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Augé P, Maruani A, Humeau E, Ellul P, Cartigny A, Lefebvre A, Dellapiazza F, Delorme R, Peyre H. Global Sensory Features are Linked to Executive and Attentional Impairments in Autism Spectrum Disorders. J Autism Dev Disord 2024:10.1007/s10803-024-06385-4. [PMID: 38761284 DOI: 10.1007/s10803-024-06385-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/28/2024] [Indexed: 05/20/2024]
Abstract
Sensory features, executive and attentional impairments are frequently reported in individuals with autism spectrum disorders (ASD). However, little is known about their complex relationships. In this study, we aim to examine the executive and attentional difficulties related to distinct sensory profiles. We identified sensory profiles with a Latent Profile Analysis (LPA) based on scores on the Short Sensory Profile (SSP) questionnaire in 95 children with ASD aged 6 to 17 years. Executive and attention functions were assessed using the Behavior Rating Inventory of Executive Functions (BRIEF) questionnaire and Attention-Deficit Hyperactivity Disorder Rating Scale (ADHD-RS). A three-cluster solution based on raw SSP scores identified a "high'', a "medium" and a "low'' SSP profile. We found a significant relationship between executive functions, attentional skills and the global severity of sensory features, reinforcing findings of previous studies in the literature. A two-cluster solution based on normalized SSP (i.e. equalized for the global severity) identified distinct sensory profiles, mainly discriminated by the score of underresponsive/seeks sensation. We found no significant difference between these two clusters for the BRIEF and ADHD-RS related scores. Our study suggests that the heterogeneity of sensory features in ASD may not be explained by differences in executive and attention functions. Future studies are needed to refine the link between sensory features and executive functions in autism.
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Affiliation(s)
- Pierre Augé
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris-Cité University, Paris, France.
| | - Anna Maruani
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris-Cité University, Paris, France
- Centre de Référence "Déficiences Intellectuelles", Robert Debré Hospital, Paris, France
| | - Elise Humeau
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris-Cité University, Paris, France
- Fondation FondaMental, Créteil, France
| | - Pierre Ellul
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris-Cité University, Paris, France
| | - Ariane Cartigny
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris-Cité University, Paris, France
- Fondation FondaMental, Créteil, France
- Laboratory of Psychopathology and Health Process, Université Paris Cité, F92000, Paris, France
| | - Aline Lefebvre
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris-Cité University, Paris, France
| | - Florine Dellapiazza
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'Excellence sur l'Autisme et les Troubles Neurodéveloppement (CeAND), CHU Montpellier, Montpellier, France
| | - Richard Delorme
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris-Cité University, Paris, France
| | - Hugo Peyre
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris-Cité University, Paris, France
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'Excellence sur l'Autisme et les Troubles Neurodéveloppement (CeAND), CHU Montpellier, Montpellier, France
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Cosquer M, Finck C, Jousselme C, Lefebvre A. Violent video gaming among French adolescents: Impact on mental health by gender. Encephale 2024:S0013-7006(24)00071-X. [PMID: 38755029 DOI: 10.1016/j.encep.2024.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Revised: 01/18/2024] [Accepted: 02/01/2024] [Indexed: 05/18/2024]
Abstract
BACKGROUND Nowadays, video games are very popular among teenagers. This popularity generates concerns, whether in the media, among families or among the scientific community, who wonder about their potential harmful effects. The aim of this study was to assess the association between different types of use of video games (absence of use, use of violent video games, use of non-violent video games) and mental health and aggression. METHODS Data was drawn from a French cross-sectional study entitled "Portrait d'Adolescents" which included 15,235 adolescents using anonymous self-administered questionnaires. We defined three groups of use of video games (absence of use, use of violent video games, use of non-violent video games) and explored the association with mental health indicators among boys and girls. RESULTS The group categorized as "non-gamers" consisted of 1288 adolescents (8.5%), while the "non-violent video gamers" group comprised 8380 adolescents (55.5%) and the "violent video gamers" group included 5430 participants (36%). Among adolescent boys, there was no observed association between responses to mental health-related questions and the type of video game playing. However, in the "violent video gamers" group, a higher percentage of boys (6.8%) reported engaging in self-harm behaviors (p=0.001). In contrast, in the "non-violent video gamers" group, a lower proportion of boys (9.4%) reported participating in dangerous games (p<0.0001). For girls, the "violent video gamers" group exhibited a higher proportion of responses indicating poorer mental health across all explored items: 22.8% reported a history of suicide attempts (p<0.0001), 22.3% reported depression (p<0.0001), 17.8% reported self harm (p<0.0001), and 11.2% reported participating in dangerous game (p<0.0001). CONCLUSION Violent video games appear to be associated with varying behaviors depending on the gender of adolescents, and notably contribute to much poorer mental health among adolescent girls.
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Affiliation(s)
- Mireille Cosquer
- University Hospital of Child and Adolescent Psychiatry, Fondation Vallée, GHT Paris Sud, Gentilly, France; INSERM UMR 1178, CESP, Paris-Sud Faculty of Medicine, Paris-Saclay University, Le Kremlin Bicêtre, France.
| | - Clara Finck
- Hospital Théophile Roussel, 78363 Montesson, France
| | - Catherine Jousselme
- University Hospital of Child and Adolescent Psychiatry, Fondation Vallée, GHT Paris Sud, Gentilly, France; INSERM UMR 1178, CESP, Paris-Sud Faculty of Medicine, Paris-Saclay University, Le Kremlin Bicêtre, France
| | - Aline Lefebvre
- University Hospital of Child and Adolescent Psychiatry, Fondation Vallée, GHT Paris Sud, Gentilly, France; Paris-Saclay University, Neurospin, CEA, UNIACT Lab, PsyBrain Team, 91191 Gif-sur-Yvette, France
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Lefebvre A, Traut N, Pedoux A, Maruani A, Beggiato A, Elmaleh M, Germanaud D, Amestoy A, Ly-Le Moal M, Chatham C, Murtagh L, Bouvard M, Alisson M, Leboyer M, Bourgeron T, Toro R, Dumas G, Moreau C, Delorme R. Exploring the multidimensional nature of repetitive and restricted behaviors and interests (RRBI) in autism: neuroanatomical correlates and clinical implications. Mol Autism 2023; 14:45. [PMID: 38012709 PMCID: PMC10680239 DOI: 10.1186/s13229-023-00576-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 11/06/2023] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND Repetitive and restricted behaviors and interests (RRBI) are core symptoms of autism with a complex entity and are commonly categorized into 'motor-driven' and 'cognitively driven'. RRBI symptomatology depends on the individual's clinical environment limiting the understanding of RRBI physiology, particularly their associated neuroanatomical structures. The complex RRBI heterogeneity needs to explore the whole RRBI spectrum by integrating the clinical context [autistic individuals, their relatives and typical developing (TD) individuals]. We hypothesized that different RRBI dimensions would emerge by exploring the whole spectrum of RRBI and that these dimensions are associated with neuroanatomical signatures-involving cortical and subcortical areas. METHOD A sample of 792 individuals composed of 267 autistic subjects, their 370 first-degree relatives and 155 TD individuals was enrolled in the study. We assessed the whole patterns of RRBI in each individual by using the Repetitive Behavior Scale-Revised and the Yale-Brown Obsessive Compulsive Scale. We estimated brain volumes using MRI scanner for a subsample of the subjects (n = 152, 42 ASD, 89 relatives and 13 TD). We first investigated the dimensionality of RRBI by performing a principal component analysis on all items of these scales and included all the sampling population. We then explored the relationship between RRBI-derived factors with brain volumes using linear regression models. RESULTS We identified 3 main factors (with 30.3% of the RRBI cumulative variance): Factor 1 (FA1, 12.7%) reflected mainly the 'motor-driven' RRBI symptoms; Factor 2 and 3 (respectively, 8.8% and 7.9%) gathered mainly Y-BOCS related items and represented the 'cognitively driven' RRBI symptoms. These three factors were significantly associated with the right/left putamen volumes but with opposite effects: FA1 was negatively associated with an increased volume of the right/left putamen conversely to FA2 and FA3 (all uncorrected p < 0.05). FA1 was negatively associated with the left amygdala (uncorrected p < 0.05), and FA2 was positively associated with the left parietal structure (uncorrected p = 0.001). CONCLUSION Our results suggested 3 coherent RRBI dimensions involving the putamen commonly and other structures according to the RRBI dimension. The exploration of the putamen's integrative role in RSBI needs to be strengthened in further studies.
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Affiliation(s)
- Aline Lefebvre
- Fondation Vallée, GHT Paris Sud, Hospital of Child and Adolescent Psychiatry, Gentilly, France.
- UMR 3571 CNRS, Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France.
- UNIACT Neurospin - INSERM UMR 1129, CEA, Saclay, France.
- Department of Adult Psychiatry, Henri Mondor and Albert Chenevier Hospital, Créteil, France.
- Faculty of Medicine, Université Paris-Saclay, Le Kremlin-Bicêtre, France.
| | - Nicolas Traut
- Unité de Neuroanatomie Appliquée et Théorique, Institut Pasteur, Paris, France
| | - Amandine Pedoux
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France
| | - Anna Maruani
- UMR 3571 CNRS, Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France
| | - Anita Beggiato
- UMR 3571 CNRS, Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France
| | - Monique Elmaleh
- Department of Pediatric Radiology, Robert-Debré Hospital, APHP, Paris, France
| | - David Germanaud
- UNIACT Neurospin - INSERM UMR 1129, CEA, Saclay, France
- Department of Clinical Genetics, Robert Debré Hospital, APHP, Paris, France
- Center for Research and Interdisciplinarity (CRI), Université Paris Cité, Paris, France
| | - Anouck Amestoy
- Autism Expert Center, Charles Perrens Hospital, Bordeaux, France
- Fondation FondaMental, French National Science Foundation, Créteil, France
| | | | - Christopher Chatham
- Roche Pharma Research and Early Development, Neuroscience and Rare Diseases, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, Switzerland
| | - Lorraine Murtagh
- Roche Pharma Research and Early Development, Neuroscience and Rare Diseases, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, Switzerland
| | - Manuel Bouvard
- Autism Expert Center, Charles Perrens Hospital, Bordeaux, France
- Fondation FondaMental, French National Science Foundation, Créteil, France
| | - Marianne Alisson
- Department of Pediatric Radiology, Robert-Debré Hospital, APHP, Paris, France
| | - Marion Leboyer
- Fondation FondaMental, French National Science Foundation, Créteil, France
- Institut National de la Santé et de la Recherche Médicale (INSERM), U955, Institut Mondor de Recherche Biomédicale, Psychiatrie Translationnelle, Créteil, France
| | - Thomas Bourgeron
- UMR 3571 CNRS, Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France
- Université Paris Cité, Paris, France
| | - Roberto Toro
- Unité de Neuroanatomie Appliquée et Théorique, Institut Pasteur, Paris, France
| | - Guillaume Dumas
- Department of Psychiatry, Université de Montreal, CHU Ste Justine Hospital, Montreal, QC, Canada
| | - Clara Moreau
- UMR 3571 CNRS, Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France
- Imaging Genetics Center, Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, Los Angeles, CA, USA
| | - Richard Delorme
- Fondation Vallée, GHT Paris Sud, Hospital of Child and Adolescent Psychiatry, Gentilly, France
- UMR 3571 CNRS, Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France
- Fondation FondaMental, French National Science Foundation, Créteil, France
- Université Paris Cité, Paris, France
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Lucarini V, Alouit A, Yeh D, Le Coq J, Savatte R, Charre M, Louveau C, Houamri MB, Penaud S, Gaston-Bellegarde A, Rio S, Drouet L, Elbaz M, Becchio J, Pourchet S, Pruvost-Robieux E, Marchi A, Moyal M, Lefebvre A, Chaumette B, Grice M, Lindberg PG, Dupin L, Piolino P, Lemogne C, Léger D, Gavaret M, Krebs MO, Iftimovici A. Neurophysiological explorations across the spectrum of psychosis, autism, and depression, during wakefulness and sleep: protocol of a prospective case-control transdiagnostic multimodal study (DEMETER). BMC Psychiatry 2023; 23:860. [PMID: 37990173 PMCID: PMC10662684 DOI: 10.1186/s12888-023-05347-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 11/03/2023] [Indexed: 11/23/2023] Open
Abstract
BACKGROUND Quantitative electroencephalography (EEG) analysis offers the opportunity to study high-level cognitive processes across psychiatric disorders. In particular, EEG microstates translate the temporal dynamics of neuronal networks throughout the brain. Their alteration may reflect transdiagnostic anomalies in neurophysiological functions that are impaired in mood, psychosis, and autism spectrum disorders, such as sensorimotor integration, speech, sleep, and sense of self. The main questions this study aims to answer are as follows: 1) Are EEG microstate anomalies associated with clinical and functional prognosis, both in resting conditions and during sleep, across psychiatric disorders? 2) Are EEG microstate anomalies associated with differences in sensorimotor integration, speech, sense of self, and sleep? 3) Can the dynamic of EEG microstates be modulated by a non-drug intervention such as light hypnosis? METHODS This prospective cohort will include a population of adolescents and young adults, aged 15 to 30 years old, with ultra-high-risk of psychosis (UHR), first-episode psychosis (FEP), schizophrenia (SCZ), autism spectrum disorder (ASD), and major depressive disorder (MDD), as well as healthy controls (CTRL) (N = 21 × 6), who will be assessed at baseline and after one year of follow-up. Participants will undergo deep phenotyping based on psychopathology, neuropsychological assessments, 64-channel EEG recordings, and biological sampling at the two timepoints. At baseline, the EEG recording will also be coupled to a sensorimotor task and a recording of the characteristics of their speech (prosody and turn-taking), a one-night polysomnography, a self-reference effect task in virtual reality (only in UHR, FEP, and CTRL). An interventional ancillary study will involve only healthy controls, in order to assess whether light hypnosis can modify the EEG microstate architecture in a direction opposite to what is seen in disease. DISCUSSION This transdiagnostic longitudinal case-control study will provide a multimodal neurophysiological assessment of clinical dimensions (sensorimotor integration, speech, sleep, and sense of self) that are disrupted across mood, psychosis, and autism spectrum disorders. It will further test the relevance of EEG microstates as dimensional functional biomarkers. TRIAL REGISTRATION ClinicalTrials.gov Identifier NCT06045897.
