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Alcalde E, Rouquette A, Wiernik E, Rigal L. How do men and women differ in their depressive symptomatology? A gendered network analysis of depressive symptoms in a French population-based cohort. J Affect Disord 2024; 353:1-10. [PMID: 38395202 DOI: 10.1016/j.jad.2024.02.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Revised: 02/05/2024] [Accepted: 02/16/2024] [Indexed: 02/25/2024]
Abstract
BACKGROUND The experience of depressive manifestations and the presentation of symptoms in clinical settings may differ in men and women. Despite the extensive literature, it remains unclear how depressive manifestations interact at symptom levels in men and women. First, we aimed to describe and compare depressive networks by sex. Second, we examined symptom connections to Clinical depression and Functional Limitations as a proxy of self-recognition of a depressive episode. METHODS We estimated networks from the 20 CES-D items in men and women from a large population-based French cohort. We computed centrality measures and ran comparisons. Then, we re-estimated two networks in men and women separately, adding, on the one hand, Clinical Depression and, on the other hand, Limitations due to a depressive episode. RESULTS Over 200,000 participants were included in this study. Women were twice as likely to have a previous diagnosis of depression. Sex-ratio was less pronounced (1,7:1) for Limitations due to depression. Centrality measures revealed similar symptom patterns. However, network structures differed between men and women. We found some symptom connections to Clinical depression and Limitations to be non-invariant according to sex. LIMITATIONS Cross-sectional data does not capture the direction of the connections between symptoms and an eventual diagnosis. We lacked data about the diagnosis's context and could not account for other factors influencing depressive symptomatology. CONCLUSIONS Network structures differed, suggesting gender-specific mechanisms in activating symptoms and depressive states. Addressing central symptoms evoking depressed moods with tailored interventions may serve to tackle depressive states in men and women.
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Affiliation(s)
- Eugenia Alcalde
- Université Paris-Saclay, UVSQ, Centre de Recherche en Epidémiologie et Santé des Populations (CESP), Institut National de la Santé et de la Recherche Médicale (INSERM) U1018, France; IRIS, INSERM U997, Aubervilliers, France.
| | - Alexandra Rouquette
- Université Paris-Saclay, UVSQ, Centre de Recherche en Epidémiologie et Santé des Populations (CESP), Institut National de la Santé et de la Recherche Médicale (INSERM) U1018, France; Public Health and Epidemiology Department, AP-HP Paris-Saclay University, Le Kremlin-Bicêtre, France
| | - Emmanuel Wiernik
- Université Paris Cité, Paris Saclay University, Université de Versailles Saint-Quentin-en-Yvelines, INSERM, UMS 011 Population-based Cohorts Unit, Paris, France
| | - Laurent Rigal
- Université Paris-Saclay, UVSQ, Centre de Recherche en Epidémiologie et Santé des Populations (CESP), Institut National de la Santé et de la Recherche Médicale (INSERM) U1018, France; Public Health and Epidemiology Department, AP-HP Paris-Saclay University, Le Kremlin-Bicêtre, France
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Benoit L, Chan Sock Peng E, Flouriot J, DiGiovanni M, Bonifas N, Rouquette A, Martin A, Falissard B. Trajectories of school refusal: sequence analysis using retrospective parent reports. Eur Child Adolesc Psychiatry 2024:10.1007/s00787-024-02419-5. [PMID: 38602549 DOI: 10.1007/s00787-024-02419-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 03/14/2024] [Indexed: 04/12/2024]
Abstract
School refusal (SR) is a form of school attendance problem (SAP) that requires specific mental health care. Despite improvements in the definition of SAPs, the course of SR is not well characterized. To explore three-year patterns of SR course in children, as reported by their parents, we deployed an anonymous web-based survey. We defined SR onset as the absence of ≥ 2 school weeks during one academic year, combined with emotional distress. We defined standard SR trajectories using sequence analysis of parents' recollection of three consecutive years of school attendance. We obtained 1970 responses, 1328 (67%) completed by a parent and meeting the definition of SR. Of these, 729 (55%) responses included three years of school attendance recollection. We identified five prototypical trajectories of SR: two profiles for children: beaded absences (n = 272), and rapid recovery (n = 132); and three for adolescents: prolonged recovery (n = 93), gradual decline (n = 89), and rapid decline (n = 143). We found five distinct trajectories of retrospective recall of SR course. Through pattern recognition, this typology could help with timely identification of SR and implementation of evidence-based interventions to optimize outcomes. Prospective replication of these findings and their field application is warranted.
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Affiliation(s)
- Laelia Benoit
- Université Paris-Saclay, UVSQ, Inserm U1018, CESP, 94807, Villejuif, France.
- Yale School of Medicine, New Haven, CT, USA.
- APHP-Cochin Hospital, Maison de Solenn, Paris, France.
- QUALab, Qualitative and Mixed-Methods Lab, a Collaboration Between the Yale Child Study Center and Inserm U1018, New Haven, CT, USA.
| | | | - Julien Flouriot
- Université Paris-Saclay, UVSQ, Inserm U1018, CESP, 94807, Villejuif, France
| | | | | | - Alexandra Rouquette
- Université Paris-Saclay, UVSQ, Inserm U1018, CESP, 94807, Villejuif, France
- Service d'Epidémiologie et de Santé Publique, APHP-Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Andrés Martin
- Yale School of Medicine, New Haven, CT, USA
- QUALab, Qualitative and Mixed-Methods Lab, a Collaboration Between the Yale Child Study Center and Inserm U1018, New Haven, CT, USA
| | - Bruno Falissard
- Université Paris-Saclay, UVSQ, Inserm U1018, CESP, 94807, Villejuif, France
- QUALab, Qualitative and Mixed-Methods Lab, a Collaboration Between the Yale Child Study Center and Inserm U1018, New Haven, CT, USA
- Service d'Epidémiologie et de Santé Publique, APHP-Paris-Saclay, Le Kremlin-Bicêtre, France
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Fernane A, Saetta S, Trichard C, Minary L, Remen T, Martini H, Guirimand N, Rouquette A, Amsellem N, Lombrail P, Leplège A, Groupe Tabapsy. Smoking and mental disability : A mixed observational study using a diverse sample of medical-social establishments and services. Sante Publique 2024; 36:33-44. [PMID: 38580465 DOI: 10.3917/spub.241.0033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/07/2024]
Abstract
INTRODUCTION A multi-center observational study was carried out in ten ESMS, using a mixed methodology (site visits, questionnaire survey, semi-directive group interviews with professionals and individual interviews with users). PURPOSE OF THE RESEARCH The aim of this article is to describe the management and prevention of smoking in ESMS for people with mental health disorders, and to characterize and identify the smoking behaviors and representations of ESMS users and the professionals working there. RESULTS The study made it possible to distinguish between ESMS in terms of the organization of smoking areas and tobacco prevention initiatives. It also revealed that 37 percent of respondents among the professionals said they smoked tobacco, with some of them explaining that they smoked with users and sometimes gave them cigarettes. With regard to prevention, there was a consensus among professionals that they should help users who wanted to stop smoking. Professionals were divided, however, on the need for more active prevention, citing the users’ freedom and the fact that ESMS are places where people live. Among the users, 47 percent said they were smokers. Of the users who smoked, 55 percent said they wanted to stop. Interviews with the users revealed that twelve of them wanted to quit, with some asking for help and more assistance from professionals. CONCLUSIONS This report suggests that intervention research could be developed in ESMS for people with mental health disorders, who could benefit from the smoking prevention actions identified in the facilities and services investigated.
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Affiliation(s)
- Adel Fernane
- Directeur d’établissement social et médico-social, ingénieur d’études ; plateforme de recherche sur la santé mentale et le handicap psychique (PRSM-HP), France
| | - Sébastien Saetta
- Chercheur ; ENSEIS Recherche, PRSM-HP, CHU de Saint-Étienne, Centre Max-Weber UMR 5283, France
| | | | | | | | - Hervé Martini
- Addictologue ; Association Addictions France, France
| | | | - Alexandra Rouquette
- Professeur des universités, praticien hospitalier ; université Paris-Saclay, CESP U1018 INSERM, France
| | | | - Pierre Lombrail
- Professeur émérite ; université Sorbonne-Paris-Nord, LEPS (laboratoire éducations et promotion de la santé), France
| | - Alain Leplège
- Professeur des universités ; université Paris-Cité, SPHERE UMR 7219, PRSH-HP, France
| | - Groupe Tabapsy
- L’étude présentée dans cette contribution a été portée par la PRSM-HP et s’est appuyée sur un groupe de travail impliquant les acteurs de terrain. Ce groupe, le groupe TABAPSY, était constitué des personnes suivantes : Madeleine Bata (Fondation des Amis de l’Atelier) ; Céline Blazy (Fondation des Amis de l’Atelier) ; Clémence Braem (Vivre et Devenir) ; Marie-Pierre Coret (Fondation l’Élan retrouvé) ; Caroline Cottin (Adef Résidences) ; Marie Delaroque (Vivre et Devenir) ; Lionel Demay (Adef Résidences) ; Angélique Guillon (Adef Résidences) ; Sonia Kongbo (AEDE) ; Natacha Ledjam (APSI) ; Marilyne Leterme (AEDE) ; Bruno Marques (Fondation l’Élan retrouvé) ; Jean-Alexandre Martins (Fondation l’Élan retrouvé) ; Anna Morgante (Fondation des Amis de l’Atelier) ; Michel Moulin (Fondation l’Élan retrouvé) ; Catalin Nache (APSI) ; Catherine Sanz (établissement public de santé Barthélemy-Durand) ; Jessica Thirolle (Fondation l’Élan retrouvé) ; Françoise Villemain (établissement public de santé Barthélemy-Durand)
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Descarpentry A, Melchior M, Galera C, Hazo JB, Falissard B, Warszawski J, Davisse-Paturet C, Rouquette A. High screen time and internalizing and externalizing behaviours among children aged 3 to 14 years during the COVID-19 pandemic in France. Eur Child Adolesc Psychiatry 2024; 33:1151-1161. [PMID: 37268845 PMCID: PMC10238248 DOI: 10.1007/s00787-023-02241-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 05/23/2023] [Indexed: 06/04/2023]
Abstract
Children's screen time increased as a result of the COVID-19 pandemic. In the summer of 2021, we explored the association between high screen time over a period of one year since May 2020 and behavioural problems among children and adolescents. The data were derived from the French EpiCov cohort study, collected in spring 2020, autumn 2020, and spring 2021. Participants (N = 1089) responded to online or telephone interviews about one of their children aged 3 to 14 years. Screen time was categorized as high if the daily mean screen time exceeded recommendations at each collection time. The Strengths and Difficulties Questionnaire (SDQ) was completed by parents to identify internalizing (emotional or peer problems) and externalizing (conduct problems or hyperactivity/inattention) behaviours in their children. Among the 1,089 children, 561 (51.5%) were girls, the average age was 8.6 years (SD 3.7). Internalizing behaviours: High screen time was not associated with internalizing behaviours (OR [95% CI] 1.20 [0.90-1.59]) or emotional symptoms (1.00 [0.71-1.41]) while it was associated with peer problems (1.42 [1.04-1.95]). Externalizing behaviours: High screen time was associated with externalizing problems (1.63 [1.01-2.63]) and conduct problems (1.91 [1.15-3.22]) only among older children aged 11 to 14 years. No association with hyperactivity/inattention was found. In a French cohort, exploration of persistent high screen time in the first year of the pandemic and behaviour difficulties in Summer 2021 resulted in mixed findings according to behaviour's type and children's age. These mixed findings warrant further investigation into screen type and leisure/school screen use to enhance future pandemic responses appropriate for children.
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Affiliation(s)
| | - Maria Melchior
- Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie Et de Santé Publique, IPLESP, Equipe de Recherche en Epidémiologie Sociale, ERES, 75012, Paris, France
| | - Cédric Galera
- Bordeaux Population Health Research Center, INSERM U 1219, Bordeaux, France
- Université de Bordeaux, Bordeaux, France
- Department of Child and Adolescent Psychiatry, Centre Hospitalier Charles Perrens, Bordeaux, France
| | - Jean-Baptiste Hazo
- DREES-Direction de la Recherche, des Etudes, de l'évaluation et des statistiques, Paris, France
| | - Bruno Falissard
- Université Paris-Saclay, UVSQ, Inserm, CESP, 94807, Villejuif, France
- Department of Epidemiology and Public Health, APHP, Paris-Saclay University, Le Kremlin-Bicêtre, France
| | - Josiane Warszawski
- Université Paris-Saclay, UVSQ, Inserm, CESP, 94807, Villejuif, France
- Department of Epidemiology and Public Health, APHP, Paris-Saclay University, Le Kremlin-Bicêtre, France
| | | | - Alexandra Rouquette
- Université Paris-Saclay, UVSQ, Inserm, CESP, 94807, Villejuif, France
- Department of Epidemiology and Public Health, APHP, Paris-Saclay University, Le Kremlin-Bicêtre, France
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Hardouin JB, Coste J, Leplège A, Rouquette A. Equating and linking Patient-Reported Outcomes Measurement Information System 29-item questionnaire and 36-item Short-Form Health Survey domains using Rasch modeling. J Clin Epidemiol 2024; 169:111326. [PMID: 38479449 DOI: 10.1016/j.jclinepi.2024.111326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2023] [Revised: 03/02/2024] [Accepted: 03/05/2024] [Indexed: 04/06/2024]
Abstract
OBJECTIVES To develop a simple, practical methodology to equate or link equivalent domains of the 36-item Short-Form Health Survey (SF-36) and the Patient-Reported Outcomes Measurement Information System 29-item questionnaire (PROMIS-29) using the Rasch framework. STUDY DESIGN AND SETTING In April 2016, the PROMIS-29 and SF-36 were completed by 1501 individuals selected to be representative of the French population. For each domain common to the two questionnaires, a Partial Credit Model was fitted to the items related to that dimension in the two questionnaires. These items were then calibrated on the same metric, which enabled the scores from one questionnaire to be associated with the scores from the other. RESULTS Six of the seven PROMIS-29 scales and five of the six SF-36 subscales (physical, pain, social, vitality, depression and anxiety domains) were equated or linked. Correspondence tables between scores, with a 95% confidence interval, were established for each domain. A freely available Stata macro program was developed to automatize the equating or linking process. CONCLUSION These results should facilitate comparisons across studies using the SF-36 and the PROMIS-29 in France. The equating or linking process developed is simple to implement and can be used in other countries and for other instruments.
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Affiliation(s)
- Jean-Benoit Hardouin
- INSERM UMR 1246, SPHERE, Methods in Patient- Centred Outcomes and Health Research, Nantes and Tours Universities, Nantes, France; CHU Nantes, Public Health Department, Methodology and Biostatistics Unit, Nantes, France
| | | | - Alain Leplège
- Département d'Histoire et de Philosophie des Sciences, Laboratoire SPHERE, UMR 7219, CNRS-Université Paris Cité, Paris, France
| | - Alexandra Rouquette
- Université Paris-Saclay, Inserm, UVSQ, CESP, Paris, France; AP-HP Paris-Saclay, Epidemiology and Public Health Department, Le Kremlin-Bicêtre, France.
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Dupuis M, Delbos L, Rouquette A, Adamsbaum C, Veil R. External validation of an artificial intelligence solution for the detection of elbow fractures and joint effusions in children. Diagn Interv Imaging 2024; 105:104-109. [PMID: 37813759 DOI: 10.1016/j.diii.2023.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 09/19/2023] [Accepted: 09/25/2023] [Indexed: 10/11/2023]
Abstract
PURPOSE The purpose of this study was to conduct an external validation of an artificial intelligence (AI) solution for the detection of elbow fractures and joint effusions using radiographs from a real-life cohort of children. MATERIALS AND METHODS This single-center retrospective study was conducted on 758 radiographic sets (1637 images) obtained from consecutive emergency room visits of 712 children (mean age, 7.27 ± 3.97 [standard deviation] years; age range, 7 months and 10 days to 15 years and 10 months), referred for a trauma of the elbow. For each set, fracture and/or effusion detection by eleven senior radiologists (reference standard) and AI solution was recorded. Diagnostic performance of the AI solution was measured via four different approaches: fracture detection (presence/absence of fracture as binary variable), fracture enumeration, fracture localization and lesion detection (fracture and/or a joint effusion used as constructed binary variable). RESULTS The sensitivity of the AI solution for each of the four approaches was >89%. Greatest sensitivity of the AI solution was obtained for lesion detection (95.0%; 95% confidence interval: 92.1-96.9). The specificity of the AI solution ranged between 63% (for lesion detection) and 77% (for fracture detection). For all four approaches, the negative predictive values were >92% and the positive predictive values ranged between 54% (for fracture enumeration and localization) and 73% (for lesion detection). Specificity was lower for plastered children for all approaches (P < 0.001). CONCLUSION The AI solution demonstrates high performances for detecting elbow's fracture and/or joint effusion in children. However, in our context of use, 8% of the radiographic sets ruled-out by the algorithm concerned children with a genuine traumatic elbow lesion.
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Affiliation(s)
- Michel Dupuis
- AP-HP, Bicêtre Hospital, Pediatric Imaging Department, 94270 Le Kremlin Bicêtre, France
| | - Léo Delbos
- AP-HP, Bicêtre Hospital, Epidemiology and Public Health Department, 94270 Le Kremlin Bicêtre, France
| | - Alexandra Rouquette
- AP-HP, Bicêtre Hospital, Epidemiology and Public Health Department, 94270 Le Kremlin Bicêtre, France
| | - Catherine Adamsbaum
- AP-HP, Bicêtre Hospital, Pediatric Imaging Department, 94270 Le Kremlin Bicêtre, France; Paris Saclay University, Faculté de Médicine, 94270 Le Kremlin Bicêtre, France.
| | - Raphaël Veil
- AP-HP, Bicêtre Hospital, Epidemiology and Public Health Department, 94270 Le Kremlin Bicêtre, France
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Sapin A, Vanier A, Descarpentry A, Maffre Maviel G, Vuillermoz C, Falissard B, Galera C, Warszawski J, Davisse-Paturet C, Hazo JB, Rouquette A. Parental mental health and reporting of their child's behaviour: measurement invariance of the French version of the parental strengths and difficulties questionnaire. Eur Child Adolesc Psychiatry 2024:10.1007/s00787-024-02392-z. [PMID: 38402376 DOI: 10.1007/s00787-024-02392-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Accepted: 01/30/2024] [Indexed: 02/26/2024]
Abstract
Symptomatic effects of mental disorders in parents could bias their reporting on their child's mental health. This study aimed to investigate the measurement invariance of the French version of the parental Strengths and Difficulties Questionnaire (SDQ) across parental mental health in a sample (N = 20,765) of parents of children aged 3 to 17 years in France. Confirmatory factor analysis (CFA) and Exploratory Structural Equation Modelling (ESEM) were used to evaluate the fit of three known alternative SDQ factor structures (five, three, or second-order factor structures). Invariance was tested across parental mental health (present anxiety and depressive symptoms, psychiatric history) and across socio-demographic characteristics (child's age, child's gender, parent's gender, parent's educational level). CFA models showed a poor fit, while all ESEM models achieved acceptable or good fit, with the five-factor model presenting the best fit. Invariance was observed for all characteristics tested, indicating that the SDQ can be used to study the links between parental mental health and their child's mental health without bias. However, ESEM showed that the hyperactivity/inattention and conduct problems dimensions were not well differentiated in the French version of the SDQ.
