[PDF] La santé mentale en France et dans les pays de lOCDE

View - Download La santé mentale en France et dans les pays de lOCDE

Previous PDF

Next PDF

ISSN 2606-0272 ISBN : 978-2-87812-600-6

La santé mentale en France

Bibliographie thématique

Mai 2023

Marie-Odile Safon

Véronique Suhard

Synthèses & Bibliographies

www.irdes.fr Mai 2023 - Marie-Odile Safon - Véronique Suhard Relecture : Magali Coldefy, Coralie Gandré Page 2 sur 427

Sommaire

Problématique .................................................................................................................. 3

La santé mentale : aspects épidémiologiques et économiques........................................... 4

UN ESSAI DE DEFINITION ................................................................................................................. 4

ASPECTS EPIDEMIOLOGIQUES ........................................................................................................... 5

Prévalence et mortalité ......................................................................................................... 5

Surmortalité ....................................................................................................................... 49

Vieillissement et santé mentale ........................................................................................... 63

Cancer et santé mentale ...................................................................................................... 80

Covid et santé mentale ...................................................................................................... 122

ASPECTS ECONOMIQUES : COUTS ET FINANCEMENT DES SOINS .............................................................. 152

La politique psychiatrique en France .............................................................................. 169

UN APERÇU HISTORIQUE .............................................................................................................. 169

LES DIFFERENTES LOIS ET PLANS DE SANTE ........................................................................................ 172

LA RECONNAISSANCE DU HANDICAP PSYCHIQUE ................................................................................. 184

LA QUALITE DES SOINS ................................................................................................................. 197

SANTE MENTALE ET TERRITOIRE ..................................................................................................... 210

La sectorisation psychiatrique ............................................................................................ 233

La prise en charge de la santé mentale ........................................................................... 244

PARCOURS DE SOINS EN PSYCHIATRIE .............................................................................................. 244

Schizophrénie et dépression : une grande hétérogénéité des parcours ................................ 292

'HOSPITALISATIONS SANS CONSENTEMENT ET SON IMPACT SUR LE PARCOURS DE SOINS ............................. 319

LA PSYCHOTHERAPIE ................................................................................................................... 360

L'ELECTROCONVULSIVOTHERAPIE ................................................................................................... 379

RECHERCHE PARTICIPATIVE, PAIR AIDANCE ....................................................................................... 383

ENQUETES ET BASES MEDICO-ADMINISTRATIVES ................................................................................ 423

Les enquêtes nationales ..................................................................................................... 423

Les bases de données médico-administratives .................................................................... 424

ORGANISMES RESSOURCES ........................................................................................................... 424

Sites français ................................................................................................................................ 424

Sites internationaux .................................................................................................................... 427

www.irdes.fr Mai 2023 - Marie-Odile Safon - Véronique Suhard Relecture : Magali Coldefy, Coralie Gandré Page 3 sur 427

Problématique

Les maladies mentales représentent une proportion considérable ʹ et croissante ʹ de la charge

se traduisent par des difficultés dans le parcours scolaire, des taux de chômage plus élevés, et une

comme les troubles bipolaires et la schizophrénie, peuvent conduire les personnes au suicide.

des individus notamment chez les jeunes3. Par ailleurs, les coûts économiques des maladies mentales

économique (OCDE) les estime à plus de 4 % du produit intérieur brut (PIB), soit 600 milliards dans

les pays de ů'4. En France, les troubles mentaux (maladies psychiatriques ou consommations de

malheureusement sous investie et sous financée. Pourtant, le fardeau économique, social et

devenir un enjeu incontournable de la santé publique à travers le monde. En France, la situation est à

ou de loin. Or, face à ces drames humains, un silence assourdissant persiste, qui dit beaucoup de la

perception de la psychiatrie dans notre pays. Celle-ci se situe aux confluents de la méconnaissance,

plus personne ne se retrouve, même les acteurs les plus impliqués. Le système craque de toutes

parts et engendre de la souffrance pour les malades, leurs proches et les équipes médicales8. Dans le

cadre de la Stratégie nationale de santé " Ma santé 2022 », la Feuille de route de la santé mentale9

présente un plan global déclinant 37 actions selon trois axes : promouvoir le bien être mental,

prévenir et repérer précocement la souffrance psychique, et prévenir le suicide ; garantir des

parcours de soins coordonnés soutenus par une offre en psychiatrie accessible, diversifiée et de

1 McDaid, D., Hewlett, E. et Park, A. L. (2017). Understanding effective approaches to promoting mental health and

preventing mental illness. OECD Health Working Papers; 97.

