Olivier Cottencin | Université de Lille 2 (original) (raw)
Papers by Olivier Cottencin
Medical science monitor: international medical journal of experimental and clinical research
Catatonic syndrome is no longer considered a subtype of schizophrenia but is more frequently asso... more Catatonic syndrome is no longer considered a subtype of schizophrenia but is more frequently associated with mood disorders (mania, melancholia, and psychotic depression) as well as general medical conditions (neurological disorders, drug-induced and toxic-induced conditions, metabolic conditions). A case of catatonia is reported which occurred after alcohol withdrawal. Catatonia occurred 48 hours after alcohol withdrawal in a 54-year-old woman who had stopped all her treatment (in the context of a type II bipolar disorder). A dramatic improvement of symptoms was observed after oral administration of zolpidem. This case seems to confirm that catatonia can represents a nonspecific response to stress factors. The withdrawal of multiple medications was already described as a basis for catatonia. Alcohol withdrawal could constitute an additional risk factor for catatonia. The zolpidem test is a useful diagnostic and therapeutic test.
Faculté de Médecine de Lille / Pôle Formation-Salle 7 (plan au dos) INSCRIPTION GRATUITE mais OBL... more Faculté de Médecine de Lille / Pôle Formation-Salle 7 (plan au dos) INSCRIPTION GRATUITE mais OBLIGATOIRE auprès de maite.chabeau@chru-lille.fr
International Journal of Eating Disorders, 2015
This report describes a resurgence of anorexic symptoms during a smoking cessation program in two... more This report describes a resurgence of anorexic symptoms during a smoking cessation program in two patients with a history of anorexia nervosa. These two events were identified among patients lost to follow-up by using a strategy implemented to limit early drop out. In both cases, the resurgence of anorexic symptoms occurred rapidly after having reached abstinence from tobacco and was described as a response to the weight gain they had experienced just after the start of smoking cessation. The smoking cessation process itself was considered as the most plausible explanation for these two events. Given the potential serious consequences, further research is needed to determine whether such events are frequent during smoking cessation but being unseen because of being hidden in the loss to follow-up. This report also suggests that systematic screening for both binge eating and anorexic behaviors during smoking cessation is warranted. © 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:798-801).
Harmful alcohol consumption and use of tranquillizers: screening and brief intervention at primar... more Harmful alcohol consumption and use of tranquillizers: screening and brief intervention at primary health care settings. Christophe Berkhout, Néfertên Rizzioli Dept. General Medicine, University of Lille - Nord de France - Lille 2, Faculte de Medecine - Pôle Formation, 59045 Lille Cedex-France Phone: +33328608229 Email:christophe.berkhout@univ-lille2.fr Background: Hazardous or harmful alcohol consumption may cause anxiety or sleeping trouble. This study was a part of an education project implementing screening and brief alcohol intervention (SBAI) in general practice with GP trainees. SBAI aims to screen for hazardous and harmful non addictive alcohol consumption to promote a preventive and therapeutic intervention. Aims: To evaluate the feasibility of screening and the rate of excessive alcohol consumption in patients consulting in general practice. To confirm social risk factors. To investigate whether excessive alcohol consumption could be linked to the use of tranquillizers. Me...
Résumé : Contexte. La consommation à risque ou nocive d’alcool peut provoquer anxiété et troubles... more Résumé : Contexte. La consommation à risque ou nocive d’alcool peut provoquer anxiété et troubles du sommeil. Le repérage précoce et intervention brève (RPIB) d’alcool est une stratégie de dépistage de la consommation à risque ou nocive d’alcool chez des buveurs non dépendants pour mettre en place une intervention préventive et thérapeutique. Cette étude est ancillaire d’un projet de formation mettant en oeuvre le RPIB en médecine générale avec des internes en stage chez le praticien. Objectif. Évaluer la faisabilité du RPIB en maîtrise de stage de médecine générale et le taux de consommation à risque ou nocive d’alcool chez les patients consultant en médecine générale. Confirmer les facteurs de risque sociaux. Vérifier s’il existe une association entre consommation excessive d’alcool et usage de tranquillisants. Méthode. Étude transversale multicentrique, dans une population consultant en médecine générale dans le Nord. Le recueil des données quantitatives était fondé sur le questi...
