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1.
L. Hernandez N. Oubrayrie-Roussel Y. Prêteur 《Neuropsychiatrie de l'enfance et de l'adolescence》2012
Objective
This paper emphasizes the variety of peer relationships and their impact on the psychological and social-emotional development of adolescents of their attachment to school. In greater detail, this study analyzes the impact of social status on school commitment/disengagement within suburban schools (socially disadvantaged areas). We define social status as the social position of a person in a group: popular, rejected, lonely profile, etc. We study it based on the integration of an adolescent to a peer group, on the acknowledgment than he gets back, on the quality of his relationships with the other members of the group and on the fact he is/is not able to curb the peer pressure.Methods and population
We asked 186 adolescents, pupils of a suburban school (58% of them are girls and 42% are boys). Most families live on low (or medium) incomes with a low educational attainment. A Decreasing Hierarchical Classification (DHC, Alceste, a method which consists of providing clusters by bringing them together according to their similarity) was used to identify five adolescents’ profiles: “followers/aggressive”, “popular”, “rejected”, “lonely” and “estimates”. This approach allowed us to set up typical adolescent profiles based on their social status and illustrated with their school disengagement.Results
It was revealed that adolescents with “extreme” relationships (profiles: famous, aggressive or rejected) are those experiencing more difficulties at school. Their relationships are based either on power, on research for conformity or on strong emotional dependence. This leads them to bad school behaviors (practicing other activities at school, inattention, or being passive during class) because of their values too far from school requirements. Adolescents who have balanced and satisfying relationships succeed better. The support and the security from peers make them more cognitively available during class. The adolescents who do not belong to any group are also good performers: this way, they avoid social pressure so that they can concentrate on school activities.Conclusion
After all, these results underlie that the social status of a adolescents in his group of peers can generate individual problems affecting his personality, his self-esteem, his sociability, his values and, as a consequence, his whole school journey. 相似文献2.
3.
Interest
The Dupré clinic of Sceaux is a “care and study” center, which has developed a multidimensional program including medical care, institutional psychotherapy and school studies for adolescents and young adults aged 16 to 25 suffering from severe psychiatric disorder, social impairment and/or school drop-out. To our knowledge, there are very few studies that have been conducted on the patient's clinical characteristics and the specific cares that can influence outcomes.Method
We studied a sample of 55 patients treated at the Dupré clinic between 2007 and 2012 (mean duration of hospitalization = 570 days; mean admission Global Assessment of Functioning Scale (GAF) score = 43.6). GAF scores at time of admission and at time of discharge, other relevant clinical and socio-demographic characteristics of the patients and the specific cares received during hospitalization were collected. Most of the patients had a diagnosis of psychotic disorder (28%), personality disorder (25%) or eating disorder (23%).Results
Sixty percent of these patients were considered as “good responders” (i.e., an increase in GAF scores ≥ 25%) and the others (40%) were considered as “poor responders”. Adolescents who participated in a specific care focusing on the professional integration were more likely to be good responder (75% versus 44% among adolescents who did not participate in this specific care, P = 0.023).Conclusion
Given the limitations of our study (small sample, observational study), the potential interests of specific cares focusing on the professional integration of adolescents in “care and study” center should be further studied. 相似文献4.
Aim
The overall objective of this work is to observe whether or not the differences in social and cognitive performance between two groups of gifted children distributed according to the presence or absence of psychological difficulties associated. In specialized literature, some authors point out that these children have social integration problems whereas others consider gifted children's social abilities as normal and even superior in comparison to typical children of the same age. We hypothesize that these contrasted points of view result from a biased recruitment of the studies’ participants, which mainly present psychopathologic symptoms.Method
Thirty-five children participated in the study; WISC III was used to identify their IQ as ≥ 130. Further, we used WISC IV to update psychometric data. We made two groups: a “clinical” group (12 gifted children being followed in our Service of Medical Psychology) and a group control “non-consulting” (23 gifted children following an adapted scholarship).Results
Those two groups have distinctive social and adaptative behaviors: “control” group children present normal abilities whereas “clinical” group children present lower abilities.Conclusions
We confirm that social adaptation abilities in gifted children with psychopathologic affections are lower than in gifted children without these affections. These results claim that attention should be paid when recruiting study participants; we also think that study method should divide participants in subgroups, considering that giftedness presents a certain degree of heterogeneity. We try to out light the observed difficulties in “clinical” gifted children referencing to developmental psychopathology. 相似文献5.
