103 results on '"Philippe Duverger"'
Search Results
2. Contextual polarity and influence mining in online social networks
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Subrata Acharya, Philippe Duverger, Hassan Alzahrani, and Nam P. Nguyen
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Generalized least squares method ,Computer science ,media_common.quotation_subject ,Information technology ,Crowdsourcing ,Modularity ,Social networks ,Sentiment analysis ,Perception ,Narrative ,Empirical evidence ,media_common ,Community detection ,business.industry ,QA75.5-76.95 ,T58.5-58.64 ,Data science ,Social relation ,Computer Science Applications ,Variety (cybernetics) ,Human-Computer Interaction ,Starbucks ,Modeling and Simulation ,Electronic computers. Computer science ,business ,Information Systems ,Diversity (business) - Abstract
Crowdsourcing is an emerging tool for collaboration and innovation platforms. Recently, crowdsourcing platforms have become a vital tool for firms to generate new ideas, especially large firms such as Dell, Microsoft, and Starbucks, Crowdsourcing provides firms with multiple advantages, notably, rapid solutions, cost savings, and a variety of novel ideas that represent the diversity inherent within a crowd. The literature on crowdsourcing is limited to empirical evidence of the advantage of crowdsourcing for businesses as an innovation strategy. In this study, Starbucks’ crowdsourcing platform, Ideas Starbucks, is examined, with three objectives: first, to determine crowdsourcing participants’ perception of the company by crowdsourcing participants when generating ideas on the platform. The second objective is to map users into a community structure to identify those more likely to produce ideas; the most promising users are grouped into the communities more likely to generate the best ideas. The third is to study the relationship between the users’ ideas’ sentiment scores and the frequency of discussions among crowdsourcing users. The results indicate that sentiment and emotion scores can be used to visualize the social interaction narrative over time. They also suggest that the fast greedy algorithm is the one best suited for community structure with a modularity on agreeable ideas of 0.53 and 8 significant communities using sentiment scores as edge weights. For disagreeable ideas, the modularity is 0.47 with 8 significant communities without edge weights. There is also a statistically significant quadratic relationship between the sentiments scores and the number of conversations between users.
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- 2021
3. The Negative Impact of Deviant Imagery on Consumers’ Intentions to Visit a Tourist Destination
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Veronica L. Thomas and Philippe Duverger
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Service (business) ,Value (economics) ,Business, Management and Accounting (miscellaneous) ,Advertising ,Psychology ,Deviance (sociology) ,Tourism - Abstract
This research examines deviant tourist behaviors that are posted online. Such behaviors result in value co-destruction as tourists who negatively interact with a service offering reduce value for p...
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- 2021
4. Obésité et chirurgie bariatrique chez l’adolescent
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Philippe Duverger, Guillaume Podevin, M. Beaumesnil, E. Riquin, Régis Coutant, T. Le Nerzé, F. Schmitt, and N. Sfeir
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03 medical and health sciences ,Psychiatry and Mental health ,0302 clinical medicine ,030225 pediatrics ,Pediatrics, Perinatology and Child Health ,Developmental and Educational Psychology ,030209 endocrinology & metabolism - Abstract
Resume L’obesite, definie par un exces de masse grasse, represente un probleme majeur de sante publique. Sa prevalence a fortement augmente a l’echelle mondiale depuis la seconde moitie du XXe siecle, a tel point que l’on parle « d’epidemie » d’obesite ou encore de « globesite ». Au vu des resultats souvent insuffisamment probants des mesures physiques et nutritionnelles, l’indication de chirurgie bariatrique peut etre posee des l’adolescence pour des cas d’obesite severe, apres echec d’autres strategies therapeutiques. L’indication de cette chirurgie pour les patients mineurs est encadree en France par les recommandations de la Haute Autorite de Sante publiees en 2016. Elle a pu montrer pour cette population son efficacite a court terme sur la reduction de l’Indice de Masse Corporelle, le traitement des comorbidites et une amelioration de la qualite de vie. Cependant la reussite a la chirurgie n’est pas systematique et des donnees de l’evolution a plus long terme de ces adolescents sont requises pour apprehender au mieux cette chirurgie. Il est primordial de reperer et renforcer des elements de motivation interne et de capacites d’adaptation du jeune, afin d’affiner la demande et d’ameliorer l’efficacite de la chirurgie. Elle s’integre dans une prise en charge pluridisciplinaire indispensable.
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- 2021
5. Avec la haine
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Philippe Duverger
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Sociology and Political Science ,Developmental and Educational Psychology ,Education - Abstract
La haine est un affect qui traverse tous les individus et participe a la construction du sujet. Constitutive du psychisme, elle se manifeste sous diverses expressions des la toute petite enfance. L’histoire clinique de Manon, bebe tyrannique, illustre cette rencontre avec la haine. Le suivi psychotherapique permet de comprendre ce qu’il en est des possibles origines de cette haine et des mecanismes psychopathologiques qui la regissent.
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- 2021
6. Late fetal demise, a risk factor for post-traumatic stress disorder
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Lucile, Abiola, Guillaume, Legendre, Andrew, Spiers, Elsa, Parot-Schinkel, Jean-François, Hamel, Philippe, Duverger, Pierre-Emmanuel, Bouet, Philippe, Descamps, Caroline, Quelen, Philippe, Gillard, and Elise, Riquin
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Stress Disorders, Post-Traumatic ,Multidisciplinary ,Risk Factors ,Surveys and Questionnaires ,Humans ,Female ,Dissociative Disorders ,Fetal Death - Abstract
Late-term fetal demise including fetal death in utero, late miscarriage and late termination of pregnancy are relatively frequent occurrences. Post-traumatic stress disorder (PTSD) is a pathology that finds its roots in exposure to a life-threatening event or an event related to death. Exposure to fetal death during a late-term fetal demise is, therefore, a situation at risk of trauma. The objective of this study was to assess the prevalence of PTSD symptoms in the short term among patients faced with late fetal demise, and to identify potential risk factors. All women were assessed at 15 days, one month, and three months after late fetal demise using the Impact of Event Scale-Revised (IES-R) and the Peritraumatic Dissociative Experiences Questionnaire (PDEQ). At 15 days, 44.2% of patients presented a pathological score on the IES-R (≥ 33). At one month and three months, this figure was 34.1% and 9.1% respectively. Factor associated with PTSD symptoms were: peritraumatic dissociation (p = 0.014), seeing the fetus during hospitalization (p = 0.035), holding the fetus in one’s arms (p = 0.046), and the organization of a funeral service (p = 0.025). Patients experiencing late fetal demise are at significant risk of trauma. Care providers should remain vigilant to identify high-risk situations to offer appropriate care.Clinical trials registration number: NCT03433989.