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Affiliation(s)
- Arnaud Sapin
- UVSQ, Inserm, CESP, Université Paris-Saclay, 94807, Villejuif, France.
| | - Antoine Vanier
- Health Technology Assessment Department, Haute Autorité de Santé, 93210, La Plaine Saint-Denis, France
- UMR 1246 Sphere, Inserm, Nantes Université - Université de Tours, 44200, Nantes, France
| | | | - Gustave Maffre Maviel
- Research Team on Social Epidemiology (ERES), Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, IPLESP, 75012, Paris, France
| | - Cécile Vuillermoz
- UVSQ, Inserm, CESP, Université Paris-Saclay, 94807, Villejuif, France
| | - Bruno Falissard
- UVSQ, Inserm, CESP, Université Paris-Saclay, 94807, Villejuif, France
- Department of Child and Adolescent Psychiatry, Centre Hospitalier Charles Perrens, 33000, Bordeaux, France
| | - Cédric Galera
- Inserm, Bordeaux Population Health Research Center, Université de Bordeaux, 33077, Bordeaux, France
- Department of Child and Adolescent Psychiatry, Centre Hospitalier Charles Perrens, 33000, Bordeaux, France
| | - Josiane Warszawski
- UVSQ, Inserm, CESP, Université Paris-Saclay, 94807, Villejuif, France
- Department of Epidemiology and Public Health, APHP, Paris-Saclay University, 94270, Le Kremlin-Bicêtre, France
| | | | - Jean-Baptiste Hazo
- Statistics Direction of French Ministry of Health and Solidarity (DREES), Paris, France
| | - Alexandra Rouquette
- UVSQ, Inserm, CESP, Université Paris-Saclay, 94807, Villejuif, France
- Department of Epidemiology and Public Health, APHP, Paris-Saclay University, 94270, Le Kremlin-Bicêtre, France
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Hoarau G, Haigh O, Vauloup-Fellous C, Boucher R, Rouquette A, Faure P, Limam L, Labetoulle M, Rousseau A. Diagnostic performance of real-time quantitative PCR in tear samples in various subtypes of herpes simplex keratitis. J Clin Microbiol 2023; 61:e0088523. [PMID: 38038483 PMCID: PMC10729708 DOI: 10.1128/jcm.00885-23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 10/20/2023] [Indexed: 12/02/2023] Open
Abstract
Diagnosis of herpes simplex keratitis (HSK) is mostly based on clinical findings, yet biological confirmation supports management of challenging cases. This study evaluated the place of real-time quantitative PCR (RT-qPCR) on tear samplings in the management of HSK. Clinical records of patients who underwent tear sampling tested by RT-qPCR for herpes simplex virus type 1 for an acute episode of corneal inflammation or defect between January 2013 and December 2021 were retrospectively reviewed, and results were compared to clinical diagnosis (i.e., HSK or not) based on biomicroscopic findings and medical history. Of 465 tested tear samples from 364 patients, a clinical diagnosis of active (ongoing) HSK was recorded in 240 cases, among which 76 were RT-qPCR positive (global sensitivity of 31.6%, specificity of 99.5%). Sensitivity of RT-qPCR was higher in epithelial (97.4%) and stromal keratitis with ulceration (48.7%), compared to other types of HSK (23.5% in keratouveitis, 13.6% in endotheliitis, 11.1% in postherpetic neurotrophic keratopathy, and 8.1% in stromal keratitis without ulceration). The highest viral loads were detected from epithelial and stromal keratitis with ulceration, while in HSK with no epithelial involvement, the viral load detected was 196-fold lower, on average. The proportion of clinically characterized HSK patients with negative tear samples was higher in patients receiving antiviral treatment (P < 0.0001). RT-qPCR, performed on tear samples, can help in confirming diagnosis in case of presumed HSK, including clinical forms with no obvious epithelial involvement. The sensitivity of tear sampling is much higher whenever epithelial keratitis is present.
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Affiliation(s)
- Gautier Hoarau
- Service d’Ophtalmologie, Hôpital Bicêtre, Université Paris-Saclay, CRMR OPHTARA, Le Kremlin Bicêtre, France
| | - Oscar Haigh
- Université Paris-Saclay, Inserm, CEA, Center for Immunology of Viral, Auto-Immune, Hematological and Bacterial Diseases (IMVA-HB/IDMIT), Fontenay-Aux-Roses, France
| | - Christelle Vauloup-Fellous
- Université Paris-Saclay, Inserm, CEA, Center for Immunology of Viral, Auto-Immune, Hematological and Bacterial Diseases (IMVA-HB/IDMIT), Fontenay-Aux-Roses, France
- Service de Virologie, Hôpital Paul Brousse, Université Paris-Saclay, Villejuif, France
| | - Rafaël Boucher
- Service d’Ophtalmologie, Hôpital Bicêtre, Université Paris-Saclay, CRMR OPHTARA, Le Kremlin Bicêtre, France
- Université Paris-Saclay, Inserm, CEA, Center for Immunology of Viral, Auto-Immune, Hematological and Bacterial Diseases (IMVA-HB/IDMIT), Fontenay-Aux-Roses, France
| | - Alexandra Rouquette
- Service d’Epidémiologie et de Santé Publique, Université Paris-Saclay, Le Kremlin Bicêtre, France
| | - Pascale Faure
- Service d’Ophtalmologie, Hôpital Bicêtre, Université Paris-Saclay, CRMR OPHTARA, Le Kremlin Bicêtre, France
| | - Lamia Limam
- Service de Virologie, Hôpital Paul Brousse, Université Paris-Saclay, Villejuif, France
| | - Marc Labetoulle
- Service d’Ophtalmologie, Hôpital Bicêtre, Université Paris-Saclay, CRMR OPHTARA, Le Kremlin Bicêtre, France
- Université Paris-Saclay, Inserm, CEA, Center for Immunology of Viral, Auto-Immune, Hematological and Bacterial Diseases (IMVA-HB/IDMIT), Fontenay-Aux-Roses, France
| | - Antoine Rousseau
- Service d’Ophtalmologie, Hôpital Bicêtre, Université Paris-Saclay, CRMR OPHTARA, Le Kremlin Bicêtre, France
- Université Paris-Saclay, Inserm, CEA, Center for Immunology of Viral, Auto-Immune, Hematological and Bacterial Diseases (IMVA-HB/IDMIT), Fontenay-Aux-Roses, France
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Legleye S, Spilka S, Rouquette A. Country and sex measurement invariance of the Cannabis abuse screening test (CAST) in European Youth. Int J Drug Policy 2023; 121:104215. [PMID: 37769386 DOI: 10.1016/j.drugpo.2023.104215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 08/31/2023] [Accepted: 09/20/2023] [Indexed: 09/30/2023]
Abstract
BACKGROUND Monitoring the prevalence of problematic cannabis use is an important public health issue. International surveys need invariant measurement tools to allow reliable comparisons across countries and between sexes. The Cannabis abuse screening test (CAST) has been developed for this purpose. This study is the first assessing its country and sex invariance in a sample of European pupils. METHODS The data come from the self-administered questionnaires completed in 2019 by pupils aged 15-16 in the European school survey project (Espad). The analytical sample was restricted to the 17 countries where at least 300 pupils reported a previous-year cannabis use (n = 8740); multigroup confirmatory factor analyses were used to assess the configural, metric and scalar invariance of the CAST toward country and sex in the 2019 Espad release. RESULTS Configural, metric and scalar invariance toward country hold for the 17 countries: Austria, Bulgaria, Croatia, Czech Republic, Denmark, Estonia, Finland, France, Georgia, Greece, Italia, Latvia, Poland, Portugal, Slovakia, Slovenia and Spain. Scalar invariance toward sex was met in the 17 countries as a whole and in 11 of the 12 countries where the test could be run. Scalar invariance toward country was met with 6 additional countries comprising at least 250 respondents: Ireland, Lithuania, Malta, Montenegro, the Netherlands and Norway. CONCLUSION The CAST is a suitable test for comparing the measurement of problematic cannabis use amongst adolescents in Europe.
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Touzani R, Dembele E, Schultz E, Rouquette A, Seguin L, Dufour JC, Bannier M, Mancini J. The French General Population's Perception of New Information and Communication Technologies for Medical Consultations: National Survey. J Med Internet Res 2023; 25:e45822. [PMID: 37327032 PMCID: PMC10337435 DOI: 10.2196/45822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 04/06/2023] [Accepted: 05/15/2023] [Indexed: 06/17/2023] Open
Abstract
BACKGROUND The development of telehealth and telemedicine, in the form of increased teleconsultation and medical telemonitoring, accelerated during the COVID-19 health crisis in France to ensure continued access to care for the population. Since these new information and communication technologies (ICTs) are diverse and likely to transform how the health care system is organized, there is a need better to understand public attitudes toward them and their relationship with peoples' current experience of health care. OBJECTIVE This study aimed to determine the French general population's perception of the usefulness of video recording/broadcasting (VRB) and mobile Health (mHealth) apps for medical consultations in France during the COVID-19 health crisis and the factors associated with this perception. METHODS Data were collected for 2003 people in 2 waves of an online survey alongside the Health Literacy Survey 2019 (1003 in May 2020 and 1000 in January 2021) based on quota sampling. The survey collected sociodemographic characteristics, health literacy levels, trust in political representatives, and perceived health status. The perceived usefulness of VRB in medical consultations was measured by combining 2 responses concerning this technology for consultations. The perceived usefulness of mHealth apps was measured by combining 2 responses concerning their usefulness for booking doctor appointments and for communicating patient-reported outcomes to doctors. RESULTS The majority (1239/2003, 62%) of respondents considered the use of mHealth apps useful, while only 27.6% (551/2003) declared VRB useful. The factors associated with the perceived usefulness of both technologies were younger age (≤ 55 years), trust in political representatives (VRB: adjusted odds ratio [aOR] 1.68, 95% CI 1.31-2.17; mHealth apps: aOR 1.88, 95% CI 1.42-2.48), and higher (sufficient and excellent) health literacy. The period of the beginning of the COVID-19 epidemic, living in an urban area, and being limited in daily activities were also associated with perceiving VRB positively. The perceived usefulness of mHealth apps increased with the level of education. It was also higher in people who had 3 or more consultations with a medical specialist. CONCLUSIONS There are important differences in attitudes toward new ICTs. Perceived usefulness was lower for VRB than for mHealth apps. Moreover, it decreased after the initial months of the COVID-19 pandemic. There is also the possibility of new inequalities. Hence, despite the potential benefits of VRB and mHealth apps, people with low health literacy considered them to be of little use for their health care, possibly increasing their difficulties in accessing health care in the future. As such, health care providers and policy makers need to consider those perceptions to guarantee that new ICTs are accessible and beneficial to all.
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Affiliation(s)
- Rajae Touzani
- Aix Marseille Univ, INSERM, IRD, ISSPAM, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Equipe CANBIOS Labellisée Ligue 2019, Marseille, France
- Institut Paoli-Calmettes, SESSTIM U1252, Marseille, France
| | - Elodie Dembele
- Aix Marseille Univ, INSERM, IRD, ISSPAM, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Equipe CANBIOS Labellisée Ligue 2019, Marseille, France
| | - Emilien Schultz
- Aix Marseille Univ, INSERM, IRD, ISSPAM, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Equipe CANBIOS Labellisée Ligue 2019, Marseille, France
- Médialab, Sciences Po, 75007 Paris, France, Paris, France
| | - Alexandra Rouquette
- Public Health and Epidemiology Department, AP-HP, Bicêtre Hôpitaux Universitaires Paris Sud, Le Kremlin-Bicêtre, France
- Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM U1018, Villejuif, France
| | - Lorène Seguin
- Institut Paoli-Calmettes, Département d'Oncologie Médicale, Marseille, France
| | - Jean-Charles Dufour
- APHM, Hop Timone, BioSTIC, Biostatistique et Technologies de l'Information et de la Communication, Marseille, France
| | - Marie Bannier
- Institut Paoli-Calmettes, Département de Chirurgie Oncologique, Marseille, France
| | - Julien Mancini
- Aix Marseille Univ, INSERM, IRD, ISSPAM, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Equipe CANBIOS Labellisée Ligue 2019, Marseille, France
- APHM, Hop Timone, BioSTIC, Biostatistique et Technologies de l'Information et de la Communication, Marseille, France
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Gouin JP, MacNeil S, de la Torre-Luque A, Chartrand E, Chadi N, Rouquette A, Boivin M, Côté S, Geoffroy MC. Depression, anxiety, and suicidal ideation in a population-based cohort of young adults before and during the first 12 months of the COVID-19 pandemic in Canada. Can J Public Health 2023; 114:368-377. [PMID: 37093498 PMCID: PMC10124701 DOI: 10.17269/s41997-023-00772-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Accepted: 03/22/2023] [Indexed: 04/25/2023]
Abstract
OBJECTIVES Findings from a birth cohort study indicated that the mental health of young adults had not worsened during the first wave of the COVID-19 pandemic, compared to 2018. This study examined longitudinal changes in mental health between March 2018 and June 2021 in the context of protracted public health mitigation measures about 12 months after the onset of the pandemic. METHODS Participants from the Quebec Longitudinal Study of Child Development (n = 2120 at inception; n = 1461 during the COVID-19 pandemic), a population-based cohort of individuals born in 1997/1998, reported on their depressive and anxiety symptoms as well as suicidal ideation prior to the pandemic in 2018 (age 20), and during the pandemic in the summer of 2020 (age 22) and spring of 2021 (age 23). RESULTS Depressive (Cohen's d = 0.15 [95% CI: 0.09 to 0.20]) and anxiety (Cohen's d = 0.33 [95% CI: 0.27 to 0.39]) symptoms increased between 2018 and 2021 for both males and females, but suicidal ideation did not change. There was also a significant increase in moderate to severe depressive (31.7% to 36.3%) and anxiety (14.7% to 24.8%) symptoms from 2018 to 2021. Youth who were students, those who were experiencing financial stress, food insecurity, and loneliness, and those without pre-existing poor mental health experienced the largest increase in depressive and anxiety symptoms over time. CONCLUSION These findings highlight the mental health burden experienced by young adults during the COVID-19 pandemic, highlighting the need for preventive services and continued longitudinal follow-ups of these youths.
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Affiliation(s)
| | - Sasha MacNeil
- Department of Psychology, Concordia University, Montreal, QC, Canada
| | - Alejandro de la Torre-Luque
- Department of Legal Medicine, Psychiatry, and Pathology, Universidad Complutense de Madrid, CIBERSAM ISCIII, Madrid, Spain
| | - Elise Chartrand
- Department of Educational and Counselling Psychology, McGill University, Montreal, QC, Canada
| | - Nicholas Chadi
- Department of Pediatrics, Université de Montréal, Montreal, QC, Canada
| | - Alexandra Rouquette
- Université Paris-Saclay, Inserm, UVSQ, CESP, Paris, France
- Epidemiology and Public Health Department, AP-HP Paris-Saclay, Le Kremlin-Bicêtre, Paris, France
| | - Michel Boivin
- School of Psychology, Université Laval, Quebec City, QC, Canada
| | - Sylvana Côté
- School of Public Health, Université de Montréal, Montreal, QC, Canada
| | - Marie-Claude Geoffroy
- Department of Educational and Counselling Psychology, McGill University, Montreal, QC, Canada.
- Department of Psychiatry, McGill University, Montreal, QC, Canada.
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Breyton M, Schultz É, Smith A'B, Rouquette A, Mancini J. Information overload in the context of COVID-19 pandemic: A repeated cross-sectional study. Patient Educ Couns 2023; 110:107672. [PMID: 36827879 PMCID: PMC9922676 DOI: 10.1016/j.pec.2023.107672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Revised: 01/26/2023] [Accepted: 02/11/2023] [Indexed: 06/18/2023]
Abstract
OBJECTIVES To assess the psychometric properties of the Coronavirus Information Overload scale (CovIO) and explore relationships between CovIO, its predictors and several health behaviours related to the COVID-19 pandemic, using Cancer Information Overload (CIO) scale results as a reference for comparison. METHODS 2003 participants representative of the French adult population answered a self-administered questionnaire over two waves of polling (N1(June 2020)= 1003, N2(January 2021)= 1000). Respondents were randomized to fill CovIO or CIO scale. Psychometric properties of scales were evaluated with Confirmatory Factor Analysis (CFA). Predictors were assessed using multivariate linear regression. RESULTS CovIO scale showed satisfactory psychometric properties (α=0.86, ω=0.86, RMSEA=0.050) without any measurement invariance issue. CovIO increased between waves of sampling and was significantly linked to education, health literacy and trust in institutions among other variables. A negative relationship between information overload and preventive behaviours was also observed. CONCLUSION The CovIO scale is a valid tool for assessing COVID-19 information overload. The dynamical formation of information overload and links with theorised predictors, especially, health literacy are confirmed. PRACTICE IMPLICATIONS Longitudinal designs could help better understand the potential detrimental effect of information overload and improving public health campaigns. Interventions to reduce the degree of overload are needed.
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Affiliation(s)
- Martin Breyton
- Aix Marseille Univ, INSERM, IRD, ISSPAM, SESSTIM, Cancer, Biomedicine & Society Group, Equipe Labellisée Ligue 2019, Marseille, France; AP-HM, Marseille, France
| | - Émilien Schultz
- Aix Marseille Univ, INSERM, IRD, ISSPAM, SESSTIM, Cancer, Biomedicine & Society Group, Equipe Labellisée Ligue 2019, Marseille, France; CEPED (UMR 196), Université de Paris, IRD, 75006 Paris, France
| | - Allan 'Ben' Smith
- Centre for Oncology Education and Research Translation (CONCERT), Ingham Institute for Applied Medical Research & South Western Sydney Clinical School, University of New South Wales, Liverpool, NSW, Australia; Psycho-Oncology Co-operative Research Group (PoCoG), School of Psychology, University of Sydney, Australia
| | - Alexandra Rouquette
- Public Health and Epidemiology Department, AP-HP Paris-Saclay, Le Kremlin-Bicêtre, France; Université Paris-Saclay, UVSQ, CESP, INSERM U1018, Villejuif, France
| | - Julien Mancini
- Aix Marseille Univ, INSERM, IRD, ISSPAM, SESSTIM, Cancer, Biomedicine & Society Group, Equipe Labellisée Ligue 2019, Marseille, France; AP-HM, BIOSTIC, Hop Timone, Marseille, France.
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13
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Rouquette A, Descarpentry A, Dione F, Falissard B, Legleye S, Vuillermoz C, Pastorello A, Meyer L, Warszawski J, Davisse-Paturet C, Melchior M. Comparison of Depression and Anxiety Following Self-reported COVID-19-Like Symptoms vs SARS-CoV-2 Seropositivity in France. JAMA Netw Open 2023; 6:e2312892. [PMID: 37166797 PMCID: PMC10176124 DOI: 10.1001/jamanetworkopen.2023.12892] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/12/2023] Open
Abstract
Importance The long-term consequences of COVID-19 on mental health are a critical issue given the number of people infected with SARS-CoV-2 worldwide since the beginning of the pandemic. Objective To investigate the associations between self-reported COVID-19-like symptoms or SARS-CoV-2 seropositivity and subsequent depression or anxiety. Design, Setting, and Participants This propensity score-matched cohort study began in May 2020, with follow-ups in November 2020 and July 2021. The study used data from a large, randomly selected, national population-based cohort from France, the EpiCoV (Epidémiologie et Conditions de Vie) study. Of 85 074 individuals 15 years or older who completed the questionnaires at the 3 collection times, 28 568 were excluded because they did not return a blood sample for serologic testing, 1994 because of missing data on outcomes or exposures, and 9252 to respect the temporal sequence (exposure must precede the outcome). Exposures Propensity scores based on various socioeconomic, lifestyle, and health variables were computed to match participants who experienced COVID-19-like symptoms between February and November 2020 or showed SARS-CoV-2 seropositivity in November 2020. Main Outcomes and Measures Logistic regression models were used to estimate associations between these occurrences and depression or anxiety assessed in July 2021 using the Patient Health Questionnaire 9-item and Generalized Anxiety Disorder 7-item scales, respectively. Results Among the 45 260 included participants (mean [SD] age, 51.1 [18.9] years; 52.4% women; 8.0% with depression and 5.3% with anxiety in July 2021), COVID-19-like symptoms were associated with subsequent depression (adjusted odds ratio, 1.70; 95% CI, 1.45-1.99) and anxiety (adjusted OR, 1.57; 95% CI, 1.29-1.92), whereas SARS-CoV-2 seropositivity was not. Furthermore, COVID-19-like symptoms, but not anosmia or dysgeusia alone, were associated with subsequent depression and anxiety in both the seropositive and seronegative subgroups. Conclusions and Relevance In this cohort study of more than 45 000 individuals drawn from the French general population, SARS-CoV-2 infection was not found as a risk factor of subsequent depression or anxiety. Moreover, self-reported COVID-19-like symptoms were associated with depression and anxiety assessed at least 8 months later in both seropositive and seronegative subgroups, suggesting that factors other than SARS-CoV-2 infection are implied in this association.
