Mario Speranza

Mario Speranza
INSERM University Paris-Saclay University of Versailles

33.84
 · 
Professor of Child and Adolescent Psychiatry

About

132
Publications
59,506
Reads
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2,031
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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.
Research Experience
March 2007 - March 2012
Paris Descartes, CPSC
Position
  • Researcher
September 2003 - present
Université de Versailles Saint-Quentin
Position
  • Professor (Full)
September 2003 - present
Centre Hospitalier de Versailles
Position
  • Head of the Child and Adolescent Department

Publications

Publications (132)
Article
Full-text available
Background: The study examines the psychometric properties of the French version of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) created by M. Zanarini to screen borderline personality disorder in clinical and non-clinical populations. Method: In this multicentric longitudinal study from the European Network on B...
Preprint
Full-text available
Background The study examines the psychometric properties of the French version of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) created by M. Zanarini to screen borderline personality disorder in clinical and non-clinical populations. Method In this multicentric longitudinal study from the European Network on Border...
Preprint
Full-text available
Background: The study examines the psychometric properties of the French version of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) created by M. Zanarini to screen borderline personality disorder in clinical and non-clinical populations. Method: In this multicentric longitudinal study from the European Network on Bord...
Article
Full-text available
INTRODUCTION: Since 2011, the French government estimates that about 500 French children were born or were taken by their parents to areas where terrorist operations prevail. Since May 2017, 75 children who returned to France have benefited from a specific health care system. METHOD: This article is the result of clinical interviews conducted with...
Article
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Background: Inhibitory control, a key modulatory component of cognition guiding strategy and behaviour, can be affected by diverse contingencies. We explore here the effect of expectation of reward over behavioural adjustment in a Stop Signal Task modulated by reward. We hypothesize that cognitive control is modulated by different expectation of t...
Article
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Introduction: Adolescence is a critical period for the development of mentalizing - the imaginative capacity to understand one's own and others' behaviour in terms of underlying mental states. Yet, factors and mechanisms underlying individual differences in adolescent mentalizing remain poorly understood. This exploratory study examined whether an...
Article
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Introduction There is global concern about the increasing prevalence of autism spectrum disorders (ASDs), which are early-onset and long-lasting disorders. Although ASDs are considered to comprise a unique syndrome, their clinical presentation and outcome vary widely. Large-scale and long-term cohort studies of well-phenotyped samples are needed to...
Article
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Introduction: Experiencing adverse life events and early disturbed patterns of interaction are crucial determinants for the development of Borderline Personality Disorder (BPD). Parental suicidal attempts can be considered a major adverse life event and a potentially traumatic experience. The aim of this study was to examine differences in parental...
Article
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Several researchers point to disorganized attachment as a core feature of borderline personality disorder (BPD). However, recent studies suggest that specific internal working models (IWMs) of each parent combine to account for child outcomes and that a secure relationship with one parent can protect against the deleterious effects of an insecure r...
Article
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Background: Autism is a neurodevelopmental disorder with various clinical presentations. It has been historically considered a male disorder. An increasing number of authors stress the existence of sex/gender bias in prevalence and the need to define sex/gender differences in the clinical presentation. Review: Recently, an increasing number of a...
Article
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We emphasize the value of a developmental framework for adolescent diagnosis and clinical formulation. Clinical use of diagnostic approaches constructed for either children or adults risks misunderstanding, and perhaps even misdiagnosing, symptoms and experiences that may be tied to the psychological, social, and biological changes inherent in this...
Article
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Psychological well-being and mental health among intellectually gifted children and adolescents is a questioning issue for many professionals in psychology, clinical psychopathology, education, and often for young people themselves and their families. We present here a synthesis on the subject, with a distinctin between quantitative psychology, dim...
Article
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Background: Telemedicine for children and adolescents is a public health topic, and since 2009 in France, the legal framework defines practical modalities. Some children with Attention Deficit with or without Hyperactivity Disorder, social anxiety, or Autism Spectrum Disorder (ASD) can be easily engaged within a teleconsultation model. Literature...
Preprint
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In order to address the question of the adaptive changes in executive inhibition induced by expectation, we designed a stop signal task where participants either knew or ignored the possibility of receiving distinct monetary feedbacks after each successful inhibition. Our results confirmed previous observations demonstrating a “kick start effect”:...
Conference Paper
Full-text available
Longitudinal data point to disorganized attachment toward the mother as a risk factor in the development of borderline personality disorder (BPD). However, several authors posit that the deleterious effects of an insecure relationship with the mother can be moderated by a secure relationship with the father. A few studies do suggest that internal w...
Article
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Autism Spectrum Disorder (ASD) is a frequent neurodevelopmental disorder. ASD is probably the result of intricate interactions between genes and environment altering progressively the development of brain structures and functions. Circadian rhythms are a complex intrinsic timing system composed of almost as many clocks as there are body cells. They...
Article
