Nathalie Godart

Nathalie Godart
Fondation Santé des Etudiants De France, Paris, France; UVSQ, Versailles, France; CESP, INSERM,, Villejuif, France · Adolescent and young adulte psychiatry

Professor

About

205
Publications
50,129
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4,137
Citations
Citations since 2016
90 Research Items
2194 Citations
20162017201820192020202120220100200300400
20162017201820192020202120220100200300400
20162017201820192020202120220100200300400
20162017201820192020202120220100200300400
Introduction
I am an adolescent psychiatrist specialist in the field of eating disorders, involded in clinical practice, clinical research, and healtcare organisation.
Additional affiliations
January 2004 - present
Paris Descartes, CPSC
Position
  • MD, PhD
January 2004 - December 2015
French Institute of Health and Medical Research
Position
  • MD, PhD contrat d'interface
May 2001 - May 2016
Institute Mutualiste Montsouris
Position
  • MD, PhD, associate researcher

Publications

Publications (205)
Article
Background: Persons who have attempt suicide by jumping often require intensive treatment for their somatic injuries and the high risk of future completed suicide. The FSEF (French student health foundation) developed a Transdisciplinary unit specifically designed for these people. Aim: investigate psychiatric and somatic factors associated with...
Article
Resumen La anorexia nerviosa (AN), la bulimia y la hiperfagia bulímica (HB) son los trastornos de la conducta alimentaria (TCA) más frecuentes en la adolescencia. También existen formas parciales de estos trastornos, cuyas consecuencias son igualmente preocupantes. Existen formas más variadas de los TCA en la infancia, incluyendo la AN y el trastor...
Article
The written transmission of therapists' expertise in manuals is an important issue which is highlighted in the literature. Manuals are essential for research, training and therapeutic guidance. However, the conceptu-alisation, design and drafting of therapy manuals have received little attention. Our team conceptualised and designed a 10-monthly se...
Article
Objective This study aimed to estimate the 5-year mortality among people admitted into a transdisciplinary unit providing combined psychiatric and somatic rehabilitation treatment. Methods In this retrospective study, we analyzed the clinical records of all individuals admitted into the transdisciplinary unit from 01/01/2011 to 12/31/2017 after a...
Article
Full-text available
Background The comorbidity between anorexia nervosa (AN) and bipolar disorders (BD) among subjects with AN is a matter of some debate, regarding its existence, its impact on the clinical manifestations of AN and the nature of the relationship between these disorders. Our aims were: (1) to evaluate the prevalence of BD among patients with severe AN;...
Preprint
Full-text available
Purpose. Anorexia Nervosa (AN) is a severe chronic disorder and parents’ experience of caregiving is usually marked by emotional distress and burden. Severe chronic psychiatric disorders are known to be linked with the concept of grief. Grief has not been investigated in AN. The aim of this study was to examine parents’ and adolescents’ characteris...
Article
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Objective: To determine if adolescents and adults diagnosed with anorexia nervosa differ in their levels of cognitive flexibility and attention to detail independently of potential confounds. Method: Sixty-two adolescents and 54 adults were assessed while receiving inpatient treatment and completed the following self-reports: Eating Disorders R...
Article
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PurposeEarly detection of eating disorders (EDs) could improve their prognosis, decrease morbidity and mortality, and prevent the risk of evolution towards a chronic form and somatic, psychiatric and psychosocial complications. The objective of this review was to examine the current scientific data concerning the early detection of EDs, which is on...
Article
Résumé Objectifs Décrire un service transdisciplinaire de psychiatrie intégrant une équipe de médecine physique et réadaptation dédiée aux personnes hospitalisées dans les suites de tentatives de suicide ayant entraîné des traumatismes multiples ; ainsi que la population qui y est accueillie et son évolution au cours de la prise en charge. Méthod...
Article
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Background: Randomized controlled trials showed the efficacy of family therapy for anorexia nervosa during adolescence, but studies examining its long-term beneficial effect are still needed. This article presents the results of a 54-month post-randomization follow-up of a previously reported randomized controlled trial that compared two post-hosp...