C. Kayser E. Jaunay M. Giannitelli E. Deniau J. Brunelle O. Bonnot A. Consoli J.-M. Guilé D. Cohen 《Neuropsychiatrie de l'enfance et de l'adolescence》2011
Background
Children and adolescents involved with foster care are a population at high risk of developing psychiatric disorders. Here, we aimed to assess in children and adolescents admitted in a University Department of Child and Adolescent Psychiatry whether being involved with foster care would change psychopathology and risk factors they face.Method
We conducted a case-control study in a sample of 103 inpatients aged 6 to 18 years (52 supported by foster care; 51 not supported). Assessment included family and medical histories, psychopathology using the MINI neuropsychiatric interviews (Kid and parents) for axis 1 diagnoses and the diagnostic interview for borderline for axis 2 diagnoses. We also scored the following scales: Global Assessment Functioning, Eysenck Impulsivity and Empathy Scale, Buss and Durkee Hostility Inventory, Harvey Affective Liability Scale.Results
We found more psychosocial life events, both past and recent (occurring less than 2 years) in inpatients involved with foster care (family conflicts, single parent, repeated breaks in places of life, academic failures). We also found more family history of antisocial personality disorder, alcoholism and other drug abuses in first-degree relatives. Regarding axis 1 psychopathologies, we found significantly more conduct disorders, specific developmental disorders and learning difficulties among youths supported by foster care. Finally, we found several prevalent traits of the borderline personality and higher scores of impulsivity, emotional liability and hostility. However, we did not find significant difference for empathy score between the two groups. The results emphasize a condition of cumulative risk factors in the inpatients population involved with foster care.Conclusion
The severity and prevalence of psychiatric disorders among youths involved with foster care and requiring psychiatric inpatient stay show the impact of interactions with the environment on the development of psychopathology in children and, for some of them, the inadequacy of the means of prevention. 相似文献6.
J.-L. Sudres M. Dupuy F. Ghrib H. Desjardins I. Hubert M. Glattard G. Diene C. Arnaud M. Tauber B. Jouret 《Neuropsychiatrie de l'enfance et de l'adolescence》2013
Background
Adolescence is identified as a critical period for obesity and its complications.Objective
To evaluate body image, self-esteem, anxiety and depression in obese adolescents.Methods
Hundred and six obese adolescents benefited from an exploration of body image (Body Prominence, BPQ; Figure Rating Scale, FRS; Questionnaire of Body Preoccupation, QPC), self-esteem (Self-Esteem Scale, SES), anxiety (Revised children Manifest Anxiety Scale, RCMA-S), depression (Center for Epidemiologic studies–Depression Scale, CES-D).Results
Globally, body image is disturbed. The BPQ shows a level of body consciousness greater in girls. Concerning the choice of the perceived figure, boys position themselves more frequently than girls in plump figures. For wished figures, girls choose more slim figures. However, there is no sex difference concerning body dissatisfaction that is relatively important for both sexes. The QPC indicates that girls have higher body preoccupation level than boys with specific focus on certain body area according to sex. The SES indicates that one out of two adolescents shows a low self-esteem and according to the RCMA-S, one out of three shows a high anxiety level without sex difference. Moreover, from the CES-D, one out of five adolescents, more frequently girls, exhibits a moderate to severe depression.Conclusion
These results, with a differential interpretation (statistical vs clinical), partly confirm the data from the literature, and underline the need to perform a comprehensive investigation of body image, self-esteem, anxiety and depression in obese adolescents. In order to optimize the quality of the management provided to these youths, we proposed to physicians a pragmatic guide as “the somato-psychic pyramid”. It is important to remind that while escaping from the rule of the body fat regulation, obese adolescents may demonstrate a transgression and an adaptative marginalization. 相似文献7.