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Affiliation(s)
- Alexandra Rouquette
- Centre de Recherche en Epidémiologie et Santé des Populations, Institut National de la Santé et de la Recherche Médicale, Université Paris-Saclay, Université de Versailles Saint-Quentin-en-Yvelines, Paris, France
- Epidemiology and Public Health Department, Assistance Publique-Hôpitaux de Paris Université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Arthur Descarpentry
- Centre de Recherche en Epidémiologie et Santé des Populations, Institut National de la Santé et de la Recherche Médicale, Université Paris-Saclay, Université de Versailles Saint-Quentin-en-Yvelines, Paris, France
| | - Fallou Dione
- Centre de Recherche en Epidémiologie et Santé des Populations, Institut National de la Santé et de la Recherche Médicale, Université Paris-Saclay, Université de Versailles Saint-Quentin-en-Yvelines, Paris, France
| | - Bruno Falissard
- Centre de Recherche en Epidémiologie et Santé des Populations, Institut National de la Santé et de la Recherche Médicale, Université Paris-Saclay, Université de Versailles Saint-Quentin-en-Yvelines, Paris, France
- Epidemiology and Public Health Department, Assistance Publique-Hôpitaux de Paris Université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Stéphane Legleye
- Centre de Recherche en Epidémiologie et Santé des Populations, Institut National de la Santé et de la Recherche Médicale, Université Paris-Saclay, Université de Versailles Saint-Quentin-en-Yvelines, Paris, France
- Ensai, Bruz, France
| | - Cécile Vuillermoz
- Centre de Recherche en Epidémiologie et Santé des Populations, Institut National de la Santé et de la Recherche Médicale, Université Paris-Saclay, Université de Versailles Saint-Quentin-en-Yvelines, Paris, France
| | - Anne Pastorello
- Centre de Recherche en Epidémiologie et Santé des Populations, Institut National de la Santé et de la Recherche Médicale, Université Paris-Saclay, Université de Versailles Saint-Quentin-en-Yvelines, Paris, France
| | - Laurence Meyer
- Centre de Recherche en Epidémiologie et Santé des Populations, Institut National de la Santé et de la Recherche Médicale, Université Paris-Saclay, Université de Versailles Saint-Quentin-en-Yvelines, Paris, France
- Epidemiology and Public Health Department, Assistance Publique-Hôpitaux de Paris Université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Josiane Warszawski
- Centre de Recherche en Epidémiologie et Santé des Populations, Institut National de la Santé et de la Recherche Médicale, Université Paris-Saclay, Université de Versailles Saint-Quentin-en-Yvelines, Paris, France
- Epidemiology and Public Health Department, Assistance Publique-Hôpitaux de Paris Université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Camille Davisse-Paturet
- Centre de Recherche en Epidémiologie et Santé des Populations, Institut National de la Santé et de la Recherche Médicale, Université Paris-Saclay, Université de Versailles Saint-Quentin-en-Yvelines, Paris, France
| | - Maria Melchior
- Institut Pierre Louis d'Epidémiologie et de Santé Publique, Equipe de Recherche en Epidémiologie Sociale, Institut National de la Santé et de la Recherche Médicale, Sorbonne Université, Paris, France
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Monnier M, Moulin F, Bailhache M, Thierry X, Vandentorren S, Côté S, Falissard B, Simeon T, Geay B, Marchand-Martin L, Dufourg MN, Charles MA, Ancel PY, Melchior M, Rouquette A, Galera C. Parents' depression and anxiety associated with hyperactivity-inattention and emotional symptoms in children during school closure due to COVID-19 in France. Sci Rep 2023; 13:4863. [PMID: 36964194 PMCID: PMC10038697 DOI: 10.1038/s41598-023-31985-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Accepted: 03/21/2023] [Indexed: 03/26/2023] Open
Abstract
Several risk factors of children's mental health issues have been identified during the pandemic of COronaVIrus Disease first appeared in 2019 (COVID-19). This study aims to fill the knowledge gap regarding the association between parents' and children's mental health issues during the COVID-19 school closure in France. We conducted a cross-sectional analysis of data collected in the SAPRIS-ELFE study during the COVID-19 pandemic in France. Using multinomial logistic regressions, we estimated associations between parents' and children's mental health issues. Symptoms of anxiety were assessed by the General Anxiety Disorder-7 (GAD-7) and depression by the Patient Health Questionnaire-9 (PHQ-9) for the parents. Hyperactivity/inattention and emotional symptoms in children were assessed by the Strengths and Difficulties Questionnaire (SDQ). The sample included 3496 children aged 8 to 9 years, of whom 50.0% were girls. During the school closure, 7.1% of responding parents had moderate to severe levels of anxiety and 6.7% had moderate to severe levels of depression. A total of 11.8% of the children had an abnormal hyperactivity/inattention score and 6.6% had an abnormal emotional symptoms score. In multivariate regression models, parental moderate to severe level of anxiety and moderate to severe level of depression were associated with abnormal hyperactivity-inattention score (adjusted Odds Ratio (aOR) 3.31; 95% Confidence Interval (CI) 2.33-4.70 and aOR 4.65; 95% CI 3.27-6.59, respectively) and abnormal emotional symptoms score in children (aOR 3.58; 95% CI 2.33-5.49 and aOR 3.78; 95 CI 2.47-5.78 respectively). Children whose parents have symptoms of anxiety and/or depression have an increased likelihood of symptoms of hyperactivity/inattention and emotional symptoms during school closures in France due to COVID-19. Our findings suggest that public health initiatives should target parents and children to limit the impact of such crises on their mental health issues.
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Affiliation(s)
- Maëva Monnier
- Bordeaux Population Health Research Center, Institut National de la Santé et de la Recherche Médicale (INSERM) U 1219, 146 Rue Léo Saignat, 33077, Bordeaux Cedex, France.
- Department of Child and Adolescent Psychiatry, Centre Hospitalier Charles Perrens, Bordeaux, France.
| | - Flore Moulin
- Bordeaux Population Health Research Center, Institut National de la Santé et de la Recherche Médicale (INSERM) U 1219, 146 Rue Léo Saignat, 33077, Bordeaux Cedex, France
| | - Marion Bailhache
- Bordeaux Population Health Research Center, Institut National de la Santé et de la Recherche Médicale (INSERM) U 1219, 146 Rue Léo Saignat, 33077, Bordeaux Cedex, France
- Pole de Pédiatrie, CHU de Bordeaux, Place Amélie Raba Léon, 33000, Bordeaux, France
| | - Xavier Thierry
- Institut National d'Etudes Démographiques (INED), Aubervilliers, France
- Inserm, Paris, France
- Etablissement Français du Sang (EFS), Paris, France
| | - Stéphanie Vandentorren
- Bordeaux Population Health Research Center, Institut National de la Santé et de la Recherche Médicale (INSERM) U 1219, 146 Rue Léo Saignat, 33077, Bordeaux Cedex, France
- Santé Publique France, French National Public Health Agency, 94415, Saint-Maurice, France
| | - Sylvana Côté
- Bordeaux Population Health Research Center, Institut National de la Santé et de la Recherche Médicale (INSERM) U 1219, 146 Rue Léo Saignat, 33077, Bordeaux Cedex, France
- Department of Child and Adolescent Psychiatry, Centre Hospitalier Charles Perrens, Bordeaux, France
- Research Unit on Children's Psychosocial Maladjustment, Montreal, QC, Canada
| | - Bruno Falissard
- Inserm, UVSQ, CESP, Fac. de Médecine - Université Paris-Sud, INSERM 1018, Paris-Saclay University, DevPsy, Villejuif, France
- Public Health and Epidemiology Department, AP-HP Paris-Saclay, Bicêtre Hospital, Le Kremlin-Bicêtre, France
| | - Thierry Simeon
- Institut National d'Etudes Démographiques (INED), Aubervilliers, France
- Inserm, Paris, France
- Etablissement Français du Sang (EFS), Paris, France
| | - Bertrand Geay
- Institut National d'Etudes Démographiques (INED), Aubervilliers, France
- Inserm, Paris, France
- Etablissement Français du Sang (EFS), Paris, France
| | - Laetitia Marchand-Martin
- Inserm, Paris, France
- Université Paris Cité, Paris, France
- Centre for Research in Epidemiology and StatisticS (CRESS), Paris, France
- Institut national de recherche pour l'agriculture, l'alimentation et l'environnement (INRAE), Paris, France
| | - Marie-Noelle Dufourg
- Institut National d'Etudes Démographiques (INED), Aubervilliers, France
- Inserm, Paris, France
- Etablissement Français du Sang (EFS), Paris, France
| | - Marie-Aline Charles
- Institut National d'Etudes Démographiques (INED), Aubervilliers, France
- Inserm, Paris, France
- Etablissement Français du Sang (EFS), Paris, France
- Université Paris Cité, Paris, France
- Centre for Research in Epidemiology and StatisticS (CRESS), Paris, France
| | - Pierre-Yves Ancel
- Inserm, Paris, France
- Université Paris Cité, Paris, France
- Centre for Research in Epidemiology and StatisticS (CRESS), Paris, France
- Institut national de recherche pour l'agriculture, l'alimentation et l'environnement (INRAE), Paris, France
| | - Maria Melchior
- Faculté de Médecine St Antoine, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Épidémiologie Sociale (ERES), Sorbonne Université, Paris, France
| | - Alexandra Rouquette
- Inserm, UVSQ, CESP, Fac. de Médecine - Université Paris-Sud, INSERM 1018, Paris-Saclay University, DevPsy, Villejuif, France
- Public Health and Epidemiology Department, AP-HP Paris-Saclay, Bicêtre Hospital, Le Kremlin-Bicêtre, France
| | - Cédric Galera
- Bordeaux Population Health Research Center, Institut National de la Santé et de la Recherche Médicale (INSERM) U 1219, 146 Rue Léo Saignat, 33077, Bordeaux Cedex, France.
- Department of Child and Adolescent Psychiatry, Centre Hospitalier Charles Perrens, Bordeaux, France.
- Research Unit on Children's Psychosocial Maladjustment, Montreal, QC, Canada.
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Ibrahim N, Hassler C, Jousselme C, Barry C, Lefèvre H, Falissard B, Bouyer J, Rouquette A. Chronic conditions, subjective wellbeing and risky sexual behaviour among adolescents and young adults. Eur J Pediatr 2023; 182:1163-1171. [PMID: 36602622 DOI: 10.1007/s00431-022-04784-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 12/22/2022] [Accepted: 12/23/2022] [Indexed: 01/06/2023]
Abstract
The purpose of this study is to clarify the relationship between having a chronic condition (CC) and several types of risky sexual behaviour (RSB) among adolescents and young adults. We used data from a multicentre cross-sectional study carried out on 14,431 adolescents from 137 French schools. Logistic regression was used to assess the association between several types of RSB and CCs among the 2680 participants aged 17 years or over who reported sexual intercourse. Survival analysis was conducted to assess the association between CCs and age at first sexual intercourse across the whole sample. Analyses were conducted separately by gender with and without adjustment for the parents' education level, early menarche and subjective wellbeing (relationship with mother and father, depression, perceived health status and liking school). Among boys, having a CC was associated with a higher risk of RSB in both univariate (OR: 1.58 [95% CI: 1.10-2.27]) and multivariate analyses (aOR: 1.62 [95% CI: 1.11-2.38]). Among girls, the association between chronic condition and RSB in univariate analysis was non-significant (OR: 1.30 [95% CI: 0.97-1.76]) and disappeared after adjustment on subjective wellbeing (aOR: 1.08 [95% CI: 0.78-1.49]). There was no association between CC and age at first sexual intercourse. Conclusion: There were major gender differences. Boys with a CC were more prone to engage in RSB independent of their subjective wellbeing, whereas in girls, subjective wellbeing seemed to mediate the relationship between CC and RSB. Clinicians should be aware of those gender differences in order to deliver preventive strategies regarding sexuality that target both genders. What is Known: • Young people with chronic conditions have a higher likelihood of engaging in risky sexual behaviour. • Engaging in such behaviours can be much more costly, as it can weaken their underlying state of health. What is New: • We found major gender differences. Boys were more prone to engage in risky behaviour independent of their subjective wellbeing, whereas in girls, it seemed to play an important role. • By understanding how risky sexual behaviour differs according to gender, clinicians can deliver prevention messages that target both genders.
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Affiliation(s)
- Nour Ibrahim
- Paris-Saclay University, UVSQ, CESP, Inserm U1018, Paris, France.
- French Research Group in Adolescent Health (GRMSA), Maison de Solenn, 97 Boulevard de Port Royal, Paris, France.
| | | | - Catherine Jousselme
- Paris-Saclay University, UVSQ, CESP, Inserm U1018, Paris, France
- Fondation Vallée, Paris-Saclay University, Gentilly, France
| | - Caroline Barry
- Paris-Saclay University, UVSQ, CESP, Inserm U1018, Paris, France
| | - Hervé Lefèvre
- Paris-Saclay University, UVSQ, CESP, Inserm U1018, Paris, France
- French Research Group in Adolescent Health (GRMSA), Maison de Solenn, 97 Boulevard de Port Royal, Paris, France
- AP-HP, Hôpital Cochin, Maison de Solenn, 97 Boulevard de Port-Royal, 75014, Paris, France
| | - Bruno Falissard
- Paris-Saclay University, UVSQ, CESP, Inserm U1018, Paris, France
- Public Health and Epidemiology Department, AP-HP, Hôpital du Kremlin Bicêtre, Le Kremlin Bicêtre, France
| | - Jean Bouyer
- Paris-Saclay University, UVSQ, CESP, Inserm U1018, Paris, France
- Public Health and Epidemiology Department, AP-HP, Hôpital du Kremlin Bicêtre, Le Kremlin Bicêtre, France
| | - Alexandra Rouquette
- Paris-Saclay University, UVSQ, CESP, Inserm U1018, Paris, France
- Public Health and Epidemiology Department, AP-HP, Hôpital du Kremlin Bicêtre, Le Kremlin Bicêtre, France
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Kamga Fogno AW, Rouquette A, Gronfier C, Bernard JY, Plancoulaine S. Associations between screen use, outdoor time/daylight exposure and sleep changes during the first COVID-19 lockdown in French children from the ELFE and EPIPAGE2 birth cohorts. CNS Neurosci Ther 2023; 29:1649-1656. [PMID: 36807866 PMCID: PMC10173720 DOI: 10.1111/cns.14128] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 02/08/2023] [Accepted: 02/08/2023] [Indexed: 02/22/2023] Open
Abstract
AIMS To investigate associations between outdoor and screen time and changes in sleep patterns in children from two nationwide birth-cohorts in the SAPRIS project. METHODS During the first French COVID-19 pandemic lockdown, volunteer parents of children enrolled in the ELFE and EPIPAGE2 birth-cohorts completed online questions about their child's outdoor time, screen time, and changes in sleep duration and quality compared with the pre-lockdown situation. In 5700 children (aged 8-9 years, 52% boys) with available data, we assessed associations between outdoor time, screen time, and sleep changes using multinomial logistic regression models adjusted for confounders. RESULTS Children spent on average 3 h08 outdoors and 4 h34 using screens/day (3 h27 for leisure, 1 h07 for class-work). Sleep duration increased in 36% of children and decreased in 13.4%; sleep difficulties appeared/increased in 22.5% and decreased/disappeared/remained stable in 18.3%. After adjustment, increased screen time, especially for leisure, was associated with increased and decreased sleep duration (OR(95%CI) = 1.03(1.00-1.06) and OR = 1.06(1.02-1.10), respectively). No association was observed between outdoor time and sleep changes after adjustment. CONCLUSIONS Our study adds evidence for the association between high leisure-time screen time and shorter sleep time. It supports current screen guidelines for children, especially during leisure time and for those whose sleep duration is short.
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Affiliation(s)
- Alex Wilfried Kamga Fogno
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Center for Research in Epidemiology and StatisticS (CRESS), Paris, France
| | - Alexandra Rouquette
- Université Paris-Saclay, UVSQ, Inserm U1018, CESP, Paris, France.,AP-HP Paris-Saclay, Hôpital du Kremlin Bicêtre, Service de Santé Publique et d'Epidemiologie, Le Kremlin Bicêtre, France
| | - Claude Gronfier
- Université Claude Bernard Lyon 1, INSERM, CRNS, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, Bron, France
| | - Jonathan Y Bernard
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Center for Research in Epidemiology and StatisticS (CRESS), Paris, France.,Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore
| | - Sabine Plancoulaine
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Center for Research in Epidemiology and StatisticS (CRESS), Paris, France.,Université Claude Bernard Lyon 1, INSERM, CRNS, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, Bron, France
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17
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Davisse-Paturet C, Orri M, Legleye S, Florence AM, Hazo JB, Warszawski J, Falissard B, Geoffroy MC, Melchior M, Rouquette A. Suicidal ideation following self-reported COVID-19-like symptoms or serology-confirmed SARS-CoV-2 infection in France: A propensity score weighted analysis from a cohort study. PLoS Med 2023; 20:e1004171. [PMID: 36787340 PMCID: PMC10072374 DOI: 10.1371/journal.pmed.1004171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 04/04/2023] [Accepted: 01/10/2023] [Indexed: 02/15/2023] Open
Abstract
BACKGROUND A higher risk of suicidal ideation associated with self-report of Coronavirus Disease 2019 (COVID-19)-like symptoms or COVID-19 infection has been observed in cross-sectional studies, but evidence from longitudinal studies remains limited. The aims of this study were 2-fold: (1) to explore if self-reported COVID-19-like symptoms in 2020 were associated with suicidal ideation in 2021; (2) to explore if the association also existed when using a biological marker of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection in 2020. METHODS AND FINDINGS A total of 52,050 participants from the French EpiCov cohort were included (median follow-up time = 13.7 months). In terms of demographics, 53.84% were women, 60.92% were over 45 years old, 82.01% were born in mainland France from parents born in mainland France, and 59.38% completed high school. COVID-19-like symptoms were defined as participant report of a sudden loss of taste/smell or fever alongside cough, shortness of breath, or chest oppression, between February and November 2020. Symptoms were self-reported at baseline in May 2020 and at the first follow-up in Autumn 2020. Serology-confirmed SARS-CoV-2 infection in 2020 was derived from Spike protein ELISA test screening in dried-blood-spot samples. Samples were collected from October 2020 to March 2021, with 94.4% collected in 2020. Suicidal ideation since December 2020 was self-reported at the second follow-up in Summer 2021. Associations of self-reported COVID-19-like symptoms and serology-confirmed SARS-CoV-2 infection in 2020 with suicidal ideation in 2021 were ascertained using modified Poisson regression models, weighted by inverse probability weights computed from propensity scores. Among the 52,050 participants, 1.68% [1.54% to 1.82%] reported suicidal ideation in 2021, 9.57% [9.24% to 9.90%] had a serology-confirmed SARS-CoV-2 infection in 2020, and 13.23% [12.86% to 13.61%] reported COVID-19-like symptoms in 2020. Self-reported COVID-19-like symptoms in 2020 were associated with higher risks of later suicidal ideation in 2021 (Relative Riskipw [95% CI] = 1.43 [1.20 to 1.69]), while serology-confirmed SARS-CoV-2 infection in 2020 was not (RRipw = 0.89 [0.70 to 1.13]). Limitations of this study include the use of a single question to assess suicidal ideation, the use of self-reported history of mental health disorders, and limited generalizability due to attrition bias. CONCLUSIONS Self-reported COVID-19-like symptoms in 2020, but not serology-confirmed SARS-CoV-2 infection in 2020, were associated with a higher risk of subsequent suicidal ideation in 2021. The exact role of SARS-CoV-2 infection with respect to suicide risk has yet to be clarified. Including mental health resources in COVID-19-related settings could encourage symptomatic individuals to care for their mental health and limit suicidal ideation to emerge or worsen.
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Affiliation(s)
| | - Massimiliano Orri
- McGill University, Department of Psychiatry, Montreal, Québec, Canada
| | - Stéphane Legleye
- Université Paris-Saclay, Inserm, UVSQ, CESP, Paris, France
- Ensai, Bruz, France
| | - Aline-Marie Florence
- Sorbonne University, Inserm, Pierre Louis institute of Epidemiology and Public Health, Paris, France
| | | | - Josiane Warszawski
- APHP, Paris-Saclay University, Department of Epidemiology and Public Health, Le Kremlin-Bicêtre, France
| | | | - Marie-Claude Geoffroy
- McGill University, Department of Psychiatry, Montreal, Québec, Canada
- McGill University, Department of Educational and Counselling Psychology, Québec, Canada
| | - Maria Melchior
- Sorbonne University, Inserm, Pierre Louis institute of Epidemiology and Public Health, Paris, France
| | - Alexandra Rouquette
- Université Paris-Saclay, Inserm, UVSQ, CESP, Paris, France
- APHP, Paris-Saclay University, Department of Epidemiology and Public Health, Le Kremlin-Bicêtre, France
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Lafont C, Panjo H, Michelon C, Falissard B, Speranza M, Picot MC, Baghdadli A, Rouquette A. Determinants of Inclusion in Mainstream School for Children with Autism Spectrum Disorders from the EpiTED Study: A 10-Year Follow-up Cohort. J Autism Dev Disord 2023; 53:121-131. [PMID: 34989936 DOI: 10.1007/s10803-021-05404-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2021] [Indexed: 02/03/2023]
Abstract
Inclusion of students with Autism Spectrum Disorder (ASD) in mainstream schools has a positive impact on their social and daily living behaviors. Our objective was to identify clinical and socio-demographic variables promoting or limiting inclusion in mainstream school through childhood and adolescence. The EpiTED study is a long-term, prospective, multicenter cohort of 281 ASD children included before the age of 7, with a 10-year follow-up in France. Variables significantly linked to inclusion in mainstream school were identified using a mixed-effect logistic regression model: greater autonomy [OR = 1.45 (1.29-1.63)], lesser symptom severity [OR = 0.96 (0.92-0.99)] and fewer siblings [OR = 0.86 (0.75-0.99)]. In the multivariate model, the probability for a child of being included in mainstream school decreased over time [OR = 0.91 (0.85-0.97)], i.e. with age.
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Affiliation(s)
- Charlotte Lafont
- Université Paris-Saclay, UVSQ, Inserm, CESP, 94807, Villejuif, France.
