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A Guedeney

Publications and source records attributed to A Guedeney.

12 recordsLinked to original sources
PubMed2006

Association between symptoms of attention-deficit/hyperactivity disorder and bulimic behaviors in a clinical sample of severely obese adolescents.

OBJECTIVE: Preliminary evidence suggests a comorbidity between attention-deficit/hyperactivity disorder (ADHD) and obesity. This study was carried out to identify the clinical characteristics of obese adolescents with a higher probability of ADHD and advance the understanding of the potential factors underlying the comorbidity between obesity and ADHD. We evaluated the association between ADHD symptoms and bulimic behaviors, depressive and anxiety symptoms, degree of obesity, pubertal stage, age and gender in a clinical sample of obese adolescents. DESIGN: Cross-sectional study. SUBJECTS: Ninety-nine severely obese adolescents aged 12-17 years. MEASUREMENTS: Subjects filled out the Bulimic Investigatory Test, Edinburgh, the Beck Depression Inventory and the State-Trait Anxiety Inventory for Children. Their parents completed the Conners Parent Rating Scale, which assesses ADHD symptoms. The degree of overweight was expressed as body mass index-z score. Puberty development was clinically assessed on the basis of Tanner stages. RESULTS: Bulimic behaviors were significantly associated with ADHD symptoms after controlling for depressive and anxiety symptoms. The degree of overweight, pubertal stage, age and gender were not significantly associated with ADHD symptoms. CONCLUSION: Obese adolescents with bulimic behaviors may have a higher probability to present with ADHD symptoms independently from associated depressive or anxiety symptoms. The degree of overweight, pubertal stage, age and gender might not be useful for detecting obese adolescents with ADHD symptoms. Therefore, we suggest systematic screening for ADHD in obese adolescents with bulimic behaviors. Further studies are needed to understand which specific dimension of ADHD primarily accounts for the association with bulimic behaviors. Future research should also investigate the causal link between bulimic behaviors and ADHD and explore potential common neurobiological alterations. This may lead to a better understanding of the effectiveness of stimulants for the treatment of bulimic behaviors in obese subjects.

Adolescent↗
PubMed2000

[Management of pregnant women with chronic psychiatric disorders].

This paper describes the psychic changes occurring within motherhood and their effects on the various kinds of mental disorders. The necessity of a multidisciplinary preventive and intervention network is emphasized. However, prenatal assessment is not predictive of what will happen postnatally. Only with the birth of the infant will the assessment of parenting begin. Some modification of the infancy and childhood protective regulations could help improving this post natal assessment of parenting ability.

Attitude↗
PubMed1999

Antenatal diagnosis: what sometimes remains to be done after the birth of a normal child.

Although antenatal diagnosis has become a common procedure, it still raises much anxiety within the family. The level of anxiety may remain high even after the birth of a normal child, leading to relationship disorders with the infant. In this case study, antenatal diagnosis of a balanced translocation 3-14 resulted in anxiety disorders, attachment disorders and sleep disorders in the child. Parents with a persistent anxiety could be referred to a child psychiatrist or psychologist, as brief parent-infant therapy is rapidly effective in such cases, and represents an acceptable way for parents to seek psychological help.

Anxiety↗
PubMed1995

[An update on merycism and early depression: a critical review of the literature and a psychopathological hypothesis].

Merycism has always intrigued clinicians. A review of the recent literature reminds us of its characteristics. The auto-stimulation dimension appears important, whatever the underlying psychopathology of mericysm. The frequence of mericysm during early childhood seems to have considerably diminished, even almost disappeared. We will discuss the reasons why mericysm continues to exist in the anorexic and boulmic young adult. We will analyze the relationship of mericysm in early childhood to depression and to growth delay. The dimension of ascendency seems to help us understand this problem.

Adolescent↗
PubMed1993

[Post-partum blues: a critical review of the literature].

The abundant literature dealing with the post partum blues has failed to describe a possible causing factor in these emotional and physical manifestations which are frequently observed in mothers during the first few days following delivery. The post partum blues has been considered as a promising model for depressive states but its function has never been clearly established. No agreement has been reached as to its physiological mechanism. Presently there is a renewed interest for the "third day blues" in relation to post-birth depression, which is known to be frequent, and to the early interactions. The authors present a review of the literature and emphasize the necessity to approach this issue from a new standpoint and with new conceptual and measurement tools. The role of post partum blues could well be, through a biological process involving the dopamine, to facilitate the establishment of early mother-infant bonds by provoking a decrease in blunted affect.

Affect↗
PubMed1986

[Psychosomatic aspects of protein-calorie malnutrition in early childhood in a tropical environment. Facts and hypotheses].

After a brief look at the clinical descriptions of marasmus and kwashiorkor, and a summary of the physiopathological concepts of these protein calorie malnutritions (PCM), the author looks at arguments which suggest there is a change in the mother-child relationship at the onset of PCM, excluding, however, those malnutritions which appear in conditions of famine or catastrophe. These arguments are drawn principally from studies done in Africa, and are based on clinical, sociological, and ethnopsychiatric data. The contributing factor of maternal depression and that of relational characteristics of the child are considered, and an analysis is made of how these factors might converge at the onset of PCM. The author attempts to demonstrate the important role of a psychomotor retardation in the tableau of psychological troubles which present themselves during the course of Kwashiorkor. The role and importance of weaning, of the separation and the psychomotor retardation in the genesis of the "situation of malnutrition" are discussed. Finally, a parallel is established between PCM and early psychosomatic syndromes observed in the west, principally the anorexias and insomnias during the first year of life. The point in common between these situations and PCM is perhaps the onset of conditions having an upsetting and distorting effect on the mother-child relationship. The family and the entourage use certain collective representations in Africa ("Nit-KuBon", "Tjid-a-Paxer") to try and explain the onset of PCM. The description of these traditional representations is utilized as a materialization, by the mother and the social group, of an alteration of the mother-child relationship, and can be compared to representations which play the same role in the west.

Africa↗