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Affiliation(s)
- Valeria Lucarini
- Université Paris Cité, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, Team "Pathophysiology of psychiatric disorders", GDR 3557-Institut de Psychiatrie, 102-108 Rue de la Santé, Paris, 75014, France
- GHU Paris Psychiatrie et Neurosciences, Pôle Hospitalo-Universitaire d'évaluation, Prévention, et Innovation Thérapeutique (PEPIT), Paris, France
| | - Anaëlle Alouit
- Université Paris Cité, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, Team "Stroke: from prognostic determinants and translational research to personalized interventions", Paris, 75014, France
| | - Delphine Yeh
- Laboratoire Mémoire, Cerveau et Cognition, UR7536, Université Paris Cité, Boulogne-Billancourt, F-92100, France
| | - Jeanne Le Coq
- GHU Paris Psychiatrie et Neurosciences, Pôle Hospitalo-Universitaire d'évaluation, Prévention, et Innovation Thérapeutique (PEPIT), Paris, France
| | - Romane Savatte
- GHU Paris Psychiatrie et Neurosciences, Pôle Hospitalo-Universitaire d'évaluation, Prévention, et Innovation Thérapeutique (PEPIT), Paris, France
| | - Mylène Charre
- GHU Paris Psychiatrie et Neurosciences, Pôle Hospitalo-Universitaire d'évaluation, Prévention, et Innovation Thérapeutique (PEPIT), Paris, France
| | - Cécile Louveau
- GHU Paris Psychiatrie et Neurosciences, Pôle Hospitalo-Universitaire d'évaluation, Prévention, et Innovation Thérapeutique (PEPIT), Paris, France
| | - Meryem Benlaifa Houamri
- GHU Paris Psychiatrie et Neurosciences, Pôle Hospitalo-Universitaire d'évaluation, Prévention, et Innovation Thérapeutique (PEPIT), Paris, France
| | - Sylvain Penaud
- Laboratoire Mémoire, Cerveau et Cognition, UR7536, Université Paris Cité, Boulogne-Billancourt, F-92100, France
| | - Alexandre Gaston-Bellegarde
- Laboratoire Mémoire, Cerveau et Cognition, UR7536, Université Paris Cité, Boulogne-Billancourt, F-92100, France
| | - Stéphane Rio
- Centre du Sommeil et de la Vigilance, AP-HP, Hôtel-Dieu, Paris, France
| | - Laurent Drouet
- Centre du Sommeil et de la Vigilance, AP-HP, Hôtel-Dieu, Paris, France
| | - Maxime Elbaz
- Centre du Sommeil et de la Vigilance, AP-HP, Hôtel-Dieu, Paris, France
| | - Jean Becchio
- Collège International de Thérapies d'orientation de l'Attention et de la Conscience (CITAC), Paris, France
| | - Sylvain Pourchet
- Collège International de Thérapies d'orientation de l'Attention et de la Conscience (CITAC), Paris, France
| | - Estelle Pruvost-Robieux
- Université Paris Cité, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, Team "Stroke: from prognostic determinants and translational research to personalized interventions", Paris, 75014, France
- Service de Neurophysiologie Clinique, GHU Paris Psychiatrie et Neurosciences, Paris, France
| | - Angela Marchi
- Epileptology and Cerebral Rhythmology, APHM, Timone Hospital, Marseille, France
| | - Mylène Moyal
- Université Paris Cité, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, Team "Pathophysiology of psychiatric disorders", GDR 3557-Institut de Psychiatrie, 102-108 Rue de la Santé, Paris, 75014, France
- GHU Paris Psychiatrie et Neurosciences, Pôle Hospitalo-Universitaire d'évaluation, Prévention, et Innovation Thérapeutique (PEPIT), Paris, France
| | - Aline Lefebvre
- Department of Child and Adolescent Psychiatry, Fondation Vallee, UNIACT Neurospin CEA - INSERM UMR 1129, Universite Paris Saclay, Gentilly, France
| | - Boris Chaumette
- Université Paris Cité, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, Team "Pathophysiology of psychiatric disorders", GDR 3557-Institut de Psychiatrie, 102-108 Rue de la Santé, Paris, 75014, France
- GHU Paris Psychiatrie et Neurosciences, Pôle Hospitalo-Universitaire d'évaluation, Prévention, et Innovation Thérapeutique (PEPIT), Paris, France
| | - Martine Grice
- IfL-Phonetics, University of Cologne, Cologne, Germany
| | - Påvel G Lindberg
- Université Paris Cité, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, Team "Stroke: from prognostic determinants and translational research to personalized interventions", Paris, 75014, France
| | - Lucile Dupin
- INCC UMR 8002, CNRS, Université Paris Cité, Paris, F-75006, France
| | - Pascale Piolino
- Laboratoire Mémoire, Cerveau et Cognition, UR7536, Université Paris Cité, Boulogne-Billancourt, F-92100, France
| | - Cédric Lemogne
- Inserm, INRAE, Center for Research in Epidemiology and StatisticS (CRESS), Service de Psychiatrie de l'adulte, AP-HP, Hôpital Hôtel-Dieu, Université Paris Cité and Université Sorbonne Paris Nord, Paris, France
| | - Damien Léger
- Centre du Sommeil et de la Vigilance, AP-HP, Hôtel-Dieu, Paris, France
- VIFASOM, ERC 7330, Université Paris Cité, Paris, France
| | - Martine Gavaret
- Université Paris Cité, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, Team "Stroke: from prognostic determinants and translational research to personalized interventions", Paris, 75014, France
- Service de Neurophysiologie Clinique, GHU Paris Psychiatrie et Neurosciences, Paris, France
| | - Marie-Odile Krebs
- Université Paris Cité, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, Team "Pathophysiology of psychiatric disorders", GDR 3557-Institut de Psychiatrie, 102-108 Rue de la Santé, Paris, 75014, France
- GHU Paris Psychiatrie et Neurosciences, Pôle Hospitalo-Universitaire d'évaluation, Prévention, et Innovation Thérapeutique (PEPIT), Paris, France
| | - Anton Iftimovici
- Université Paris Cité, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, Team "Pathophysiology of psychiatric disorders", GDR 3557-Institut de Psychiatrie, 102-108 Rue de la Santé, Paris, 75014, France.
- GHU Paris Psychiatrie et Neurosciences, Pôle Hospitalo-Universitaire d'évaluation, Prévention, et Innovation Thérapeutique (PEPIT), Paris, France.
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5
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Ellul P, Maruani A, Vantalon V, Humeau E, Amestoy A, Anchordoqui A, Atzori P, Baleyte JM, Benmansour S, Bonnot O, Bouvard M, Cartigny A, Coulon N, Coutelle R, Da Fonseca D, Demily C, Givaudan M, Gollier-Briant F, Guénolé F, Koch A, Leboyer M, Lefebvre A, Lejuste F, Levy C, Mendes E, Robert N, Schroder CM, Speranza M, Zante E, Peyre H, Rosenzwajg M, Klatzmann D, Tchitchek N, Delorme R. Maternal immune activation during pregnancy is associated with more difficulties in socio-adaptive behaviors in autism spectrum disorder. Sci Rep 2023; 13:17687. [PMID: 37848536 PMCID: PMC10582088 DOI: 10.1038/s41598-023-45060-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Accepted: 10/15/2023] [Indexed: 10/19/2023] Open
Abstract
Autism spectrum disorder (ASD) are neurodevelopmental conditions characterised by deficits in social communication and interaction and repetitive behaviours. Maternal immune activation (MIA) during the mid-pregnancy is a known risk factor for ASD. Although reported in 15% of affected individuals, little is known about the specificity of their clinical profiles. Adaptive skills represent a holistic approach to a person's competencies and reflect specifically in ASD, their strengths and difficulties. In this study, we hypothesised that ASD individual with a history of MIA (MIA+) could be more severely socio-adaptively impaired than those without MIA during pregnancy (MIA-). To answer this question, we considered two independent cohorts of individuals with ASD (PARIS study and FACE ASD) screened for pregnancy history, and used supervised and unsupervised machine learning algorithms. We included 295 mother-child dyads with 14% of them with MIA+. We found that ASD-MIA+ individuals displayed more severe maladaptive behaviors, specifically in their socialization abilities. MIA+ directly influenced individual's socio-adaptive skills, independent of other covariates, including ASD severity. Interestingly, MIA+ affect persistently the socio-adaptive behavioral trajectories of individuals with ASD. The current study has a retrospective design with possible recall bias regarding the MIA event and, even if pooled from two cohorts, has a relatively small population. In addition, we were limited by the number of covariables available potentially impacted socio-adaptive behaviors. Larger prospective study with additional dimensions related to ASD is needed to confirm our results. Specific pathophysiological pathways may explain these clinical peculiarities of ASD- MIA+ individuals, and may open the way to new perspectives in deciphering the phenotypic complexity of ASD and for the development of specific immunomodulatory strategies.
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Affiliation(s)
- Pierre Ellul
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France.
- Immunology, Immunopathology, Immunotherapy, INSERM U959, Pitié Salpétrière Hospital, Sorbonne University, Paris, France.
- Fondation FondaMental, Créteil, France.
