Prise en charge psychoéducative pour sevrage de benzodiazépines en cure thermale (et enquête auprès de médecins généralistes)

O. Dubois (1) , R. Salamon (1) , Adélaide Doussau (1) , S. Maurice-Tison (1)

1 Institut de Santé Publique

The prevalence of benzodiapezine (BZD) consumption is assessed as 18.6% over 12 months and 11.3% over 30 days [1]. Within the framework of a transversal study with general practitioners (GP), 2000 GP representatives were picked by drawing lots. 300 provided information on 997 BZD-treated patients (15.6% patients/GP). 4.2% of the patients revealed the association of a length of treatment greater than recommended, with a notification to reduce or stop treatment by BZD, and others had expressed their wish to stop the treatment altogether. The weekly number of patients can be estimated at 47,189 for whom BZD withdrawal has been indicated. At the close of this work, a group of experts offered to draw up a procedure on in-care for BZD withdrawal in spa therapy for groups of 6 to 12 patients, stable regular BZD over-consumers for at least 3 months. This protocol associates daily crenotherapy treatment, personalized psychotherapeutic follow-up, consistent medical care and psycho-educative workshops. It is completed by a post-cure 6-month follow-up. There is an experimental phase under way in 2010 and 2011.

Mots clés: Anxiolytics; Balneotherapy; BZD withdrawal; Spa therapy; Anxiolytiques; Balnéothérapie; Cure thermale; Sevrage de benzodiazépine

Domaines: Psychologie et comportements

O. Dubois, R. Salamon, Adélaide Doussau, S. Maurice-Tison. Prise en charge psychoéducative pour sevrage de benzodiazépines en cure thermale (et enquête auprès de médecins généralistes). Annales Médico-Psychologiques, Revue Psychiatrique, 2011, 169 (6), pp.391. ⟨10.1016/j.amp.2011.05.001⟩. ⟨hal-00771584⟩