Rechercher: dans: Recherche avancée Consommation nocive d’alcool et usage de tranquillisants Aute... more Rechercher: dans: Recherche avancée Consommation nocive d’alcool et usage de tranquillisants Auteurs : Berkhout C, Rizzioli N, Messaadi N, Cunin M, Cottencin O. exercer 2015;117:4-12. Rubrique: Recherche N° 117 - Pages 4 à 12 Télécharger l'article Retour au sommaire du n°117 Résumé : Contexte. La consommation à risque ou nocive d’alcool peut provoquer anxiété et troubles du sommeil. Le repérage précoce et intervention brève (RPIB) d’alcool est une stratégie de dépistage de la consommation à risque ou nocive d’alcool chez des buveurs non dépendants pour mettre en place une intervention préventive et thérapeutique. Cette étude est ancillaire d’un projet de formation mettant en oeuvre le RPIB en médecine générale avec des internes en stage chez le praticien. Objectif. Évaluer la faisabilité du RPIB en maîtrise de stage de médecine générale et le taux de consommation à risque ou nocive d’alcool chez les patients consultant en médecine générale. Confirmer les facteurs de risque socia...
Journal of Substance Abuse Treatment, 2015
Alcohol use disorders (AUDs) are characterized by low treatment coverage. Emergency departments (... more Alcohol use disorders (AUDs) are characterized by low treatment coverage. Emergency departments (EDs) have great potential to increase alcohol treatment coverage. While ED-based brief interventions (BIs) are rarely effective for reducing alcohol use and related consequences in people with AUDs, utilization of formal alcohol treatment has been demonstrated to be useful. Thus we conducted a systematic review to determine efficacious interventions for increasing subsequent alcohol treatment from EDs. A systematic search of the literature up to 31 December 2013 was undertaken in three electronic databases: PubMed, PsycINFO and The Cochrane Library. Only randomized controlled trials (RCTs), controlled clinical trials (CCTs) and non-randomized controlled trials (NRCTs) were included. A meta-analysis was judged inappropriate because of substantial discrepancies in term of interventions' characteristics across studies. From the 2182 identified records, 7 studies (4RCTs, 2 CCTs, 1NRCT) met inclusion criteria. Onsite brief advice (BA) was found efficacious in comparison to no active control condition, but no evidence of efficacy was found when compared to active control conditions. Referral to post-discharge BIs was not found efficacious either used alone or in addition to onsite BA. There is evidence, albeit limited, suggesting that more intensive interventions, such as referral to extended post-discharge interventions and onsite extended BI, might be useful. Based on the available evidence, onsite BA with leaflets appears to be the minimum level of intervention since it enables to actively intervene while fitting in the time concerns experienced in EDs. Further research is needed to confirm these findings given the limited quantity and quality of existing data and to determine whether more intensive interventions could actually be useful.
Andrologie
Material and methods The study population consisted of 39 subjects divided into two groups: 21 az... more Material and methods The study population consisted of 39 subjects divided into two groups: 21 azoospermic males and 18 oligoazoospermic males. These men were selected in andrology departments over a period of six months. The andrology and liaison psychiatry departments of Lille university hospital established a general infertility questionnaire. This semi-structured questionnaire comprising 40 questions was based on clinical experience and describes the clinical and symptomatic context of infertility. An individual 50-item questionnaire was then used to analyse the psychosocial, marital and sexual effects of male infertility and the representation of the psychiatrist in the andrology department. Results One third of patients discovered the diagnosis of infertility when the biologist gave them the results of the semen analysis. Our patients initially envisaged marital, psychological and social problems, but very few sexual problems. They imagined that infertility was more disturbing...