| | - Anna Maruani
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France
- Centre Hospitalier Charles-Perrens, Pôle Universitaire de Psychiatrie de L'enfant Et de L'adolescent, Bordeaux Cedex, France
- Aquitaine Institute for Cognitive and Integrative Neuroscience, UMR 5287, CNRS, INCIA, University of Bordeaux, Bordeaux, France
| | - Valérie Vantalon
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France
| | - Elise Humeau
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France
- Fondation FondaMental, Créteil, France
| | - Anouck Amestoy
- Fondation FondaMental, Créteil, France
- Centre Hospitalier Charles-Perrens, Pôle Universitaire de Psychiatrie de L'enfant Et de L'adolescent, Bordeaux Cedex, France
- Aquitaine Institute for Cognitive and Integrative Neuroscience, UMR 5287, CNRS, INCIA, University of Bordeaux, Bordeaux, France
| | - Andrea Anchordoqui
- Fondation FondaMental, Créteil, France
- Centre Hospitalier Charles-Perrens, Pôle Universitaire de Psychiatrie de L'enfant Et de L'adolescent, Bordeaux Cedex, France
- Aquitaine Institute for Cognitive and Integrative Neuroscience, UMR 5287, CNRS, INCIA, University of Bordeaux, Bordeaux, France
| | - Paola Atzori
- Fondation FondaMental, Créteil, France
- Child and Adolescent Psychiatry Unit, Salvator University Hospital, Public Assistance-Marseille Hospitals, Aix-Marseille University, Marseille, France
| | - Jean-Marc Baleyte
- Fondation FondaMental, Créteil, France
- INSERM, IMRB, Translational Neuropsychiatry, AP-HP, DMU IMPACT, FHU ADAPT, Univ Paris Est Créteil, 94010, Créteil, France
| | - Safiyah Benmansour
- Fondation FondaMental, Créteil, France
- INSERM, IMRB, Translational Neuropsychiatry, AP-HP, DMU IMPACT, FHU ADAPT, Univ Paris Est Créteil, 94010, Créteil, France
| | - Olivier Bonnot
- Fondation FondaMental, Créteil, France
- Psychiatrie de L'enfant et de l'Adolescent, CHU and Universite de Nantes, Nantes, France
| | - Manuel Bouvard
- Fondation FondaMental, Créteil, France
- Centre Hospitalier Charles-Perrens, Pôle Universitaire de Psychiatrie de L'enfant Et de L'adolescent, Bordeaux Cedex, France
- Aquitaine Institute for Cognitive and Integrative Neuroscience, UMR 5287, CNRS, INCIA, University of Bordeaux, Bordeaux, France
| | - Ariane Cartigny
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France
| | - Nathalie Coulon
- Fondation FondaMental, Créteil, France
- Centre Expert TSA-SDI/Centre Référent de Réhabilitation Psychosociale, CH Alpes Isère, Grenoble, France
| | - Romain Coutelle
- Fondation FondaMental, Créteil, France
- Expert Centre for Autism and NDD, Fondation FondaMental, Department for Child and Adolescent Psychiatry, Strasbourg University Hospitals and University of Strasbourg, Versailles, France
- CNRS UPR 3212Service Universitaire de Psychiatrie de L'enfant Et de L'adolescent, Centre Hospitalier de VersaillesUMR1018, CESPUVSQ, Université Paris Saclay, Versailles, France
| | - David Da Fonseca
- Fondation FondaMental, Créteil, France
- Child and Adolescent Psychiatry Unit, Salvator University Hospital, Public Assistance-Marseille Hospitals, Aix-Marseille University, Marseille, France
| | - Caroline Demily
- Fondation FondaMental, Créteil, France
- Centre d'excellence I-Mind, Centre de Référence Maladies Rares Génopsy, Pôle ADIS, Centre Hospitalier Le Vinatier, Bordeaux, France
| | - Marion Givaudan
- Fondation FondaMental, Créteil, France
- Child and Adolescent Psychiatry Unit, Salvator University Hospital, Public Assistance-Marseille Hospitals, Aix-Marseille University, Marseille, France
| | - Fanny Gollier-Briant
- Fondation FondaMental, Créteil, France
- Psychiatrie de L'enfant et de l'Adolescent, CHU and Universite de Nantes, Nantes, France
| | - Fabian Guénolé
- Fondation FondaMental, Créteil, France
- CHU de Caen, Department of Child and Adolescent Psychiatry, Caen Normandy University, Caen, France
| | - Andrea Koch
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France
| | - Marion Leboyer
- Fondation FondaMental, Créteil, France
- INSERM, IMRB, Translational Neuropsychiatry, AP-HP, DMU IMPACT, FHU ADAPT, Univ Paris Est Créteil, 94010, Créteil, France
| | - Aline Lefebvre
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France
| | - Florian Lejuste
- Fondation FondaMental, Créteil, France
- INSERM, IMRB, Translational Neuropsychiatry, AP-HP, DMU IMPACT, FHU ADAPT, Univ Paris Est Créteil, 94010, Créteil, France
| | - Charlotte Levy
- Fondation FondaMental, Créteil, France
- Centre Hospitalier Charles-Perrens, Pôle Universitaire de Psychiatrie de L'enfant Et de L'adolescent, Bordeaux Cedex, France
- Aquitaine Institute for Cognitive and Integrative Neuroscience, UMR 5287, CNRS, INCIA, University of Bordeaux, Bordeaux, France
| | - Eugénie Mendes
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France
| | - Natalia Robert
- Fondation FondaMental, Créteil, France
- Human Genetics and Cognitive Functions Unit, Pasteur Insitute, Paris, France
| | - Carmen M Schroder
- Fondation FondaMental, Créteil, France
- Expert Centre for Autism and NDD, Fondation FondaMental, Department for Child and Adolescent Psychiatry, Strasbourg University Hospitals and University of Strasbourg, Versailles, France
- CNRS UPR 3212Service Universitaire de Psychiatrie de L'enfant Et de L'adolescent, Centre Hospitalier de VersaillesUMR1018, CESPUVSQ, Université Paris Saclay, Versailles, France
| | - Mario Speranza
- Fondation FondaMental, Créteil, France
- Human Genetics and Cognitive Functions Unit, Pasteur Insitute, Paris, France
| | - Elodie Zante
- Fondation FondaMental, Créteil, France
- Centre d'excellence I-Mind, Centre de Référence Maladies Rares Génopsy, Pôle ADIS, Centre Hospitalier Le Vinatier, Bordeaux, France
| | - Hugo Peyre
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France
| | - Michelle Rosenzwajg
- Immunology, Immunopathology, Immunotherapy, INSERM U959, Pitié Salpétrière Hospital, Sorbonne University, Paris, France
| | - David Klatzmann
- Immunology, Immunopathology, Immunotherapy, INSERM U959, Pitié Salpétrière Hospital, Sorbonne University, Paris, France
| | - Nicolas Tchitchek
- Immunology, Immunopathology, Immunotherapy, INSERM U959, Pitié Salpétrière Hospital, Sorbonne University, Paris, France
| | - Richard Delorme
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France
- Institute of Neuroscience Timone, CNRS, Aix-Marseille University, Marseille, France
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6
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Passini L, Le Bouedec S, Dassieu G, Reynaud A, Jung C, Keller ML, Lefebvre A, Katty T, Baleyte JM, Layese R, Audureau E, Caeymaex L. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. BMJ Qual Saf 2023; 32:589-599. [PMID: 36918264 DOI: 10.1136/bmjqs-2022-015247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 11/08/2022] [Indexed: 03/16/2023]
Abstract
IMPORTANCE Surveys based on hypothetical situations suggest that health-care providers agree that disclosure of errors and adverse events to patients and families is a professional obligation but do not always disclose them. Disclosure rates and reasons for the choice have not previously been studied. OBJECTIVE To measure the proportion of errors disclosed by neonatal intensive care unit (NICU) professionals to parents and identify motives for and barriers to disclosure. DESIGN Prospective, observational study nested in a randomised controlled trial (Study on Preventing Adverse Events in Neonates (SEPREVEN); ClinicalTrials.gov). Event disclosure was not intended to be related to the intervention tested. SETTING 10 NICUs in France with a 20-month follow-up, starting November 2015. PARTICIPANTS n=1019 patients with NICU stay ≥2 days with ≥1 error. EXPOSURE Characteristics of errors (type, severity, timing of discovery), patients and professionals, self-reported motives for disclosure and non-disclosure. MAIN OUTCOME AND MEASURES Rate of error disclosure reported anonymously and voluntarily by physicians and nurses; perceived parental reaction to disclosure. RESULTS Among 1822 errors concerning 1019 patients (mean gestational age: 30.8±4.5 weeks), 752 (41.3%) were disclosed. Independent risk factors for non-disclosure were nighttime discovery of error (OR 2.40; 95% CI 1.75 to 3.30), milder consequence (for moderate consequence: OR 1.85; 95% CI 0.89 to 3.86; no consequence: OR 6.49; 95% CI 2.99 to 14.11), a shorter interval between admission and error, error type and fewer beds. The most frequent reported reasons for non-disclosure were parental absence at its discovery and a perceived lack of serious consequence. CONCLUSION AND RELEVANCE In the particular context of the SEPREVEN randomised controlled trial of NICUs, staff did not disclose the majority of errors to parents, especially in the absence of moderate consequence for the infant. TRIAL REGISTRATION NUMBER NCT02598609.
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Affiliation(s)
- Loïc Passini
- Neonatal Intensive care Unit, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | | | - Gilles Dassieu
- Neonatal Intensive care Unit, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | | | - Camille Jung
- Clinical Research Center, Centre Hospitalier Intercommunal de Creteil, Creteil, France
| | - Marie-Laurence Keller
- Neonatal Intensive care Unit, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - Aline Lefebvre
- Department of Child and Adolescent Psychiatry, APHP, Paris, France
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France
- Child and Adolescent Psychiatry Creteil, Centre Hospitalier Intercommunal de Creteil, Creteil, France
| | - Therese Katty
- Health Law Manager, Centre Hospitalier Intercommunal de Creteil, Creteil, France
| | - Jean-Marc Baleyte
- Child and Adolescent Psychiatry Creteil, Centre Hospitalier Intercommunal de Creteil, Creteil, France
- Faculty of Health, University Paris Est Creteil, Creteil, France
| | - Richard Layese
- INSERM IMRB, CEpiA Team, University Paris Est Creteil, Creteil, France, Créteil, France
- Unité de Recherche Clinique (URC), Hôpital Henri Mondor, Assistance Publique - Hôpitaux de Paris APHP, Créteil, France
| | - Etienne Audureau
- INSERM IMRB, CEpiA Team, University Paris Est Creteil, Creteil, France, Créteil, France
- Unité de Recherche Clinique (URC), Hôpital Henri Mondor, Assistance Publique - Hôpitaux de Paris APHP, Créteil, France
| | - Laurence Caeymaex
- Neonatal Intensive care Unit, Centre Hospitalier Intercommunal de Créteil, Créteil, France
- Clinical Research Center, Centre Hospitalier Intercommunal de Creteil, Creteil, France
- Faculty of Health, University Paris Est Creteil, Creteil, France
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7
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Gaudfernau F, Lefebvre A, Engemann DA, Pedoux A, Bánki A, Baillin F, Landman B, Maruani A, Amsellem F, Bourgeron T, Delorme R, Dumas G. Cortico-Cerebellar neurodynamics during social interaction in Autism Spectrum Disorders. Neuroimage Clin 2023; 39:103465. [PMID: 37454469 PMCID: PMC10368923 DOI: 10.1016/j.nicl.2023.103465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 06/24/2023] [Accepted: 06/27/2023] [Indexed: 07/18/2023]
Abstract
BACKGROUND Exploring neural network dynamics during social interaction could help to identify biomarkers of Autism Spectrum Disorders (ASD). A cerebellar involvement in autism has long been suspected and recent methodological advances now enable studying cerebellar functioning in a naturalistic setting. Here, we investigated the electrophysiological activity of the cerebro-cerebellar network during real-time social interaction in ASD. We focused our analysis on theta oscillations (3-8 Hz), which have been associated with large-scale coordination of distant brain areas and might contribute to interoception, motor control, and social event anticipation, all skills known to be altered in ASD. METHODS We combined the Human Dynamic Clamp, a paradigm for studying realistic social interactions using a virtual avatar, with high-density electroencephalography (HD-EEG). Using source reconstruction, we investigated power in the cortex and the cerebellum, along with coherence between the cerebellum and three cerebral-cortical areas, and compared our findings in a sample of participants with ASD (n = 107) and with typical development (TD) (n = 33). We developed an open-source pipeline to analyse neural dynamics at the source level from HD-EEG data. RESULTS Individuals with ASD showed a significant increase in theta band power over the cerebellum and the frontal and temporal cortices during social interaction compared to resting state, along with significant coherence increases between the cerebellum and the sensorimotor, frontal and parietal cortices. However, a phase-based connectivity measure did not support a strict activity increase in the cortico-cerebellar functional network. We did not find any significant differences between the ASD and the TD group. CONCLUSIONS This exploratory study uncovered increases in the theta band activity of participants with ASD during social interaction, pointing at the presence of neural interactions between the cerebellum and cerebral networks associated with social cognition. It also emphasizes the need for complementary functional connectivity measures to capture network-level alterations. Future work will focus on optimizing artifact correction to include more participants with TD and increase the statistical power of group-level contrasts.
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Affiliation(s)
- Fleur Gaudfernau
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France; Inria, HeKA, PariSantéCampus, Paris, France; Inserm, Centre de Recherche des Cordeliers, Sorbonne Université, Université de Paris Cité, Paris, France
| | - Aline Lefebvre
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France; Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris University, Paris, France
| | - Denis-Alexander Engemann
- Roche Pharma Research and Early Development, Neuroscience and Rare Diseases, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, Switzerland; Université Paris-Saclay, Inria, CEA, Palaiseau, France
| | - Amandine Pedoux
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris University, Paris, France
| | - Anna Bánki
- Research Unit Developmental Psychology, Department of Developmental and Educational Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Florence Baillin
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris University, Paris, France
| | - Benjamin Landman
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris University, Paris, France
| | - Anna Maruani
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris University, Paris, France
| | - Frederique Amsellem
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris University, Paris, France
| | - Thomas Bourgeron
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France
| | - Richard Delorme
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France; Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris University, Paris, France
| | - Guillaume Dumas
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France; Department of Psychiatry, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada; Precision Psychiatry and Social Physiology laboratory, CHU Sainte-Justine Research Centre, Université de Montréal, Montréal, QC, Canada.
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8
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Ayrolles A, Clarke J, Dechaux M, Lefebvre A, Cohen A, Stordeur C, Peyre H, Bargiacchi A, Godart N, Watson H, Delorme R. Inpatient target discharge weight for early-onset anorexia nervosa: Restoring premorbid BMI percentile to improve height prognosis. Clin Nutr ESPEN 2023; 54:150-156. [PMID: 36963857 DOI: 10.1016/j.clnesp.2023.01.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 10/11/2022] [Accepted: 01/20/2023] [Indexed: 01/26/2023]
Abstract
OBJECTIVE Early-onset anorexia nervosa (EO-AN) is characterized by restricted food intake leading to low body weight, emerging before 14 years old. Most patients reaching a target body mass index (BMI) around the 25th percentile at hospitalization discharge display an incomplete prospective height catch-up. A better understanding of height prognosis determinants is required. METHODS In 74 children with an EO-AN, we collected height and weight premorbidly, at hospitalization, and at discharge, 6 months, 12 months, and at longer-term follow-up of 36 months. We defined a height prognosis parameter (HPP) as the difference between the height percentile at follow-up times and the premorbid height percentile. We explored the relationship between weight parameters and height catch-up at follow-up with linear regression analyses. RESULTS A higher weight suppression (WS) - i.e., difference between premorbid and current BMI - at admission and discharge was associated with lower HPP - i.e., a greater loss of height - at 12 months and 36 months follow-up. Similarly, a higher premorbid BMI percentile was associated with a lower HPP at 12 and 36 months. CONCLUSION Target discharge weight for EO-AN patients should be tailored and based on premorbid BMI trajectory to improve height prognosis.