- APHP-Paris-Saclay, Service d'Epidémiologie et de Santé Publique, Le Kremlin-Bicêtre, France.
| | - Henri Panjo
- Université Paris-Saclay, UVSQ, Inserm, CESP, 94807, Villejuif, France
| | - Cécile Michelon
- Université Paris-Saclay, UVSQ, Inserm, CESP, 94807, Villejuif, France
- Département de Psychiatrie, CHU de Montpellier, Montpellier, France
| | - Bruno Falissard
- Université Paris-Saclay, UVSQ, Inserm, CESP, 94807, Villejuif, France
- APHP-Paris-Saclay, Service d'Epidémiologie et de Santé Publique, Le Kremlin-Bicêtre, France
| | - Mario Speranza
- Université Paris-Saclay, UVSQ, Inserm, CESP, 94807, Villejuif, France
- Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Centre Hospitalier de Versailles, Le Chesnay, France
| | - Marie-Christine Picot
- Université Paris-Saclay, UVSQ, Inserm, CESP, 94807, Villejuif, France
- Unité de Recherche Clinique et Epidémiologie (Département Information Médicale), INSERM Centre d'Investigation Clinique 1411, CHU Montpellier, Université Montpellier, 34 295, Montpellier Cedex 5, France
| | - Amaria Baghdadli
- Université Paris-Saclay, UVSQ, Inserm, CESP, 94807, Villejuif, France
- Département de Psychiatrie, CHU de Montpellier, Montpellier, France
- Centre de Ressource Autisme Languedoc-Roussillon, Centre d'excellence sur l'autisme et les troubles neurodéveloppementaux, CHU et Université de Montpellier, Montpellier, France
| | - Alexandra Rouquette
- Université Paris-Saclay, UVSQ, Inserm, CESP, 94807, Villejuif, France
- APHP-Paris-Saclay, Service d'Epidémiologie et de Santé Publique, Le Kremlin-Bicêtre, France
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Trouvin AP, Carvès S, Rouquette A, Coste J, Meyer S, Colin F, Deleens R, Medkour T, Collet MP, Perrot S, Laroche F. "FastSchool": A single session of an interprofessional pain management program for chronic pain patients inspired by cognitive behavioral therapy. Patient Educ Couns 2022; 105:3509-3514. [PMID: 36115735 DOI: 10.1016/j.pec.2022.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Revised: 08/23/2022] [Accepted: 09/09/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVES Multidisciplinary approaches to treating chronic pain have been proven effective. Currently, chronic pain patients face lengthy waitlists in pain medicine departments. To overcome this problem, we developed the "FastSchool" program to educate patients about pain management and treatment. In this study, we evaluated the benefit of a "FastSchool" session on pain and catastrophizing in chronic pain patients. METHODS Included patients had chronic non-cancer pain, no more than 2 visits to a pain medicine department. Patients attended a single 3-hour session, conducted by an interprofessional team. Four topics were addressed: chronic pain mechanisms, pharmacological therapies, physical activity, and the management of analgesics. Patients completed questionnaires at baseline and at 3 months post-session to assess pain interference, pain intensity, and catastrophizing. RESULTS The study population included 88 patients; 71 completed the follow-up questionnaires. Pain interference (p = 0.002), average pain intensity (p = 0.013), and catastrophizing (p < 0.001) decreased 3 months after FastSchool. At M3, 35 % of patients felt their pain had improved based on the Patient Global Impression of Change. CONCLUSION FastSchool, an innovative short-term educational program inspired by cognitive behavioral therapy, showed positive results in reducing pain impact. PRACTICE IMPLICATIONS Implementation of FastSchool in pain medicine departments would reduce waitlist times for non-pharmacological treatment.
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Affiliation(s)
| | | | - Alexandra Rouquette
- Department of Epidemiology and Public Health, Bicêtre Universitary Hospital, Le Kremlin-Bicêtre, France
| | - Joël Coste
- Pain Department, GHU Paris Centre-Cochin, Paris, France; Biostatistics and Epidemiology Unit, GHU Paris Centre-Cochin, Paris, France
| | - Sinja Meyer
- Pain Department, Saint-Antoine Sorbonne University Hospital, APHP, Paris, France
| | - Faustine Colin
- Pain Department, Saint-Antoine Sorbonne University Hospital, APHP, Paris, France
| | | | | | | | - Serge Perrot
- Pain Department, GHU Paris Centre-Cochin, Paris, France
| | - Françoise Laroche
- Pain Department, Saint-Antoine Sorbonne University Hospital, APHP, Paris, France
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Melchior M, Florence AM, Davisse-Paturet C, Falissard B, Galéra C, Hazo JB, Vuillermoz C, Warszawski J, Dione F, Rouquette A. Labor market participation and depression during the COVID-19 pandemic among young adults (18 to 30 years): A nationally representative study in France. Front Public Health 2022; 10:904665. [PMID: 36353287 PMCID: PMC9638096 DOI: 10.3389/fpubh.2022.904665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Accepted: 09/26/2022] [Indexed: 01/22/2023] Open
Abstract
Objective To examine the relationship between young adults' labor force participation and depression in the context of the COVID-19 pandemic. Design setting participants Data come from the nationally-representative EPICOV cohort study set up in France, and were collected in 2020 and 2021 (3 waves of online or telephone interviews: 02/05/2020-12/06/2020; 26/10/2020-14/12/2020; 24/06/2021-09/08/2021) among 2,217 participants aged 18-30 years. Participants with prior mental health disorder (n = 50) were excluded from the statistical analyses. Results Using Generalized Estimating Equation (GEE) models controlled for participants' socio-demographic and health characteristics and weighted to be nationally-representative, we found that compared to young adults who were employed, those who were studying or unemployed were significantly more likely to experience depression assessed using the PHQ-9 (multivariable ORs, respectively: OR: 1.29, 95% CI 1.05-1.60 and OR: 1.50, 1.13-1.99). Stratifying the analyses by age, we observed that unemployment was more strongly associated with depression among participants 25-30 years than among those who were 18-24 years (multivariable ORs, respectively, 1.78, 95% CI 1.17-2.71 and 1.41, 95% CI 0.96-2.09). Being out of the labor force was, to the contrary, more significantly associated with depression among participants 18-24 years (multivariable OR: 1.71, 95% CI 1.04-2.82, vs. 1.00, 95% CI 0.53-1.87 among participants 25-30 years). Stratifying the analyses by sex, we found no significant differences in the relationships between labor market characteristics and depression (compared to participants who were employed, multivariable ORs associated with being a student: men: 1.33, 95% CI 1.01-1.76; women: 1.19, 95% CI 0.85-1.67, multivariable ORs associated with being unemployed: men: 1.60, 95% CI 1.04-2.45; women: 1.47, 95% CI 1.01-2.15). Conclusions and relevance Our study shows that in addition to students, young adults who are unemployed also experience elevated levels of depression in the context of the COVID-19 pandemic. These two groups should be the focus of specific attention in terms of prevention and mental health treatment. Supporting employment could also be a propitious way of reducing the burden of the COVID-19 pandemic on the mental health of young adults.
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Affiliation(s)
- Maria Melchior
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Faculté de Médecine St Antoine, Paris, France,*Correspondence: Maria Melchior
| | - Aline-Marie Florence
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Faculté de Médecine St Antoine, Paris, France
| | - Camille Davisse-Paturet
- Université Paris-Saclay, Inserm, Université Versailles Saint-Quentin (UVSQ), Centre d'Epidémiologie et de Santé Publique (CESP), Paris, France
| | - Bruno Falissard
- Université Paris-Saclay, Inserm, Université Versailles Saint-Quentin (UVSQ), Centre d'Epidémiologie et de Santé Publique (CESP), Paris, France,AP-HP Paris-Saclay, Epidemiology and Public Health Department, Le Kremlin-Bicêtre, France
| | - Cédric Galéra
- INSERM, Bordeaux Population Health Center, UMR1219, Bordeaux, France
| | | | - Cécile Vuillermoz
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Faculté de Médecine St Antoine, Paris, France
| | - Josiane Warszawski
- Université Paris-Saclay, Inserm, Université Versailles Saint-Quentin (UVSQ), Centre d'Epidémiologie et de Santé Publique (CESP), Paris, France,AP-HP Paris-Saclay, Epidemiology and Public Health Department, Le Kremlin-Bicêtre, France
| | - Fallou Dione
- Université Paris-Saclay, Inserm, Université Versailles Saint-Quentin (UVSQ), Centre d'Epidémiologie et de Santé Publique (CESP), Paris, France
| | - Alexandra Rouquette
- Université Paris-Saclay, Inserm, Université Versailles Saint-Quentin (UVSQ), Centre d'Epidémiologie et de Santé Publique (CESP), Paris, France,AP-HP Paris-Saclay, Epidemiology and Public Health Department, Le Kremlin-Bicêtre, France
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Délétroz C, Allen MC, Sasseville M, Rouquette A, Bodenmann P, Gagnon MP. eHealth literacy measurement tools: a systematic review protocol. Syst Rev 2022; 11:205. [PMID: 36151577 PMCID: PMC9508732 DOI: 10.1186/s13643-022-02076-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 09/18/2022] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Improving eHealth literacy (eHL) is one of the biggest challenges currently facing the global healthcare community. Indeed the use of digital services has the potential to engage patients in care as well as improve the effectiveness of chronic disease self-management, it remains highly dependent on a patient's specific skills and experiences in the health care systems. Although eHealth literacy has gained momentum in the past decade, it remains an underresearched area, particularly eHealth literacy measurement. The aim of the review is to identify patient-reported outcome measures (PROMs) of eHealth literacy for adult populations and to summarize the evidence on their psychometric properties. METHODS We will conduct a systematic literature review of the tools used to measure eHealth literacy for adult population. The search strategy aims to find published studies. A three-step search strategy will be used in this review. Published studies will be searched in CINAHL, PubMed, PsycINFO, and Web of Science from inception until end. Grey literature will be searched to find theses. Database search strategies will be formulated and tested with the assistance of an expert Health Sciences Librarian. The selection of studies will be done by two independent reviewers. Disagreements will be resolved through consensus, and a third reviewer will solve discrepancies. Furthermore, two reviewers will independently evaluate the methodological rigor of the instruments development and testing and assign a grade using the standardized Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist. Disagreements will be discussed with a third reviewer, expert in psychometrics. Extracted data will be aggregated and analyzed to produce a set of synthesized findings that will be used to develop evidence-informed recommendations in regard of eHL instruments. We will present a synthesis of all instruments, their psychometric properties, and make recommendations for eHL instrument selection in practice. Reporting will be informed by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis and a PRISMA flow diagram. DISCUSSION This systematic review will summarize the evidence on the psychometric properties of PROMs instruments used to measure eHL and will help clinicians, managers, and policy-makers to select an appropriate instrument. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42021232765.
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Affiliation(s)
- Carole Délétroz
- Faculty of Nursing Sciences, Laval University, 2325 Rue de l'Université, Québec, QC, G1V 0A6, Canada. .,School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland, Avenue de Beaumont 21, 1011, Lausanne, Switzerland.
| | - Marina Canepa Allen
- School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland, Avenue de Beaumont 21, 1011, Lausanne, Switzerland
| | - Maxime Sasseville
- Faculty of Nursing Sciences, Laval University, 2325 Rue de l'Université, Québec, QC, G1V 0A6, Canada
| | - Alexandra Rouquette
- Paris-Saclay University, Inserm, UVSQ, CESP, DevPsy, Paris, France.,Public Health and Epidemiology Department, AP-HP Paris-Sarclay, Bicêtre Hospital, Le Kremlin-Bicêtre, France
| | - Patrick Bodenmann
- Department of Vulnerabilities and Social Medicine, Unisanté, Lausanne, Switzerland.,Faculty of Biology and Medicine, Vice-Dean Teaching and Diversity, University of Lausanne, Rue du Bugnon 44, 1011, Lausanne, Switzerland
| | - Marie-Pierre Gagnon
- Faculty of Nursing Sciences, Laval University, 2325 Rue de l'Université, Québec, QC, G1V 0A6, Canada
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Fogno A, Rouquette A, Gronfier C, Bernard J, Plancoulaine S. Relations entre usage des écrans, exposition à la lumière naturelle et sommeil chez les enfants en France pendant le premier confinement consécutif à l’épidémie SARS-CoV-2. Médecine du Sommeil 2022. [PMCID: PMC9170532 DOI: 10.1016/j.msom.2022.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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23
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Davisse-Paturet C, Orri M, Florence AM, Hazo JB, Geoffroy MC, Melchior M, Rouquette A. Factors associated with suicidal ideation in the French nationwide EPICOV study. Eur Psychiatry 2022. [PMCID: PMC9566852 DOI: 10.1192/j.eurpsy.2022.1365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
The COVID-19 pandemic seems associated with a worsening in mental health issues as well as a widening of pre-existing social and health inequalities. Assessment of its impact on suicidal behavior might therefore be relevant.
Objectives
To assess factors associated with suicidal ideation in the general population, using data from the French nationwide Epicov study
Methods
In the nationally representative Epicov study, data on occurrence of suicidal ideation from November 2019 to November 2020 were available, including timing with respect to France’s lockdown periods. We studied the incidence of suicidal ideation among participants without a prior history of suicidal behavior, after May 11, 2020, when first COVID-19 related lockdown was suspended. Studied factors assessed sociodemographic and health status, including mental health, as well as COVID-19 related information such as symptom. Associations between selected factors and suicidal ideation were assessed in sex-stratified adjusted logistic regression models.
Results
In the Epicov study, prevalence of suicidal ideation was of 2,9%, as opposed to around 4% pre-pandemic. Among 48 702 female and 41 016 male participants, health or financial issues were associated with a higher incidence of suicidal ideation. Interestingly, Covid19-like symptoms were also associated with higher risk of suicidal ideation. While an impaired mental health has been observed in survivors of past pandemics, given the unprecedented context of the current pandemic, this association needs further investigation.
Conclusions
While the COVID-19 pandemic might have lowered suicidal ideation, it’s aftermaths may reverse the trend. To prevent this rise, identification of vulnerable groups is crucial to promote tailored public health strategies.
Disclosure
No significant relationships.
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Mellon G, Rouquette A, Fac C, Carton B, Cordonnier F, David E, Goutte B, Heulin F, Kanoui V, Levasseur L, Racle P, Silberman B, Nehri K, Dulioust A, Roque-Afonso AM. SARS-CoV-2 seroprevalence in the adult detainees of the Paris area in 2021: a multicenter cross-sectional study. J Infect 2022; 85:e40-e43. [PMID: 35659551 PMCID: PMC9159777 DOI: 10.1016/j.jinf.2022.05.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 05/29/2022] [Indexed: 11/25/2022]
Affiliation(s)
- Guillaume Mellon
- EPSNF, Service de Médecine Polyvalente et Maladies Infectieuses, Hôpital de Fresnes, 94260 Fresnes, France; AP-HP, Assistance Publique-Hôpitaux de Paris, COREB, Hôpital Bichat, 75018 Paris, France.
| | - Alexandra Rouquette
- AP-HP, Assistance Publique-Hôpitaux de Paris, Service d'Epidémiologie et de Santé Publique, Hôpital Bicêtre, Le Kremlin-Bicêtre, France; Paris-Saclay University, UVSQ, Inserm, CESP, Paris, France
| | - Catherine Fac
- AP-HP, Assistance Publique-Hôpitaux de Paris, Unité sanitaire en milieu pénitentiaire (USMP), Centre Pénitentiaire de Fresnes, Hôpital Bicêtre, Le Kremlin-Bicêtre, France
| | - Béatrice Carton
- Unité sanitaire en milieu pénitentiaire (USMP), Centre Pénitentiaire de Bois d'Arcy, Hôpital André Mignot, Le Chesnay, France
| | - François Cordonnier
- Unité sanitaire en milieu pénitentiaire (USMP), Centre Pénitentiaire de Poissy, Hôpital de Poissy, Poissy, France
| | - Emmanuelle David
- Unité sanitaire en milieu pénitentiaire (USMP), Centre Pénitentiaire de Meaux, Grand Hôpital de l'Est Francilien, Meaux, France
| | - Béatrice Goutte
- Unité sanitaire en milieu pénitentiaire (USMP), Centre Pénitentiaire d'Osny, Hôpital de Pontoise, Pontoise, France
| | - François Heulin
- Unité sanitaire en milieu pénitentiaire (USMP), Centre Pénitentiaire de Nanterre, Centre d'accueil et de soins hospitalier de Nanterre, Nanterre, France
| | - Valérie Kanoui
- Unité sanitaire en milieu pénitentiaire (USMP), Centre Pénitentiaire de Fleury-Mérogis, Centre hospitalier sud francilien, Corbeil-Essonnes, France
| | - Ludovic Levasseur
- Unité sanitaire en milieu pénitentiaire (USMP), Centre Pénitentiaire de Villepinte, Hôpital Robert Ballanger, Villepinte, France
| | - Pascale Racle
- Unité sanitaire en milieu pénitentiaire (USMP), Centre Pénitentiaire de Melun, Groupe Hospitalier Sud Ile de France, Melun, France
| | - Benjamin Silberman
- AP-HP, Assistance Publique-Hôpitaux de Paris, Unité sanitaire en milieu pénitentiaire (USMP), Centre Pénitentiaire de Paris, Hôpital Cochin, Paris, France
| | - Kawther Nehri
- Unité de Recherche Clinique, AP-HP, Hôpital Antoine Béclère, Clamart, France
| | - Anne Dulioust
- EPSNF, Service de Médecine Polyvalente et Maladies Infectieuses, Hôpital de Fresnes, 94260 Fresnes, France
| | - Anne-Marie Roque-Afonso
- Université Paris Saclay, INSERM 1193, AP-HP, Service de virologie, Hôpital Paul Brousse, Villejuif, 94800 France
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Rouquette A, Rigal L, Mancini J, Guillemin F, van den Broucke S, Allaire C, Azogui-Levy S, Ringa V, Hassler C. Health Literacy throughout adolescence: Invariance and validity study of three measurement scales in the general population. Patient Educ Couns 2022; 105:996-1003. [PMID: 34384639 DOI: 10.1016/j.pec.2021.07.044] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Revised: 06/05/2021] [Accepted: 07/27/2021] [Indexed: 05/05/2023]
Abstract
OBJECTIVE To simultaneously investigate the psychometric properties of three recently developed health literacy measurement scales throughout adolescence in the general population. METHODS French versions of the Health Literacy for School-Aged Children (HLSAC, unidimensional) scale, the Health Literacy Assessment Scale for Adolescents (HAS-A, multidimensional) and the 16-item European Health Literacy Survey questionnaire (HLS-EU-Q16, unidimensional) were completed by 1 444 adolescents in 8th, 9th, 11th grade in general school and 11-12th grade in vocational school. Psychometric properties were studied using confirmatory factor analysis, McDonald's omega coefficient and hypothesis testing. RESULTS Structural validity was acceptable (HLS-EU-Q16) to good (HAS-A and HLSAC), no measurement invariance issue was found and internal consistency was acceptable for the three scales (0.68-0.84). Convergent validity was low (Pearson correlation coefficients<0.5) and the only scale for which results were in agreement with a priori hypotheses was the HLSAC. CONCLUSIONS Our results were supportive of the use of HLSAC to assess health literacy during adolescence but the HAS-A, with a slightly better structural validity, can also be promoted due to its three measured dimensions. PRACTICE IMPLICATIONS The use of these scales in practice will help to focus on health literacy, a critical factor for prevention and health promotion in adolescence.
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Affiliation(s)
- Alexandra Rouquette
- Paris-Saclay University, UVSQ, Inserm, CESP, Paris, France; APHP Paris-Saclay, Epidemiology and Public Health Department, Le Kremlin-Bicêtre, France.
| | - Laurent Rigal
- Paris-Saclay University, UVSQ, Inserm, CESP, Villejuif, France; Paris-Saclay University, Medicine Faculty, General Practice Department, Le Kremlin-Bicêtre, France.
| | - Julien Mancini
- Aix Marseille University, Inserm, IRD, SESSTIM, Cancer, Biomedicine & Society group, Marseille, France; APHM, BIOSTIC, Timone Hospital, Marseille, France.
| | - Francis Guillemin
- CHRU-Nancy, INSERM, Lorraine University, CIC 1433 Clinical Epidemiology, Vandoeuvre-les-Nancy, France; Lorraine University, APEMAC, Vandœuvre-lès-Nancy, France.
| | - Stephan van den Broucke
- Psychological science Research Institute, Louvain Catholic University, Louvain-la-Neuve, Belgium.
| | | | - Sylvie Azogui-Levy
- Department of Dental Public Health, Faculty of Dentistry, Paris Diderot University, Paris, France; Education and Health Practices Laboratory (LEPS) (EA 3412), UFR SMBH, Paris 13 University, Sorbonne Paris Cité, Bobigny, France.
| | - Virginie Ringa
- Paris-Saclay University, UVSQ, Inserm, CESP, Villejuif, France.