Presse medicale (Paris, France : 1983), Jan 2, 2015
Cannabis use is now more frequent than alcohol drinking or tobacco smoking among young people (15... more Cannabis use is now more frequent than alcohol drinking or tobacco smoking among young people (15-34years), whereas it may induce numerous medical aftermaths. Identifying and assessing cannabis use in general practice have become a current public health issue. The two steps of screening consist in spotting risky use of cannabis, and then in checking criteria for cannabis use disorder (CUD). Risky use requires a "brief intervention" by the general practitioner (GP). In case of CUD, the new DSM-5 criteria allow measuring the severity of the subsequent disorder, and listing the medical and social consequences. Using these criteria can help the GP to decide when the patient should be referred to an addiction-specialized unit. The GP has also to spot the different physical and psychiatric complications of cannabis use, in order to coordinate care between the different specialists.
La Presse Médicale, 2015
Cannabis use is now more frequent than alcohol drinking or tobacco smoking among young people (15... more Cannabis use is now more frequent than alcohol drinking or tobacco smoking among young people (15-34years), whereas it may induce numerous medical aftermaths. Identifying and assessing cannabis use in general practice have become a current public health issue. The two steps of screening consist in spotting risky use of cannabis, and then in checking criteria for cannabis use disorder (CUD). Risky use requires a "brief intervention" by the general practitioner (GP). In case of CUD, the new DSM-5 criteria allow measuring the severity of the subsequent disorder, and listing the medical and social consequences. Using these criteria can help the GP to decide when the patient should be referred to an addiction-specialized unit. The GP has also to spot the different physical and psychiatric complications of cannabis use, in order to coordinate care between the different specialists.
Psychiatry Research, 2015
A personal history of childhood trauma has been associated with the severity of psychotic symptom... more A personal history of childhood trauma has been associated with the severity of psychotic symptoms in several disorders. We evaluated retrospectively cocaine-induced psychotic symptoms with the SAPS-CIP and childhood trauma with the CTQ in a clinical sample of 144 cocaine users. The SAPS-CIP score was not statistically associated with the presence or number or intensity of trauma, but was associated with rapid routes of administration (intravenous and smoked) and with frequent cocaine use.
Journal of Clinical Psychopharmacology, 2015
European Neuropsychopharmacology, 2015
High-dose baclofen, i.e., 300 mg/d or more, has recently emerged as a strategy for treating alcoh... more High-dose baclofen, i.e., 300 mg/d or more, has recently emerged as a strategy for treating alcohol dependence. The impact that the co-exposure of large amounts of alcohol and baclofen has on sedation is unclear. In a prospective cohort of 253 subjects with alcohol dependence, we collected daily alcohol and baclofen doses across the first year of baclofen treatment and the monthly maximum subjective sedation experienced by each patient (0-10 visual analog scale). For each patient-month, we determined the average weekly alcohol consumption (AWAC; standard-drinks/week) and the maximum daily dose of baclofen (DDB; mg/d). The occurrence of an episode of major sedation (EMS) during a patient-month was defined as a sedation score Z7. The relationship between the EMS occurrence and the concurrent AWAC and DDB was investigated using a generalized estimating equation model. In total, 1528 patient-months were compiled (70 with an EMS). Univariate analyses demonstrated that the rate of patient-month to EMS increased gradually with AWAC (po0.001), from 0.9% for AWAC=0 to 9.4% for AWAC 435. There was also a significant gradual risk for EMS associated with DDB (o0.001). Multivariate analysis demonstrated a significant interaction www.elsevier.com/locate/euroneuro http://dx.Please cite this article as: Rolland, B., et al., Baclofen for alcohol dependence: Relationships between baclofen and alcohol dosing and the occurrence of major sedation. European Neuropsychopharmacology (2015), http://dx.doi.org/10.1016/j.euroneuro.2015.05.008
Médecine de Catastrophe - urgences collectives, 1999
Annales de dermatologie et de vénéréologie, 2015
Uncontrolled use of tanning beds is a major public health problem. The role of UV in skin carcino... more Uncontrolled use of tanning beds is a major public health problem. The role of UV in skin carcinogenesis has in fact been clearly demonstrated. The main purpose of the study was to assess the motivations and beliefs of the population concerning the use of indoor tanning. The secondary objectives were to compare the knowledge of users and non-users and to screen for addiction criteria among users. This was a transversal descriptive study conducted between April and June 2013 in Lille town center. The motivations of the participants were determined using a multiple-choice questionnaire. A Likert scale was used to assess beliefs and an m-CAGE questionnaire was used to screen for addiction. Of the 200 respondents, 30% (n=60) had used tanning beds in a non-medical setting. The median age of first use was 23 years (15-59). 11.7% of respondents had started before the authorised age of 18 years. "To prepare the skin for exposure to the sun" was the main reason given (68.3%) for us...