2 OCDE (2012). Sick on the job? Mythgs and realities about mental health and work.

3 OCDE (2022). Health at a glance Europe 2022.

4 OCDE (2018). Promoting mental health in Europe: why and how ? In : Health at a glance : Europe 2018

5 Cnam (2018). Santé mentale. Rapport sur les charges et produits de l'assurance maladie pour 2019 : Améliorer la qualité

du système de santé et maîtriser les dépenses : propositions de l'Assurance Maladie pour 2019

6 Gandré, C., Prigent, A., Kemel, M. L., Leboyer, M. et Chevreul, K. (2015). "Evolution of public and non-profit funding for

mental health research in France between 2007 and 2011." Eur Neuropsychopharmacol 25(12)

7 Hazo, J. B., Gandré, C., Leboyer, M., Obradors-Tarrago, C., Belli, S., McDaid, D., Park, A. L., Maliandi, M. V., Wahlbeck, K.,

Wykes, T., van Os, J., Haro, J. M. et Chevreul, K. (2017). "National funding for mental health research in Finland, France,

Spain and the United Kingdom." Eur Neuropsychopharmacol 27(9)

8 Leboyer, M., Llorca, P.-M., Durand-Zaleski, I., et al. (2018). Psychiatrie : l'état d'urgence, Paris : Fondation fondamental

9 Ministère chargé de la santé (2018). "Feuille de route de la santé mentale et de la psychiatrie."

www.irdes.fr Mai 2023 - Marie-Odile Safon - Véronique Suhard Relecture : Magali Coldefy, Coralie Gandré Page 4 sur 427 mars 202310.

pour la période allant de 2000 à avril 2023 avec quelques publications clefs antérieures à ces dates.

Les recherches bibliographiques ont été réalisées sur les bases et les portails suivants : Irdes, BDSP,

Cairn, Medline, Econlit et Web of science.

Les aspects principalement documentés sont les suivants : - La politique de santé mentale en France : lois, plans, organisation et planification ; reconnaissance du handicap psychique. personnes souffrant de dépression et de schizophrénie ; hospitalisation sans consentement ; psychothérapie ; impact du Covid-19 ; recherche participative et pair-aidance. - Quelques données internationales. La santé mentale : aspects épidémiologiques et économiques

UN ESSAI DE DEFINITION

mondiale de la santé (OMS)11 définit la santé comme suit : " La santé est un état de complet bien-être

troubles ou de handicaps mentaux. La santé mentale est un état de bien-être dans lequel une

personne peut se réaliser, surmonter les tensions normales de la vie, accomplir un travail productif et

contribuer à la vie de sa communauté. Dans ce sens positif, la santé mentale est le fondement du

promotion, la protection et le rétablissement de la santé mentale sont des préoccupations centrales

pour les personnes, les collectivités et les sociétés partout dans le monde. Des facteurs sociaux,

moment donné. Ainsi, des pressions socio-économiques persistantes sont des facteurs de risque

reconnus pour la santé mentale des individus et des communautés. Les données factuelles qui

10 Ministère chargé de la santé (2023). Bilan de la feuille de route Santé mentale et psychiatrie

11 11 Préambule à la Constitution de l'Organisation mondiale de la santé, tel qu'adopté par la Conférence internationale sur

la santé, New York, 19 juin - 22 juillet 1946. www.irdes.fr Mai 2023 - Marie-Odile Safon - Véronique Suhard Relecture : Magali Coldefy, Coralie Gandré Page 5 sur 427

problèmes de santé mentale sont également associés aux éléments suivants : changement social

mode de vie malsain; risques de violence ou de mauvaise santé physique; et violations des droits de

aux troubles mentaux. Enfin, les troubles mentaux peuvent être dus à des causes biologiques,

notamment à des facteurs génétiques qui contribuent à des déséquilibres chimiques du cerveau.

