Increasing stress resilience in older adults through a 6-week prevention program: effects on coping strategies, anxiety symptoms, and cortisol levels.

Introduction: As people age, chronic stress, resulting in prolonged or repeated activation of the hypothalamic-pituitary-adrenal (HPA) axis, has been associated with long-term adverse health outcomes. Coping strategies and social support have been recognized as contributing to resilience to stress in older adults. Few studies have evaluated stress management training (SMT) interventions based on psychoneuroendocrinology that were designed to be delivered to healthy older adults in community settings.

[The iatrogenic risk of institutional care in the management of patients with anorexia nervosa].

This article explores the potential iatrogenic impact of institutional care on patients suffering from anorexia nervosa, based on a perspective drawn from the human and social sciences. In particular, it highlights the social mechanisms - such as the collision of intentions, pathological emulation, stigmatization and identity dedifferentiation - that can aggravate pathology in the hospital setting. Four recommendations are put forward for rethinking care, favoring a more holistic and less iatrogenic approach.

Dysfunctional eating attitudes and behaviors among athletes: The role and potential of virtual reality.

This brief article discusses the current state of knowledge on the use of virtual reality in assessing and/or treating body image and body image disturbances among athletes with dysfunctional eating attitudes and behaviors ( i.e., eating disorders and disordered eating).

Addressing evidence needs during health crises in the province of Quebec (Canada): a proposed action plan for rapid evidence synthesis.

Background: The COVID-19 pandemic necessitated the rapid availability of evidence to respond in a timely manner to the needs of practice settings and decision-makers in health and social services. Now that the pandemic is over, it is time to put in place actions to improve the capacity of systems to meet knowledge needs in a situation of crisis. The main objective of this project was thus to develop an action plan for the rapid syntheses of evidence in times of health crisis in Quebec (Canada).

Profiles of physician follow-up care, correlates and outcomes among patients affected by an incident mental disorder.

Objectives: This study identified profiles of outpatient physician follow-up care and other practice features, mostly after detection of incident mental disorders (MD), and associated these profiles with patient characteristics and subsequent adverse outcomes.

Methods: A cohort of 170,957 patients age 12 + with a new or recurrent MD detected in 2019-20 was investigated based on data from the Quebec Integrated Chronic Disease Surveillance System. Latent class analysis was performed to identify follow-up care profiles, mostly within one year of MD detection.

Task relevant autoencoding enhances machine learning for human neuroscience.

In human neuroscience, machine learning can help reveal lower-dimensional neural representations relevant to subjects' behavior. However, state-of-the-art models typically require large datasets to train, and so are prone to overfitting on human neuroimaging data that often possess few samples but many input dimensions. Here, we capitalized on the fact that the features we seek in human neuroscience are precisely those relevant to subjects' behavior rather than noise or other irrelevant factors.

Expansion of the SyllabO+ corpus and database: Words, lemmas, and morphology.

Having a detailed description of the psycholinguistic properties of a language is essential for conducting well-controlled language experiments. However, there is a paucity of databases for some languages and regional varieties, including Québec French. The SyllabO+ corpus was created to provide a complete phonological and syllabic analysis of a corpus of spoken Québec French.

Joint Crisis Plan in Mental Health Settings: A Reflective Process More than an Intervention Tool?

Background/objectives: Coercion in mental health is challenged, prompting reduction interventions. Among those, the Joint Crisis Plan (JCP), which aims to document individuals' treatment preferences in case of future de-compensation, regardless of the potential loss of discernment, has been identified as a key path to study. Identified challenges related to its implementation highlight the need to adapt this intervention to the local context.

Translating Evidence-Based Self-Management Interventions Using a Stepped-Care Approach for Patients With Cancer and Their Caregivers: A Pilot Sequential Multiple Assignment Randomized Trial Design.

Background: Self-directed interventions are cost-effective for patients with cancer and their family caregivers, but barriers to use can compromise adherence and efficacy.