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Affiliation(s)
- A Ayrolles
- Assistance Publique - Hôpitaux de Paris, Robert Debré Hospital, Child and Adolescent Psychiatry Department, Paris, France; Human Genetics & Cognitive Functions, Institut Pasteur, Paris, France.
| | - J Clarke
- Assistance Publique - Hôpitaux de Paris, Robert Debré Hospital, Child and Adolescent Psychiatry Department, Paris, France; Centre of Psychiatry and Neuroscience, INSERM UMR 894, Paris, France
| | - M Dechaux
- Assistance Publique - Hôpitaux de Paris, Robert Debré Hospital, Child and Adolescent Psychiatry Department, Paris, France
| | - A Lefebvre
- Assistance Publique - Hôpitaux de Paris, Robert Debré Hospital, Child and Adolescent Psychiatry Department, Paris, France; Human Genetics & Cognitive Functions, Institut Pasteur, Paris, France
| | - A Cohen
- Assistance Publique - Hôpitaux de Paris, Robert Debré Hospital, Child and Adolescent Psychiatry Department, Paris, France
| | - C Stordeur
- Assistance Publique - Hôpitaux de Paris, Robert Debré Hospital, Child and Adolescent Psychiatry Department, Paris, France
| | - H Peyre
- Assistance Publique - Hôpitaux de Paris, Robert Debré Hospital, Child and Adolescent Psychiatry Department, Paris, France; INSERM UMRS 1141, Paris, France; Paris University, Paris, France
| | - A Bargiacchi
- Assistance Publique - Hôpitaux de Paris, Robert Debré Hospital, Child and Adolescent Psychiatry Department, Paris, France
| | - N Godart
- Fondation Santé des Etudiants de France, Paris, France; CESP, U1018, INSERM, Villejuif, France; UFR of Health Sciences, UVSQ, Versailles, France
| | - H Watson
- Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, USA; School of Psychology, Curtin University, Perth, Australia; School of Paediatrics, Division of Medicine, The University of Western Australia, Perth, Australia
| | - R Delorme
- Assistance Publique - Hôpitaux de Paris, Robert Debré Hospital, Child and Adolescent Psychiatry Department, Paris, France; Human Genetics & Cognitive Functions, Institut Pasteur, Paris, France; Paris University, Paris, France
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9
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Landman B, Cohen A, Khoury E, Trebossen V, Bouchlaghem N, Poncet-Kalifa H, Acquaviva E, Lefebvre A, Delorme R. Emotional and behavioral changes in French children during the COVID-19 pandemic: a retrospective study. Sci Rep 2023; 13:2003. [PMID: 36737512 PMCID: PMC9897150 DOI: 10.1038/s41598-023-29193-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Accepted: 01/31/2023] [Indexed: 02/05/2023] Open
Abstract
COVID-19 outbreak caused severe disruptions in daily life, partly due to limitations implemented to prevent the spreading. In France, it included school closures during a national lockdown, then a reopening of schools, with access depending on viral status of students and teachers. Those changes had an impact on children's mental health. We conducted an online cross-sectional study using a parental self-administered survey in December 2021 to explore the emotional and behavioral changes (EBC) during this 5th wave (W5) and retrospectively since the first one (W1) in their children and their multidimensionality with principal factor analysis (PCA) and stability analysis. Out of 4552 parent responders, 62.4% (n = 2839) noticed negative EBC during W1 and 54.1% (n = 2462) during W5 of the pandemic. Only 10.0% of the responders noticed negative EBC at W1 but not during the W5. In younger children (3-6 years old) with significant EBC, PCA revealed three main dimensions at W1 and W5: restlessness, depression and anxiety. In older children (7-13 years old), PCA showed partially similar dimensions: depression-suicidality, anxiety and withdrawal. Almost all correlations between dimensions at W1 and W5 were significantly positive. Every EBC was stable across waves, except for one. Recall bias concerning the EBC during W1 and lack of data concerning parental mental health should be taken into account. Our stability analysis found a strong correlation between dimensions at W1 and W5. Our results highlighted the impact of the COVID-19 outbreak on children's mental health and the predictive aspect of its early deterioration.
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Affiliation(s)
- Benjamin Landman
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, APHP, Paris, France.
| | - Alicia Cohen
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, APHP, Paris, France
| | - Elie Khoury
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, APHP, Paris, France
| | - Vincent Trebossen
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, APHP, Paris, France
| | - Nesrine Bouchlaghem
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, APHP, Paris, France
| | - Hélène Poncet-Kalifa
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, APHP, Paris, France
| | - Eric Acquaviva
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, APHP, Paris, France
| | - Aline Lefebvre
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, APHP, Paris, France.,CHS Fondation Vallee, Gentilly, France
| | - Richard Delorme
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, APHP, Paris, France.,Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France
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10
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Lefebvre A, Tillmann J, Cliquet F, Amsellem F, Maruani A, Leblond C, Beggiato A, Germanaud D, Amestoy A, Ly-Le Moal M, Umbricht D, Chatham C, Murtagh L, Bouvard M, Leboyer M, Charman T, Bourgeron T, Delorme R, Dumas G. Tackling hypo and hyper sensory processing heterogeneity in autism: From clinical stratification to genetic pathways. Autism Res 2023; 16:364-378. [PMID: 36464763 DOI: 10.1002/aur.2861] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Accepted: 11/17/2022] [Indexed: 12/11/2022]
Abstract
As an integral part of autism spectrum symptoms, sensory processing issues including both hypo and hyper sensory sensitivities. These sensory specificities may result from an excitation/inhibition imbalance with a poorly understood of their level of convergence with genetic alterations in GABA-ergic and glutamatergic pathways. In our study, we aimed to characterize the hypo/hyper-sensory profile among autistic individuals. We then explored its link with the burden of deleterious mutations in a subset of individuals with available whole-genome sequencing data. To characterize the hypo/hyper-sensory profile, the differential Short Sensory Profile (dSSP) was defined as a normalized and centralized hypo/hypersensitivity ratio from the Short Sensory Profile (SSP). Including 1136 participants (533 autistic individuals, 210 first-degree relatives, and 267 controls) from two independent study samples (PARIS and LEAP), we observed a statistically significant dSSP mean difference between autistic individuals and controls, driven mostly by a high dSSP variability, with an intermediated profile represented by relatives. Our genetic analysis tended to associate the dSSP and the hyposensitivity with mutations of the GABAergic pathway. The major limitation was the dSSP difficulty to discriminate subjects with a similar quantum of hypo- and hyper-sensory symptoms to those with no such symptoms, resulting both in a similar ratio score of 0. However, the dSSP could be a relevant clinical score, and combined with additional sensory descriptions, genetics and endophenotypic substrates, will improve the exploration of the underlying neurobiological mechanisms of sensory processing differences in autism spectrum.
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Affiliation(s)
- Aline Lefebvre
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France.,Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France.,CHS Fondation Vallée, Gentilly, France
| | - Julian Tillmann
- Roche Pharma Research and Early Development, Neuroscience and Rare Diseases, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, Switzerland
| | - Freddy Cliquet
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France
| | - Frederique Amsellem
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France.,Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France
| | - Anna Maruani
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France.,Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France
| | - Claire Leblond
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France
| | - Anita Beggiato
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France.,Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France
| | - David Germanaud
- Rare Disease Reference Center for Intellectual Disability, Assistance Publique-Hôpitaux de Paris, Robert-Debré Hospital, Paris, France
| | - Anouck Amestoy
- Autism Expert Centre, Charles Perrens Hospital, Bordeaux, France.,Fondation FondaMental, French National Science Foundation, Créteil, France
| | | | - Daniel Umbricht
- Roche Pharma Research and Early Development, Neuroscience and Rare Diseases, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, Switzerland
| | - Christopher Chatham
- Roche Pharma Research and Early Development, Neuroscience and Rare Diseases, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, Switzerland
| | - Lorraine Murtagh
- Roche Pharma Research and Early Development, Neuroscience and Rare Diseases, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, Switzerland
| | - Manuel Bouvard
- Autism Expert Centre, Charles Perrens Hospital, Bordeaux, France.,Fondation FondaMental, French National Science Foundation, Créteil, France
| | - Marion Leboyer
- Fondation FondaMental, French National Science Foundation, Créteil, France.,Institut National de la Santé et de la Recherche Médicale (INSERM), U955, Institut Mondor de Recherche Biomédicale, Psychiatrie Translationnelle, Créteil, France.,Department of Adult Psychiatry, Henri Mondor and Albert Chenevier Hospital, Créteil, France
| | - Tony Charman
- Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK
| | - Thomas Bourgeron
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France.,Fondation FondaMental, French National Science Foundation, Créteil, France
| | - Richard Delorme
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France.,Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France.,Fondation FondaMental, French National Science Foundation, Créteil, France
| | - Guillaume Dumas
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR 3571 CNRS, University Paris Diderot, Paris, France.,Department of Psychiatry, Université de Montreal, CHU Ste Justine Hospital, Montreal, Canada
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11
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Lefebvre A, Cohen A, Maruani A, Amsellem F, Beggiato A, Amestoy A, Moal MLL, Umbricht D, Chatham C, Murtagh L, Bouvard M, Leboyer M, Bourgeron T, Delorme R. Discriminant value of repetitive behaviors in families with autism spectrum disorder and obsessional compulsive disorder probands. Autism Res 2021; 14:2373-2382. [PMID: 34278736 DOI: 10.1002/aur.2570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Revised: 05/28/2021] [Accepted: 06/07/2021] [Indexed: 11/06/2022]
Abstract
Repetitive behaviors (RB) represent a wide spectrum of symptoms ranging from sensory-motor stereotypies to complex cognitive rituals, frequently dichotomized as low- and high-order sub-groups of symptoms. Even though these subgroups are considered as phenomenologically distinct in autism spectrum disorder (ASD) and obsessive-compulsive disorder (OCD), brain imaging and genetic studies suggest that they have common mechanisms and pathways. This discrepancy may be explained by the frequent intellectual disability reported in ASD, which blurs the RB expressivity. Given the high heritability of RB, that is, the diversity of symptoms expressed in the relatives are dependent on those expressed in their probands, we hypothesize that if RB expressed in ASD or OCD are two distinct entities, then the RB expressed in relatives will also reflect these two dimensions. We thus conduct a linear discriminant analysis on RB in both the relatives of probands with ASD and OCD and subjects from the general population (n = 1023). The discriminant analysis results in a classification of 81.1% of the controls (p < 10-4 ), but poorly differentiated the ASD and OCD relatives (≈46%). The stepwise analysis reveals that five symptoms attributed to high-order RB and two related to low-order RB (including hypersensitivity) are the most discriminant. Our results support the idea that the difference of RB patterns in the relatives is mild compared with the distribution of symptoms in controls. Our findings reinforce the evidence of a common biological pattern of RB both in ASD and OCD but with minor differences, specific to each of these two neuro-developmental disorders. LAY SUMMARY: Repetitive behaviors (RB), a key symptom in the classification of both OCD and ASD, are phenomenologically considered as distinct in the two disorders, which is in contrast with brain imaging studies describing a common neural circuit. Intellectual disability, which is frequently associated with ASD, makes RB in ASD more difficult to understand as it affects the expression of the RB symptoms. To avoid this bias, we propose to consider the familial aggregation in ASD and OCD by exploring RB in the first-degree relatives of ASD and OCD. Our results highlight the existence of RB expressed in relatives compared to the general population, with a common pattern of symptoms in relatives of both ASD and OCD but also minor differences, specific to each of these two neuro-developmental disorders.
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Affiliation(s)
- Aline Lefebvre
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France.,Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France.,UMR3571 CNRS, Universite de Paris, Paris 7 Denis Diderot University, Paris, France
| | - Alicia Cohen
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France.,Laboratoire de Sciences Cognitives et Psycholinguistique (ENS, EHESS, CNRS), Ecole Normale Supérieure, PSL Research University, Paris, France
| | - Anna Maruani
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France.,Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France
| | - Fréderique Amsellem
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France.,Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France
| | - Anita Beggiato
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France.,Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France
| | - Anouck Amestoy
- Autism Expert Centre, Charles Perrens Hospital, Bordeaux, France.,Medical Sciences Department, University of Bordeaux, Bordeaux, France
| | - Myriam Ly-Le Moal
- Institut Roche, Tour Horizons- Bureau 18M3, Boulogne-Billancourt, France
| | - Daniel Umbricht
- Roche Pharma Research and Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, Switzerland
| | - Christopher Chatham
- Roche Pharma Research and Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, Switzerland
| | - Lorraine Murtagh
- Roche Pharma Research and Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., Basel, Switzerland
| | - Manuel Bouvard
- Autism Expert Centre, Charles Perrens Hospital, Bordeaux, France.,Medical Sciences Department, University of Bordeaux, Bordeaux, France
| | - Marion Leboyer
- Fondation FondaMental, French National Science Foundation, Creteil, France.,Université Paris Est Créteil, AP-HP, DMU IMPACT, Psychiatry and Addictology Department, Mondor University Hospital, Créteil, France.,INSERM, U955, IMRB, Laboratoire de NeuroPsychiatrie translationnelle, Créteil, France
| | - Thomas Bourgeron
- Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France.,UMR3571 CNRS, Universite de Paris, Paris 7 Denis Diderot University, Paris, France
| | - Richard Delorme
- Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France.,Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France.,UMR3571 CNRS, Universite de Paris, Paris 7 Denis Diderot University, Paris, France.,Fondation FondaMental, French National Science Foundation, Creteil, France
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12
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Lefebvre A, Stordeur C. [Early onset anorexia nervosa]. Rev Prat 2020; 70:875-880. [PMID: 33739693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Early onset anorexia nervosa. Anorexia nervosa is an eating disorder of multifactorial origin. It has a serious physical and psychological impact on the functioning of the individual and the highest risk of mortality from psychiatric disorders. It is defined according to international classifications by a refusal to maintain a normal minimum weight for his age and height, an intense fear of gaining weight and a disturbance of one's body image. This pathology most often affects adolescents but can be diagnosed from the age of 8 years. In this case, it is considered as "early onset anorexia nervosa" or called "prepubescent anorexia nervosa". Its prognosis is serious, and it requires emergency medical care. Multidisciplinary ambulatory care should be favored in the absence of criteria imposing full-time hospitalization. Patient monitoring should continue for several years.