M. Giannitelli M. Plaza F. Guillemont A. Hingant N. Bodeau D. Chauvin E. Jaunay E. Deniau A. Consoli J.-M. Guilé D. Cohen 《Neuropsychiatrie de l'enfance et de l'adolescence》2011
Background
Children and adolescents involved with foster care are a population at high risk of developing psychiatric disorders and poor language skills. Here, we aimed to assess in children and adolescents admitted in a university department of child and adolescent psychiatry whether being involved with foster care would change oral and written language impairments they face.Method
We conducted a case-control study in a sample of 104 inpatients aged six to 18 years (50 supported by foster care; 54 not supported). Assessment included family and medical histories, axis 1 diagnoses and a systematic screening of written abilities using the French version of the 1-minute reading test, a spelling task and two tasks of sentence comprehension. For subjects showing at least one score below two standard deviations at one screening task, a full language assessment was performed including tasks for oral language, phonological skills, word identification, naming speed, syntax and comprehension.Results
We found more language impairments in inpatients involved with foster care than controls. They had lower scores in complex language comprehension tasks, more impaired phonological skills, and more fragile word identification strategies (both the grapho-phonologic conversion and the assembling strategy). We found a significant association between language and gender (male), intellectual disability and pervasive developmental disorder. Although externalized disorders were significantly associated with written language impairment, this association was mediated by gender. Finally, children and adolescents involved with foster care were at higher risk not to be treated for a language impairment (odd ratio = 3.5 [95%CI : 1.03–12.05], P = 0.038).Conclusion
The severity and prevalence of language impairments among youths involved with foster care and requiring psychiatric inpatient stay show the impact of learning disabilities in this population. In terms of prevention, assessment of language skills should be promoted in this population as they appear to be at risk of not receiving proper speech or reading remediation. 相似文献8.
Background
Like the other African developing countries, in Senegal, disparities in health services between towns and the rest of the country are very important in, particularly, the main town. Only some populations have opportunities to get enough quality of care health services. A lot of children and adolescents endure chronic diseases or handicap without correct assistance. Only one modern unit gives the children and their family adequate mental health cares.Objectives
The authors try to determine the sociodemographic characteristics of the children coming from rural areas and consulting in child-psychiatry unit of Fann Hospital (Ker Xaleyi). They examine the origins of their mental handicap and make also the analysis of the main elements. At the end, some tracks of solutions are proposed.Methods
Retrospectives data are used by consulting files of the children who have consulted at the years from 2000 to 2006 in the child-psychiatry unit “Kër Xaleyi”. Starting from the whole, those concerning the areas outside the main town (Dakar) are particularly analyzed. Data are treated by the freeware Epi Info 6 which is a series of programs for use by public health professionals, general database and statistics applications. In this work, the frequencies are mostly calculated concerning gender, age, repartition by region, kinds of disorders and diseases related to handicap.Results
Only one quarter of the patients comes from rural areas. Some regions are poorly represented like Tambacounda and Kolda. Repartition about gender is not so different whatever the region or the trouble considered. Intellectual deficiency is more frequent as handicap. Concerning the sources of the mental handicap presented by many children, a majority is related to organic affections.Analyze/Discussion
The differences seem to be linked to geographic availability (more the region is far from main town, less the population is represented in the unit), traditional convictions (persons are more in contact with mystic and irrational considerations in rural areas unlike the metropolitan citizen who have more information and education) and the poverty level is a characteristic of our rural areas (health care services and the means of transport are more developed in the city). Malaria and purulent meningitis cause sequels, which are aggravated by deficiency of taking care and inefficiency of prevention.Conclusion
Despite real difficulties in rural areas, a reduction of the gap in health services between the main town and the other cities can be realized by a better prevention policy, a better exchange of ideas between actors and new consideration of sociocultural realities. 相似文献9.
