63 results match your criteria: "Pôle hospitalo-universitaire Psychiatrie Paris 15[Affiliation]"

: Obsessive-compulsive disorder (OCD) is a psychiatric disorder with poorly detailed subtypes/dimensions, such as religious OCD (ROCD). To date, little is known about ROCD characteristics. This work aimed to describe the sociodemographic and clinical characteristics, along with the religiosity and spirituality, of Lebanese Muslim citizens diagnosed with OCD and exhibiting religious symptoms.

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Skin-brain dialogue in auto-inflammatory diseases: A new route to biomarkers?

Brain Behav Immun Health

December 2024

Pôle Hospitalo-Universitaire Psychiatrie Paris 15, GHU Paris Psychiatrie et Neurosciences, Hôpital Sainte-Anne, Paris, France.

Autoinflammatory diseases (AID) are rare systemic inflammatory disorders due to monogenic or polygenic dysfunction of innate immunity. They affect many organs including the brain and the skin. The spectrum of these diseases has been rapidly expanding recently due to newly developed diagnostic tools.

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Unlike other medical conditions, type 2 diabetes is a risk factor for new-onset major depression after COVID-19.

J Psychosom Res

December 2024

Service Hospitalo-Universitaire de Psychiatrie de Bicêtre, Mood Center Paris Saclay, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris-Saclay, Hôpital de Bicêtre, Le Kremlin Bicêtre F-94275, France; MOODS Team, INSERM 1018, CESP (Centre de Recherche en Epidémiologie et Santé des Populations), Université Paris-Saclay, Faculté de Médecine Paris-Saclay, Le Kremlin Bicêtre F-94275, France.

Article Synopsis
  • The study investigates whether pre-existing medical conditions increase the risk of developing major depressive episodes (MDE) after hospitalization for COVID-19.
  • It analyzed data from 650 patients six months post-hospitalization, focusing on conditions like high blood pressure, obesity, type 2 diabetes, and others.
  • Results showed that type 2 diabetes significantly raised the risk of new-onset MDE, prompting recommendations for screening in these patients after COVID-19 recovery.
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Multiple sclerosis (MS) is a central nervous system disease involving gray and white matters. Transcranial magnetic stimulation (TMS) and magnetic resonance imaging (MRI) could help identify potential markers of disease evolution, disability, and treatment response. This work evaluates the relationship between intracortical inhibition and facilitation, motor cortex lesions, and corticospinal tract (CST) integrity.

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An immune signature of postoperative cognitive decline: a prospective cohort study.

Int J Surg

December 2024

Department of Anesthesiology, Perioperative and Pain Medicine, School of Medicine, Stanford University, Stanford, California, USA.

Background: Postoperative cognitive decline (POCD) is the predominant complication affecting patients over 60 years old following major surgery, yet its prediction and prevention remain challenging. Understanding the biological processes underlying the pathogenesis of POCD is essential for identifying mechanistic biomarkers to advance diagnostics and therapeutics. This study aimed to provide a comprehensive analysis of immune cell trajectories differentiating patients with and without POCD and to derive a predictive score enabling the identification of high-risk patients during the preoperative period.

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Multiple disconnection syndrome, interoceptive metacognition deficits and fatigue in multiple sclerosis.

Brain Commun

September 2024

Department of Neurology, Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, 4504 Byblos, Lebanon.

Article Synopsis
  • The commentary discusses a study that explores how fatigue in multiple sclerosis (MS) is influenced by the brain's ability to perceive internal bodily signals (interoception) and think about thoughts (metacognition).
  • It highlights the role of white matter dysconnectivity, which refers to disruptions in the brain's communication pathways, in contributing to the experience of fatigue in MS patients.
  • The authors aim to connect these concepts to better understand the underlying mechanisms of fatigue in MS, ultimately improving diagnosis and treatment approaches.
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The ability to switch between rules associating stimuli and responses depend on a circuit including the dorsomedial prefrontal cortex (dmPFC) and the subthalamic nucleus (STN). However, the precise neural implementations of switching remain unclear. To address this issue, we recorded local field potentials from the STN and from the dmPFC of neuropsychiatric patients during behavioral switching.

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The functional organization of the frontal lobe is a source of debate, focusing on broad functional subdivisions, large-scale networks, or local refined specificities. Multiple neurocognitive models have tried to explain how functional interactions between cingulate and lateral frontal regions contribute to decision making and cognitive control, but their neuroanatomical bases remain unclear. We provide a detailed description of the functional connectivity between cingulate and lateral frontal regions using resting-state functional MRI in rhesus macaques.

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Adherence to clinical practice guidelines for using electroconvulsive therapy in elderly depressive patients.

BMC Psychiatry

July 2024

French Society for Biological Psychiatry and Neuropsychopharmacology, Saint Germain en Laye, France.

Objectives: Electroconvulsive therapy (ECT) is one of the most effective treatments in mood disorders, mainly in major depressive episode (MDE) in the context of either unipolar (MDD) or bipolar disorder (BD). However, ECT remains a neglected and underused treatment. Older people are at high risk patients for the development of adverse drug reactions.

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A recovery-oriented day hospital in psychiatry: A springboard for reintegration.

Encephale

May 2024

Service hospitalo-universitaire de santé mentale et thérapeutique-75G14, Groupe hospitalo-universitaire Paris psychiatrie et neurosciences, 1, rue Cabanis, 75014 Paris, France; Centre ressource en remédiation cognitive et réhabilitation psychosociale en île de France, Groupe hospitalo-universitaire Paris psychiatrie et neurosciences - université Paris Cité, Paris, France.

