Добірка наукової літератури з теми "Intervention médicale précoce – Psychiatrie"
Оформте джерело за APA, MLA, Chicago, Harvard та іншими стилями
Ознайомтеся зі списками актуальних статей, книг, дисертацій, тез та інших наукових джерел на тему "Intervention médicale précoce – Psychiatrie".
Біля кожної праці в переліку літератури доступна кнопка «Додати до бібліографії». Скористайтеся нею – і ми автоматично оформимо бібліографічне посилання на обрану працю в потрібному вам стилі цитування: APA, MLA, «Гарвард», «Чикаго», «Ванкувер» тощо.
Також ви можете завантажити повний текст наукової публікації у форматі «.pdf» та прочитати онлайн анотацію до роботи, якщо відповідні параметри наявні в метаданих.
Статті в журналах з теми "Intervention médicale précoce – Psychiatrie":
Harbaoui, A., S. Benalaya, W. Homri, A. Bannour, and R. Labbene. "Interrelation entre les troubles psychiatriques de l’enfant et la santé mentale de la mère : étude dans une population clinique tunisienne." European Psychiatry 28, S2 (November 2013): 69. http://dx.doi.org/10.1016/j.eurpsy.2013.09.181.
Robin, Marion, Lucile Bonnardel, François Saintoyant, Aziz Essadek, Gérard Shadili, Victoire Peres, and Maurice Corcos. "Facteurs D’adversité Chez des Adolescents Issus de Milieu Aisé Hospitalisés en Psychiatrie." Canadian Journal of Psychiatry 67, no. 4 (December 13, 2021): 319–21. http://dx.doi.org/10.1177/07067437211064593.
Vanelle, J. M., and S. Consoli. "Société de psychologie médicale et de psychiatrie de liaison (avec le soutien de la FTLSU) – Le malade complexe en psychiatrie de liaison : évaluation, stratégies thérapeutiques et aspects médico-économiques." European Psychiatry 29, S3 (November 2014): 586. http://dx.doi.org/10.1016/j.eurpsy.2014.09.297.
Bensamoun, D. "Place des nouvelles technologies dans les stratégies de dépistage et d’évaluation des troubles thymiques et cognitifs." European Psychiatry 30, S2 (November 2015): S49. http://dx.doi.org/10.1016/j.eurpsy.2015.09.137.
Cleverley-Leblanc, Heidi, Clara Chemin, Julia Sader, Noëlle Junod, Ido Zamberg, Eduardo Schiffer, Mathieu Nendaz, and Marie-Claude Audétat. "Favoriser le développement du raisonnement clinique des étudiants en médecine : une démarche d’amélioration." Pédagogie Médicale, 2023. http://dx.doi.org/10.1051/pmed/2022031.
Дисертації з теми "Intervention médicale précoce – Psychiatrie":
André, Auriane. "Approche phénoménologique du premier épisode psychotique : de la déconstruction à la reconstruction : remaniements identitaires, narration de soi et parcours de rétablissement." Electronic Thesis or Diss., Bourgogne Franche-Comté, 2023. http://www.theses.fr/2023UBFCH038.
The aim of our doctoral research is to examine and report on the subjective impact of a first episode of psychosis through the accounts of young people affected by this experience and cared for in a psychiatric service based on the philosophy of early intervention. A clinical and psychopathological entity whose study and interest were motivated by the leading research of Australian and Canadian teams, this period is as singular as it is crucial for the prognosis of the disorder and the future of the people concerned.Our qualitative, descriptive and prospective approach enables us to get as close as possible to their experiences, to explore them, in order to enrich the clinical and psychopathological data on this crisis and the subsequent recovery process. Analysis of the twenty-seven interviews with fifteen users, based on a dual qualitative analysis comprising a content analysis and an interpretative phenomenological analysis, highlights common movements both in the experience of first episode of psychosis and in the recovery process.Our results highlight the experience of a brutal and violent event, which deconstructs and transforms the individual at the heart of his or her personal and narrative identity. They also highlight a reconstruction process based on the need to rebuild this destroyed identity with the support of various external and internal supports.The aim of our doctoral dissertation is to propose a dynamic model of the experience of a first episode of psychosis and the psychological mechanisms at work in the recovery process, through the notions of narrative identity and self-narration. It thus focuses on the work of recounting and making History of the event and its experience as the keystone of the reconstruction of the Self, oriented towards optimistic and promising life projects.The clinical and therapeutic implications are also discussed, underlining the importance and necessity of combining theoretical references and care tools within an integrative approach in order to provide a comprehensive understanding and care for the individual
Geoffray, Marie-Maude. "Mesure de l’efficacité clinique d’une intervention précoce dans une population d’enfants avec un Trouble du Spectre de l’Autisme : validité interne et externe du résultat." Thesis, Lyon, 2019. http://www.theses.fr/2019LYSE1134.
