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Non-drug interventions (NDIs) are recommended as a first-line treatment in gerontology to address the psychological and behavioral symptoms of dementia. This article illustrates the NMIs implemented, how they are carried out and how they are evaluated as part of the Bien vieillir project at Nice University Hospital., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

Background: The objective of this study is to assess the relevance of two questions relating to received diagnoses of mood and anxiety disorders in the Quebec population., Methods: The data analysed originate from three cycles of the Canadian Community Health Survey (CCHS 2005, 2007-2008 and 2009-2010). Four respondent groups were created from two questions on mood and anxiety disorders: those reporting no disorders, a mood disorder, an anxiety disorder, or and both disorders. Four indicators measuring mental and general health are compared across groups., Results: Results show a significant association between group membership and some indicators of mental and general health. The percentages of people having experienced a major depressive episode, significant psychological distress and perceived poor mental and general health increased with the number of diagnoses reported. Logistic regression analyses also confirm these results., Conclusion: The results of this study show that the four groups created from the two questions render it possible to distinguish persons in terms of indicators measuring the mental and general health of the Quebec population. Convergence of results in all three cycles lends additional credence to the use of questions on received diagnoses of mood and anxiety disorders., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)

Aims: Historically, there is a strong link between depression and epilepsy. Patients with epilepsy are four to five times more likely to develop a depressive syndrome. It seems that the link between epilepsy and depression is bidirectional. There is little data on mood disorders secondary to epilepsy surgery. The goal of epilepsy surgery is to reduce the number and frequency of attacks, which in turn would allow improvements in mood disorders and cognitive impairment., Methods: A systematic search of the international literature was performed using the bibliographic search engines PubMed and Embase. The following MESH terms were used: epilepsy surgery AND (depression OR depressive disorder OR mood disorder). We also used the "related articles" of PubMed, bibliography surveys, conference abstracts and Google Scholar to identify additional relevant papers., Results: Of the 130 studies found by the systematic search, 112 are excluded because they did not take into account the mood disorders secondary to epilepsy surgery. Fifteen studies are included in this review of the literature with a case study. Depression is the psychopathological condition that is the most frequently studied. According to several studies, the prevalence of depression is approximately 30% with nearly 70% of cases diagnosed during the first three months following epilepsy surgery. The majority of patients presented depressive symptoms during the first 3 to 12months after epilepsy surgery. In these studies, the risk of developing depression is correlated with the existence of previous depressive elements relative to the epilepsy surgery. A small number of studies reported cases of de novo depression. Studies have shown a correlation between very good to excellent control of epileptic seizures and a persistent improvement of mood disorders. It would seem that depressive symptoms post-surgery are more common when the surgical intervention concerns the temporal lobe and in particular mesial resections. There are only very few cases of maniac episodes. Hamid et al. showed an increased risk of suicide waning after the epilepsy surgery over a period of 5years., Conclusion: Mood disorders are common psychiatric comorbidities in epilepsy surgery. The detection, prevention, and treatment of these symptoms in patients eligible for epilepsy surgery pose major challenges for psychiatrists and neurologists, requiring their close collaboration., (Copyright © 2016 L’Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.)

La tachypsychie est un des symptômes fréquemment retrouvée des troubles de l'humeur. Cet article a pour but de résumer les connaissances actuelles sur le contexte historique, la sémiologie et la fréquence de ce symptôme dans le spectre des troubles de l'humeur. La tachypsychie pourrait se scinder en deux composantes : les « pensées accélérées » et les pensées dites « grouillantes ». Dans un état hypomane, la tachypsychie semble être caractérisée par des « pensées accélérées » résultant d'une production d'idées excessives se succédant les unes après les autres. Dans le contexte de la dépression, la tachypsychie semble sémiologiquement différente de celle de l'état hypomane et serait mieux caractérisées par le terme de « pensées grouillantes ». Elles sont caractérisées par un excès de pensées simultanées ayant une composante déplaisante/désagréable. Ces pensées induisent le sentiment que ces idées sont difficiles à saisir. Les « pensées grouillantes » sont aussi différentes des ruminations. Le « Racing and Crowded Thoughts Questionnaire (RCTQ) » développé par Bertschy et al. permet l'évaluation de ce type de symptômes. Par ailleurs, ces pensées sont principalement présentes dans les troubles de l'humeur, mais on peut également les retrouver dans d'autres troubles psychiatriques comme le TDAH et le trouble de la personnalité limite. Une approche dimensionnelle pourrait être envisagée pour ce type de symptôme. La prise en compte de la tachypsychie et de ces différentes composantes semble être primordiale pour une prise en charge la plus adaptée possible des patients souffrant de dépression. Crowded and racing thoughts are frequent symptoms in mood disorders. This paper aims to summarize the current knowledge about historical context, semiology and frequency of theses symptoms in the spectrum of mood disorders. In the context of depression, "racing thoughts" are phenomenologically different from hypomanic state and better described as "crowded thoughts": they are characterized by too many thoughts (occurring at the same time in the field of consciousness) which are described as unpleasant. These thoughts induce the feeling that ideas are difficult to grasp. « Crowded thoughts » are different from rumination too. The Racing and Crowded Thoughts Questionnaire (RCTQ) developed by Bertschy et al. allows the assessment of this type of symptoms. These thoughts are mostly present in mood disorders, but we can also find them in other psychiatric disorders like ADHD and borderline personality disorder. À dimensional approach could be considered for these symptoms. The consideration of these symptoms (racing thoughts and crowded thoughts) seems to be important for a more accurate and better treatment management of people with depression. [ABSTRACT FROM AUTHOR]

Objective: To examine the clinical characteristics of adolescent girls consulting in a mood disorder clinic with a history of physical or sexual abuse. Method: A retrospective review was conducted of the charts of 55 adolescent girls consulting in a mood disorder clinic. An analysis grid was used to gather data on demographics, personal antecedents, symptoms and diagnoses. Girls with a history of physical or sexual abuse were compared with girls without such a history. Univariate analyses and a logistic regression analysis were performed. Results: Adolescent girls with a history of physical or sexual abuse did not differ statistically from those without such a history in terms of depressive symptoms or type and number of diagnoses. However, proportionally more girls with a history of physical or sexual abuse presented self-harm and relational problems with their parents and peers. Conclusion: Both history of physical or sexual abuse and self-destructive behaviors are rooted in relational problems. The results show that these are related to one another among those adolescent girls. Clinically, these findings suggest that it is important for clinicians do a thorough exploration of self-destructive behaviors and family and peer relations when assessing depressed adolescent girls. [ABSTRACT FROM AUTHOR]

Background: Bipolar disorders are overrepresented in current works. Spectrum, endophenotypes, ratings (of bipolarity) are summoned to try to understand misleading clinical cases. Method: How can we consider the foundations of this approach, actually quite distant from the classical notion of "circularity", which itself is prototypical of the diachronic evolution of the disorders? Is it a fashion trend or a change in perspective supported by clinical data?. Results: Not claiming an unequivocal answer, we question the current positioning of bipolar disorders in the psychiatric nosography, based on the hypothesis of an "Unitarian" perspective for mood disorders. Discussion: Indeed, mood disorders are often discribed through the accompanying symptomatology, especially delusional manifestations. The latter are coined "psychotic features", being de-facto bound within an unicist conception of mood disorders. Conclusion: Thus we would be facing what would be "harmony in mood fluctuations" while dysharmony would describe clinical situations formely considered in the field of psychosis. This stance questions the impact of the concept of "unity" in the evolution of clinical classifications, with the wish for harmony being quite distant from the displacement effects of the affects. [ABSTRACT FROM AUTHOR]