Annales medico-psychologiques最新文献

{"title":"Le tissage de l’alliance thérapeutique en service de soins aigus","authors":"Fanny Marteau-Chasserieau , Anne-Laure Poujol , Victoire Deltour , Jacques Arènes","doi":"10.1016/j.amp.2024.06.011","DOIUrl":"10.1016/j.amp.2024.06.011","url":null,"abstract":"<div><div>The therapeutic alliance is well-known to be a key factor in the effectiveness of therapy. It is a concept that is widely accepted in the world of research, and is defined by the establishment of an emotional bond that the psychologist forms with their patient, as well as the collaboration between the two partners allowing the definition of relevant goals and tasks recognized as effective to allow the best therapeutic progress for the patient. Previous studies have highlighted that the nature of the alliance varies according to the care context, the therapeutic approach, and the characteristics of the patient and the therapist. How is the therapeutic alliance established in an intensive care unit where the life or death nature of the situation intensifies the extreme somatic distress of the patients, disrupts their autonomy and the decision-making process, and marks the therapeutic relationship? The aim of this article is to define the therapeutic alliance in the context of intensive care unit, taking into account the temporality of the emergency, the plurality of actors involved in the care process: patient, relatives and healthcare workers, and the need to maintain the autonomy of a patient who is sometimes psychologically absent from the relationship. The hospitalized patients's state of health leads to fluctuations of their state of consciousness, on a continuum ranging from coma to wakefulness, passing through phases of confusion. However, essential decisions are taken on their behalf, affecting both their life and their future. Those involved in the patient's care (carers, close relations) provide information to help inform decisions. The trusted support person testifies to what the patient may wish. Exchanges with all those involved in the situation are a prerequisite for the emergence and recognition of the patient's autonomy and subjectivity. A weaving therapeutic alliance is lead through the building of emotional bond of trust with all those involved (patient, family and carers), and by discussing the patient's state of health, experience and therapeutic project with those involved in the intensive care unit, in order to guarantee consent to care. This relational weaving also enables caregivers to gradually gain a more holistic view of their patients, supporting their thinking and the setting up of the best possible therapeutic strategy. Therapeutic objectives and techniques are regularly redefined to ensure that they remain relevant as the patient's state of health evolves. This weaving of the alliance engages an ethical conflictuality, in which each person expresses his or her point of view, centered on the patient, and his or her singular experience with him or her, participating in a dynamic of adjustment to a common objective: optimal care for the patient, taking into account his or her opinion as far as possible. The therapeutic alliance that the psychologist establishes in the intensive care setting seems vital to prese","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 916-920"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435386","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":"Perceptions et vécus des étudiants de leurs difficultés psychologiques. Étude qualitative sur 135 participants","authors":"Guillaume Païs , Lucia Romo , Marie-Carmen Castillo , Damien Fouques","doi":"10.1016/j.amp.2025.03.009","DOIUrl":"10.1016/j.amp.2025.03.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Psychological difficulties among university students. University students face significant psychological challenges. According to the National Observatory of Student Life [11], 30% of surveyed students (<em>N</em> <!-->=<!--> <!-->60,014) reported psychological distress, characterized by anxiety and depressive symptoms. These mental health issues are linked to lower academic performance and decreased future professional success. Additionally, addictive behaviors are prevalent among students. In 2015, 11% of men and 6% of women regularly consumed cannabis, while 40% of students drank alcohol at least once a week (4). The COVID-19 pandemic further exacerbated anxiety, depression, and substance use, particularly among already vulnerable students.</div></div><div><h3>Psychological trauma in university students</h3><div>Psychological distress and addictive behaviors are often associated with trauma-related symptoms, including post-traumatic stress disorder (PTSD). A 2005 study in France reported a PTSD prevalence of 2.32% in the general population, rising to 5.29% among individuals aged 18–29. Women are more frequently affected, with severe cases being more common than moderate ones. PTSD correlates with lower academic performance and increased dropout risks. Since the #MeToo movement in 2017, more student victims have spoken out, particularly about sexual violence within university settings. Research suggests that trauma occurring within an institutional setting (e.g., university) or perpetrated by institutional members (e.g., professors, administrators, fellow students) exacerbates PTSD symptoms. However, studies on PTSD among French university students remain limited.