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  1. Article ; Online: La guidance familiale en psychiatrie de la personne âgée : un soin groupal familial à domicile.

    de Buochberg, Félicia Simeon / Codron, Frédérique / Hilaire, Elise Rebaud / Navarro, Marianne Lucas / Forestier, Julie / Dorey, Jean-Michel

    Geriatrie et psychologie neuropsychiatrie du vieillissement

    2024  Volume 22, Issue 1, Page(s) 113–123

    Abstract: The Elderly Psychiatry Family Guidance Centre, set up in 2009 in the French Rhône department, is a hospital-based team working at the request of professionals in the network. It is aimed at families in which a member over the age of 65 is experiencing a ... ...

    Title translation Family guidance for the elderly: a family group care at home.
    Abstract The Elderly Psychiatry Family Guidance Centre, set up in 2009 in the French Rhône department, is a hospital-based team working at the request of professionals in the network. It is aimed at families in which a member over the age of 65 is experiencing a loss of autonomy that is beyond the family's resources. Combining psychodynamic and systemic tools, this group treatment focuses on psychological aspects and elements of everyday reality. It encourages family communication in order to restore balance. It activates specific levers: intervention during the crisis, modularity of the framework, work on the environment and the network. It offers six renewable sessions, at home, and summaries with partners. The system has temporal and geographical limitations. This experiment shows that it is possible to offer family care that can be linked to individual care, can be identified in the professional network, and is accessible to families who are not initially interested. This finding opens up the possibility of spreading the scheme.
    MeSH term(s) Aged ; Humans ; Communication ; Geriatric Psychiatry ; Hospitals
    Language French
    Publishing date 2024-04-04
    Publishing country France
    Document type English Abstract ; Journal Article
    ISSN 2115-7863
    ISSN (online) 2115-7863
    DOI 10.1684/pnv.2024.1146
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: La douleur chronique, un langage malhabile du corps.

    Rouch, Isabelle / Dorey, Jean-Michel / Saint-Martin, Helene / Von Gunten, Armin / Preisig, Martin / Laurent, Bernard

    Revue medicale suisse

    2023  Volume 19, Issue 842, Page(s) 1690–1692

    Abstract: Early psychological factors, including childhood traumas and personality, play a crucial role in the emergence and persistence of painful symptoms and appears to be frequent in patients with nociplastic pain. Patient care involves validating the reality ... ...

    Title translation Chronic pain, a clumsy body language.
    Abstract Early psychological factors, including childhood traumas and personality, play a crucial role in the emergence and persistence of painful symptoms and appears to be frequent in patients with nociplastic pain. Patient care involves validating the reality of their pain and identifying various facets of their suffering, taking into account their individual history and context. A multimodal therapeutic approach, within a bio-psycho-social model, emphasizing psychotherapeutic care, is recommended.
    MeSH term(s) Humans ; Chronic Pain/therapy ; Anxiety ; Personality ; Personality Disorders
    Language French
    Publishing date 2023-09-20
    Publishing country Switzerland
    Document type English Abstract ; Journal Article
    ZDB-ID 2177010-4
    ISSN 1660-9379
    ISSN 1660-9379
    DOI 10.53738/REVMED.2023.19.842.1690
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5998: Show issues Location:
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  3. Article ; Online: Place of psychosocial rehabilitation in psychiatry of the elderly

    Stefan, Gabriela / Le Tutour, Élodie / Dorey, Jean-Michel / Padovan, Catherine / Fabre, Delphine

    Geriatrie et psychologie neuropsychiatrie du vieillissement

    2022  Volume 20, Issue 3, Page(s) 349–358

    Abstract: Psychosocial rehabilitation (PSR) is a practice focused on recovery of the personal processes in which the elderly subject works to maintain his autonomy for as long as possible, and to remain in control of his life and his decisions. The belief that ... ...

