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Introduction
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November 2016 - July 2017
November 1999 - December 2014
Publications
Publications (65)
Résumé
Introduction
La COVID-19 s’est accompagnée de mesures restrictives. Encourageant le maintien des liens sociaux chez les jeunes, l’OMS soutient l’initiative #PlayApartTogether (jouer ensemble à distance), malgré l’ajout récent de l’addiction aux jeux vidéo (JV) à la CIM-11. Une incompréhension peut naître du caractère paradoxal de ces deux m...
Résumé
Contexte
Dans les services de psychiatrie de l’enfant et de l’adolescent, le nombre d’hospitalisations pour anorexie mentale (AM) est en augmentation ces dernières années. En état de dénutrition sévère, ces patients peuvent présenter des perturbations de leurs fonctions immunitaires. Forts de ce constat, beaucoup de praticiens avaient fait...
Résumé
L’exposition au traumatisme est une expérience fréquemment vécue par les enfants et les adolescents, la prévalence du trouble stress post-traumatique (TSPT) dans cette population étant probablement sous-estimée. Si la plupart vont faire preuve de capacités de résilience leur permettant de surmonter ces épreuves, un certain nombre d’entre eux...
The objective of this study was to quantify the possible decrease in school performance at five years of age in preterm children associated with parental separation or divorce, and to test whether this effect varies according to the child’s age at the time of the separation. This study included 3,308 infants delivered at < 35 weeks of gestation bor...
Standardized mean differences, before and after matching, between children whose parents were still living together at five years of age and children whose parents had undergone a separation.
The right part of the figure presents the differences in percentages or means (with standard deviations) between the two populations before matching.
(TIF)
Variations in “Global School Adaptation” (GSA) score associated with parental separation that occurred (A) prior to two years of age (included) (n = 104) and (B) between three and five years of age (n = 164), compared to children whose parents were still living together at five years (n = 2,439).
The variations were quantified according to the quan...
Comparison of the characteristics of included and excluded children.
(DOC)
Global School Adaptation questionnaire.
Drafted by Agnes Florin, Director of the Education, Cognition, and Development laboratory and Professor of Developmental Psychology at the University of Nantes (reproduced with permission). As an example, for Question 1, the answer “just a little or not at all” received a score of 1, “moderately” received a s...
Introduction:
Several authors have suggested the existence of motor disorders associated with developmental coordination disorder (DCD) in individuals with autism spectrum disorder (ASD). However, there are few comparative studies of psychomotor profiles that include assessments of neurological soft signs in children with ASD or DCD. We used a neu...
In the actual context of terrorism targeting children and families, it seems essential to describe different experiences of pediatric psychological emergency devices after such unexpected mass trauma. Here we testify our experience of the psychological emergency care setup dedicated to children and families during the first 48 hours after the terro...
The psychomotor examination is part of the tests recommended by the “Haute Autorité de Santé” (HAS) for screening and diagnosis of autism spectrum disorders (ASD). However, standardized assessment with norms is not systematic in psychomotor assessment with these children, often presented as difficult to evaluate. Introduction: We would like to high...
Background: Suicide is the second leading causes of death among 15- to 19-years old.The onset of adverse life events represent important proximal risk factors for suicidal beahviors.The objectives of this study are to determine the patterns.
Methods and Findings: This study used a case-control design in which a sample of 136 adolescents who had at...
Background
The need for early treatment of autism spectrum disorders (ASD) necessitates early screening. Very few tools have been prospectively tested with infants of less than 12 months of age. The PREAUT grid is based on dyadic assessment through interaction and shared emotion and showed good metrics for predicting ASD in very-high-risk infants w...
Table A. Clinical outcome of positive infants at one or more screening points. Table B. Clinical characteristics of ASD and ID cases detected (17 true positive cases) or missed at follow-up (1 false negative case). ASD: autism spectrum disorder; PDD-NS: pervasive developmental disorder; ID: intellectual disability; ADHD: attention deficit/hyperacti...
Estimation of ASD diagnosis status for (1) infants positive at one screening but lost at FU; (2) infants negative at all screenings and estimated through the random sample.
* Some individuals were positive at several tools. Number of Individuals are rounded to nearest integer.
(DOCX)
Estimation of ND (ASD or ID) diagnosis status for (1) infants positive at one screening but lost at FU; (2) infants negative at all screenings and estimated through the random sample.
