{"title":"TDAH en France : un défi en milieu scolaire","authors":"Sara Fally","doi":"10.1016/j.amp.2024.09.001","DOIUrl":"10.1016/j.amp.2024.09.001","url":null,"abstract":"<div><div>Attention deficit hyperactivity disorder (ADHD) often has a negative impact on schooling, affecting both learning and interpersonal relationships. How can we provide effective educational and behavioral support to children with ADHD at school? To achieve inclusive schooling, teachers combine intervention, support, and accommodation practices. However, due to the heterogeneity of ADHD symptoms, lack of teacher training, and limited practice evaluations, adaptations do not always meet the needs of affected students and can lead to discouragement. In this context, opting for an educational approach that benefits not only students with ADHD but also their peers as a whole would promote genuine inclusion.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 3","pages":"Pages 312-314"},"PeriodicalIF":0.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Évaluation de l’anosognosie et ses enjeux dans la maladie d’Alzheimer","authors":"Jean-Pierre Jacus , Virginie Voltzenlogel , Christine-Vanessa Cuervo-Lombard","doi":"10.1016/j.amp.2024.11.018","DOIUrl":"10.1016/j.amp.2024.11.018","url":null,"abstract":"<div><div>Anosognosia in the setting of Alzheimer's disease reduces the extent to which the subject can become involved in his or her care, it favors situations of danger, increases the distress of caregivers and increases the risk of early institutionalization. This explains why this symptom profile, which is common in the early stages of the pathology, has increasingly become a subject of research. Authors recall its definition, and the main models and assessment tools in Alzheimer's disease. These tools mostly relate to methods centered on the various dimensions of anosognosia. They concern a) the method of <em>patient–caregiver discrepancy</em>, which assesses the levels of anosognosia by way of the differential between the opinion of the family caregiver and that of the subject concerning the competences or difficulties of the subject in various dimensions of daily living; b) the <em>prediction/performance discrepancy</em>, which estimates the level of anosognosia from the discrepancy between the subject's predictions of success on different test items and his or her actual test results; and c) the <em>clinician assessment</em> method, which calls on a professional to ascertain the patient's degree of anosognosia. Other methods described as patient-centered have appeared recently, in particular <em>phenomenological scales</em> aiming to apprehend the experience of the subject by way of clinical interview, aiming to identify the processes and dimensions characterizing the condition. Anosognosia in Alzheimer's disease is positively associated with caregiver burden, overall cognitive decline, dysexecutive syndrome and apathy. It is negatively associated with depression, although this association is a subject of debate. The tools that have been validated in France are still too few [Antoine et al. (2004)], which explains the lack of interest in anosognosia in everyday clinical practice. Here again, there is no normative data to provide clinicians with some guidance. Recent research has underlined how anosognosia assessed by methods centered on dimensions (patient–caregiver discrepancies, prediction/performance discrepancies and clinician evaluation) is almost systematically associated with apathy, independently from the domains assessed (cognitive or behavioral disturbances, etc.). Thus, apathy appears as the most discriminant dimension in anosognosia according to the severity of the condition, which offers new perspectives for assessment in clinical practice. There are indeed numerous scales measuring apathy that have been validated in French, providing an evaluation by the family caregiver and the subject, and liable to generate an anosognosia index for the patient–caregiver discrepancy method. Depression, which is exacerbated by the awareness of disturbances, could raise the issue of denial, and more broadly of avoidance strategies, the implication of which in this symptom requires at least back-up by a causality between the two entities, and","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 2","pages":"Pages 178-184"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143561998","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}
Robynn Hera , Siposethu Nojoko , Nancy Stiegler , Jean Pierre Bouchard