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Affiliation(s)
- Aline Lefebvre
- Service de psychiatrie de l'enfant et de l'adolescent, Centre de référence des maladies endocriniennes de la croissance et du développement. Centre de référence maladies rares anorexie mentale à début précoce. Hôpital universitaire Robert-Debré, AP-HP, Paris, France
| | - Coline Stordeur
- Service de psychiatrie de l'enfant et de l'adolescent, Centre de référence des maladies endocriniennes de la croissance et du développement. Centre de référence maladies rares anorexie mentale à début précoce. Hôpital universitaire Robert-Debré, AP-HP, Paris, France
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13
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Baillin F, Lefebvre A, Pedoux A, Beauxis Y, Engemann DA, Maruani A, Amsellem F, Kelso JAS, Bourgeron T, Delorme R, Dumas G. Interactive Psychometrics for Autism With the Human Dynamic Clamp: Interpersonal Synchrony From Sensorimotor to Sociocognitive Domains. Front Psychiatry 2020; 11:510366. [PMID: 33324246 PMCID: PMC7725713 DOI: 10.3389/fpsyt.2020.510366] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Accepted: 10/12/2020] [Indexed: 12/27/2022] Open
Abstract
The human dynamic clamp (HDC) is a human-machine interface designed on the basis of coordination dynamics for studying realistic social interaction under controlled and reproducible conditions. Here, we propose to probe the validity of the HDC as a psychometric instrument for quantifying social abilities in children with autism spectrum disorder (ASD) and neurotypical development. To study interpersonal synchrony with the HDC, we derived five standardized scores following a gradient from sensorimotor and motor to higher sociocognitive skills in a sample of 155 individuals (113 participants with ASD, 42 typically developing participants; aged 5 to 25 years; IQ > 70). Regression analyses were performed using normative modeling on global scores according to four subconditions (HDC behavior "cooperative/competitive," human task "in-phase/anti-phase," diagnosis, and age at inclusion). Children with ASD had lower scores than controls for motor skills. HDC motor coordination scores were the best candidates for stratification and diagnostic biomarkers according to exploratory analyses of hierarchical clustering and multivariate classification. Independently of phenotype, sociocognitive skills increased with developmental age while being affected by the ongoing task and HDC behavior. Weaker performance in ASD for motor skills suggests the convergent validity of the HDC for evaluating social interaction. Results provided additional evidence of a relationship between sensorimotor and sociocognitive skills. HDC may also be used as a marker of maturation of sociocognitive skills during real-time social interaction. Through its standardized and objective evaluation, the HDC not only represents a valid paradigm for the study of interpersonal synchrony but also offers a promising, clinically relevant psychometric instrument for the evaluation and stratification of sociomotor dysfunctions.
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Affiliation(s)
- Florence Baillin
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR3571 CNRS, Université de Paris, Paris, France.,Child and Adolescent Psychiatry Department, Robert Debré Hospital, Paris, France
| | - Aline Lefebvre
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR3571 CNRS, Université de Paris, Paris, France.,Child and Adolescent Psychiatry Department, Robert Debré Hospital, Paris, France
| | - Amandine Pedoux
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, Paris, France
| | - Yann Beauxis
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR3571 CNRS, Université de Paris, Paris, France
| | - Denis A Engemann
- Parietal Project-Team, INRIA Saclay - Île de France, Palaiseau, France
| | - Anna Maruani
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, Paris, France
| | - Frédérique Amsellem
- Child and Adolescent Psychiatry Department, Robert Debré Hospital, Paris, France
| | - J A Scott Kelso
- Human Brain and Behavior Laboratory, Center for Complex Systems and Brain Sciences, Florida Atlantic University, Boca Raton, FL, United States.,Intelligent Systems Research Centre, University of Ulster, Derry Londonderry, United Kingdom
| | - Thomas Bourgeron
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR3571 CNRS, Université de Paris, Paris, France
| | - Richard Delorme
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR3571 CNRS, Université de Paris, Paris, France.,Child and Adolescent Psychiatry Department, Robert Debré Hospital, Paris, France
| | - Guillaume Dumas
- Human Genetics and Cognitive Functions, Institut Pasteur, UMR3571 CNRS, Université de Paris, Paris, France.,Human Brain and Behavior Laboratory, Center for Complex Systems and Brain Sciences, Florida Atlantic University, Boca Raton, FL, United States.,Department of Psychiatry, Université de Montréal, Montreal, QC, Canada.,CHU Sainte-Justine Centre de Recherche, Precision Psychiatry and Social Physiology Laboratory, Montreal, QC, Canada
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14
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Abstract
To identify quantitative indicators of social communication dysfunctions, we explored the oculomotor performances in subjects with autism spectrum disorders. Discordant findings in the literature have been reported for oculomotor behavior in subjects with autism spectrum disorders. This study aimed to explore reflexive and voluntary saccadic performance in a group of 32 children with autism spectrum disorders (mean age: 12.1 ± 0.5 years) compared to 32 age-, sex-, and IQ-matched typically developing children (control group). We used different types of reflexive and voluntary saccades: gap, step, overlap, and anti-saccades. Eye movements were recorded using an eye tracker (Mobile EBT®) and we measured latency, percentage of anticipatory and express saccades, errors of anti-saccades and gain. Children with autism spectrum disorders reported similar latency values with respect to typically developing children for reflexive and voluntary saccades; in contrast, they made more express and anticipatory saccades overall, as shown in paradigm testing (gap, step, overlap, and anti-saccades). Our findings support previous evidence of the atypicality of the cortical network, which is involved in saccade triggering and attentional processes in children with autism spectrum disorders.
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Affiliation(s)
- Simona Caldani
- Paris Diderot University, France.,Robert Debré Hospital, France
| | - Sarah Steg
- Paris Diderot University, France.,Robert Debré Hospital, France
| | - Aline Lefebvre
- Paris Diderot University, France.,Robert Debré Hospital, France
| | - Paola Atzori
- Robert Debré Hospital, France.,FondaMental Foundation, France
| | - Hugo Peyre
- Paris Diderot University, France.,Robert Debré Hospital, France.,FondaMental Foundation, France
| | - Richard Delorme
- Paris Diderot University, France.,Robert Debré Hospital, France.,FondaMental Foundation, France
| | - Maria Pia Bucci
- Paris Diderot University, France.,Robert Debré Hospital, France
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15
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Daykin J, Groult R, Guesnet Y, Lecroq T, Lefebvre A, Léonard M, Mouchard L, Prieur-Gaston É, Watson B. Efficient pattern matching in degenerate strings with the Burrows–Wheeler transform. INFORM PROCESS LETT 2019. [DOI: 10.1016/j.ipl.2019.03.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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16
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Courtois R, Lefebvre A, Gehanno JF, Rollin L. La visite de pré-reprise avec notification de fin d’indemnités journalières : un facteur défavorable au maintien dans l’emploi ? ARCH MAL PROF ENVIRO 2019. [DOI: 10.1016/j.admp.2018.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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17
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Pivot D, Hoch G, Astruc K, Lepelletier D, Lefebvre A, Lucet JC, Beaussier M, Philippe HJ, Vons C, Triboulet JP, Grandbastien B, Aho Glélé L. A systematic review of surgical site infections following day surgery: a frequentist and a Bayesian meta-analysis of prevalence. J Hosp Infect 2019; 101:196-209. [DOI: 10.1016/j.jhin.2018.07.035] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 07/24/2018] [Indexed: 01/19/2023]
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18
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Abstract
Bronchopleural fistula is an uncommon complication occurring especially following lung resection (pneumonectomy) and associated with high morbidity and mortality rates. The treatment is surgical but some studies reported bronchoscopic treatment. Localization and size of the fistula may indicate different endoscopic procedures. This overview described the different endoscopic procedures and their benefits.
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Affiliation(s)
- C Lorut
- Service de pneumologie, hôpital Cochin, 27, boulevard du Faubourg-Saint-Jacques, 75014 Paris, France.
| | - F Giraud
- Service de pneumologie, hôpital Cochin, 27, boulevard du Faubourg-Saint-Jacques, 75014 Paris, France
| | - A Lefebvre
- Service de pneumologie, hôpital Cochin, 27, boulevard du Faubourg-Saint-Jacques, 75014 Paris, France
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19
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Lefebvre A, Delorme R, Delanoë C, Amsellem F, Beggiato A, Germanaud D, Bourgeron T, Toro R, Dumas G. Alpha Waves as a Neuromarker of Autism Spectrum Disorder: The Challenge of Reproducibility and Heterogeneity. Front Neurosci 2018; 12:662. [PMID: 30327586 PMCID: PMC6174243 DOI: 10.3389/fnins.2018.00662] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2018] [Accepted: 09/04/2018] [Indexed: 11/13/2022] Open
Abstract
Background: There is no consensus in the literature concerning the presence of abnormal alpha wave profiles in patients with autism spectrum disorder (ASD). This may be due to phenotypic heterogeneity among patients as well as the limited sample sizes utilized. Here we present our results of alpha wave profile analysis based on a sample larger than most of those in the field, performed using a robust processing pipeline. Methods: We compared the alpha waves profiles at rest in children with ASD to those of age-, sex-, and IQ-matched control individuals. We used linear regression and non-parametric normative models using age as covariate forparsing the clinical heterogeneity. We explored the correlation between EEG profiles and the patient's brain volumes, obtained from structural MRI. We automatized the detection of the alpha peak and visually quality controled our MRI measurements. We assessed the robustness of our results by running the EEG preprocessing with two different versions of Matlab as well as Python. Results: A simple linear regression between peak power or frequency of the alpha waves and the status or age of the participants did not allow to identify any statistically significant relationship. The non-parametric normative model (which took account the non-linear effect of age on the alpha profiles) suggested that participants with ASD displayed more variability than control participants for both frequency and amplitude of the alpha peak (p < 0.05). Independent of the status of the individual, we also observed weak associations (uncorrected p < 0.05) between the alpha frequency, and the volumes of several cortical and subcortical structures (in particular the striatum), but which did not survive correction for multiple testing and changed between analysis pelines. Discussions: Our study did not find evidence for abnormal alpha wave profiles in ASD. We propose, however, an analysis pipeline to perform standardized and automatized EEG analyses on large cohorts. These should help the community to address the challenge of clinical heterogeneity of ASD and to tackle the problems of reproducibility.
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Affiliation(s)
- Aline Lefebvre
- Department of Child and Adolescent Psychiatry, Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital, Paris, France.,Human Genetics and Cognitive Functions Unit, Institut Pasteur, Paris, France.,CNRS UMR 3571 Genes, Synapses and Cognition, Institut Pasteur, Paris, France.,Sorbonne Paris Cité, Human Genetics and Cognitive Functions, University Paris Diderot, Paris, France
| | - Richard Delorme
- Department of Child and Adolescent Psychiatry, Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital, Paris, France.,Human Genetics and Cognitive Functions Unit, Institut Pasteur, Paris, France.,CNRS UMR 3571 Genes, Synapses and Cognition, Institut Pasteur, Paris, France.,Sorbonne Paris Cité, Human Genetics and Cognitive Functions, University Paris Diderot, Paris, France
| | - Catherine Delanoë
- Neurophysiology Department, Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital, Paris, France
| | - Frederique Amsellem
- Department of Child and Adolescent Psychiatry, Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital, Paris, France.,Human Genetics and Cognitive Functions Unit, Institut Pasteur, Paris, France.,CNRS UMR 3571 Genes, Synapses and Cognition, Institut Pasteur, Paris, France.,Sorbonne Paris Cité, Human Genetics and Cognitive Functions, University Paris Diderot, Paris, France
| | - Anita Beggiato
- Department of Child and Adolescent Psychiatry, Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital, Paris, France.,Human Genetics and Cognitive Functions Unit, Institut Pasteur, Paris, France.,CNRS UMR 3571 Genes, Synapses and Cognition, Institut Pasteur, Paris, France.,Sorbonne Paris Cité, Human Genetics and Cognitive Functions, University Paris Diderot, Paris, France
| | - David Germanaud
- Pediatric Neurology Department, Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital, Paris, France
| | - Thomas Bourgeron
- Human Genetics and Cognitive Functions Unit, Institut Pasteur, Paris, France.,CNRS UMR 3571 Genes, Synapses and Cognition, Institut Pasteur, Paris, France.,Sorbonne Paris Cité, Human Genetics and Cognitive Functions, University Paris Diderot, Paris, France
| | - Roberto Toro
- Human Genetics and Cognitive Functions Unit, Institut Pasteur, Paris, France.,CNRS UMR 3571 Genes, Synapses and Cognition, Institut Pasteur, Paris, France.,Sorbonne Paris Cité, Human Genetics and Cognitive Functions, University Paris Diderot, Paris, France
| | - Guillaume Dumas
- Human Genetics and Cognitive Functions Unit, Institut Pasteur, Paris, France.,CNRS UMR 3571 Genes, Synapses and Cognition, Institut Pasteur, Paris, France.,Sorbonne Paris Cité, Human Genetics and Cognitive Functions, University Paris Diderot, Paris, France
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20
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Mainil S, Lefebvre A, Weyrich P, Decrucq F, Decoster A, Dehecq E, Georgel A, Cabaret P, Baclet N. Infections ostéoarticulaires sur matériel : évaluation de la qualité des informations transmises en sortie d’hospitalisation. Med Mal Infect 2018. [DOI: 10.1016/j.medmal.2018.04.214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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21
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Serrand M, Lefebvre A, Delorme E. Bilateral plication of the puborectal muscles: A new surgical concept for treating vulvar widening. J Gynecol Obstet Hum Reprod 2017; 46:545-550. [PMID: 28698071 DOI: 10.1016/j.jogoh.2017.06.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2017] [Revised: 06/26/2017] [Accepted: 06/30/2017] [Indexed: 12/01/2022]
Abstract
OBJECTIVES This study describe a new myorraphy technique by bilateral plication of the puborectalis bundles (PRP) of the levator ani muscle to treat vulvovaginal widening. The aim of this work was to report our preliminary experience in terms of morbidity and results (anatomical and functional) in the short and medium term. MATERIALS AND METHODS This single centre retrospective study concerned 69 women who underwent PRP between January 2011 and December 2014. The main criterion for judging success was the GH before and after surgery (Genital Hiatus in the POP-Q classification: Pelvic Organ Prolapse Quantification System). The secondary criteria were the quality of sexual intercourse and the morbidity. RESULTS The average GH post-surgery was 31, 35 and 35mm at 6 weeks, 6 and 12 months respectively compared to 65±5mm preoperatively (P<0.00001). Among the 27 patients who were sexually active prior to surgery, 18.52% deemed the quality of sexual intercourse satisfactory. After surgery, more than 88% of the patients observed an improvement (P<0.00001). After the surgery the reported rate of minor complications was under 3%. CONCLUSION This preliminary study of PRP confirms the feasibility of the procedure, its low morbidity and the stability of the anatomical outcomes at 12 months.