* Some individuals were positive at several tools. Number of Individuals are rounded to nearest integer.
(DOCX)
Suicide remains one of the leading causes of death among young people, and suicidal ideation and behavior are relatively common in healthy and clinical populations. Suicide risk in childhood and adolescence is often approached from the perspective of nosographic categories to which predictive variables for suicidal acts are often linked. The cascad...
Objective
The objective of this study was to investigate both the effects of low gestational age and infant’s neurodevelopmental outcome at 2 years of age on the risk of parental separation within 7 years of giving birth.
Design
Prospective.
Setting
24 maternity clinics in the Pays-de-la-Loire region.
Participants
This study included 5732 infant...
Objective:
Motor disorders are known in autism spectrum disorder (ASD), but muscle tone assessments are rarely performed. Muscle tone underpins movement. We investigated muscle tone in 34 ASD children using a standardized neuro-developmental battery, which uses the French norms for muscular tone in children.
Methods:
Dangling and extensibility w...
Objectives
Pediatric catatonia is a rare and life-threatening syndrome. Around 20% of juvenile catatonia is associated with organic condition (Consoli et al., 2012). Autoimmune conditions represent a diagnostic and therapeutic challenge since specific antibodies can be missed. To facilitate decision making, we recently formulated a causality assess...
In mammals, the circadian clocks network (central and peripheral oscillators) controls circadian rhythms and orchestrates the expression of a range of downstream genes, allowing the organism to anticipate and adapt to environmental changes. Beyond their role in circadian rhythms, several studies have highlighted that circadian clock genes may have...
A detailed assessment of laterality in children with Autism Spectrum Disorder (ASD) was realized, including handedness and other measures (muscle tone, manual performance, dominant eye), using a standardized battery for the developmental assessment of neuro-psychomotor functions. The results of the laterality tests relating to cerebral hemisphere o...
The aim of this literature review was to examine the evidence for psychotherapeutic and pharmacological treatments in subjects with severely dysregulated mood and to identify potential areas for improvements in research designs. A literature search was conducted using several databases for published (PubMed, PsycINFO) and ongoing (clinical trial re...
Introduction
Le tonus musculaire est à la base du mouvement et son rôle dans le contrôle postural est essentiel. Pourtant, le tonus musculaire est rarement étudié dans les troubles du spectre de l’autisme (TSA), malgré la description de nombreux troubles moteurs dans cette pathologie.
Matériel et méthodes
Nous avons étudié le tonus musculaire et l...
Background: Altered motor performance has been described in Autism Spectrum Disorders (ASD) with disturbances in walking; posture, coordination, or arm movements, but some individuals with ASD show no impairment of motor skills. The neuro-developmental processes that underpin the performance of neuro-psychomotor functions have not been widely explo...
INTRODUCTION
Depression disorder may become the first cause of morbidity by 2030, according to the World Health Organization. It is actually one of the main causes of disease and handicap in children aged from 10 to 19. The major risk is suicide, whose prevalence is estimated, in France, around 6.7 for 100,000, which is probably underestimated. At...
Introduction In France, over recent years, the prescription rate of antipsychotic (AP) remained stable in children and adolescents. Prescription of second-generation antipsychotics increased, whereas prescription of first-generation antipsychotics decreased. Off-label prescriptions are very frequent in this population. Adverse events (AEs) in youth...
This study examined the relationship between peritraumatic reactions, posttraumatic stress disorder (PTSD) symptoms, somatic complaints, and quality of life in Tunisians exposed to the events of the Arab Spring. Participants (n = 60) completed an online survey 1 year after the events, assessing peritraumatic distress, peritraumatic dissociation, PT...
Roger Mises, sous le terme de pathologies limites de l’enfant, décrit des organisations spécifiques se situant hors ou entre les champs de la psychose et de la névrose. Il en fait une organisation psychique à part entière, caractérisée par une relation d’objet anaclitique. Ces organisations se caractérisent essentiellement par la difficulté à mettr...
Introduction
Il existe peu de données sur la latéralité dans la littérature sur les Troubles du spectre autistique (TSA) et les résultats des études restent difficilement interprétables du fait de méthodologies diverses, basées sur l’observation, sur des questionnaires ou sur une définition non consensuelle de la dominance manuelle. L’objectif de c...