{"title":"Abortion in South-Africa: Does a liberal legislation really impact safe access and use?","authors":"Robynn Hera , Siposethu Nojoko , Nancy Stiegler , Jean Pierre Bouchard","doi":"10.1016/j.amp.2024.10.003","DOIUrl":"10.1016/j.amp.2024.10.003","url":null,"abstract":"<div><div>The World Health Organization (WHO) considers comprehensive abortion care as part of their essential healthcare service package, which includes the provision of information, abortion management, and post-abortion care. The WHO estimated that globally, 45% of all induced abortions were unsafe, and it noted that nearly half of all the abortions occurred under the least safe circumstances in Africa. Abortion has been legal in South Africa since the implementation of the Choice of Termination of Pregnancy (CTOP) Act (No. 92 of 1996), which was a significant departure from the country's previously restrictive abortion laws. While the CTOP Act (1996) has made provision for access to safe abortion services and pre- and post-abortion counselling, this has not been effectively implemented into effective service delivery. It's estimated that between 52% and 58% of abortions take place in informal medical settings, and that only 7% of the public health facilities in South Africa were performing abortion services in 2017. The WHO noted that the lack of access to safe, affordable, timely, and respectful abortion care, and the stigma associated with abortion pose risks to women's physical and mental well-being throughout the life-course. The aim of this paper was to explore how women in South Africa experience and cope with induced abortion. Additionally, this research looks at how religion, culture and stigma, impact abortion and mental health post-abortion of South African's women. This study utilises data from the latest South African Demographic and Health Surveys (SADHS), in 2016, which includes data from 8514 women aged 15-49 years. This study highlights the need for more data and research related to challenges and experiences of South African women around mental health and the nature of abortion within the country. In this interview conducted by Professor Jean-Pierre Bouchard, population analysts Robynn Ashely Hera and Siposethu Nojoko together with demographer Professor Nancy Stiegler from the University of the Western Cape discuss safe and unsafe abortion incidence and access and the psychological effects thereof.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 2","pages":"Pages 185-194"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143561999","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 vécu de la fratrie face au cancer pédiatrique : revue de la littérature systématique","authors":"Voskan Kirakosyan","doi":"10.1016/j.amp.2024.04.010","DOIUrl":"10.1016/j.amp.2024.04.010","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Pediatric cancer presents numerous challenges for the afflicted child and their family. While the impact on the ill child and their parents has been well-documented, there has been limited research focusing on the experiences of siblings coping with a family member's cancer diagnosis. Existing French-language studies primarily examine how siblings adapt to pediatric cancer and the potential benefits of support groups tailored for them. To our knowledge, there is currently no French-language literature review addressing this specific topic. This article aims to conduct a systematic review of existing literature to analyze and synthesize key findings, thereby enhancing our understanding of siblings’ experiences in this context.</div></div><div><h3>Methodology</h3><div>We conducted a systematic review of both national and international articles published between 2012 and 2022, utilizing specific keywords. Searches were performed on databases including PubMed, PsycINFO, PsycARTICLES, and Google Scholar. Our methodology adhered to the PRISMA guidelines (Preferred Reporting Items for Systematic Review and Meta-Analyses). The quality of each included article was assessed using the Mixed Methods Appraisal Tool (MMAT). In presenting the results, we initially conducted a meta-synthesis of qualitative studies, which were then supplemented by quantitative and mixed data, taking into account their complementary nature. This approach offers a comprehensive overview of the existing findings.</div></div><div><h3>Results</h3><div>Following the initial screening based on title and abstract, a total of 137 articles were identified. Upon thorough examination, 28 articles were deemed suitable for inclusion: comprising qualitative (<em>n</em> <!