P. Bellusso M. Maumy-Bertrand Y. Desnos H. Segond 《Neuropsychiatrie de l'enfance et de l'adolescence》2014
Background
Sensory and emotional disorders are typical in autism spectrum and were analyzed by psychological, neuropsychological and psychodynamic models of interpretation. Our theoretical analysis revealed that sensory-based solicitation of the autistic patients with intellectual disabilities could allow the revival of the intersubjectivity development. Therefore, the emergence of a relational and communicative dynamic. We conceptualized an approach of psychotherapy with sensory mediation intended to formulate therapeutic proposals for remediation of relationship and communication disorders.Objectives
In this study, we aim: to present our care devices and method and their application within the framework of a developmental, clinical and experimental research program; to report the main results obtained with five patients as a clinical illustration.Method
During 18 months, we exposed five patients to individual weekly sessions of psychotherapy with sensory mediation. Our experimental group, constituted of three children presenting severe intellectual disability associated with autistic disorders. It was compared to a control group with two children showing the similar level of intellectual deficiency but without autistic disorders. Quantitative (i.e. statistical) and qualitative analyses of the therapeutic effects were performed in the following domains: sensory integration, social interaction, communication, stereotypies, “positive” behaviors and “negative” behaviors.Results
The specificity of the sensory profile of children with autistic disorders was shown. Moreover, we calculated a Sensory Integration Index allowing observation of the improvement of the autistic children's sensory integration capacity along the continuous care. Both groups increased significantly their investment of the plurimodal stimulations (i.e. associated proximal and distal stimulations). In parallel, the psychotherapy sessions allowed an increased level of social interaction and communicative skills for both groups. Furthermore, the number of stereotypies decreased for the autistic children in the course of care. 相似文献10.
Objectives
While the reception arrangements for child psychiatric emergencies seem increasingly frequented by adolescents, we sought to identify clinical and sociodemographic characteristics of these patients, yet poorly explored and understood.Methods
We conducted an analysis of the literature review listed from the major search engines.Results
Attendance at child psychiatric emergencies is increasing for over 20 years, with a predominance of adolescents and accompaniment by an overrepresentation of social assistance to children (child welfare): 22,7% to 43% of patients. The first emergency department visit patterns are agitation and violence. The main diagnoses that are registered are mood disorders and conduct disorders, including oppositional defiant disorder. A significant proportion of these adolescents come back to emergencies procedures within the year: nearly one third of adolescents, including a history of child welfare monitoring as a risk factor.Discussion
In the different studies, the same proportion of internalizing problems and externalizing problems are registered by clinician investigators. The most striking characteristics relate more to the environment of these teenagers, including a significant proportion who are followed by child welfare. For those teenagers consulting in an emergency service, a therapeutic issue is to reintegrate them into a sufficient long-term care, thanks to disponibility, accessibility and an essential preliminary work and partnership coordination between the various professionals who accompany them.Conclusion
Based on literature data, knowledge about clinical and sociodemographic adolescents referred for “psychiatric emergency services” need to be developed in order to better understand an important issue and to propose care projects closer to the needs of this high-risk population. 相似文献11.
Objective
To explore the sociocultural and media influences regarding thinness on body dissatisfaction in adolescents. More specifically, to associate frequency of media exposure (television and magazine) with its relationship to body dissatisfaction through the identification of an “internalization” process of popular beliefs about thinness as a positive predictor of body dissatisfaction in adolescents.Participants and method
The sample was composed of 797 female adolescents of which the average age was 1671 ± 1.13. The participants were recruited from different schools in Northern France. The average BMI of participants was 20.71 ± 2.91. The participants were asked to respond to three self-report inventories: questionnaire on media exposure, The Body Shape Questionnaire (BSQ, evaluating body dissatisfaction) and The Sociocultural Attitudes Towards Appearance Questionnaire-3 ([SATAQ-3], evaluating the sociocultural influence on appearance perpetuated by the media through four subscales: internalization, athletic internalization, pressure, and information).Results
The frequency of television exposure was negatively correlated with the “athletic internalization” subscale and the “pressure” subscale of the SATAQ-3. No correlation was found between exposure to magazines and the four subscales of the SATAQ-3 or body dissatisfaction. The model composed of “pressure” and “internalization” aspects appeared to explain the majority of the variance associated with body dissatisfaction in adolescent females.Conclusion
The results appear particularly pertinent to the development of intervention, treatment and prevention strategies for body image disorders and eating disorder diagnoses in adolescents. 相似文献12.
