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Search Results: 1 - 10 of 10541 matches for " Anne Revah-Levy "
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The Adolescent Depression Rating Scale (ADRS): a validation study
Anne Revah-Levy, Boris Birmaher, Isabelle Gasquet, Bruno Falissard
BMC Psychiatry , 2007, DOI: 10.1186/1471-244x-7-2
Abstract: The 11-item clinician-report and 44-item self-report versions of the ADRS were developed from a qualitative phase involving interviews of experts and adolescents. These two instruments were then administered to 402 French speaking adolescents with and without depressive disorders. Item distribution, internal consistency, convergent validity, discriminant validity and factorial structure were assessed.After reduction procedures, a 10-item clinician version and a 10-item self-report version were obtained. The ADRS demonstrated good internal consistency (alpha Cronbach coefficient >.70). It also discriminated better between adolescents with and without depression than the Hamilton Depressive Rating Scale and the Beck Depression Inventory (BDI-13).The ADRS is a useful, short, clinician-report and self-report scale to evaluate adolescent depression. Further studies to replicate our findings and evaluate ADRS sensitivity to effects of treatment and psychometric properties in populations of adolescents with several psychiatric disorders are warranted.Standardized diagnostic criteria for depression have raised several questions regarding the classification of adolescents with depression. In fact, dichotomizing the population into cases and non-cases does not take into account that a substantial proportion of depressed adolescents have sub-syndromal depressive symptomatology [1]. Yet these young people have significant morbidity and are at high risk of developing full-blown major depression [2].Recent findings [4,24] support the view that measures of depression in adolescence are best implemented in a dimensional model, where depressive disorders are conceptualized as a continuum of severity, from mild to severe. Thus, subjects who meet DSM-IV diagnostic criteria for MDD [3] represent the extreme of a continuum rather than a distinct group [4].The feasibility of clinical trials in adolescent populations depends on the availability of valid measures [5]. In fact, many studies
ADHD in adolescents with borderline personality disorder
Mario Speranza, Anne Revah-Levy, Samuele Cortese, Bruno Falissard, Alexandra Pham-Scottez, Maurice Corcos
BMC Psychiatry , 2011, DOI: 10.1186/1471-244x-11-158
Abstract: ADHD diagnoses were sought in a sample of 85 DSM-IV BPD adolescents drawn from the EURNET BPD. Axis-I and -II disorders were determined with the K-SADS-PL and the SIDP-IV, respectively. Impulsivity was assessed with the BIS-11.11% (N = 9) of BPD participants had a current ADHD diagnosis. BPD-ADHD adolescents showed higher prevalence of Disruptive disorders (Chi2 = 9.09, p = 0.01) and a non-significant trend for a higher prevalence of other cluster B personality disorders (Chi2 = 2.70, p = 0.08). Regression analyses revealed a significant association between Attentional/Cognitive impulsivity scores and ADHD (Wald Z = 6.69; p = 0.01; Exp(B) = 2.02, CI 95% 1.19-3.45).Comorbid ADHD influences the clinical presentation of adolescents with BPD and is associated with higher rates of disruptive disorders, with a trend towards a greater likelihood of cluster B personality disorders and with higher levels of impulsivity, especially of the attentional/cognitive type. A subgroup of BPD patients may exhibit developmentally driven impairments of the inhibitory system persisting since childhood. Specific interventions should be recommended for this subsample of BPD adolescents.Borderline personality disorder (BPD) is an impairing mental disorder that concerns 1-2% of the general population. It is characterized by a pervasive pattern of instability in affect regulation, impulse control, interpersonal relationships, and self-image [1]. Although BPD is usually diagnosed in adults, symptoms of BPD can often be traced back to childhood [2]. Several studies have shown that specific features of BPD, such as self-harm, impulsivity and emotional dysregulation, present during childhood or adolescence, are predictive of BPD diagnoses in adulthood [3-5]. Among these, impulsivity in particular is regarded as a core feature of BPD [1,6]. Impulsivity is associated with factors contributing to the severity of the disorder, such as suicidal/self-harming behaviours or increased risk for substance a
Subjective Motives for Requesting In-Patient Treatment in Female with Anorexia Nervosa: A Qualitative Study
Pauline Gorse, Clementine Nordon, Frederic Rouillon, Alexandra Pham-Scottez, Anne Revah-Levy
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0077757
Abstract: Background Anorexia nervosa is a severe psychiatric disorder mainly affecting women. Its treatment is long and accepted with much difficulty, in particular in-patient treatment. Aims To describe the subjective motives of women with anorexia nervosa for requesting in-patient admission, from a qualitative analysis of application letters. Methods Participants were adult women (18 years and older) with anorexia nervosa who were admitted as in-patients in a referral hospital unit in France from January 2008 to December 2010. The application letters, prerequisites to admission, were studied by the interpretative phenomenological method of content analysis. Results 63 letters have been analysed, allowing the identification of six themes related to requests for in-patient care: loss of control of behaviour, and of thoughts, mental exhaustion, isolation, inner struggle and fear of recovery. Conclusions Requests for in-patient admission were motivated by very personal, subjective experiences, unrelated to medical reasons for admission. These results may help improve pre-admission motivational work with individuals, by basing it on their subjective experience.