-->=<!--> <!-->12), quantitative (<em>n</em> <!-->=<!--> <!-->12), and mixed-methods (<em>n</em> <!-->=<!--> <!-->4) studies. Through analysis and synthesis of these findings, we gained a deeper insight into the experiences of siblings facing pediatric cancer. Subsequently, we provide an overview of the studies’ characteristics, their quality assessed using MMAT, and the demographic details of the siblings involved. This sets the stage for a meta-analysis of the results, offering a comprehensive examination of the collective findings. Several themes emerge to elucidate the experiences of siblings. “The onset of cancer” delves into the effects of receiving the diagnosis and the ensuing emotional turmoil, some of which may have enduring ramifications. Subsequent discussions encompass the myriad repercussions, shedding light on the pervasive changes across various aspects of life. Themes such as “Unequal care: being abandoned, forgotten by parents”; “The impact on family relationships”; “Taking on new responsibilities”; “The impact on friendships”; “The impact on school and education”; and “Being a donor for the sick child” intricately describe and address the siblings’ journey. The pres","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 2","pages":"Pages 154-171"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562004","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":"Alexithymie et créativité des patients cancéreux. Implémenter le modèle transactionnel, intégratif et multifactoriel (TIM)","authors":"Marie Lelièvre , Lionel Delpech , Jean-Luc Sudres","doi":"10.1016/j.amp.2024.03.007","DOIUrl":"10.1016/j.amp.2024.03.007","url":null,"abstract":"<div><h3>Background</h3><div>The number of new cancer cases in France, between 1990 and 2023, has doubled. This disease, or rather a group of diseases, currently ranks as the leading cause of death in France. Nevertheless, ever-improving cancer therapies are prolonging life expectancy with relatively significant consequences for patients’ quality of life (QoL). This concept is defined as the subjective perception that the subject has of his or her own state of physical, psychological, and social health… Widely studied in the field of health psychology, it has been the subject of a number of models. The Transactional, Integrative and Multifactorial model (TIM) presents the links existing between the social and pathogenic (hostility, anxiety, depression…) or salutogenic (optimism, control…) antecedents, and the mediating processes (behavioral, psychophysiological and transactional) that can influence the QoL, but it neglects the impact of emotions and creativity.</div></div><div><h3>Objective</h3><div>By analyzing correlations, the objective of this exploratory study is to clarify not only the place, but also the nature of alexithymia and creativity within the TIM model in the particular case of the cancer population.</div></div><div><h3>Method</h3><div>The observed sample consists of 51 hospitalized patients (70.6% women) aged on average 59 years and 9 months (±11.92) in the outpatient oncology department for chemotherapy. The Functional Assessment Cancer Therapy-Fatigue (FACT-F) and the European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire-Core 30 (EORTC QLQ-30) were used to assess the subjects’ QoL, fatigue, and pain. The State Trait Anxiety Inventory (STAI) reports their level of anxiety, while the Bermond-Vorst Alexithymia Questionnaire (BVAQ-A) evaluates their alexithymia. For creativity, the Revised Personality Inventory (NEO PI-R) provides an opening score, and the Torrance Test of Creative Thinking (TTCT) assesses divergent thinking (elaboration, fluidity, flexibility, and creativity respectively).</div></div><div><h3>Results</h3><div>The results reveal the negative and significant links of alexithymia with creativity and QoL as assessed by EORTC QLQ-30 (r<!--> <!-->=<!--> <!-->−.38, <em>P</em> <!-->=<!--> <!-->.003) or FACT-F (r<!--> <!-->=<!--> <!-->−.30, <em>P</em> <!-->=<!--> <!-->.015). The same phenomenon is observed between anxiety and QoL (r<!--> <!-->=<!--> <!-->−.47, <em>P</em> <!--><<!--> <!-->.01; r<!--> <!-->=<!--> <!-->-.62, <em>P</em> <!--><<!--> <!-->.01, respectively). Negative correlations between alexithymia and QoL (respectively r<!--> <!-->=<!--> <!-->−.30, <em>P</em> <!-->=<!--> <!-->.015; r<!--> <!-->=<!--> <!-->−.38, <em>P</em> <!-->=<!--> <!-->.003) lead us to consider alexithymia as a trait and thus to place it in the category of the history of disposition within the TIM model for the cancer population. While creativity would be a mediating process in terms of the positive","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 2","pages":"Pages 136-143"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140767210","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}