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- 2022
7. Neuropsychological Features of Children and Adolescents With Mitochondrial Disorders: A Descriptive Case Series
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Elise, Riquin, Magalie, Barth, Thomas, Le Nerzé, Natwin, Pasquini, Clement, Prouteau, Estelle, Colin, Patrizia, Amati Bonneau, Vincent, Procaccio, Patrick, Van Bogaert, Philippe, Duverger, Dominique, Bonneau, and Arnaud, Roy
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Psychiatry and Mental health - Abstract
BackgroundMitochondrial disorders (MD) are metabolic diseases related to genetic mutations in mitochondrial DNA and nuclear DNA that cause dysfunction of the mitochondrial respiratory chain. Cognitive impairment and psychiatric symptoms are frequently associated with MD in the adult population. The aim of this study is to describe the neuropsychological profile in children and adolescents with MD.MethodsWe prospectively recruited a sample of 12 children and adolescents between February 2019 and February 2020 in the Reference Center for Mitochondrial Disorders of Angers (France). Participants and their parents completed an anamnestic form describing socio-demographic data and completed the WISC-V (Wechsler Intelligence Scale for Children, 5th edition) and the Parent and Teacher forms of the BRIEF (Behavior Rating Inventory of Executive Function).ResultsIn our sample, the mean IQ (Intellectual Quotient) score was 87.3 ± 25.3. The score ranged from 52 to 120. Concerning executive functions, a significant global clinical complaint was found for parents (six times more than normal) and to a lesser extent, for teachers (among 3 to 4 times more). Levels of intelligence and executive functioning were globally linked in our cohort but dissociation remains a possibility.ConclusionThe results of this study show that MD can be associated to neuropsychological disorders in children and adolescents, especially regarding the intelligence quotient and the executive function. Our study also highlights the need for regular neuropsychological assessments in individuals with MD and developing brains, such as children and adolescents.
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- 2022
8. Prevalence and phenotype of eating disorders in assisted reproduction: a systematic review
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Marine Le Floch, Anaïs Crohin, Philippe Duverger, Aline Picard, Guillaume Legendre, and Elise Riquin
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Psychiatry ,Reproduction ,Assisted reproductive technique ,Obstetrics and Gynecology ,Gynecology and obstetrics ,Feeding and Eating Disorders ,Phenotype ,Reproductive Medicine ,Pregnancy ,Infertility ,Eating disorders ,RG1-991 ,Prevalence ,Humans ,Female ,Pregnant Women - Abstract
Eating disorders (EDs) are common conditions that mainly affect women of reproductive age and have a major impact on fertility. Our systematic review focuses on the prevalence of EDs in patients in the process of assisted reproductive technique (ART) and describes the phenotypes of EDs identified.Our systematic review is based on the PRISMA criteria. Articles were collected using the Medline/Pubmed, Web Of Science and Cochrane databases. The articles chosen had to mention the prevalence of ED in infertile patients undergoing ART and be cohort or case-control studies assessing the prevalence of ED during fertility treatment.Fifteen articles were included in this review. The prevalence of active ED varied between 0.13 and 44% depending on the types considered in each study. The main phenotypes described were EDNOS (eating disorder not otherwise specified) and binge eating disorders (BED) occurring in women with a normal body mass index (BMI) and a history of ED. Mainly subthreshold forms with cognitive distortions were described.This review highlights a 6 times higher prevalence of EDs in infertile patients undergoing fertility treatment compared to regular pregnant women. However, diagnosing these conditions is complex. As a result, it is essential that professionals in contact with this population are alert to symptoms consistent with these conditions in order to refer them to specialized psychiatric care.RéSUMé: INTRODUCTION: les troubles des conduites alimentaires (TCA) sont des pathologies fréquentes affectant principalement les femmes en âge de procréer avec un impact majeur sur la fertilité. Notre revue de la littérature s’intéresse à la prévalence du trouble chez les sujets inscrits dans un processus d’assistance médicale à la procréation (AMP) et décrit les phénotypes des TCA repérés. MéTHODE: notre revue de la littérature se base sur les critères PRISMA. Les articles ont été collectés en utilisant les bases de données Medline/Pubmed, Web Of Science et Cochrane. Les articles sélectionnés devaient faire état de la prévalence des TCA chez les sujets infertiles recourant à une AMP, être des études de cohorte ou cas-témoins évaluant la prévalence des TCA au cours d’une AMP. RéSULTATS: quinze articles ont été inclus dans cette revue. Les prévalences de TCA actifs variaient entre 0,13 et 44% en fonction des formes considérées. Les principaux phénotypes décrits étaient les formes non spécifiques (EDNOS) et hyperphagiques (BED) survenant chez des femmes avec un indice de masse corporel (IMC) normal et présentant des antécédents de TCA. Il était décrit des formes subsyndromiques prédominées par des distorsions cognitives. CONCLUSION: cette revue met en évidence une prévalence de TCA supérieure chez les sujets infertiles recourant à une AMP par rapport aux femmes enceintes en population générales. Leur diagnostic est cependant complexe. Il est donc capital que les professionnels au contact de cette population soient vigilants aux symptômes évocateurs afin d’orienter vers une prise en charge spécialisée.Eating disorders are frequent pathologies that primarily affect women of childbearing age. Numerous articles reveal an increased risk for the mother and the child in case of an active disorder during pregnancy.We conducted a systematic review to determine the prevalence and phenotypes of eating disorders in infertile subjects undergoing fertility treatment.The results of the fifteen articles included show a prevalence six times higher than in pregnant women in the general population. Subjects with eating disorders have normal body mass indexes. The active forms are mainly characterized by episodes of binge eating disorders or other unspecified forms. Studies also describe incomplete forms characterized by the presence of dysfunctional thoughts around shape and weight without associated compensatory behavior.Professionals working in the field of reproductive medicine and providing fertility treatment have a major role to play in identifying and referring these subjects at risk to specialized care.