Early intervention in order to decrease the severity of Autism Spectrum Disorder has come to be self-evident . However, there is no consensus on the type of early intervention, as we have previously shown in a literature review . Some interventions have shown weak to moderate effects in randomized controlled trials. But many methodological biases call into question the validity of those results. We have chosen to implement and evaluate the Early Start Denver Model (ESDM) at our intervention center. Our hypothesis was that ESDM intervention will diminish the severity of ASD symptoms in children under 3 years old. In our pilot study, we evaluated the effect of a 12 hours per week ESDM intervention, during one year, in a population of 19 children with ASD. The primary measure was the global development, measured by the Mullen Scales of Early Learning. Our results show a significant improvement in global development pre/post intervention. Effect size in receptive language was the most important with a Cohen’s d of 0.72. These results are comparable to those of previous published studies. This trial enabled also to data collection on the feasibility of implementing this intervention in our context. Most parents and professionals were satisfied of the intervention. Treatment adherence was of 8.3±1.2 hours per week instead of 12 hours per week during the pilot study. This reduction of intervention dose was largely due to absences (holidays, training) of the professionals delivering the intervention. We discuss here the choice of criteria for the measure of effectiveness of the intervention. This choice was difficult due to the lack of tools measuring precisely the change in ASD symptomatology. To test our hypothesis, a two-parallel, multi-center randomized controlled trial was set up. The experimental group received ESDM intervention, delivered by a multidisciplinary team, 12 hours per week, during the 2 years. The control group received treatment as usual. The protocol has been published. The trial was design to have high power and high-level evidences as defined by the Cochrane recommendations. In order to achieve this, we estimated the simple size for our population from a 15 points difference between the groups on the Mullen scale, an alpha risk of 0.5 and a beta risk at 90%. As we were limited by the number of availabilities for ESDM intervention, we used 1:2 randomization. The inclusion phase ended in March 2019. 61 children were included to the ESDM group and 119 children to the control group. We discuss the internal and external validity, as well as the clinical relevance according to the possible outcomes. If outcomes show effectiveness of the intervention, a cost-consequence study will allow us to measure the efficiency of this treatment. A follow-up study has also started and will measure the effectiveness of ESDM intervention on ASD symptomatology and academic achievements five year after initial inclusion. It is evidently essential to measure the long-term effectiveness and efficiency of early interventions; however, intervention research must also collect other measures and observations. Thus, determine mediators and moderators of the intervention will make it possible to move towards personalized interventions, aiming specifically the physiological processes involved in ASD. Better understanding of these factors, and of all potential barriers or facilitators to the transfer in other contexts, will allow us to develop transferable and sustainable interventions. We will conclude on the importance of pilot studies to estimate the different factors involved. This may allow for modification of the initial intervention if necessary, prior to conducting costly effectiveness or efficiency trial. We also stress the importance of involving clinicians in research. Their practical experience of evaluation and intervention allow the formulation of hypotheses and bring complementary data to that of researchers
Dumuids, Marie-Victorine. "Faisabilité et efficacité d'une stimulation précoce de la marche quadrupède sur le développement moteur de grands prématurés sans lésions cérébrales majeures." Electronic Thesis or Diss., Université Paris Cité, 2022. https://wo.app.u-paris.fr/cgi-bin/WebObjects/TheseWeb.woa/wa/show?t=6182&f=50364.
The acquisition of postural control and locomotion are central to the motor and cognitive development of the infant and any abnormality in neuromotor development can have adverse consequences for the future development of the child. This issue is particularly salient in the case of very premature infants whose numbers are constantly increasing and for whom there is an increased risk of neuromotor anomalies, ranging from minor sensorimotor deficits to cerebral palsy. In view of this, there is an urgent need for very early intervention strategies to stimulate the motor development of these children during the period of high plasticity of the nervous and musculoskeletal systems following birth. In a systematic review on the subject, we show that very few interventions exist to stimulate the development of mobility in infants at risk of neuromotor abnormalities at an early age, i.e. before 12 months. Moreover, these studies often do not meet the quality criteria required by the international community (Dumuids-Vernet et al., 2022). This thesis proposes to test the feasibility, quality and effectiveness of a new early intervention that aims to stimulate the motor development of very premature infants as soon as they leave the neonatology department. The primary aim of the intervention is to train the infants at home to propel themselves in a quadrupedal manner, every day for eight weeks, using a mini skateboard on which they lie on their stomach (Crawli training). Our results show that such a training, tested on very premature babies without major brain lesion but at risk of motor abnormality, is highly feasible. Moreover, longitudinal tracking of motor development by the Bayley Scales of Infant and Toddler Development III and general development by the Ages and Stages Questionnaire-3 (ASQ-3) of these children shows a positive effect of Crawli training. Preterm infants who received Crawli training had higher Bayley gross motor scores between 2 and 12 months of corrected age than preterm infants who received equivalent training on their stomachs on a mattress but without a mini-skateboard (mat training) or conventional medical follow-up (control). In addition, more infants in the Crawli group than in the Mat or Control groups passed the specific Bayley items on head carriage development at 2 months corrected age (CA) and on quadrupedal gait acquisition at 9 months CA, which are recognized as important milestones in motor development. Crawli-trained infants also showed enhanced general development, particularly in terms of communication level, on the ASQ-3 at 9 months CA and fine motor skill development at 12 months CA than infants in the Control and Mat groups. Finally, after training, preterm infants in the Crawli group had motor and general scores that were close to those of typically-developing infants. Indeed, the Crawli group's Bayley scores after training and ASQ-3 scores at 9 and 12 months CA were not different from those of term infants, contrary to the Mat and Control preterm infants whose motor scores were significantly worse at 2 months CA than those of the term infants. The overall ASQ-3 scores of the Control group at 9 and 12 months CA were also below typical norms. The high scores obtained by our Crawli-trained infants on the international developmental scales and the positive results obtained regarding the feasibility and effectiveness of our early intervention are very encouraging. They suggest this new protocol could be deployed on a larger scale and with other populations at risk of motor anomaly (trisomy 21, spina bifida, stroke, prematurity with brain lesion etc.)