Gimena dos Santos, Vanesa Bogliacino, Victoria Irigoín, Cecilia Guillermo
{"title":"Resilience in patients with lymphoid malignancies: The REPLY study","authors":"Gimena dos Santos, Vanesa Bogliacino, Victoria Irigoín, Cecilia Guillermo","doi":"10.1016/j.amp.2024.02.002","DOIUrl":"10.1016/j.amp.2024.02.002","url":null,"abstract":"<div><div>The role of resilience in lymphoid malignancies is not fully elucidated. The aims of this cross-sectional study were to investigate resilience and to explore its relationships with quality of life and mental health outcomes in patients with lymphoid malignancies, in a University Hospital in Uruguay. RS-14 Resilience Scale, Hospital Anxiety and Depression Scale (HADS) and EQ-5D-5L scale were used. Results: 106 patients were enrolled: 77 non-Hodgkin lymphoma, 16 Hodgkin lymphoma and 13 chronic lymphocytic leukemias. The median RS-14 score was 85.5 (95% CI: 82.4–88.2), corresponding to a ‘moderately high’ level of resilience. Resilience negatively correlated with anxiety (<em>r</em> <!-->=<!--> <!-->–0.487, <em>P</em> <!--><<!--> <!-->0.01) and depression (<em>r</em> <!-->=<!--> <!-->–0.607, <em>P</em> <!--><<!--> <!-->0.01), and positively correlated with quality of life as assessed by the EQ-VAS (<em>r</em> <!-->=<!--> <!-->0.507, <em>P</em> <!--><<!--> <!-->0.001) and EQ-index (<em>r</em> <!-->=<!--> <!-->0.345, <em>P</em> <!--><<!--> <!-->0.001). When further exploring the dimensions within the EQ-5D system we found that high resilience patients reported significantly less problems than moderate and low resilience patients. Moreover, among patients who did not report problems in any of the dimensions (i.e.: EQ-index<!--> <!-->=<!--> <!-->1), 66.7% were high resilients, 26.7% moderate and 6.7% were low resilients, further highlighting the importance of resilience in the ability to cope with the disease. In conclusion, resilience could be a protective factor for patients with lymphoid malignancies. Stimulating resilience through specific interventions could positively impact their quality of life.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 2","pages":"Pages 129-135"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562002","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 place des antidépresseurs dans le syndrome du côlon irritable : Le point sur la littérature","authors":"Jalal Doufik , Omar El Oumary , Zineb Salehddine , Mina Ouhamou , Hicham Laaraj , Khalid Mouhadi , Ismail Rammouz","doi":"10.1016/j.amp.2024.11.012","DOIUrl":"10.1016/j.amp.2024.11.012","url":null,"abstract":"<div><div>Irritable bowel syndrome is one of the most common gastrointestinal disorders, characterized by recurrent abdominal pain and bowel movement disturbances (constipation, diarrhea, or both). It is estimated to affect about 10% of the general population, with highly variable prevalence rates. Given the multifactorial etiology of irritable bowel syndrome, psychological factors are believed to play an important role. Centrally acting drugs such as antidepressants may be effective in treating patients with irritable bowel syndrome. While the effectiveness of psychological therapies in irritable bowel syndrome remains debated, pharmacological treatment with antidepressants could represent a reasonable therapeutic alternative. In this update, we will discuss the comorbidity and possible links between depression and irritable bowel syndrome, as well as the role and effectiveness of antidepressants in the pharmacological treatment of irritable bowel syndrome. Patients with irritable bowel syndrome often suffer from psychological comorbidities, such as anxiety and depression. Several meta-analyses and systematic reviews have shown that these patients exhibit high levels of anxiety and depression. However, it is unclear whether the high rate of depression and/or anxiety in irritable bowel syndrome patients is part of the disease's pathophysiology or a direct result of its chronic and recurrent nature. Alterations in the gut–brain axis, the gut microbiota, and the neuro-immune system could be the