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Affiliation(s)
- M Serrand
- Service de gynécologique obstétrique, CHU de Dijon, 2, boulevard de Lattre-de-Tassigny, 21000 Dijon, France.
| | - A Lefebvre
- Service d'épidémiologie et hygiène hospitalière, CHU de Dijon, 2, boulevard de Lattre-de-Tassigny, 21000 Dijon, France.
| | - E Delorme
- Service d'urologie-clinique Sainte-Marie-Chalon-sur-Saône, 4, allée Saint-Jean-des-Vignes, 71100 Chalon-sur-Saône, France.
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22
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Bucci MP, Goulème N, Stordeur C, Acquaviva E, Scheid I, Lefebvre A, Gerard C, Peyre H, Delorme R. Discriminant validity of spatial and temporal postural index in children with neurodevelopmental disorders. Int J Dev Neurosci 2017; 61:51-57. [DOI: 10.1016/j.ijdevneu.2017.06.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2017] [Revised: 06/30/2017] [Accepted: 06/30/2017] [Indexed: 11/28/2022] Open
Affiliation(s)
- Maria Pia Bucci
- UMR 1141 Inserm – Paris Diderot University, Robert Debré HospitalParisFrance
| | - Nathalie Goulème
- UMR 1141 Inserm – Paris Diderot University, Robert Debré HospitalParisFrance
- Lyon Neuroscience Research Center (Inserm U1028 CNRS UMR5292), LyonFrance & Department of Audiology and Otoneurological EvaluationCivil Hospitals of LyonLyonFrance
| | - Coline Stordeur
- Child and Adolescent Psychiatry DepartmentRobert Debré HospitalParisFrance
| | - Eric Acquaviva
- Child and Adolescent Psychiatry DepartmentRobert Debré HospitalParisFrance
| | - Isabelle Scheid
- Child and Adolescent Psychiatry DepartmentRobert Debré HospitalParisFrance
- High Functioning Autism Expert Centre, Fondamental FoundationParisFrance
| | - Aline Lefebvre
- Child and Adolescent Psychiatry DepartmentRobert Debré HospitalParisFrance
| | | | - Hugo Peyre
- Child and Adolescent Psychiatry DepartmentRobert Debré HospitalParisFrance
- Paris Diderot UniversityParis 7France
- High Functioning Autism Expert Centre, Fondamental FoundationParisFrance
| | - Richard Delorme
- Child and Adolescent Psychiatry DepartmentRobert Debré HospitalParisFrance
- Paris Diderot UniversityParis 7France
- High Functioning Autism Expert Centre, Fondamental FoundationParisFrance
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23
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Lefebvre A, Lucet J, Bertrand X, Chavanet P, Astruc K, Quantin C, Vanhems P, Aho-Glélé L. Detection of temporal clusters of health care-associated infections or colonizations with Pseudomonas aeruginosa. Am J Infect Control 2017; 45:72-74. [PMID: 27590112 DOI: 10.1016/j.ajic.2016.05.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2016] [Revised: 05/26/2016] [Accepted: 05/26/2016] [Indexed: 10/21/2022]
Abstract
We investigated temporal clusters of Pseudomonas aeruginosa cases between 2005 and 2014 in 1 French university hospital, overall and by ward, using the Kulldorff method. Clusters of positive water samples were also investigated at the whole hospital level. Our results suggest that water outlets are not closely involved in the occurrence of clusters of P aeruginosa cases.
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24
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Lefebvre A, Bertrand X, Quantin C, Vanhems P, Lucet JC, Nuemi G, Astruc K, Chavanet P, Aho-Glélé LS. Association between Pseudomonas aeruginosa positive water samples and healthcare-associated cases: nine-year study at one university hospital. J Hosp Infect 2016; 96:238-243. [PMID: 28189270 DOI: 10.1016/j.jhin.2016.12.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Accepted: 12/08/2016] [Indexed: 02/04/2023]
Abstract
OBJECTIVE To study the association between the results of water samples and Pseudomonas aeruginosa healthcare-associated cases in a French university hospital. METHODS Generalized Estimating Equations were used on complete case and imputed datasets. The spatial unit was the building and the time unit was the quarter. RESULTS For the period 2004-2013, 2932 water samples were studied; 17% were positive for P. aeruginosa. A higher incidence of P. aeruginosa cases was associated with a higher proportion of positive water samples (P=0.056 in complete case analysis and P=0.031 with the imputed dataset). The association was no longer observed when haematology and intensive care units were excluded, but was significant in analyses of data concerning intensive care units alone (P<0.001). CONCLUSION This study suggests that water outlet contamination in hospitals can lead to an increase in healthcare-associated P. aeruginosa cases in wards dealing with susceptible patients, but does not play a significant role in other wards.
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Affiliation(s)
- A Lefebvre
- Service d'épidémiologie et hygiène hospitalières, CHU Dijon, France; Laboratoire Microbiologie Environnementale et Risques Sanitaires, Dijon, France.
| | - X Bertrand
- Université Paris Diderot, Paris, France; Service d'hygiène, CHU Besançon, France
| | - C Quantin
- Biostatistics and Bioinformatics (DIM), University Hospital, Bourgogne Franche-Comté University, Dijon, France; INSERM, CIC 1432, Dijon University Hospital, Clinical Investigation Center, Clinical Epidemiology/Clinical Trials Unit, Dijon, France; Biostatistics, Biomathematics, Pharmacoepidemiology and Infectious Diseases (B2PHI), INSERM, UVSQ, Institut Pasteur, Université Paris-Saclay, Paris, France
| | - P Vanhems
- Service d'Hygiène Hospitalière, Epidémiologie et Prévention, groupe hospitalier Edouard Herriot, Lyon, France
| | - J-C Lucet
- Equipe d'épidémiologie et santé publique, Université Claude Bernard, Lyon, France; UHLIN, groupe hospitalier Bichat - Claude Bernard, HUPNVS, AP-HP, Paris, France
| | - G Nuemi
- Biostatistics and Bioinformatics (DIM), University Hospital, Bourgogne Franche-Comté University, Dijon, France; INSERM, CIC 1432, Dijon University Hospital, Clinical Investigation Center, Clinical Epidemiology/Clinical Trials Unit, Dijon, France
| | - K Astruc
- Service d'épidémiologie et hygiène hospitalières, CHU Dijon, France
| | - P Chavanet
- Laboratoire Chrono-environnement, UMR CNRS 6249, Université de Franche-Comté, Besançon, France; Département de maladies infectieuses, CHU Dijon, France
| | - L S Aho-Glélé
- Service d'épidémiologie et hygiène hospitalières, CHU Dijon, France
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Forgeot d'Arc B, Ramus F, Lefebvre A, Brottier D, Zalla T, Moukawane S, Amsellem F, Letellier L, Peyre H, Mouren MC, Leboyer M, Delorme R. Atypical Social Judgment and Sensitivity to Perceptual Cues in Autism Spectrum Disorders. J Autism Dev Disord 2016; 46:1574-81. [PMID: 25149177 DOI: 10.1007/s10803-014-2208-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Evaluation of faces is an important dimension of social relationships. A degraded sensitivity to facial perceptual cues might contribute to atypical social interactions in autism spectrum disorder (ASD). The current study investigated whether face based social judgment is atypical in ASD and if so, whether it could be related to a degraded sensitivity to facial perceptual cues. Individuals with ASD (n = 33) and IQ- and age-matched controls (n = 38) were enrolled in this study. Watching a series of photographic or synthetic faces, they had to judge them for "kindness". In synthetic stimuli, the amount of perceptual cues available could be either large or small. We observed that social judgment was atypical in the ASD group on photographic stimuli, but, contrarily to the prediction based on the degraded sensitivity hypothesis, analyses on synthetic stimuli found a similar performance and a similar effect of the amount of perceptual cues in both groups. Further studies on perceptual differences between photographs and synthetic pictures of faces might help understand atypical social judgment in ASD.
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Affiliation(s)
- Baudouin Forgeot d'Arc
- Laboratoire de Sciences Cognitives et Psycholinguistique, Ecole Normale Supérieure, CNRS, EHESS, Paris, France.
- Service de Psychopathologie de L'enfant et de L'adolescent, Hôpital Robert-Debré, Paris, France.
- Centre de Recherche de L'Institut Universitaire En Santé Mentale de Montréal, Montreal, Canada.
- Hôpital Rivière-Des-Prairies, Montreal, Canada.
- Programme Troubles Du Spectre Autistique, Centre D'excellence En Troubles Envahissants Du Développement de L'Université de Montréal, Hôpital Rivière-Des-Prairies, 7070 Boul Perras, Montreal, H1E 1A4, Canada.
| | - Franck Ramus
- Laboratoire de Sciences Cognitives et Psycholinguistique, Ecole Normale Supérieure, CNRS, EHESS, Paris, France
| | - Aline Lefebvre
- Laboratoire de Sciences Cognitives et Psycholinguistique, Ecole Normale Supérieure, CNRS, EHESS, Paris, France
| | - Delphine Brottier
- Laboratoire de Sciences Cognitives et Psycholinguistique, Ecole Normale Supérieure, CNRS, EHESS, Paris, France
| | - Tiziana Zalla
- Institut Jean-Nicod, Ecole Normale Supérieure, CNRS, EHESS, Paris, France
| | - Sanaa Moukawane
- Laboratoire de Sciences Cognitives et Psycholinguistique, Ecole Normale Supérieure, CNRS, EHESS, Paris, France
| | - Frédérique Amsellem
- Service de Psychopathologie de L'enfant et de L'adolescent, Hôpital Robert-Debré, Paris, France
| | - Laurence Letellier
- Service de Psychopathologie de L'enfant et de L'adolescent, Hôpital Robert-Debré, Paris, France
| | - Hugo Peyre
- Laboratoire de Sciences Cognitives et Psycholinguistique, Ecole Normale Supérieure, CNRS, EHESS, Paris, France
- Service de Psychopathologie de L'enfant et de L'adolescent, Hôpital Robert-Debré, Paris, France
| | - Marie-Christine Mouren
- Service de Psychopathologie de L'enfant et de L'adolescent, Hôpital Robert-Debré, Paris, France
| | - Marion Leboyer
- AP-HP, DHU PePsy, Pole de Psychiatrie des Hôpitaux Universitaires Henri Mondor, INSERM U955, laboratoire de psychiatrie génétique, Fondation FondaMental, Créteil, France
| | - Richard Delorme
- Service de Psychopathologie de L'enfant et de L'adolescent, Hôpital Robert-Debré, Paris, France
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Cortet A, Develter T, Lefebvre A, Baclet N. BU-19 - Surveillance des prescriptions d’antibiotiques : apport de l’outil informatique. Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30343-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lemtiri J, Leclercq V, Cabaret P, Lefebvre A, Dehecq E, Georgel A, Brunet H, Oudart P, Decoster A, Baclet N. BU-08 - Évaluation pluridisciplinaire des éventuelles alternatives aux carbapénèmes pour le traitement des entérobactéries sécrétrices de BLSE. Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30332-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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28
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Forgeot d'Arc B, Delorme R, Zalla T, Lefebvre A, Amsellem F, Moukawane S, Letellier L, Leboyer M, Mouren MC, Ramus F. Gaze direction detection in autism spectrum disorder. Autism 2016; 21:100-107. [PMID: 27132008 DOI: 10.1177/1362361316630880] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Detecting where our partners direct their gaze is an important aspect of social interaction. An atypical gaze processing has been reported in autism. However, it remains controversial whether children and adults with autism spectrum disorder interpret indirect gaze direction with typical accuracy. This study investigated whether the detection of gaze direction toward an object is less accurate in autism spectrum disorder. Individuals with autism spectrum disorder (n = 33) and intelligence quotients-matched and age-matched controls (n = 38) were asked to watch a series of synthetic faces looking at objects, and decide which of two objects was looked at. The angle formed by the two possible targets and the face varied following an adaptive procedure, in order to determine individual thresholds. We found that gaze direction detection was less accurate in autism spectrum disorder than in control participants. Our results suggest that the precision of gaze following may be one of the altered processes underlying social interaction difficulties in autism spectrum disorder.