Plonka, Alexandra. "Diagnostic précoce et différentiel des Aphasies Primaires Progressives : apport d'analyses motrices et langagières." Electronic Thesis or Diss., Université Côte d'Azur, 2023. http://www.theses.fr/2023COAZ6015.
Primary Progressive Aphasia (PPA) is a neurodegenerative syndrome initially characterized by an isolated language disorder and which diagnosis is mainly clinical. Three main PPA subtypes have been described in the literature: logopenic PPA (lvPPA), semantic PPA (svPPA) and non-fluent/agrammatic PPA (nfavPPA). The latest data in the literature have highlighted a late diagnosis, sometimes erroneous, associated with the need for an early medical-care management. The creation of new tools for the diagnosis and classification of PPAs seems to be crucial for an early and adapted patients' care.The objective of this thesis is to verify the interest of the analysis of markers using new technologies such as motor activity parameters (graphic and gestural) and language activity parameters (linguistic and acoustic) within the speech therapy evaluation, to improve the early and differential diagnosis of PPAs.Initially, this thesis work made it possible to analyze the specificities of the PPA diagnosis among the 167,191 diagnoses recorded in the French National Alzheimer Bank between 2010 and 2016. We highlighted diagnostic wavering and misdiagnosis of patients with PPA. These results underline the importance of developing tools that can be integrated into speech therapy practice and that can allow a greater accuracy in diagnosis.Following these observations, we have demonstrated the interest of using new technologies that can be easily integrated into a diagnostic approach. By using touch tablets, we have demonstrated the interest of the analysis of graphic parameters, such as writing pressure and strokes, for the differential diagnosis of PPA patients in comparison with patients with Alzheimer's Disease (AD) or patient with Posterior Cortical Atrophy. These parameters have also proven to be useful in the classification of the three main subtypes of PPA.To complete the evaluation of strokes for which the gestural behaviors during the pencil lifting times cannot be directly recovered on an electronic tablet, we were interested in the evaluation of the writing gesture in the context of a nfavPPA type of impairment. The video analysis showed a complementary interest for the more specific diagnosis of this non-fluent variant.In a third step, and in a perspective of multimodal analysis, we verified the interest of the contribution of language and acoustic analyses of patients with PPA.The ‘sentence span' test was used to compare the memory span of PPA and AD patients. Our results showed a significantly different verbal span.The vocal analysis allowed us, beyond the differential diagnosis PPA/AD and via temporal and prosodic acoustic markers, to differentiate the physiopathological profiles of lvPPA patients.Finally, in a post-Covid-19 pandemic context and more specifically because of the neurological disorders observed in post-acute Covid-19 syndrome, we questioned, through a systematic review and an experts' consensus, the relevance of using these motor and language markers for the early diagnosis of AD. Indeed, cognitive impairments in post-acute Covid-19 syndrome may, in the future, complicate the early diagnosis of neurodegenerative diseases due to common disorders
Laporte, Catherine. "Le médecin généraliste et la consommation de cannabis des adolescents en France." Thesis, Clermont-Ferrand 1, 2016. http://www.theses.fr/2016CLF1MM20/document.