![Research paper thumbnail of [Should high-dose buprenorphine be withdrawn from the French market?]](https://attachments.academia-assets.com/43064223/thumbnails/1.jpg)
](Revue d'épidémiologie et de santé publique, 2013
This article appeared in a journal published by Elsevier. The attached copy is furnished to the a... more This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues.
L'Encéphale
One of the problems of consultation-liaison psychiatry is the absence of request of the patient. ... more One of the problems of consultation-liaison psychiatry is the absence of request of the patient. Indeed, the patients do not recognize their disorder and prefer to go to the emergency unit in a general hospital. Thus, we meet in the emergency unit or in medical unit (liaison psychiatry activity). This is the reason why this first meeting has to be prepared. Consultation-liaison Psychiatry proposes to provide medical staff with the competences developed by psychiatry, and the denomination: Consultation and Liaison Psychiatry, indicates the bipolarity of its practice according to whether the intervention is addressed to the patient (consultation) or to the staff (liaison). However collaboration is sometimes difficult and the psychiatrist often meets with resistance. This is the reason why psychiatrists must work on their integration in the general hospital. Indeed, the psychiatrist works in an institution which is unfamiliar and he/she must adapt and create new practices if it is goin...
Medical science monitor: international medical journal of experimental and clinical research
Catatonic syndrome is no longer considered a subtype of schizophrenia but is more frequently asso... more Catatonic syndrome is no longer considered a subtype of schizophrenia but is more frequently associated with mood disorders (mania, melancholia, and psychotic depression) as well as general medical conditions (neurological disorders, drug-induced and toxic-induced conditions, metabolic conditions). A case of catatonia is reported which occurred after alcohol withdrawal. Catatonia occurred 48 hours after alcohol withdrawal in a 54-year-old woman who had stopped all her treatment (in the context of a type II bipolar disorder). A dramatic improvement of symptoms was observed after oral administration of zolpidem. This case seems to confirm that catatonia can represents a nonspecific response to stress factors. The withdrawal of multiple medications was already described as a basis for catatonia. Alcohol withdrawal could constitute an additional risk factor for catatonia. The zolpidem test is a useful diagnostic and therapeutic test.
Faculté de Médecine de Lille / Pôle Formation-Salle 7 (plan au dos) INSCRIPTION GRATUITE mais OBL... more Faculté de Médecine de Lille / Pôle Formation-Salle 7 (plan au dos) INSCRIPTION GRATUITE mais OBLIGATOIRE auprès de maite.chabeau@chru-lille.fr
International Journal of Eating Disorders, 2015
This report describes a resurgence of anorexic symptoms during a smoking cessation program in two... more This report describes a resurgence of anorexic symptoms during a smoking cessation program in two patients with a history of anorexia nervosa. These two events were identified among patients lost to follow-up by using a strategy implemented to limit early drop out. In both cases, the resurgence of anorexic symptoms occurred rapidly after having reached abstinence from tobacco and was described as a response to the weight gain they had experienced just after the start of smoking cessation. The smoking cessation process itself was considered as the most plausible explanation for these two events. Given the potential serious consequences, further research is needed to determine whether such events are frequent during smoking cessation but being unseen because of being hidden in the loss to follow-up. This report also suggests that systematic screening for both binge eating and anorexic behaviors during smoking cessation is warranted. © 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:798-801).