ASPECTS EPIDEMIOLOGIQUES

mental le plus représenté : 25 millions de personnes, soit 5,4 % de la population ; suivi par les troubles dépressifs : 21

millions de personnes, soit 4,5 % de personnes. Les troubles bipolaires affectent 5 millions de personnes (1 % de la

population) et la schizophrénie affecte 1,6 millions de personnes (0.3 %). Les taux de prévalence sont très divers selon les

pays. Les taux les plus importants sont observés en Finlande, aux Pays-Bas, en France et en Irlande (18,5 % de la

population). Les taux les plus bas sont observés en Roumanie, Bulgarie et Pologne (15 % de la population). Ces différences

observées peuvent aussi être imputables au fait que les pathologies mentales sont mieux diagnostiquées dans certains pays

chroniques ou autres problèmes de santé insuffisamment traités. En France, une étude de Santé publique France14 basée

(CepiDc-Inserm) rapporte 783 403 décès avec mention de troubles mentaux (TM) sur la période 2000-2013, représentant

décès avec mention de TM, le suicide (11,1%) se situait en 3e position, derrière les causes cardiovasculaires (27,3%) et les

cancers (18,1%), alors que pour les décès sans mention de TM, le suicide (1,3%) se plaçait loin derrière les cancers (31,0%)

et le cardiovasculaire (28,9%).

Prévalence et mortalité

2022

(2022). "Global, regional, and national burden of 12 mental disorders in 204 countries and territories,

1990-2019: a systematic analysis for the Global Burden of Disease Study 2019." Lancet Psychiatry

9(2): 137-150.

BACKGROUND: The mental disorders included in the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 were depressive disorders, anxiety disorders, bipolar disorder, schizophrenia, autism spectrum disorders, conduct disorder, attention-deficit hyperactivity disorder, eating disorders, idiopathic developmental intellectual disability, and a residual category of other mental disorders. We aimed to measure the global, regional, and national

12 IHME (2018). Global Health Data Exchange. www.healthdata.org

13 OCDE (2017). Santé mentale. In : Panorama de la santé 2017. Indicateurs de l'OCDE.

14 Ha, C., Chan Che, C. et Decool, E. (2017). "Mortalité des personnes souffrant de troubles mentaux. Analyse en causes

multiples des certificats de décès en France, 2000-2013." Bulletin Epidemiologique Hebdomadaire(23).

www.irdes.fr Mai 2023 - Marie-Odile Safon - Véronique Suhard Relecture : Magali Coldefy, Coralie Gandré Page 6 sur 427 prevalence, disability-adjusted life-years (DALYS), years lived with disability (YLDs), and years of life lost (YLLs) for mental disorders from 1990 to 2019. METHODS: In this study, we assessed prevalence and burden estimates from GBD 2019 for 12 mental disorders, males and females, 23 age groups, 204 countries and territories, between 1990 and 2019. DALYs were estimated as the sum of YLDs and YLLs to premature mortality. We systematically reviewed PsycINFO, Embase, PubMed, and the Global Health Data Exchange to obtain data on prevalence, incidence, remission, duration, severity, and excess mortality for each mental disorder. These data informed a Bayesian meta-regression analysis to estimate prevalence by disorder, age, sex, year, and location. Prevalence was multiplied by corresponding disability weights to estimate YLDs. Cause-specific deaths were compiled from mortality surveillance databases. The Cause of Death Ensemble modelling strategy was used to estimate death rate by age, sex, year, and location. The death rates were multiplied by the years of life expected to be remaining at death based on a normative life expectancy to estimate YLLs. Deaths and YLLs could be calculated only for anorexia nervosa and bulimia nervosa, since these were the only mental disorders identified as underlying causes of death in GBD 2019. FINDINGS: Between 1990 and 2019, the global number of DALYs due to mental disorders increased from