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- 2021
9. Employee creativity trumps supervisor-subordinate guanxi: Predicting prequitting behaviors in China's hotel industry
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Larry Yu, Zhou Li, and Philippe Duverger
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Supervisor ,ComputingMilieux_THECOMPUTINGPROFESSION ,business.industry ,Strategy and Management ,Employee retention ,media_common.quotation_subject ,05 social sciences ,Transportation ,Organizational commitment ,Development ,Creativity ,Traditional values ,Tourism, Leisure and Hospitality Management ,Talent management ,0502 economics and business ,050211 marketing ,business ,Psychology ,Perceived organizational support ,Social psychology ,Guanxi ,ComputingMilieux_MISCELLANEOUS ,050203 business & management ,media_common - Abstract
This study aims to explore the moderating roles of supervisor-subordinate guanxi and employee creativity in the perceived organizational support-organizational commitment-turnover intention link in the Chinese hotel organizations. Using a matched sample of 85 supervisors and 249 subordinates from 13 hotels in Shenzhen, China, we found that both supervisor-subordinate guanxi and employee creativity altered the relationships of perceived organizational support, affective commitment and employee prequitting behaviors. A significant conditional direct effect of perceived organizational support on prequitting behaviors was moderated by low supervisor-subordinate guanxi. Furthermore, a significant conditional indirect relationship between perceived organizational support and prequitting behaviors was found at high employee creativity. Moreover, interactive effect of affective commitment and employee creativity exerted a significant negative effect on prequitting behaviors. Findings shed light on the changing traditional values in modern management practices and the conditions under which organizations can improve employee retention. Theoretical and practical implications for talent management are discussed.
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- 2018
10. Psychiatric autoimmune conditions in children and adolescents: Is catatonia a severity marker?
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Tiziana Granata, Angèle Consoli, Elise Riquin, Nardo Nardocci, Renaud Jardri, Huges Pellerin, Xavier Benarous, David Cohen, Claire Corfiotti, Priscille Gerardin, Vladimir Ferrafiat, Zahir Amoura, Philippe Duverger, Elena Freri, François Medjkane, Julien Haroche, Marie Raffin, Alessandra Tozzo, Service de Psychiatrie de l'Enfant et de l'Adolescent [CHU Pitié-Salpêtrière] (SPEA), CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Département de Psychiatrie de l’Enfant et de l’Adolescent [CHU Rouen], CHU Rouen, Normandie Université (NU)-Normandie Université (NU), Université d'Angers (UA), Institut E3M [CHU Pitié-Salpêtrière], Institut des Systèmes Intelligents et de Robotique (ISIR), Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Abord dimensionnel des épisodes phychotiques de l'enfant et de l'adolescent : implications génétiques, métaboliques et auto-immunes (PSYDEV), Sorbonne Université (SU), and Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)
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Male ,Psychosis ,medicine.medical_specialty ,Adolescent ,Catatonia ,[SDV]Life Sciences [q-bio] ,Hashimoto Disease ,Severity of Illness Index ,Autoimmune Diseases ,03 medical and health sciences ,0302 clinical medicine ,Acute onset ,medicine ,Humans ,Child ,Psychiatry ,Biological Psychiatry ,Retrospective Studies ,Pharmacology ,Immunosuppressive treatment ,Autoimmune encephalitis ,High prevalence ,business.industry ,Mental Disorders ,medicine.disease ,3. Good health ,030227 psychiatry ,Encephalitis ,Female ,Autoimmune condition ,business - Abstract
Patients with autoimmune encephalitis (AE) are likely to exhibit an acute onset of severe psychiatric features, including psychosis and/or catatonia. Based on the high prevalence of catatonia in AE and our clinical experience, we hypothesized that catatonia might be a marker of severity requiring more aggressive treatment approaches.To reach a sufficient number of cases with brain-autoimmune conditions, we pooled two samples (N = 58): the first from the French National Network of Rare Psychiatric diseases and the second from the largest Italian neuro-pediatrics center for encephalopathies. Autoimmune conditions were diagnosed using a multidisciplinary approach and numerous paraclinical investigations. We retrospectively compared patients with and without catatonia for psychiatric and non-psychiatric clinical features, biological and imaging assessments, type of immunotherapy used and outcomes.The sample included 25 patients (43%) with catatonia and 33 (57%) without catatonia. Forty-two patients (72.4%) had a definite AE (including 27 anti-NMDA receptor encephalitis) and 16 (27.6%) suspected autoimmune encephalitis. Patients with catatonia showed significantly more psychotic features [18 (72%) vs 9 (27.3%), p 0.001)] and more movement disorders [25 (100%) vs 20 (60.6%), p 0.001] than patients without catatonia. First line (corticoids, immunoglobulin and plasma exchanges) and second line (e.g., rituximab) therapies were more effective in patients with catatonia, with 24 (96%) vs 22 (66.7%) (p = 0.006) and 17 (68%) vs 9 (27.3%) (p = 0.002), respectively. However, those with catatonia received more combinations of first and second line treatments and had more relapses during outcomes.Despite its exploratory design, the study supports the idea that autoimmune catatonia may be a marker of severity and morbidity in terms of initial presentation and relapses, requiring the need for early and aggressive treatment.
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- 2021
11. The French Version of the Revised Ritvo Autism and Asperger Diagnostic Scale: A Psychometric Validation and Diagnostic Accuracy Study
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Philippe Duverger, Amaria Baghdadli, Edward R. Ritvo, Marie-Christine Picot, Cécile Michelon, Eric Pernon, Ariella Riva Ritvo, Romain Coutelle, Mocrane Abbar, Helena Bertet, Anouck Amestoy, Dominique Fiard, Jérôme Attal, Centre de recherche en épidémiologie et santé des populations (CESP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris-Sud - Paris 11 (UP11)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), CHU Montpellier, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Centre Hospitalier Georges Renon [Niort] (CH Georges Renon Niort), Neuropsychologie Cognitive et Physiophatologie de la Schizophrénie (Inserm U1114 - UNISTRA), Université de Strasbourg (UNISTRA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Hôpital Civil de Strasbourg, Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Orange, and This study was supported by Grant from Orange Foundation.