Harmful alcohol consumption and use of tranquillizers: screening and brief intervention at primar... more Harmful alcohol consumption and use of tranquillizers: screening and brief intervention at primary health care settings. Christophe Berkhout, Néfertên Rizzioli Dept. General Medicine, University of Lille - Nord de France - Lille 2, Faculte de Medecine - Pôle Formation, 59045 Lille Cedex-France Phone: +33328608229 Email:christophe.berkhout@univ-lille2.fr Background: Hazardous or harmful alcohol consumption may cause anxiety or sleeping trouble. This study was a part of an education project implementing screening and brief alcohol intervention (SBAI) in general practice with GP trainees. SBAI aims to screen for hazardous and harmful non addictive alcohol consumption to promote a preventive and therapeutic intervention. Aims: To evaluate the feasibility of screening and the rate of excessive alcohol consumption in patients consulting in general practice. To confirm social risk factors. To investigate whether excessive alcohol consumption could be linked to the use of tranquillizers. Me...
Résumé : Contexte. La consommation à risque ou nocive d’alcool peut provoquer anxiété et troubles... more Résumé : Contexte. La consommation à risque ou nocive d’alcool peut provoquer anxiété et troubles du sommeil. Le repérage précoce et intervention brève (RPIB) d’alcool est une stratégie de dépistage de la consommation à risque ou nocive d’alcool chez des buveurs non dépendants pour mettre en place une intervention préventive et thérapeutique. Cette étude est ancillaire d’un projet de formation mettant en oeuvre le RPIB en médecine générale avec des internes en stage chez le praticien. Objectif. Évaluer la faisabilité du RPIB en maîtrise de stage de médecine générale et le taux de consommation à risque ou nocive d’alcool chez les patients consultant en médecine générale. Confirmer les facteurs de risque sociaux. Vérifier s’il existe une association entre consommation excessive d’alcool et usage de tranquillisants. Méthode. Étude transversale multicentrique, dans une population consultant en médecine générale dans le Nord. Le recueil des données quantitatives était fondé sur le questi...
Rechercher: dans: Recherche avancée Consommation nocive d’alcool et usage de tranquillisants Aute... more Rechercher: dans: Recherche avancée Consommation nocive d’alcool et usage de tranquillisants Auteurs : Berkhout C, Rizzioli N, Messaadi N, Cunin M, Cottencin O. exercer 2015;117:4-12. Rubrique: Recherche N° 117 - Pages 4 à 12 Télécharger l'article Retour au sommaire du n°117 Résumé : Contexte. La consommation à risque ou nocive d’alcool peut provoquer anxiété et troubles du sommeil. Le repérage précoce et intervention brève (RPIB) d’alcool est une stratégie de dépistage de la consommation à risque ou nocive d’alcool chez des buveurs non dépendants pour mettre en place une intervention préventive et thérapeutique. Cette étude est ancillaire d’un projet de formation mettant en oeuvre le RPIB en médecine générale avec des internes en stage chez le praticien. Objectif. Évaluer la faisabilité du RPIB en maîtrise de stage de médecine générale et le taux de consommation à risque ou nocive d’alcool chez les patients consultant en médecine générale. Confirmer les facteurs de risque socia...
