4 research outputs found
Occupational stress and burnout in the dentists : the role of certain personal and contextual characteristics in the stress adaptation : a longitudinal and comparative study among brazilian and french dentists
Introduction : L’Odontologie est considérée comme une profession stressante, fréquemment associée à des problèmes de santé, tant d’ordre physique que psychique. L’objectif de cette étude est d’élucider le rôle de certains facteurs psychosociaux chez les Chirurgiens Dentistes Français et Brésiliens.Méthode : Nous avons mené une étude longitudinale auprès de 322 Chirurgiens-Dentistes (161 Français et 161 Brésiliens) au premier temps et au deuxième temps sur une cohorte de 179 (94 Français et 85 Brésiliens). Des mesures relatives à certaines caractéristiques socio-démographiques, psychosociales et transactionnelles ont été ont été administrées aux Chirurgiens-Dentistes. Les critères retenus étaient le burnout, la dépression, les troubles musculo-squelettiques et les troubles du sommeil évaluées à T2 ainsi que des stratégies de coping. Nous avons construit une échelle de stress spécifique à notre population. L’analyse factorielle a permis d’obtenir 1 facteur. Dans une perspective prédictive, des analyses en équation structurales nous ont permis, pour chacun le burnout et la dépression, de tester l’adéquation d’un modèle théorique aux données observées.Résultats : L’influence des scores obtenus sur le burnout, les troubles musculo-squelettiques et les troubles du sommeil) est confirmée par des analyses typologiques identifiant trois profils des dentistes : les dentistes en bonne santé, moins accomplis et en mauvaise santé. Les profils des dentistes Français et Brésiliens sont similaires. Les profils des dentistes moins accomplis et en mauvaise santé liés à certains facteurs psychosociaux, semblent particulièrement à risque de développer une mauvaise santé. Nous avons mis en évidence plusieurs modèles intégratifs témoignant d’effets directs et indirects des antécédents sur les critères, médiatisés par certaines variables transactionnelles. Les variables ratio effort/récompense et le coping de réévaluation du problème ont des effets médiateurs sur : le perfectionnisme et l’épuisement émotionnel, la solitude et l’épuisement émotionnel, le sentiment de solitude et la dépression. Le perfectionnisme prédit la dépression, cet effet passe par le ratio effort/récompense. Conclusion : Ces résultats montrent l’intérêt d’appliquer le modèle transactionnel à la santé des Chirurgiens-Dentistes et suggèrent des pistes de réflexion concernant les perspectives appliquées que ce soit en terme de prévention ou de prise en charge.Introduction: The Dentistry is considered a stressful profession, being frequently associated with health problems, physical as much mental. The objective of this study is to elucidate the role of psychosomatic factors that affect French and Brazilian dentists.Method: Was made a longitudinal study in 322 dentists (161 French and 161 Brazilians), at a first turn, and 179 dentists at a second turn (when 94 was French and 85 was Brazilians). Measures related to certain socio demographic characteristics (psychosomatic and transactional) were administered for the dentists. The study’s criterions at the second turn were: burnout, depression, muscle-skeleton’s disturbances and sleep disturbances and copping strategies. We construct a specific stress scale for our sample. The factorial analysis resulted in only one factor. Through a perspective predictive, analysis of structural equations allowed to burnout and to depression to test a theoretical model across the observed data.Results: The score analysis obtained from burnout, depression, muscle-skeleton’s disturbances and sleep disturbance, allowed to identify, by cluster analysis, three dentists’ profiles: “with good health”; “with minor personal accomplishment”; “with health at risk”. The French and Brazilian dentist profiles were similar. The psychosomatic factors that influence the adhesion to a one of these profiles are different between the two groups (French and Brazilians). At France, above all, are the context variables and from stress processes (imbalance of effort and reward, specific stress of dentists and copping strategies) that are risk factors to the health. At Brazil, this is the dispositional variables (age, perfectionism and over commitment). We tested an integrator model which showed direct and indirect effects on criterions of our study, mediated by some transactional variables. The variables imbalance between effort and reward and copping, in the revaluation of the problem, has mediation’s effects between perfectionism and emotional exhaustion, between the solitude and emotional exhaustion, between the solitude and depression and between perfectionism and depression.Conclusions: These results showed the interest of application of the transactional model to the health of the surgeons dentists in two different cultures and suggests ways to a reflection about the applied perspectives, in terms of prevention as much as care
