{"id":617,"date":"2007-08-22T10:09:15","date_gmt":"2007-08-22T14:09:15","guid":{"rendered":"http:\/\/gillesenvrac.ca\/carnet\/2007\/08\/un-sur-cinq\/"},"modified":"2007-08-22T10:09:15","modified_gmt":"2007-08-22T14:09:15","slug":"un-sur-cinq","status":"publish","type":"post","link":"https:\/\/gillesenvrac.ca\/carnet\/2007\/08\/un-sur-cinq\/","title":{"rendered":"un sur cinq"},"content":{"rendered":"<blockquote><p>\u00ab\u00a0About one-in-five people suffer from a diagnosable mental disorder during any given year.\u00a0\u00bb Carolyn Robinowitz, M.D. American Psychiatric Association.<\/p><\/blockquote>\n<p>Vingt pourcent ! \u00c0 mesure que la puissance diagnostique s&rsquo;accroit, la proportion de personnes \u00ab\u00a0atteintes\u00a0\u00bb aussi. Heureusement la stigmatisation s&rsquo;att\u00e9nue : on a tous un (ou plusieurs) proche qui est touch\u00e9. Et, peut-\u00eatre, l&rsquo;efficacit\u00e9 des traitements est, elle aussi, croissante. Mais le d\u00e9bat n&rsquo;est pas clos sur la justesse des diagnostics pos\u00e9. Dans le dernier BMJ, deux articles en r\u00e9ponse \u00e0 la question : \u00ab\u00a0Is Depression Overdiagnosed?\u00a0\u00bb Le <a href=\"http:\/\/www.bmj.com\/cgi\/content\/short\/335\/7615\/328\">Yes<\/a> et le <a href=\"http:\/\/www.bmj.com\/cgi\/content\/short\/335\/7615\/329\">No<\/a>.<\/p>\n<blockquote>\n<address><span>[\u00e0 noter que seuls les 150 premiers mots sont accessibles \u00e0 ceux qui ne sont pas abonn\u00e9s au British Medical Journal. Si vous souhaitez avoir les articles, je me ferai un plaisir de vous envoyer les fichiers PDF &#8211; laissez-moi un mot: gilles.beauchamp AT gmail.com] <\/span><\/address>\n<\/blockquote>\n<p>Un sujet corollaire \u00e9tait aussi abord\u00e9, dans la m\u00eame forme de d\u00e9bat contradictoire, dans la Revue canadienne de psychiatrie:<\/p>\n<ul>\n<li> <a href=\"http:\/\/publications.cpa-apc.org\/media.php?mid=328\" target=\"_blank\">Are Antidepressants as Effective as Claimed? No, They Are Not Effective at All<\/a><\/li>\n<li><a href=\"http:\/\/publications.cpa-apc.org\/media.php?mid=325\" target=\"_blank\">Are Antidepressants as Effective as Claimed? Yes, But . . <\/a><\/li>\n<\/ul>\n<p>La r\u00e9plique est aussi donn\u00e9e aux arguments de l&rsquo;autre par les deux auteurs (voir <a href=\"http:\/\/publications.cpa-apc.org\/browse\/documents\/175\">table des mati\u00e8re<\/a> du num\u00e9ro de f\u00e9vrier de la revue). Quatre courts articles sur un d\u00e9bat passionnant. \u00c0 noter que tous les articles de la Revue canadienne de psychiatrie sont d&rsquo;acc\u00e8s libre.<\/p>\n<p>Enfin \u00e0 la question du diagnostic et celle du traitement appropri\u00e9 s&rsquo;ajoutent celles du <a href=\"http:\/\/www.nytimes.com\/2007\/08\/21\/health\/psychology\/21beha.html?_r=2&amp;adxnnl=1&amp;oref=slogin&amp;partner=rssnyt&amp;emc=rss\">choix de son th\u00e9rapeute<\/a> et, non la moindre, de l&rsquo;accessibilit\u00e9 \u00e0 des soins qui ne sont pas couverts par le syst\u00e8me de sant\u00e9. <em>En bonus <\/em>: un ensemble de <a href=\"http:\/\/www.psych.org\/psych_pract\/treatg\/pg\/prac_guide.cfm\">guides de pratiques<\/a> d\u00e9velopp\u00e9 par l&rsquo;American Psychatric Association.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00ab\u00a0About one-in-five people suffer from a diagnosable mental disorder during any given year.