</div></div><div><h3>Limited access to mental health care</h3><div>Despite widespread psychological distress, students often struggle to access healthcare. Surveys highlight financial constraints, housing difficulties, and lack of social support as barriers to seeking care (12,13). In 2019, one-third of students reported forgoing medical consultations due to cost concerns or the belief that their symptoms would resolve on their own. This limited access to care can further exacerbate mental health issues and negatively impact academic success.</div></div><div><h3>Methodology</h3><div>This study aimed to explore students’ subjective perceptions of their psychological difficulties through an anonymous qualitative survey. Of the 438 respondents, only 135 provided complete responses. The study followed ethical guidelines, adhering to the Helsinki Declaration.</div></div><div><h3>Findings</h3><div>The qualitative data were analyzed using IRAMUTEQ, a text analysis software that employs Reinert's hierarchical classification method to identify thematic categories.</div></div><div><h3>Key results</h3><div>University as an anxiety-provoking environment: Students frequently reported stress, anxiety, and imposter syndrome. Financial precarity and perceived administrat","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 895-902"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435129","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 psychologie, ses invariants, sa fonction sociale et politique","authors":"Albert Ciccone","doi":"10.1016/j.amp.2025.06.012","DOIUrl":"10.1016/j.amp.2025.06.012","url":null,"abstract":"<div><div>Psychology is diverse and multifaceted, and its practices are varied. This is due, among other things, to the recent emergence of psychology as a discipline and of the profession of psychologist. While it is true that Lagache advanced the concept of the “unity” of psychology, it came at the cost of conceptual distortions that fail to minimize its diversity. And the reference to psychology as a “science” does not serve as a unifying element of the disparate discourses. Other attempts to unify psychology have emerged, such as the establishment of the “code of deontology”. But the latter must inevitably consider divergent conceptions, if only with regard, for example, to respect for the “psychic dimension” that it postulates in its preamble: not all psychologists have the same representation of the “psychic dimension”. References and practices are extremely varied, even within each sub-discipline or “specialty” within psychology. As a result, psychology is in an uncomfortable position, always fragile, and always threatened by every attempt to assert control over the profession and to adapt authoritarian domination by public authorities, such as those we are currently witnessing. The invariants of psychology have to be defined or constructed. The first is its rightful place in the humanities. It is transversal and fundamental. Psychology has always resisted attempts at annexation by medicine, for example, and must continue to do so. Another invariant is the legally protected title of psychologist. This is both a protection and a complication. If a qualifier is not added to the noun “psychologist”, there is a great risk that cases of imposture will develop, such as the idea that any psychologist could be therapeutic as long as he or she is a psychologist. Another invariant can be circumscribed or constructed by considering a “psychological position”: an internal position that would cut across all psychology's specialties and sub-specialties. This position would be “transdisciplinary” within psychology. Transdisciplinarity concerns that which is essential and exceeds the specificity of each discipline. It is opposed to pluridisciplinarity, complementarism or integrative approaches. It does not simply juxtapose or even articulate disciplines but strives toward the essential that cuts across all disciplines. The “transdisciplinary position” is an internal position that in no way requires expertise in, or even knowledge of, all disciplines, for it is the opposite of an omnipotent, omniscient position. It requires humility and humanism. Transdisciplinarity concerns the invariant in all variations. The “psychological position” would be based on the essential, the very heart of psychology, the common denominator of psychologies. This kind of identification could also be made for each of psychology's sub-disciplines or specialties. Another constant is the social and political function of psychology. Psychology attracts a considerable number of stude","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 872-877"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435382","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":"Intérêt de la