Journal of Substance Abuse Treatment, 2015
Alcohol use disorders (AUDs) are characterized by low treatment coverage. Emergency departments (... more Alcohol use disorders (AUDs) are characterized by low treatment coverage. Emergency departments (EDs) have great potential to increase alcohol treatment coverage. While ED-based brief interventions (BIs) are rarely effective for reducing alcohol use and related consequences in people with AUDs, utilization of formal alcohol treatment has been demonstrated to be useful. Thus we conducted a systematic review to determine efficacious interventions for increasing subsequent alcohol treatment from EDs. A systematic search of the literature up to 31 December 2013 was undertaken in three electronic databases: PubMed, PsycINFO and The Cochrane Library. Only randomized controlled trials (RCTs), controlled clinical trials (CCTs) and non-randomized controlled trials (NRCTs) were included. A meta-analysis was judged inappropriate because of substantial discrepancies in term of interventions' characteristics across studies. From the 2182 identified records, 7 studies (4RCTs, 2 CCTs, 1NRCT) met inclusion criteria. Onsite brief advice (BA) was found efficacious in comparison to no active control condition, but no evidence of efficacy was found when compared to active control conditions. Referral to post-discharge BIs was not found efficacious either used alone or in addition to onsite BA. There is evidence, albeit limited, suggesting that more intensive interventions, such as referral to extended post-discharge interventions and onsite extended BI, might be useful. Based on the available evidence, onsite BA with leaflets appears to be the minimum level of intervention since it enables to actively intervene while fitting in the time concerns experienced in EDs. Further research is needed to confirm these findings given the limited quantity and quality of existing data and to determine whether more intensive interventions could actually be useful.
Andrologie
Material and methods The study population consisted of 39 subjects divided into two groups: 21 az... more Material and methods The study population consisted of 39 subjects divided into two groups: 21 azoospermic males and 18 oligoazoospermic males. These men were selected in andrology departments over a period of six months. The andrology and liaison psychiatry departments of Lille university hospital established a general infertility questionnaire. This semi-structured questionnaire comprising 40 questions was based on clinical experience and describes the clinical and symptomatic context of infertility. An individual 50-item questionnaire was then used to analyse the psychosocial, marital and sexual effects of male infertility and the representation of the psychiatrist in the andrology department. Results One third of patients discovered the diagnosis of infertility when the biologist gave them the results of the semen analysis. Our patients initially envisaged marital, psychological and social problems, but very few sexual problems. They imagined that infertility was more disturbing...
Presse medicale (Paris, France : 1983), Jan 2, 2015
Cannabis use is now more frequent than alcohol drinking or tobacco smoking among young people (15... more Cannabis use is now more frequent than alcohol drinking or tobacco smoking among young people (15-34years), whereas it may induce numerous medical aftermaths. Identifying and assessing cannabis use in general practice have become a current public health issue. The two steps of screening consist in spotting risky use of cannabis, and then in checking criteria for cannabis use disorder (CUD). Risky use requires a "brief intervention" by the general practitioner (GP). In case of CUD, the new DSM-5 criteria allow measuring the severity of the subsequent disorder, and listing the medical and social consequences. Using these criteria can help the GP to decide when the patient should be referred to an addiction-specialized unit. The GP has also to spot the different physical and psychiatric complications of cannabis use, in order to coordinate care between the different specialists.
La Presse Médicale, 2015
Cannabis use is now more frequent than alcohol drinking or tobacco smoking among young people (15... more Cannabis use is now more frequent than alcohol drinking or tobacco smoking among young people (15-34years), whereas it may induce numerous medical aftermaths. Identifying and assessing cannabis use in general practice have become a current public health issue. The two steps of screening consist in spotting risky use of cannabis, and then in checking criteria for cannabis use disorder (CUD). Risky use requires a "brief intervention" by the general practitioner (GP). In case of CUD, the new DSM-5 criteria allow measuring the severity of the subsequent disorder, and listing the medical and social consequences. Using these criteria can help the GP to decide when the patient should be referred to an addiction-specialized unit. The GP has also to spot the different physical and psychiatric complications of cannabis use, in order to coordinate care between the different specialists.
Psychiatry Research, 2015
A personal history of childhood trauma has been associated with the severity of psychotic symptom... more A personal history of childhood trauma has been associated with the severity of psychotic symptoms in several disorders. We evaluated retrospectively cocaine-induced psychotic symptoms with the SAPS-CIP and childhood trauma with the CTQ in a clinical sample of 144 cocaine users. The SAPS-CIP score was not statistically associated with the presence or number or intensity of trauma, but was associated with rapid routes of administration (intravenous and smoked) and with frequent cocaine use.
