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Roche J, Vaillant-Ciszewicz AJ, Guerin O. [Better identifying and understanding post-traumatic stress disorder in the elderly]. Soins Gerontol 2024; 29:14-18. [PMID: 38677805 DOI: 10.1016/j.sger.2024.02.004] [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: 04/29/2024]
Abstract
Post-traumatic stress disorder (PTSD) is particularly common in the elderly, including those with cognitive impairments. We need to stress the importance of early detection to better understand the specific signs of this disorder in the elderly. Psychotherapies such as cognitive-behavioral therapy and Eye Movement Desensitization and Reprocessing are being explored for their effectiveness and adaptability with the elderly. Identifying post-traumatic stress disorder should be a shared responsibility, for the mental health of the elderly.
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Affiliation(s)
- Jean Roche
- CHU de Lille-Hôpital Fontan 2, 1 rue André-Verhaeghe, 59037 Lille, France.
| | | | - Olivier Guerin
- Centre hospitalier universitaire de Nice, Ircan-Université Côte d'Azur (UCA), Inserm U1081-CNRS UMR 7284, 4 avenue Reine Victoria, 06000 Nice, France
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Eustache F, Peschanski D. [The Programme 13-Novembre between individual memory and collective memory]. Biol Aujourdhui 2023; 217:39-48. [PMID: 37409863 DOI: 10.1051/jbio/2023016] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2023] [Indexed: 07/07/2023]
Abstract
The purpose of this article is to present the evolution of scientific work on human memory from the end of the 19th century. The work of experimental psychology and neuropsychology first dominated the scientific scene. Research in the humanities and social sciences was established in the interwar period, but without any real interaction with psychology and neurosciences. We recall the most emblematic historical works of two distinct visions of memory: those of the experimental psychologist Hermann Ebbinghaus who measured memory, on himself, from lists of meaningless syllables, and those of the sociologist Maurice Halbwachs for whom any act of memory is a social act. This disciplinary closure persisted until the end of the 20th century. A real social shift has taken place since the 2000s, with a desire to studying and understanding the interactions between individual and collective memories. In this article, the authors argue for the emergence of "sciences of memory" based on dialectic and transdisciplinarity. They draw on the Programme 13-Novembre that is emblematic of this evolution. The Programme 13-Novembre has seized upon a diversity of research tools on memory by applying them to a traumatic event in French society: the attacks of 13 November 2015 in Paris and its immediate suburbs. Its genesis, its overall architecture and several of its components are presented here, as well as a few results already published. In addition to its theoretical scope, this work has many possible applications, particularly in the understanding and management of various pathologies, post-traumatic stress disorder being the most demonstrative in this respect.
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Affiliation(s)
- Francis Eustache
- U1077, Neuropsychologie et Imagerie de la Mémoire Humaine (NIMH), Inserm, EPHE-PSL, Université de Caen-Normandie, Caen, France
| | - Denis Peschanski
- Centre Européen de Sociologie et de Science Politique, UMR8209 (CNRS, Université Paris 1, EHESS), Paris, France
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Eustache F, Guillery B, Peschanski D. [Memory and traumatism: From biology to humanities]. Biol Aujourdhui 2023; 217:35-38. [PMID: 37409862 DOI: 10.1051/jbio/2023021] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Indexed: 07/07/2023]
Abstract
This article is a brief Introduction to a series of articles issued from the Journée Claude Bernard, organized at the Académie Nationale de Médecine. This session had for thematic "Memory and traumatism" and was composed of presentations coming from different disciplines including biological sciences and humanities. Several publications come from the Programme 13-Novembre, devoted to a traumatic event in French society - the attacks of 13 November 2015 in Paris and its immediate suburbs - and its consequences on the construction of individual and collective memories of this tragic event.