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Bailhache M, Monnier M, Moulin F, Thierry X, Vandentorren S, Côté SM, Falissard B, Simeon T, Geay B, Marchand L, Dufourg MN, Charles MA, Ancel PY, Melchior M, Rouquette A, Galera C. Emotional and attention-deficit/hyperactivity disorder symptoms of preterm vs. full-term children during COVID-19 pandemic restrictions. Pediatr Res 2022; 92:1749-1756. [PMID: 35354927 PMCID: PMC8964926 DOI: 10.1038/s41390-022-02037-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 03/04/2022] [Accepted: 03/13/2022] [Indexed: 12/30/2022]
Abstract
BACKGROUND Preterm children are at higher risk of developing mental health problems than full-term children. Deterioration of children's mental health was observed during COVID-19 pandemic restrictive measures. Our study compared emotional and attention-deficit/hyperactivity disorder (ADHD) symptoms during school closure between preterm and full-term children. METHODS Data from two French birth cohorts-ELFE and EPIPAGE-2-were used. In 2011, infants born ≥22 weeks' gestation were recruited. Parents completed the Strengths and Difficulties Questionnaire when the children were 9 years old and experiencing school closure. Multivariate multinomial logistic regression models were used. RESULTS Subjects included 4164 full-term and 1119 preterm children. In univariate analyses, compared to full-term children: extremely and very preterm children more frequently had abnormal and borderline ADHD scores (odds ratio [OR] 1.86, 95% confidence interval [CI] 1.50-2.30, OR 1.42, 95% CI 1.08-1.85, respectively) and abnormal emotional scores (OR 1.86, 95% CI 1.43-2.40); moderate to late preterm children more often had abnormal ADHD scores (OR 1.33, 95% CI 1.01-1.78). The associations did not remain when previous symptoms at 5 years old were considered. CONCLUSIONS School closure during lockdown did not appear to increase the risk of mental health problems in preterm compared to full-term children. IMPACT STATEMENT Preterm children are at higher risk of developing mental health problems than full-term children. Deterioration in children's mental health was observed during COVID-19 pandemic restrictions. However, whether preterm children were a particularly vulnerable subgroup during school closure is unclear. In univariate analyses, extremely and very preterm children more often had abnormal and borderline ADHD symptoms and abnormal emotional symptom scores than full-term children. The associations did not remain significantly associated when previous symptoms were considered. Preterm compared to full-term children more often suffer from ADHD and emotional symptoms, but school closure during lockdown did not appear to increase this risk.
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Affiliation(s)
- Marion Bailhache
- CHU de Bordeaux, Pole de pediatrie, Place Amélie Raba Léon, F-33000, Bordeaux, France. .,Univ. Bordeaux, Bordeaux, France. .,Bordeaux Population Health Research Center, INSERM U1219, Bordeaux, France.
| | - Maeva Monnier
- grid.412041.20000 0001 2106 639XUniv. Bordeaux, Bordeaux, France ,grid.508062.90000 0004 8511 8605Bordeaux Population Health Research Center, INSERM U1219, Bordeaux, France
| | - Flore Moulin
- grid.412041.20000 0001 2106 639XUniv. Bordeaux, Bordeaux, France ,grid.508062.90000 0004 8511 8605Bordeaux Population Health Research Center, INSERM U1219, Bordeaux, France
| | - Xavier Thierry
- grid.77048.3c0000 0001 2286 7412National Institute for Demographic Studies, Paris, France
| | - Stéphanie Vandentorren
- grid.493975.50000 0004 5948 8741Santé Publique France, French National Public Health Agency, F-94415 Saint-Maurice, France
| | - Sylvana M. Côté
- grid.14848.310000 0001 2292 3357Departement of Social and Preventive Medicine, University of Montreal, Montreal, Canada
| | - Bruno Falissard
- grid.12832.3a0000 0001 2323 0229CESP, Université Paris-Saclay, UVSQ, Villejuif, France
| | - Thierry Simeon
- grid.443947.90000 0000 9751 7639Ined Inserm EFS joint unit ELFE, Paris, France
| | - Bertrand Geay
- grid.443947.90000 0000 9751 7639Ined Inserm EFS joint unit ELFE, Paris, France
| | - Laetitia Marchand
- grid.507621.7Université de Paris, INSERM, INRAE Centre for Research in Epidemiology and Statistics Paris, Paris, France
| | - Marie N. Dufourg
- grid.443947.90000 0000 9751 7639Ined Inserm EFS joint unit ELFE, Paris, France
| | - Marie A. Charles
- grid.443947.90000 0000 9751 7639Ined Inserm EFS joint unit ELFE, Paris, France ,grid.507621.7Université de Paris, INSERM, INRAE Centre for Research in Epidemiology and Statistics Paris, Paris, France
| | - Pierre Y. Ancel
- grid.507621.7Université de Paris, INSERM, INRAE Centre for Research in Epidemiology and Statistics Paris, Paris, France
| | - Maria Melchior
- grid.7429.80000000121866389Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Paris, France
| | - Alexandra Rouquette
- grid.12832.3a0000 0001 2323 0229CESP, Université Paris-Saclay, UVSQ, Villejuif, France ,grid.413784.d0000 0001 2181 7253Public Health and Epidemiology Department, AP-HP Paris-Saclay, Bicêtre Hospital, Le Kremlin-Bicêtre, France
| | - Cédric Galera
- grid.412041.20000 0001 2106 639XUniv. Bordeaux, Bordeaux, France ,grid.508062.90000 0004 8511 8605Bordeaux Population Health Research Center, INSERM U1219, Bordeaux, France ,Department of Child and Adolescent Psychiatry, CH Charles Perrens, Bordeaux, France
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Moulin F, El-Aarbaoui T, Bustamante JJH, Héron M, Mary-Krause M, Rouquette A, Galéra C, Melchior M. Risk and protective factors related to children's symptoms of emotional difficulties and hyperactivity/inattention during the COVID-19-related lockdown in France: results from a community sample. Eur Child Adolesc Psychiatry 2022; 31:1-12. [PMID: 33751230 PMCID: PMC7942211 DOI: 10.1007/s00787-021-01752-3] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 02/23/2021] [Indexed: 11/03/2022]
Abstract
OBJECTIVE The COVID-19 epidemic has spread worldwide since December 2019. To contain it, preventive measures including social distancing, economic shutdown, and school closures were introduced, carrying the risk of mental health burden in adults and children. Although the knowledge base regarding children's response to trauma and adverse events in general has broadened, descriptions of their mental health during epidemics remain scarce. In particular, the role of family socioeconomic characteristics and parental mental health are poorly understood. METHODS We assessed the correlates of children's emotional difficulties and symptoms of hyperactivity/inattention during the COVID-19 lockdown in a French community-based sample. Data came from 432 community-based parents (27-46 years, TEMPO cohort) and their children (mean age 6.8 ± 4.1) interviewed online. Children's symptoms of emotional difficulties and hyperactivity/inattention were assessed using the parent-reported Strengths and Difficulties Questionnaire during the 5th week of home confinement. Family socioeconomic characteristics and parental mental health and substance use were assessed weekly during the first 5 weeks of home confinement. Data were analyzed using logistic regression models. RESULTS 7.1% of children presented symptoms of emotional difficulties and 24.7% symptoms of hyperactivity/inattention. Family financial difficulties and parental symptoms of anxiety and depression, as well as children's sleeping difficulties and screen time, were associated with the presence of psychological difficulties. CONCLUSION Children's emotional and behavioural difficulties are associated with parental mental health and socioeconomic difficulties. In the unprecedented situation of the COVID-19 epidemic, parents and professionals involved in caring for children should pay special attention to their mental health needs.
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Affiliation(s)
- Flore Moulin
- Bordeaux Population Health Research Center, INSERM U 1219, Bordeaux, France. .,Université de Bordeaux, Bordeaux, France.
| | - Tarik El-Aarbaoui
- grid.503257.60000 0000 9776 8518INSERM Sorbonne Université, IPLESP, ERES UMRS 1136, Paris, France
| | | | - Mégane Héron
- grid.503257.60000 0000 9776 8518INSERM Sorbonne Université, IPLESP, ERES UMRS 1136, Paris, France
| | - Murielle Mary-Krause
- grid.503257.60000 0000 9776 8518INSERM Sorbonne Université, IPLESP, ERES UMRS 1136, Paris, France
| | - Alexandra Rouquette
- grid.7429.80000000121866389Université Paris-Saclay, UVSQ, Inserm, CESP, Paris, France ,grid.413784.d0000 0001 2181 7253AP-HP, Bicêtre Hospital, Public Health and Epidemiology Department, Le Kremlin-Bicêtre, France
| | - Cédric Galéra
- grid.508062.90000 0004 8511 8605Bordeaux Population Health Research Center, INSERM U 1219, Bordeaux, France ,grid.412041.20000 0001 2106 639XUniversité de Bordeaux, Bordeaux, France ,grid.489895.10000 0001 1554 2345Department of Child and Adolescent Psychiatry, Centre Hospitalier Charles Perrens, Bordeaux, France
| | - Maria Melchior
- grid.503257.60000 0000 9776 8518INSERM Sorbonne Université, IPLESP, ERES UMRS 1136, Paris, France
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Monnier M, Moulin F, Thierry X, Vandentorren S, Côté S, Barbosa S, Falissard B, Plancoulaine S, Charles MA, Simeon T, Geay B, Marchand L, Ancel PY, Melchior M, Rouquette A, Galera C. Children's mental and behavioral health, schooling, and socioeconomic characteristics during school closure in France due to COVID-19: the SAPRIS project. Sci Rep 2021; 11:22373. [PMID: 34789783 PMCID: PMC8599695 DOI: 10.1038/s41598-021-01676-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Accepted: 10/25/2021] [Indexed: 12/24/2022] Open
Abstract
COVID-19 limitation strategies have led to widespread school closures around the world. The present study reports children's mental health and associated factors during the COVID-19 school closure in France in the spring of 2020. We conducted a cross-sectional analysis using data from the SAPRIS project set up during the COVID-19 pandemic in France. Using multinomial logistic regression models, we estimated associations between children's mental health, children's health behaviors, schooling, and socioeconomic characteristics of the children's families. The sample consisted of 5702 children aged 8-9 years, including 50.2% girls. In multivariate logistic regression models, children's sleeping difficulties were associated with children's abnormal symptoms of both hyperactivity-inattention (adjusted Odds Ratio (aOR) 2.05; 95% Confidence Interval 1.70-2.47) and emotional symptoms (aOR 5.34; 95% CI 4.16-6.86). Factors specifically associated with abnormal hyperactivity/inattention were: male sex (aOR 2.29; 95% CI 1.90-2.76), access to specialized care prior to the pandemic and its suspension during school closure (aOR 1.51; 95% CI 1.21-1.88), abnormal emotional symptoms (aOR 4.06; 95% CI 3.11-5.29), being unschooled or schooled with assistance before lockdown (aOR 2.13; 95% CI 1.43-3.17), and tutoring with difficulties or absence of a tutor (aOR 3.25; 95% CI 2.64-3.99; aOR 2.47; 95% CI 1.48-4.11, respectively). Factors associated with children's emotional symptoms were the following: being born pre-term (aOR 1.34; 95% CI 1.03-1.73), COVID-19 cases among household members (aOR 1.72; 95% CI 1.08-2.73), abnormal symptoms of hyperactivity/inattention (aOR 4.18; 95% CI 3.27-5.34) and modest income (aOR 1.45; 95% CI 1.07-1.96; aOR 1.36; 95% CI 1.01-1.84). Multiple characteristics were associated with elevated levels of symptoms of hyperactivity-inattention and emotional symptoms in children during the period of school closure due to COVID-19. Further studies are needed to help policymakers to balance the pros and cons of closing schools, taking into consideration the educational and psychological consequences for children.
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Affiliation(s)
- Maëva Monnier
- Bordeaux Population Health Research Center, INSERM U 1219, Université de Bordeaux, 146 rue Léo Saignat, 33077, Bordeaux Cedex, France.
- Department of Child and Adolescent Psychiatry, Centre Hospitalier Charles Perrens, Bordeaux, France.
| | - Flore Moulin
- Bordeaux Population Health Research Center, INSERM U 1219, Université de Bordeaux, 146 rue Léo Saignat, 33077, Bordeaux Cedex, France
| | - Xavier Thierry
- ELFE Joint Unit, French Institute for Demographic Studies (Ined), French Institute for Medical Research and Health (Inserm), Paris, France
| | - Stéphanie Vandentorren
- Inserm, UMR 1219, Vintage Team, Université de Bordeaux, 33000, Bordeaux, France
- Santé Publique France, French National Public Health Agency, 94415, Saint-Maurice, France
| | - Sylvana Côté
- Bordeaux Population Health Research Center, INSERM U 1219, Université de Bordeaux, 146 rue Léo Saignat, 33077, Bordeaux Cedex, France
- Department of Child and Adolescent Psychiatry, Centre Hospitalier Charles Perrens, Bordeaux, France
- Department of Social and Preventive Medicine, University of Montreal, Montreal, Canada
- Research Unit on Children's Psychosocial Maladjustment, Montreal, QC, Canada
| | - Susana Barbosa
- Centre National de la Recherche Scientifique, Institut de Pharmacologie Moléculaire et Cellulaire, Université Côte d'Azur, Valbonne, France
| | - Bruno Falissard
- Inserm, UVSQ, CESP, DevPsy, Paris-Saclay University, Paris, France
- Research Team (EPOPé), Center for Epidemiology and Statistics, Sorbonne Paris Cité, Département Hospitalo-Universitaire Risks in Pregnancy, Paris Descartes University, Paris, France
- Unité de Recherche Clinique-Centre d'Investigations Cliniques P1419, Département Hospitalo-Universitaire Risks in Pregnancy, Cochin Hotel-Dieu Hospital, Paris, France
| | - Sabine Plancoulaine
- Centre for Research in Epidemiology and StatisticS (CRESS), Inserm, INRAE, Université de Paris, 75004, Paris, France
- Inserm Unité Mixte de Recherche 1153, Obstetrical, Perinatal, and Pediatric Epidemiology, Paris, France
| | - Marie-Aline Charles
- Centre for Research in Epidemiology and StatisticS (CRESS), Inserm, INRAE, Université de Paris, 75004, Paris, France
- Inserm Unité Mixte de Recherche 1153, Obstetrical, Perinatal, and Pediatric Epidemiology, Paris, France
| | | | | | | | - Pierre-Yves Ancel
- Research Team (EPOPé), Center for Epidemiology and Statistics, Sorbonne Paris Cité, Département Hospitalo-Universitaire Risks in Pregnancy, Paris Descartes University, Paris, France
- Unité de Recherche Clinique-Centre d'Investigations Cliniques P1419, Département Hospitalo-Universitaire Risks in Pregnancy, Cochin Hotel-Dieu Hospital, Paris, France
| | - Maria Melchior
- INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Sorbonne Université, Paris, France
| | - Alexandra Rouquette
- Inserm, UVSQ, CESP, DevPsy, Paris-Saclay University, Paris, France
- Public Health and Epidemiology Department, AP-HP Paris-Saclay, Bicêtre Hospital, Le Kremlin-Bicêtre, France
| | - Cédric Galera
- Bordeaux Population Health Research Center, INSERM U 1219, Université de Bordeaux, 146 rue Léo Saignat, 33077, Bordeaux Cedex, France.
- Department of Child and Adolescent Psychiatry, Centre Hospitalier Charles Perrens, Bordeaux, France.
- Research Unit on Children's Psychosocial Maladjustment, Montreal, QC, Canada.
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Carrat F, de Lamballerie X, Rahib D, Blanché H, Lapidus N, Artaud F, Kab S, Renuy A, Szabo de Edelenyi F, Meyer L, Lydié N, Charles MA, Ancel PY, Jusot F, Rouquette A, Priet S, Saba Villarroel PM, Fourié T, Lusivika-Nzinga C, Nicol J, Legot S, Druesne-Pecollo N, Esseddik Y, Lai C, Gagliolo JM, Deleuze JF, Bajos N, Severi G, Touvier M, Zins M. Antibody status and cumulative incidence of SARS-CoV-2 infection among adults in three regions of France following the first lockdown and associated risk factors: a multicohort study. Int J Epidemiol 2021; 50:1458-1472. [PMID: 34293141 PMCID: PMC8344948 DOI: 10.1093/ije/dyab110] [Citation(s) in RCA: 50] [Impact Index Per Article: 16.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/04/2021] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND We aimed to estimate the seropositivity to anti-SARS-CoV-2 antibodies in May-June 2020 after the first lockdown period in adults living in three regions in France and to identify the associated risk factors. METHODS Between 4 May 2020 and 23 June 2020, 16 000 participants in a survey on COVID-19 from an existing consortium of three general adult population cohorts living in the Ile-de-France (IDF) or Grand Est (GE) (two regions with high rate of COVID-19) or in the Nouvelle-Aquitaine (NA) (with a low rate) were randomly selected to take a dried-blood spot for anti-SARS-CoV-2 antibodies assessment with three different serological methods (ClinicalTrial Identifier #NCT04392388). The primary outcome was a positive anti-SARS-CoV-2 ELISA IgG result against the spike protein of the virus (ELISA-S). Estimates were adjusted using sampling weights and post-stratification methods. Multiple imputation was used to infer the cumulative incidence of SARS-CoV-2 infection with adjustments for imperfect tests accuracies. RESULTS The analysis included 14 628 participants, 983 with a positive ELISA-S. The weighted estimates of seropositivity and cumulative incidence were 10.0% [95% confidence interval (CI): 9.1%, 10.9%] and 11.4% (95% CI: 10.1%, 12.8%) in IDF, 9.0% (95% CI: 7.7%, 10.2%) and 9.8% (95% CI: 8.1%, 11.8%) in GE and 3.1% (95% CI: 2.4%, 3.7%) and 2.9% (95% CI: 2.1%, 3.8%) in NA, respectively. Seropositivity was higher in younger participants [odds ratio (OR) = 1.84 (95% CI: 1.79, 6.09) in <40 vs 50-60 years old and OR = 0.56 (95% CI: 0.42, 0.74) in ≥70 vs 50-60 years old)] and when at least one child or adolescent lived in the same household [OR = 1.30 (95% CI: 1.11, 1.53)] and was lower in smokers compared with non-smokers [OR = 0.71 (95% CI: 0.57, 0.89)]. CONCLUSIONS Seropositivity to anti-SARS-CoV-2 antibodies in the French adult population was ≤10% after the first wave. Modifiable and non-modifiable risk factors were identified.