\u00a0\u00bb Carolyn Robinowitz, M.D. American Psychiatric Association. Vingt pourcent ! \u00c0 mesure que la puissance diagnostique s&rsquo;accroit, la proportion de personnes \u00ab\u00a0atteintes\u00a0\u00bb aussi. Heureusement la stigmatisation s&rsquo;att\u00e9nue : on a tous un (ou plusieurs) proche qui est touch\u00e9. Et, peut-\u00eatre, l&rsquo;efficacit\u00e9 des traitements &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/gillesenvrac.ca\/carnet\/2007\/08\/un-sur-cinq\/\" class=\"more-link\">Continuer la lecture<span class=\"screen-reader-text\"> de &laquo;&nbsp;un sur cinq&nbsp;&raquo;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"atmosphere_disabled":false,"atmosphere_custom_text":"","_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[],"tags":[150],"class_list":["post-617","post","type-post","status-publish","format-standard","hentry","tag-sante-mentale"],"jetpack_featured_media_url":"","jetpack-related-posts":[{"id":4688,"url":"https:\/\/gillesenvrac.ca\/carnet\/2013\/10\/sante-mentale-des-jeunes\/","url_meta":{"origin":617,"position":0},"title":"sant\u00e9 mentale des jeunes","author":"Gilles Beauchamp","date":"14 octobre 2013","format":false,"excerpt":"Kirby, l'ex-s\u00e9nateur champion de la sant\u00e9 mentale (rapport Kirby De l'ombre \u00e0 la lumi\u00e8re, 2006) persiste et signe. Il propose aux provinces et au f\u00e9d\u00e9ral d'investir l'\u00e9quivalent de la protection offerte aux employ\u00e9s du secteur public (et priv\u00e9 syndiqu\u00e9) : huit sessions pour faire face \u00e0 des probl\u00e8mes psychologiques, comportementaux.\u2026","rel":"","context":"Dans \"pr\u00e9vention\"","block_context":{"text":"pr\u00e9vention","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/prevention\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":538,"url":"https:\/\/gillesenvrac.ca\/carnet\/2007\/04\/a-qui-appartiennent-ces-textes\/","url_meta":{"origin":617,"position":1},"title":"\u00e0 qui appartiennent ces textes ?","author":"Gilles Beauchamp","date":"6 avril 2007","format":false,"excerpt":"Comment peut-on accepter, sous quelle logique biscornue, que des documents d'int\u00e9r\u00eat public (enfin il faut le supposer puisque c'est le public qui a pay\u00e9 pour la production de ces documents) ne soient publi\u00e9s qu'en format PDF \"barr\u00e9s\" : sans qu'on puisse en copier un seul mot. Des exemples ? Je\u2026","rel":"","context":"Dans \"acc\u00e8s libre\"","block_context":{"text":"acc\u00e8s libre","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/acces-libre\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":744,"url":"https:\/\/gillesenvrac.ca\/carnet\/2008\/04\/sentiment-dappartenance-et-sante\/","url_meta":{"origin":617,"position":2},"title":"sentiment d&rsquo;appartenance et sant\u00e9","author":"Gilles Beauchamp","date":"16 avril 2008","format":false,"excerpt":"La derni\u00e8re livraison de Rapports sur la sant\u00e9, publi\u00e9 par Statistique Canada, comprend un article de Margot Shields sur la relation entre le sentiment d'appartenance \u00e0 sa communaut\u00e9 locale et la perception de son \u00e9tat de sant\u00e9 (pdf) g\u00e9n\u00e9ral et de sant\u00e9 mentale. Fortement correl\u00e9e (n\u00e9gativement) avec le degr\u00e9 d'urbanisation\u2026","rel":"","context":"Dans \"sant\u00e9 mentale\"","block_context":{"text":"sant\u00e9 mentale","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/sante-mentale\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/wp-content\/uploads\/2022\/01\/Capture-de%CC%81cran-le-2022-01-16-a%CC%80-11.13.09.png?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/wp-content\/uploads\/2022\/01\/Capture-de%CC%81cran-le-2022-01-16-a%CC%80-11.13.09.png?