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Affiliation(s)
- Francis Eustache
- U1077, Neuropsychologie et Imagerie de la Mémoire Humaine (NIMH), Inserm, EPHE-PSL, Université de Caen-Normandie, Caen, France
| | - Bérengère Guillery
- U1077, Neuropsychologie et Imagerie de la Mémoire Humaine (NIMH), Inserm, EPHE-PSL, Université de Caen-Normandie, Caen, France
| | - Denis Peschanski
- Centre Européen de Sociologie et de Science Politique, UMR8209 (CNRS, Université Paris 1, EHESS), Paris, France
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Chalvignac L, Galia P, Faure P, Prieto N. [Contribution of equine therapy in the management of post-traumatic stress disorder]. Soins Psychiatr 2023; 44:39-43. [PMID: 37149332 DOI: 10.1016/j.spsy.2023.03.011] [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] [Indexed: 05/08/2023]
Abstract
For several years, animal-mediated therapies have been used in the treatment of psychiatric patients. Post-traumatic stress disorder has the particularity of being generated by an external event in a person a priori free of mental pathology. In this disorder, various so-called targeted psychotherapies have proven to be effective, including equine therapy.
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Affiliation(s)
- Laura Chalvignac
- Centre régional du psychotraumatisme, Hôpital Édouard-Herriot, 5 place d'Arsonval, 69003 Lyon, France
| | - Perrine Galia
- Centre régional du psychotraumatisme, Hôpital Édouard-Herriot, 5 place d'Arsonval, 69003 Lyon, France
| | | | - Nathalie Prieto
- Centre régional du psychotraumatisme, Hôpital Édouard-Herriot, 5 place d'Arsonval, 69003 Lyon, France; Cellule d'urgence médico-psychologique, Hôpital Édouard-Herriot, 5 place d'Arsonval, 69003 Lyon, France.
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Bally K. [Trauma Disorders - A Relevant Health Problem]. Praxis (Bern 1994) 2023; 112:87-91. [PMID: 36722115 DOI: 10.1024/1661-8157/a004000] [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: 06/18/2023]
Abstract
Trauma Disorders - A Relevant Health Problem Abstract. In medical practice traumatic stress disorders are underdiagnosed. Post-traumatic stress disorder (PTSD) must be considered in case of pronounced need for control, severe anxiety and restlessness, jumpiness, mental torpor, dissociative disorders, social withdrawal, distrust or vegetative over-arousal. Simple screening instruments such as the "Primary Care PTSD Screen" are suitable for an initial assessment. As long as symptoms are not serious and long-lasting and there are no risk factors for the development of severe PTSD, it is a matter of creating external and internal security, informing about possible support, acknowledging the suffering and establishing secure interpersonal relationships. In the case of a pronounced PTSD with considerable psychological strain, a referral for further psychiatric or psychotherapeutic clarification and treatment is appropriate.
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Affiliation(s)
- Klaus Bally
- Universitäres Zentrum für Hausarztmedizin beider Basel/uniham-bb, Kantonsspital Baselland, Liestal, Schweiz
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Abstract
The epidemic of Covid-19 was characterized, from its beginning, by "emergency". A state of emergency enacted by the state authorities to fight, on one hand, against the pandemic as such and, on the other hand, to manage the influx of patients admitted in intensive care. In this unprecedented context, the suffering of the people goes beyond the emergency situation and persists in forms ranging from a pseudo-banality to the complexity of an insidious evolution.
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Affiliation(s)
- Zeev Maoz
- Clinique cardiovasculaire et pulmonaire de Saint-Orens, 12 avenue de Revel, 31650 Saint-Orens- de-Gameville, France; Centre d'étude et de recherche en psychopathologie et psychologie de la santé, EA 7411, université Toulouse Jean-Jaurès, Maison de la recherche, 5 allées Antonio-Machado, 31058 Toulouse cedex 9, France
| | - Isabelle Huet
- Clinique cardiovasculaire et pulmonaire de Saint-Orens, 12 avenue de Revel, 31650 Saint-Orens- de-Gameville, France
| | - Stéphane Robin
- Clinique cardiovasculaire et pulmonaire de Saint-Orens, 12 avenue de Revel, 31650 Saint-Orens- de-Gameville, France
| | - Jean-Luc Sudres
- Centre d'étude et de recherche en psychopathologie et psychologie de la santé, EA 7411, université Toulouse Jean-Jaurès, Maison de la recherche, 5 allées Antonio-Machado, 31058 Toulouse cedex 9, France
| | - Jean-Pierre Bouchard
- Department of Statistics and Population Studies, University of the Western Cape, Robert-Sobukwe road, Bellville, 7535 Cape Town, South Africa; Institut psycho-judiciaire et de psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 89 rue Cazeaux-Cazalet, 33410 Cadillac, France; Unité pour malades difficiles, pôle de psychiatrie médico-légale, centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France.