cornerstone of the association between irritable bowel syndrome and depression. Both conditions are associated with dysfunction of the autonomic nervous system. Indeed, several pathways connect the gut microbiota to the brain; the parasympathetic system, through the vagus nerve, can modulate intestinal peristalsis, which in turn can affect the microbiota. Antidepressants can be useful in functional gastrointestinal disorders, such as irritable bowel syndrome, not only because of their effects on the central nervous system but also due to their peripheral effects on pain perception, visceral hypersensitivity, and gastrointestinal motility. Antidepressants target the hypothalamic–pituitary–adrenal axis and influence the autonomic nervous system, in addition to their anti-inflammatory and analgesic properties. These peripheral and central effects may make them effective treatments for irritable bowel syndrome symptoms. Treatment of irritable bowel syndrome is currently symptomatic, and there is no single medication, combination of medications or universal treatment plan for all patients. Antidepressants are commonly used and recommended in guidelines for the treatment of this syndrome. The best studied antidepressants in this indication are tricyclics and selective serotonin reuptake inhibitors, the former being the most effective and the latter the best tolerated. The most commonly studied tricyclics are amitriptyline, desipramine, doxepin, and nortriptyline. ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 2","pages":"Pages 172-177"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562005","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":"Relations entre alexithymie, dépression, anxiété et contrôle de l’asthme","authors":"Edith Barthélemy , Lydia Fernandez , Gilles Devouassoux , Pierre Pradat","doi":"10.1016/j.amp.2023.03.007","DOIUrl":"10.1016/j.amp.2023.03.007","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>It is increasingly recognized today that certain psychological factors can influence somatic health and chronic disease control. The main objective of this study was to better understand the relationships and effects of psychological factors such as alexithymia, depression and anxiety on the occurrence of asthma symptoms and exacerbation.</div></div><div><h3>Methods</h3><div>In the context of this study, which is a mixed approach including quantitative and qualitative methods, 70 asthmatics (82% female, mean age 54<!--> <!-->±<!--> <!-->13.7 years) responded to a series of questionnaires for the assessment of asthma (the Asthma Control Test: ACT), of alexithymia (the Twenty-Item Toronto Alexithymia Scale: TAS-20), of depression and anxiety (the Hospital Anxiety and Depression Scale: HADS). Two drawing tests (one of a tree and one of the person him/herself) were also given to them.</div></div><div><h3>Results</h3><div>The main results show a greater occurrence of anxiety and depressive disorders in asthmatics who are alexithymic, compared to those who have no difficulty expressing and verbalizing their emotions. In addition, asthma control is less satisfactory in alexithymic patients, as well as for those with a severe anxiety disorder.</div></div><div><h3>Conclusions</h3><div>The results of this study suggest that psychological and emotional factors should be given greater consideration in the care and management of asthma patients. They constitute real aggravating factors for asthma and can compromise the successful control of the disease.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 2","pages":"Pages 123-128"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90530097","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}
Rim Feki , Rim Walha , Mohamed Derbel , Sana Omri , Wafa Zid , Imen Gassara , Najeh Smaoui , Jihene Ben Thabet , Nada Charfi , Lobna Zouari , Manel Mâalej Bouali , Kais Chaabene , Mohamed Mâalej