80·8 million (95% uncertainty interval [UI] 59·5-105·9) to 125·3 million (93·0-163·2), and the

proportion of global DALYs attributed to mental disorders increased from 3·1% (95% UI 2·4-

3·9) to 4·9% (3·9-6·1). Age-standardised DALY rates remained largely consistent between

125·3 million YLDs (95% UI 93·0-163·2; 14·6% [12·2-16·8] of global YLDs) in 2019 attributable

Tropical Latin America, and high-income North America. INTERPRETATION: GBD 2019 showed that mental disorders remained among the top ten leading causes of burden worldwide, with no evidence of global reduction in the burden since 1990. The estimated YLLs for mental disorders were extremely low and do not reflect premature mortality in individuals with mental disorders. Research to establish causal pathways between mental disorders and other fatal health outcomes is recommended so that this may be addressed within the GBD study. To reduce the burden of mental disorders, coordinated delivery of effective prevention and treatment programmes by governments and the global health community is imperative. FUNDING: Bill & Melinda Gates Foundation, Australian National Health and Medical Research Council, Queensland Department of Health, Australia.

Document de travail de la Drees (102) Paris Drees

Ce dossier fait le point sur l'état de santé en France et en analyse les déterminants. Il

mobilise, pour se faire, les données les plus récentes, avec un focus sur les inégalités sociales

et territoriales de santé.

Dragioti, E., Li, H., Tsitsas, G., et al. (2022). "A large-scale meta-analytic atlas of mental health

problems prevalence during the COVID-19 early pandemic." J Med Virol 94(5): 1935-1949. The COVID-19 pandemic and related restrictions can impact mental health. To quantify the mental health burden of COVID-19 pandemic, we conducted a systematic review and meta- analysis, searching World Health Organization COVID-19/PsycInfo/PubMed databases www.irdes.fr Mai 2023 - Marie-Odile Safon - Véronique Suhard Relecture : Magali Coldefy, Coralie Gandré Page 7 sur 427 (09/29/2020), including observational studies reporting on mental health outcomes in any population affected by COVID-19. Primary outcomes were the prevalence of anxiety, depression, stress, sleep problems, posttraumatic symptoms. Sensitivity analyses were conducted on severe mental health problems, in high-quality studies, and in representative samples. Subgroup analyses were conducted stratified by age, sex, country income level, and COVID-19 infection status. One-hundred-seventy-three studies from February to July 2020 one percent were cross-sectional studies, and 18.5%/57.2% were of high/moderate quality. The highest prevalence emerged for posttraumatic symptoms in COVID-19 infected people (94%), followed by behavioral problems in those with prior mental disorders (77%), fear in healthcare workers (71%), anxiety in caregivers/family members of people with COVID-19 (42%), general health/social contact/passive coping style in the general population (38%), depression in those with prior somatic disorders (37%), and fear in other-than-healthcare workers (29%). Females and people with COVID-19 infection had higher rates of almost all outcomes; college students/young adults of anxiety, depression, sleep problems, suicidal ideation; adults of fear and posttraumatic symptoms. Anxiety, depression, and posttraumatic symptoms were more prevalent in low-/middle-income countries, sleep problems in high- income countries. The COVID-19 pandemic adversely impacts mental health in a unique manner across population subgroups. Our results inform tailored preventive strategies and interventions to mitigate current, future, and transgenerational adverse mental health of the

COVID-19 pandemic.

EnCLASS. Rennes Ehesp.

différences ressortent parfois entre régions, on observe une relative homogénéité du vécu,

des comportements de santé et des consommations de substances psychoactives chez les

et la santé des collégiens sur le territoire, et de mieux prioriser et planifier des actions au

niveau local. L'enquête nationale en Collège et en Lycée chez les Adolescents sur la Santé et

les Substances (EnCLASS) est une fusion des enquêtes HBSC / Espad.