A major public health issue in many countries, the consumption of cannabis is higher in France thananywhere else in Europe. In 2014, nearly a quarter of French youths aged 15 to 25 were monthlyconsumers. Smoking cannabis has somatic, psychiatric and social consequences, and there is a high riskof a fatal accident during or after consumption. Consumption is responsible for cerebral micro-lesions inadolescents in particular, the effects of which are often irreversible. In France, 80% of young peopleaged 15-25 consult a general practitioner (GP) in a typical year, making these professionals ideallyplaced to detect and advise on cannabis use early on. Few general practitioners question their patientsabout their intake, however. Brief Intervention (BI) is a motivational, patient-centered interviewtechnique designed to change behavior, and studies have shown its acceptability and feasibility forusers, including younger consumers’. GPs could make use of it to identify and treat cannabis users.Two qualitative studies were carried out, one using individual interviews with young users, the otherby focus group with the GP, in order to better understand the relationship and to improvecommunication between them. The qualitative study among adolescents highlighted the ambivalencepeculiar to this age group and to substance use in particular. They perceived the GP to be a judge and apossible informer, but also a benevolent authority and a privileged interlocutor in discussions aboutdrug use. A lack of time, and poor knowledge of the GP were perceived to be obstacles to dialogue, butknowing the MG for a long time made matters easier. Studying GPs also revealed an ambivalence:conscious of the dangers of cannabis, they nevertheless conceived its consumption to be a feature ofthe private lives of consumers. They also reported a lack of knowledge and time to address the topic.Knowing the patient for a long time was a brake to the drug dialogue.Based on the data obtained from the study, we developed a one-day training seminar for GPs. Theobjectives were to remove barriers to communication, to refresh doctors on current knowledge aboutcannabis, and to train them in brief intervention.A randomized controlled cluster trial were performed to evaluate the 12-month effects of briefintervention by the GP who had previously been trained among adolescents between 15 and 25 years ofage who used cannabis. After 1 year, cannabis use in the intervention group (IG) decreased from 30 [6-80] to 17.5 [2-60] and that in the control group (CG) decreased from 20 [5-40] to 17.5 [4-40]. The studydid not show any statistically significant results between the two groups after 1 year: p = 0.13. However,it did show a significant decrease in the number of joints smoked in the IG (p = 0.02), which was not thecase for the CG (p = 0.29). Also after 1 year, non-daily consumers smoked fewer joints per month in theIG (IG = 3 [0-15] versus CG = 10 [3-30], p = 0.01). In the 6th month, the study revealed a significantdifference in the multivariate analysis between consumption levels for those under 18 (IG = 12.5 [1-30]versus CG = 20 [12-60], p = 0.04).This study has also allowed an understanding of the complexity of the approach to the cannabisuse in primary care. The structuring of research on primary care is complex and requires methodologicalreflection that is essential for all future projects. Clinical research on cannabis is a delicate matterbecause of the illegality of its use and more general questions of research on illegal substances. Thedangers of cannabis are such that it is necessary to continue to encourage further work on this topic inorder to understand the behaviors of consumers and improve care regimes
Audry, Cécile. "Gestion des ressources en situation de crise : étude réalisée avec des étudiants en médecine de 5e annéeApports de le [i. E. = la] simulation." Montpellier 1, 2011. http://www.theses.fr/2011MON11101.
Arnaud, Mado. "Interventions précoces en autisme : trajectoires développementales, prédicteurs de la progression et vécu parental." Thesis, Toulouse 2, 2019. http://www.theses.fr/2019TOU20011.
Background: Autism spectrum disorder is characterized by a large heterogeneity at both the level of its etiology and in the developmental course of its core features. In this context, it is worth stressing the need for developing early interventions and evaluate their effects as well as questioning the role of the family.Study 1: This study aims to examine the effect of context on social attention in young children with ASD. Children with ASD look less at the face especially in contexts that are less socially engaging. The present Social attention task may be used as a predictive factor of a child’s progression.Study 2: The objective of this study is to characterize the developmental trajectories of young children who received Early Start Denver model intervention, and to identify factors that may influence their progression. Children show significant improvements in their level of comprehension and expression. Initial level of comprehension is a predictor of children's progress in the field of expressive communication. The social attention task is a predictor of the initial level of social skills.Study 3: In the third study the parental experiences of Parent Mediated Intervention via a telehealth program is explored. Interviews conducted after the program ended indicate that Telehealth may be relevant to the dissemination of Parent Mediated Interventions but caution is also needed as these interventions should not replace early intervention.Conclusion: Heterogeneity in ASD is present from early childhood and is expressed through significant differences in developmental patterns. This heterogeneity is also reflected in the children's response to an intervention. The search for predictive factors and the active ingredients of the intervention is necessary to offer the most individualized support possible. Finally, the support of parents is essential to improve their quality of life, foster their educational practices and to promote paths continuity
Книги з теми "Intervention médicale précoce – Psychiatrie":
1962-, Barlow Jane, and Svanberg P. O. 1948-, eds. Keeping The Baby In Mind: Infant mental health in practice. Hove, East Sussex: Routledge, 2009.