Aim: Pilot a Sequential Multiple Assignment Randomized Trial (SMART) to develop a time-varying dyadic self-management intervention that follows a stepped-care approach in providing different types of guidance to optimize the delivery of Coping-Together, a dyadic self-directed self-management intervention.

Methods: 48 patients with cancer and their caregivers were randomized in Stage 1 to: (a) Coping-Together (included a workbook and 6 booklets) or (b) Coping-Together + lay telephone guidance.

Facilitators' experiences with virtual simulation and their impact on learning.

Background: Increasingly, virtual simulations are being integrated into higher education. A successful experience goes far beyond simply offering learners access to a virtual simulation; it requires a facilitator who understands the learners' needs and course objectives, choses the right virtual simulation for the learner, creates a welcoming space that promotes learning, and evaluates the experience.

Methods: Facilitators from three different healthcare programs and six educational institutions and students from two different healthcare programs were included in this exploratory qualitative research study.

Reasoning and interpretation cognitive biases related to psychotic characteristics: An umbrella-review.

Cognitive biases have been studied in relation to schizophrenia and psychosis for over 50 years. Yet, the quality of the evidence linking cognitive biases and psychosis is not entirely clear. This umbrella-review examines the quality of the evidence and summarizes the effect sizes of the reasoning and interpretation cognitive biases studied in relation to psychotic characteristics (psychotic disorders, psychotic symptoms, psychotic-like experiences or psychosis risk).

The implementation of infant pain practice change resource to improve infant procedural pain practices: a hybrid type 1 effectiveness-implementation study.

Implementation of infant pain practice change (ImPaC) is a multifaceted web-based resource to support pain practice change in neonatal intensive care unit (NICU). We evaluated the (1) intervention effectiveness and (2) implementation effectiveness of ImPaC using a hybrid type 1 effectiveness-implementation study (ie, cluster randomized controlled trial and longitudinal descriptive study). Eligible level 2 and 3 Canadian NICUs were randomized to intervention (INT) or waitlisted to usual care (UC) for 6 months.

[Bernadette through the ages: An evolving perspective on psychiatric care from institutionalization to alternatives to hospitalization].

In 1909, 21-year-old Bernadette was hospitalized after the parish priest deemed her to be suffering from "puerperal insanity." She was committed to Saint-Jean-de-Dieu, separated from her newborn and husband, who would send dozens of letters inquiring about her health and longing for the day she could return home. Sadly, that return never happened.

[Exploring the field of psychotherapies and the development of APAP].

Objective The field of psychotherapy is growing and is offering more and more types of treatments. The objective of this paper is to go through many clinical researches and experiences from psychotherapists with several psychotherapies in universities in Montreal and Lausanne, especially in the Institute for Mental Diseases in Montreal (IUSMM). Method Research and clinical evaluations have varied over many years.

[The historical synchronicities of the Eli Lilly Canada Chair on schizophrenia research].

Background Created in 2004, the Eli Lilly Canada Chair on schizophrenia research was funded by Eli Lilly, the Institut universitaire en santé mentale de Montréal, Hôpital Sacré-Coeur and Centre hospitalier de l'Université de Montréal. The aim of this article is to provide an historical overview of the scientific activities of the Chair since its inception. Method In order to carry out this historical account, we adopted a bibliometric approach.

[ÉCHINOPS Project: Collaborating with Law Enforcement to Help the Escapees of the Healthcare System].

Objectives In Canada, it is estimated that 5 to 31% of police interventions involve people with mental health disorders. The objective of this review of the scientific literature is to raise a myriad of issues in the approach to these patients in the community. We then illustrate this context with a Montreal initiative: The ÉCHINOPS Project (Hybrid Community Team for Innovative Interventions NPO-Psychiatry-SPVM).

[The impact of cannabis on psychiatric symptoms: A cross-sectional study on people with severe mental disorder].

