Eur Psychiat

IntroductionThe context of the COVID-19 pandemic has changed the daily life of families and children. Screen exposure was increased during this period to maintain social relationships, work remotely, and occupy leisure time.ObjectivesTo explore the association of continued above-recommendation screen use for one year since May 2020 with behaviour problems in the summer of 2021 in children aged 3 to 14 years.MethodsData came from the French EpiCov cohort study, and were collected in May 2020 and at first (Autumn 2020) and second follow-up (Summer 2021) among 1,089 participants with children aged 3 to 14. Children had a 1-year above-recommendation screen use if their daily mean time exceeded recommendations at the three follow-up times (one hour, for children aged 3-5, two for the older ones). Behaviour problems were assessed using the Strengths and Difficulties Questionnaire (SDQ) and valid cut-offs for Internalizing (emotional or peer problems) and Externalizing (conduct problems or hyperactivity/inattention) problems completed in summer 2021. Data were analysed using adjusted logistic regression.Results1-year above-recommendation screen use was not associated with internalizing problems (OR [95% CI]: 1.20 [0.90-1.59]). Regarding the subscales, it was associated with a higher risk of peer problems (1.42 [1.04-1.95]). A higher risk of externalizing problems was found only in 11-14-year-olds (1.63 [1.01-2.63]), especially conduct problems in 11-14-year-olds (1.91 [1.15-3.22]) but not in other age groups.ConclusionsThis study found that maintaining screen time beyond recommendations for 1 year since the onset of the pandemic was associated with peer problems in children aged 3-14 years and externalizing and conduct problems in 11-14 years. Despite this very specific context, exposure to screens is not trivial. If this situation were to occur again, we would have to anticipate, with prevention messages, by keeping schools open.Disclosure of InterestNone Declare

Factors associated with suicidal ideation in the French nationwide EPICOV study

The COVID-19 pandemic seems associated with a worsening in mental health issues as well as a widening of pre-existing social and health inequalities. Assessment of its impact on suicidal behavior might therefore be relevant. Objectives. To assess factors associated with suicidal ideation in the general population, using data from the French nationwide Epicov study Methods. In the nationally representative Epicov study, data on occurrence of suicidal ideation from November 2019 to November 2020 were available, including timing with respect to France’s lockdown periods. We studied the incidence of suicidal ideation among participants without a prior history of suicidal behavior, after May 11, 2020, when first COVID-19 related lockdown was suspended. Studied factors assessed sociodemographic and health status, including mental health, as well as COVID-19 related information such as symptom. Associations between selected factors and suicidal ideation were assessed in sex-stratified adjusted logistic regression models. Results. In the Epicov study, prevalence of suicidal ideation was of 2,9%, as opposed to around 4% pre-pandemic. Among 48 702 female and 41 016 male participants, health or financial issues were associated with a higher incidence of suicidal ideation. Interestingly, Covid19-like symptoms were also associated with higher risk of suicidal ideation. While an impaired mental health has been observed in survivors of past pandemics, given the unprecedented context of the current pandemic, this association needs further investigation. Conclusions. While the COVID-19 pandemic might have lowered suicidal ideation, it’s aftermaths may reverse the trend. To prevent this rise, identification of vulnerable groups is crucial to promote tailored public health strategies

Resilience of people with chronic medical conditions during the COVID-19 pandemic: a 1-year longitudinal prospective survey

Abstract Backgrounds: Individuals with chronic medical conditions are considered highly exposed to COVID-19 pandemic stress, but emerging evidence is demonstrating that resilience is common even among them. We aimed at identifying sustained resilient outcomes and their predictors in chronically ill people during the frst year of the pandemic. Methods: This international 4-wave 1-year longitudinal online survey included items on socio-demographic charac‑ teristics, economic and living situation, lifestyle and habits, pandemic-related issues, and history of mental disorders. Adherence to and approval of imposed restrictions, trust in governments and in scientifc community during the pandemic were also investigated. The following tools were administered: the Patient Health Questionnaire, the Gen‑ eralized Anxiety Disorder scale, the PTSD Checklist DSM-5, the Oslo Social Support Scale, the Padua Inventory, and the Portrait Values Questionnaire. Results: One thousand ffty-two individuals reporting a chronic condition out of 8011 total participants from 13 countries were included in the study, and 965 had data available for the fnal model. The estimated probability of being “sustained-resilient” was 34%. Older male individuals, participants employed before and during the pandemic or with perceived social support were more likely to belong to the sustained-resilience group. Loneliness, a previous mental disorder, high hedonism, fear of COVID-19 contamination, concern for the health of loved ones, and nonapproving pandemic restrictions were predictors of not-resilient outcomes in our sample. Conclusions: We found similarities and diferences from established predictors of resilience and identifed some new ones specifc to pandemics. Further investigation is warranted and could inform the design of resilience-building interventions in people with chronic diseases

Male Midwives in France : An Example of Masculinizing a "Feminine" Profession?

International audienceOf 19,208 midwives polled in France in 2010, 349 were men. Based on interviews from a selected group of male midwives and midwifery students, as well as data from a recent study of the midwife profession in France, this study shows that the masculinity brought to this profession by male practitioners can be qualified as "respective masculinity." This theoretical perspective permits a broader consideration of the existing models that explain male presence in non-traditional professions. These models describe their presence as either a power struggle, a means by which to be promoted, or even as a possible questioning of male identity. Male midwives assert their masculinity by seeking autonomy in their work. They are able to work around the obstacle of showing empathy to female patients, typically considered a gendered predisposition. The case of male midwives shows the dynamics of masculinization when taking into account socio-professional contexts.Sur les 19208 sages-femmes exerçant en France en 2010, 349 étaient des hommes. Basé sur des entretiens à partir d'une sélection d'hommes et d'étudiants sages-femmes, ainsi que sur des données d'une étude récente portant sur la profession sage-femme en France, cette étude montre que la masculinité portée par ces praticiens masculins peut être qualifiés de " masculinité respectueuse ". Cette perspective théorique permet une réflexion plus large sur les modèles existants pouvant expliquer la présence des hommes dans des professions non traditionnellement masculine. Ces modèles décrivent leur présence soit comme une lutte de pouvoir, soit un moyen de promotion, ou comme une remise en cause possible de l'identité masculine. Ces sages-femmes affirment leur masculinité en cherchant l'autonomie dans leur travail. Ils sont aussi capables de contourner l'obstacle de l'empathie envers les parturientes, généralement considérée comme une prédisposition sexuée. Le cas des hommes sages-femmes montre qu'il indispensable de croiser les dynamiques de masculinisation avec le contexte socio-professionne