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Introduction Early intervention for autism spectrum disorder (ASD) in the European French-speaking countries is heterogeneous and poorly evaluated to date. Early intervention units applying the Early Start Denver Model (ESDM) for toddlers and young children with ASD have been created in France and Belgium to improve this situation. It is essential...
Article
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Cet article propose une synthèse des principales données expérimentales à propos des capacités sociocognitives des adolescents, obtenues sur le plan comportemental et cérébral. Il se cible sur un ensemble de concepts voisins de la mentalisation (théorie de l’esprit, empathie, traitement des visages et des aspects liés à soi) qui ont l’avantage de p...
Article
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Borderline personality disorder (BPD) has onset in adolescence, but is typically first diagnosed in young adulthood. This paper provides a narrative review of the current evidence on diagnosis, comorbidity, phenomenology and treatment of BPD in adolescence. Instruments available for diagnosis are reviewed and their strengths and limitations discuss...
Article
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Borderline personality disorder (BPD) has onset in adolescence, but is typically first diagnosed in young adulthood. This paper provides a narrative review of the current evidence on diagnosis, comorbidity, phenomenology and treatment of BPD in adolescence. Instruments available for diagnosis are reviewed and their strengths and limitations discuss...
Article
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Les psychoses sont sans doute la préoccupation constante des psychiatres d'adolescents qui craignent avant tout l'entrée dans la schizophrénie qu'ils sont conduits à évoquer devant des symptômes très divers venant exprimer de façon polymorphe la souffrance psychique fréquente à cet âge. En effet, l'adolescence, qui est un moment de profondes mutati...
Article
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The aim of this paper is to discuss the psychological factors involved in the process of learning and especially to conceptualize the impact of cognitive disorders on the emotional development and the learning identity of the child. Several recent epidemiological studies have shown, in children with learning disorders, an increased risk of psychopa...
Article
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It is common that intellectually gifted children (IQ ≥ 130) are referred to paediatric or child neuropsychiatry clinics for socio-emotional problems and/or school underachievement or maladjustment. Among them, those displaying developmental asynchrony - a heterogeneous developmental pattern reflected in a significant verbal-performance discrepancy...
Article
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There is a growing interest in the role of biological and behavioral rhythms in typical and atypical development. Recent studies in cognitive and developmental psychology have highlighted the importance of rhythmicity and synchrony of motor, emotional, and interpersonal rhythms in early development of social communication. The synchronization of rh...
Article
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Objective: High and low body mass index (BMI) values and inaccurate body weight perceptions (BWP) (i.e.: mismatch between BMI and BWP) are known risk factors for depression/suicide. However, the relationships between BMI, BWP and depression are still insufficiently understood in adolescents, and data are lacking concerning the entire range of BMI i...
Article
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Objectives The main objective of this study was to estimate the prevalence of psychological distress among adolescents seen in emergency departments, and the secondary objective was to highlight their main reasons for consulting. Methods Cross-sectional study in three multicenter emergency departments receiving adolescents in Île-de-France conduct...
Article
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The ability to override a dominant response, often referred to as behavioural inhibiton, is considered a key element of executive cognition. Poor behavioural inhibition is a defining characteristic of several neurological and psychiatric populations. Recently, there has been increasing interest in the motivational dimension of behavioural inhibitio...
Article
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The main objective of this study was to estimate the prevalence of psychological distress among adolescents seen in emergency departments, and the secondary objective was to highlight their main reasons for consulting. Cross-sectional study in three multicenter emergency departments receiving adolescents in Île-de-France conducted in 2010. All adol...
Article
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An increasing body of research points to a significant association of obesity to Attention-Deficit/Hyperactivity Disorder (ADHD) and deficits in executive functions. There is also preliminary evidence suggesting that children with ADHD may be at risk of obesity in adulthood DISCUSSION: In this article, we discuss the evidence showing that ADHD and/...
Article
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The purpose of this study was to assess how far identity and self-image disturbances are features of borderline personality disorder (BPD) in adolescence. Face-to-face interviews were carried out with a total of 50 adolescents with BPD and 50 controls, with a median age of 16 (SD 1.1; range 13 to 18) years. Data was analysed using a qualitative met...
Article
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This study aims to estimate the prevalence of depressive symptoms among adolescents seen in hospital emergency departments and to investigate the concordance between self-reported adolescent depression and parental perceptions of their adolescents' health status. A multicentre cross-sectional survey in three emergency departments receiving adolesce...
Article
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Childhood obesity is a complex condition involving medical, social, moral and cultural issues. Qualitative approaches are of great value in understanding this complexity. This meta-synthesis of 45 qualitative studies deals specifically with the issue of obesity in children and adolescents from different perspectives - those of obese children and ad...
Article
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Aims: The objective of the present study was to explore the comorbidity of borderline personality disorder (BPD) with other personality disorders in adolescents and compare these comorbidities in male and female subjects. Methods: The sample was drawn from a European research project investigating the phenomenology of BPD in adolescence (EURNET...
Article
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Borderline personality disorder (BPD) is believed to be frequent among adolescents. While several prospective studies have assessed the use of mental health services among adults who suffer from BPD, few studies have provided adolescent data. This paper presents findings from the first assessment point of the European Research Network on Borderline...