Psychiatric disorders are common and can cause psychological disabilities. While the creation of day hospitals (DHs) was intended to direct psychiatric care towards community settings, they may have paradoxically contributed to a form of chronicity. Furthermore, the heterogeneity and lack of evaluation of care within DHs prevent the availability needed to collect objective data on users outcomes.

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Two Determinants of Dynamic Adaptive Learning for Magnitudes and Probabilities.

Open Mind (Camb)

May 2024

Cognitive Neuroimaging Unit, NeuroSpin (INSERM-CEA), University of Paris-Saclay, 91191 Gif-sur-Yvette, France.

Humans face a dynamic world that requires them to constantly update their knowledge. Each observation should influence their knowledge to a varying degree depending on whether it arises from a stochastic fluctuation or an environmental change. Thus, humans should dynamically adapt their learning rate based on each observation.

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Background: Preventive anesthetic impact on the high rates of postoperative neurocognitive disorders in elderly patients is debated. The Prevention of postOperative Cognitive dysfunction by Ketamine (POCK) study aimed to assess the effect of ketamine on this condition.

Methods: This is a multicenter, randomized, double-blind, interventional study.

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Multiple and subject-specific roles of uncertainty in reward-guided decision-making.

bioRxiv

September 2024

INSERM-CEA Cognitive Neuroimaging Unit (UNICOG), NeuroSpin Center, CEA Paris-Saclay, Gif-sur-Yvette, France Université de Paris, Paris, France.

Decision-making in noisy, changing, and partially observable environments entails a basic tradeoff between immediate reward and longer-term information gain, known as the exploration-exploitation dilemma. Computationally, an effective way to balance this tradeoff is by leveraging uncertainty to guide exploration. Yet, in humans, empirical findings are mixed, from suggesting uncertainty-seeking to indifference and avoidance.

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The impact of adult neurogenesis on affective functions: of mice and men.

Mol Psychiatry

August 2024

Institut Pasteur, Université Paris Cité, CNRS UMR 3571, Perception and Action Unit, F-75015, Paris, France.

In most mammals, new neurons are not only produced during embryogenesis but also after birth. Soon after adult neurogenesis was discovered, the influence of recruiting new neurons on cognitive functions, especially on memory, was documented. Likewise, the late process of neuronal production also contributes to affective functions, but this outcome was recognized with more difficulty.

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Disruption of conscious access contributes to the advent of psychotic symptoms in schizophrenia but could also explain lack of insight in other psychiatric disorders. In this study, we explored how insight and psychotic symptoms related to disruption of consciousness. We explored consciousness in patients with schizophrenia, patients with obsessive-compulsive disorder (OCD) with good vs.

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Resource-rational account of sequential effects in human prediction.

Elife

January 2024

Laboratoire de Physique de l'École Normale Supérieure, ENS, Université PSL, CNRS, Sorbonne Université, Université de Paris, Paris, France.

An abundant literature reports on 'sequential effects' observed when humans make predictions on the basis of stochastic sequences of stimuli. Such sequential effects represent departures from an optimal, Bayesian process. A prominent explanation posits that humans are adapted to changing environments, and erroneously assume non-stationarity of the environment, even if the latter is static.

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Brainstem fMRI signaling of surprise across different types of deviant stimuli.

Cell Rep

November 2023

Cognitive Neuroimaging Unit, Institut National de la Santé et de la Recherche Médicale, Commissariat à l'Energie Atomique et aux énergies alternatives, Centre national de la recherche scientifique, Université Paris-Saclay, NeuroSpin center, 91191 Gif/Yvette, France; Institut de neuromodulation, GHU Paris, psychiatrie et neurosciences, centre hospitalier Sainte-Anne, pôle hospitalo-universitaire 15, Université Paris Cité, Paris, France. Electronic address:

Detection of deviant stimuli is crucial to orient and adapt our behavior. Previous work shows that deviant stimuli elicit phasic activation of the locus coeruleus (LC), which releases noradrenaline and controls central arousal. However, it is unclear whether the detection of behaviorally relevant deviant stimuli selectively triggers LC responses or other neuromodulatory systems (dopamine, serotonin, and acetylcholine).

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Aim: Neuroimaging-based machine-learning predictions of psychosis onset rely on the hypothesis that structural brain anomalies may reflect the underlying pathophysiology. Yet, current predictors remain difficult to interpret in light of brain structure. Here, we combined an advanced interpretable supervised algorithm and a model of neuroanatomical age to identify the level of brain maturation of the regions most predictive of psychosis.

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Neural activity and behavior vary within an individual (states) and between individuals (traits). However, the mapping of state-trait neural variation to behavior is not well understood. To address this gap, we quantify moment-to-moment changes in brain-wide co-activation patterns derived from resting-state functional magnetic resonance imaging.

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Early effects predict trajectories of response to esketamine in treatment-resistant depression.

J Affect Disord

December 2023

Clinique des Maladies Mentales et de l'Encéphale (CMME), GHU Paris Psychiatrie et Neurosciences, Hôpital Sainte-Anne, Paris, France; Université Paris Cité, INSERM, U1266 (Institute of Psychiatry and Neuroscience of Paris), Paris, France. Electronic address:

Article Synopsis
  • Esketamine has been proven effective for treatment-resistant depression (TRD), but its high cost and limited knowledge on treatment duration highlight the need for better outcome predictions.* -
  • A study with TRD patients receiving esketamine identified two response trajectories—responders and non-responders—while showing that initial depression scores can predict future treatment success with 80% accuracy.* -
  • Although the findings are promising, the study's observational nature and lack of a placebo group mean more controlled experiments are needed to validate these predictions and improve treatment decisions.*
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