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Affiliation(s)
- Fabrice Carrat
- Sorbonne Université, Inserm, Institut Pierre-Louis d’Epidémiologie et de Santé Publique, Paris, France
- Département de Santé Publique, APHP.Sorbonne Université, Paris, France
| | - Xavier de Lamballerie
- Unité des Virus Émergents, UVE: Aix Marseille Univ, IRD 190, Inserm 1207, IHU Méditerranée Infection, Marseille, France
| | | | - Hélène Blanché
- Fondation Jean Dausset-CEPH (Centre d’Etude du Polymorphisme Humain), CEPH-Biobank, Paris, France
| | - Nathanael Lapidus
- Sorbonne Université, Inserm, Institut Pierre-Louis d’Epidémiologie et de Santé Publique, Paris, France
- Département de Santé Publique, APHP.Sorbonne Université, Paris, France
| | - Fanny Artaud
- CESP UMR1018, Université Paris-Saclay, UVSQ, Inserm, Gustave Roussy, Villejuif, France
| | - Sofiane Kab
- Paris University, Paris, France
- Paris-Saclay University, Inserm UMS 11, Villejuif, France
| | - Adeline Renuy
- Paris University, Paris, France
- Paris-Saclay University, Inserm UMS 11, Villejuif, France
| | - Fabien Szabo de Edelenyi
- Sorbonne Paris Nord University, Inserm U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University of Paris (CRESS), Bobigny, France
| | - Laurence Meyer
- Université Paris-Saclay, Inserm, CESP U1018, Le Kremlin Bicêtre, France
- Service de Santé Publique, APHP.Paris Saclay, Le Kremlin Bicêtre, France
| | | | | | - Pierre-Yves Ancel
- Obstetrical, Perinatal and Pediatric Epidemiology Research Team, Center for Epidemiology and Statistics Sorbonne Paris Cité, Inserm U1153, Paris Descartes University, Paris, France
- Clinical Research Unit, Center for Clinical Investigation P1419, Cochin Broca Hôtel-Dieu Hospital, Paris, France
| | - Florence Jusot
- Université Paris-Dauphine, PSL-Research University, LEDa, Paris, France
| | - Alexandra Rouquette
- Université Paris-Saclay, Inserm, CESP U1018, Le Kremlin Bicêtre, France
- Service de Santé Publique, APHP.Paris Saclay, Le Kremlin Bicêtre, France
| | - Stéphane Priet
- Unité des Virus Émergents, UVE: Aix Marseille Univ, IRD 190, Inserm 1207, IHU Méditerranée Infection, Marseille, France
| | - Paola Mariela Saba Villarroel
- Unité des Virus Émergents, UVE: Aix Marseille Univ, IRD 190, Inserm 1207, IHU Méditerranée Infection, Marseille, France
| | - Toscane Fourié
- Unité des Virus Émergents, UVE: Aix Marseille Univ, IRD 190, Inserm 1207, IHU Méditerranée Infection, Marseille, France
| | - Clovis Lusivika-Nzinga
- Sorbonne Université, Inserm, Institut Pierre-Louis d’Epidémiologie et de Santé Publique, Paris, France
| | - Jérôme Nicol
- Sorbonne Université, Inserm, Institut Pierre-Louis d’Epidémiologie et de Santé Publique, Paris, France
| | - Stephane Legot
- Paris University, Paris, France
- Paris-Saclay University, Inserm UMS 11, Villejuif, France
| | - Nathalie Druesne-Pecollo
- Sorbonne Paris Nord University, Inserm U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University of Paris (CRESS), Bobigny, France
| | - Younes Esseddik
- Sorbonne Paris Nord University, Inserm U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University of Paris (CRESS), Bobigny, France
| | - Cindy Lai
- Institut de Santé Publique, Pôle Recherche Clinique, Institut National de la Santé et de la Recherche Médicale, Paris, France
| | | | - Jean-François Deleuze
- Fondation Jean Dausset-CEPH (Centre d’Etude du Polymorphisme Humain), CEPH-Biobank, Paris, France
| | | | - Gianluca Severi
- CESP UMR1018, Université Paris-Saclay, UVSQ, Inserm, Gustave Roussy, Villejuif, France
- Department of Statistics, Computer Science and Applications, University of Florence, Florence, Italy
| | - Mathilde Touvier
- Sorbonne Paris Nord University, Inserm U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University of Paris (CRESS), Bobigny, France
| | - Marie Zins
- Paris University, Paris, France
- Paris-Saclay University, Inserm UMS 11, Villejuif, France
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Carrat F, de Lamballerie X, Rahib D, Blanché H, Lapidus N, Artaud F, Kab S, Renuy A, Szabo de Edelenyi F, Meyer L, Lydié N, Charles MA, Ancel PY, Jusot F, Rouquette A, Priet S, Saba Villarroel PM, Fourié T, Lusivika-Nzinga C, Nicol J, Legot S, Druesne-Pecollo N, Esseddik Y, Lai C, Gagliolo JM, Deleuze JF, Bajos N, Severi G, Touvier M, Zins M. Corrigendum to: Antibody status and cumulative incidence of SARS-CoV-2 infection among adults in three regions of France following the first lockdown and associated risk factors: a multicohort study. Int J Epidemiol 2021; 50:1755. [PMID: 34453524 PMCID: PMC8787412 DOI: 10.1093/ije/dyab173] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Galéra C, Moulin F, Melchior M, Rouquette A. Symptoms of emotional difficulties and hyperactivity/inattention among children during the COVID-19 epidemic and associated lockdown: data from the SAPRIS project. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
COVID-19 limitation strategies led to widespread school closures around the world. The present study aims to provide a description of children's mental health and associated factors during the COVID-19 school closure in France.
Methods
We conducted a cross-sectional analysis in the SAPRIS study during the COVID-19 pandemic in France, relying on 2 ongoing national birth cohorts, ELFE and EPIPAGE 2. Using weighted multinomial logistic regression models, we estimated associations between children's mental health (i.e., hyperactivity/inattention and emotional symptoms; assessed by the Strengths and Difficulties Questionnaire), children's health behaviors, schooling, as well as sociodemographic and socioeconomic characteristics of children family.
Results
The sample consisted of 5702 children aged 8 - 9 years and 49.3% girls. Sleep disturbance and parents' dominant socio-professional category were associated with both hyperactivity-inattention (adjusted Odds Ratio (aOR)=2.10 95%Confidence Interval [1.85-2.38]; aOR=0.45 [0.33-0.61] respectively) and emotional symptoms and (aOR=6.33 [5.26-7.63]; aOR=0.62 [0.39-0.98] respectively). Specifically associated with hyperactivity/inattention were: male sex (aOR=2.51 [2.24-2.82]), presence of regular care and its pursuit during school closure (aOR=1.69 [1.33-2.15]), emotional symptoms (aOR=2.74 [2.23-3.37]), school situation (aOR=2.19 [1.69-2.82]), presence of tutoring and difficulties with it (aOR=2.56 [2.13-3.08]), type of housing (aOR=0.79 [0.70-0.89]). Factors associated with emotional symptoms were: presence of covid cases in the household (aOR=2.33 [1.92-2.82]), hyperactivity/inattention (aOR=2.94 [2.45-3.52]) and financial difficulties (aOR=1.71 [1.39-2.11]).
Conclusions
Policy makers need to balance pros and cons of closing schools, taking into consideration educational and psychological consequences for children and the various factors associated with mental health.
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Affiliation(s)
- C Galéra
- INSERM, U 1219, Bordeaux Population Health Research Center, Bordeaux, France
- Université de Bordeaux, Bordeaux, France
- Centre Hospitalier Charles Perrens, Department of Child and Adolescent Psychiatry, Bordeaux, France
| | - F Moulin
- INSERM, U 1219, Bordeaux Population Health Research Center, Bordeaux, France
| | - M Melchior
- INSERM Sorbonne Université, IPLESP, ERES, UMRS 1136, Paris, France
| | - A Rouquette
- Université Paris-Saclay, UVSQ, Inserm, CESP, Paris, France
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Garratt AM, Coste J, Rouquette A, Valderas JM. The Norwegian PROMIS-29: psychometric validation in the general population for Norway. J Patient Rep Outcomes 2021; 5:86. [PMID: 34499288 PMCID: PMC8427163 DOI: 10.1186/s41687-021-00357-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Accepted: 08/25/2021] [Indexed: 12/17/2022] Open
Abstract
Background The Patient Reported Outcome Measurement Information System profile instruments include “high information” items drawn from large item banks following the application of modern psychometric criteria. The shortest adult profile, PROMIS-29, looks set to replace existing short-form instruments in research and clinical practice. The objective of this study was to undertake the first psychometric evaluation of the Norwegian PROMIS-29, following a postal survey of a random sample of 12,790 Norwegians identified through the National Registry of the Norwegian Tax Administration. Confirmatory factor analysis was used to assess structural validity. Fit to the Rasch partial credit model and differential item functioning (DIF) were assessed in relation to age, gender, and education. PROMIS-29 scores were compared to those for the EQ-5D-5L and the Self-assessed Comorbidity Questionnaire (SCQ), for purposes of assessing validity based on a priori hypotheses. Results There were 3200 (25.9%) respondents with a mean age (SD) of 51 (20.7, range 18 to 97 years) and 55% were female. The PROMIS-29 showed satisfactory structural validity and acceptable fit to Rasch model including unidimensionality, and measurement invariance across age and education levels. One pain interference item had uniform DIF for gender but splitting gave satisfactory fit. Domain reliability estimates ranged from 0.85 to 0.95. Correlations between PROMIS-29 domain, SCQ and EQ-5D scores were largely as expected, the largest being for scores assessing very similar aspects of health. Conclusions The Norwegian version of the PROMIS-29 is a reliable and valid generic self-reported measure of health in the Norwegian general population. The instrument is recommended for further application, but the analysis should be replicated and responsiveness to change assessed in future studies before it can be recommended for clinical and health services evaluation in Norway. Supplementary Information The online version contains supplementary material available at 10.1186/s41687-021-00357-3.
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Affiliation(s)
- Andrew M Garratt
- Division for Health Services, Norwegian Institute of Public Health, Post Box 4404, 0403, Nydalen, Oslo, Norway.
| | - Joël Coste
- Biostatistics and Epidemiology Unit, Cochin Hospital, AP-HP, 27 rue du faubourg Saint-Jacques, 75014, Paris, France.,Paris University, 75014, Paris, France
| | - Alexandra Rouquette
- Université Paris-Saclay, UVSQ, Inserm, CESP, 75014, Paris, France.,Public Health and Epidemiology Department, AP-HP Paris-Saclay, 94276, Le Kremlin-Bicêtre Cedex, France
| | - José M Valderas
- Health Services and Policy Research Group (HSPRG), Exeter Collaboration for Academic Primary Care (APEx), and NIHR ARC South West Peninsula (PenARC), University of Exeter, Exeter, UK.,Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
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Sudre J, Venditti L, Ancelet C, Chassin O, Sarov M, Smadja D, Chausson N, Lun F, Laine O, Duron E, Verny C, Spelle L, Rouquette A, Legris N, Denier C. Reperfusion therapy for acute ischemic stroke in older people: An observational real-life study. J Am Geriatr Soc 2021; 69:3167-3176. [PMID: 34374987 DOI: 10.1111/jgs.17394] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 06/17/2021] [Accepted: 06/26/2021] [Indexed: 12/17/2022]
Abstract
BACKGROUND While randomized clinical trials have shown the benefit of thrombolysis and endovascular thrombectomy (EVT) in patients with acute ischemic stroke (AIS), we aimed to describe in a real-life study the differences between older (>80 years old) and younger patients treated for AIS. METHODS Thousand patients treated with thrombolysis and/or EVT were consecutively included in a prospective monocentric database (admitted from December 2015 to May 2019 in our comprehensive stroke center). Demographic data with detailed history, baseline physical examinations and treatments, laboratory and imaging data, prestroke functional status, and outcome 3 months after stroke were analyzed. RESULTS Older patients (n = 357) had more baseline comorbidities and lower levels of prestroke independence (modified Rankin scale ≤2; 67.2% vs. 96.1%) and more severe strokes (median National Institute of Health Stroke Score [NIHSS] 15 vs. 12; p < 0.001) than younger patients (n = 643). There was no difference in the reperfusion treatments used or treatment timelines. In older patients, good functional status at 3 months was less common (29.7% vs. 61.3%) and mortality was higher (37.1% vs. 11.4%) than in younger patients. Younger age was independently associated with better prognosis (odds ratio [OR] 0.37, 95% confidence interval [CI]: 0.20-0.67; p = 0.001) and lower mortality (OR 4.38, 95% CI: 2.11-9.09; p < 0.001). Among older adults, features associated with good outcome at 3 months were age (OR 0.89, 95% CI: 0.81-0.97; p = 0.01), initial NIHSS (OR 0.89, 95% CI: 0.83-0.94; p < 0.0001), and absence of severe leukoaraiosis, anticoagulant treatment, and symptomatic intracerebral hemorrhage following reperfusion therapy (respectively, OR 0.42, 95% CI: 0.19-0.93; p = 0.03; OR = 0.07, 95% CI: 0.01-0.70; p = 0.02; and OR = 0.07, 95% CI: 0.01-0.61; p = 0.02). CONCLUSION Although reperfusion therapy was less successful in older patients, these patients may benefit from acute recanalization despite their age. With an increasing older adult population, high-quality prospective studies are still required to better predict functional outcome and clarify the criteria that would allow better selection of appropriate treatment.
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Affiliation(s)
- Justine Sudre
- Department of Neurology, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Paris Saclay University, Le Kremlin Bicêtre, France
| | - Laura Venditti
- Department of Neurology, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Paris Saclay University, Le Kremlin Bicêtre, France
| | - Claire Ancelet
- Neuroradiology, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Paris Saclay University, Le Kremlin Bicêtre, France
| | - Olivier Chassin
- Department of Neurology, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Paris Saclay University, Le Kremlin Bicêtre, France
| | - Mariana Sarov
- Department of Neurology, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Paris Saclay University, Le Kremlin Bicêtre, France
| | - Didier Smadja
- Department of Neurology, Centre Hospitalier Sud Francilien, Paris Saclay University, Corbeil-Essonnes, France
| | - Nicolas Chausson
- Department of Neurology, Centre Hospitalier Sud Francilien, Paris Saclay University, Corbeil-Essonnes, France
| | - François Lun
- Department of Neurology, Groupe Hospitalier Nord Essonne, Orsay, France
| | - Olga Laine
- Hôpital Gériatrique Les Magnolias, Ballainvilliers, France
| | - Emmanuelle Duron
- Geriatric Center, Paul Brousse Hôpitaux Universitaires Paris Saclay, Assistance Publique-Hôpitaux de Paris, Le Kremlin Bicêtre, France
| | - Christiane Verny
- Geriatric Center, Bicêtre Hôpitaux Universitaires Paris Saclay, Assistance Publique-Hôpitaux de Paris, Le Kremlin Bicêtre, France
| | - Laurent Spelle
- Neuroradiology, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Paris Saclay University, Le Kremlin Bicêtre, France
| | - Alexandra Rouquette
- Public Health and Epidemiology Department, Assistance Publique-Hôpitaux de Paris, Bicêtre Hôpitaux Universitaires Paris Sud, Université Paris Saclay, CESP, Inserm, Le Kremlin Bicêtre, France
| | - Nicolas Legris
- Department of Neurology, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Paris Saclay University, Le Kremlin Bicêtre, France
| | - Christian Denier
- Department of Neurology, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Paris Saclay University, Le Kremlin Bicêtre, France
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Touzani R, Schultz E, Holmes SM, Vandentorren S, Arwidson P, Guillemin F, Rey D, Rouquette A, Bouhnik AD, Mancini J. Early Acceptability of a Mobile App for Contact Tracing During the COVID-19 Pandemic in France: National Web-Based Survey. JMIR Mhealth Uhealth 2021; 9:e27768. [PMID: 34086589 PMCID: PMC8291140 DOI: 10.2196/27768] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 04/12/2021] [Accepted: 05/27/2021] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Several countries have implemented mobile apps in an attempt to trace close contacts of patients with COVID-19 and, in turn, reduce the spread of SARS-CoV-2. However, the effectiveness of this approach depends on the adherence of a large segment of the population. OBJECTIVE The aims of this study were to evaluate the acceptability of a COVID-19 contact tracing mobile app among the French population and to investigate the barriers to its use. METHODS The Health Literacy Survey 2019 questioned 1003 people in France during the COVID-19 pandemic on the basis of quota sampling. The survey collected sociodemographic characteristics and health literacy data, as well as information on participants' communication with caregivers, trust in institutions, and COVID-19 knowledge and preventive behaviors. The acceptability of a mobile app for contact tracing was measured by a single question, the responses to which were grouped into three modalities: app-supporting, app-willing, and app-reluctant. Multinomial logistic regression analysis was performed to identify the factors associated with the acceptability of a mobile app during the COVID-19 pandemic. RESULTS Only 19.2% (193/1003) of all participants were app-supporting, whereas half of them (504/1003, 50.3%) were reluctant. The factors associated with willingness or support toward the contact tracing app included lower financial deprivation (app-willing: adjusted odds ratio [aOR] 0.8, 95% CI 0.69-0.93; app-supporting: aOR 0.7, 95% CI 0.58-0.84) and higher perceived usefulness of using a mobile app to send completed health questionnaires to doctors (app-willing: aOR 2.3, 95% CI 1.70-3.26; app-supporting: aOR 3.1, 95% CI 2.04-4.82). Furthermore, the likelihood of supporting the mobile app increased with age over 60 years (aOR 1.9, 95% CI 1.13-3.22), trust in political representatives (aOR 2.7, 95% CI 1.72-4.23), feeling concerned about the pandemic situation (aOR 2.2, 95% CI 1.47-3.32), and knowledge about the transmission of COVID-19 (aOR 2.0, 95% CI 1.39-2.96). CONCLUSIONS The most socioeconomically precarious people, who are at a higher risk of SARS-CoV-2 infection, are also the most reluctant to using a contact tracing mobile app. Therefore, optimal adherence can only be effective with a targeted discourse on public health benefits to adopt such an app, which should be combined with a reduction in inequalities by acting on structural determinants.
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Affiliation(s)
- Rajae Touzani
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Equipe CANBIOS Labellisée Ligue Contre le Cancer, Marseille, France
- Institut Paoli-Calmettes, SESSTIM U1252, Marseille, France
| | - Emilien Schultz
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Equipe CANBIOS Labellisée Ligue Contre le Cancer, Marseille, France
- CEPED, Université de Paris, IRD, Paris, France
| | - Seth M Holmes
- Institut Paoli-Calmettes, SESSTIM U1252, Marseille, France
- IMERA Mediterranean Institute for Advanced Study, Marseille, France
- Society and Environment, Rausser College of Natural Resources, University of California, Berkeley, Berkeley, CA, United States
- Medical Anthropology, Department of Anthropology, University of California, Berkeley, Berkeley, CA, United States
- School of Public Health, University of California, Berkeley, Berkeley, CA, United States
| | | | | | - Francis Guillemin
- CIC 1433 Clinical Epidemiology, Inserm, CHRU, University of Lorraine, Nancy, France
| | - Dominique Rey
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Equipe CANBIOS Labellisée Ligue Contre le Cancer, Marseille, France
| | - Alexandra Rouquette
- Public Health and Epidemiology Department, AP-HP, Bicêtre Hôpitaux Universitaires Paris Sud, Le Kremlin-Bicêtre, France
- Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM U1018, Villejuif, France
| | - Anne-Déborah Bouhnik
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Equipe CANBIOS Labellisée Ligue Contre le Cancer, Marseille, France
| | - Julien Mancini
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Equipe CANBIOS Labellisée Ligue Contre le Cancer, Marseille, France
- APHM, Hop Timone, BioSTIC, Biostatistique et Technologies de l'Information et de la Communication, Marseille, France
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Breyton M, Smith AB, Rouquette A, Mancini J. Cancer information overload: Association between a brief version of the CIO scale and multiple cancer risk management behaviours. Patient Educ Couns 2021; 104:1246-1252. [PMID: 33067081 DOI: 10.1016/j.pec.2020.09.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Revised: 07/21/2020] [Accepted: 09/12/2020] [Indexed: 05/10/2023]
Abstract
OBJECTIVES To demonstrate the best psychometric properties of the revised 5-item Cancer Information Overload (CIO) scale over the 10- and 8-item versions, for both English and French native speakers, and to explore the relationships between CIO and several cancer risk management behaviours in a large sample of caregivers, cancer survivors and healthy subjects. METHODS 2809 participants (2568 from France, 241 from Australia) from two cancer survivor networks answered a self-administered questionnaire. After assessing the psychometric properties we studied the impact of CIO on health behaviours using multivariate logistic regression. RESULTS Internal consistency assessment and Confirmatory Factor Analysis (CFA) showed satisfactory results (α = 0.87 and 0.83, ω = 0.87 and 0.83, RMSEA = 0.078 and 0.081 for the 8-item and 5-item versions respectively), as well as multi-group CFA where measurement invariance was partial for one item only in each version. CIO was independently associated with smoking, sunburns, and rare skin checks, but not with alcohol misuse. CONCLUSION The 5-item version of the CIO scale showed adequate psychometric properties and discriminant association with multiple prevention behaviours. PRACTICE IMPLICATIONS The 5-item CIO scale is valid and can help push research forward in the domain of disease prevention and message acceptance. Its role in clinical practice remains to be determined.
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Affiliation(s)
- Martin Breyton
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Cancer, Biomedicine & Society group, Equipe Labellisée Ligue Contre le Cancer, Marseille, France; APHM, Marseille, France
| | - Allan Ben Smith
- Centre for Oncology Education and Research Translation (CONCERT), Ingham Institute for Applied Medical Research & South Western Sydney Clinical School, University of New South Wales, Liverpool, NSW, Australia; Psycho-Oncology Co-operative Research Group (PoCoG), School of Psychology, University of Sydney, Australia
| | - Alexandra Rouquette
- Public Health and Epidemiology Department, AP-HP, Bicêtre Hôpitaux Universitaires Paris Sud, Le Kremlin-Bicêtre, France; Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM U1018, Villejuif, France
| | - Julien Mancini
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Cancer, Biomedicine & Society group, Equipe Labellisée Ligue Contre le Cancer, Marseille, France; APHM, BIOSTIC, Hop Timone, Marseille, France.
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Katz G, Rouquette A, Lignereux F, Mourgues T, Weber M, Lundström M. Validity of the French version of Catquest-9SF and use of an electronic notepad for entering patient-reported outcome measures. Eye Vis (Lond) 2021; 8:11. [PMID: 33789766 PMCID: PMC8015069 DOI: 10.1186/s40662-021-00233-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/05/2020] [Accepted: 03/02/2021] [Indexed: 11/29/2022]
Abstract
Background The Catquest-9SF questionnaire is a patient reported outcome measure that quantifies the visual benefits from cataract surgery. The purpose of this study was to translate and adapt the Catquest-9SF questionnaire for France, to assess its psychometric properties via Rasch analysis, and to assess its validity when completed using an electronic notepad. Methods The Catquest-9SF questionnaire was translated following the guidelines of the International Society for Pharmacoeconomics and Outcomes Research. Catquest-9SF and clinical data were collected from patients before and after routine cataract surgery. All questionnaire data were collected via an electronic notepad. Rasch analysis was performed to assess psychometric properties, and sensitivity to change was analysed for patients with complete paired pre- and post-operative questionnaires. Results A complete filled-in preoperative questionnaire was obtained for 848 patients. Rasch analysis showed good precision (person separation: 2.32, person reliability: 0.84), ordered category probability curves, no item misfit, and unidimensionality. The respondents were slightly more able than the level of item difficulty (targeting: −1.12 logits). Sensitivity was analysed on 211 paired questionnaires, and the postoperative questionnaires showed a clear ceiling effect. The effect size was 2.6. The use of an electronic notepad for completing the questionnaire worked out very well after some adjustments. Conclusions The French version of Catquest-9SF has good psychometric properties and is suitable for use in French-speaking patients. The use of the Catquest-9SF questionnaire in an electronic format showed good validity. Supplementary Information The online version contains supplementary material available at 10.1186/s40662-021-00233-7.