Article
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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 commu...
Article
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Introduction: Depressive disorders among adolescents are public health challenges whether in terms of both morbidity and mortality. Because of the paucity of specific instruments to measure depression in adolescents, we undertook to design and develop a new tool, the ADRS (Adolescent Depression Rating Scale) using a qualitative and quantitative pro...
Article
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Objective: To validate a French version of the Family Assessment Device (FAD), a well-known self-report questionnaire assessing family functioning in clinical and research settings. Methods: A French adaptation of the FAD was administered to 3 groups of subjects: a nonclinical group (n = 115), relatives of psychiatric patients (n = 102), and med...
Article
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Insecure attachment and the inability to identify emotions have both been put forward as possible explanations for dysfunction of the emotional system in borderline personality disorder (BPD). This study aimed to test a model according to which the influence of attachment on the development of BPD in adolescence is mediated by alexithymia. Borderli...
Article
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Dropout rates from inpatient treatment for eating disorders are very high and have a negative impact on outcome. The purpose of this study was to identify personality factors predictive of dropout from hospitalization. A total of 64 adult patients with anorexia nervosa consecutively hospitalized in a specialized unit were included; 19 patients drop...
Article
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Objective: The Child Behavior Checklist-Dysregulation Profile (CBCL-DP), characterized by elevated scores on the "Attention Problems," "Aggressive Behavior," and "Anxious/Depressed" scales in the CBCL, has been associated with later severe psychopathology. In a sample of children with ADHD, this study sought to further explore the clinical charact...
Article
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Introduction.– 6-n-propylthiouracil (PROP) is typified as tasting bitter in PROP-tasters. It has been hypothesized that PROP-tasters are more sensitive to other bitter tastes as well as sweet taste and the texture of fats. However, the impact of PROP status in eating disorders is unknown. Methods.– Twenty remitted female patients with anorexia nerv...
Article
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Background Shared decision making (DM) is increasingly advocated as the most appropriate model to support parents confronted with end-of-life (EoL) decisions for a child in the neonatal intensive care unit (NICU). However, few studies have explored its impact on their long-term grief. Objectives The aim of this study was to investigate whether pare...
Article
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The aim of this study was to examine how far Goodman's addictive disorder criteria were met by individuals with eating disorders according to subtypes. The study provided a cross-sectional comparison among three samples of eating disorders [restricting anorexia nervosa (R-AN), N = 68; purging anorexia nervosa (P-AN), N = 42; and bulimia nervosa (BN...
Article
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Whereas severe relationship dysfunction in BPD is well described in adolescence, little is known about the way these patients process facial expressions of emotion. Because few data are available regarding this issue, the present study compared the sensitivity to morphed facial emotional expressions of 22 BPD female adolescents versus 22 matched co...
Article
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To examine the factor structure of the Diagnostic and Statistical Manual of Mental Disorders (DSM), Fourth Edition, criteria for borderline personality disorder (BPD) in a sample of adolescents with a borderline symptomatology. The latent structure of borderline criteria, assessed with the Structured Interview for DSM-IV Personality, was explored w...
Article
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Obesity in adolescence is a major public health issue. Family relationships have an important role, whether in the onset of the condition, its maintenance, or the way in which the problem is approached. Food and family relationships are two major elements in therapeutic care. The subject of the present study is the investigation of the place of foo...
Article
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The aim of this study was to explore the relationship between alexithymia and borderline personality disorder (BPD) in adolescents. The study investigated a sample of 59 consulting or inpatient adolescents with a well-established diagnosis of BPD (SIDP-IV) and a control sample of healthy adolescents individually matched by gender, age and socio-eco...
Article
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The Ganser syndrome is rare in children and in adolescents. A case of the Ganser syndrome in a 14-year-old girl, with three of the four essential features, is presented. After rapid resolution in two weeks, Ganser symptoms reappear seven months later accompanied, this second time, by previous depressive symptoms. This report raises the possibility...
Article
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The aim of this article is to present the state of the art of the psychopharmacological approach to behavioral disorders in children and adolescents. First, we will specify the phenomenology of behavioral disorders with a particular attention to the notion of aggressiveness. Then we will present a review of the psychopharmacology of behavioral diso...
Article
Full-text available
Borderline personality disorder (BPD) is believed to be frequent among adolescents. While several prospective studies have assessed the use of mental health services among adults who suffer from BPD, few studies have provided adolescent data. This paper presents findings from the first assessment point of the European Research Network on Borderline...
Data
Occupations of parents quoted in the paper. (DOC)
Article
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The importance of involving parents in the end-of-life decision-making-process (EOL DMP) for their child in the neonatal intensive care unit (NICU) is recognised by ethical guidelines in numerous countries. However, studies exploring parents' opinions on the type of involvement report conflicting results. This study sought to explore parents' exper...
Article
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The aims of this study were to assess the prevalence of a comorbid Attention Deficit Hyperactivity Disorder (ADHD) diagnosis in Borderline Personality Disorder (BPD), and its impact on the clinical presentation of BPD in adolescents, and to determine which type of impulsivity specifically characterizes adolescents with BPD-ADHD. ADHD diagnoses were...