Introduction
Des troubles moteurs ont été décrits dans les Troubles du spectre autistiques (TSA), toutefois tous les enfants atteints de TSA ne montrent pas de diminution des performances motrices. La nature et l’origine des perturbations motrices dans les TSA ne sont pas claires. L’objectif de cette étude est mettre en évidence la sémiologie des t...
Motor symptomatology in autism is currently poorly understood, and still not included in the autism spectrum disorder (ASD) diagnostic criteria, although some studies suggest the presence of motor disturbances in this syndrome. We provide here a literature review on early motor symptoms in autism, focusing on studies on psychomotor issues (tone, po...
Abstract in English and in French
In recent years, the number of emergency consultations by teenagers in child and adolescent mental healthcare centers/psychiatric facilities has increased significantly worldwide. Minors monitored by child welfare services (both social child care services and youth judicial protection services) are overrepresented...
Background
Although the reliable and valid Child Post-Traumatic Stress Reaction Index (CPTS-RI) is a widely used measure of posttraumatic stress disorder (PTSD) symptoms in children, it has not been validated in French-speaking populations. The present study aims to assess the psychometric properties of the CPTS-RI in three samples of French-speaki...
In recent years, the number of emergency consultations by teenagers in child and adolescent mental healthcare centers/psychiatric facilities has increased significantly worldwide. Minors monitored by child welfare services (both social child care services and youth judicial protection services) are overrepresented among these adolescents consulting...
Although the past few decades have seen important advances in the understanding and treatment of traumatic stress conditions, psychological stress reactions to trauma have been described from antiquity (Birmes et al, 2010). In his biography of famous lives, Plutarch wrote that the general and Roman consul Caius Marius (157-86 BC), when presented wi...
A significant number of children who visit this child psychiatric clinic with traumatic stories have prevented the formation of a transitional area to permit the creation of a mental space, differentiating real and imaginary and the possibility of creating a space for thought. If resilience allows a number of children to build their personality in...
Children and psychic trauma: The narrative and a way of resilience
A significant number of children who visit this child psychiatric clinic with traumatic stories have prevented the formation of a transitional area to permit the creation of a mental space, differentiating real and imaginary and the possibility of creating a space for thought. If re...
Des témoignages de réactions psychotraumatiques datent de 2000 ans avant Jésus-Christ et au cours de l’histoire de nombreuses observations de troubles post-traumatiques ont été rapportées. Mais l’intérêt pour ces troubles est bien plus récent. Ce concept, créé pour décrire les troubles dont souffraient des adultes, ne recouvre qu’une partie des asp...
Adolescents (12-18 years old) and young adults (18-25 years old), are more likely than older adults to drive-or agree to be driven-recklessly or while intoxicated, to use illicit or dangerous substances and to engage in both minor and more serious antisocial behaviour. Numerous factors during adolescence may lead to or favour initiation of drug use...
Although the reliable and valid Peritraumatic Distress Inventory (PDI-C) and Peritraumatic Dissociative Experiences Questionnaire (PDEQ) are useful for identifying adults at risk of developing acute and chronic posttraumatic stress disorder (PTSD), they have not been validated in school-aged children and their predictive values remain unknown in th...
In this paper, we look back at some of the earliest psychoanalytic approaches to trauma. The theoretical feasibility of reconciling psychoanalytic and neurobiological accounts of the effects of severe stress is examined. First, several epistemic considerations about the concepts of falsifiability and complexity in science are discussed with regard...
La place de la prescription médicamenteuse en pédopsychiatrie s'accroît depuis plusieurs années, même si elle n'est pas forcément le principal outil thérapeutique utilisé par les pédopsychiatres. Les auteurs se sont interrogés sur le sens de ce recours au médicament dans la prise en charge d'enfants et d'adolescents, et plus particulièrement sur le...
Motor vehicle accidents (MVAs) are the main cause of Posttraumatic stress disorder (PTSD) in industrialized countries. This includes the frequently occurring but understudied situation of parents learning that their children were injured. However, unlike in other types of trauma survivors, little is known about the predictors of PTSD symptoms in mo...
In 2002, the Inserm (...) published an expert appraisal of Child and Adolescent Mental Illness. This report emphasised that research should fulfil the demands of EBM (evidence-based medicine), if it wished to be viewed as scientific, which is rarely seen in French research. Thus, we decided to discover what is in fact the case, by examining the res...
