Mario Speranza

Mario Speranza
INSERM University Paris-Saclay University of Versailles

Professor of Child and Adolescent Psychiatry

Publications

Publications (168)
Article
Objectives: Patients suffering from borderline personality disorder are very prevalent in various settings (emergency rooms, psychiatric and general hospitals, ambulatory consultations). However, it remains one of the most stigmatized and neglected mental health conditions, albeit being an area that is responsible for very interesting advances in...
Article
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Objectives: While long-lasting antipsychotics (LLA) were specifically developed to address the problem of adherence in patients with chronic psychiatric disorders, their role in pediatric populations is not clear. Methods: To document the efficacy, tolerance, and acceptance of LLAs in children and adolescents, a literature search was conducted usin...
Article
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PurposeTo compare mothers and fathers perceptions of the impact of autism spectrum disorder on their Quality of Life (QoL), we used the Parental-Developmental Disorders-Quality of Life scale (Par-DD-QoL).Method The perception of QoL of mothers and fathers was compared for 130 pairs of parents of children with ASD and the associated variables were i...
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Purpose The service configuration with distinct child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) may be a barrier to continuity of care. Because of a lack of transition policy, CAMHS clinicians have to decide whether and when a young person should transition to AMHS. This study describes which characterist...
Article
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Background Literature data about emotion perception in patients with borderline personality disorders (BPD) revealed some discrepancies between some patients that are vigilant and accurate to detect their emotional environment and others that are impaired at identifying emotions of others. Even if some links between childhood adversity and facial a...
Article
Lay abstract: Sensory atypicalities are very common among autistic people and are integrated in several theories and explanatory models of autism. Qualitative studies have explored these singular sensory experiences from the perspectives of autistic people themselves. This article gathers all these qualitative studies and provides original finding...
Preprint
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Previous work has shown that various dimensions of early life adverse experiences, such as deprivation, threat and uncertainty are associated with both physical and mental health outcomes later in life. However, the concepts and operationalizations of uncertainty vary greatly and more precision is needed in order to characterize how environmental u...
Article
Résumé Le trouble déficit de l’attention avec ou sans hyperactivité est un trouble neurodéveloppemental marqué par une forte hétérogénéité des profils cognitifs et comportementaux des enfants atteints. Une altération des capacités de mémoire de travail est très souvent retrouvée. Cette atteinte touchant de manière privilégiée l’administrateur centr...
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Autism spectrum disorder (ASD) has a significant impact on the quality of life (QoL) of families. This study aimed to examine, for parents of children with ASD, the dyadic effect of each parent’s coping strategy on the perception of the impact of ASD on their QoL. In total, 164 couples completed self-report questionnaires, including the Par-DD-QoL,...
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Inclusion of students with Autism Spectrum Disorder (ASD) in mainstream schools has a positive impact on their social and daily living behaviors. Our objective was to identify clinical and socio-demographic variables promoting or limiting inclusion in mainstream school through childhood and adolescence. The EpiTED study is a long-term, prospective,...
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Full-text available
Background: Psychopathological models of adolescent borderline personality disorder (BPD) suggest that non-suicidal self-injuring (NSSI)—a particularly frequent symptom in girls—may constitute a way of coping with distress resulting from interpersonal concerns they typically experience as a developmental psychopathological feature. Objectives: Our...
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Introduction: Borderline personality disorder (BPD) in adolescents is characterized by emotional dysregulation, insecure attachment, a history of stressful life events (SLEs) as well as dysfunctional parent–child interactions. The respective contribution of each of these factors on BPD affective symptoms is not yet clear. The purpose of this study...
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Background Emotional dysregulation seems to be a core feature of Borderline Personality Disorders (BPD). In addition, recent research in the adolescent population has shown that suicidal behaviours have been associated with maladaptive strategies of emotion regulation. Methods This study examined the relative contributions of emotional dysregulati...
Article
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Résumé La recherche scientifique a mis en évidence l’importance d’adopter une approche développementale et interactionnelle pour comprendre la complexité du fonctionnement psychique de l’être humain. Ces dernières années un intérêt particulier a été porté par la psychologie du développement à l’étude de l’émergence des compétences cognitives et émo...
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Background Training in psychiatry requires specific knowledge, attitudes, and skills that are obtainable by simulation, of which the use is only recent and still needs further development. Evidence is accumulating on its effectiveness but requires further validation for medical students. We aimed to evaluate the effectiveness of a single-day option...
Article
Full-text available
Within the European Research Network on BPD (EURNET-BPD; n = 85 BPD adolescents, n = 84 healthy controls, aged 13–19), this study explored the combination of three types of adversity—maltreatment, stressful life events (early separation from parents, parental suicide attempt, parental chronic disease) and parental bonding—as predictors of BPD, on a...
Article
Full-text available
Introduction Intervention in the preschool period is currently recommended for autism spectrum disorder. Therapies delivered by parents are particularly suitable for young children. Preschool Autism Communication Trial (PACT) is a parent-mediated therapy that has shown a significant and sustained impact on autism symptom reduction. However, access...
Preprint
Full-text available
Background: Training in psychiatry requires specific knowledge, attitudes, and skills that are obtainable by simulation, which needs further development for medical students. After an analysis of previous research with medical students, we evaluated the effectiveness of a one-day teaching program in psychiatry by simulation and validated a scale me...

About

168
Publications
96,377
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Introduction
A major focus of my clinical and research activity is the study of emerging personality disorders in children and adolescents, especially borderline personality disorders, using a developmental framework. I’ve been especially interested in the development and disruption of emotion regulation, using both a quantitative and qualitative approach. A second thread of my research is concerned with the evaluation of the effectiveness of mental health organizations for severe mental disorders.
Additional affiliations
March 2007 - March 2012
Paris Descartes, CPSC
Position
  • Researcher
September 2003 - present
Centre Hospitalier de Versailles
Position
  • Head of the Child and Adolescent Department
September 2003 - present
Université de Versailles Saint-Quentin
Position
  • Professor (Full)

Network

Cited By

Projects

Projects (5)
Project
The aim of this study is to assess the efficiency of early treatment for ASD children 5 years after initial treatment. The early treatment implemented was 12 hours per week of ESDM versus treatment as usual during 2 years. This was done as an RCT, called IDEA. Children will now be included in IDEA-2 SCOLA, a three year follow up study.
Project
Intervention for autism spectrum disorder (ASD) in European French-speaking countries is often heterogeneous and poorly evaluated. Six French-speaking early intervention units for children with ASD following the Early Start Denver Model (ESDM) have been created since 2011 with the common aim to evaluate effectiveness and cost-efficiency of the ESDM applied to the European French-speaking public health system. In those units, Children receive ESDM at minimum 12H per week by trained therapist. Therapist work in collaboration with parents (at home) and preschool or nursery. The first aim of the investigators study is to evaluate the effectiveness of ESDM intervention 12 hours per week during 2 years on the global development of children with ASD compared to the interventions commonly available in the community.