Article
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People with eating disorders suffer from a mental disorder that negatively affects their physical and/or mental health. The three most frequent eating disorders are binge eating disorder, bulimia nervosa, and anorexia nervosa. Environmental and genetic factors are involved in the pathogenesis of eating disorders in vulnerable persons. Although trea...
Article
Résumé Le recours à l’hospitalisation dans l’anorexie mentale se fait dans des situations extrêmes dont les critères sont codifiés internationalement et nationalement. Néanmoins il existe sur le terrain de multiples modalités d’application de ces principes. Aucun travail n’a été réalisé afin d’évaluer si les différentes modalités de prise en charge...
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IntroductionLow BMD is frequent in anorexia nervosa (AN), depression, and during SSRI treatment but relation between these elements in AN is not established. The aims of this study were to assess the relationships between depression and anxiety, SSRI prescription, and (1) low BMD during inpatient treatment and (2) BMD change 1 year after hospital d...
Article
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Purpose: The relationship between anxiety or depressive comorbidities, their chronology of onset, and the severity of anorexia nervosa (AN) is not well-studied. We hypothesize that the existence of a comorbidity, particularly before the onset of AN, is associated with greater severity of AN. Methods: One hundred seventy-seven subjects were assessed...
Article
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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
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Objective To compare the global health status, frequency of somatic and psychological problems, and alcohol use in adulthood among women hospitalized in adolescence for severe anorexia nervosa (AN), with a matched control sample from the general population.Method Women (n = 86) who had been hospitalized for AN 9.31 ± 1.82 years previously were comp...
Article
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Early psychosocial rehabilitation of young people presenting mental disorders is a major challenge. In France, the therapeutic residential care called “ soins-études ,” combining care and educational provision, in the Fondation Santé des Etudiants de France (FSEF) can have a role in this rehabilitation. After recalling the history and the concept u...
Book
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Ce travail est issu d’une réflexion théorico-clinique, nourrie par la formation et la supervision d’équipes soignantes regroupées dans le projet de recherche THERAFAMBEST (Carrot et al., 2019, Minier et al., soumis). Ce manuel a pour objectif de présenter le détail d’un programme de Thérapie Multi-Familiale (TMF) intégrative de 10 séances. Chaque s...
Article
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Behavioral, nutritional, and local risk factors for oral health are frequent in people with anorexia nervosa. However no self-report questionnaire is available for screening in clinical practice or for research purposes. The objective of this study was to design a questionnaire to identify risk factors and symptoms of oral diseases and to test its...
Article
Résumé Objectif Identifier les facteurs liés à la durée de séjour hospitalier pour anorexie mentale. Méthode Revue systématique de la littérature. Résultats Les facteurs prédictifs d’une durée de séjour hospitalier plus longue sont : un âge plus avancé au début du trouble ou à l’admission ; une plus longue durée d’évolution du trouble ; un poids...
Article
Résumé Après l’amélioration du pronostic de la tuberculose grâce aux antibiotiques, la Fondation Santé des Etudiants de France a reconverti ses sanatoriums destinés aux étudiants en établissements « soins-études » pour permettre aux élèves du secondaire et aux étudiants souffrant de troubles psychiatriques de poursuivre leurs études durant leurs so...
Article
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Background: Family therapy is considered as the gold standard in treatment of adolescents with anorexia nervosa (AN). Among the different types of family therapy, multi-family therapy (MFT) is increasingly used for treating AN, and shows promising results. In this article, our focus relied on the patients' and their parents' perceptions of the eff...
Article
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The interweaving of malnutrition and symptoms of anxiety and depression in anorexia Nervosa (AN) is mentioned without any consensus regarding the course of anxious-depressive symptoms in relation to nutritional status in the course of treatment of patients with AN. The objectives of the current study in a large sample of AN inpatients were to asses...