13.
V. Bréjard A. Bonnet A. Pasquier J.-L. Pedinielli 《Neuropsychiatrie de l'enfance et de l'adolescence》2011
Aim of the study
The aim of the study was to analyze the relating contribution of personality dimensions referring to Cloninger's model and emotional awareness to depressive symptoms intensity, in a community sample of adolescents. Our purpose was also to investigate the mediating role of the emotional awareness on the personality-depression relationship.Method
A sample of 372 school students completed the following questionnaires: the Tridimensional Personality Questionnaire (TPQ), the Level of Emotional Awareness Scale (LEAS), and the Center for Epidemiologic Studies Depression Scale (CES-D).Results
Correlationnal and multiple hierarchical regressions analysis confirmed the existence of direct links between each personality dimensions and depression, and the partial mediating effect of emotional awareness, but only for the novelty seeking and the harm avoidance dimensions.Conclusion
Our results confirm the relationships observed in previous research between emotion awareness and depression on one hand, and between personality and depression on the other hand. They highlight the major role played by personality and emotional processing in the vulnerability to present depressive symptoms. The importance of taking in account and assess the emotional processing in the adolescent's depression clinical support is discussed. 相似文献14.
Objective
From a data collection conducted among junior high-school students, we propose to assess global and physical self-esteem. Indeed, profound physical changes, psychological and social affect this phase of development of the person and the object of this article is to clarify what are the potential impacts of these changes on self-esteem as a function of age and gender.Methods
Five hundred and seventy-nine junior high-school students of the Midi-Pyrenees region, aged 11 to 17 years (M = 13.34, SD = 1.20) have informed the Rosenberg self-esteem scale (1965) and the physical self-inventory (Ninot, Delignières and Fortes, 2000).Results
The reliability of both tools is confirmed from our study sample. The results allow to update significant differences in global and physical self-esteem according to the age and gender of the adolescents.Conclusion
The discussion focuses on the interpretation of gender differences in the assessment of global self-esteem and physical interpretation of the differences in the development of the person. 相似文献15.
A. Gramond A. Consoli M. Maury D. Purper-Ouakil 《Neuropsychiatrie de l'enfance et de l'adolescence》2012
Background
In child and adolescent psychiatry, mood stabilizers are mainly prescribed for bipolar disorders (BD). Recognition of BD in adolescent is now clearly established. However, whether bipolarity exists in children is more controversial. To distinguish different clinical presentation in youth, it is recommended to use severe mood dysregulation (SMD) or temper dysregulation disorder (TDD) regarding previously called BD not otherwise specified. This point is currently in discussion for DSM 5. This distinction is very important as recent studies showed that treatment efficacy depends on diagnosis.Methods
We reviewed pharmacological treatment approaches for BD in children and adolescents focusing both on short-term efficacy, prevention of relapse and adverse effects.Results
We found 16 double blind randomized controlled trials (DBRCT) with rigorous methodological criteria assessing short-term efficacy of medications in BD in children and/or adolescents. Four used mood stabilizers (lithium, n = 2; valproate, n = 1; divalproate, n = 1; oxcarbamazepine, n = 1); eight second-generation antipsychotics (SGA); two compared divalproate with an SGA; one compared lithium, valproate and risperidone; and one combined divalproate plus quetiapine. We found at least one DBRCT showing superiority to placebo for lithium, valproate, as compared to SGA (aripiprazole, risperidone, quetiapine, olanzapine and ziprasidone). Finally, we found only one relapse prevention DBRCT comparing lithium and divalproate. In sum, most studies refer to SGA short-term efficacy and trials remain too rare regarding mood stabilizers. However, anti-epileptics’ secondary effects are more evaluated compared with SGA or lithium because of their use in treating epilepsy.Conclusion
Current state of data and recent studies bring us to stay very careful regarding use of mood stabilizers in pre-pubertal child with BD. In contrast, these treatments are indicated for adolescent BD in addition to psychotherapeutic treatment and educational care although the number of studies is still limited. 相似文献16.
