Epidemiology of mental health disorders in territories comparable to the French Southern and Antarctic Lands : a literature review
Since the first Antarctic missions, mental health has been an issue for team members on expeditions to these extreme territories and has not, to our knowledge, been the subject of any recent study. Through a review of the literature, a collection of data (quantitative and qualitative) and a question...
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2021
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ftunivreunion:oai:HAL:dumas-03900725v1 2023-06-11T04:04:35+02:00 Epidemiology of mental health disorders in territories comparable to the French Southern and Antarctic Lands : a literature review Épidémiologie des troubles en santé mentale dans les territoires comparables aux Terres Australes et Antarctiques Françaises (TAAF) : une revue de littérature Decker, Cyrille Université de La Réunion - UFR Santé (UR UFRS) Université de La Réunion (UR) Laurent Blum 2021-09-30 https://dumas.ccsd.cnrs.fr/dumas-03900725 https://dumas.ccsd.cnrs.fr/dumas-03900725/document https://dumas.ccsd.cnrs.fr/dumas-03900725/file/Decker_Cyrille_38007951.pdf fr fre HAL CCSD dumas-03900725 https://dumas.ccsd.cnrs.fr/dumas-03900725 https://dumas.ccsd.cnrs.fr/dumas-03900725/document https://dumas.ccsd.cnrs.fr/dumas-03900725/file/Decker_Cyrille_38007951.pdf info:eu-repo/semantics/OpenAccess https://dumas.ccsd.cnrs.fr/dumas-03900725 Sciences du Vivant [q-bio]. 2021 French Southern and Antarctic Territories Polar Isolated Mental health Psychiatry Terres Australes et Antarctiques Françaises Polaire Austral Santé mentale Psychiatrie [SDV]Life Sciences [q-bio] info:eu-repo/semantics/masterThesis Master thesis 2021 ftunivreunion 2023-05-29T16:04:40Z Since the first Antarctic missions, mental health has been an issue for team members on expeditions to these extreme territories and has not, to our knowledge, been the subject of any recent study. Through a review of the literature, a collection of data (quantitative and qualitative) and a questionnaire sent to the doctors of the TAAF (French Southern and Antarctic Lands), this work takes stock of the situation. Our objective is to improve the knowledge and training in mental health of the medical teams of the TAAF. According to the review, psychiatric consultations represent 3 to 7% of the consultation registers, 10% if we add sleep disorders and addictions; that proportion has been found in the registers analyzed by us. A majority of the TAAF physicians interviewed actually place these consultations above 10% - even above 30%. This remains lower than the prevalence of certain disorders (sleep) when active research is carried out (up to 50% of wintering populations). The specificity of certain pathologies (wintering syndrome, Antarctic stare, hibernation); the hypothesis of an underestimation of mental health disorders affecting TAAF personnel; the high prevalence of psychological disorders in bases with low numbers of personnel and the hypothesis that human factors are predominant; the relevance of specific treatments (melatonin, thyroid hormones, light therapy) are still discussed. If the mental health care offer in the TAAF seems to be satisfactory from the point of view of the physicians, it remains a challenge that motivates a strong demand for training in mental health (ex. : suicidal crisis). Dès les premières missions antarctiques, la santé mentale a été un enjeu pour les membres d’équipe en expédition dans ces territoires extrêmes et qui n’a fait à notre connaissance l’objet d’aucune étude récente. Au travers d’une revue de littérature, d’un recueil de données (quanti et qualitatives) et d’un questionnaire adressé aux médecins des TAAF (Terres Australes et Antarctiques Françaises), ce travail en ... Master Thesis Antarc* Antarctic Antarctique* Université de la Réunion: HAL Antarctic Austral |
institution |
Open Polar |
collection |
Université de la Réunion: HAL |
op_collection_id |
ftunivreunion |
language |
French |
topic |
French Southern and Antarctic Territories Polar Isolated Mental health Psychiatry Terres Australes et Antarctiques Françaises Polaire Austral Santé mentale Psychiatrie [SDV]Life Sciences [q-bio] |
spellingShingle |
