Jean-Yves Frappier

University of Montreal and CHU Sainte-Justine

La présence de détresse psychologique chez des parents d’adolescents atteints d’un trouble des conduites alimentaires (TCA) est associée à diverses conséquences psychosociales négatives. L’étude actuelle visait à évaluer le niveau de détresse psychologique chez un groupe de mères et de pères d’adolescents atteints d’anorexie mentale (AM), et à exam...

Background: This study aimed to document recovery trajectories among adolescents with anorexia nervosa (AN) based on three markers of remission, namely changes in body weight, food restriction, and excessive exercise, and to identify predictors of these trajectories. Methods: One hundred twenty-six adolescent girls (14.7 ± 1.3 years) were recruited...

Purpose: Anorexia Nervosa (AN) is a serious and potentially lethal mental disorder characterised by a deliberate quest to reduce one's weight. It can have multiple physical and psychological consequences. The clinical presentation of AN can include gastrointestinal symptoms, however, the pathophysiology of these symptoms in the context of AN remai...

Objective: To foster resilience through reducing posttraumatic stress disorder (PTSD) symptoms in pregnant mothers with child maltreatment (CM) histories, it is important to understand factors impacting their well-being. This study explored whether CM predicted the severity of PTSD symptoms and symptom clusters during pregnancy and change in sympto...

Distinct personality profiles have been identified in adults with anorexia nervosa and carry important clinical implications given their associations with anorexic symptoms, comorbidities, and treatment response. Few studies explored these profiles in adolescents, limiting the applicability and expectations related to such model in this population....

Childhood physical abuse, sexual abuse, emotional maltreatment, and neglect are indirectly associated with a higher number of risk factors for pregnancy complications in young pregnant women through their association with posttraumatic stress symptoms.

Inadequate nutritional rehabilitation of severely malnourished adolescents with Anorexia Nervosa (AN) increases the risk of medical complications. There is no consensus on best practices for inpatient nutritional rehabilitation and medical stabilization for severe AN. This study aimed to elaborate an admission protocol for adolescents with severe A...

Objective This study explored the pathway underlying the relationships between child maltreatment (CM) subtypes (i.e., physical, sexual, and emotional abuse and neglect) and factors associated with a heightened risk of pregnancy complications by examining post-traumatic stress disorder (PTSD) symptoms as a potential mediator. Methods A sample of 9...

Background Anorexia Nervosa (AN) is a highly prevalent disease in adolescents and young adults (AYAs). The quality of initial inpatient medical management in a patient with severe malnutrition due to AN is crucial to prevent further medical instability. This review aims to inventory evidence regarding initial refeeding and management of AYAs with A...

Child sexual abuse (CSA) is associated with many repercussions on adolescents' mental health, including suicidal ideation. Yet, the mechanisms linking CSA to adverse outcomes have rarely been investigated within a longitudinal design. The current study aimed to examine the role of affect dysregulation in the association between depressive symptoms...

Purpose Anorexia nervosa (AN) is a complex medical condition affecting mainly adolescents and young adults. To monitor and prevent refeeding syndrome, current guidelines recommend daily laboratory testing in the first week of hospitalization and 2–3 times/week for the following 3 weeks. The aims of this study were to determine the proportion of abn...

Background Estrogens are suspected to have a negative effect on pulmonary function in women with cystic fibrosis (CF). The aim of our study was to investigate, in a CF adolescent population, the effect of hormonal contraception (HC) on lung function by assessing the Force Expiratory Volume in 1 second (FEV1), the number of exacerbations of pulmonar...

Depressive symptoms, posttraumatic stress disorder, and suicidal ideation are among the most prevalent problems associated with sexual abuse. Based on the Traumagenic dynamic of stigmatization model, the aim of this study was to investigate whether self-blame, shame, and maladaptive coping strategies predicted posttraumatic stress disorder, depress...

Child sexual abuse (CSA) has been strongly associated with a range of psychological and physical problems in childhood and adulthood, such as anxiety, post-traumatic stress disorder (PTSD), and infectious diseases. Despite the strength of these associations, no studies to date have investigated psychobiological processes that might underlie the rel...

This study aimed to document the prevalence and co-occurrence of bullying and sexual harassment in sexually abused teens while examining their association with suicidality. The sample consisted of 195 teenage girls aged 12-18 consulting intervention centres in Quebec, Canada following disclosure of sexual abuse. Participants completed questionnaire...

Purpose: This matched cohort study aims to determine whether teenagers with a history of childhood sexual abuse (CSA) are at greater risk of consulting for a pregnancy and related complications than teenagers from the general population. It also aims to compare provoked abortion, live births, and fetal losses of participants who were sexually abus...

Background: Though many studies have linked child sexual abuse (CSA) to psychological health problems, little is known regarding the relationship between CSA and children and adolescents' physical health. Objective: The objective of this study was to assess the relationship between CSA and infectious disease diagnoses. Participants: Of the 955...

