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Master Thesis

Communiquer un diagnostic de schizophrénie aujourd'hui : une revue systématisée de la littérature

Abstract : Introduction: Schizophrenia diagnosis announcement is a topical subject matter for which there are no proper guidelines. This paper is a national and international systematic review about schizophrenia diagnosis disclosure practices, completed in order to provide some recommendations. Methods: We selected a total of 17 articles, published between 2009 and 2020, and written in French, English or Spanish. They were found by searching in MEDLINE and Science Direct databases, supplemented with Google Scholar. Results: Our results show that the announcement of schizophrenia is inconsistent (from13.5 to 39% schizophrenia diagnosis are disclosed in France according to studies), incomplete, hampered by the psychiatrist’s many fears, awaited by the patient, and usually difficult for both. The word « schizophrenia » is not always pronounced. Abroad, some teams recommend the use of cancer diagnosis announcement protocol (SPIKES), while others draw inspiration from these and develop training programs based on simulations (Compsych). Discussion: Schizophrenia stands out: its diagnosis is uncertain, its announcement is made complicated by the patient’s poor insight and cognitive impairment , its name carries a strong stigma. Conclusion : We recommend the conduct of a consensus conference, along with a new analysis of practice, in addition to the design of a theoretical (deontological, legislative, ethical) and practical (by simulations) training program in schizophrenia diagnosis communication for psychiatry residents. As a result of this work, we offer a practical guide to the announcement of the schizophrenia diagnosis intended for psychiatry residents.
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Master Thesis
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Submitted on : Tuesday, February 2, 2021 - 8:22:53 AM
Last modification on : Tuesday, October 19, 2021 - 5:56:43 PM
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  • HAL Id : dumas-03128090, version 1


Rachel Moreno. Communiquer un diagnostic de schizophrénie aujourd'hui : une revue systématisée de la littérature. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03128090⟩



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