French Southern and Antarctic Territories Polar Isolated Mental health Psychiatry Terres Australes et Antarctiques Françaises Polaire Austral Santé mentale Psychiatrie [SDV]Life Sciences [q-bio] Decker, Cyrille Epidemiology of mental health disorders in territories comparable to the French Southern and Antarctic Lands : a literature review |
topic_facet |
French Southern and Antarctic Territories Polar Isolated Mental health Psychiatry Terres Australes et Antarctiques Françaises Polaire Austral Santé mentale Psychiatrie [SDV]Life Sciences [q-bio] |
description |
Since the first Antarctic missions, mental health has been an issue for team members on expeditions to these extreme territories and has not, to our knowledge, been the subject of any recent study. Through a review of the literature, a collection of data (quantitative and qualitative) and a questionnaire sent to the doctors of the TAAF (French Southern and Antarctic Lands), this work takes stock of the situation. Our objective is to improve the knowledge and training in mental health of the medical teams of the TAAF. According to the review, psychiatric consultations represent 3 to 7% of the consultation registers, 10% if we add sleep disorders and addictions; that proportion has been found in the registers analyzed by us. A majority of the TAAF physicians interviewed actually place these consultations above 10% - even above 30%. This remains lower than the prevalence of certain disorders (sleep) when active research is carried out (up to 50% of wintering populations). The specificity of certain pathologies (wintering syndrome, Antarctic stare, hibernation); the hypothesis of an underestimation of mental health disorders affecting TAAF personnel; the high prevalence of psychological disorders in bases with low numbers of personnel and the hypothesis that human factors are predominant; the relevance of specific treatments (melatonin, thyroid hormones, light therapy) are still discussed. If the mental health care offer in the TAAF seems to be satisfactory from the point of view of the physicians, it remains a challenge that motivates a strong demand for training in mental health (ex. : suicidal crisis). Dès les premières missions antarctiques, la santé mentale a été un enjeu pour les membres d’équipe en expédition dans ces territoires extrêmes et qui n’a fait à notre connaissance l’objet d’aucune étude récente. Au travers d’une revue de littérature, d’un recueil de données (quanti et qualitatives) et d’un questionnaire adressé aux médecins des TAAF (Terres Australes et Antarctiques Françaises), ce travail en ... |
author2 |
Université de La Réunion - UFR Santé (UR UFRS) Université de La Réunion (UR) Laurent Blum |
format |
Master Thesis |
author |
Decker, Cyrille |
author_facet |
Decker, Cyrille |
author_sort |
Decker, Cyrille |
title |
Epidemiology of mental health disorders in territories comparable to the French Southern and Antarctic Lands : a literature review |
title_short |
Epidemiology of mental health disorders in territories comparable to the French Southern and Antarctic Lands : a literature review |
title_full |
Epidemiology of mental health disorders in territories comparable to the French Southern and Antarctic Lands : a literature review |
title_fullStr |
Epidemiology of mental health disorders in territories comparable to the French Southern and Antarctic Lands : a literature review |
title_full_unstemmed |
Epidemiology of mental health disorders in territories comparable to the French Southern and Antarctic Lands : a literature review |
title_sort |
epidemiology of mental health disorders in territories comparable to the french southern and antarctic lands : a literature review |
publisher |
HAL CCSD |
publishDate |
2021 |
url |
https://dumas.ccsd.cnrs.fr/dumas-03900725 https://dumas.ccsd.cnrs.fr/dumas-03900725/document https://dumas.ccsd.cnrs.fr/dumas-03900725/file/Decker_Cyrille_38007951.pdf |
geographic |
Antarctic Austral |
geographic_facet |
Antarctic Austral |
genre |
Antarc* Antarctic Antarctique* |
genre_facet |
Antarc* Antarctic Antarctique* |
op_source |
https://dumas.ccsd.cnrs.fr/dumas-03900725 Sciences du Vivant [q-bio]. 2021 |
op_relation |
dumas-03900725 https://dumas.ccsd.cnrs.fr/dumas-03900725 https://dumas.ccsd.cnrs.fr/dumas-03900725/document https://dumas.ccsd.cnrs.fr/dumas-03900725/file/Decker_Cyrille_38007951.pdf |
op_rights |
info:eu-repo/semantics/OpenAccess |
_version_ |
1768389007154085888 |