Estresse ocupacional e burnout nos cirurgiões-dentistas : o papel de determinadas caracterĂsticas pessoais e contextuais na adaptação ao estresse : um estudo longitudinal e comparativo entre França e Brasil
Introduction : L’Odontologie est considĂ©rĂ©e comme une profession stressante, frĂ©quemment associĂ©e Ă des problèmes de santĂ©, tant d’ordre physique que psychique. L’objectif de cette Ă©tude est d’élucider le rĂ´le de certains facteurs psychosociaux chez les Chirurgiens Dentistes Français et BrĂ©siliens.MĂ©thode : Nous avons menĂ© une Ă©tude longitudinale auprès de 322 Chirurgiens-Dentistes (161 Français et 161 BrĂ©siliens) au premier temps et au deuxième temps sur une cohorte de 179 (94 Français et 85 BrĂ©siliens). Des mesures relatives Ă certaines caractĂ©ristiques socio-dĂ©mographiques, psychosociales et transactionnelles ont Ă©tĂ© ont Ă©tĂ© administrĂ©es aux Chirurgiens-Dentistes. Les critères retenus Ă©taient le burnout, la dĂ©pression, les troubles musculo-squelettiques et les troubles du sommeil Ă©valuĂ©es Ă T2 ainsi que des stratĂ©gies de coping. Nous avons construit une Ă©chelle de stress spĂ©cifique Ă notre population. L’analyse factorielle a permis d’obtenir 1 facteur. Dans une perspective prĂ©dictive, des analyses en Ă©quation structurales nous ont permis, pour chacun le burnout et la dĂ©pression, de tester l’adĂ©quation d’un modèle thĂ©orique aux donnĂ©es observĂ©es.RĂ©sultats : L’influence des scores obtenus sur le burnout, les troubles musculo-squelettiques et les troubles du sommeil) est confirmĂ©e par des analyses typologiques identifiant trois profils des dentistes : les dentistes en bonne santĂ©, moins accomplis et en mauvaise santĂ©. Les profils des dentistes Français et BrĂ©siliens sont similaires. Les profils des dentistes moins accomplis et en mauvaise santĂ© liĂ©s Ă certains facteurs psychosociaux, semblent particulièrement Ă risque de dĂ©velopper une mauvaise santĂ©. Nous avons mis en Ă©vidence plusieurs modèles intĂ©gratifs tĂ©moignant d’effets directs et indirects des antĂ©cĂ©dents sur les critères, mĂ©diatisĂ©s par certaines variables transactionnelles. Les variables ratio effort/rĂ©compense et le coping de rĂ©Ă©valuation du problème ont des effets mĂ©diateurs sur : le perfectionnisme et l’épuisement Ă©motionnel, la solitude et l’épuisement Ă©motionnel, le sentiment de solitude et la dĂ©pression. Le perfectionnisme prĂ©dit la dĂ©pression, cet effet passe par le ratio effort/rĂ©compense. Conclusion : Ces rĂ©sultats montrent l’intĂ©rĂŞt d’appliquer le modèle transactionnel Ă la santĂ© des Chirurgiens-Dentistes et suggèrent des pistes de rĂ©flexion concernant les perspectives appliquĂ©es que ce soit en terme de prĂ©vention ou de prise en charge.Introduction: The Dentistry is considered a stressful profession, being frequently associated with health problems, physical as much mental. The objective of this study is to elucidate the role of psychosomatic factors that affect French and Brazilian dentists.Method: Was made a longitudinal study in 322 dentists (161 French and 161 Brazilians), at a first turn, and 179 dentists at a second turn (when 94 was French and 85 was Brazilians). Measures related to certain socio demographic characteristics (psychosomatic and transactional) were administered for the dentists. The study’s criterions at the second turn were: burnout, depression, muscle-skeleton’s disturbances and sleep disturbances and copping strategies. We construct a specific stress scale for our sample. The factorial analysis resulted in only one factor. Through a perspective predictive, analysis of structural equations allowed to burnout and to depression to test a theoretical model across the observed data.Results: The score analysis obtained from burnout, depression, muscle-skeleton’s disturbances and sleep disturbance, allowed to identify, by cluster analysis, three dentists’ profiles: “with good health”; “with minor personal accomplishment”; “with health at risk”. The French and Brazilian dentist profiles were similar. The psychosomatic factors that influence the adhesion to a one of these profiles are different between the two groups (French and Brazilians). At France, above all, are the context variables and from stress processes (imbalance of effort and reward, specific stress of dentists and copping strategies) that are risk factors to the health. At Brazil, this is the dispositional variables (age, perfectionism and over commitment). We tested an integrator model which showed direct and indirect effects on criterions of our study, mediated by some transactional variables. The variables imbalance between effort and reward and copping, in the revaluation of the problem, has mediation’s effects between perfectionism