Article
The interweaving of malnutrition and symptoms of anxiety and depression in anorexia Nervosa (AN) is mentioned without any consensus regarding the course of anxious-depressive symptoms in relation to nutritional status in the course of treatment of patients with AN. The objectives of the current study in a large sample of AN inpatients were to asses...
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...
Article
Abstract Objective: Anorexia nervosa (AN) is associated with one of the highest mortality rates of any psychiatric disorder but limited mortality data were reported for those with extremely severe malnutrition. This study aimed to estimate Standardized Mortality Ratio (SMR), investigate predictive factors of mortality and causes of death among a s...
Preprint
Full-text available
Background: The question of where to hospitalize extremely malnourished patients with anorexia nervosa (AN) is a real dilemma. On one hand, psychiatrists have to deal with severe medical complications that are not within their competences and that justify hospitalization in an internal medicine ward. On the other hand, medical doctors have to face...
Article
Confinement during the COVID-19 pandemic is expected to have a serious and complex impact on the mental health of patients with an eating disorder (ED) and of patients with obesity. The present manuscript has the following aims: (1) to analyse the psychometric properties of the COVID Isolation Eating Scale (CIES), (2) to explore changes that occurr...
Article
Background and aims: The clinical nutrition-eating disorders-unit in Raymond Poincaré Hospital is a reference center for the management of severe malnutrition and its complications in patients with anorexia nervosa (AN). The purpose of this study is to specify socio-demographic, anamnesic and clinical characteristics of AN patients hospitalized for...
Article
Objective Anorexia nervosa (AN) is a mental disorder potentially leading to severe malnutrition and life‐threatening complications, with high mortality rates and dropouts from treatment. In the most severe cases, treatment refusal associated with acute nutritional disorders may require compulsory admission in specialised units. The aim of this stud...
Article
Full-text available
Purpose Despite the emergence of a growing qualitative literature about the personal recovery process in mental disorders, this topic remains little understood in anorexia nervosa (AN), especially severe AN during adolescence. This cases series is a first step that aims to understand recovery after severe AN among adolescents in France, from a firs...
Article
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Background and context Problematic use of physical activity is frequent in subjects with anorexia nervosa (AN). Although it increases resistance to therapeutic treatment, paradoxically, physical activity in AN can also improve mental and physical health. Based on the literature review we hypothesized that adding an adapted physical activity (APA) p...
Preprint
Full-text available
Background We describe a transdisciplinary medical unit, referral center for the management of anorexia nervosa (AN) adult patients with extremely severe malnutrition.Method History, organization and activity of the unit are described. Characteristics of all adult AN patients admitted for the first time in the unit between November 1997 and January...
Preprint
Full-text available
Background: We describe a transdisciplinary medical unit, referral center for the management of anorexia nervosa (AN) adult patients with extremely severe malnutrition. Method: History, organization and activity of the unit are described. Characteristics of all adult AN patients admitted for the first time in the unit between November 1997 and Janu...
Preprint
Full-text available
Background: The question of where to hospitalize extremely malnourished patients with anorexia nervosa (AN) is a real dilemma. On one hand, psychiatrists have to deal with severe medical complications that are not within their competences and that justify hospitalization in an internal medicine ward. On the other hand, medical doctors have to face...
Article
Full-text available
Introduction et but de l’étude L’anorexie mentale (AM) est associée à un taux de mortalité qui est le plus élevé de toutes les pathologies psychiatriques. L’unité de nutrition clinique de l’hôpital universitaire Raymond Poincaré est spécialisé dans la prise en charge de la dénutrition sévère et des complications somatiques associées à l’AM. L’objec...
Article
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Introduction et but de l’étude L’unité de nutrition clinique de l’hôpital Raymond Poincaré est un centre de référence pour la prise en charge de la dénutrition sévère associée à l’anorexie mentale (AM). L’objectif de notre étude était de spécifier les caractéristiques socio-démographiques, anamnésiques et cliniques des patients atteints d’AM hospit...
Article
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Marine was a fourteen and a half-year-old adolescent female hospitalized for an eating disorder (ED) of the anorexic type with purging behaviors. She has had a complicated life course, made up of disruptions and discontinuities, both family and school. Since the age of five, Marine had been intermittently treated in psychiatry for a diagnosis of op...