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Adult ,Male ,Adolescent ,Psychometrics ,Diagnostic accuracy ,Test validity ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Rating scale ,mental disorders ,Diagnosis ,Developmental and Educational Psychology ,medicine ,Humans ,Adults ,0501 psychology and cognitive sciences ,Asperger Syndrome ,Autistic Disorder ,Aged ,High functioning ASD ,RAADS-R-Fr ,05 social sciences ,Reproducibility of Results ,Middle Aged ,Translating ,medicine.disease ,3. Good health ,Cross-Sectional Studies ,Asperger syndrome ,Scale (social sciences) ,[SCCO.PSYC]Cognitive science/Psychology ,Autism ,Female ,France ,False positive rate ,Psychology ,030217 neurology & neurosurgery ,050104 developmental & child psychology ,Clinical psychology - Abstract
International audience; The early recognition of ASD in adults is challenging, in particular due to the lack of appropriate and robust diagnostic tools. We performed a psychometric validation and diagnostic accuracy study of the French version of the RAADS-R on a sample of 305 adults: 105 with ASD without ID, 99 with psychiatric disorders, and 103 non-psychiatric control groups. The French version of the RAADS-R demonstrates good reliability and diagnostic validity, suggesting that it can help clinicians during the diagnostic process in adults with ASD without ID. However, the finding that a two-factor structure better fits the results requires further validation. This study point out the need of further study of RAADS in psychiatric disorders group due to the relatively high false positive rate (55.6%) of ASD.
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- 2021
12. Psychiatric Symptoms of Children and Adolescents With Mitochondrial Disorders: A Descriptive Case Series
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Elise Riquin, Thomas Le Nerzé, Natwin Pasquini, Magalie Barth, Clément Prouteau, Estelle Colin, Patrizia Amati Bonneau, Vincent Procaccio, Patrick Van Bogaert, Philippe Duverger, Dominique Bonneau, Arnaud Roy, Nantes Université, Bibliothèque universitaire, Laboratoire de Psychologie des Pays de la Loire (LPPL), Université d'Angers (UA)-Nantes Université - UFR Lettres et Langages (Nantes Univ - UFR LL), Nantes Université - pôle Humanités, Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ)-Nantes Université - pôle Humanités, Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ), Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM), MitoVasc - Physiopathologie Cardiovasculaire et Mitochondriale (MITOVASC), and Université d'Angers (UA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)
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0301 basic medicine ,medicine.medical_specialty ,Population ,Global Assessment of Functioning ,[SDV.MHEP.PSM] Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health ,RC435-571 ,adolescent & youth ,03 medical and health sciences ,0302 clinical medicine ,mitochondrial disorders ,[SDV.MHEP.PED] Life Sciences [q-bio]/Human health and pathology/Pediatrics ,Brief Psychiatric Rating Scale ,medicine ,Psychiatry ,education ,Depression (differential diagnoses) ,Original Research ,psychiatric symptom ,education.field_of_study ,child ,[SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics ,Manifest Anxiety Scale ,business.industry ,anxiety ,Psychiatry and Mental health ,030104 developmental biology ,Mitochondrial respiratory chain ,[SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health ,depression ,Anxiety ,Psychiatric interview ,medicine.symptom ,business ,030217 neurology & neurosurgery ,adolescent and youth - Abstract
Background: Mitochondrial disorders (MD) are a group of clinically heterogeneous genetic disorders resulting from dysfunction of the mitochondrial respiratory chain. Cognitive impairment is a common feature in adults with MD and psychiatric symptoms are associated with MD in up to 70% of the adult population. The aim of this study is to describe the psychiatric profile in children and adolescents with MD by focusing on the description of psychiatric symptoms.Methods: A cohort of 12 children and adolescents was prospectively recruited between February 2019 and February 2020 in the Reference Center for Mitochondrial Disorders of Angers (France). Participants and their parents completed an anamnestic form to provide socio-demographic data and completed the Global Assessment of Functioning scale, the Brief Psychiatric Rating Scale, the Child Depression Inventory, the Revised Children's Manifest Anxiety Scale, and the Conner's Rating Scale to evaluate the inattention/hyperactivity symptoms as well as the Quality of Life scale.Results: Four children (33.3%) were diagnosed with depressive symptoms. With regarding to anxiety, 6 children (50%) reported anxiety issues during the psychiatric interview and 3 children (25%) were suffering from anxiety according to the RCMAS scale. Compared to other children with chronic illnesses, the individuals in our cohort reported a lower overall quality of life score and lower scores in physical and social subscales.Conclusion: Our study shows that MD can lead to psychiatric disorders in children and adolescents, in particular anxiety and depression, as well as poor quality of life. This highlights the need for regular psychiatric assessments in individuals with developing brains, such as children and adolescents. We do not, however, have data regarding the neuropsychological profile of this population.
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- 2021
13. Neuropsychological and Psychiatric Features of Children and Adolescents Affected With Mitochondrial Diseases: A Systematic Review
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Elise Riquin, Philippe Duverger, Cindy Cariou, Magalie Barth, Clément Prouteau, Patrick Van Bogaert, Dominique Bonneau, Arnaud Roy, Physiopathologie Cardiovasculaire et Mitochondriale (MITOVASC), Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université d'Angers (UA), Réseau Maladies Métaboliques, Hôpitaux Universitaires du Grand Ouest, Laboratoire Angevin de Recherche en Ingénierie des Systèmes (LARIS), Université d'Angers (UA), Laboratoire de psychologie (LUNAM), and Université d'Angers (UA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)
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medicine.medical_specialty ,Web of science ,lcsh:RC435-571 ,[SDV]Life Sciences [q-bio] ,Dysfunctional family ,psychiatric profile ,03 medical and health sciences ,0302 clinical medicine ,children ,lcsh:Psychiatry ,hemic and lymphatic diseases ,Medicine ,Psychiatry ,Depression (differential diagnoses) ,ComputingMilieux_MISCELLANEOUS ,mitochondrial diseases ,business.industry ,Neuropsychology ,030227 psychiatry ,3. Good health ,Psychiatry and Mental health ,adolescent ,Inclusion and exclusion criteria ,Systematic Review ,neuropsychological profile ,business ,030217 neurology & neurosurgery ,Medical literature - Abstract
Mitochondrial diseases (MDs) are a group of clinically heterogeneous genetic disorders that arise as the result of dysfunctional mitochondria. Only few medical articles deal with neuropsychological or psychiatric aspects of MDs. Aim: The present article aims to provide a systematic review of neuropsychological and psychiatric aspects of MDs. Methods: In order to identify all studies dealing with psychiatric and neuropsychological aspects of MDs in children and adolescents, we performed a search in the medical literature between April 2009 and April 2019 using PubMed, Cochrane and Web of Science and we defined inclusion and exclusion criteria. Results: We found only seven studies that satisfy the inclusion requirements and criteria. The main psychiatric aspects reported in MDs were depressive and behavioral disorders. With regard to the neuropsychological aspects of MDs, developmental analyses showed an overall deterioration, learning difficulties, and developmental delay. Interpretation: Children and adolescents with MDs may present psychiatric symptoms and neuropsychological impairment. A more systematic investigation of psychiatric and neuropsychological features of MDs is needed to foster a better understanding of the phenotype of these diseases and their links with the genotype, which may have significant implications for the developmental trajectories of patients.