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Abstract
The treatment of post-traumatic stress disorder is one of the priorities of the armed forces' health service, but there are few measures for families, who are nevertheless the first to be affected. At the Robert-Picqué army training hospital in Bordeaux, an information and exchange day for carers was set up in 2018. It takes place once every term. Here is a look at how it works, its benefits and its limitations.
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Affiliation(s)
- Élodie Py-Leroy
- Service de psychiatrie, hôpital d'instruction des armées Robert-Picqué, 351 route de Toulouse, 33140 Villenave-d'Ornon, France.
| | - Mareva Calteau
- Service de psychiatrie, hôpital d'instruction des armées Robert-Picqué, 351 route de Toulouse, 33140 Villenave-d'Ornon, France
| | - Laurent Brulin
- Service de psychiatrie, hôpital d'instruction des armées Robert-Picqué, 351 route de Toulouse, 33140 Villenave-d'Ornon, France
| | - Gilles Thomas
- Service de psychiatrie, hôpital d'instruction des armées Robert-Picqué, 351 route de Toulouse, 33140 Villenave-d'Ornon, France
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Egloff N, Mueller DB, Orlof AM, Grosse Holtforth M, Blaettler LT. [The Coupling of Pain, Anxiety, and Stress]. Praxis (Bern 1994) 2021; 110:263-267. [PMID: 33849287 DOI: 10.1024/1661-8157/a003632] [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: 06/12/2023]
Abstract
The Coupling of Pain, Anxiety, and Stress Abstract. There is considerable neurobiological, clinical and epidemiological evidence that the systemic phenomena of anxiety and pain closely interact. Both perceptions trigger stress activation processes and are in turn modulated by long-term stress. This overview illustrates the coupling of pain, anxiety and stress with some clinical examples. The relations shown here should help us to gain a holistic view of the individual patient and his/her psychosocial reality, in which nociceptive, affective and vegetative symptoms are often interdependent and mutually reinforcing each other.
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Affiliation(s)
| | | | | | - Martin Grosse Holtforth
- Abteilung Klinische Psychologie und Psychotherapie, Institut für Psychologie, Universität Bern
- Kompetenzbereich für Psychosomatische Medizin, Universitätsklinik für Neurologie, Inselspital, Universitätsspital Bern
| | - Larissa T Blaettler
- Abteilung Klinische Psychologie und Psychotherapie, Institut für Psychologie, Universität Bern
- Kompetenzbereich für Psychosomatische Medizin, Universitätsklinik für Neurologie, Inselspital, Universitätsspital Bern
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Abstract
When subjected to potentially traumatic events, adults can develop psychological trauma with varying levels of severity. For preventive and therapeutic purposes, these psychological traumas must be assessed and managed by psychologists and/or psychiatrists who are well trained and experienced in performing these complex professional acts.