Aim: Serum creatinine level is the most used test to evaluate renal function in patients with anorexia nervosa (AN). We investigated which formula of glomerular filtration rate (GFR) based on simple blood sample had the best correlation with the gold standard in malnourished adolescent patients with AN. Methods: A prospective study was conducted...

Background A better understanding of the individual difficulties reported by adolescents presenting with anorexia nervosa seems like an interesting avenue to refine our understanding of their psychological functioning. Objective This study aimed to: (1) describe the behavioral and affective profile of difficulties of inpatient adolescent girls pre...

Purpose: Although primarily a mental health disorder, anorexia nervosa (AN) has many physical consequences. Among them, the consequences on kidney function are often underestimated. We evaluated renal function in adolescent AN inpatients and investigated the correlation between the GFR and intrinsic patient characteristics. Methods: A single-cen...

The purpose of our study is to establish if the proportion of patients diagnosed with anorexia nervosa that have a history of excess weight has increased over a 10-year period and to study how different premorbid weight groups vary in terms of clinical characteristics. We performed a single-center, retrospective cohort study of all new patients pre...

The aim of this study was to better understand the relationship between parents’ experience of caregiving and expressed emotion during the early stage of their child’s eating disorder. Fifty mothers and 38 fathers of adolescents suffering from anorexia nervosa and hospitalized for the first time participated in this study. They completed the Experi...

Objective The objective this study was to investigate the relative contributions of gender, common mental health symptoms, and experiences of interpersonal violence to the presence of sleep disturbances in Youth in Care under Child Welfare Society admitted to residential facilities. Methods A sample of 315 teenagers (14-18 years old) completed a s...

Objectives: While sexual abuse during childhood is a known risk factor of adult physical and mental health problems, little is known about the relationship between CPA services and healthcare use for these problems. This study aimed to assess whether sexually abused youth seek more medical services than their peers in the general population and whe...

It is increasingly recognized that child sexual abuse (CSA) has significant consequences that can affect mental health. Many adverse impacts can develop in female adolescent victims, such as negative affect, aggressive behaviors and suicidality. Empirical data documented the association between CSA and suicidality, but studies show heterogeneous re...

BACKGROUND La douleur chronique, d’origine organique ou somatique, représente un fardeau financier important au niveau du système de santé. L’intervention multidisciplinaire a été démontrée efficace pour améliorer cliniquement l’impact fonctionnel de cette condition. OBJECTIVES Étude de l’impact d’une prise en charge multidisciplinaire pédiatrique...

The impact of child sexual abuse (CSA) disclosure on parents’ psychological health has been documented among samples of nonoffending parents. Much less is known about the parents’ physical health. This study assesses the longitudinal impact of CSA disclosure on both the mental and physical health of parents and explores potential gender differences...

Few studies have examined how the perceived quality of multiple interpersonal relationships is related to eating disorder (ED) symptom severity in adolescents and how psychological variables might influence these associations. The aim of this study is to determine whether the perceived level of trust, communication, and alienation in the relationsh...

L’agression sexuelle (AS) à l’enfance est un phénomène social endémique qui peut engendrer de multiples répercussions chez les adolescentes survivantes (Newcomb et al., 2009). La documentation scientifique fait état d’un risque plus élevé de consommation de substances (Sartor, 2013), ainsi qu’un risque plus élevé d’adopter des comportements autodes...

Objective: To compare genitourinary health problems of children and adolescents with a substantiated report of sexual abuse with those of the general pediatric population. Study design: Via a prospective matched-cohort design, administrative databases between January 1996 and March 2013 were used to document genitourinary problems of 882 sexuall...

Background Sleep disorders are prevalent in children and are associated with significant comorbidity. Objective To assess the training, knowledge, attitudes and practices of Canadian health care providers (HCPs) regarding sleep disorders in children. Method A 42-item survey, designed to collect information on frequency of paediatric sleep disorde...

Introduction : L’agression sexuelle durant l’enfance est associée à de nombreux problèmes de santé physique et mentale. Toutefois, au Québec, nous ne connaissons pas bien les problèmes de santé physique et mentale que présentent les enfants et les adolescents ayant vécu une agression sexuelle corroborée en comparaison de ceux de la population génér...

Sexual abuse is associated with a host of negative repercussions in adolescence. Yet the possible mechanisms linking sexual abuse and negative outcomes are understudied. The purpose of this study was to investigate the relationships among self-blame, shame, coping strategies, posttraumatic stress disorder, depressive symptoms, and suicidal ideation...

The goal of the current study was to explore the rates of medical consultation and hospitalizations of sexually abused boys. Specifically, to examine if sexually abused boys had higher rates of medical consultations and hospitalizations for physical and mental health problems than boys from the general population. Administrative databases were used...