    Title translation Place de la réhabilitation psychosociale en psychiatrie de la personne âgée
    Abstract Psychosocial rehabilitation (PSR) is a practice focused on recovery of the personal processes in which the elderly subject works to maintain his autonomy for as long as possible, and to remain in control of his life and his decisions. The belief that once old, the person loses his ability to act, is often linked to cognitive biases and can have negative impacts on recovery. Indeed, compared to adults, the elderly subject is doubly stigmatized, both by mental disorders and the consequences of aging. Thus, the geriatric population requires, in the recovery process, to take into account the specificities related to aging. Moreover, PSR must go beyond the control of symptoms and aim to improve the quality of life and well-being. We thus propose to describe in this article the RPS tools adapted to the psychiatry of the elderly subject.
    MeSH term(s) Aged ; Humans ; Psychiatric Rehabilitation ; Quality of Life ; Psychiatry ; Mental Disorders
    Language French
    Publishing date 2022-11-02
    Publishing country France
    Document type English Abstract ; Journal Article
    ISSN 2115-7863
    ISSN (online) 2115-7863
    DOI 10.1684/pnv.2022.1051
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  4. Article ; Online: Association Between Mild Neurocognitive Disorder Due to Alzheimer's Disease and Possible Attention-deficit/Hyperactivity Disorder: A Case Report.

    Carrillo, Pablo / Rey, Romain / Padovan, Catherine / Herrmann, Mathieu / Dorey, Jean-Michel

    Journal of psychiatric practice

    2022  Volume 28, Issue 3, Page(s) 251–258

    Abstract: Recent literature concerning attention-deficit/hyperactivity disorder (ADHD) underlines the persistence of this neurodevelopmental illness in older patients. Comorbidity with a neurodegenerative disease is thus possible. However, few studies have ... ...

    Abstract Recent literature concerning attention-deficit/hyperactivity disorder (ADHD) underlines the persistence of this neurodevelopmental illness in older patients. Comorbidity with a neurodegenerative disease is thus possible. However, few studies have investigated this topic. To our knowledge, this is the first case report of such a possible association, which raises important questions about clinical presentation, symptoms, diagnosis, and treatment. A 72-year-old man, without any psychiatric history, presented with depression, subjective memory loss, and attention deficit and anxious symptoms, and was diagnosed with mild neurocognitive disorder due to Alzheimer's disease. However, the patient's attentional symptoms appeared to have been present since childhood. A formalized diagnostic interview assessing for ADHD did not allow for a clear diagnosis, possibly due to recall bias. The patient's anxiety symptoms also did not respond well to cognitive behavioral therapy coupled with different antidepressants. We hypothesized the presence of ADHD, with the symptoms balanced until now by the patient's high cognitive capacities, and we postulated that the onset of a neurogenerative process may have disrupted this balance. In this case report, we discuss symptom dimensionality, the interplay between neurodegenerative and neurodevelopmental diseases, and various treatment options. Attentional deficits and anxiety symptoms are frequent in mild neurocognitive disorders due to neurodegenerative illnesses. It is important to explore the time of onset of such symptoms since neurodegenerative processes can worsen neurodevelopmental conditions. Moreover, identification of a pre-existing neurodevelopmental condition can lead to alternative care and treatment options. In addition, the unexplained worsening of ADHD symptoms should prompt clinicians to assess for a neurodegenerative process.
    MeSH term(s) Aged ; Alzheimer Disease/complications ; Attention Deficit Disorder with Hyperactivity/diagnosis ; Child ; Cognitive Dysfunction/complications ; Comorbidity ; Humans ; Male ; Neurodegenerative Diseases
    Language English
    Publishing date 2022-05-01
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2022726-7
    ISSN 1538-1145 ; 1527-4160
    ISSN (online) 1538-1145
    ISSN 1527-4160
    DOI 10.1097/PRA.0000000000000627
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4753: Show issues Location:
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  5. Article ; Online: Impaired Facial Emotion Recognition and Gaze Direction Detection in Mild Alzheimer's Disease: Results from the PACO Study.

