Marie Rose Moro

Publications (71) View all

• Article: Suicidal behaviors in depressed adolescents: role of perceived relationships in the family.

  Angèle Consoli, Hugo Peyre, Mario Speranza, Christine Hassler, Bruno Falissard, Evelyne Touchette, David Cohen, Marie-Rose Moro, Anne Révah-Lévy
  [show abstract] [hide abstract]
  ABSTRACT: Context: Suicide is the second leading cause of death in adolescents and young adults in Europe. Reducing suicides is therefore a key public health target. Previous studies have shown associations between suicidal behaviors, depression and family factors. OBJECTIVE: To assess the role of family factors in depression and suicidality in a large community-based sample of adolescents and to explore specific contributions (e.g. mother vs. father; conflict vs. no conflict; separation vs. no separation) taking into account other risk factors. METHODS: A cross-sectional sample of adolescents aged 17 years was recruited in 2008. 36,757 French adolescents (18,593 girls and 18,164 boys) completed a questionnaire including socio-demographic characteristics, drug use, family variables, suicidal ideations and attempts. Current depression was assessed with the Adolescent Depression Rating Scale (ADRS). Adolescents were divided into 4 groups according to suicide risk severity (grade 1 = depressed without suicidal ideation and without suicide attempts, grade 2 = depressed with suicidal ideations and grade 3 = depressed with suicide attempts; grade 0 = control group). Multivariate regressions were applied to assess the Odds Ratio of potential risk factors comparing grade 1, 2 or 3 risk with grade 0. RESULTS: 7.5% of adolescents (10.4% among girls vs. 4.5% among boys) had ADRS scores compatible with depression; 16.2% reported suicidal ideations in the past 12 months and 8.2% reported lifetime suicide attempts. Repeating a year in school was significantly associated to severity grade of suicide risk (1 and 3), as well as all substance use, tobacco use (severity grades 2 and 3) and marijuana use (severity grade 3), for girls and boys. After adjustment, negative relationships with either or both parents, and parents living together but with a negative relationship were significantly associated with suicide risk and/or depression in both genders (all risk grades), and Odds Ratios increased according to risk severity grade. CONCLUSION: Family discord and negative relationship with parents were associated with an increased suicide risk in depressed adolescents. So it appears essential to take intrafamilial relationships into account in depressed adolescents to prevent suicidal behaviours.
  Child and Adolescent Psychiatry and Mental Health 03/2013; 7(1):8.
• Source

  Available from: Yoram Mouchenik

  Dataset: rapid screening tool

  Caroline Marquer, Caroline Barry, Yoram Mouchenik, Sarah Hustache, Douma M Djibo, Mahamane L Manzo, Bruno Falissard, Anne Révah-Lévy, Rebecca F Grais, Marie-Rose Moro
• Source

  Available from: Yoram Mouchenik

  Dataset: rapid screening tool

  Caroline Marquer, Caroline Barry, Yoram Mouchenik, Sarah Hustache, Douma M Djibo, Mahamane L Manzo, Bruno Falissard, Anne Révah-Lévy, Rebecca F Grais, Marie-Rose Moro
• Article: Jewish children hidden in france (1940-1944): what outcomes for feelings of shame?

  Marion Feldman, Yoram Mouchenik, Marie Rose Moro
  [show abstract] [hide abstract]
  ABSTRACT: This article explores how shame affects individuals over time, from childhood to late adulthood. A series of semi-structured interviews was conducted with 35 aging hidden Jewish children (21 women, 14 men; mean age of 74.9 years, range: 65-82 years), living in France 65 years after the Holocaust. For most of them, shame repeatedly acts as an "alarm signal." For many, the transformation has been possible: creation, recognition by the social group. We also discuss the fact that shame can lead to psychic exhaustion as well as handing down to the next generation. This outcome can prove fatal.
  Psychoanalytic Review The 12/2012; 99(6):827-50.
• Article: Short and longer-term psychological consequences of Operation Cast Lead: documentation from a mental health program in the Gaza Strip.

  Augusto E Llosa, Germán Casas, Hélène Thomas, Angels Mairal, Rebecca F Grais, Marie-Rose Moro
  [show abstract] [hide abstract]
  ABSTRACT: BACKGROUND: There is growing recognition of the psychological impact of adversity associated with armed conflict on exposed civilian populations. Yet there is a paucity of evidence on the value of mental health programs in these contexts, and of the chronology of psychological sequelae, especially in prolonged conflicts with repeated cycles of extreme violence. Here, we describe changes in the psychological profile of new patients in a mental health program after the military offensive Cast Lead, in the context of the prolonged armed conflict involving the Gaza Strip. METHODS: This study analyses routinely collected program data from a Medecins Sans Frontieres mental health program in the Gaza Strip spanning 2007--2011. Data consist of socio-demographic as well as clinical baseline and follow-up data on new patients entering the program. Comparisons were made through Chi square and Fisher's exact tests, univariate and multivariate logistic and linear regression. RESULTS: PTSD, depression and other anxiety disorders were the most frequent psychopathologies, with 21% having multiple diagnoses. With a median of nine sessions, clinical improvement was recorded for 83% (1122/1357), and more common for those with separation anxiety, acute and posttraumatic disorders as principal diagnosis (855/1005), compared to depression (141/183, p<0.01). Noted changes proximal to Operation Cast Lead were: a doubling in patient case load with a broader socio-economic background, shorter interval from an identified traumatic event to seeking care, and a rise in diagnoses of acute and posttraumatic stress disorders. Sustained changes included: high case load, more distal triggering events, and increase in diagnoses of other anxiety disorders (especially for children 15 years and younger) and depression (especially for patients 16 years and older). CONCLUSION: Evolving changes in patient volume, diagnoses and recall period to triggering events suggest a lengthy and durable effect of an intensified exposure to violence in a context of prolonged conflict. Our findings suggest that mental health related humanitarian relief in protracted conflicts might need to prepare for an increase in patients with changing profiles over an extended period following an acute flare-up in violence.
  Conflict and Health 10/2012; 6(1):8.