C. Rattaz B. Ledesert O. Masson L. Ouss G. Ropers A. Baghdadli 《Neuropsychiatrie de l'enfance et de l'adolescence》2013
Aim
This study is a component of the “French Autism Plan 2008–2010”. Its objective is to describe intervention and care practices proposed to people with pervasive developmental disorders (PDD) in three French regions (Île-de-France, Franche-Comté, Nord-Pas-de-Calais).Method
Data were collected by a questionnaire adapted mailed to special education and health care services in three regions (quantitative data) and semi-structured interviews from a sample of professionals (qualitative data). A total of 254 questionnaires (163 from services for children and adolescents, 91 from services for adults) and 48 interviews (21 for children and adolescents, 27 for adults) were analyzed.Results
Intervention and care practices described often lack of specificity and are not enough adapted to people with PDD, particularly in adults’ services. An improvement of practices is nevertheless evidenced, with the development of interventions centered on the development of communication or daily living skills and procedures to manage challenging behaviors, yet not generalized. Important efforts are made regarding training and partnership with ordinary settings. Professionals also wish to better take into account the person's and his family's point of view in the individualized program.Conclusion
This study emphasizes lacks and improvement in intervention and care practices for people with PDD in France, and those data might be a useful basis to study the practices’ evolution in the future. 相似文献17.
J.-L. Gaspard R. Hamon N. Da Silva Junior C. Doucet 《Neuropsychiatrie de l'enfance et de l'adolescence》2014
Background
The practices of body marking are today a current phenomenon found in all social strata, with broad inclusion in all age groups. Motivations are usually associated with an aesthetic approach, a search for identity or an interest in body art. In the field of psychopathology, these references, however, are insufficient to understand the “hidden face” of these body experiments. Indeed, many young people are looking for compulsive and low fantasized experiences of pain. When the image also plays a key role in contemporary processes of subjectivation as to allow a positive inclusion in the social link.Methods
This article gives an account of the first results of an international research about the tattoos and scarifications in modernity. It allows a new apprehension of the singular functions that the body mark fulfils in the psychic economy for a population of adolescents and young adults who attend conventions and places of body art or also met in care centers. In a psychodynamic orientation, the impact of these modes of body practices on subjectivity is studied with reference to different structures of personality (including borderline personality disorder). In a context where using scales or tests were not possible, we chose to study the “subjective position” (relation with the body, the family system, the sexuality, the law and finally with the consumer society). Three methods of data collection were chosen to correspond to specific objectives: questionnaire (quantitative analysis), research interview (qualitative analysis), extensive research from an online questionnaire (French, Spanish, Portuguese) and blogs on the Internet.Results
In three presentations of cases, this article shows how the uses of body can be the support of a deep “work on oneself” and lead to a subjective solution for some teenagers or young grown ups. Marking the body cannot be reduced to the function of representation or distinction but can also help to integrate some conflicting elements, to restore a psychic homeostasis and to open the possibility of secondary elaborations. It may well have the function to crystallize and register an event or a turning point in personal life.Discussions
This article refutes negative and pathological studies of these body experiments. Above all, the specific use of the body may, in certain circumstances, allow a change of the “subjective position” (relation with the body, the pain, the family system, the sexuality, the law and finally with the consumer society). As part of psychosis or borderline personality disorder, the experience can lead to a deep psychic redevelopment and change bodily perceptions, especially when the body is paradoxically useful for personal limit (subject/social). That is why, nowadays, many young people invest different forms of marking the body, transforming this one into a privileged surface for insignia of the self. Therefore, this contribution is an essential complement to the present psychological and sociological approaches. 相似文献18.