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- 2020
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14. Medical Termination Of Pregnancy For Psychosocial Reasons
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Katia Nardin Godet, Elise Riquin, Sylvie Nordström Schüler, Thomas Le Nerzé, Guillaume Legendre, Philippe Duverger, Florence Biquard, Julie Lebrun, Yénofa Rousselot, and Philippe Gillard
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medicine.medical_specialty ,Clinical Decision-Making ,Context (language use) ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,medicine ,Humans ,Significant risk ,Physician's Role ,Legitimacy ,Psychiatry ,030219 obstetrics & reproductive medicine ,Informed Consent ,business.industry ,Psychiatric assessment ,Mental Disorders ,Obstetrics and Gynecology ,Abortion, Induced ,medicine.disease ,Mental health ,Reproductive Medicine ,Free and clear ,030220 oncology & carcinogenesis ,Family medicine ,Female ,business ,Psychosocial - Abstract
The requesting of medical termination of pregnancy (MTP) for psychosocial reasons invites several questions concerning progress in medicine as well raising necessary and legitimate ethical questions. The law currently permits MTP for maternal reasons at any stage of pregnancy if the woman's health is at a significant risk. However, conceptions of mental health risks remain a grey area and present difficulties in terms of psychiatric assessment. When dealing with a patient suffering from a psychiatric disorder, questions must be asked on the reasons behind the request as well as questions concerning free and clear consent. It must also be taken into account that the progressive nature of pregnancy means patient care must be provided relatively quickly. These cases invite discussion on medical decisions, on both a moral and rational level, and the legitimacy of the basis on which the medical decision is taken in the context of MTP for psychosocial reasons.
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- 2020
15. Liste des auteurs
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Catherine Adamsbaum, null ANCReMIN, Martine Balençon, Flora Blangis, Emmanuelle Bosdure, Violaine Bresson, Jocelyn Brown, Bertrand Bruneau, Julien Burel, Stéphane Cantéro, Renaud Clément, Eliane Corbet, Béatrice Costard, Mireille Cyr, Jacques Dayan, Cécile de Oliveira, Marie Derain, Mélanie Dupont, Philippe Duverger, Catherine Echelard, Cécilie Favreau, Juliette Fleury, Emmanuelle Fouré, Céline Garnier-Jardin, Agnès Gindt-Ducros, Odile Goens, Charlotte Gorgiard, Christele Gras-Leguen, Sylvie Grunvald, Christele Guinais, Inge Harrewijn, Romain Juston Morival, Jean Labbé, Élise Launay, Margaux Lemesle, Karine Levieux, Solène Loschi, Alexandra Merille, Anne-Pascale Michard-Lenoir, Bertrand Morillon, Cécile Oriol, Hugues Patural, François Paysant, Gaëlle Pendezec, Cécile Peronnet, Claire Pian, Georges Picherot, Marjolaine Prieto, Maia Proisy, Brigitte Ragel, Caroline Rambaud, Jean-Sebastien Raul, Caroline Rey-Salmon, Élise Riquin, Michel Roussey, Virginie Scolan, Barbara Tisseron, Sylvie Tordjman, Renaud de Tournemire, Catherine Treguier, Nathalie Vabres, and Patricia Vasseur
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- 2020
16. Can innovative behavior be led by management? A study from the lodging business
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Philippe Duverger, Huimin Gu, and Larry Yu
- Subjects
Organizational citizenship behavior ,business.industry ,Strategy and Management ,media_common.quotation_subject ,Business administration ,05 social sciences ,Organizational culture ,Transportation ,Affective events theory ,Organizational commitment ,Development ,Public relations ,Moderated mediation ,Organization development ,Tourism, Leisure and Hospitality Management ,Service (economics) ,0502 economics and business ,050211 marketing ,business ,Organizational behavior and human resources ,050203 business & management ,media_common - Abstract
This study examined the effects of hotel management leadership on employee innovative behavior in Chinese hotel organizations. Using a dyadic sample of 164 hotel supervisors and 603 service employees at 23 four-star and five-star hotels in 11 Chinese cities, we investigated whether organizational commitment mediated the effects of leadership on employee innovative behavior. We also examined how organizational tenure moderated leadership and innovative behavior through organizational commitment. Findings from our moderated-mediation model revealed that organizational commitment mediated the relationship between leadership and innovative behavior. Similarly, organizational tenure moderated the relationship between leadership and organizational commitment: there was a stronger relationship for long-tenured employees and a weaker relationship for short-tenured employees. However, the effect of higher leadership on organizational commitment was stronger for short-tenured employees than long-tenured employees. Our results spotlight the importance of fostering organizational commitment, which directly affects innovative behavior and through which supervisors can influence individual innovative behavior.
