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Quelle réponse au trouble somatique fonctionnel : la filière ACSEPT.

Auteurs : Moumen C1, Rousselle M2, Danel J2, Vaiva G3, Amad A4, Horn M5
Affiliations : 1Service de psychiatrie de l'adulte, hôpital Fontan, CHU de Lille, 59000 Lille, France; EPSM Lille-Métropole, 59280 Armentières, France; EPSM des Flandres, 59270 Bailleul, France.2Service de psychiatrie de l'adulte, hôpital Fontan, CHU de Lille, 59000 Lille, France.3U1172 - LilNCog - Lille Neuroscience & Cognition, CHU de Lille, université de Lille, Inserm, 59000 Lille, France; Centre national de ressources et résilience pour les psychotraumas (Cn2r Lille Paris), 59000 Lille, France.
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Date 2025 Avril, Vol 51, Num 2, pp 216-219Revue : L'EncéphaleType de publication : revue de la littérature; résumé en anglais; article de périodique; DOI : 10.1016/j.encep.2024.06.005
Résumé

Functional somatic disorder (FSD) is a prevalent disorder that can be severely disabling for the patient and is associated with major health costs. There are few formalized care programs for these disorders in the country, and their management encounters various difficulties, both in the diagnosis and its announcement and the treatment. Cognitive-behavioural and emotional therapy (CBT) is the standard on psychiatry care, and its efficacy has been demonstrated through several randomised controlled studies on the intensity of physical and psychological symptoms.At Lille's University Hospital Center, we have established the "ACSEPT" care pathway for TSF management which consists of a psychiatric consultation followed by an individual referral, including a treatment using repeated transcranial magnetic stimulation (rTMS) or the integration of a CBT-based psychoeducation group. This group had the particularity of caring for all patients presenting FSD regardless of the associated physical symptoms. Educating medical professionals and conducting FSD research were other goals of ACSEPT.ACSEPT allows an improvement in the care offered to these patients with a defined orientation and interdisciplinary, early, organized cares that are repeatable. Our goal is to study the effectiveness of these different interventions in subsequent studies, to continue the development of ACSEPT and to be able to distribute this intervention at the regional level to establish a clear care program allowing early management of these patients.

Mot-clés auteurs
cognitive behavioral therapy; functional somatic disorder; liaison psychiatry; medically unexplained symptom; psychiatrie de liaison; somatic symptom disorder; symptôme médicalement inexpliqué; thérapie cognitivo-comportementale; trouble somatique fonctionnel; trouble à symptomatologie somatique;
 Source : MEDLINE©/Pubmed© U.S National Library of Medicine
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Moumen C, Rousselle M, Danel J, Vaiva G, Amad A, Horn M. Quelle réponse au trouble somatique fonctionnel : la filière ACSEPT. Encephale. 2025 Avr;51(2):216-219.
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Dernière date de mise à jour : 29/04/2025.


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