{"title":"Étude de l’anxiété liée à la grossesse et de la peur d’accouchement et de leurs facteurs associés","authors":"Rim Feki , Rim Walha , Mohamed Derbel , Sana Omri , Wafa Zid , Imen Gassara , Najeh Smaoui , Jihene Ben Thabet , Nada Charfi , Lobna Zouari , Manel Mâalej Bouali , Kais Chaabene , Mohamed Mâalej","doi":"10.1016/j.amp.2024.04.009","DOIUrl":"10.1016/j.amp.2024.04.009","url":null,"abstract":"<div><div>Pregnancy and childbirth are periods of major transition characterized by physical, biological, and psychological disruptions that can affect women's mental health. Women are particularly vulnerable to a large variety of anxiety disorders such as tocophobia and pregnancy-related anxiety. Our study aimed to assess the intensity of pregnancy-related anxiety and fear of childbirth during the 3rd trimester of pregnancy, to identify associated factors, and to investigate the relationship between pregnancy-related anxiety, fear of childbirth, marital satisfaction, and social support. Our study was carried on in the gynecology and obstetrics department of the Hedi Chaker Hospital in Sfax – Tunisia from 22 February 2023 to 31 July 2023. To assess pregnancy-related anxiety and fear of childbirth, we used the Pregnancy-related anxiety questionnaire and the Fear of Childbirth Scale, respectively. Social support and marital satisfaction were assessed using the Social Provisions Scale and the Azrin Scale. We enrolled 350 women with a mean age of 29.3 years. In 53.7% of cases, they had not completed secondary school and in 60.9% of cases, they were housewives. In the assessment of marital satisfaction based on the AZRIN score, 38.8% of women had good marital satisfaction (score above 6), 20.9% had poor satisfaction (score below 5) and 40.3% had average satisfaction (score between 5 and 6). Social support scores ranged from 14 to 40, with an average of 30.22 and a standard deviation of 4.66. The mean score for anxiety related to pregnancy was 31.24 and 48.7 for fear of childbirth. Pregnancy-related anxiety and fear of childbirth were positively and strongly correlated. In multivariate analysis, the independent factors associated with pregnancy-related anxiety and fear of childbirth were a negative experience during the last childbirth, episiotomy, lack of information before episiotomy, and intense sympathetic signs. Sufficient psychological support from the health care team was a protective factor against the fear of childbirth. Marital satisfaction and perceived social support were weakly and negatively correlated with pregnancy-related anxiety and fear of childbirth. Birth preparation and marital and social support are the cornerstones of a pregnant woman's well-being.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 2","pages":"Pages 147-153"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141135776","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":"Pierre Jules Gustave Lolliot (1840–1882), fondateur de la maison de santé de Suresnes (1875) avec Gustave Bouchereau (1835–1900) et Valentin Magnan (1835–1916) et membre de la société médico-psychologique (1880)","authors":"Denis Tiberghien","doi":"10.1016/j.amp.2024.05.016","DOIUrl":"10.1016/j.amp.2024.05.016","url":null,"abstract":"<div><div>Pierre Jules Gustave Lolliot was native of Nevers (Nièvre) and born on 29th January 1840. He studies medecine at Paris. Then, he was an intern in the hospitals of Paris (1865). Three years later, Lolliot presented his thesis for a doctorate in medecine on the physiological effects of experimental arsenic and its therapeutic applications. At the time, it was noticed. In 1868, Lolliot was elected a member of the anatomical society of Paris. He presented various anatomopathological observations. Lolliot became interested in the mental disease when he formed an association with Gustave Bouchereau (1835–1900) and Valentin Magnan (1835–1916) to open a private nursing home for mental illness in 1875. This establishment was then called: the Castle of Suresnes. He was the medical director of these while G. Bouchereau and V. Magnan worked in Sainte-Anne asylum. In addition, Lolliot had a private practice in the Saint-Lazare district (Paris). In 1877, V. Magnan was a candidate for the new Chair Mental Illness Clinic. On 1st March 1877, G. Lolliot signed an agreement with the two other founders of this establishment. Pursuant to the handling agreement, Magnan agreed to work only in Sainte-Anne asylum and never as medical or administrative director in the private nursing home (Suresnes). But, in spite of that, Magnan was not named winner of the Chair Mental Illness Clinic. Benjamin Ball (1833–1893) was elected. Member of the medicine society of Paris (1873), of the medico-psychological society (1880), Lolliot elected to the municipal council of Suresnes (1881). The next year, he died on 12 February 1882 in Suresnes; he was 42 years old. He was succeeded by H. Saury (1854–1924).</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 2","pages":"Pages 195-201"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562000","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}