psychothérapie d’acceptation et d’engagement et de la thérapie fondée sur la compassion pour soutenir le maintien de l’abstinence dans les polyaddictions","authors":"Elodie Murys-Chaix , Galina Iakimova , David Szekely","doi":"10.1016/j.amp.2023.10.005","DOIUrl":"10.1016/j.amp.2023.10.005","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Addiction concerns people suffering from great psychological vulnerability due to early trauma and attachment disorders. Although several forms of therapeutic management have been shown to be effective, the relapse rate remains high, and the effects are short-lived. Therefore, the first objective of this study was to integrate the tenets and concepts of compassion-based therapy with acceptance and commitment therapies for the treatment of patients with polyaddictions by conceptualizing a therapeutic program aimed at support for maintaining abstinence. The interest in such an integration has been raised by several authors. The central concept of that integrative approach was the “compassionate flexibility”. Our second objective was to explore the feasibility, acceptability, and therapeutic effects of this intervention for patients with polyaddictions and psychiatric comorbidities, who are particularly resistant to psychotherapies.</div></div><div><h3>Material and method</h3><div>Twelve patients (8 men and 4 women) with polyaddictions (alcohol, cocaine, tobacco, cannabis) of the 24 referred for the study, followed the MyActaddiction program. The A-B multiple-case-series protocol combined qualitative and quantitative measures to monitor feasibility, acceptability, clinical (OCDS, EADS-21) and psychological (AAQ-II, EAC) progress, patient narrative feedback (perception, connection, sense of presence), complemented by follow-up observations on abstinence maintenance.</div></div><div><h3>Results</h3><div>Results show moderate feasibility, with only 50 % of study referrals accessing psychotherapy, good accessibility, with 66 % of patients completing all sessions, high satisfaction levels and positive qualitative feedback. Pre- and post-treatment assessments showed a significant clinical improvement in craving (obsessive thoughts and OCDS total score) at group level, and these changes were clinically significant at individual level by Reliable Change Index measures, for 70 % of participants. On the EDAS-21 scale, patients who had pathological scores prior to therapy improved their scores to non-pathological thresholds for anxiety, stress and depression. The Reliability Change Index (RCI) showed that the resulting change was clinically significant at the individual level for 83 % of patients on anxiety level, for 58.33 % of patients on depression, and 50 % of patients on the stress level. In terms of the psychological processes targeted by the therapeutic practices, we observed an improvement in psychological flexibility, with a clinically significant reduction in AAQ-II scores after the intervention compared to the pre-treatment score. The RCI indicated that the observed clinical change was significant. There was also a significant increase in post-test versus pre-test for two dimensions of self-compassion: “common humanity” and “mindfulness”, with a high Cohen's d. Regarding individual scores, the scores for","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 903-915"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780900","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 identités plurielles des psychologues d’aujourd’hui","authors":"Mathilde Moisseron-Baudé , Lionel Strub","doi":"10.1016/j.amp.2025.06.009","DOIUrl":"10.1016/j.amp.2025.06.009","url":null,"abstract":"","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 9","pages":"Pages 865-866"},"PeriodicalIF":0.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435381","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":"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 ,&nbsp;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 ,&nbsp;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> <!-->&lt;<!--> <!-->0.05). Regarding criterion validity, we found significant correlations between the REPS subscales on the Parent-Child Communication Scale (PCCS) (<em>P</em> <!-->&lt;<!--> <!-->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}

{"title":"« VigilanS-Prison » : mise en place d’une veille épistolaire pour la prévention du suicide en milieu carcéral","authors":"Élodie Mao ,&nbsp;Thomas Fovet ,&nbsp;Christel Debien ,&nbsp;Guillaume Vaiva ,&nbsp;Christophe Debien ,&nbsp;Vincent Jardon ,&nbsp;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}

{"title":"Impact of patient death on physicians’ mental health","authors":"Brahim El Kinany,&nbsp;Sarah Belarabi,&nbsp;Ferdaouss Qassimi,&nbsp;Amine Bout,&nbsp;Chadya Aarab,&nbsp;Rachid Aalouane","doi":"10.1016/j.amp.2024.09.024","DOIUrl":"10.1016/j.amp.2024.09.024","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and methods&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;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&lt;!--&gt; &lt;span&gt;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}