Article
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Abnormally high levels of physical activity have been documented throughout the literature in patients with eating disorders (ED), especially those diagnosed with anorexia nervosa (AN). Yet no clear definition, conceptualization, or treatment of the problematic use of physical activity (PPA) in ED patients exists. The aim of this review is to propo...
Article
Montaigne disait dans ses essais : « Je suis content de n’être pas malade ; mais si je le suis, je veux savoir que je le suis ; et, si on me cautérise ou incise, je le veux sentir ». Cette citation du XVIe siècle reste toujours d’actualité. Si l’adulte peut directement évoquer son choix, qu’en est-il de l’enfant ? Comment soigner l’enfant avec son...
Presentation
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L'APA-S dans l'Anorexie Mentale: premiers bilans du programme PAPAPAM et perspectives.
Article
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Anorexia nervosa (AN) Q1 is frequently associated with anxiety, depression, and problematic exercise (PE). These uncontrolled physical activities inducing resistance to the therapeutic protocols. Some recent studies demonstrated that adding controlled and adapted physical activities (APA) in the therapeutic protocolwasmore positive for AN patients...
Presentation
Full-text available
Problematic physical activity (PPA) is commonly observed in patients suffering from anorexia nervosa (AN). It increases resistance to treatment programs. Recent studies demonstrated that adding a controlled and adapted physical activity (APA) program to the treatment programs had a better impact on patients suffering from AN than supressing physica...
Article
Résumé Les recommandations de la HAS de 2010, sur la prise en charge des patients souffrant de trouble du comportement alimentaire, préconisent une prise en charge pluridisciplinaire, adaptée aux besoins du patient et graduée entre les différents paliers de soins ambulatoires, hospitalisation temps plein, hôpital de jour. But de l’étude Établir un...
Article
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Background Anorexia nervosa (AN) is a serious psychiatric illness that begins most of the time during adolescence. An early and efficacious intervention is crucial to minimize the risk of the illness becoming chronic and to limit the occurrence of comorbidities. There is a global consensus on optimal treatment for adolescents suffering from AN: int...
Article
Discipline Clinique. Introduction et but de l’étude L’unité de nutrition clinique de l’hôpital Raymond-Poincaré est spécialisée dans la prise en charge de la dénutrition sévère et de ses complications, chez les patients atteints d’AM. Centre de référence reconnu par l’ARS, elle est une unité de recours national pour des patients atteints de formes...
Article
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Drugs are widely prescribed for anorexia nervosa in the nutritional, somatic, and psychiatric fields. There is no systematic overview in the literature, which simultaneously covers all these types of medication. The main aims of this paper are (1) to offer clinicians an overview of the evidence-based data in the literature concerning the medication...
Chapter
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Le recours aux activités physiques et sportives en santé mentale est connu depuis longtemps. De nos jours, il prend toute son importance, en association des traitements médicamenteux et des psychothérapies. Ces pratiques, quand elles sont adaptées à l'état clinique ont un impact, vérifié par les méta-analyses mondiales, à la fois neurobiologique, c...
Article
Anorexia engages all those close to the patient in accepting and following the treatment process. Indeed, the continuity of the treatment depends on the quality of the connections which the person with anorexia develops with his or her parents or partner. The caregivers must be involved and understand what is at play notably with the passage from a...
Article
Objective Our aim is to investigate the links between duration and intensity of exercise and the nutritional status in terms of body composition in acute anorexia nervosa (AN) patients. Method One hundred ninety‐one hospitalized women suffering from AN were included. Exercise duration and intensity were assessed using a semistructured questionnair...
Article
Background: Comorbidity of bipolar disorder (BD) and eating disorders (ED) is common and increases the course and severity of BD. However, the impact of comorbid BD on the clinical profile of ED patients remains unclear. Most studies have focused on patients primarily assessed for BD and data on patients with a primary diagnosis of ED are sparse. W...