and emotional exhaustion, between the solitude and emotional exhaustion, between the solitude and depression and between perfectionism and depression.Conclusions: These results showed the interest of application of the transactional model to the health of the surgeons dentists in two different cultures and suggests ways to a reflection about the applied perspectives, in terms of prevention as much as care.Introdução - A Odontologia Ă© considerada uma profissĂŁo estressante, frequentemente associada a problemas de saĂşde tanto fĂsica quanto mental. O objetivo deste estudo Ă© elucidar o papel dos fatores psicossociais em Cirurgiões-Dentistas franceses e brasileiros. MĂ©todo - Realizou-se um estudo de corte longitudinal em dois tempos. No primeiro tempo com 322 dentistas, sendo 161 franceses e 161 brasileiros, e no segundo tempo com 94 franceses e 85 brasileiros, totalizando 179 dentistas. Medidas relacionadas a determinadas caracterĂsticas sociodemográficas, psicossociais e transacionais foram administradas nos dentistas. Os critĂ©rios do estudo foram: burnout, depressĂŁo, distĂşrbios mĂşsculo-esquelĂ©ticos e do sono em T2 e estratĂ©gias de coping. Construiu-se uma escala de estresse especĂfico para essa população, e a análise fatorial resultou em um fator. Por meio de uma perspectiva preditiva as análises de equações estruturais permitiram, tanto para o burnout quanto para a depressĂŁo, testar um modelo teĂłrico a partir dos dados observados.Resultados - A análise dos escores obtidos do burnout e dos distĂşrbios mĂşsculo-esquelĂ©tico e do sono permitiu identificar, pelas análises de cluster, trĂŞs perfis de dentistas: com boa saĂşde, com menor realização pessoal e com saĂşde precária. Os perfis dos dentistas franceses e brasileiros sĂŁo semelhantes, mas os fatores psicossociais que influenciam a adesĂŁo a um desses perfis sĂŁo diferentes entre os dois paĂses. Na França sĂŁo, sobretudo, as variáveis de contexto e do processo de estresse: desequilĂbrio esforço/ recompensa, estresse especĂfico dos dentistas e estratĂ©gias de coping, que sĂŁo fatores de risco para a saĂşde. No Brasil sĂŁo as variáveis disposicionais, como idade, perfeccionismo e supercomprometimento. Testou-se um modelo integrador que mostra efeitos diretos e indiretos sobre os critĂ©rios deste estudo, mediados por certas variáveis transacionais. As variáveis desequilĂbrio e esforço-recompensa e coping reavaliação do problema tĂŞm efeitos de mediação entre: perfeccionismo e exaustĂŁo emocional; solidĂŁo e exaustĂŁo emocional; solidĂŁo e depressĂŁo; e perfeccionismo e depressĂŁo. ConclusĂŁo – Os resultados mostram o interesse da aplicação do modelo transacional Ă saĂşde dos Cirurgiões-Dentistas em duas culturas diferentes, e sugerem caminhos para a reflexĂŁo em relação Ă s perspectivas aplicadas tanto em termos de prevenção quanto de cuidados
Chronic sleep deprivation, car driving and inter-individual vulnerability: snore and obstructive sleep apnea syndrome
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Previous issue date: 2011A privação do sono Ă© a redução ou supressĂŁo do sono e pode comprometer a eficiĂŞncia das vias aĂ©reas superiores e o desempenho cognitivo. O objetivo desse estudo foi de analisar como a privação crĂ´nica do sono afeta o desempenho cognitivo na direção em motoristas roncadores. Fez-se uma revisĂŁo de literatura por meio de artigos das bases de dados. O presente estudo revelou que, apĂłs um perĂodo de privação de sono, os indivĂduos normais tornam-se roncadores e os roncadores tornam-se apnĂ©icos. Os indivĂduos roncadores podem ter o sono fragmentado e, consequentemente, a sonolĂŞncia diurna, diminui o desempenho em diversas tarefas, principalmente a direção.The sleep deprivation is the reduction or elimination of sleep and may compromise the efficiency of the upper airways and cognitive performance. The aim of this study was to examine how chronic sleep deprivation affects cognitive performance with the snoring drivers. Such compromises may contribute to traffic accidents. A literature review was made through sources of articles involving this disorder. This study revealed that after a period of sleep deprivation, the normal individuals, became snoring, and the snoring individuals became individuals’ apneics. Snoring individuals have their sleep fragmented and therefore may have daytime sleepiness. The daytime sleepiness is cause of reducing the performance of various tasks, and when such tasks include the direction, there is the inclusion of this activity in danger.[Inocente, Nancy Julieta] Universidade de TaubatĂ©, BrazilReimĂŁo, Rubens] Universidade de SĂŁo Paulo, BrazilInocente, Clara Odilia; Inocente, Janine Julieta] UniversitĂ© Victor Segalen Bordeaux 2, Franc
Le stress professionnel et le burnout chez les chirurgiens-dentistes (rôle de certaines caractéristiques personnelles et contextuelles dans l'ajustement au stress professionnel)
