Epidemiological and evaluative approach of addictif behaviours
Identifieur interne : 000785 ( Hal/Checkpoint ); précédent : 000784; suivant : 000786Epidemiological and evaluative approach of addictif behaviours
Auteurs : Ingrid De Chazeron [France]Source :
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Abstract
Within the framework of addictive behaviours, a descriptive step is often the introduction necessary for any comprehensive step. Thus, epidemiology is a tool which turns out in particular when it is a question of considered i) the existence of addictifs behavior in a specific population and to measure the relevance of the notion of "harmful use" in nosography, ii) the relevance of use of one pathology as a model of study of addictifs mechanisms. So, we estimated at first the existence of addictif behaviours in a specific population "the pregnant women". It seems that self-reports are easily useful and provide a strong adhesion of the participants. The biological markers of alcohol consumption are not helpful contrary to biological markers of tobacco exposure which revealed a higher presence of environmental tobacco smoke. This survey also reveals that half of women in Auvergne consume at least one drink of alcohol during their pregnancy and that the major consequence of this consumption : the Fœtal Alcohol Syndrome (FAS) has been found to be present in at least 1.8 of 1000 live births. So this epidemiological study allowed measure of indicators of sanitary interest for a social and preventive Medicine and targeted programs for public health. Secondly, we estimated the addictif profile of another specific population "Parkinson's disease (PD) patients" in comparison to general population. The secondary objective is to better define tools at disposal. We noticed that the hypersexuality or the pathological gambling do not seem to be overrepresented behaviours in PD patients whereas dopamine dysregulation syndrome (DDS) is frequent. In prospect of this research, it seemed that reliable tools of evaluation particularly on hypersexuality remain to be developed. Furthemore to this epidemiological research, PD patients can represent a model to better understand the functioning of addictive behaviours.
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Thus, epidemiology is a tool which turns out in particular when it is a question of considered i) the existence of addictifs behavior in a specific population and to measure the relevance of the notion of "harmful use" in nosography, ii) the relevance of use of one pathology as a model of study of addictifs mechanisms. So, we estimated at first the existence of addictif behaviours in a specific population "the pregnant women". It seems that self-reports are easily useful and provide a strong adhesion of the participants. The biological markers of alcohol consumption are not helpful contrary to biological markers of tobacco exposure which revealed a higher presence of environmental tobacco smoke. This survey also reveals that half of women in Auvergne consume at least one drink of alcohol during their pregnancy and that the major consequence of this consumption : the Fœtal Alcohol Syndrome (FAS) has been found to be present in at least 1.8 of 1000 live births. So this epidemiological study allowed measure of indicators of sanitary interest for a social and preventive Medicine and targeted programs for public health. Secondly, we estimated the addictif profile of another specific population "Parkinson's disease (PD) patients" in comparison to general population. The secondary objective is to better define tools at disposal. We noticed that the hypersexuality or the pathological gambling do not seem to be overrepresented behaviours in PD patients whereas dopamine dysregulation syndrome (DDS) is frequent. In prospect of this research, it seemed that reliable tools of evaluation particularly on hypersexuality remain to be developed. Furthemore to this epidemiological research, PD patients can represent a model to better understand the functioning of addictive behaviours.</div></front></TEI><hal api="V3"><titleStmt><title xml:lang="en">Epidemiological and evaluative approach of addictif behaviours</title><title xml:lang="fr">Approche épidémiologique et évaluative des comportements addictifs</title><author role="aut"><persName><forename type="first">Ingrid</forename><surname>De Chazeron</surname></persName><email type="md5">419f278f7ed93fd6dda023c423e6653e</email><email type="domain">chu-clermontferrand.fr</email><idno type="halauthorid">605646</idno><affiliation ref="#struct-122738"></affiliation></author><editor role="depositor"><persName><forename>Camille</forename><surname>Meyer</surname></persName><email type="md5">d3481b6750b769157881376e5cd632e3</email><email type="domain">univ-bpclermont.fr</email></editor></titleStmt><editionStmt><edition n="v1" type="current"><date type="whenSubmitted">2012-08-29 14:59:27</date><date type="whenModified">2012-08-29 15:30:13</date><date type="whenReleased">2012-08-29 15:30:13</date><date type="whenProduced">2009-09-22</date><date type="whenEndEmbargoed">2012-08-29</date><ref type="file" target="https://tel.archives-ouvertes.fr/tel-00726275/document"><date notBefore="2012-08-29"></date></ref><ref type="file" n="1" target="https://tel.archives-ouvertes.fr/tel-00726275/file/2009CLF1MM14.pdf"><date notBefore="2012-08-29"></date></ref></edition><respStmt><resp>contributor</resp><name key="111459"><persName><forename>Camille</forename><surname>Meyer</surname></persName><email type="md5">d3481b6750b769157881376e5cd632e3</email><email type="domain">univ-bpclermont.fr</email></name></respStmt></editionStmt><publicationStmt><distributor>CCSD</distributor><idno type="halId">tel-00726275</idno><idno type="halUri">https://tel.archives-ouvertes.fr/tel-00726275</idno><idno type="halBibtex">dechazeron:tel-00726275</idno><idno type="halRefHtml">Psychiatrie et santé mentale. Université