[Sexual health in female under treatment for opiate dependence using diacetylmorphine]. / La sexualité au féminin chez les patientes traitées par diacétylmorphine.

Sexual health is a key element to the well-being and quality of life of individuals. However, it is rarely incorporated into care delivery for women with an addictive condition. Female with severe dependence to opiate have their medical and social conditions improved by diacetylmorphine treatment. Which allows them to escape situations of high-risk of sexual violence. However, this pharmacotherapy can also induce adverse effects on the sexual sphere. This paper describes the relevance of integrating psycho-socio-sexological counselling into the care provision for the opiate dependence. The counselling should be oriented to respond to the specific relational and sexual issues faced by these female patients and empowering them on their lives and in recovering a better quality of life.

La santé sexuelle constitue un élément important au bien-être et à la qualité de vie, or c'est un élément peu abordé au cours des soins des patientes souffrant de trouble addictologique. Le traitement de diacétylmorphine améliore la situation médicale et sociale des patientes souffrant d'une dépendance sévère aux opiacés et leur permet de sortir de situations à haut risque de violences sexuelles ; mais il peut également induire des effets indésirables sexuels. Cet article décrit l'importance d'intégrer à la prise en charge addictologique un accompagnement psychosocio-sexologique axé sur les difficultés sexuelles et relationnelles spécifiquement rencontrées par les patientes afin de leur offrir la possibilité de retrouver du pouvoir sur leur vie et une meilleure qualité de vie.

Feelings of Loneliness: Understanding the Risk of Suicidal Ideation in Adolescents with Internet Addiction. A Theoretical Model to Answer to a Systematic Literature Review, without Results.

The Internet has become an essential tool for adolescents. It is part of their social integration within peers and supports their identity construction. The Internet can also become a source of addiction, especially when used as a coping strategy towards unpleasant life situations. Addiction to the Internet is often linked with an increase in the feeling of loneliness. The feeling of loneliness is an emotion present during adolescence. However, in excess, it can lead to suicidal ideation. Addiction to the Internet is also linked to an increased suicide risk. We questioned ourselves on the impact of the feeling of loneliness on the link between an excessive use of the Internet by adolescents and the risks of suicidal ideation. We attempted to find an answer to this question by performing a systematic review of the literature. We found no result matching our search criteria. We noted the absence of studies with regards to the interaction between the feeling of loneliness, addiction to the Internet and the risk of suicidal ideation amongst adolescents. We established a theoretical model which could be used as a lead for future research. We insist on the importance that studies need to be conducted in this domain, in order to enable us to establish efficient preventive measures for the risks of suicidal ideation amongst adolescents.

Why do cyberbullied adolescents stay in contact with their harasser? A Literature Review and Reflection on Cyberbullied Adolescents' Coping Strategies.

BACKGROUND: Many young patients who are cyberbullied maintain communication with their harasser, despite the fact that this behaviour perpetuates the harassment. Numerous studies describe coping strategies adopted by cyberbullied adolescents. None describe what motivates adolescents to continue to communicate with their harassers. METHODS: We conducted a literature review of cyberbullying, taking into account the challenges of adolescence. We used several search engines (Scopus, PsycINFO, Cairn and PubMed), using the following keywords: cyberbullying, teens, behaviour, coping strategies, social network, Facebook, counterpart. Our search returned 526 results, which were subsequently sorted as a function of their relevance. We also consulted reference books on adolescent psychology. RESULTS: The adolescent, whose identity is being rebuilt, seeks a peer group, but also a relationship with a counterpart. This search is replayed on social networks and can lead adolescents to meet a counterpart harasser. Studies show that adolescents who suffer from cyberbullying are more likely than others to be in search of new friendships, and use social networks to make up for a lack or absence of fulfilling social relationships. They have fewer friends, have more difficulty maintaining social ties, and have fewer communication skills. In addition, cyberbullied adolescents have poorer relationships with their parents and teachers than their peers. CONCLUSIONS: Narcissistically fragile adolescents are at greater risk of being unable to stop communicating with their cyberbully. If the adolescent has no other relationships that enable him or her to develop their identity, they will be unable to put an end to this harmful counterpart relationship. It would be interesting to supplement this review with an experimental study, and to consider the development of new, secondary prevention strategies in the adolescent population.