Introduction : L Odontologie est considérée comme une profession stressante, fréquemment associée à des problèmes de santé, tant d ordre physique que psychique. L objectif de cette étude est d élucider le rôle de certains facteurs psychosociaux chez les Chirurgiens Dentistes Français et Brésiliens.Méthode : Nous avons mené une étude longitudinale auprès de 322 Chirurgiens-Dentistes (161 Français et 161 Brésiliens) au premier temps et au deuxième temps sur une cohorte de 179 (94 Français et 85 Brésiliens). Des mesures relatives à certaines caractéristiques socio-démographiques, psychosociales et transactionnelles ont été ont été administrées aux Chirurgiens-Dentistes. Les critères retenus étaient le burnout, la dépression, les troubles musculo-squelettiques et les troubles du sommeil évaluées à T2 ainsi que des stratégies de coping. Nous avons construit une échelle de stress spécifique à notre population. L analyse factorielle a permis d obtenir 1 facteur. Dans une perspective prédictive, des analyses en équation structurales nous ont permis, pour chacun le burnout et la dépression, de tester l adéquation d un modèle théorique aux données observées.Résultats : L influence des scores obtenus sur le burnout, les troubles musculo-squelettiques et les troubles du sommeil) est confirmée par des analyses typologiques identifiant trois profils des dentistes : les dentistes en bonne santé, moins accomplis et en mauvaise santé. Les profils des dentistes Français et Brésiliens sont similaires. Les profils des dentistes moins accomplis et en mauvaise santé liés à certains facteurs psychosociaux, semblent particulièrement à risque de développer une mauvaise santé. Nous avons mis en évidence plusieurs modèles intégratifs témoignant d effets directs et indirects des antécédents sur les critères, médiatisés par certaines variables transactionnelles. Les variables ratio effort/récompense et le coping de réévaluation du problème ont des effets médiateurs sur : le perfectionnisme et l épuisement émotionnel, la solitude et l épuisement émotionnel, le sentiment de solitude et la dépression. Le perfectionnisme prédit la dépression, cet effet passe par le ratio effort/récompense. Conclusion : Ces résultats montrent l intérêt d appliquer le modèle transactionnel à la santé des Chirurgiens-Dentistes et suggèrent des pistes de réflexion concernant les perspectives appliquées que ce soit en terme de prévention ou de prise en charge.Introduction: The Dentistry is considered a stressful profession, being frequently associated with health problems, physical as much mental. The objective of this study is to elucidate the role of psychosomatic factors that affect French and Brazilian dentists.Method: Was made a longitudinal study in 322 dentists (161 French and 161 Brazilians), at a first turn, and 179 dentists at a second turn (when 94 was French and 85 was Brazilians). Measures related to certain socio demographic characteristics (psychosomatic and transactional) were administered for the dentists. The study s criterions at the second turn were: burnout, depression, muscle-skeleton s disturbances and sleep disturbances and copping strategies. We construct a specific stress scale for our sample. The factorial analysis resulted in only one factor. Through a perspective predictive, analysis of structural equations allowed to burnout and to depression to test a theoretical model across the observed data.Results: The score analysis obtained from burnout, depression, muscle-skeleton s disturbances and sleep disturbance, allowed to identify, by cluster analysis, three dentists profiles: with good health ; with minor personal accomplishment ; with health at risk . The French and Brazilian dentist profiles were similar. The psychosomatic factors that influence the adhesion to a one of these profiles are different between the two groups (French and Brazilians). At France, above all, are the context variables and from stress processes (imbalance of effort and reward, specific stress of dentists and copping strategies) that are risk factors to the health. At Brazil, this is the dispositional variables (age, perfectionism and over commitment). We tested an integrator model which showed direct and indirect effects on criterions of our study, mediated by some transactional variables. The variables imbalance between effort and reward and copping, in the revaluation of the problem, has mediation s effects between perfectionism and emotional exhaustion, between the solitude and emotional exhaustion, between the solitude and depression and between perfectionism and depression.Conclusions: These results showed the interest of application of the transactional model to the health of the surgeons dentists in two different cultures and suggests ways to a reflection about the applied perspectives, in terms of prevention as much as care.BORDEAUX2-Bib. électronique (335229905) / SudocSudocFranceF