Blaise Pascal - Clermont-Ferrand II; Université d'Auvergne - Clermont-Ferrand I, 2009. Français. <NNT : 2009CLFMM14></idno><idno type="halRef">Psychiatrie et santé mentale. Université Blaise Pascal - Clermont-Ferrand II; Université d'Auvergne - Clermont-Ferrand I, 2009. Français. <NNT : 2009CLFMM14></idno></publicationStmt><seriesStmt></seriesStmt><notesStmt></notesStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Epidemiological and evaluative approach of addictif behaviours</title><title xml:lang="fr">Approche épidémiologique et évaluative des comportements addictifs</title><author role="aut"><persName><forename type="first">Ingrid</forename><surname>De Chazeron</surname></persName><email type="md5">419f278f7ed93fd6dda023c423e6653e</email><email type="domain">chu-clermontferrand.fr</email><idno type="halauthorid">605646</idno><affiliation ref="#struct-122738"></affiliation></author></analytic><monogr><idno type="nnt">2009CLFMM14</idno><imprint><date type="dateDefended">2009-09-22</date></imprint><authority type="institution">Université Blaise Pascal - Clermont-Ferrand II</authority><authority type="institution">Université d'Auvergne - Clermont-Ferrand I</authority><authority type="supervisor">Pierre-Michel Llorca</authority></monogr></biblStruct></sourceDesc><profileDesc><langUsage><language ident="fr">French</language></langUsage><textClass><keywords scheme="author"><term xml:lang="fr">Dépendance (psychologie)</term><term xml:lang="fr">Épidémiologie</term><term xml:lang="fr">Tabagisme chez la femme enceinte</term><term xml:lang="fr">Alcoolisme chez la femme enceinte</term><term xml:lang="fr">Maladie de Parkinson</term></keywords><classCode scheme="halDomain" n="sdv.mhep.psm">Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health</classCode><classCode scheme="halTypology" n="THESE">Theses</classCode></textClass><abstract xml:lang="en">Within the framework of addictive behaviours, a descriptive step is often the introduction necessary for any comprehensive step. Thus, epidemiology is a tool which turns out in particular when it is a question of considered i) the existence of addictifs behavior in a specific population and to measure the relevance of the notion of "harmful use" in nosography, ii) the relevance of use of one pathology as a model of study of addictifs mechanisms. So, we estimated at first the existence of addictif behaviours in a specific population "the pregnant women". It seems that self-reports are easily useful and provide a strong adhesion of the participants. The biological markers of alcohol consumption are not helpful contrary to biological markers of tobacco exposure which revealed a higher presence of environmental tobacco smoke. This survey also reveals that half of women in Auvergne consume at least one drink of alcohol during their pregnancy and that the major consequence of this consumption : the Fœtal Alcohol Syndrome (FAS) has been found to be present in at least 1.8 of 1000 live births. So this epidemiological study allowed measure of indicators of sanitary interest for a social and preventive Medicine and targeted programs for public health. Secondly, we estimated the addictif profile of another specific population "Parkinson's disease (PD) patients" in comparison to general population. The secondary objective is to better define tools at disposal. We noticed that the hypersexuality or the pathological gambling do not seem to be overrepresented behaviours in PD patients whereas dopamine dysregulation syndrome (DDS) is frequent. In prospect of this research, it seemed that reliable tools of evaluation particularly on hypersexuality remain to be developed. Furthemore to this epidemiological research, PD patients can represent a model to better understand the functioning of addictive behaviours.</abstract><abstract xml:lang="fr">Dans le cadre des comportements addictifs, une démarche descriptive est souvent le préambule nécessaire à toute démarche compréhensive. L'épidémiologie est donc un outil qui s'avère précieux notamment quand il s'agit d'estimer i) l'existence de comportements addictifs dans une population spécifique et de mesurer la pertinence nosographique de la notion "d'usage nocif", ii) la pertinence d'utilisation d'une pathologie comme modèle d'étude des mécanismes addictifs. Ainsi, nous avons dans un premier temps estimé l'existence de comportements addictifs dans une population spécifiques "les femmes enceintes". Il apparaît que les outils de type "questionnaire" sont facilement utilisables avec une forte adhérence des participantes. Les marqueurs biologiques pour l'alcool n'étaient ici pas satisfaisants contraitement à celui du tabagisme qui a dévoilé la présence importante du tabagisme passif. Cette enquête révèle également que la moitié des parturientes en Auvergne consomment au moins une fois de l'alcool au cours de leur grossesse et que la conséquence la plus grave de cette consommation, à savoir le Syndrome d'Alcoolisation Fœtale, touche au moins 1,8 naissance sur mille. Ainsi cette étude épidémiologique a permis la mesure des indicateurs d'intérêt sanitaire pour une médecine sociale et préventive et des actions ciblées de santé publique. Dans un second temps, nous avons évalué le profil addictif d'une autre population spécifique "les patients atteints par la maladie de Parkinson" en comparaison à une population indemne de la maladie. nous avons constaté que l'hypersexualité ou le jeu pathologique ne semblent pas être des comportements surreprésentés chez les patients Parkinsoniens tandis que la prise addictive de leur traitement dopaminergique est fréquente. En perspective de cette recherche épidémiologique, il est apparu que les patients Parkinsoniens peuvent représenter un modèle pour une meilleure compréhension du fonctionnement des comportements addictifs.</abstract></profileDesc></hal></record>Pour manipuler ce document sous Unix (Dilib)
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