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/wp-content\/uploads\/2022\/01\/Capture-de%CC%81cran-le-2022-01-16-a%CC%80-11.13.09.png?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/wp-content\/uploads\/2022\/01\/Capture-de%CC%81cran-le-2022-01-16-a%CC%80-11.13.09.png?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/wp-content\/uploads\/2022\/01\/Capture-de%CC%81cran-le-2022-01-16-a%CC%80-11.13.09.png?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":2025,"url":"https:\/\/gillesenvrac.ca\/carnet\/2009\/04\/veille-de-veilles\/","url_meta":{"origin":617,"position":3},"title":"veille de veilles","author":"Gilles Beauchamp","date":"1 avril 2009","format":false,"excerpt":"Ces deux bulletins de \"veille informationnelle\" ont toujours des documents, rapports et ressources \u00e0 proposer qui valent quelqu'attention. Tir\u00e9s des derni\u00e8res livraisons de Sant\u00e9 pop, publi\u00e9 par le R\u00e9seau de recherche en sant\u00e9 des populations, et VIsAge, produit par la direction de la sant\u00e9 publique de Mont\u00e9r\u00e9gie : Au Canada,\u2026","rel":"","context":"Dans \"organisation communautaire\"","block_context":{"text":"organisation communautaire","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/organisation-communautaire\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/images\/devsocial0903.png?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":521,"url":"https:\/\/gillesenvrac.ca\/carnet\/2007\/03\/sante-mentale-et\/","url_meta":{"origin":617,"position":4},"title":"sant\u00e9 mentale et&#8230;","author":"Gilles Beauchamp","date":"9 mars 2007","format":false,"excerpt":"Le prochain th\u00e8me de d\u00e9veloppement du projet clinique de mon CSSS porte sur la sant\u00e9 mentale. Le premier avait \u00e9t\u00e9, \u00e0 tout seigneur tout honneur, les services aux personnes en perte d'autonomie li\u00e9es au vieillissement (PPALV, dans le jargon). Sur ce terrain le CSSS pouvait se sentir \"chez lui\" :\u2026","rel":"","context":"Dans \"sant\u00e9 mentale\"","block_context":{"text":"sant\u00e9 mentale","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/sante-mentale\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":658,"url":"https:\/\/gillesenvrac.ca\/carnet\/2007\/11\/problemes-de-sante-mentale-et-sante-physique\/","url_meta":{"origin":617,"position":5},"title":"probl\u00e8mes de sant\u00e9 mentale et sant\u00e9 physique","author":"Gilles Beauchamp","date":"16 novembre 2007","format":false,"excerpt":"Disparities in appendicitis rupture rate among mentally ill patients: \"Many studies have been carried out that focus on mental patients' access to care for their mental illness, but very few pay attention on these same patients' access to care for their physical diseases. Acute appendicitis is a common surgical emergency.\u2026","rel":"","context":"Dans \"sant\u00e9 mentale\"","block_context":{"text":"sant\u00e9 mentale","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/sante-mentale\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/posts\/617","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/comments?post=617"}],"version-history":[{"count":0,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/posts\/617\/revisions"}],"wp:attachment":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/media?parent=617"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/categories?post=617"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/tags?post=617"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}