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Conséquences psychopathologiques du confinement
Open accessAbstract
Les effets psychologiques de l’isolement ont déjà été décrits dans la littérature (expéditions polaires, sous-marins, prison). Néanmoins, l’échelle du confinement mis en œuvre à l’occasion de la pandémie à COVID-19 est inédite. Il nous faut non seulement relire les études publiées, mais aussi anticiper les problèmes psychologiques qui pourraient survenir pendant ou à distance du confinement. Nous avons fait le choix d’aller au-delà de la littérature COVID-19 pour examiner les implications des conséquences connues du confinement : l’ennui, l’isolement social, le stress, le manque de sommeil. L’anxiété, le trouble de stress post-traumatique, la dépression et les conduites suicidaires, les conduites addictives, les violences domestiques sont des effets décrits du confinement, mais les mécanismes d’émergence de ces troubles et leurs interrelations restent à étudier. Par exemple, quels sont les mécanismes d’émergence du trouble de stress post-traumatique dans le cadre du confinement ? Nous rappelons aussi les points de vigilance à garder sur des conséquences telles que les troubles des conduites alimentaires, les hallucinations, curieusement ignorées dans la littérature sur le confinement, alors qu’une vaste littérature fait le lien entre isolement social et hallucinations. Du fait de conséquences psychopathologiques larges, il nous faut partir à la recherche des différents symptômes pour permettre leur prise en charge. Nous résumons rapidement les approches diagnostiques et thérapeutiques déjà mises en place, comme la télémédecine, qui connaît un développement rapide à l’occasion de la crise du COVID-19. The psychological effects of isolation have already been described in the literature (polar expeditions, submarines, prison). Nevertheless, the scale of confinement implemented during the COVID-19 pandemic is unprecedented. In addition to reviewing the published studies, we need to anticipate the psychological problems that could arise during or at a distance from confinement. We have gone beyond the COVID-19 literature in order to examine the implications of the known consequences of confinement, like boredom, social isolation, stress, or sleep deprivation. Anxiety, post-traumatic stress disorder, depression, suicidal or addictive behaviours, domestic violence are described effects of confinement, but the mechanisms of emergence of these disorders and their interrelationships remain to be studied. For example, what are the mechanisms of emergence of post-traumatic stress disorders in the context of confinement? We also remind the reader of points of vigilance to be kept in mind with regard to eating disorders and hallucinations. Hallucinations are curiously ignored in the literature on confinement, whereas a vast literature links social isolation and hallucinations. Due to the broad psychopathological consequences, we have to look for these various symptoms to manage them. We quickly summarize the diagnostic and therapeutic approaches already in place, such as telemedicine, which is undergoing rapid development during the COVID-19 crisis.
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“The pandemic has caused psychological consequences (Li et al., 2020), among which fear, anxiety, post-traumatic stress disorder, depression, suicidal or addictive behaviors stand out, as well as domestic violence as a collateral effect of the confinement (Mengin et al., 2020).”
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“Among the main side effects of the confinement are anxiety, post-traumatic stress, depression, suicidal behavior, addictions, and domestic violence (Mengin et al., 2020).”
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Importance of Hipnotherapy in Pos-Pandemic Dyadic Adjustment and Mood Disorders
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Metadata
- Authors
- Mengin, A., Allé, M. C., Rolling, J., Ligier, F., Schroder, C., Lalanne, L., Berna, F., Jardri, R., Vaiva, G., Geoffroy, P. A., Brunault, P., Thibaut, F., Chevance, A., & Giersch, A.
- Affiliations
- Inserm (FR)
- Centre National de la Recherche Scientifique (FR)
- Interdisciplinarité en Santé Publique Interventions et Instruments de mesure complexes – Région Est (FR)
- Université de Tours (FR)
- Corresponding author
- Giersch, A.
- ORCID
- Venue
- L Encéphale
- Publisher
- Elsevier BV
- Published
- 2020-06
- Volume
- 46
- Issue
- 3
- Pages
- S43-S52
- ISSN
- 0013-7006 (ISSN-L)
- PMC
- PMC7174176
- OpenAlex
- W3020658509
- Cited by
- 203
- References
- 129
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 16 · 2023: 30 · 2022: 49 · 2021: 57 · 2020: 38
- FWCI
- 17.36
- Type
- journal article
- Language
- fr
- Open access
- hybrid
- doi.org
- Licence
- Locations
- L Encéphale (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- confinement, COVID-19 pandemic, psychological impact, social isolation, boredom, stress, sleep deprivation, anxiety, post-traumatic stress disorder, depression, suicidal behavior, addictive behavior, domestic violence, eating disorders, hallucinations, telemedicine, mental health services, telecare
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Adult, Anxiety Disorders, Feeding and Eating Disorders, Boredom, Child, Child Abuse, Delivery of Health Care, Depression, France, Hallucinations, Health Services Accessibility, Humans, Mental Health Services, Patient Isolation, Pneumonia, Viral, Sleep Wake Disorders, Social Isolation, Stress Disorders, Post-Traumatic, Suicide, Behavior, Addictive, Telemedicine, Domestic Violence, Coronavirus Infections, Pandemics
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