- Published
- 2017
17. The cost of child abuse and neglect in France: The case of children in placement before their fourth birthday
- Author
-
Mireille Rozé, Elise Riquin, Daniel Rousseau, Amélie Prigent, Philippe Duverger, Marie-Amélie Vinet, Morgane Michel, and Karine Chevreul
- Subjects
Child abuse ,050103 clinical psychology ,medicine.medical_specialty ,Total cost ,media_common.quotation_subject ,Poison control ,Suicide prevention ,Occupational safety and health ,Neglect ,Cohort Studies ,Risk Factors ,Health care ,Developmental and Educational Psychology ,Humans ,Medicine ,0501 psychology and cognitive sciences ,Child Abuse ,Child ,health care economics and organizations ,media_common ,business.industry ,Child Protective Services ,05 social sciences ,Health Care Costs ,Psychiatry and Mental health ,Family medicine ,Pediatrics, Perinatology and Child Health ,business ,Psychosocial ,050104 developmental & child psychology - Abstract
Background Despite the high prevalence of child abuse and neglect and its consequences on health, very few studies have evaluated the trajectories of children in placement in France, and there are no cost studies available. Objective To estimate the cost of abuse and neglect in children in placement before their 4th birthday in France. Participants and setting A cohort of children in placement before their 4th birthday in a single nursery between February 1994 and June 2001 was followed from birth until they left care. Methods Child protective services (CPS), health, health and social, and judiciary services utilization was derived from a qualitative analysis of the children's files and valued with their unit costs in 2013 euros from the societal perspective. Total costs and mean annual cost per child followed by CPS were calculated overall, by cost category, and by status at admission to the nursery. Results 129 children were included. Mean age at first admission was 1.9 years (SD = 1.3). The mean length of follow-up by CPS was 14.3 years (SD = 5.0). Mean annual cost per child was estimated at €53,265 (SD = 42,077), with CPS costs representing 78% of costs. 80% of health care costs were due to psychiatric care. Children with no identified psychosocial risk factors had significantly higher psychiatric care costs and health and social care costs than pre-term children and children with identified psychosocial risk factors. Conclusion More research should be carried out to address early and comprehensively the multiple needs of children followed by CPS in the short- and long-term.
- Published
- 2021
18. L’avenir n’est pas écrit
- Author
-
Philippe Duverger
- Subjects
Sociology and Political Science ,Developmental and Educational Psychology ,Education - Abstract
Nous relatons l’histoire de Louise, une petite fille differente rencontree en consultation et pour qui les questions de transmission, sous toutes ses formes, sont au coeur de son histoire : entre transmission et determination (avec la question de l’inne et de l’acquis), transmission et prediction (et de certains enjeux du diagnostic prenatal), transmission et predestination (avec la question du diagnostic precoce), transmission et information au patient ou sa famille (sous-couvert de la loi de 2002), transmission et narration (dans la rencontre avec l’enfant). Dans ces debats, le pedopsychiatre de liaison en maternite et en service de pediatrie a une place fondamentale, en tant que praticien de l’inattendu et artisan de la rencontre avec l’enfant et ses parents.
- Published
- 2017
19. Capturing Relative Importance of Customer Satisfaction Drivers Using Bayesian Dominance Hierarchy
- Author
-
Xiaoyin Wang and Philippe Duverger
- Subjects
Knowledge management ,Total quality management ,business.industry ,05 social sciences ,Bayesian probability ,Property management ,01 natural sciences ,Dominance hierarchy ,010104 statistics & probability ,Dominance analysis ,Strategic business unit ,Tourism, Leisure and Hospitality Management ,0502 economics and business ,050211 marketing ,Customer satisfaction ,0101 mathematics ,business - Abstract
Customer satisfaction (CS) research traditionally focuses on large data sets collected over long periods of time across several business units. Business unit managers or property managers have a different focus in that they need to address dissatisfaction issues on a monthly basis and on a property basis. In search for zero defects, they are often confined to small samples lacking power where they cannot draw the relative importance of each variable responsible for the making of the overall perceived quality in their customer base. We propose to use a Bayesian approach to estimate the relative importance of predictors in the presence of small samples. Based on 12 consecutive months of CS survey data collected in a hotel, we show how the hotel manager can easily prioritize his or her quality management action plan on a monthly basis. The results of our study complement the current CS research methods while managing limited resources.
- Published
- 2017
20. A case of awake craniotomy surgery in an 8-year-old girl
- Author
-
Philippe Duverger, Pierre Martin, Elise Riquin, Matthieu Delion, and Philippe Menei
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,media_common.quotation_subject ,medicine.medical_treatment ,Magnetic resonance imaging ,General Medicine ,030227 psychiatry ,Surgery ,03 medical and health sciences ,Awake craniotomy ,0302 clinical medicine ,Pediatrics, Perinatology and Child Health ,medicine ,Wakefulness ,Neurology (clinical) ,Girl ,Neurosurgery ,business ,030217 neurology & neurosurgery ,Craniotomy ,media_common - Published
- 2017
21. Psychiatric and Psychologic Impact of Surgery While Awake in Children for Resection of Brain Tumors
- Author
-
Elise Riquin, Philippe Menei, Thierry Lehousse, Jean Malka, Philippe Duverger, Mickael Dinomais, Matthieu Delion, Laboratoire Angevin de Recherche en Ingénierie des Systèmes (LARIS), Université d'Angers (UA), Service de neurochirurgie, Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM)-PRES Université Nantes Angers Le Mans (UNAM), and Département de neurochirurgie [Angers]
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,[SDV]Life Sciences [q-bio] ,Neurosurgery ,Psycho-oncology ,Neuropsychological Tests ,Trauma ,Neurosurgical Procedures ,Resection ,Stress Disorders, Post-Traumatic ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,030202 anesthesiology ,Humans ,Medicine ,Wakefulness ,Acute stress ,Child ,Psychiatry ,Direct stimulation ,Retrospective Studies ,Psychiatric Status Rating Scales ,Brain Neoplasms ,Mood Disorders ,business.industry ,Gold standard ,Posttraumatic stress disorder ,Consultation liaison psychiatry ,3. Good health ,Surgery ,Posttraumatic stress ,Female ,Neurology (clinical) ,business ,030217 neurology & neurosurgery ,Pediatric population - Abstract
International audience; Intraoperative direct stimulation during surgery while awake is considered to be the gold standard for identifying eloquent cortical sites. Only a few studies have referenced the psychologic impact of this event in the pediatric population.OBJECTIVE:The aim of this clinical study is to present the psychologic aspects of surgery while awake in children. We question the psychiatric contraindications and age limits, as well as the impact on children, with particular attention to the psychologic conditioning and experience of these patients.METHODS:Seven patients aged 8-16 years old with brain lesions were operated on while awake between 2008 and 2015. Data collected included perception and memories of surgery and diagnosis and also their real-life experience after surgery. Symptoms of posttraumatic stress disorder or acute stress were investigated.RESULTS:None of the children had initial psychiatric problems. No psychiatric diagnosis was made before surgery. The child psychiatrist did not contraindicate any child for this procedure. Patients experienced little anticipatory anxiety. No child presented symptoms of posttraumatic stress disorder or acute stress.CONCLUSIONS:The results are encouraging, allowing us to contemplate using brain surgery while awake for children without particular worries about the psychologic aspect.Copyright © 2017 Elsevier Inc. All rights reserved.
