Swiss Archives of Neurology, Psychiatry and Psychotherapy

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Open AccessEditorial

Réflflexion sur la mort

by Nathalie Girardot

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(5), 1; https://doi.org/10.4414/sanp.2023.1269898032 - 18 Oct 2023

Abstract

La Mort a repris 2 de mes 4 fils, beaucoup trop tôt [...] Full article

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Open AccessArticle

Eine etwas ungewöhnliche Buchbesprechung

by Thomas von Salis

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(5), 1-2; https://doi.org/10.4414/sanp.2023.1195587942 - 18 Oct 2023

Abstract

Nina Moser schreibt über ihr Erleben der Zwangsstörung eine Maturitätsarbeit und erhält dafür einen wohlverdienten Preis [...] Full article

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Neuer Präsident der Schweizerischen Hirnliga

by Schweizerische Hirnliga

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(5), 1-2; https://doi.org/10.4414/sanp.2023.1249086935 - 18 Oct 2023

Abstract

Kesselring ist seit vielen Jahren im Vorstand der Schweizerischen Hirnliga und hat langjährige Erfahrung im Vorstand von Nonprofitorganisationen [...] Full article

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Open AccessArticle

Substance Use Disorder and Delusional Symptoms in Patients with Psychosis

by Louise Penzenstadler, Anne Chatton, Tania Lecomte, Philippe Huguelet, Laurent Lecardeur, Javier Bartolomei, Perrine Brazo, Elodie Murys, Florent Poupart, Daniele Zullino, Mohamed Saoud, Jérôme Favrod and Yasser Khazaal

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(5), 1-7; https://doi.org/10.4414/sanp.2023.1264583089 - 18 Oct 2023

Abstract

Background: Delusional thinking and low belief flexibility are important treatment targets in patients with psychotic disorders. Game-based interventions may improve hypothetical reasoning. As co-occurring substance use disorders (SUD) and psychotic disorders are common, the current study explores whether SUD may have an [...] Read more.

Background: Delusional thinking and low belief flexibility are important treatment targets in patients with psychotic disorders. Game-based interventions may improve hypothetical reasoning. As co-occurring substance use disorders (SUD) and psychotic disorders are common, the current study explores whether SUD may have an impact on the change of delusional beliefs in patients with psychosis. Methods: This study is a secondary analysis of a longitudinal, assessor blinded, randomized controlled trial, in which 172 patients with positive psychosis symptoms were randomized into an intervention targeting belief flexibility. An improvement over time was found in the Peters et al. Delusion Inventory sub-scales and the Brief Psychiatric Rating Scale outcomes in the treatment group. The current study explores whether co-occurring SUD may have an impact on this change. We used a one-way repeated measures analysis of variance (ANOVA) with SUD present (yes vs. no) as the between-subject factor and time as the within-subject factor. As 29% of the patients were not investigated for SUD, we also performed a sensitivity analysis in which we examined the undiagnosed participants as a fully-fledged group, allowing the analysis of all 172 participants. Results: There was no significant effect of SUD. However, an overall significant time effect was observed for distress (F = 18.7, p <0.001), conviction (F = 19.8. p <0.001), preoccupation (F = 15.4, p <0.001) and BPRS (F = 6.3, p = 0.002). This means that all patients improved similarly on their reduction of all dimensions regardless of presenting an active SUD or not. The same analysis with a third group labelled “undiagnosed” almost replicated the above results. Conclusions: The presence of concomitant SUD at baseline does not seem to influence treatment outcomes over time concerning delusional beliefs. Therefore, specialised programs for psychotic disorders can be as effective for patients with concurrent SUD as for patients with psychosis only. Full article

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Open AccessEditorial

Mon humanité

by Emilie Bétrix

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(5), 1-2; https://doi.org/10.4414/sanp.2023.1156280062 - 18 Oct 2023

Abstract

Je termine ma cinquième hospitalisation psychiatrique en l’espace d’un an et demi [...] Full article

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Kinder- & Jugendpsychiatrie im Krisenmodus: Es braucht uns!

by Evelyn Herbrecht

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(5), 1; https://doi.org/10.4414/sanp.2023.1239674135 - 18 Oct 2023

Abstract

Krisen, Suizidalität, Zukunftsängste, Depressionen, das sind die Themen, mit denen wir in der Kinder- und Jugendpsychiatrie aktuell weiterhin konfrontiert sind [...] Full article

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Le syndrome du canal carpien à Lomé (2015–2020)

by Kossivi Apetse, Awissoba Eyadom Awidina-Ama, Kokouvi Panabalo Waklatsi, Komlan N Anayo, Kokou M Guinhouya, Damelan Kombate, Komi Assogba, Mofou Belo, Agnon Koffi Balogou and Vinyo Kodzo Kumako

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(5), 1-5; https://doi.org/10.4414/sanp.2023.1264569876 - 18 Oct 2023

Abstract

Introduction: carpal tunnel syndrome (CTS) corresponding to compression or irritation of the median nerve at the wrist is the most common and most studied entrapment neuropathy. This study aims to identify the characteristics of CTS in Lomé. Methods: this is a [...] Read more.