Ehrenberg, A., Coldefy, M., Gandré, C., et al. (2022). "La santé mentale." Cahiers Français(426): 15-97.

prise en charge des troubles psychiques des malades. Ces troubles sont multiples et sont

fréquemment liés à des évolutions de notre société plus ou moins éprouvantes selon les

sur la prévention que par le passé (résumé de l'éditeur). www.irdes.fr Mai 2023 - Marie-Odile Safon - Véronique Suhard Relecture : Magali Coldefy, Coralie Gandré Page 8 sur 427 OCDE (2022). Health at a glance: Europe 2022. State of Health in the EU cycle. Paris OCDE

2022_507433b0-en

2022, cet ouvrage examine les principaux défis que les pays européens doivent relever pour

développer des systèmes de santé plus solides et plus résilients après la phase aiguë de la

pandémie de Covid-19. Il contient un focus sur la manière dont la pandémie a affecté la santé mentale et physique des jeunes. Le Rapport souligne la nécessité de mesures supplémentaires pour éviter que la pandémie de Covid-19 ne marque une génération de

jeunes. Cette édition du Panorama de la Santé : Europe évalue également la perturbation par

la pandémie d'un large éventail de services de santé pour les patients non-Covid, ainsi que

les réponses politiques déployées par les pays européens pour minimiser les conséquences

néfastes de ces perturbations. Il aborde également un certain nombre de facteurs de risque comportementaux et environnementaux importants qui ont un impact majeur sur la santé et la mortalité des personnes.

Patanè, M., Ghane, S., Karyotaki, E., et al. (2022). "Prevalence of mental disorders in refugees and

asylum seekers: a systematic review and meta-analysis." Glob Ment Health (Camb) 9: 250-263. BACKGROUND: Studies have identified high rates of mental disorders in refugees, but most used self-report measures of psychiatric symptoms. In this study, we examined the percentages of adult refugees and asylum seekers meeting diagnostic criteria for major depressive disorder (MDD), post-traumatic stress disorder, bipolar disorder (BPD), and psychosis. METHODS: A systematic literature search in three databases was conducted. We included studies examining the prevalence of MDD, post-traumatic stress disorder, BPD, and psychosis in adult refugees according to a clinical diagnosis. To estimate the pooled prevalence rates, we performed a meta-analysis using the Meta-prop package in Stata (PROSPERO: CRD42018111778). RESULTS: We identified 7048 records and 40 studies (11 053 participants) were included. The estimated pooled prevalence rates were 32% (95% CI 26-

39%; I (2) = 99%) for MDD, 31% (95% CI 25-38%; I (2) = 99.5%) for post-traumatic stress

disorder, 5% (95% CI 2-9%; I (2) = 97.7%) for BPD, and 1% (95% CI 1-2%; I (2) = 0.00%) for psychosis. Subgroup analyses showed significantly higher prevalence rates of MDD in studies conducted in low-middle income countries (47%; 95% CI 38-57%, p = 0.001) than high- income countries studies (28%; 95% CI 22-33%), and in studies which used the Mini- International Neuropsychiatric Interview (37%; 95% CI 28-46% p = 0.05) compared to other diagnostic interviews (26%; 95% CI 20-33%). Studies among convenience samples reported significant (p = 0.001) higher prevalence rates of MDD (35%; 95% CI 23-46%) and PTSD (34%;

95% CI 22-47%) than studies among probability-based samples (MDD: 30%; 95% CI 21-39%;

PTSD: 28%; 95% 19-37%). CONCLUSIONS: This meta-analysis has shown a markedly high prevalence of mental disorders among refugees. Our results underline the devastating effects of war and violence, and the necessity to provide mental health intervention to address mental disorders among refugees. The results should be cautiously interpreted due to the high heterogeneity.