- Published
- 2017
22. Troubles organiques à expression psychiatrique, quel soin pédopsychiatrique ? Réflexions autour de cas d’encéphalites dysimmunitaires
- Author
-
Elise Riquin, A.-L. Bodin, Philippe Duverger, R. Ozelle, A. Doudard, and S. Gueden
- Subjects
medicine.medical_specialty ,Psychotherapist ,media_common.quotation_subject ,Subject (philosophy) ,MEDLINE ,Organic disease ,medicine.disease ,030227 psychiatry ,03 medical and health sciences ,Presentation ,0302 clinical medicine ,Expression (architecture) ,Organic mental disorders ,Pediatrics, Perinatology and Child Health ,Child and adolescent psychiatry ,medicine ,Psychology ,030217 neurology & neurosurgery ,Legitimacy ,media_common - Abstract
Organic mental disorders are different and further revealed by increasingly advanced research. They are nevertheless misunderstood, without consensus, and raise clinical, diagnostic, and therapeutic questions. These disorders require effective collaboration between practitioners such as pediatricians and child psychiatrists. The subject should not disappear behind the complexity related to the clinical expression of these symptoms. Based on three cases of autoimmune encephalitis, we offer a reflection on the management and assessment of these diseases by a multidisciplinary team with the intention of providing optimal management. The aim of this paper is to override an initial divide posed by a particular clinical presentation. We would like to shed light on the place and legitimacy of child psychiatrists and their clinical expertise. This does not exclude the need for care of the symptoms, considering each subject and her experience. Follow-up is necessary because of the possible, often traumatic, functional and psychological consequences. Finally, the presence of each professional should be specified when the psychiatric symptoms appear to be the result of an organic disease in order to better support the subject in his suffering body.
- Published
- 2017
23. Le joueur et le rebelle triste
- Author
-
Philippe Duverger
- Subjects
Sociology and Political Science ,Developmental and Educational Psychology ,Education - Abstract
Les attitudes d’opposition a l’adolescence constituent un motif de consultations de pedopsychiatrie de plus en plus frequent. Mais que sous-tendent ces attitudes d’opposition ? Nous presentons deux histoires d’adolescents. La premiere, celle de Franck, « le joueur », qui manifeste une opposition a tout ce qui lui est propose. L’agressivite est majeure mais elle fait lien. Elle s’inscrit dans une histoire developpementale, adaptative et apparait comme reactionnelle et structurante. La deuxieme, celle de Kevin, « le rebelle triste », un jeune qui exprime une opposition a tout ce qui le menace. La violence est extreme ; elle vise a rompre le lien. Elle est pathologique. Deux versants bien differents de cette expression d’opposition qu’il est classique de rencontrer et qu’il est important de differencier dans la clinique quotidienne de nos consultations avec des adolescents.
- Published
- 2017
24. Particularités de l’accompagnement en soins palliatifs d’un patient atteint de schizophrénie en secteur psychiatrique
- Author
-
Philippe Duverger, Philippe Hubault, Elise Riquin, Nathalie Baize, and Jean-Paul Lhuillier
- Subjects
03 medical and health sciences ,Psychiatry and Mental health ,0302 clinical medicine ,Arts and Humanities (miscellaneous) ,030212 general & internal medicine ,Applied Psychology ,030227 psychiatry - Abstract
Resume L’etude des comorbidites, des facteurs de risque de pathologies organiques ou de la baisse de l’esperance de vie des patients atteints de pathologies mentales, notamment psychotiques, fait l’objet de nombreuses publications. La prise en charge, l’accompagnement, notamment en soins palliatifs, de ces patients, mais egalement le vecu tant des patients que des soignants dans ce type de situation sont plus rarement abordes. A partir de l’histoire de Pierre, patient suivi pour une schizophrenie paranoide et atteint d’un cancer du poumon au pronostic letal a court terme, nous evoquons l’accompagnement, la prise en charge de ces patients dans le cadre de soins palliatifs en secteur specialise psychiatrique et la complexite que cela peut representer, tant pour les patients que pour les equipes soignantes. Ainsi, le lieu de prise en charge mais egalement l’evaluation du comportement ou de la douleur s’averent a l’origine de reflexions complexes que nous discutons. Nous initions par la suite une reflexion autour des enjeux de cet accompagnement singulier avec les notions de travail du trepas et, plus generalement, des enjeux legaux et ethiques autour des refus de traitements dans ce cadre precis.
- Published
- 2017
25. Quel futur pour la psychiatrie de l’enfant et de l’adolescent ?
- Author
-
Philippe Duverger, T. Baubet, A.-C. Rolland, David Cohen, D. Rezzoug, S. Nezelof, and Jean-Philippe Raynaud
- Subjects
03 medical and health sciences ,Psychiatry and Mental health ,0302 clinical medicine ,Pediatrics, Perinatology and Child Health ,Developmental and Educational Psychology ,030217 neurology & neurosurgery ,030227 psychiatry - Published