Introduction and objectives
Due to the high frequency and co-occurrence of vulnerabilities, mothers under 20 years are at higher risk of perinatal depression than adults mothers. We performed a review of the literature investigating the epidemiology of adolescents mothers’ depression, compared these data to adult mothers and listed associated factors, to develop a more preventive approach and specific follow-up.Methods
The review is based on Pubmed and Sciencedirect research combining “adolescent” or “teenage” and “depression” as keywords.Results
Seventeen international studies were included, evaluating both prenatal (6 studies) and postnatal (14 studies) depression with three different scales (CES-D, BDI, EPDS). Depression rate in adolescents mothers varies from 26 to 63% in the third trimester of pregnancy and from 26 to 61% in the first 3 months postpartum, with differences depending of studies designs, screening instruments and cut-offs. Depression rate declines with time, but still persists with a prevalence ranging from 21 to 32% at 4 to 5 years after delivery. Depression rate in adolescent mothers are globally twice higher than in adult mothers, both in prenatal and postnatal periods. Characteristics associated with adolescent mothers depression include sociodemographic factors (less education, low income), psychosocial factors (confidence, self-esteem), poor or inadequate social support and negative life events (violence exposure, history of abuse).Conclusion
Perinatal depression in adolescent mothers is very high and can contribute negatively to child-mother interaction. It should be a priority to screen depression early during pregnancy and to offer appropriate support services during the first years of motherhood. Moreover, it could be of high interest to assess maternofoetal attachment during pregnancy using validated instruments combined with depression scales. 相似文献19.
F. Pourre E. Aubert J. Andanson J.-P. Raynaud 《Neuropsychiatrie de l'enfance et de l'adolescence》2012
Background
The SociaBillyQuizz is a therapeutic game designed for social skills training groups with children and adolescents. Using an entertaining method, this media requests several dimensions: exposure, cognition, communication skills, imagination, emotional expression and sign decoding. In this preliminary study, the setting includes two groups of six adolescents, one with social anxiety disorder and the other with Asperger syndrome.Objective
To evaluate, in an exploratory study, the effects of a therapeutic device involving this game for these two clinically different groups of adolescents.Methods
During 26 of 1 hour weekly sessions, two adolescents groups participate to a program including the SociaBillyQuizz and cognitive behavioral therapies. The groups are moderated by two therapists. The SociaBillyQuizz is a board game for two to six players; its goal is to collect points by answering instructions from the different thematic cards. There are four thematic cards: action cards (players have to do something), brainstorming cards (players have to use their imagination and demonstrate cognitive flexibility), interview cards (players have to express themselves about what they think or feel) and mystery cards (unexpected instructions). According to the groups’ clinical characteristics, some aims are specifically highlighted. In the anxiety disorder group, the cognitive dimension is privileged and in the Asperger syndrome group, we emphasise the pretend, cognitive flexibility and theory of mind. The effects are measured by the Rathus Assertiveness Schedule and the Fear Avoidance Hierarchy (FAH) for the social anxiety disorder group and by the Faux Pas Recognition Test and the Social Responsiveness Scale (parent version) for the Asperger group.Results
These assessment tools indicate, for both groups, a significant increase of the scores corroborating the observed clinical effects. For eleven of the twelve adolescents, a clinical interview 6 months after the retest shows a continuity of therapeutic benefit.Discussion
These early results suggest that a social skills training device featuring the SociaBillyQuizz produces clinical improvements in these two groups of adolescents. In future researches, with control group and more complete follow-up, nature and effectiveness of its contribution should be specified.Conclusion
In this preliminary study, the SociaBillyQuizz appears to be an interesting therapeutic tool that can increase implication, motivation, participation and cohesiveness of the group. It also makes easier the cognitive-behavioural-strategies learning. 相似文献20.