Disclosure of child sexual abuse can be traumatic for nonoffending parents. Research has shown its impact on mothers’ mental health, which includes heightened psychological distress, depression, and post-traumatic stress disorder. Very little is known, however, about its impact on their physical health or on fathers’ health. The self-perceived ment...

The goal of the study was to explore whether sexually abused boys had higher rates of medical consultations and hospitalizations for physical and mental health problems than boys from the general population. Administrative databases were used to compare medical diagnoses of 222 boys with a substantiated sexual abuse report with those of 222 matched...

Aims Context:. . In 2010 in Québec 2825 youths were living in Custodial/rehab facilities. Although at-risk for health problems due to their lifestyle, familial / socio-economic context, the problems are often not properly identified / managed, and the health services are not provided according to standards of known Societies (CWLA, AAP and CPS). S...

Objectifs : Décrire les comportements sexuels à risque chez les jeunes admis dans des centres jeunesse (CJ) du Québec selon leur niveau de consommation de substances psychoactives. Méthode : Entre juillet 2008 et mai 2009, une enquête de surveillance de deuxième génération a été menée auprès d’adolescents admis dans six centres jeunesse. Lors d’une...

Objective This study aimed to describe psychological, sociodemographic and somatic characteristics of all children aged 8–12 years who received treatments for eating disorders on a pediatric unit of a University Health Centre during a period of 15 years. Methods We reviewed the medical records of 215 children with a detailed grid. Descriptive stat...

Parental support provided to child sexual abuse (CSA) victims is a key element in their recovery process. Yet, little is known about the extent and nature of support provided by fathers when they are not identified as the perpetrators. This study compares abuse-specific and nonspecific support provided by 92 mothers and 32 fathers after disclosure...

BACKGROUND Every year between 4000 and 5000 adolescents are placed in Quebec Youth Protection Centers (YPCs). Many of these adolescents use psychotropic substances that impact their mental and physical well-being. OBJECTIVES To document the prevalence of tobacco, alcohol and drug use among youth residing in YPCs and to identify factors associated...

Social paediatrics refers to the health and well-being of children, specifically those living at the margins of society, the disadvantaged, disabled or dispossessed. This description hinges on the recognition of social determinants as critical mediators of child health.

To document risk behaviours and prevalence of chlamydia and gonorrhoea infections among adolescents aged 14 to17 years entering care in Quebec Youth Protection Centres (YPC). From July 2008 to May 2009, adolescents residing in six YPCs completed a questionnaire during a face-to-face interview. Questions covered sexual and substance use behaviours p...

Participants in the ESPACE sexual abuse prevention workshop were in grades 1 through 4 and attended three Montreal, Canada, public schools in low socioeconomic areas. The sample was culturally diverse, with half born outside of Canada. An evaluation was conducted to explore the effects associated with participating in the workshop and the effects o...

Background Adolescents in Youth Protection facilities are a vulnerable population, with difficult life trajectories; many of their behaviours are health compromising. Method Youth aged 14–17, living in semi-urban and urban youth centers in Quebec were recruited on a volunteer basis to participate in the study. Socio-demographic, drug use, sexual be...

To evaluate parents' and nurses' opinions regarding the adequacy of an educational program on shaken baby syndrome: the Perinatal Shaken Baby Syndrome Prevention Program (PSBSPP). Qualitative and quantitative assessments in the form of interviews and questionnaires administered in French. Two birthing institutions in Montréal, QC, Canada: a univers...

Health care professionals must be alert to the high prevalence of low adherence to treatment during adolescence. Low adherence increases morbidity and medical complications, contributes to poorer quality of life and an overuse of the health care system. Many different factors have an impact on adherence. However, critical factors to consider in tee...

Apparent changes in adolescent sexual behaviours have led to debate in recent years. A survey on adolescent sexuality was designed to determine mainstream Canadian adolescents' current knowledge and sources of sexual health information, to identify their needs, and to understand the perceptions and the role of parents in sexual health education. In...

Objective: To promote guidelines for health care providers on the key aspects of HPV infection and the management of HPV-related disease in the new era of vaccine availability. Evidence: Medline and Cochrane databases were searched for articles from January 1995 to March 2007 on subjects related to HPV infection, HPV vaccination, HPV-related dis...

To investigate how often family physicians see adolescents with mental health problems and how they manage these problems. Mailed survey completed anonymously. Province of Quebec. All 358 French-speaking family physicians who practise primarily in local community health centres (CLSCs), including physicians working in CLSC youth clinics, and 749 Fr...

To document with whom family physicians communicate when evaluating adolescents with mental health problems, to whom they refer these adolescents, and their knowledge and perceptions of the accessibility of mental health services in their communities. Mailed survey completed anonymously. Province of Quebec. All general practitioners who reported se...