Simon Deniel (docteur en neuropsychologie), Marion Delarue (neuropsychologue, IGE, PhIND, Université de Caen Normandie), Louise Quételard (neuropsychologue, CT de la Sauvegarde du Nord), Malys Miquel (neuropsychologue, CT du the Fleuve), Stéphane Lozé (dir., CT de la Sauvegarde du Nord), Marie Dumont (neuropsychologue, CT de la Sauvegarde du Nord), Christophe Rimbaud (chef de service, CT Barsac), Susie Longbottom (dir., CT d’Aubervilliers), Nicolas Kenens (chef de service, CT d’Aubervilliers), Nicolas Bourguignon (dir., CEID-Addictions), Jonathan Rayneau (Chargé de projets, Fédération Addiction), Juliette Dupuis (Chargée de projets, Fédération Addiction), Marine Gaubert (responsable du pôle pratiques professionnelles, Fédération Addiction), Hélène Beaunieux (PU, LPCN, Université de Caen) & Ludivine Ritz (MC HDR, LPCN, Université de Caen) ont publié un nouvel article dans la revue BMC Psychiatry.
Deniel, S., Delarue, M., Quételard, L., Miquel, M., Lozé, S., Dumont, M., … & Ritz, L. (2026). Risk of neuropsychological impairment among therapeutic community residents: relationship with dropout and spontaneous recovery during treatment. BMC psychiatry, 26, 352. https://doi.org/10.1186/s12888-026-07995-1
Abstract
Background Therapeutic Communities (TCs) are long-term residential treatment settings for individuals with substance use disorders, who often present with neuropsychological impairments. These impairments may influence treatment retention, yet little is known about their evolution in TCs or their association with dropout. This study aims to: (1) identify early risk factors for dropout; (2) investigate the potential recovery from the risk of neuropsychological impairment during an 8-mont stay in a TC; and 3) identify variables at TC entry that may predict the risk of neuropsychological impairment during follow-up. Methods Fifty-seven residents from 3 French TCs completed clinical, substance use, and medical assessments, along with a neuropsychological screening (BEARNI) at entry. Twenty-four completed the 8-month follow-up. Results The dropout rate was 47%. The only significant predictor of dropout was the BEARNI total score, with residents at lower risk of neuropsychological impairment more likely to leave the TC prematurely. Among completers, BEARNI total scores improved at follow-up, primarily explained by improvements in balance rather than in cognitive areas. Lower education, unemployment, recent alcohol use, depressive symptoms, and a history of hepatic disease were consistently associated with a higher risk of neuropsychological impairment at both time points. Conclusions Unlike other treatment settings, the TC care framework may be particularly appropriate and supportive for residents who are more cognitively vulnerable, as they may be better able to benefit from TCs. Motor recovery among those who remain in treatment is encouraging. However, demographic, addiction-related, and comorbidity factors are consistently associated with the risk of neuropsychological impairment, both at baseline and after 8 months, suggesting a stable and persistent influence over time.
Il est consultable via ce lien : https://doi.org/10.1186/s12888-026-07995-1. Celui-ci a été publié dans la revue BMC Psychiatry (IF : 3.6), une revue scientifique internationale en libre accès, qui publie des articles évalués par les pairs dans tous les domaines de la psychiatrie et de la santé mentale. Elle couvre aussi bien la recherche clinique que l’épidémiologie, les traitements, et les aspects sociaux et biologiques des troubles psychiques.
Ludivine Ritz est enseignante-chercheuse HDR au LPCN, ses recherches portent sur la neuropsychologie, les addictions, les fonctions exécutives et les neurosciences cognitives.
Elle est impliquée dans le programme de recherche Addiction. Elle travaille actuellement sur un nouveau projet de recherche sur la drunkorexie : le projet DREMA.
