards ECT, as measured by the QuAKE scales.</div></div><div><h3>Discussion</h3><div>The significant improvements in both knowledge and attitudes underline the potential benefits of incorporating psychoeducational interventions into ECT treatment protocols. Future research should further explore the role of such interventions in the broader treatment pathway, enhancing patient and caregiver understanding and acceptance of ECT.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 28-31"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141144916","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":"Soignants libéraux et TDAH : enjeux et défis","authors":"Olivier Menard ,&nbsp;Maëva Roulin","doi":"10.1016/j.amp.2024.11.002","DOIUrl":"10.1016/j.amp.2024.11.002","url":null,"abstract":"<div><div>Attention deficit disorder with or without hyperactivity (ADHD) is one of the most prevalent neurodevelopmental disorders (NDD). Increased awareness of NDDs among the general population, coupled with a global surge in the need for psychiatric care since the COVID-19 crisis, has put considerable pressure on the French mental health system in recent years. This is particularly true for private practitioners, including psychiatrists, neurologists, and pediatricians, who are the only specialists in France authorized to initiate methylphenidate, the first-line treatment for adult ADHD. These professionals face a daunting challenge: 50% of French private psychiatrists are aged 60 or older, and they are tasked with meeting an ever-growing demand for psychiatric care. Additionally, there is a fast-growing demand from younger individuals seeking NDD diagnoses, often self-diagnosed online through social media. Furthermore, NDD diagnosis was not widely taught in French medical universities until recently, resulting in fewer professionals qualified to meet the demand. Due to this shortage of medical practitioners, many individuals are seeking NDD diagnoses from psychologists. However, in France, psychologists are not considered healthcare practitioners, and most are not trained in NDD diagnosis. Nevertheless, a “business of ADHD” has emerged, with an increasing number of neuropsychological tests and other “trainings” being oTered. This is unfortunate because ADHD diagnosis is primarily clinical, and in most cases, especially in adults, does not require neuropsychological testing. That said, psychologists can play a significant role in managing ADHD, particularly through psychoeducation or cognitive-behavioral therapies, and in some non-comorbid cases, pre-diagnosis. We believe that teams of psychologists and psychiatrists trained in NDDs could represent an eTective way to increase the number of patients diagnosed and treated for ADHD. Given the shortage of psychiatrists, we also recommend broader access to the authority to initiate methylphenidate. Doctors specializing in addiction medicine, if trained in NDDs and working alongside psychiatrists, should be authorized to initiate methylphenidate. Finally, training is paramount, and priority should be given to expanding the availability of training programs.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"184 1","pages":"Pages 48-50"},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996380","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}