Introduction: carpal tunnel syndrome (CTS) corresponding to compression or irritation of the median nerve at the wrist is the most common and most studied entrapment neuropathy. This study aims to identify the characteristics of CTS in Lomé. Methods: this is a descriptive study based on a series of CTS cases recorded from 2015 to 2020. Patients with electroneuromyography confirmation of median nerve damage at the carpal tunnel confirmed by the lengthening (or delay) of one of the latencies of the wrist region were included. Results: A total of 40 patients were included with a male-to-female sex ratio of 0.21, a mean age (+/− SD) of 53 (+/− 10) years, and a total of 74 hands with CTS out of 80. There were more right-handers (92.50%) than left-handers (7.50%). Trades (32.50%) were the most represented occupation. CTS was bilateral in 85% of cases. Paresthesias and pain of the first 4 fingers with a nocturnal predominance were noted in 100% and 75% of cases, respectively. In the Boston questionnaire, 60% of the cases had moderate to severe CTS symptoms. The electroneuromyography showed a lengthening of the distal median motor latency and a decrease in amplitude or non-obtainment of the distal sensory potential in 75% and 85% of cases respectively. Decompressive surgery was performed in 22.50% of cases with a failure rate of 55%. Conclusion: In Togo, the presentation of CTS is classical but the majority of CTS is seen at the severe stage. Medical treatment is widely used but decompressive surgery is still in its infancy. Full article

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Moderators and Predictors of the Clinical Outcome After Hospitalization

by Morgane Terren, Sébastien Urben, Marta Ruiz Cairo, Hélène De Rocquigny, Swen Courosse, Cecilia Bisio, Vivien Caspani, Céline Legoux, Géraldine Petraglia, Boris Guignet, Kerstin Jessica Plessen and Laurent Holzer

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(5), 1-8; https://doi.org/10.4414/sanp.2023.1156262838 - 18 Oct 2023

Abstract

Objective: This study aims at determining the influence of several predictors and moderators of the clinical outcome following a hospitalization in a child and adolescent mental health service (CAMHS). Method: The sample included 297 patients aged from 12 to 18 years. [...] Read more.

Objective: This study aims at determining the influence of several predictors and moderators of the clinical outcome following a hospitalization in a child and adolescent mental health service (CAMHS). Method: The sample included 297 patients aged from 12 to 18 years. Patients and clinicians used the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) to rate clinical outcomes (i.e., symptoms and psychosocial difficulties). Results: Hierarchical regression analyses revealed that patient alliance (p = 0.003), social functioning (p < 0.001), and parental cooperation (p = 0.008) were significant predictors of the clinical outcome. Moreover, gender (associated with pretreatment symptom severity; p = 0.019), parental cooperation (p = 0.036) and stressful life events (SLE; associated with social functioning; p = 0.003) moderated the clinical outcomes significantly. Higher patient alliance was related to lower symptoms and less psychosocial difficulties at discharge. In boys, lower parental cooperation and higher pretreatment symptoms severity were related to more symptoms and psychosocial difficulties at discharge. Finally, in youths exposed to several SLEs, social functioning had no influence on symptoms and psychosocial difficulties at discharge. Conclusions: This study identified patient alliance, gender and SLEs as explaining factors of the clinical outcomes following the hospitalization in a CAMHS. Theses results could help clinicians to improve treatment strategies by allowing personalized care. Full article

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Ich-Verlust im Stimmengewirr

by Daniel Sollberger

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(5), 1-2; https://doi.org/10.4414/sanp.2023.1189216104 - 18 Oct 2023

Abstract

Von dem hier rezensierten Buch kann zu Recht behauptet werden, dass es in der gesamten Psychiatrielandschaft eine Sonderstellung einnimmt [...] Full article

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Tourette Syndrome: Clinical Features, Pathophysiology, and Treatment

by Andreas Steck

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(5), 1; https://doi.org/10.4414/sanp.2023.1249714873 - 18 Oct 2023

Abstract

Tourette syndrome is a chronic disorder of the nervous system characterized by motor and phonic tics that can substantially diminish the quality of life of affected individuals [...] Full article

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«Stand-up Design of Instruction» (STUDI): le stand-up comme modèle pédagogique en santé mentale

by Charles Bonsack, Jérôme Favrod, Alexandre Berney, Marc Sohrmann, Laurent Frobert and Alexandra Nguyen

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(5), 1-7; https://doi.org/10.4414/sanp.2023.1257209215 - 18 Oct 2023

Abstract

Mental health education faces several challenges in a traditional format: how to share people's lived experience and adapt to students' new ways of learning? The stand up design of instruction (STUDI) aims to turn these challenges into benefits by engaging the student in [...] Read more.

Mental health education faces several challenges in a traditional format: how to share people's lived experience and adapt to students' new ways of learning? The stand up design of instruction (STUDI) aims to turn these challenges into benefits by engaging the student in a brief online video format. Stand-up comedy is a performance by a single actor, without props or set, that establishes an intimate relationship of familiarity with the audience and reveals social unspoken things about topics such as sex or money. Mental health is part of a common social experience that nevertheless remains taboo and stigmatized: the video standup format reveals it in an empathetic and explicit way: it exposes a mental health problem by starting from the experience. It is followed by exercises that include questions on objective and subjective understanding of the problem, acquisition of knowledge necessary to solve the problem, application of skills in analyzing the problem, and avenues for using the acquired skills in a real situation. The objective is to present a pilot experiment using this training model. The expected results are a better understanding of the experience of mental health problems, the acquisition of subjective and objective analysis skills, transdisciplinary access to training, de-stigmatization of mental health problems, increased attractiveness of mental health knowledge, and awareness of the psychological and social dimensions of health. Full article

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Swiss Arch. Neurol. Psychiatry Psychother., Volume 174, Issue 5 (10 2023) – 11 articles

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