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Affiliation(s)
- Gregory Katz
- Chair of Innovation & Value in Health, University of Paris School of Medicine, Paris, France.,Value-Based Health Care Consortium, Paris, France.,Prom-Time, Paris, France
| | - Alexandra Rouquette
- Service de Santé Publique et d'Épidémiologie, AP-HP Paris-Saclay, Le Kremlin-Bicêtre, France.,Centre de recherche en Épidémiologie et Santé des Populations, Inserm, Université Paris-Saclay, Villejuif, France
| | | | - Thierry Mourgues
- Institut Ophtalmologique Sourdille-Atlantique, Elsan Santé Atlantique, Nantes, France
| | - Michel Weber
- Ophthalmology Department, Centre Hospitalier-Universitaire de Nantes, Nantes, France
| | - Mats Lundström
- Department of Clinical Sciences, Ophthalmology, Faculty of Medicine, Lund University, Lund, Sweden.
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Carrat F, Touvier M, Severi G, Meyer L, Jusot F, Lapidus N, Rahib D, Lydié N, Charles MA, Ancel PY, Rouquette A, de Lamballerie X, Zins M, Bajos N. Incidence and risk factors of COVID-19-like symptoms in the French general population during the lockdown period: a multi-cohort study. BMC Infect Dis 2021; 21:169. [PMID: 33568097 PMCID: PMC7875161 DOI: 10.1186/s12879-021-05864-8] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Accepted: 01/21/2021] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND Our main objectives were to estimate the incidence of illnesses presumably caused by SARS-CoV-2 infection during the lockdown period and to identify the associated risk factors. METHODS Participants from 3 adult cohorts in the general population in France were invited to participate in a survey on COVID-19. The main outcome was COVID-19-Like Symptoms (CLS), defined as a sudden onset of cough, fever, dyspnea, ageusia and/or anosmia, that lasted more than 3 days and occurred during the 17 days before the survey. We used delayed-entry Cox models to identify associated factors. RESULTS Between April 2, 2020 and May 12, 2020, 279,478 participants were invited, 116,903 validated the questionnaire and 106,848 were included in the analysis. Three thousand thirty-five cases of CLS were reported during 62,099 person-months of follow-up. The cumulative incidences of CLS were 6.2% (95% Confidence Interval (95%CI): 5.7%; 6.6%) on day 15 and 8.8% (95%CI 8.3%; 9.2%) on day 45 of lockdown. The risk of CLS was lower in older age groups and higher in French regions with a high prevalence of SARS-CoV-2 infection, in participants living in cities > 100,000 inhabitants (vs rural areas), when at least one child or adolescent was living in the same household, in overweight or obese people, and in people with chronic respiratory diseases, anxiety or depression or chronic diseases other than diabetes, cancer, hypertension or cardiovascular diseases. CONCLUSION The incidence of CLS in the general population remained high during the first 2 weeks of lockdown, and decreased significantly thereafter. Modifiable and non-modifiable risk factors were identified.
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Affiliation(s)
- Fabrice Carrat
- Sorbonne Université, Inserm, Institut Pierre-Louis d’Epidémiologie et de Santé Publique, 27 rue Chaligny, 75571 CEDEX 12 Paris, France
- Département de Santé Publique, APHP. Sorbonne Université, Paris, France
| | - Mathilde Touvier
- Sorbonne Paris Nord University, Inserm U1153, Inrae U1125, Cnam, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center – University of Paris (CRESS), Bobigny, France
| | - Gianluca Severi
- CESP UMR1018, Université Paris-Saclay, UVSQ, Inserm, Gustave Roussy, Villejuif, Paris, France
- Department of Statistics, Computer Science and Applications, University of Florence, Florence, Italy
| | - Laurence Meyer
- Université Paris Saclay, Inserm, CESP U1018, Le Kremlin Bicêtre, Paris, France
- Service de Santé Publique, APHP. Paris Saclay, Le Kremlin Bicêtre, France
| | - Florence Jusot
- Université Paris-Dauphine, PSL-Research University, LEDa, Paris, France
| | - Nathanael Lapidus
- Sorbonne Université, Inserm, Institut Pierre-Louis d’Epidémiologie et de Santé Publique, 27 rue Chaligny, 75571 CEDEX 12 Paris, France
- Département de Santé Publique, APHP. Sorbonne Université, Paris, France
| | | | | | | | - Pierre-Yves Ancel
- Obstetrical, Perinatal and Pediatric Epidemiology Research Team, Center for Epidemiology and Statistics Sorbonne Paris Cité, INSERM U1153, Paris Descartes University, Paris, France
- Clinical Research Unit, Center for Clinical Investigation P1419, Cochin Broca Hôtel-Dieu Hospital, Paris, France
| | - Alexandra Rouquette
- Department of Statistics, Computer Science and Applications, University of Florence, Florence, Italy
- Université Paris Saclay, Inserm, CESP U1018, Le Kremlin Bicêtre, Paris, France
| | - Xavier de Lamballerie
- Unité des Virus Emergents, UVE: Aix Marseille Univ, IRD 190, INSERM 1207, IHU Méditerranée Infection, 13005 Marseille, France
| | - Marie Zins
- Paris University, Paris, France
- Paris Saclay University, Inserm UMS 11, Villejuif, France
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Lachal J, Moro MR, Carretier E, Simon A, Barry C, Falissard B, Rouquette A. Assessment of transcultural psychotherapy to treat resistant major depressive disorder in children and adolescents from migrant families: Protocol for a randomized controlled trial using mixed method and Bayesian approaches. Int J Methods Psychiatr Res 2020; 29:1-10. [PMID: 32918513 PMCID: PMC7723212 DOI: 10.1002/mpr.1847] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Revised: 06/15/2020] [Accepted: 06/17/2020] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVES Cultural variations complicate psychiatric care, especially for migrant children. Transcultural psychotherapy (TCP) is an original psychotherapeutic technique developed to address complex situations of resistant mental disorders in the context of migration. This research will aim to assess the efficacy, the acceptability, and describe the therapeutic processes of TCP for the treatment of depression in first or second generation of migration children and adolescents. METHOD Mixed method study using a multicenter, Bayesian randomized clinical trial with blinded evaluation of the primary outcome. Two parallel groups of 40 children or adolescents from 6 to 20 years old and their family will be included. In the experimental group, patients will attend six sessions of transcultural therapy in addition to usual care. RESULTS The improved Clinical Global Impression scale scores at 6 months will be compared across groups. Qualitative analysis of families and therapists' interviews will allow to specify the therapeutic processes and acceptability of the therapy. CONCLUSION The findings will encourage the development and routinization of TCP for second-line use and its adaption as a first-line technique in this population.
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Affiliation(s)
- Jonathan Lachal
- AP-HP, Maison de Solenn, Hôpital Cochin, Paris, France.,Université de Paris, PCPP, Boulogne-Billancourt, France.,CESP, Fac. de Médecine - Université Paris-Sud, Fac. de Médecine - UVSQ, INSERM, DevPsy, Université Paris-Saclay, Villejuif, France
| | - Marie Rose Moro
- AP-HP, Maison de Solenn, Hôpital Cochin, Paris, France.,Université de Paris, PCPP, Boulogne-Billancourt, France.,CESP, Fac. de Médecine - Université Paris-Sud, Fac. de Médecine - UVSQ, INSERM, DevPsy, Université Paris-Saclay, Villejuif, France
| | - Emilie Carretier
- AP-HP, Maison de Solenn, Hôpital Cochin, Paris, France.,Université de Paris, PCPP, Boulogne-Billancourt, France.,CESP, Fac. de Médecine - Université Paris-Sud, Fac. de Médecine - UVSQ, INSERM, DevPsy, Université Paris-Saclay, Villejuif, France
| | - Amalini Simon
- AP-HP, Maison de Solenn, Hôpital Cochin, Paris, France.,CESP, Fac. de Médecine - Université Paris-Sud, Fac. de Médecine - UVSQ, INSERM, DevPsy, Université Paris-Saclay, Villejuif, France
| | - Caroline Barry
- CESP, Fac. de Médecine - Université Paris-Sud, Fac. de Médecine - UVSQ, INSERM, DevPsy, Université Paris-Saclay, Villejuif, France
| | - Bruno Falissard
- CESP, Fac. de Médecine - Université Paris-Sud, Fac. de Médecine - UVSQ, INSERM, DevPsy, Université Paris-Saclay, Villejuif, France
| | - Alexandra Rouquette
- CESP, Fac. de Médecine - Université Paris-Sud, Fac. de Médecine - UVSQ, INSERM, DevPsy, Université Paris-Saclay, Villejuif, France.,Public Health and Epidemiology Department, AP-HP, Bicêtre Hospital, Le Kremlin-Bicêtre, France
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Breyton M, Rouquette A, Mancini J. Validation de la version française du « Cancer Information Overload » et exploration des liens avec les comportements de prévention du cancer. Rev Epidemiol Sante Publique 2020. [DOI: 10.1016/j.respe.2020.03.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Breyton M, Smith AB, Rouquette A, Mancini J. Cancer information overload and multiple prevention behaviors. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Many people feel overwhelmed by the increasing amount of cancer-related material available in the information environment. Our aims was to evaluate the psychometric properties of the brief version of the cancer information overload (CIO) scale and to examine the association between CIO and multiple cancer prevention behaviors.
Methods
A large survey using a self-administered online questionnaire was proposed to all adult members of the Seintinelles, a French national non-profit organization. The psychometric properties of the CIO scale were evaluated. Measurement invariance across French and English languages was studied using an additional sample of 224 Australian cancer survivors from Register4. We also collected functional, communicative, and critical health literacy (FCCHL), deprivation (EPICES index), current smoking, alcohol misuse, frequent sunburns, and rare skin self-examination.
Results
Between June 16th and 30th 2016, 2 363 French participants answered the online questionnaire. The five-item CIO scale demonstrated the best balance between psychometric properties and number of items. It showed satisfactory internal consistency and adequate fit. No measurement invariance issue was found across age, gender, education level, and language groups.
CIO was increased among people with higher deprivation, lower education and a cancer information avoidant profile. In multivariate analyses, CIO was associated with tobacco use (OR = 1.05, 95%CI [1.00-1.10]), rare skin checks (OR = 1.05 [1.01-1.08]) and frequent sunburns (OR = 1.04 [1.01-1.07]), but not with alcohol misuse.
Conclusions
The 5-item CIO scale is ready to be used in French and English-speaking countries. The links observed between CIO and multiple prevention behaviors encourage further research in order to better characterize the psycho-cognitive and environmental phenomena at play. Efforts are needed to communicate adequately and empower citizens to limit the growing burden of cancer.
Key messages
The 5-item CIO scale is ready to be used in French and English-speaking countries. Efforts are needed to communicate adequately and empower citizens to limit the growing burden of cancer.
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Affiliation(s)
- M Breyton
- SESSTIM, Aix-Marseille Univ, Inserm, IRD, Marseille, France
- Public Health Department, APHM, Marseille, France
| | - A B Smith
- CONCERT, UNSW, Liverpool, Australia
- PoCoG, University of Sydney, Sydney, Australia
| | - A Rouquette
- Public Health and Epidemiology Department, AP-HP, Le Kremlin-Bicêtre, France
- CESP, INSERM, Univ Paris-Saclay, Univ Paris-Sud, Villejuif, France
| | - J Mancini
- SESSTIM, Aix-Marseille Univ, Inserm, IRD, Marseille, France
- Public Health Department, APHM, Marseille, France
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Oppenheimer A, Panel P, Rouquette A, du Cheyron J, Deffieux X, Fauconnier A. Validation of the Sexual Activity Questionnaire in women with endometriosis. Hum Reprod 2020; 34:824-833. [PMID: 30989214 DOI: 10.1093/humrep/dez037] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Revised: 02/12/2019] [Accepted: 02/23/2019] [Indexed: 11/12/2022] Open
Abstract
STUDY QUESTION Is the Sexual Activity Questionnaire (SAQ) a valid tool for patients treated for symptomatic endometriosis? SUMMARY ANSWER For women having surgical treatment for endometriosis, we determined that the SAQ is a valid and responsive tool. WHAT IS KNOWN ALREADY Endometriosis adversely affects sexual quality of life. Suitable validated sexual quality of life instruments for endometriosis are lacking both in clinical practice and for research. STUDY, DESIGN, SIZE, DURATION A total of 367 women with proven endometriosis undergoing medical or surgical treatment were included in an observational study conducted between 1 January 2012 and 31 December 2014 in two French tertiary care centers. Both hospitals are reference centers for endometriosis treatment. Of these 367 women, 267 were sexually active and constituted the baseline population. PARTICPANTS/MATERIALS, SETTINGS, METHODS Women >18 years old with histological or radiological proven endometriosis, consulting for painful symptoms of at least 3 months duration, infertility, or other symptoms (bleeding, cysts) were invited to complete self-administered questionnaires before (T0) and 12 months after treatment (T1). Tests of data quality included descriptive statistics of the data, missing data levels, floor and ceiling effects, structural validity and internal consistency.The construct validity was obtained by testing presupposed relationships between previously established SAQ scores and prespecified characteristics of the patients by comparing different subgroups of patients at T0. Sensitivity to change was subsequently calculated by comparing the SAQ score between T1 and T0 overall and for different subgroups of treatment. Effect sizes (to T1) were calculated according to Cohen's method. The minimally important difference was estimated by a step-wise triangulation approach (including anchor-based method). MAIN RESULTS AND THE ROLE OF CHANCE In total, 267 sexually active patients (204 surgical and 63 medical treatment) completed the SAQ at T0 and 136 (50.9%) at T1. The SAQ score ranged from 2.0 to 28.0 (mean ± SD: 16.8 ± 5.7).The SAQ score was one-dimensional according to the scree plot with good internal consistency (Cronbach alpha = 0.78, 95% CI 0.74-0.81) and had good discriminative ability according to pain descriptors and quality of life in endometriosis. The SAQ was responsive in patients treated by surgery but the effect size was low (0.3, 95% CI (0.0-0.6), P = 0.01). The minimally important difference was determined at 2.2. LIMITATIONS, REASONS FOR CAUTION The effect size for medical treatment was non-significant. Other effect sizes were low but statistically significant. This could be explained by lower libido due to progestin intake, which was used for both surgically and medically treated patients. WIDER IMPLICATIONS OF THE FINDINGS The SAQ is easy to use, valid and effective in assessing sexual quality of life in patients with endometriosis. This patient-reported score could be used as a primary outcome for future clinical studies. The minimally important difference estimation will be useful for future research. We recommend using 2.2 for the minimally important difference of the SAQ. STUDY FUNDING/COMPETING INTEREST(S) This work was funded by the 'Direction à la Recherche Clinique et à l'Innovation' of Versailles, France and the 'Institut de Recherche en Santé de la Femme' (IRSF). The authors have no conflicts of interest to declare.
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Affiliation(s)
- A Oppenheimer
- EA 7285 Research Unit 'Risk and Safety in Clinical Medicine for Women and Perinatal Health', Versailles-Saint-Quentin University (UVSQ), Montigny-le-Bretonneux, France.,Department of Reproductive Medicine and Fertility Preservation, Hôpital universitaire Antoine Béclère, 157, rue de la Porte de Trivaux, Clamart, France
| | - P Panel
- Department of Gynecology and Obstetrics, Centre Hospitalier de Versailles, Le Chesnay, France
| | - A Rouquette
- CESP, Faculté de Médecine, Université Paris Sud, Faculté de Médecine UVSQ, INSERM, Université Paris-Saclay, Villejuif, France.,AP-HP, Bicêtre Hôpitaux Universitaires Paris Sud, Public Health and Epidemiology Department, Le Kremlin-Bicêtre, France
| | - J du Cheyron
- Department of Gynecology and Obstetrics, Centre Hospitalier Intercommunal de Poissy-Saint-Germain-en-Laye, Poissy, France
| | - X Deffieux
- EA 7285 Research Unit 'Risk and Safety in Clinical Medicine for Women and Perinatal Health', Versailles-Saint-Quentin University (UVSQ), Montigny-le-Bretonneux, France.,Department of Gynecology and Obstetrics, Hôpital universitaire Antoine-Béclère, AP-HP, Clamart, France
| | - A Fauconnier
- EA 7285 Research Unit 'Risk and Safety in Clinical Medicine for Women and Perinatal Health', Versailles-Saint-Quentin University (UVSQ), Montigny-le-Bretonneux, France.,Department of Gynecology and Obstetrics, Centre Hospitalier Intercommunal de Poissy-Saint-Germain-en-Laye, Poissy, France
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Bieth T, Beauvais D, Romeu P, Legris N, Chassin O, Sarov M, Rouquette A, Azouvi P, Denier C. Validation of a new test for early assessment of unilateral neglect in acute stroke: The Rapid Unilateral Neglect Screening (RUNS) test. Ann Phys Rehabil Med 2020; 64:101399. [PMID: 32534155 DOI: 10.1016/j.rehab.2020.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Accepted: 05/17/2020] [Indexed: 11/16/2022]
Affiliation(s)
- Theophile Bieth
- Stroke Unit, Neurology Department, Assistance Publique-Hôpitaux de Paris (AP-HP), Bicêtre Hôpitaux Universitaires Paris Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France.
| | - Diane Beauvais
- Stroke Unit, Neurology Department, Assistance Publique-Hôpitaux de Paris (AP-HP), Bicêtre Hôpitaux Universitaires Paris Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Pauline Romeu
- Stroke Unit, Neurology Department, Assistance Publique-Hôpitaux de Paris (AP-HP), Bicêtre Hôpitaux Universitaires Paris Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Nicolas Legris
- Stroke Unit, Neurology Department, Assistance Publique-Hôpitaux de Paris (AP-HP), Bicêtre Hôpitaux Universitaires Paris Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Olivier Chassin
- Stroke Unit, Neurology Department, Assistance Publique-Hôpitaux de Paris (AP-HP), Bicêtre Hôpitaux Universitaires Paris Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Mariana Sarov
- Stroke Unit, Neurology Department, Assistance Publique-Hôpitaux de Paris (AP-HP), Bicêtre Hôpitaux Universitaires Paris Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Alexandra Rouquette
- CESP, Inserm, Maison de Solenn, Université Paris-Sud, UVSQ, Université Paris-Saclay, Paris, France; Public Health and Epidemiology Department, AP-HP, Bicêtre Hôpitaux Universitaires Paris Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Philippe Azouvi
- Rehabilitation Department, AP-HP, Hôpital Raymond-Poincaré, Garches, France
| | - Christian Denier
- Stroke Unit, Neurology Department, Assistance Publique-Hôpitaux de Paris (AP-HP), Bicêtre Hôpitaux Universitaires Paris Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
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Coste J, Tarquinio C, Rouquette A, Montel S, Pouchot J. Cross-cultural adaptation and validation of the French version of the credibility/expectancy questionnaire. Further insights into the measured concepts and their relationships. Psychologie Française 2020. [DOI: 10.1016/j.psfr.2018.11.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Berthelot E, Mas R, Damy T, Hanon O, Jondeau G, Logeart D, Rouquette A, Assayag P, Jourdain P. NTproBNP and BNP level in acute heart failure patients aged 75 or older are higher than in non-cardiac dyspnoea. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.092] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Motiejunaite J, Jourdain P, Gellen B, Bailly MT, Bouchachi AA, Humbert M, Rouquette A, Damy T, Chemla D, Assayag P, Berthelot E. P1272 Echocardiographic evaluation of left ventricular filling pressure in patients with heart failure with preserved ejection fraction : usefulness of inferior vena cava measurement. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Context
Echocardiography is an essential tool for evaluation of left ventricular filling pressure (LVFP). We aimed to assess the usefulness of inferior vena cava (IVC) measurement and the 2016 ESC recommendations in patients with suspected heart failure with preserved ejection fraction (HFpEF).