First Parent-Child Meetings in International Adoptions: A Qualitative Study
Aurélie Harf, Sara Skandrani, Rahmeth Radjack, Jordan Sibeoni, Marie Rose Moro, Anne Revah-Levy
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0075300
Abstract: International adoptions involve approximately 30000 children worldwide each year. Nearly all of the adoptive parents travel to the child's country of birth to meet them and bring them home. The objective of this study is to analyze the adoptive parents' account of their first meetings with their child. The study includes 46 parents who adopted one or more children internationally. Each parent participated in a semi-structured interview, focused on these first parent-child meetings. The interviews were analyzed according to a qualitative phenomenological method, Interpretative Phenomenological Analysis. The principal themes that emerged from the analysis of the interviews were: the scene when the child is entrusted to the parents, the discovery of the child's body, and the first parent-child interaction. Within these three principal themes, several subthemes dealt with difficult experiences: moments of solitude and anxiety, shocking images of the children's living conditions, lack of preparation and of information about the child, poor health, parental reactions of rejection, worry about the child's body, aggressive reactions by the child, worry about the child's reactions, and contrast with the expected interaction. Thirty-two interviews included at least one of these subthemes. At the structural level of the discourse; the characteristics of 33 interviews are those described in the literature as significantly more frequent in traumatized than in non-traumatized subjects. These results raise questions about the consequences of difficult, possibly traumatic experiences, at the moment of meeting the child, and they underline the need for work on preparation and prevention before the parents leave on their journey.
Qualitative Approach to Attempted Suicide by Adolescents and Young Adults: The (Neglected) Role of Revenge
Massimiliano Orri, Matteo Paduanello, Jonathan Lachal, Bruno Falissard, Jordan Sibeoni, Anne Revah-Levy
PLOS ONE , 2014, DOI: 10.1371/journal.pone.0096716
Abstract: Background Suicide by adolescents and young adults is a major public health concern, and repetition of self-harm is an important risk factor for future suicide attempts. Objective Our purpose is to explore the perspective of adolescents directly involved in suicidal acts. Methods Qualitative study involving 16 purposively selected adolescents (sex ratio1:1) from 3 different centers. Half had been involved in repeated suicidal acts, and the other half only one. Data were gathered through semistructured interviews and analyzed according to Interpretative Phenomenological Analysis. Results We found five main themes, organized in two superordinate themes. The first theme (individual dimensions of the suicide attempt) describes the issues and explanations that the adolescents saw as related to themselves; it includes the subthemes: (1) negative emotions toward the self and individual impasse, and (2) the need for some control over their lives. The second main theme (relational dimensions of attempted suicide) describes issues that adolescents mentioned that were related to others and includes three subthemes: (3) perceived impasse in interpersonal relationships, (4) communication, and (5) revenge. Conclusions Adolescents involved in suicidal behavior are stuck in both an individual and a relational impasse from which there is no exit and no apparent way to reach the other. Revenge can bridge this gap and thus transforms personal distress into a relational matter. This powerful emotion has been neglected by both clinicians and researchers.
