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2 results on '"Département Epidemiologie et Biostatistiques"'

1. Psychotropic Medication Use in French Children and Adolescents

Author

Emmanuelle Leray, Viviane Kovess, Mathilde M. Husky, Sabine Choppin, Mathilde Pivette, Fei Gao, Département Epidemiologie et Biostatistiques, Université Paris Descartes - Paris 5 (UPD5)-École des Hautes Études en Santé Publique [EHESP] (EHESP), Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), École des Hautes Études en Santé Publique [EHESP] (EHESP), Recherche en Pharmaco-épidémiologie et Recours aux Soins (REPERES), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École des Hautes Études en Santé Publique [EHESP] (EHESP), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Rennes (UR)-École des Hautes Études en Santé Publique [EHESP] (EHESP), Université Paris Descartes - Paris 5 ( UPD5 ) -École des Hautes Études en Santé Publique [EHESP] ( EHESP ), Ecole des hautes études en santé publique, Centre d'Investigation Clinique [Rennes] ( CIC ), Université de Rennes 1 ( UR1 ), and Université de Rennes ( UNIV-RENNES ) -Université de Rennes ( UNIV-RENNES ) -Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale ( INSERM )

Subjects
Male, Drug, medicine.medical_specialty, Adolescent, Databases, Factual, media_common.quotation_subject, Population, MEDLINE, Psychotropic medication, Age and gender, [ SDV.MHEP ] Life Sciences [q-bio]/Human health and pathology, Humans, Medicine, Pharmacology (medical), Medical prescription, Child, Psychiatry, education, media_common, Psychotropic Drugs, education.field_of_study, business.industry, Mental Disorders, [SCCO.NEUR]Cognitive science/Neuroscience, Infant, Newborn, Infant, 3. Good health, Psychiatry and Mental health, National health insurance, Psychotropic drug use, Child, Preschool, Family medicine, [ SCCO.NEUR ] Cognitive science/Neuroscience, Pediatrics, Perinatology and Child Health, Female, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, France, business, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Abstract

International audience; OBJECTIVE: The purpose of this study was to describe the patterns of psychotropic drug use in a large representative population of children and adolescents drawn from the French National Health Insurance databank. METHODS: Data were drawn from a sample of 1% of the beneficiaries of the French national health insurance, selecting those 0-17 years old in 2010 (n=128,298). In addition to age and gender, data included the identification number of each drug allowing a European Pharmaceutical Marketing Research Association (EphMRA) classification, as well as the type of the prescriber. RESULTS: Overall, 2.5% of children and adolescents had been prescribed psychotropic medication. A majority were prescribed anxiolytics (1.9%), followed by antidepressants (0.3%), antipsychotics (0.3%), and stimulants (0.2%). Between the ages of 15 and 17, 6.1% of girls were prescribed anxiolytics and 1.1% were prescribed antidepressants. For boys, the anxiolytics remained the most prescribed psychotropic medication; however, between the ages of 11 and 14, and between the ages of 15 and 17 they received more antipsychotics (0.7% and 0.8%) and between the ages of 6 and 10, and between the ages of 11 and 14 (0.7% and 0.6%), they were prescribed more stimulants than were girls. Among those who received a prescription, a majority of youth (84.6%) received only one class of drugs, and general practitioners were found to be prescribing most of these prescriptions (81.7%). CONCLUSIONS: The prevalence of psychotropic drug use in France is similar to that of the Netherlands and much lower than what is observed in the United States. Stimulants are less frequently prescribed in France than in other European countries, but anxiolytics are prescribed considerably more in France than in any other country.

Published
2015
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2. Psychological distress in French college students: demographic, economic and social stressors. Results from the 2010 National Health Barometer

Author

Viviane Kovess, Romain Guignard, Fanny Sauvade, Stéphane Legleye, Enguerrand du Roscoät, François Beck, Thomas Saïas, Jean-Baptiste Richard, Laurentine Véron, Institut National de Prévention et d'Education pour la Santé, Institut national de prévention et d'éducation pour la santé, Département de Psychologie, Université du Québec à Montréal = University of Québec in Montréal (UQAM), Laboratoire Parisien de Psychologie Sociale (LAPPS), Université Paris 8 Vincennes-Saint-Denis (UP8)-Université Paris Nanterre (UPN), Aspytude, Institut national d'études démographiques (INED), Département Epidemiologie et Biostatistiques, Université Paris Descartes - Paris 5 (UPD5)-École des Hautes Études en Santé Publique [EHESP] (EHESP), CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société (CERMES3 - UMR 8211 / U988 / UM 7), École des hautes études en sciences sociales (EHESS)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Université Paris Nanterre (UPN)-Université Paris 8 Vincennes-Saint-Denis (UP8), Université du Québec à Montréal (UQAM), CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société (CERMES3 - UM 7 (UMR 8211 / U988)), BMC, Ed., Université du Québec à Montréal ( UQAM ), Laboratoire Parisien de Psychologie Sociale ( LAPPS ), Université Paris Nanterre ( UPN ) -Université Paris 8 Vincennes-Saint-Denis ( UP8 ), Institut national d'études démographiques ( INED ), Université Paris Descartes - Paris 5 ( UPD5 ) -École des Hautes Études en Santé Publique [EHESP] ( EHESP ), CERMES3 - Centre de recherche, médecine, sciences, santé, santé mentale, société ( CERMES3 - UM 7 (UMR 8211 / U988) ), and Centre National de la Recherche Scientifique ( CNRS ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Université Paris Descartes - Paris 5 ( UPD5 ) -École des hautes études en sciences sociales ( EHESS )

Subjects
Adult, Male, medicine.medical_specialty, Adolescent, Universities, Poison control, Psychological distress, Violence, Suicide prevention, Occupational safety and health, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Residence Characteristics, medicine, Ethnicity, Prevalence, Humans, 030212 general & internal medicine, Social isolation, 10. No inequality, Psychiatry, Students, Poverty, Demography, business.industry, Public health, Loneliness, Prevention, Public Health, Environmental and Occupational Health, [ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie, Social engagement, Mental health, 030227 psychiatry, Mental Health, Risk factors, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Multivariate Analysis, Income, Female, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, France, medicine.symptom, business, Stress, Psychological, Clinical psychology, Research Article
Abstract

International audience; BACKGROUND: Psychological distress (PD) in students is under-investigated, since its prevalence can be high in certain subgroups of students and it has been seen to be associated with other mental health issues and academic achievement. In a sample of French college students, this study investigated factors associated with PD, and looked more closely at the impact of social and interpersonal variables. METHODS: Data were extracted from the 2010 French "National Health Barometer". 946 students were interviewed. Mental health was assessed using the MH-5 five-item scale. RESULTS: The PD rate in this sample was 13.8% (7.2% in males, 19.5% in females). Low income, nonsexual assault in the last 12 months, studying law and low social participation were associated with PD in multivariate analyses. CONCLUSIONS: French students show specific characteristics that are discussed in order to explain the relatively low rate of PD observed. The impact of loneliness and social isolation are a major focus for preventive policies based on community resources and early detection of the symptoms of PD.

Published
2014
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