Prieur, C., Dourgnon, P., Jusot, F., et al. (2022). "Une personne sans titre de séjour sur six souffre de

troubles de stress post-traumatique en France." Questions D'Economie De La Santé(Irdes)(266) www.irdes.fr Mai 2023 - Marie-Odile Safon - Véronique Suhard Relecture : Magali Coldefy, Coralie Gandré Page 9 sur 427 Les Troubles de stress post-traumatique (TSPT) sont des troubles psychiatriques qui surviennent après un événement traumatisant. Ils se traduisent par une souffrance morale et des complications physiques qui altèrent profondément la vie personnelle, sociale et

professionnelle. Ces troubles nécessitent une prise en charge spécialisée. Pour les personnes

sans titre de séjour, la migration peut avoir donné lieu à des expériences traumatiques sur le

susceptibles de favoriser le développement de TSPT. Quelle est la prévalence des troubles de stress post-traumatique au sein de cette population encore mal connue ? Comment les conditions de migration et les conditions de vie dans le pays d'accueil jouent-elles sur leur souffrent ?

Revet, A. (2022). "Use of the French national health insurance information system for research in the

field of mental health: Systematic review and perspectives." Fundam Clin Pharmacol 36(1): 16-34. PURPOSE: This systematic review registered in PROSPERO (CRD42021225296) aimed to describe the use of the French national health insurance information system, which covers the entire French population (67 million inhabitants), for research in the field of mental health. METHODS: Three electronic databases and a journal hand-search identified 15 265 articles from January 1, 2003 (year of creation of the database) to October 31, 2020. Studies of any design were eligible for inclusion provided that they (i) made use of at least one component of the French health insurance database and (ii) focused on a topic in near and far connection with the field of mental health in France. Database used, design and methods, study period, population, key findings, and type of use for medical research were described. RESULTS: A total of 152 studies were included in the review analysis. There was an increase in the number of published articles over time throughout the studied period. Studies focusing on adults (n = 139) largely outnumbered those focusing on children and adolescents (n = 11). Pharmacoepidemiological studies were by far the most frequent (n = 123), followed by methodological studies (n = 23), epidemiological studies (n = 17), and health economics studies (n = 3). The most studied psychotropic drugs were antidepressants (n = 27), anxiolytics (n = 27), and opioids (n = 25) while fewer studies focused on methylphenidate (n = 6) and on mood stabilizers (n = 5). Few studies specifically focused on psychiatric disorders, mainly depression (n = 4), suicide (n = 4), and psychotic disorders (n = 3). CONCLUSION: This systematic review highlighted a relatively poor exploitation of the Système national des données de santé database in the field of psychiatric research with regard to the great possibilities it offers, with a clear lag in certain fields such as epidemiological or health economics studies and in specific populations, in particular children and adolescents. Sacco, R., Camilleri, N. et Eberhardt, J. (2022). "A systematic review and meta-analysis on the prevalence of mental disorders among children and adolescents in Europe." Eur Child Adolescent

Psychiatry: 1-18.

Most mental disorders appear by age 14, but in most cases, they remain undiagnosed and untreated well into adulthood. A scoping review showed an absence of systematic reviews that address prevalence rates of mental disorders among children and adolescents in Europe that are based on community studies conducted between 2015 and 2020. To estimate the updated pooled prevalence of Anxiety Disorder, Depressive Disorder, Attention Deficit Hyperactivity Disorder (ADHD), Conduct Disorder (CD), Oppositional Defiant Disorder (ODD), Autism Spectrum Disorder, Eating Disorders, Substance Use Disorders (SUD), among children www.irdes.fr Mai 2023 - Marie-Odile Safon - Véronique Suhard Relecture : Magali Coldefy, Coralie Gandré Page 10 sur 427 and adolescents living in Europe, a search strategy was conducted using MEDLINE, Embase and Psych Info and studies were also identified from reference lists and gray literature. Eligible studies were evaluated for reliability, validity, and bias. Trends of prevalence rates for each mental disorder were calculated. Almost one in five young people in Europe were found to suffer from a mental disorder, with a pooled prevalence rate of 15.5%. Anxiety disorders had the highest pooled prevalence rate (7.9% (95% CI 5.1-11.8%, I(2): 98.0%)), followed by