    Comon, Martin / Rouch, Isabelle / Edjolo, Arlette / Padovan, Catherine / Krolak-Salmon, Pierre / Dorey, Jean-Michel

    Journal of Alzheimer's disease : JAD

    2022  Volume 89, Issue 4, Page(s) 1427–1437

    Abstract: Background: Facial emotion recognition (FER) and gaze direction (GD) identification are core components of social cognition, possibly impaired in many psychiatric or neurological conditions. Regarding Alzheimer's disease (AD), current knowledge is ... ...

    Abstract Background: Facial emotion recognition (FER) and gaze direction (GD) identification are core components of social cognition, possibly impaired in many psychiatric or neurological conditions. Regarding Alzheimer's disease (AD), current knowledge is controversial.
    Objective: The aim of this study was to explore FER and GD identification in mild AD compared to healthy controls.
    Methods: 180 participants with mild AD drawn from the PACO study and 74 healthy elderly controls were enrolled. Participants were asked to complete three socio-cognitive tasks: face sex identification, recognition of facial emotions (fear, happiness, anger, disgust) expressed at different intensities, and GD discrimination. Multivariate analyses were conducted to compare AD participants and healthy controls.
    Results: Sex recognition was preserved. GD determination for subtle deviations was impaired in AD. Recognition of prototypically expressed facial emotions was preserved while recognition of degraded facial emotions was impacted in AD participants compared to controls. Use of multivariate analysis suggested significant alteration of low-expressed fear and disgust recognition in the AD group.
    Conclusion: Our results showed emotion recognition and GD identification in patients with early-stage AD compared to elderly controls. These impairments could be the object of specific therapeutic interventions such as social cognition remediation or raising awareness of primary caregivers to improve the quality of life of patients with early AD.
    MeSH term(s) Aged ; Alzheimer Disease/diagnosis ; Alzheimer Disease/psychology ; Emotions ; Facial Expression ; Facial Recognition ; Humans ; Quality of Life
    Language English
    Publishing date 2022-09-17
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1440127-7
    ISSN 1875-8908 ; 1387-2877
    ISSN (online) 1875-8908
    ISSN 1387-2877
    DOI 10.3233/JAD-220401
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    Zs.A 6084: Show issues Location:
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  6. Article ; Online: Psychiatric disorders, personality traits, and childhood traumatic events predicting incidence and persistence of chronic pain: results from the CoLaus|PsyCoLaus study.

    Rouch, Isabelle / Strippoli, Marie-Pierre F / Dorey, Jean-Michel / Ranjbar, Setareh / Laurent, Bernard / von Gunten, Armin / Preisig, Martin

    Pain

    2023  Volume 164, Issue 9, Page(s) 2084–2092

    Abstract: Abstract: Chronic pain (CP) is often accompanied by mental disorders (MDs). However, little is known concerning the long-term effect of MDs, personality traits, and early-life traumatic events (ETEs) on CP course. Accordingly, we aimed to prospectively ... ...

