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Approche épidémiologique et évaluative des comportements addictifs

Abstract : Within the framework of addictive behaviours, a descriptive step is often the introduction necessary for any comprehensive step. Thus, epidemiology is a tool which turns out in particular when it is a question of considered i) the existence of addictifs behavior in a specific population and to measure the relevance of the notion of "harmful use" in nosography, ii) the relevance of use of one pathology as a model of study of addictifs mechanisms. So, we estimated at first the existence of addictif behaviours in a specific population "the pregnant women". It seems that self-reports are easily useful and provide a strong adhesion of the participants. The biological markers of alcohol consumption are not helpful contrary to biological markers of tobacco exposure which revealed a higher presence of environmental tobacco smoke. This survey also reveals that half of women in Auvergne consume at least one drink of alcohol during their pregnancy and that the major consequence of this consumption : the Fœtal Alcohol Syndrome (FAS) has been found to be present in at least 1.8 of 1000 live births. So this epidemiological study allowed measure of indicators of sanitary interest for a social and preventive Medicine and targeted programs for public health. Secondly, we estimated the addictif profile of another specific population "Parkinson's disease (PD) patients" in comparison to general population. The secondary objective is to better define tools at disposal. We noticed that the hypersexuality or the pathological gambling do not seem to be overrepresented behaviours in PD patients whereas dopamine dysregulation syndrome (DDS) is frequent. In prospect of this research, it seemed that reliable tools of evaluation particularly on hypersexuality remain to be developed. Furthemore to this epidemiological research, PD patients can represent a model to better understand the functioning of addictive behaviours.
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https://tel.archives-ouvertes.fr/tel-00726275
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Submitted on : Wednesday, August 29, 2012 - 2:59:27 PM
Last modification on : Thursday, December 16, 2021 - 2:23:03 PM
Long-term archiving on: : Friday, November 30, 2012 - 3:35:24 AM

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  • HAL Id : tel-00726275, version 1

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Ingrid de Chazeron. Approche épidémiologique et évaluative des comportements addictifs. Psychiatrie et santé mentale. Université Blaise Pascal - Clermont-Ferrand II; Université d'Auvergne - Clermont-Ferrand I, 2009. Français. ⟨NNT : 2009CLFMM14⟩. ⟨tel-00726275⟩

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