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Affiliation(s)
- Samantha Al Joboory
- Centre d'accueil spécialisé dans le repérage et le traitement des traumatismes psychiques (Caspertt), centre hospitalier de Cadillac, 31, rue des Cavaillès, 33310 Lormont, France; Institut psycho-judiciaire et de psychopathologie (IPJP), centre hospitalier de Cadillac, 10, avenue Joseph-Caussil, 33410 Cadillac, France
| | - Xavier Soulan
- Centre d'accueil spécialisé dans le repérage et le traitement des traumatismes psychiques (Caspertt), centre hospitalier de Cadillac, 31, rue des Cavaillès, 33310 Lormont, France; Institut psycho-judiciaire et de psychopathologie (IPJP), centre hospitalier de Cadillac, 10, avenue Joseph-Caussil, 33410 Cadillac, France; Cellule d'urgence médico-psychologique (CUMP) de Bordeaux, centre hospitalier Charles-Perrens, 121, rue de la Béchade, CS 81285, 33 076 Bordeaux cedex, France
| | - Alix Lavandier
- Centre d'accueil spécialisé dans le repérage et le traitement des traumatismes psychiques (Caspertt), centre hospitalier de Cadillac, 31, rue des Cavaillès, 33310 Lormont, France; Institut psycho-judiciaire et de psychopathologie (IPJP), centre hospitalier de Cadillac, 10, avenue Joseph-Caussil, 33410 Cadillac, France
| | - Jean-Pierre Bouchard
- Institut psycho-judiciaire et de psychopathologie (IPJP), centre hospitalier de Cadillac, 10, avenue Joseph-Caussil, 33410 Cadillac, France; Unité pour malades difficiles (UMD), pôle de psychiatrie médico-légale (PPML), centre hospitalier de Cadillac, 10, avenue Joseph-Caussil, 33410 Cadillac, France.
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Abstract
When subjected to potentially traumatic events, children can develop psychological trauma with varying levels of severity. For preventive and therapeutic purposes, these psychological traumas must be assessed and managed by psychologists and/or psychiatrists who are well-trained and experienced.
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Affiliation(s)
- Xavier Soulan
- Centre d'accueil spécialisé dans le repérage et le traitement des traumatismes psychiques (Caspertt), centre hospitalier de Cadillac, 31 rue des Cavaillès, 33310 Lormont, France; Institut psycho-judiciaire et de psychopathologie (IPJP), unité pour malades difficiles,centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Crèche du centre hospitalier Charles-Perrens, 121 rue de la Béchade, 33076 Bordeaux Cedex, France
| | - Alix Lavandier
- Centre d'accueil spécialisé dans le repérage et le traitement des traumatismes psychiques (Caspertt), centre hospitalier de Cadillac, 31 rue des Cavaillès, 33310 Lormont, France; Institut psycho-judiciaire et de psychopathologie (IPJP), unité pour malades difficiles,centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France
| | - Samantha Al Joboory
- Centre d'accueil spécialisé dans le repérage et le traitement des traumatismes psychiques (Caspertt), centre hospitalier de Cadillac, 31 rue des Cavaillès, 33310 Lormont, France; Institut psycho-judiciaire et de psychopathologie (IPJP), unité pour malades difficiles,centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France
| | - Jean-Pierre Bouchard
- Institut psycho-judiciaire et de psychopathologie (IPJP), unité pour malades difficiles,centre hospitalier de Cadillac, 10 avenue Joseph-Caussil, 33410 Cadillac, France; Unité pour malades difficiles (UMD), pôle de psychiatrie médico-légale (PPML), centre hospitalier de Cadillac, 10, avenue Joseph-Caussil, 33410 Cadillac, France.
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Nicolas F, Delahaye A. [Prevention of psychological disorders after a road accident]. Rev Infirm 2018; 67:35-37. [PMID: 29426558 DOI: 10.1016/j.revinf.2017.11.029] [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: 06/08/2023]
Abstract
A psychological intervention programme, set up within a trauma centre, revealed common factors contributing to the emotional upheaval felt by road accident victims. These factors are linked to the event itself, its medical management, the quality of family support and the patient's history. Early psychotherapy, the awareness of the nursing teams and the involvement of the families are the key elements ensuring coherent and effective prevention.
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Affiliation(s)
- Florian Nicolas
- Hôpital d'Instruction des Armées Sainte-Anne, Service de psychiatrie, BP 600, 83 800 Toulon Cedex 9, France.
| | - Aline Delahaye
- Hôpital d'Instruction des Armées Sainte-Anne, Service de psychiatrie, BP 600, 83 800 Toulon Cedex 9, France
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