L'addiction aux jeux vidéo (un symptôme au sein de la famille)

Au-delà de la controverse autour de l'existence de l'addiction aux jeux vidéo, la clinique montre qu'il existe une souffrance incontestable exprimée par les joueurs ou leur famille en lien avec ce processus pathologique et qui légitime notre intervention thérapeutique. Claude Olievenstein a décrit l'addiction comme la rencontre entre un produit, une personnalité et un moment socioculturel. Nous considérons en effet que le choix de l'objet d'addiction et le contexte dans lequel elle émerge a un sens. Nous montrons que la place de la famille dans l'apparition, l'entretien et la résolution de ce problème est centrale : c'est en son sein que l'usage pathologique prend la plupart du temps naissance et c'est d'elle que peut venir la solution. Afin d'illustrer notre propos et d'alimenter notre réflexion, nous nous appuyons sur deux études descriptives réalisées au sein du CHU de Nantes.NANTES-BU Médecine pharmacie (441092101) / SudocSudocFranceF

Contribution of anthracological and dendro-anthracological analysis to the study of charred timber recovered from Lattara (Hérault, southern France) during the 5th century BC

International audienc

Marked Body Shape Concerns in Female Patients Suffering from Eating Disorders: Relevance of a Clinical Sub-Group.

Concerns about body shape and weight are core diagnostic criteria for eating disorders although intensity varies between patients. Few studies have focused on the clinical differences relative to the intensity of these concerns. Nonetheless, they might have a prognostic value. This study was aimed at identifying the characteristics associated with marked body shape concerns in patients with an eating disorder. Data was collected from a systematic and standardized clinical assessment of outpatients seeking treatment in our department for eating disorders. Only female patients, suffering from anorexia nervosa or bulimia nervosa, and with "no / mild" or "marked" body shape concerns according to the Body Shape Questionnaire, were included for the present study. We focused on sociodemographic characteristics, eating disorder characteristics, axis 1 disorders, types of attachment, self-esteem and dissociation. A multiple logistic regression was performed to identify factors related to "marked" body shape concerns. In our sample (123 participants, with a mean age of 24.3 years [range 16-61]), 56.9% had marked concerns with body shape. Marked body shape concerns were associated with a major depressive episode (OR = 100.3), the use of laxatives (OR = 49.8), a high score on the item "body dissatisfaction" of the Eating Disorders Inventory scale (OR = 1.7), a higher minimum body mass index (OR = 1.73), and a high score on the item "loss of control over behavior, thoughts and emotions" from the dissociation questionnaire (OR = 10.74). These results are consistent with previous studies, and highlight the importance of denial

Flow chart of patient selection.

<p>(n) Number of patients included or excluded at each step of the inclusion process. (BED) Binge Eating Disorder. (EDNOS) Eating Disorders Not Otherwise Specified.</p

Multiple logistic regression analysis (final model): factors associated with “marked concerns with body shape” (N = 121).

<p>Multiple logistic regression analysis (final model): factors associated with “marked concerns with body shape” (N = 121).</p

Clinical Characteristics associated with ED (N = 123).

<p>Clinical Characteristics associated with ED (N = 123).</p

Characteristics (current or past) associated with ED (N = 123).

<p>Characteristics (current or past) associated with ED (N = 123).</p