ADHD (2.9% (95% CI 1.2-ϲ͘ϵй͕;ϮͿരсരϵϰ͘ϯйͿͿ͕;ϭ͘ϵй;ϵϱйϭ͘Ϭ-ϯ͘ϳй͕;ϮͿരсരϵϴ͘ϰйͿͿ͕

depressive disorder (1.7% (95% CI 1.0-Ϯ͘ϵй͕;ϮͿരсരϵϳ͘ϳй)), CD (1.5% (95% CI 0.6-3.8%,

identified. The mental health of children and adolescents may be improved by introducing routine screening, refining diagnostic sensitivity, raising awareness of mental disorders, minimizing stigma and socioeconomic inequality, as well as developing early intervention services. These facilitators of good mental health need to be prioritized, especially at a time of unprecedented risk factors for poor mental health. Solmi, M., Ghafari, M., Nadi, T., et al. (2022). "Global prevalence of unmet need for mental health care among adolescents: A systematic review and meta-analysis." J Med Virol 36: 1-6. PURPOSE: Globally mental disorders affect a large number of adolescents. The unmet need for health care of mental health problems is common among adolescents. The aim of this systematic review and meta-analysis was to estimate the global prevalence of unmet needs of mental health care among adolescents. METHODS: PubMed, Web of Sciences and Scopus, were searched by June 2018 using a pre-designed search strategy. The summary measure was the prevalence of unmet need for mental health care. The inverse variance method was used in meta-analysis, and the results were reported using the random-effects model at a

95% confidence interval (CI). RESULTS: Out of 30,154 retrieved studies, 15 cross-sectional

studies met the eligibility criteria and included in the meta-analysis. The included studies involved 51,309 participants, which 34,476 of them required the mental health care services. The overall pooled prevalence of unmet need for mental health care was 54.0% (95% CI:

41.0, 67.0; I(2) = 99.9%). Prevalence among adolescents with any mental disorder, general

population of adolescents, and high-risk adolescents were 58.1 (46.8, 69.5), 51.4 (30.2, 72.7), and 31.0 (29.0, 33.0) respectively. CONCLUSION: Based on the results of this systematic review a considerable proportion of adolescents with mental health problems, have not received the required mental health care. 2021
Chekole, Y. A. et Abate, S. M. (2021). "Global prevalence and determinants of mental health disorders during the COVID-19 pandemic: A systematic review and meta-analysis." Ann Med Surg (Lond) 68: 102634. BACKGROUND: Coronavirus Disease 2019 (COVID-19) has infected more than 5 million and lost the lives of more than 300 thousand people globally. It is the first-ever deadly pandemic with a significant degree of fear, worry and concern in the population at large. Therefore, this Meta-Analysis aims to assess the global prevalence and determinants of mental health disorders. METHODS: A three-stage search strategy was conducted on PubMed/Medline, Science direct LILACS and PsycINFO databases. The Heterogeneity among the included checked with a funnel plot and the objective diagnostic test was conducted with Egger's correlation, Begg's regression tests, and Trim and fill method. RESULTS: The Meta-Analysis www.irdes.fr Mai 2023 - Marie-Odile Safon - Véronique Suhard Relecture : Magali Coldefy, Coralie Gandré Page 11 sur 427 revealed that the pooled prevalence of anxiety and depression 33.59% (95% confidence interval (CI): 27.21 to 39.97, 30 studies, 88,543 participants) and 29.98% (95% confidence interval (CI): 25.32 to 34.64, 25 studies, 78,191 participants) respectively. CONCLUSION: The review revealed that more than thirty percent of patients developed anxiety and depression during COVID-19 Pandemic. This presages the health care stakeholders to prevent and intervene in mental health disorders. REGISTRATION: This review was registered in Prospero international prospective register of systematic reviews (CRD42020183146).

de Sousa, G. M., Tavares, V. D. O., de Meiroz Grilo, M. L. P., et al. (2021). "Mental Health in COVID-19