- 2018
26. Les dispositifs
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
27. Introduction
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
28. Maltraitances et adolescence
- Author
-
Philippe Duverger and Georges Picherot
- Subjects
Psychology - Published
- 2019
29. Introduction
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
30. TCA
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
31. Introduction
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
32. Introduction
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
33. Anthropologie de l'adolescence
- Author
-
Priscille Gerardin, Philippe Duverger, and Bernard Boudailliez
- Subjects
Psychology - Published
- 2019
34. Introduction
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
35. Introduction
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
36. Introduction
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
37. Demande de soins courants
- Author
-
Philippe Duverger, Priscille Gerardin, and Bernard Boudailliez
- Subjects
business.industry ,Medicine ,business - Published
- 2019
38. L'adolescence : définition(s)
- Author
-
Philippe Duverger and Georges Picherot
- Published
- 2019
39. Perspectives
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
40. Les grandes déclinaisons des maladies chroniques
- Author
-
Priscille Gerardin, Philippe Duverger, and Bernard Boudailliez
- Published
- 2019
41. Introduction
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
42. Accueil, consultation
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
43. Introduction
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
44. Conclusion
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
45. Travail en partenariat
- Author
-
Bernard Boudailliez, Priscille Gerardin, and Philippe Duverger
- Published
- 2019
46. Modalités thérapeutiques
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
47. Introduction
- Author
-
Priscille Gerardin, Bernard Boudailliez, and Philippe Duverger
- Published
- 2019
48. Ennui ? Quel ennui ?!
- Author
-
Philippe Duverger
- Subjects
Sociology and Political Science ,05 social sciences ,Developmental and Educational Psychology ,0501 psychology and cognitive sciences ,050108 psychoanalysis ,Education - Abstract
A partir de la rencontre avec un adolescent, Alban, âge de 13 ans, la notion d’ennui est developpee, tant dans ses aspects d’ennui de situation (notamment scolaire) que d’ennui existentiel. En effet, l’ennui est un symptome souvent evoque dans la clinique pedopsychiatrique, mais que revele-t-il ? Quel sens prend-il pour un enfant, ses parents, une institution ? Cette rencontre est l’occasion d’une reflexion autour des multiples facettes de l’ennui.
- Published
- 2016
49. Devenir à long terme de très jeunes enfants placés à l’Aide sociale à l’enfance
- Author
-
Daniel Rousseau, Philippe Duverger, Mireille Rozé, Patrick Saulnier, and Élise Riquin
- Subjects
General Medicine - Abstract
La recherche Saint-Exupery. 2011-2014 decrit le devenir sur 20 ans de 129 enfants ayant beneficie, avant l’âge de 4 ans, d’un placement dans un etablissement de l’Aide sociale a l’enfance (ASE) du departement de Maine-et-Loire (49). Les biographies exhaustives de ces enfants ont ete reconstituees depuis leur naissance jusqu’a leur majorite. La morbidite personnelle a l’admission est tres forte (mauvais etat general, souffrance psychique) dans un climat familial souvent tres perturbe (nombreux enfants places dans la fratrie, troubles psychiatriques parentaux). Tous les enfants progressent ensuite, mais en ordre disperse. Les enfants dont la gravite de l’etat a l’admission est importante et pour lesquels les decisions de placement ont ete prises apres un long delai, progressent le moins bien. La recherche met en evidence plusieurs determinants pejoratifs du devenir, notamment la gravite et la duree de l’exposition au risque. A l’âge adulte, un quart des enfants conservent un handicap psychique et une inadaptation sociale et sont dependants des prestations sociales. A l’oppose, un autre quart evolue favorablement ; il s’agit d’enfants pris en charge suffisamment tot, avec des troubles somatiques et psychologiques encore reversibles. La recherche met aussi en evidence des facteurs protecteurs, notamment une prise en charge precoce. Les evolutions pejoratives paraissent donc pouvoir etre reduites en ameliorant le depistage et en developpant cette prise en charge precoce.
- Published
- 2016
50. Parcours et devenir de 128 enfants admis avant l’âge de quatre ans en pouponnière sociale
- Author
-
S. Nguyen, M. Roze, S. Fanello, Philippe Duverger, M. Tanguy, and D. Rousseau
- Subjects
Child abuse ,Social adjustment ,Injury control ,Accident prevention ,Political science ,Pediatrics, Perinatology and Child Health ,Salud mental ,Poison control ,Humanities - Abstract
Resume Objectif Le but de cette etude etait de connaitre la trajectoire institutionnelle et le devenir de jeunes enfants admis dans une structure d’aide sociale a l’enfance (ASE). Materiel et methodes Une etude catamnestique des dossiers archives de 1994 a 2001 a ete menee par un pedopsychiatre et une psychologue clinicienne. Elle a porte sur l’evolution clinique des enfants admis avant l’âge de 4 ans au village Saint-Exupery, foyer de l’enfance du departement du Maine-et-Loire. Les donnees administratives medicales, judiciaires et educatives (developpement, sante physique, situation familiale, parcours a l’ASE) ont ete recueillies et analysees a l’aune de leur evolution au sein de la structure. Le recueil a ete fait en respectant l’ordre chronologique d’admission afin d’obtenir un recul optimal, tout en completant par l’interview de referents ASE et des familles d’accueil les informations recueillies sur dossier. Resultats Cent vingt-huit enfants ont ete inclus. Les delais avant placement avaient ete longs (13,1 mois en moyenne apres la premiere alerte) pour un et l’âge moyen d’admission etait de 17 mois. La situation sanitaire, physique et psychique des enfants a l’admission etait mauvaise : grossesses mal suivies, troubles psychiatriques frequents, cas de maltraitance averee dont 7 cas de syndrome de Silverman. tiers des enfants presentait un retard de croissance a l’admission qui a recupere dans la moitie des cas. La duree moyenne du parcours au sein du dispositif ASE avait ete de 13,2–4,6 annees. A echeance, 24 mesures « jeune majeur », 8 mesures de protection des majeurs et 9 mesures allocation adulte handicape (AAH) avaient ete prises. Des troubles psychiatriques avaient ete notes chez 116 enfants a l’entree et chez 98 a la sortie du dispositif. Une progression significative du fonctionnement social et scolaire de l’enfant (evalue par l’echelle CGAS pour Children's Global Assessment Scale) a ete notee. A l’issue du suivi, un adulte jeune sur deux presentait des difficultes d’insertion sociale, avec parcours chaotique dans de nombreuses familles d’accueil, echecs de restitution et echecs scolaires. Conclusion La situation clinique des enfants pris en charge a l’ASE et son evolution a long terme confirment les hypotheses de depart sur le retard de prise en charge de ces enfants provenant, dans leur grande majorite, de familles connues et suivies par les services sociaux. Si le placement a permis une amelioration de l’etat physique et psychique de ces enfants, avec notamment une recuperation staturo-ponderale, nous avons note a l’issue de cette prise en charge la persistance de troubles psychiques graves necessitant des mesures de protection sociale ou d’AAH pour un adulte jeune sur cinq.
- Published
- 2015
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