Association between Body Mass Index and depression: the "fat and jolly" hypothesis for adolescents girls
Anne Revah-Levy, Mario Speranza, Caroline Barry, Christine Hassler, Isabelle Gasquet, Marie-Rose Moro, Bruno Falissard
BMC Public Health , 2011, DOI: 10.1186/1471-2458-11-649
Abstract: The association between BMI and depression, measured on the Adolescent Depression Rating Scale (ADRS), was tested in a French national representative sample of 39542 adolescents aged 17. Self-report data is derived from the 2008 ESCAPAD study, an epidemiological study based on a questionnaire focused on health and drug consumption. We used spline function analysis to describe the association between BMI and depression.The association between BMI and depression is significant (p < 0.001) and non-linear for both genders, with no effect of parental working and marital status. For boys, there is U-shaped association. For girls the shape of the association is complex and shows inverted convexity for high levels of BMI. The spline shows higher scores for depression among overweight girls than among obese girls.There is evidence for a gender difference in the association between BMI and depression in adolescents, supporting the need to study boys and girls separately. Overweight adolescent girls are more likely to be depressed than obese adolescent girls, giving support for "fat and jolly" hypothesis not only among older women but also among adolescent girls.Adolescence is a critical period, whether for weight problems or for depression. Obesity and depressive disorders in adolescence in particular are risk factors for chronic pathologies in adulthood, the medical and economic consequences of which are central public health issues [1-4]. Numerous covariates of the association between variation of weight and depression have been described, especially in adolescence, such as age, gender, socioeconomic status of the parents, family structure, level of education, race/ethnicity, body image, [5-9]. A multifaceted approach to explaining child and adolescent variations in weight has suggested that the home environment and socioeconomic status are important considerations [10,6].While only longitudinal studies are likely to demonstrate the complex underlying mechanisms linking var
Evaluating Fidelity in Home-Visiting Programs a Qualitative Analysis of 1058 Home Visit Case Notes from 105 Families
Thomas Sa?as, Emilie Lerner, Tim Greacen, Elodie Simon-Vernier, Alessandra Emer, Eléonore Pintaux, Antoine Guédeney, Romain Dugravier, Susana Tereno, Bruno Falissard, Florence Tubach, the CAPEDP Study Group , Anne Revah-Levy
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0036915
Abstract: Objective Implementation fidelity is a key issue in home-visiting programs as it determines a program’s effectiveness in accomplishing its original goals. This paper seeks to evaluate fidelity in a 27-month program addressing maternal and child health which took place in France between 2006 and 2011. Method To evaluate implementation fidelity, home visit case notes were analyzed using thematic qualitative and computer-assisted linguistic analyses. Results During the prenatal period, home visitors focused on the social components of the program. Visitors discussed the physical changes in pregnancy, and psychological and social environment issues. Discussing immigration, unstable employment and financial related issues, family relationships and dynamics and maternity services, while not expected, were found in case notes. Conversely, health during pregnancy, early child development and postpartum mood changes were not identified as topics within the prenatal case notes. During the postnatal period, most components of the intervention were addressed: home visitors observed the mother’s adaptation to the baby; routine themes such as psychological needs and medical-social networks were evaluated; information on the importance of social support and on adapting the home environment was given; home visitors counseled on parental authority, and addressed mothers’ self-esteem issues; finally, they helped to find child care, when necessary. Some themes were not addressed or partially addressed: health education, child development, home environment, mother’s education plans and personal routine, partner support and play with the child. Other themes were not expected, but found in the case notes: social issues, mother-family relationship, relation with services, couple issues, quality of maternal behavior and child’s language development. Conclusions In this program, home visitors experienced difficulties addressing some of the objectives because they gave precedence to the families“ urgent needs. This research stresses the importance of training home visitors to adapt the intervention to the social, psychological and health needs of families.
