The House-Drawing Test: Using a projective test in assessment to differentiate normal from pathological ageing

This article proposes to show how the use of the drawing of the home can help differentiate two older populations, with or without cognitive impairment as part of research to identify early signs of Alzheimer's disease. The projective test of the house is complementary to the cognitive assessment. Two groups of older adults are compared: an experimental group with 24 people aged 67 with cognitive impairment and a control group with 36 people aged 71.5 years with normal cognitive aging. Analysis of the house drawings revealed significant differences in the realization of the drawings between the control group (CG) and the experimental group (EG). The characteristics of the drawings of elderly people with cognitive impairment show more difficult access to imagination and a feeling of insecurity as of the first memory impairment. This article puts the body at the center of psychoanalytic work and explores the relationship between the psychic and bodily dimensions of elderly subjects using a projective spatiography test. This projective tool allowed us to collect information on the psychic functioning of the elderly

Editorial: Depression, Burnout, and Other Mood Disorders: Interdisciplinary Approaches

Various perspectives on mood disorders and psychopathology are brought into perspective. The paper underlines (i) an interdisciplinary perspective and a complexity-oriented approach and (ii) an interest in both basic problems in science and potential far-reaching consequences of research applications

Massively multiplayer online role-playing games: comparing characteristics of addict vs non-addict online recruited gamers in a French adult population

<p>Abstract</p> <p>Background</p> <p>Massively Multiplayer Online Role-Playing Games (MMORPGs) are a very popular and enjoyable leisure activity, and there is a lack of international validated instruments to assess excessive gaming. With the growing number of gamers worldwide, adverse effects (isolation, hospitalizations, excessive use, etc.) are observed in a minority of gamers, which is a concern for society and for the scientific community. In the present study, we focused on screening gamers at potential risk of MMORPG addiction.</p> <p>Methods</p> <p>In this exploratory study, we focused on characteristics, online habits and problematic overuse in adult MMORPG gamers. In addition to socio-demographical data and gamer behavioral patterns, 3 different instruments for screening addiction were used in French MMORPG gamers recruited online over 10 consecutive months: the substance dependence criteria for the Diagnostic and Statistical Manual of Mental Disorder, fourth revised edition (DSM-IV-TR) that has been adapted for MMORPG (DAS), the qualitative Goldberg Internet Addiction Disorder scale (GIAD) and the quantitative Orman Internet Stress Scale (ISS). For all scales, a score above a specific threshold defined positivity.</p> <p>Results</p> <p>The 448 participating adult gamers were mainly young adult university graduates living alone in urban areas. Participants showed high rates of both Internet addiction (44.2% for GIAD, 32.6% for ISS) and DAS positivity (27.5%). Compared to the DAS negative group, DAS positive gamers reported significantly higher rates of tolerance phenomenon (increased amount of time in online gaming to obtain the desired effect) and declared significantly more social, financial (OR: 4.85), marital (OR: 4.61), family (OR: 4.69) and/or professional difficulties (OR: 4.42) since they started online gaming. Furthermore, these gamers self-reported significantly higher rates (3 times more) of irritability, daytime sleepiness, sleep deprivation due to play, low mood and emotional changes since online gaming onset.</p> <p>Conclusions</p> <p>The DAS appeared to be a good first-line instrument to screen MMORPG addiction in online gamers. This study found high MMORPG addiction rates, and self-reported adverse symptoms in important aspects of life, including mood and sleep. This confirms the need to set up relevant prevention programs against online game overuse.</p

Saccadic Eye Movements in Elderly Depressed Patients With Suicidal Behaviors: An Exploratory Eye-Tracking Study

International audienceSuicidal behaviors (SBs) are often associated with impaired performance on neuropsychological executive functioning (EF) measures that encourage the development of more specific and reliable tools. Recent evidence could suggest that saccadic movement using eye tracking can provide reliable information on EF in depressive elderly. The aim of this study was to describe oculomotor performances in elderly depressed patients with SB. To achieve this aim, we compared saccadic eye movement (SEM) performances in elderly depressed patients ( N = 24) with SB and with no SB in prosaccade (PS) and antisaccade (AS) tasks under the gap, step, and overlap conditions. All participants also underwent a complete neuropsychological battery. Performances were impaired in patients with SB who exhibited less corrected AS errors and longer time to correct them than patients with no SB. Moreover, both groups had a similar performance for PS latencies and correct AS. These preliminary results suggested higher cognitive inflexibility in suicidal patients compared to non-suicidal. This inflexibility may explain the difficulty of the depressed elderly in generating solutions to the resurgence of suicidal ideation (SI) to respond adequately to stressful environments. The assessment of eye movement parameters in depressed elderly patients may be a first step in identifying high-risk patients for suicide

Dépression de la personne âgée et / ou maladie d'Alzheimer (liens et diagnostic différentiel)

BESANCON-BU Médecine pharmacie (250562102) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Le burnout chez les internes en psychiatrie français

BESANCON-BU Médecine pharmacie (250562102) / SudocSudocFranceF

Pluralité des approches thérapeutiques dans la dépression

International audienc

Les troubles bipolaires du sujet âgé (revue de la littérature)

BESANCON-BU Médecine pharmacie (250562102) / SudocSudocFranceF

Pour une approche interdisciplinaire et intégrée de l’humeur normale et pathologique

International audienc

Relations entre troubles addictifs et troubles de l’humeur

International audienc