Book
Full-text available
Bienvenu-e dans ce livret guide des bonnes pratiques dans les activités physiques adaptées à des fins de santé. Pratiquer une ou plusieurs activités physiques est important et nécessaire pour la santé physique et psychologique. Les bénéfices d’une pratique physique régulière ont largement été démontrés. Néanmoins, l’activité physique excessive ou i...
Article
Objective To test if the evaluation of body dissatisfaction by images could be an interesting tool to detect perinatal depression early in pregnancy, questioning patients about their body image instead of their depressive symptoms. Methods A sample of 457 women was recruited in a longitudinal study. Three evaluations were performed at the 4th and...
Article
À l’adolescence, et il en est ainsi depuis l’enfance, l’école est l’espace privilégié extra-familial où s’expriment et se jouent les enjeux du développement psychique. Aussi, les failles, les facteurs de risques aux troubles psychiatriques, y seront challengés. Le fléchissement scolaire ou l’échec deviendront ainsi les signes très vraisemblables d’...
Article
Les troubles des conduites alimentaires (TCA) sont des troubles multifactoriels avec une demande de soins en augmentation et à forte morbi-mortalité. Ces troubles sont complexes à soigner pour plusieurs raisons : 1) il s’agit de troubles sévères (avec 10 % de mortalité, l’anorexie mentale est par exemple la pathologie psychiatrique la plus létale)...
Article
Full-text available
In studies on family therapy in Anorexia Nervosa, family relationships, as assessed by Expressed Emotion, have been associated with outcome. Our aim was to explore the contribution of Expressed Emotion as a predictor of 18-month outcome, above and beyond the usual predictive factors. Sixty adolescent girls suffering from Anorexia Nervosa and their...
Data
**Supporting info summer2017_R1.docx**. (DOCX)
Article
Objective: To assess the association between sub-types of bipolar disorder (BD) (types I and II) and sub-types of eating disorders (EDs) (Anorexia Nervosa, Bulimia Nervosa, Binge-eating disorders) as well as their relative order of occurrence. Methodology: A systematic review of articles estimating prevalence rates for BD among patients with ED...
Article
Purpose: Anorexia nervosa is often accompanied by comorbid mood disorders, in particular depression, but individual or family history of bipolar disorders has not frequently been explored in anorexia nervosa. The objectives of the present study were: (1) to assess the frequency of bipolar disorders in patients with anorexia nervosa hospitalized in...
Article
Full-text available
Introduction Les patients souffrant d’anorexie mentale (AM) présentent souvent des symptômes d’anxiété, de dépression, et une pratique problématique d’activité physique (PPAP) [1]. Cette PPAP induit une résistance aux protocoles thérapeutiques. En revanche, des études récentes ont montré que l’utilisation d’activités physiques adaptées (APA) permet...
Article
Résumé Introduction La prescription aux adolescents d’antipsychotiques, est responsable d’effets secondaires importants. Elle impose un bilan pré-thérapeutique ainsi qu’une surveillance régulière et oblige à penser l’articulation entre les soignants. Objectif Évaluer par un audit les pratiques professionnelles concernant les prescriptions d’antip...
Article
Résumé L’expérimentation de la consommation de substances illicites chez les adolescents et jeunes adultes est en augmentation. Les répercussions de ces consommations se font sur leurs parcours et le système familial dans lequel ils évoluent. Une manière d’évaluer la dynamique de ce système est de considérer le climat familial via le concept d’« Ém...
Article
Full-text available
Depression and anxiety are commonly associated with anorexia nervosa (AN) and contribute to difficulties in social integration, a negative factor for outcome in AN. The link between those disorders and AN has been poorly studied. Thus, our objective was to investigate (1) the link between outcome nine years after hospitalisation for AN and the occu...
Article
Full-text available
PurposeAnorexia nervosa (AN) is a severe pathology on account of the high levels of associated morbidity and mortality. This study aimed to assess whether time in somatic intensive care unit, justified by a patient’s somatic condition in the course of hospital care, ha