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Affiliation(s)
- Baudouin Forgeot d'Arc
- PSL Research University, France .,Hôpital Robert-Debré, France.,Université de Montréal, QC, Canada.,Hôpital Rivière-des-Prairies, Canada
| | - Richard Delorme
- Hôpital Robert-Debré, France.,Institut Pasteur, Paris, France
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Demiri S, Lorut C, Luu Van Lang D, Rabbat A, Alifano M, Lefebvre A, Regnard J, Samama M, Dusser D, Roche N. POFE : évaluation des complications postopératoires respiratoires (CPOR) de chirurgie thoracique (CT) après résection pulmonaire (RP) chez les patients (pts) atteints de BPCO et exacerbateurs fréquents (EF) – résultats préliminaires. Rev Mal Respir 2016. [DOI: 10.1016/j.rmr.2015.10.437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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31
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Lefebvre A, Saliou P, Lucet J, Mimoz O, Keita-Perse O, Grandbastien B, Bruyère F, Boisrenoult P, Lepelletier D, Aho-Glélé L. Preoperative hair removal and surgical site infections: network meta-analysis of randomized controlled trials. J Hosp Infect 2015; 91:100-8. [DOI: 10.1016/j.jhin.2015.06.020] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2015] [Accepted: 06/02/2015] [Indexed: 10/23/2022]
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32
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Lefebvre A, Rabbat A. Ventilation non invasive et patients immunodéprimés. Réanimation 2015. [DOI: 10.1007/s13546-015-1096-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Lefebvre A, Beggiato A, Bourgeron T, Toro R. Neuroanatomical Diversity of Corpus Callosum and Brain Volume in Autism: Meta-analysis, Analysis of the Autism Brain Imaging Data Exchange Project, and Simulation. Biol Psychiatry 2015; 78:126-34. [PMID: 25850620 DOI: 10.1016/j.biopsych.2015.02.010] [Citation(s) in RCA: 91] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2014] [Revised: 01/31/2015] [Accepted: 02/02/2015] [Indexed: 10/24/2022]
Abstract
BACKGROUND Patients with autism have been often reported to have a smaller corpus callosum (CC) than control subjects. METHODS We conducted a meta-analysis of the literature, analyzed the CC in 694 subjects of the Autism Brain Imaging Data Exchange project, and performed computer simulations to study the effect of different analysis strategies. RESULTS Our meta-analysis suggested a group difference in CC size; however, the studies were heavily underpowered (20% power to detect Cohen's d = .3). In contrast, we did not observe significant differences in the Autism Brain Imaging Data Exchange cohort, despite having achieved 99% power. However, we observed that CC scaled nonlinearly with brain volume (BV): large brains had a proportionally smaller CC. Our simulations showed that because of this nonlinearity, CC normalization could not control for eventual BV differences, but using BV as a covariate in a linear model would. We also observed a weaker correlation of IQ and BV in cases compared with control subjects. Our simulations showed that matching populations by IQ could then induce artifactual BV differences. CONCLUSIONS The lack of statistical power in the previous literature prevents us from establishing the reality of the claims of a smaller CC in autism, and our own analyses did not find any. However, the nonlinear relationship between CC and BV and the different correlation between BV and IQ in cases and control subjects may induce artifactual differences. Overall, our results highlight the necessity for open data sharing to provide a more solid ground for the discovery of neuroimaging biomarkers within the context of the wide human neuroanatomical diversity.
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Affiliation(s)
- Aline Lefebvre
- Human Genetics and Cognitive Functions Unit, Institut Pasteur, Paris; Department of Child and Adolescent Psychiatry, Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital
| | - Anita Beggiato
- Human Genetics and Cognitive Functions Unit, Institut Pasteur, Paris; Department of Child and Adolescent Psychiatry, Assistance Publique-Hôpitaux de Paris, Robert Debré Hospital
| | - Thomas Bourgeron
- Human Genetics and Cognitive Functions Unit, Institut Pasteur, Paris; Unité Mixte de Recherche 3571, Genes, Synapses and Cognition, Centre National de la Recherche Scientifique, Institut Pasteur, Paris; Human Genetics and Cognitive Functions, University Paris Diderot, Sorbonne Paris Cité, , Paris; Foundation Fondamentale, Créteil, France
| | - Roberto Toro
- Human Genetics and Cognitive Functions Unit, Institut Pasteur, Paris; Unité Mixte de Recherche 3571, Genes, Synapses and Cognition, Centre National de la Recherche Scientifique, Institut Pasteur, Paris; Human Genetics and Cognitive Functions, University Paris Diderot, Sorbonne Paris Cité, , Paris.
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Lefebvre A, Laporte S, Faure S, Tiv M, Chavanet P, Belpois-Duchamp C, Astruc K, Aho-Glélé LS. Information concerning multidrug-resistant bacterial colonization or infection in the medical transfer letter. Med Mal Infect 2015; 45:286-92. [PMID: 26123765 DOI: 10.1016/j.medmal.2015.05.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2015] [Revised: 04/07/2015] [Accepted: 05/22/2015] [Indexed: 11/19/2022]
Abstract
OBJECTIVES The aim of this study was to evaluate the proportion of transfer letters that contained information relative to infection or colonization by multidrug-resistant (MDR) bacteria and factors associated with the presence of that information. PATIENTS AND METHODS Patients for whom at least one of these selected MDR bacteria (methicillin-resistant Staphylococcus aureus, extended-spectrum β-lactamase-producing Enterobacteriaceae, or MDR Pseudomonas aeruginosa) was isolated during their hospitalization and who were transferred to another health care facility between 2009 and 2012 were included. Information of the MDR bacterium and the mention of isolation precautions were evaluated in the electronic medical record. RESULTS Information (mention of MDR bacterium or isolation precaution) was present in 57% [52; 65] of records. Full information (genus and species, concept of MDR bacterium and mention of isolation precaution) was found in 20% [16; 25]. The presence of a dedicated item in the standard medical discharge letter was associated with more frequent information. Less information was retrieved with P. aeruginosa cases than with the other 2 MDR bacteria. CONCLUSION The presence of the information has improved, but it is still insufficiently reported. Measures to improve information are needed. Indeed, information on MDR bacterial colonization or infection is the first step for isolation precautions. An item could be added to all standard medical discharge letters. An item could also be added to the indicators used to assess quality and safety in healthcare facilities.
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Affiliation(s)
- A Lefebvre
- Infection control unit, Dijon University Hospital, 21800 Dijon, France.
| | - S Laporte
- Infection control unit, Dijon University Hospital, 21800 Dijon, France
| | - S Faure
- Infection control unit, Dijon University Hospital, 21800 Dijon, France
| | - M Tiv
- Infection control unit, Dijon University Hospital, 21800 Dijon, France
| | - P Chavanet
- Department of infectious diseases, Dijon University Hospital, 21800 Dijon, France
| | - C Belpois-Duchamp
- Infection control unit, Dijon University Hospital, 21800 Dijon, France
| | - K Astruc
- Infection control unit, Dijon University Hospital, 21800 Dijon, France
| | - L S Aho-Glélé
- Infection control unit, Dijon University Hospital, 21800 Dijon, France
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Rousseaux D, Letreguilly F, Bancourt T, Lefebvre A, Decourcelle C, Floret E. DI-025 Dimethylfumarate for the treatment of multiple sclerosis: dosing regimen and safety data. Eur J Hosp Pharm 2015. [DOI: 10.1136/ejhpharm-2015-000639.203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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36
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Lefebvre A, Saliou P, Mimoz O, Lucet J, Le Guyader A, Bruyère F, Roche P, Astruc K, Tiv M, Lepelletier D, Aho-Glélé L. Is surgical site scrubbing before painting of value? Review and meta-analysis of clinical studies. J Hosp Infect 2015; 89:28-37. [DOI: 10.1016/j.jhin.2014.10.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2014] [Accepted: 10/02/2014] [Indexed: 01/12/2023]
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37
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Lefebvre A, Fiet C, Belpois-Duchamp C, Tiv M, Astruc K, Aho Glélé L. Case fatality rates of Ebola virus diseases: A meta-analysis of World Health Organization data. Med Mal Infect 2014; 44:412-6. [DOI: 10.1016/j.medmal.2014.08.005] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2014] [Revised: 06/20/2014] [Accepted: 08/06/2014] [Indexed: 10/24/2022]
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38
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Gouerant S, Dugue A, Vanboeckstael J, Allouache D, Noal S, Faveyrial A, Delcambre C, Galais M, Lefebvre A, Sevin E, Polycarpe F, Hrab I, Brachet P, Kaluzinski L, Ngo M, Vie B, Lemenand N, Grellard J, Clarisse B, Joly Lobbedez F. Is There a Relationship Between Patient'S Satisfaction of the Diagnosis Announcement Device and Chemotherapy-Induced Nausea and Vomiting? Ann Oncol 2014. [DOI: 10.1093/annonc/mdu356.68] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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39
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Lepelletier D, Saliou P, Lefebvre A, Lucet JC, Grandbastien B, Bruyère F, Stahl JP, Keita-Perse O, Berthelot P, Aho S. “Preoperative risk management: Strategy for Staphylococcus aureus preoperative decolonization” (2013 update). Med Mal Infect 2014; 44:261-7. [DOI: 10.1016/j.medmal.2014.04.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2014] [Accepted: 04/09/2014] [Indexed: 10/25/2022]
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40
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Kauffmann Y, Isaico R, Lefebvre A, Bron AM, Creuzot-Garcher C. [Relationship between intravitreal anti-VEGF therapy and subretinal hemorrhage in patients with exudative age-related macular degeneration]. J Fr Ophtalmol 2014; 37:195-201. [PMID: 24534623 DOI: 10.1016/j.jfo.2013.08.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2013] [Revised: 07/11/2013] [Accepted: 08/26/2013] [Indexed: 01/05/2023]
Abstract
PURPOSE To assess and compare frequencies and incidence rates of subretinal hemorrhage (SRH) after intravitreal anti-VEGF injections and spontaneous SRH in patients with exudative age-related macular degeneration (AMD). PATIENTS AND METHODS This retrospective monocentric study included 1079 patients followed for exudative AMD in the ophthalmology department of the university hospital of Dijon from January 2007 to July 2012. For each SRH occuring during this period, the number of previous treatments with intravitreal anti-VEGF was determined, as well as the time between the last injection and the hemorrhage. The SRH was considered as an adverse effect of the anti-VEGF injection if it occurred within 2 months after the last IVT (post-IVT SRH). Frequencies and incidence rates of post-IVT SRH and spontaneous SRH were calculated. RESULTS Sixty-six SRH's occurred during the study period with a total frequency of 6.12% (CI95% [4.69-7.55]). Frequencies of spontaneous and post-IVT SRH were respectively 5.65% (CI95% [4.28-7.03]) and 0.46% (CI95% [0.06-0.87]), representing a 12.2 ratio. Post-IVT SRH incidence was 8.3/1000 patient-years (CI95% [1.0-15.5]) and the spontaneous SRH incidence rate was 11.6/1000 patient-years (CI95% [8.3-14.8]), (P=0.472). The incidence rate ratio was 0.72 (CI95% [0.29-1.78]). CONCLUSION This study did not show a statistically significant change in the incidence of SRH after intravitreal anti-VEGF therapy. The benefit/risk ratio of intravitreal anti-VEGF injections for exudative AMD remains high.
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Affiliation(s)
- Y Kauffmann
- Service d'ophtalmologie, hôpital général, CHU de Dijon, 3, rue du Faubourg-Raines, 21000 Dijon, France
| | - R Isaico
- Service d'ophtalmologie, hôpital général, CHU de Dijon, 3, rue du Faubourg-Raines, 21000 Dijon, France
| | - A Lefebvre
- Service d'épidémiologie et d'hygiène hospitalière, hôpital général, CHU de Dijon, 3, rue du Faubourg-Raines, 21000 Dijon, France
| | - A M Bron
- Service d'ophtalmologie, hôpital général, CHU de Dijon, 3, rue du Faubourg-Raines, 21000 Dijon, France
| | - C Creuzot-Garcher
- Service d'ophtalmologie, hôpital général, CHU de Dijon, 3, rue du Faubourg-Raines, 21000 Dijon, France.