    Abstract Abstract: Chronic pain (CP) is often accompanied by mental disorders (MDs). However, little is known concerning the long-term effect of MDs, personality traits, and early-life traumatic events (ETEs) on CP course. Accordingly, we aimed to prospectively assess the associations of major depressive disorders (MDDs), anxiety disorders, personality traits, and ETEs with the incidence and the persistence of CP in middle-aged and older community dwellers. Data stemmed from the 3 first follow-up evaluations of CoLaus|PsyCoLaus, a prospective cohort conducted in the general population of Lausanne (Switzerland). Diagnostic criteria for MDs and ETEs were elicited using semistructured interviews. CP and personality traits were assessed by self-rating questionnaires. Follow-up intervals were subdivided into 2 groups: those without (n = 2280) and those with (n = 1841) CP initially. The associations between the psychological variables and the occurrence or persistence of CP 5 years later were assessed using serially adjusted logistic regression models. Higher neuroticism (odds ratio [95% confidence interval] 1.21 [1.08; 1.36]) and extraversion (1.18 [1.06; 1.32]) were associated with higher 5-year CP incidence, whereas current (2.14 [1.34; 3.44]) and remitted MDD (1.29 [1.00; 1.66]) as well as lower extraversion (0.83 [0.74; 0.94]) were associated with persistence of CP. By contrast, ETEs and anxiety disorders were not associated with the incidence or persistence of CP. Our results suggest that personality traits are associated with both CP occurrence and persistence, whereas the MDDs may be more associated with CP persistence. Both personality and MDD are accessible to psychotherapy, and MDD is also accessible to pharmacotherapy. Hence, these therapeutic measures might decrease the risk of CP and its persistence.
    MeSH term(s) Child ; Middle Aged ; Humans ; Aged ; Depressive Disorder, Major/epidemiology ; Incidence ; Chronic Pain/epidemiology ; Prospective Studies ; Mental Disorders/diagnosis ; Personality
    Language English
    Publishing date 2023-04-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 193153-2
    ISSN 1872-6623 ; 0304-3959
    ISSN (online) 1872-6623
    ISSN 0304-3959
    DOI 10.1097/j.pain.0000000000002912
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1158: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  7. Article ; Online: Mésusage d’antalgiques opioïdes chez le sujet âgé : une mise au point.

    Cublier, Manon / Menecier, Pascal / von Gunten, Armin / Lepetit, Alexis / Dorey, Jean-Michel / Rolland, Benjamin

    Geriatrie et psychologie neuropsychiatrie du vieillissement

    2021  Volume 18, Issue 3, Page(s) 343–349

    Abstract: Analgesic opioids addiction (AOA) is very frequent in the elderly, and results in a high morbi-mortality due to geriatric associated pathologies with pharmacokinetics modifications. However, it is poorly detected in these subjects and specific screening ... ...

    Title translation Analgesic opioids misuse in the elderly: A review.
    Abstract Analgesic opioids addiction (AOA) is very frequent in the elderly, and results in a high morbi-mortality due to geriatric associated pathologies with pharmacokinetics modifications. However, it is poorly detected in these subjects and specific screening tools should be widely used to detect the risk factors for AOA prevention. Before initiating opioid prescription, exhaustive search of associated treatments (to track drug interaction) and of opioid prescription by other clinicians (doctor shopping) are requisite. Specific care sectors, as developed in the United States are still scarce in France and care support is provided by the collaboration between geriatricians and psychiatrists. Optimisation of somatic and psychiatric comorbidities is a core part of the guidelines.
    MeSH term(s) Aged ; Analgesics, Opioid/therapeutic use ; Humans ; Middle Aged ; Prescription Drug Misuse/statistics & numerical data
    Chemical Substances Analgesics, Opioid
    Language French
    Publishing date 2021-07-06
    Publishing country France
    Document type Journal Article ; Review
    ISSN 2115-7863
    ISSN (online) 2115-7863
    DOI 10.1684/pnv.2020.0880
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  8. Article ; Online: Réactions paradoxales aux benzodiazépines chez la personne âgée.

    Champion, Christine / Novais, Teddy / Dorey, Jean-Michel / Krolak-Salmon, Pierre / Lepetit, Alexis

    Geriatrie et psychologie neuropsychiatrie du vieillissement

    2021  Volume 19, Issue 3, Page(s) 305–312

    Abstract: The prevalence of paradoxical reactions to benzodiazepines is estimated of about 1% in the general population. The semiology can be very rich, diverse and misleading. Advanced age as well as cognitive disorders are classically described in the literature ...