Phenomenologic analysis of healthcare worker perceptions of intensive care unit diaries
Antoine Perier, Anne Revah-Levy, Cédric Bruel, Nathalie Cousin, Stéphanie Angeli, Sandie Brochon, Fran?ois Philippart, Adeline Max, Charles Gregoire, Benoit Misset, Maité Garrouste-Orgeas
Critical Care , 2013, DOI: 10.1186/cc11938
Abstract: We used a phenomenologic approach to conduct a qualitative study of 36 semistructured interviews in a medical-surgical ICU in a 460-bed tertiary hospital.Two domains of perception were assessed: reading and writing in the diaries. These two domains led to four main themes in the ICU workers' perceptions: suffering of the families; using the diary as a source of information for families but also as generating difficulties in writing bad news; determining the optimal interpersonal distance with the patient and relatives; and using the diary as a tool for constructing a narrative of the patient's ICU stay.The ICU workers thought that the diary was beneficial in communicating the suffering of families while providing comfort and helping to build the patient's ICU narrative. They reported strong emotions related to the diaries and a perception of intruding into the patients' and families' privacy when reading the diaries. Fear of strong emotional investment may adversely affect the ability of ICU workers to perform their duties optimally. ICU workers are in favor of ICU diaries, but activation by the diaries of emotions among younger ICU workers may require specific support.Patient diaries were first used in Denmark, Sweden, and Norway, and then introduced several decades later in other European countries, such as the UK, Switzerland, and, finally, France [1]. Diary entries were found to fall into four main categories: sharing the story, sharing the presence, sharing feelings, and sharing through support [2]. The multiple roles of diaries kept for ICU patients include reconstruction of the illness narrative [3], communication of caring intent [4], debriefing to deal with posttraumatic stress syndrome (PTSD) [5], and the promotion of family healing [3]. ICU diaries have been reported to help in the transition of patients from critical illness to normalcy [2,5-8].We previously evaluated the effect of an ICU diary on the well-being of patients and families and found that th
Jovens “velhos” no mundo da pós-infancia
Daniel Revah
ETD : Educa??o Temática Digital , 2011,
Abstract: As representa es sobre a infancia transformaram-se de forma significativa desde a década de 1960. Dessa década procede a obra pioneira de Philippe Ariès, que apresenta a infancia como uma constru o histórica singular, própria do nosso mundo moderno. Na década de 1980, quando essa perspectiva ainda estava sendo discutida e aprofundada, ganha for a a ideia de que a infancia está desaparecendo. Entre essas referências e extremos, situa-se boa parte do debate atual sobre a infancia, sobre o lugar reservado às crian as nas sociedades contemporaneas e sobre as representa es que definem esse lugar. Nesse debate, muitos falam sobre a infancia por meio de um jogo de oposi es, aproxima es e semelhan as entre a crian a e o adulto, criando desse modo determinadas figuras, como a crian a-adulto e o adulto-crian a. Implicado nessas figuras, há um elemento que corresponde a um ideal cultural e que pouco comparece nos debates brasileiros que operam com elas: o significante jovem/juventude – um significante ausente, mas que n o deixa de estar presente, talvez com a for a que é própria do que opera desde um lugar n o reconhecido. A partir do que esse significante apagado instaura enquanto saber n o sabido que opera em crian as e adultos, este artigo busca redimensionar aquelas duas figuras e assim tratar desta quest o: as crian as de hoje s o mais sabidas?
Obstructive Sleep Apnea Syndrome in Two Subjects with Down Syndrome: Continuous Positive Airway Pressure Contribution on Exercise Tolerance  [PDF]
Thomas Leti, Michel Guinot, Anne Favre-Juvin, Jean-Louis Pepin, Patrick Levy, Veronique A. Bricout
Neuroscience & Medicine (NM) , 2012, DOI: 10.4236/nm.2012.32024
Abstract: In subjects with Down syndrome the obstructive sleep apnea is the cause of many disorders (cognitive and cardiovascular disorders, premature exhaustion, increase of daytime sleepiness). The standard treatment in the obstructive sleep apnea is continuous positive airway pressure, which eliminates the respiratory events, allows recovery of a satisfactory quality of sleep, and suppresses daytime sleepiness and cognitive dysfunction. The aim of this study was to verify the effects of continuous positive airway pressure on aerobic performance, as well as on hormonal and metabolic parameters during exercise, in two young adults with Down syndrome and with obstructive sleep apnea, treated or not, after an interval of 5 years. The main result observed is the beneficial effect on the ability to achieve a longer submaximal exercise with higher intensity in subject receiving the treatment. Obstructive sleep apnea syndrome treatment in people with Down syndrome could improve aerobic capacity and reduce daytime sleepiness.
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