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Loustaud-Ratti V, Wagner A, Carrier P, Marczuk V, Chemin I, Lunel F, Fouchard-Hubert I, Ahmed SS, Abergel A, Rousseau A, Lefebvre A, Debette-Gratien M, Denis F, Alain S. Distribution of total DNA and cccDNA in serum and PBMCs may reflect the HBV immune status in HBsAg+ and HBsAg- patients coinfected or not with HIV or HCV. Clin Res Hepatol Gastroenterol 2013; 37:373-83. [PMID: 23477988 DOI: 10.1016/j.clinre.2012.11.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2012] [Revised: 10/07/2012] [Accepted: 11/06/2012] [Indexed: 02/04/2023]
Abstract
BACKGROUND The potential reservoir role of serum and peripheral blood mononuclear cells (PBMCs) for total HBV DNA (tDNA) and cccDNA still remains unknown. MATERIAL AND METHODS We analyzed tDNA and cccDNA with a single sensitive and validated standardized real-time PCR method in serum and PBMCs in two populations of chronic HBV infection coinfected or not with HCV and/or HIV viruses: a retrospective cohort of 130 HBsAg-negative (HBsAg-) patients with "anti-HBc alone" or anti-HBc and anti-HBs antibodies (Ab) and a cohort of 70 HBsAg-positive patients, 16 of them being prospectively followed under treatment. RESULTS Among HBsAg- patients, HBV DNA was detected in serum or PBMCs in about half of the cases with various distributions of tDNA and cccDNA: in HIV-negative patients with an "antiHBc alone" profile, tDNA was mostly detected in PBMCs suggesting a possible active role of PBMCs; although cccDNA was not detected in PBMCs in HIV-positive patients, tDNA and cccDNA were mostly observed in serum, suggesting a specific pattern of more "persistent" than "occult" infection in this population. Patients with anti-HBc and anti-HBs Ab harbored tDNA in serum or in PBMCs, regardless of their HIV or HCV status, raising the question of a viral reactivation risk during immunosupression in these patients. Among HBsAg+ patients, tDNA was detected in serum and PBMCs of 88.5% of the cases and cccDNA in 22%. Levels of tDNA in both compartments were highly correlated during treatment, suggesting a passive reservoir role for PBMCs. CONCLUSION The respective distribution of tDNA and cccDNA in serum and PBMCs may reflect the different immune statuses of the host in HBsAg+ and HBsAg- patients. The frequency of HBV DNA in PBMCs from AgHBs- patients suggests a viral reactivation risk during immunodepression in those patients.
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Affiliation(s)
- V Loustaud-Ratti
- Inserm UMR 1092, Faculté de médecine, Université Limoges, 2, rue du Docteur-Marcland, 87025 Limoges cedex, France
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Kohut SA, Williams TS, Jayanthikumar J, Landolt-Marticorena C, Lefebvre A, Silverman E, Levy DM. Depressive symptoms are prevalent in childhood-onset systemic lupus erythematosus (cSLE). Lupus 2013; 22:712-20. [DOI: 10.1177/0961203313488840] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background Depressive symptoms are common in adolescence and young adulthood; however, their prevalence in childhood-onset systemic lupus erythematosus (cSLE) is unknown. Objective The objective of this study was to examine the prevalence of depressive symptoms and their association with disease characteristics in children, adolescents, and young adults with cSLE. Methods A cross-sectional sample of patients with cSLE between 10 to 24 years old completed standardized depression inventories. Demographics and disease characteristics were collected. Results Total depression inventory scores reported were below standard cut-off values for depression. However, 26% (10/38) of children and adolescents, and 44% (seven of 16) of young adults had scores at or above established cut-offs for elevated depression symptoms. Physical symptoms of depression were endorsed most frequently. There were no differences in depressive symptoms by disease characteristics including disease duration, health-related quality of life inventory scores, antiphospholipid antibody status, and a history of renal involvement or neuropsychiatric SLE (NPSLE). However, two patients had a history of depression as an NPSLE manifestation of their SLE. In the children and adolescents, prednisone dose was associated with negative self-esteem ( r = 0.37, p = 0.04) and somatic depressive symptoms ( r = 0.39, p = 0.02), but we did not observe a significant association in the young adults. Conclusion Depressive symptoms in cSLE are frequent, although similar to the high prevalence rates in the general population. Physical symptoms are most frequently endorsed. Further study will determine if serial evaluations are recommended for early detection in this at-risk population.
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Affiliation(s)
- S Ahola Kohut
- York University, Toronto, Canada
- Hospital for Sick Children, Toronto, Canada
| | | | | | | | - A Lefebvre
- Hospital for Sick Children, Toronto, Canada
- University of Toronto, Toronto, Canada
| | - E Silverman
- Hospital for Sick Children, Toronto, Canada
- University of Toronto, Toronto, Canada
- The SickKids Research Institute, Toronto, Canada
| | - DM Levy
- Hospital for Sick Children, Toronto, Canada
- University of Toronto, Toronto, Canada
- The SickKids Research Institute, Toronto, Canada
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Carisse O, Lefebvre A, Van der Heyden H, Roberge L, Brodeur L. Analysis of Incidence-Severity Relationships for Strawberry Powdery Mildew as Influenced by Cultivar, Cultivar Type, and Production Systems. Plant Dis 2013; 97:354-362. [PMID: 30722358 DOI: 10.1094/pdis-05-12-0508-re] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The relationships between strawberry powdery mildew incidence (I) and severity (S) were investigated for various cultivars, for June-bearing and day-neutral cultivars, and for production systems (open-field and plastic-tunnel) with the objective of deriving a simple relationship for predicting severity (proportion of leaf area diseased [PLAD]) from incidence (proportion of diseased leaves). Data were collected from 2006 to 2011 at 11 commercial and experimental sites, for a total of 2,326 observations (n). For the cultivars grown in open fields, higher severity was observed on 'Seascape', with mean PLAD of 0.299 (n = 427); followed by 'Chambly', with 0.133 (n = 334); 'Cavendish', with 0.115 (n = 250); 'Darselect', with 0.111 (n = 321); and 'Jewel', with 0.105 (n = 276). In general, mean severity was higher when the strawberry plants were grown in plastic tunnels, with PLAD of 0.204, 0.199, and 0.181 for Chambly (n = 204), Darselect (n = 261), and Jewel (n = 253), respectively. A linear model based on complementary log-log transformation of I and S provided a good fit of the data (coefficient of determination [R2] adjusted for degrees of freedom from 0.82 to 0.96). A covariance analysis indicated that the sampling year and site of sampling did not significantly influence the estimated slope of the I-S relationship, nor did the specific cultivar among the June-bearing ones, whereas the production system (open-field versus plastic-tunnel) and the cultivar type (June-bearing versus day-neutral) significantly influenced the estimated slope. From this analysis, we were able to develop three specific models for open-field-grown June-bearing cultivars (R2 = 0.90), for the open-field-grown day-neutral cultivar (Seascape, R2= 0.91), and for June-bearing cultivars grown in plastic tunnels (R2 = 0.92). From these results, it was concluded that strawberry powdery mildew leaf severity can be accurately estimated from incidence of diseased leaves. The I-S relationships developed in the present study may be used in making practical disease management decisions, especially for management programs that use information on disease level in the field to initiate fungicide spraying programs or to time the interval between sprays.
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Affiliation(s)
- O Carisse
- Agriculture and Agri-Food Canada, St.-Jean-sur-Richelieu, QC J3B 3E6, Canada
| | - A Lefebvre
- Agriculture and Agri-Food Canada, St.-Jean-sur-Richelieu, QC J3B 3E6, Canada
| | - H Van der Heyden
- Compagnie de recherche Phytodata Inc., Sherrington, QC J01 2N0, Canada
| | - Linda Roberge
- Compagnie de recherche Phytodata Inc., Sherrington, QC J01 2N0, Canada
| | - Luc Brodeur
- Compagnie de recherche Phytodata Inc., Sherrington, QC J01 2N0, Canada
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Rodriguez S, Gibiat V, Lefebvre A, Guilain S. Input impedance in flow ducts: theory and measurement. J Acoust Soc Am 2012; 132:1494-1501. [PMID: 22978878 DOI: 10.1121/1.4742717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
This paper presents both a theoretical and an experimental investigation of the influence of the mean flow on the input impedance of a duct. The input impedance of an axisymetrical flow duct is calculated, taking into account the convective effect of a uniform flow, the dissipative effect of a turbulent flow and the radiation in an open jet. Each of these effects is separately studied. An experimental apparatus has been specifically designed to lower flow noise on the transducers, taking advantage of the Two-Microphone-Three-Calibration (TMTC) method [V. Gibiat and F. Laloë, J. Acoust. Soc. Am. 88, 2533-2545 (1990)], whose full calibration process allows any geometry for the measurement head. Theory and experiments are compared for a 1 m long cylindrical duct carrying a flow whose Mach number equals up to 0.15. The resonant frequencies are in close agreement, within 3%. The relative evolution of the magnitude maxima with increasing flow are in good agreement, within 10%. Despite similar tendencies when modifying the mean flow velocity, the amplitude of variation of the magnitude is 2 to 5 times smaller in the experiments.
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Affiliation(s)
- S Rodriguez
- Renault SAS, Centre Technique de Lardy, Département Fluides Moteur, 91510 Lardy, France.
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Rodriguez S, Gibiat V, Lefebvre A, Guilain S. The three-measurement two-calibration method for measuring the transfer matrix. J Acoust Soc Am 2011; 129:3056-3067. [PMID: 21568409 DOI: 10.1121/1.3557058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Extensive use of transfer matrices (TMs) is made in determining the acoustic properties of a duct and in in-duct acoustic propagation models in the automotive industry and for musical acoustics purposes. The experimental apparatuses of classical TM measurement methods feature two measurement heads. Two microphones are flush with the walls of each head. The pressure signals are processed following the transfer function method constructed on an analytical model of acoustic propagation in measurement heads. The present paper aims at presenting a measurement method based on a three-microphone experimental apparatus and on its acoustic calibration through two reference measurements: the three-measurement two-calibration method for measuring the TM (3M2C-TM). Two microphones are flush with the measurement head walls and one is in the cap closing one side of the measured duct. 3M2C-TM proved essential for an accurate measurement of the four TM elements of two different ducts: a cylindrical duct and an expansion chamber.
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Affiliation(s)
- S Rodriguez
- Renault SAS, Centre Technique de Lardy, Département Fluides moteur, Lardy, France.
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Thaon I, Thiebaut A, Jochault L, Lefebvre A, Laplante JJ, Dalphin JC. Influence of hay and animal feed exposure on respiratory status: a longitudinal study. Eur Respir J 2010; 37:767-74. [PMID: 21030452 DOI: 10.1183/09031936.00122209] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Our aim was to study respiratory symptoms and lung function decline in farmers, with particular attention to the influence of handling hay, straw and animal feed. From a cohort recruited in 1993-1994, 219 (82.6%) dairy farmers, 130 (62.5%) nondairy agricultural workers and 99 (66.4%) controls were re-evaluated in 2006. They answered medical and occupational questionnaires, underwent spirometric tests at both evaluations and pulse oximetry in 2006. Dairy and nondairy agricultural workers showed an increased risk for usual morning phlegm (adjusted OR 4.27 (95% CI 1.41-12.95) and 3.59 (95% CI 1.16-11.10), respectively). Animal feed handling was associated with increased risks of wheezing (p = 0.01) and usual morning phlegm (p = 0.04); hay or straw handling was associated with increased risk of wheezing (p = 0.008). Adjusting for smoking, age, height, sex and altitude, dairy farmers had greater declines in forced expiratory volume in 1 s (FEV(1))/forced vital capacity ratio (p = 0.01) than controls. An increased decline in FEV(1) for all agricultural workers was associated with animal feed handling, both measured as a categorical (currently versus never handling; p = 0.05) or quantitative value (years of exposure during the survey period; p = 0.03). Hay, straw or animal feed handling represents a risk factor of bronchial symptoms and, for animal feed only, of accelerated decline in expiratory flows.
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Affiliation(s)
- I Thaon
- Occupational Diseases Dept, UMR 6249 CNRS/Université de Franche-Comté, Laboratoire Chrono-environnement, France
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Rabbat A, Guetta A, Lorut C, Lefebvre A, Roche N, Huchon G. Prise en charge des exacerbations aiguës de BPCO. Rev Mal Respir 2010; 27:939-53. [DOI: 10.1016/j.rmr.2010.08.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2010] [Accepted: 05/05/2010] [Indexed: 10/19/2022]
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Dematteo D, Harrison C, Arneson C, Goldie RS, Lefebvre A, Read SE, King SM. Disclosing HIV/AIDS to children: The paths families take to truthtelling. PSYCHOL HEALTH MED 2010. [DOI: 10.1080/13548500220139395] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Lebreton E, Crenn-Hebert C, Menguy C, Echardour G, Lefebvre A, Cessateur A. PERINAT-ARHIF : un système d’information en périnatalité dans la région d’Île-de-France (IDF). Rev Epidemiol Sante Publique 2010. [DOI: 10.1016/j.respe.2010.02.084] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Lefebvre A, Bassereau J, Pensé-Lheritier A, Rivère C, Harris N, Duchamp R. Recruitment and training of a sensory expert panel to measure the touch of beverage packages: Issue and methods employed. Food Qual Prefer 2010. [DOI: 10.1016/j.foodqual.2009.08.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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