Methods
Invasive hemodynamics and echocardiographic measurements were documented in 132 consecutive patients referred to our centre with dyspnea, left ventricular ejection fraction (LVEF) ≥50%, and suspected pulmonary hypertension on a previous echocardiogram. Echocardiographic measurements of mitral flow (E and A wave velocities), the E/e’ratio, indexed left atrial volume (LAV), tricuspid regurgitation velocity (TRV) and the IVC size and collapsibility were obtained. Increased LVFP was defined by an invasive pulmonary artery wedge pressure (PAWP) > 15 mmHg.
Results
In sinus rhythm patients, the sum of the criteria (E/e’ ratio > 14, TRV > 2.8 m/s and indexed LAV > 34 ml/m²) ≥ 2 had a positive predictive value (PPV) of 63% for PAWP > 15 mmHg, whereas a dilated (> 2.1 cm) and/or non collapsible (≤ 50%) IVC had a PPV of 83%. In atrial fibrillation (AF), a dilated and/or non collapsible IVC had an 86% PPV for increased LVFP. We found that 16% of patients with elevated LVFP were more accurately classified using IVC evaluation than using the current guidelines criteria (net reclassification improvement = 0.25, p <0.05).
Conclusion
Echographic measurements of the IVC size and collapsibility outperformed the classic 2016 recommendations algorithm to evaluate LVFP in sinus rhythm patients with suspected HFpEF. The IVC study was also valuable in patients with atrial fibrillation.
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Affiliation(s)
- J Motiejunaite
- Bicetre University Hospital, Department of Cardiology, Paris, France
| | - P Jourdain
- Bicetre University Hospital, Department of Cardiology, Paris, France
| | - B Gellen
- ELSAN - Polyclinique de Poitiers, Service de cardiologie, Poitiers, France
| | - M T Bailly
- Bicetre University Hospital, Department of Cardiology, Paris, France
| | - A A Bouchachi
- Bicetre University Hospital, Department of Cardiology, Paris, France
| | - M Humbert
- Bicetre University Hospital, Department of Pulmonology, Paris, France
| | - A Rouquette
- Bicetre University Hospital, Service de Santé Publique et Epidémiologie, Kremlin Bicêtre, France
| | - T Damy
- University Hospital Henri Mondor, Department of Cardiology; heart failure and amyloidosis unit, Creteil, France
| | - D Chemla
- Bicetre University Hospital, Department of Cardiology, Paris, France
| | - P Assayag
- Bicetre University Hospital, Department of Cardiology, Paris, France
| | - E Berthelot
- Bicetre University Hospital, Department of Cardiology, Paris, France
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Hamada SR, Delhaye N, Degoul S, Gauss T, Raux M, Devaud ML, Amani J, Cook F, Hego C, Duranteau J, Rouquette A. Direct transport vs secondary transfer to level I trauma centers in a French exclusive trauma system: Impact on mortality and determinants of triage on road-traffic victims. PLoS One 2019; 14:e0223809. [PMID: 31751349 PMCID: PMC6872206 DOI: 10.1371/journal.pone.0223809] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Accepted: 09/27/2019] [Indexed: 12/23/2022] Open
Abstract
Background Transporting a severely injured patient directly to a trauma center (TC) is consensually considered optimal. Nevertheless, disagreement persists regarding the association between secondary transfer status and outcome. The aim of the study was to compare adjusted mortality between road traffic trauma patients directly or secondarily transported to a level 1 trauma center (TC) in an exclusive French trauma system with a physician staffed prehospital emergency medical system (EMS). Methods A retrospective cohort study was performed using 2015–2017 data from a regional trauma registry (Traumabase®), an administrative database on road-traffic accidents and prehospital-EMS records. Multivariate logistic regression models were computed to determine the role of the modality of admission on mortality and to identify factors associated with secondary transfer. The primary outcome was day-30 mortality. Results: During the study period, 121.955 victims of road-traffic accident were recorded among which 4412 trauma patients were admitted in the level 1 regional TCs, 4031 directly and 381 secondarily transferred from lower levels facilities. No significant association between all-cause 30-day mortality and the type of transport was observed (Odds ratio 0.80, 95% confidence interval (CI) [0.3–1.9]) when adjusted for potential confounders. Patients secondarily transferred were older, with low-energy mechanism and presented higher head and abdominal injury scores. Among all 947 death, 43 (4.5%) occurred in lower-level facilities. The population-based undertriage leading to death was 0.15%, 95%CI [0.12–0.19]. Conclusion In an exclusive trauma system with physician staffed prehospital care, road-traffic victims secondarily transferred to a TC do not have an increased mortality when compared to directly transported patients.
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Affiliation(s)
- Sophie Rym Hamada
- Université paris Sud, Department of Anesthesiology and Critical Care, AP-HP, Bicêtre Hôpitaux Universitaires Paris Sud, Le Kremlin Bicêtre, France.,CESP, INSERM, Université paris Sud, UVSQ, Université Paris-Saclay, Paris; CESP, INSERM, Maison de Solenn, Paris, France
| | - Nathalie Delhaye
- Sorbonne Université and Department of Anesthesiology and Critical Care, AP-HP, Hôpitaux Universitaires Pitié-Salpêtrière, Paris, France
| | - Samuel Degoul
- Groupe Hospitalier de la Région de Mulhouse et Sud-Alsace, Department of Anesthesiology and Surgical Intensive Care, Mulhouse, France
| | - Tobias Gauss
- Hôpitaux Universitaires Paris Nord Val de Seine, Department of Anesthesiology and Critical Care, AP-HP, Hôpital Beaujon, Clichy, France
| | - Mathieu Raux
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique; AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Département d'Anesthésie Réanimation, Paris, France
| | | | - Johan Amani
- SAMU 78, Centre Hospitalier de Versailles, Le Chesnay, France
| | - Fabrice Cook
- Université Paris Est, Department of Anesthesiology and Critical Care, APHP, Hôpital Henri Mondor, Créteil, France
| | - Camille Hego
- Hôpitaux Universitaires Paris Nord Val de Seine, Department of Anesthesiology and Critical Care, AP-HP, Beaujon, Clichy, France
| | - Jacques Duranteau
- Université Paris Sud, Department of Anesthesiology and Critical Care, AP-HP, Bicêtre Hôpitaux Universitaires Paris Sud, Le Kremlin Bicêtre, France
| | - Alexandra Rouquette
- CESP, INSERM, Univ. Paris-Sud, UVSQ, Université Paris-Saclay, Paris, France (Postal address: CESP, INSERM, Maison de Solenn, Paris, France.,Bicêtre Hôpitaux Universitaires Paris Sud, Public Health and Epidemiology Department, APHP, Le Kremlin-Bicêtre, France
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Fournel L, Etienne H, Mansuet Lupo A, Damotte D, Rouquette A, Revel MP, Guinet C, Alifano M, Regnard JF. Correlation between radiological and pathological features of operated ground glass nodules. Eur J Cardiothorac Surg 2019; 51:248-254. [PMID: 28186249 DOI: 10.1093/ejcts/ezw294] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Revised: 06/13/2016] [Accepted: 07/11/2016] [Indexed: 12/21/2022] Open
Affiliation(s)
- Ludovic Fournel
- Department of Thoracic Surgery, Cochin Hospital of Paris, Assistance Publique des Hôpitaux de Paris, René Descartes University, Paris, France
| | - Harry Etienne
- Department of Thoracic Surgery, Cochin Hospital of Paris, Assistance Publique des Hôpitaux de Paris, René Descartes University, Paris, France
| | - Audrey Mansuet Lupo
- Department of Pathology, Cochin Hospital of Paris, Assistance Publique des Hôpitaux de Paris, René Descartes University, Paris, France
| | - Diane Damotte
- Department of Pathology, Cochin Hospital of Paris, Assistance Publique des Hôpitaux de Paris, René Descartes University, Paris, France
| | - Alexandra Rouquette
- Department of Biostatistics, Hôtel-Dieu Hospital of Paris, Assistance Publique des Hôpitaux Paris, René Descartes University, Paris, France
| | - Marie-Pierre Revel
- Department of Radiology, Cochin Hospital of Paris, Assistance Publique des Hôpitaux de Paris, René Descartes University, Paris, France
| | - Claude Guinet
- Department of Radiology, Cochin Hospital of Paris, Assistance Publique des Hôpitaux de Paris, René Descartes University, Paris, France
| | - Marco Alifano
- Department of Thoracic Surgery, Cochin Hospital of Paris, Assistance Publique des Hôpitaux de Paris, René Descartes University, Paris, France
| | - Jean-François Regnard
- Department of Thoracic Surgery, Cochin Hospital of Paris, Assistance Publique des Hôpitaux de Paris, René Descartes University, Paris, France
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Hage M, Chaligné R, Viengchareun S, Villa C, Salenave S, Bouligand J, Letouzé E, Tosca L, Rouquette A, Tachdjian G, Parker F, Lombès M, Lacroix A, Gaillard S, Chanson P, Kamenický P. Hypermethylator Phenotype and Ectopic GIP Receptor in GNAS Mutation-Negative Somatotropinomas. J Clin Endocrinol Metab 2019; 104:1777-1787. [PMID: 30376114 DOI: 10.1210/jc.2018-01504] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2018] [Accepted: 10/23/2018] [Indexed: 01/19/2023]
Abstract
CONTEXT Besides GNAS gene mutations, the molecular pathogenesis of somatotroph adenomas responsible for gigantism and acromegaly remains elusive. OBJECTIVE To investigate alternative driver events in somatotroph tumorigenesis, focusing on a subgroup of acromegalic patients with a paradoxical increase in growth hormone (GH) secretion after oral glucose, resulting from ectopic glucose-dependent insulinotropic polypeptide receptor (GIPR) expression in their somatotropinomas. DESIGN, SETTING, AND PATIENTS We performed combined molecular analyses, including array-comparative genomic hybridization, RNA/DNA fluorescence in situ hybridization, and RRBS DNA methylation analysis on 41 somatotropinoma samples from 38 patients with acromegaly and three sporadic giants. Ten patients displayed paradoxical GH responses to oral glucose. RESULTS GIPR expression was detected in 13 samples (32%), including all 10 samples from patients with paradoxical GH responses. All GIPR-expressing somatotropinomas were negative for GNAS mutations. GIPR expression occurred through transcriptional activation of a single allele of the GIPR gene in all GIPR-expressing samples, except in two tetraploid samples, where expression occurred from two alleles per nucleus. In addition to extensive 19q duplications, we detected in four samples GIPR locus microamplifications in a certain proportion of nuclei. We identified an overall hypermethylator phenotype in GIPR-expressing samples compared with GNAS-mutated adenomas. In particular, we observed hypermethylation in the GIPR gene body, likely driving its ectopic expression. CONCLUSIONS We describe a distinct molecular subclass of somatotropinomas, clinically revealed by a paradoxical increase of GH to oral glucose related to pituitary GIPR expression. This ectopic GIPR expression occurred through hypomorphic transcriptional activation and is likely driven by GIPR gene microamplifications and DNA methylation abnormalities.
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Affiliation(s)
- Mirella Hage
- Institut National de la Santé et de la Recherche Médicale, Le Kremlin Bicêtre, France
- Université Paris-Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
- Assistance Publique-Hôpitaux de Paris, Service d'Endocrinologie et des Maladies de la Reproduction, Hôpital de Bicêtre, Centre de Référence des Maladies Rares de l'Hypophyse, Le Kremlin-Bicêtre, France
| | - Ronan Chaligné
- Division of Hematology and Medical Oncology, Department of Medicine and Meyer Cancer Center, Weill Cornell Medicine, New York, New York
- New York Genome Center, New York, New York
| | - Say Viengchareun
- Institut National de la Santé et de la Recherche Médicale, Le Kremlin Bicêtre, France
- Université Paris-Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
| | - Chiara Villa
- Hôpital Foch, Service d'Anatomopathologie, Suresnes, France
| | - Sylvie Salenave
- Assistance Publique-Hôpitaux de Paris, Service d'Endocrinologie et des Maladies de la Reproduction, Hôpital de Bicêtre, Centre de Référence des Maladies Rares de l'Hypophyse, Le Kremlin-Bicêtre, France
| | - Jérôme Bouligand
- Institut National de la Santé et de la Recherche Médicale, Le Kremlin Bicêtre, France
- Université Paris-Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
- Assistance Publique-Hôpitaux de Paris, Service de Génétique Moléculaire, Pharmacogénétique et Hormonologie, Le Kremlin-Bicêtre, France
| | - Eric Letouzé
- Unité Mixte de Recherche S1162, "Génomique fonctionnelle des tumeurs solides," Paris, France
| | - Lucie Tosca
- Université Paris-Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
- Institut National de la Santé et de la Recherche Médicale, Unité Mixte de Recherche, Fontenay-aux-Roses, France
- Assistance Publique-Hôpitaux de Paris, Hôpital Antoine Béclère, Service d'Histologie-Embryologie-Cytogénétique, Clamart, France
| | - Alexandra Rouquette
- Assistance Publique-Hôpitaux de Paris, Hôpital de Bicêtre, Département d'Epidémiologie et de Santé Publique, Le Kremlin-Bicêtre, France
| | - Gérard Tachdjian
- Université Paris-Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
- Institut National de la Santé et de la Recherche Médicale, Unité Mixte de Recherche, Fontenay-aux-Roses, France
- Assistance Publique-Hôpitaux de Paris, Hôpital Antoine Béclère, Service d'Histologie-Embryologie-Cytogénétique, Clamart, France
| | - Fabrice Parker
- Université Paris-Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
- Assistance Publique-Hôpitaux de Paris, Hôpital de Bicêtre, Service de Neurochirurgie, Le Kremlin-Bicêtre, France
| | - Marc Lombès
- Institut National de la Santé et de la Recherche Médicale, Le Kremlin Bicêtre, France
- Université Paris-Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
- Assistance Publique-Hôpitaux de Paris, Service d'Endocrinologie et des Maladies de la Reproduction, Hôpital de Bicêtre, Centre de Référence des Maladies Rares de l'Hypophyse, Le Kremlin-Bicêtre, France
| | - André Lacroix
- Service d'Endocrinologie, Département de Médecine, Centre de Recherche du Centre Hospitalier de l'université de Montréal, Université de Montréal, Montréal, Québec, Canada
| | | | - Philippe Chanson
- Institut National de la Santé et de la Recherche Médicale, Le Kremlin Bicêtre, France
- Université Paris-Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
- Assistance Publique-Hôpitaux de Paris, Service d'Endocrinologie et des Maladies de la Reproduction, Hôpital de Bicêtre, Centre de Référence des Maladies Rares de l'Hypophyse, Le Kremlin-Bicêtre, France
| | - Peter Kamenický
- Institut National de la Santé et de la Recherche Médicale, Le Kremlin Bicêtre, France
- Université Paris-Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France
- Assistance Publique-Hôpitaux de Paris, Service d'Endocrinologie et des Maladies de la Reproduction, Hôpital de Bicêtre, Centre de Référence des Maladies Rares de l'Hypophyse, Le Kremlin-Bicêtre, France
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Abstract
BACKGROUND: The pain trajectory after ankle surgeries for osteoarthritis is relevant to describe. The purpose of this prospective study was to describe pain after ankle surgery and explore the link between perioperative factors and the development of postoperative pain. METHODS: Duration, severity, type of preoperative pain, psychological distress, opioid consumption, and type of surgery were evaluated in 49 patients who were followed for 18 months. Acute postoperative pain in the first 10 days after surgery was modeled by a pain trajectory. Univariate analysis was conducted to identify predictors of acute pain trajectory and chronic pain. RESULTS: Eighty-seven percent of patients had preoperative chronic pain, 34% had a high postoperative pain trajectory, 44% of whom reported chronic pain at 18 months. The patients who developed a high acute pain trajectory had higher preoperative opioid consumption (50% vs 19.4%, P = .04), a higher incidence of preoperative neuropathic pain (68.8% vs 32.3%, P = .02), a higher brief pain inventory score (51.5 vs 34, P = .01), and a higher psychological distress score (8 vs 3, P = .002). The patients who developed chronic pain had a higher brief pain inventory score (42 vs 33, P = .04), a higher psychological distress score (6 vs 4, P = .04), and a higher preoperative pain intensity (8 vs 6, P = .008). No association was found between the type of ankle surgery and pain. CONCLUSION: Patients with psychological distress and more severe preoperative pain were more at risk to develop acute pain and chronic pain after ankle surgery regardless of the surgery performed. LEVEL OF EVIDENCE: Level II, prospective comparative study.
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Affiliation(s)
- Leah Guichard
- 1 Service d'anesthésie, Hôpital Raymond Poincaré, Garches, Assistance Publique Hôpitaux de Paris, France
| | - Alexis Vanhaesebrouck
- 2 Assistance Publique-Hôpitaux de Paris, Hôpital Hôtel Dieu, Biostatistics and Epidemiology Department, Paris, France
| | - Dominique Fletcher
- 1 Service d'anesthésie, Hôpital Raymond Poincaré, Garches, Assistance Publique Hôpitaux de Paris, France.,3 INSERM, U-987, Hôpital Ambroise Paré, Centre d'Evaluation et de Traitement de la Douleur, France.,4 Université Versailles Saint-Quentin, France
| | - Yves Stiglitz
- 5 Service d'orthopédie, Hôpital Raymond Poincaré, Garches, Assistance Publique Hôpitaux de Paris, France
| | - Alexandra Rouquette
- 6 CESP, INSERM, Université Paris-Sud, UVSQ, Université Paris-Saclay, Villejuif, France.,7 Assistance Publique-Hôpitaux de Paris, Hôpital du Kremlin Bicêtre, Le Kremelin Bicêtre
| | - Valeria Martinez
- 1 Service d'anesthésie, Hôpital Raymond Poincaré, Garches, Assistance Publique Hôpitaux de Paris, France.,3 INSERM, U-987, Hôpital Ambroise Paré, Centre d'Evaluation et de Traitement de la Douleur, France.,4 Université Versailles Saint-Quentin, France
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50
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Rouquette A, Nadot T, Labitrie P, Van den Broucke S, Mancini J, Rigal L, Ringa V. Validity and measurement invariance across sex, age, and education level of the French short versions of the European Health Literacy Survey Questionnaire. PLoS One 2018; 13:e0208091. [PMID: 30521552 PMCID: PMC6283623 DOI: 10.1371/journal.pone.0208091] [Citation(s) in RCA: 47] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2018] [Accepted: 11/12/2018] [Indexed: 01/23/2023] Open
Abstract
Background Short versions of the European Health Literacy Survey (HLS-EU) questionnaire are increasingly used to measure and compare health literacy (HL) in populations worldwide. As no validated versions of these questionnaires have thus far appeared in French, this study aimed to study the psychometric properties of the French translation of the 16- and 6-item short versions (HLS-EU-Q16 and HLS-EU-Q6), including their measurement invariance across sex, age, and education level. Methods A consensual French version of the HLS-EU-Q16 and HLS-EU-Q6 was developed by following the current recommendations for transcultural questionnaire adaptation. It was then completed by 317 patients recruited in waiting rooms of general practitioners in the Paris area (France). Structural validity was studied with the Rasch model for the HLS-EU-Q16 and confirmatory factorial analysis (CFA) for the HLS-EU-Q6. Concurrent and convergent validity, respectively, were assessed by scores on the Functional Communicative Critical Health Literacy (FCCHL) questionnaire and the physicians’ evaluations of their patient’s HL. Results The 16 items of the HLS-EU-Q16 were Rasch homogenous but meaningful differential item functioning (DIF) was found across sex, age, and/or education level for eight items. The CFA model fit for the HLS-EU-Q6 was poor. The overall scores for both HLS-EU short versions correlated poorly with the FCCHL scores. Similarly, HL levels defined using either short-version score did not agree with physicians’ HL assessments. Conclusion The French version of the HLS-EU-Q16 has acceptable psychometric properties, despite meaningful DIF for age, sex and education level and a poor discriminative power among subjects with average to high HL level. We recommend its use to measure HL in populations with sufficient reading skills to discriminate between subjects with low to average HL. Also, sensitivity analyses should be performed to evaluate the potential measurement bias due to DIF. Our results did not demonstrate the validity of the HLS-EU-Q6.
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Affiliation(s)
- Alexandra Rouquette
- Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France
- AP-HP, Bicêtre Hôpitaux Universitaires Paris Sud, Public Health and Epidemiology Department, Le Kremlin-Bicêtre, France
| | - Théotime Nadot
- Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France
| | - Pierre Labitrie
- Université Paris-Saclay, Univ. Paris-Sud, General Practice Department, Le Kremlin-Bicêtre, France
| | | | - Julien Mancini
- Aix-Marseille Univ, INSERM, IRD, UMR1252, SESSTIM, “Cancers, Biomedicine & Society” group, Marseille, France
- APHM, Timone Hospital, Public Health Department (BIOSTIC), Marseille, France
| | - Laurent Rigal
- Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France
- Université Paris-Saclay, Univ. Paris-Sud, General Practice Department, Le Kremlin-Bicêtre, France
- Institut National d’Etudes Démographiques (INED), Paris, France
- * E-mail:
| | - Virginie Ringa
- Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France
- Institut National d’Etudes Démographiques (INED), Paris, France
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