Journal of Clinical Psychopharmacology, 2015
European Neuropsychopharmacology, 2015
High-dose baclofen, i.e., 300 mg/d or more, has recently emerged as a strategy for treating alcoh... more High-dose baclofen, i.e., 300 mg/d or more, has recently emerged as a strategy for treating alcohol dependence. The impact that the co-exposure of large amounts of alcohol and baclofen has on sedation is unclear. In a prospective cohort of 253 subjects with alcohol dependence, we collected daily alcohol and baclofen doses across the first year of baclofen treatment and the monthly maximum subjective sedation experienced by each patient (0-10 visual analog scale). For each patient-month, we determined the average weekly alcohol consumption (AWAC; standard-drinks/week) and the maximum daily dose of baclofen (DDB; mg/d). The occurrence of an episode of major sedation (EMS) during a patient-month was defined as a sedation score Z7. The relationship between the EMS occurrence and the concurrent AWAC and DDB was investigated using a generalized estimating equation model. In total, 1528 patient-months were compiled (70 with an EMS). Univariate analyses demonstrated that the rate of patient-month to EMS increased gradually with AWAC (po0.001), from 0.9% for AWAC=0 to 9.4% for AWAC 435. There was also a significant gradual risk for EMS associated with DDB (o0.001). Multivariate analysis demonstrated a significant interaction www.elsevier.com/locate/euroneuro http://dx.Please cite this article as: Rolland, B., et al., Baclofen for alcohol dependence: Relationships between baclofen and alcohol dosing and the occurrence of major sedation. European Neuropsychopharmacology (2015), http://dx.doi.org/10.1016/j.euroneuro.2015.05.008
Médecine de Catastrophe - urgences collectives, 1999
Annales de dermatologie et de vénéréologie, 2015
Uncontrolled use of tanning beds is a major public health problem. The role of UV in skin carcino... more Uncontrolled use of tanning beds is a major public health problem. The role of UV in skin carcinogenesis has in fact been clearly demonstrated. The main purpose of the study was to assess the motivations and beliefs of the population concerning the use of indoor tanning. The secondary objectives were to compare the knowledge of users and non-users and to screen for addiction criteria among users. This was a transversal descriptive study conducted between April and June 2013 in Lille town center. The motivations of the participants were determined using a multiple-choice questionnaire. A Likert scale was used to assess beliefs and an m-CAGE questionnaire was used to screen for addiction. Of the 200 respondents, 30% (n=60) had used tanning beds in a non-medical setting. The median age of first use was 23 years (15-59). 11.7% of respondents had started before the authorised age of 18 years. "To prepare the skin for exposure to the sun" was the main reason given (68.3%) for us...
Revue d'épidémiologie et de santé publique, 2013
This article appeared in a journal published by Elsevier. The attached copy is furnished to the a... more This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues.
L'Encéphale
One of the problems of consultation-liaison psychiatry is the absence of request of the patient. ... more One of the problems of consultation-liaison psychiatry is the absence of request of the patient. Indeed, the patients do not recognize their disorder and prefer to go to the emergency unit in a general hospital. Thus, we meet in the emergency unit or in medical unit (liaison psychiatry activity). This is the reason why this first meeting has to be prepared. Consultation-liaison Psychiatry proposes to provide medical staff with the competences developed by psychiatry, and the denomination: Consultation and Liaison Psychiatry, indicates the bipolarity of its practice according to whether the intervention is addressed to the patient (consultation) or to the staff (liaison). However collaboration is sometimes difficult and the psychiatrist often meets with resistance. This is the reason why psychiatrists must work on their integration in the general hospital. Indeed, the psychiatrist works in an institution which is unfamiliar and he/she must adapt and create new practices if it is goin...