    Title translation Paradoxical reactions to benzodiazepines in the elderly.
    Abstract The prevalence of paradoxical reactions to benzodiazepines is estimated of about 1% in the general population. The semiology can be very rich, diverse and misleading. Advanced age as well as cognitive disorders are classically described in the literature as risk factors for developing paradoxical reactions. However, the review of the literature has only identified a limited number of articles focusing on the elderly and only one article for patients with neurocognitive disorders. One may wonder about this paradox and whether these are unpublished clinical observations, or whether the elderly population is really at risk, especially patients with neurocognitive disorders. Semiology can be confused with underlying neurocognitive disorders. So, paradoxical reactions are ultimately only rarely or not evoked leading to a very high risk of iatrogeny. It is therefore important to be aware of these paradoxical effects in order to be able to evoke them quickly. The most striking semiological element would be the suddenness of onset of self-aggressive or hetero-aggressive behaviors.
    MeSH term(s) Aged ; Aggression ; Benzodiazepines/adverse effects ; Humans
    Chemical Substances Benzodiazepines (12794-10-4)
    Language French
    Publishing date 2021-09-15
    Publishing country France
    Document type Journal Article
    ISSN 2115-7863
    ISSN (online) 2115-7863
    DOI 10.1684/pnv.2021.0958
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  9. Article ; Online: Paradoxical reactions to benzodiazepines in the elderly.

    Champion, Christine / Novais, Teddy / Dorey, Jean-Michel / Krolak-Salmon, Pierre / Lepetit, Alexis

    Geriatrie et psychologie neuropsychiatrie du vieillissement

    2021  

    Abstract: The prevalence of paradoxical reactions to benzodiazepines is estimated to be approximately 1% in the general population. The semiology can be very varied, diverse and misleading. Advanced age as well as cognitive disorders are classically described in ... ...

    Abstract The prevalence of paradoxical reactions to benzodiazepines is estimated to be approximately 1% in the general population. The semiology can be very varied, diverse and misleading. Advanced age as well as cognitive disorders are classically described in the literature as risk factors for developing paradoxical reactions. However, this literature review only identified a limited number of articles focusing on the elderly and only one article on patients with neurocognitive disorders. This paradoxical situation raises questions as to whether these are unpublished clinical observations or whether the elderly population is really at risk, especially patients with neurocognitive disorders. Semiology can be confused with underlying neurocognitive disorders. Paradoxical reactions are ultimately only rarely or not evoked, leading to a very high risk of iatrogeny. It is therefore important to be aware of these paradoxical effects in order to be able to evoke them rapidly. The most striking semiological element would be the suddenness of onset of self-aggressive or hetero-aggressive behaviours.
    Language English
    Publishing date 2021-12-16
    Publishing country France
    Document type Journal Article
    ISSN 2115-7863
    ISSN (online) 2115-7863
    DOI 10.1684/pnv.2021.0982
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  10. Article ; Online: Misuse of opioid analgesics in elderly patients: a review.

    Cublier, Manon / Menecier, Pascal / von Gunten, Armin / Lepetit, Alexis / Dorey, Jean-Michel / Rolland, Benjamin

    Geriatrie et psychologie neuropsychiatrie du vieillissement

    2021  

    Abstract: Opioid analgesic (OA) addiction occurs frequently among the elderly, and results in high morbidity and mortality due to geriatric pathologies associated with pharmacokinetic modifications. However, patients with this type of addiction are under- ... ...

    Abstract Opioid analgesic (OA) addiction occurs frequently among the elderly, and results in high morbidity and mortality due to geriatric pathologies associated with pharmacokinetic modifications. However, patients with this type of addiction are under-identified and specific screening tools should be more widely used to detect the risk factors for OA addiction. Before initiating an opioid prescription, exhaustive research into associated treatments (to track drug interaction) and opioid prescriptions by other clinicians (a phenomenon known as "doctor shopping") is required. Specific specialist care, as has been developed in the United States, is still scarce in France and treatment is provided through collaboration between geriatricians and psychiatrists. Optimisation of the treatment of somatic and psychiatric comorbidities is key to effective management.
    Language English
    Publishing date 2021-04-06
    Publishing country France
    Document type Journal Article
    ISSN 2115-7863
    ISSN (online) 2115-7863
    DOI 10.1684/pnv.2021.0926
    Database MEDical Literature Analysis and Retrieval System OnLINE

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