Pandemic: A Meta-Review of Prevalence Meta-Analyses." Front Psychol 12: 703838. Background: Mental health burden has been massively reported during the COVID-19 pandemic period. Aiming to summarise these data, we present a meta-review of meta- analyses that evaluated the impact of COVID-19 pandemic on anxiety, depressive and stress symptoms, psychological distress, post-traumatic stress disorder/symptoms (PTSD), and sleep disturbance, reporting its prevalence on general public (GP) and health care workers (HCW). Hoven, H., Wahrendorf, M., Goldberg, M., et al. (2021). "Adverse employment histories, work stress and self-reported depression in the French CONSTANCES study." Eur J Public Health 31(6): 1230- 1236.
https://doi.org/10.1093/eurpub/ckab181 Job instability and disadvantaged work were shown to be associated with poor mental health, but few studies analyzed these conditions in a life course perspective. In this study, adverse employment histories are retrospectively assessed and linked to self-reported depression. Furthermore, indirect effects of later stressful psychosocial work in terms of effort-reward imbalance are investigated. With data from the French CONSTANCES cohort study of 13 716 male and 12 767 female employees aged 45 and older, we identify adverse employment histories between age 25 and 45, focussing on job discontinuity, job instability and cumulative disadvantage. Direct effects of these conditions on self-reported depression effects of stressful work at baseline are examined. Moderately elevated odds ratios of self- reported depression are observed among participants with discontinued employment histories (number of unemployment periods; years out of work for men). Effort-reward imbalance at work is consistently related to elevated risk of self-reported depression and explains parts of the association between discontinuous employment and depression. Applying a life course perspective to occupational health research extends current knowledge. Specifically, adverse employment histories in terms of recurrent job discontinuity are related to the risk of self-reported depression. This association is partly explained by exposure to a stressful psychosocial work environment. These results can instruct labour market policies and the development of targeted worksite interventions that address disadvantage throughout entire employment trajectories. européenne (EHIS) 2019 - Métropole, Guadeloupe, Martinique, Guyane, La Réunion, Mayotte."

Dossiers De La Drees (Les)(78): 98.

lenquete-sante-europeenne-ehis-2019 www.irdes.fr Mai 2023 - Marie-Odile Safon - Véronique Suhard Relecture : Magali Coldefy, Coralie Gandré Page 12 sur 427 conduite en métropole et pour la première fois dans les cinq départements et régions porte sur la population âgée de 15 ans ou plus vivant à domicile, avec environ 14 000 répondants en métropole et 2 000 par DROM, permettant une comparaison entre ces différents territoires. Ma, L., Mazidi, M., Li, K., et al. (2021). "Prevalence of mental health problems among children and adolescents during the COVID-19 pandemic: A systematic review and meta-analysis." J Affect Disord

293: 78-89.

BACKGROUND: This systematic review and meta-analysis examined the prevalence of depression, anxiety, sleep disorders, and posttraumatic stress symptoms among children and adolescents during global COVID-19 pandemic in 2019 to 2020, and the potential modifying effects of age and gender. METHODS: A literature search was conducted in PubMed, Web of Science, PsycINFO, and two Chinese academic databases (China National Knowledge Infrastructure and Wanfang) for studies published from December 2019 to September 2020 that reported the prevalence of above mental health problems among children andquotesdbs_dbs33.pdfusesText_39

[PDF] ALERTE budget provincial

[PDF] ALERTE ÉQUITÉ SALARIALE

[PDF] Algorithmique et structures de données I

[PDF] Algorithmique. Mode d application

[PDF] Alimentation et tabac

[PDF] Alimenter son compte CPF

[PDF] ALLOCATION DE FORMATION 05/06

[PDF] Allocation pour adjoints de circonscription et rémunération du personnel au titre de l allocation de circonscription

[PDF] Aloa Vacances pourra mettre fin au programme de fidélité en cessant à tout moment de proposer à sa clientèle toute nouvelle adhésion.

[PDF] Alors, nos formations sont faites pour vous!

[PDF] Améliorer l'accès aux services de base : eau et assainissement en milieu urbain en Afrique 2 septembre

[PDF] Améliorer la gouvernance des Services Publics d'emploi pour de meilleurs résultats sur l'emploi

[PDF] Améliorer la performance de votre entreprise

[PDF] Améliorer la performance énergétique des logements. Quelles aides financières?

[PDF] Améliorer les régimes publics : une solution efficiente pour assurer une couverture adéquate