Objective Cannabis is the most commonly used drug in the general population, but its prevalence of use remains higher among people suffering from severe mental disorders. Nevertheless, current cannabis research showed it to be deleterious on psychiatric symptoms, especially among patients with severe mental disorders. This present cross-sectional study aims to evaluate the impact of cannabis consumption on the psychiatric symptomatology of people with a serious mental disorder by controlling for the confounding variables of age, sex and concomitant alcohol or stimulant consumption.

[Developing a psychiatrist's flair: Lessons learned from two clinical cases of olfactory reference syndrome].

Olfaction is often neglected in psychiatric semiology, despite its clinical relevance and impact on social functioning. The olfactory reference syndrome (ORS), characterized by a false belief that a person emits a foul odor, causes severe distress and disrupts social functioning. This article aims to highlight the importance of olfaction in psychiatric semiology, with a focus on ORS.

[The Signature Biobank: History and perspectives of a longitudinal project investigating the biological, psychological, and social signatures of patients visiting the emergency of the Institut universitaire en santé mentale de Montréal].

Objectives In 2008, the National Institute of Mental Health (NIMH) published its strategic plan to structure future research aims and objectives including the development of a new method of classifying mental health disorders. This strategic plan gave rise to the Research Domain Criteria (RDoC) project, a framework aimed at establishing major functional domains of the human psyche ranging from normal to pathological. The Signature Consortium was created in 2009 to develop a data bank capable of contributing to the development of RDoC by identifying profiles, or Signatures, of a psychiatric population, collecting biological, psychosocial, and clinical indicators at critical moments in the care and follow-up of patients visiting the care structures of the Institut universitaire en santé mentale de Montréal (IUSMM).

[Kieron O'Connor's scientific contribution to the characterization and treatment of Tourette's syndrome and obsessive-compulsive disorders].

Background Researcher and psychologist Kieron Philip O'Connor (1950-2019) pioneered the cognitive and behavioural approach at the Institut universitaire en santé mentale de Montréal (IUSMM). It was there that he began a career as a clinical researcher studying Tourette's syndrome (TS) and obsessive-compulsive and related disorder (OCD). At the time, apart from some behavioural approaches, little cognitive intervention was available to treat chronic tics and obsessive-compulsive disorder.

[An integrative review documenting creativity in the utilization of digital health and artificial intelligence at the Institut universitaire en santé mentale de Montréal].

Objective Founded in 1873, the Institut universitaire en santé mentale de Montréal (IUSMM) has a captivating history that significantly reflects the evolution of psychiatry over the years. In recent years, the primary sectors of modern medicine have turned to digital health innovations to enhance patient care development. The main objective of this review is to document advancements in digital health within the IUSMM and its affiliated research center over the past 150 years.

[Transfer of knowledge in psychiatry through the 4 editions from 1980 to 2016 of the Quebec psychiatry manual].

Objectives To examine the transfer of knowledge in psychiatry, longitudinally, over more than 35 years, through the 4 editions of the manual "Psychiatrie clinique" published in Quebec, thanks to the initiative of the publication directors affiliated with the Institut universitaire en santé mentale de Montréal (formerly the Louis-H. Lafontaine Hospital). Our hypothesis is that the evolution of the content and form of such a manual reflects an evolution of knowledge in psychiatry with a naturally educational vocation which of what must be known and applicable in the discipline.

[Saint-Jean-de-Dieu: A short history of Montreal's madhouse, 1873-1973].

Objectives The primary objective of this article is to paint an institutional portrait of the Saint-Jean-de-Dieu Asylum over the first hundred years of its existence, from 1873 to 1973. The secondary objectives are as follows: 1) explore how prevention policies at the end of the 19th century had the effect of increasing the asylum population rather than reducing it; 2) discuss mental health policies that sought to "treat the social" outside the walls of the asylum in an effort to decrease the population; and 3) address the arrival of psychopharmacology that opened the doors of the asylum and turned it into a modern psychiatric hospital, soon renamed Louis-Hippolyte-Lafontaine. Method Since the past exists in silence, and finding data that will enable us to reconstruct a history of Saint-Jean-de-Dieu is a challenge.