La santé mentale par la gestion des projets personnels : une intervention auprès de jeunes retraités

Une intervention axée sur les buts personnels est offerte à des retraités de 50 à 65 ans en vue d’augmenter leur bien-être psychologique et leur santé mentale. Plus spécifiquement, le programme présenté ici a pour objectif de promouvoir l’expression, la planification et la réalisation de projets personnels à travers une démarche d’apprentissage basée sur une approche cognitive. À la suite de l’intervention, les participants du groupe expérimental (n = 117) se sont améliorés significativement comparativement au groupe contrôle (n = 177) sur tous les indices relatifs aux buts et au bien-être subjectif, et cette amélioration s’est maintenue six mois après la fin de l’intervention. Certaines indications permettront une application plus efficace du programme Gestion des buts personnels.A personal goal-based intervention was offered to retired people aged 50 to 65 years with the objective of increasing their subjective well-being and their mental health. More specifically, the program presented here was aimed to promote the setting, planning, and realization of personal projects through a learning process based on a cognitive approach. At the end of the program, the experimental group (n = 117) had improved significantly more than the control group (n = 177) on all the goal and subjective well-being indicators, and this gain was maintained six months later. Some ideas to make the program more effective are discussed.Se ofrece una intervención centrada en las metas personales a jubilados de 50 a 65 años, con el objetivo de aumentar su bienestar psicológico y su salud mental. Más específicamente, el programa aquí presentado tiene como objetivo promover la expresión, planificación y realización de proyectos personales a través de un proceso de aprendizaje basado en un enfoque cognitivo. Después de la intervención, los participantes del grupo experimental (n = 117) mejoraron significativamente en comparación con el grupo de control (n = 177) en todos los índices relativos a las metas y al bienestar subjetivo, y esta mejora se mantuvo seis meses después de terminada la intervención. Ciertas indicaciones permitirán una aplicación más eficaz del programa de Gestión de metas personales.Uma intervenção baseada nos objetivos pessoais é oferecida aos aposentados de 50 a 65 anos com a finalidade de aumentar seu bem-estar psicológico e sua saúde mental. Mais especificamente, o programa apresentado aqui tem por objetivo promover a expressão, o planejamento e a realização de projetos pessoais através de uma abordagem de aprendizagem baseada em uma abordagem cognitiva. Após a intervenção, os participantes do grupo experimental (n=117) melhoraram muito, em relação ao grupo de controle (n=177), em todos os índices relativos aos objetivos e ao bem-estar subjetivo; esta melhoria manteve-se durante seis meses após o fim da intervenção. Algumas indicações permitirão uma aplicação mais eficaz do programa Gestão dos objetivos pessoais

Le cinéma expressionniste d'après-guerre : une identité masculine allemande bouleversée

Ce mémoire porte sur les représentations de la masculinité traumatisée dans le cinéma expressionniste allemand. Le traumatisme de la Première Guerre mondiale occasionne, en Allemagne, l’ébranlement des identités genrées individuelles et de l’identité masculine nationale. Par le biais de l’analyse de cinq films expressionnistes (Das Cabinet des Dr Caligari, Robert Wiene, 1920 ; Nosferatu, Wilhelm Murnau, 1922; Die Nibelungen, Fritz Lang, 1924 ; Orlacs Hände, Robert Wiene, 1924 ; Metropolis, Fritz Lang, 1927), le présent mémoire étudie à la fois l’expression du genre, du traumatisme et de l’Histoire nationale. Nous y envisagerons l’image filmique comme un lieu de conflits et de compromis. C’est particulièrement par le biais des enjeux de contrôle, des corps et de leur économie et des dynamiques d’agentivité dans les rapports hommes-femmes que se manifeste l’ébranlement de la masculinité allemande d’après-guerre. Si certaines œuvres confrontent les anxiétés masculines de l’époque en traitant frontalement des traumatismes liés à la guerre et au bouleversement de la place de l’homme dans la société d’après-guerre, d’autres s’appliquent plutôt à rétablir une masculinité d’avant-guerre par l’expression de fantasmes nationaux et individuels de pouvoir et de virilité. En privilégiant une approche psychanalytique du cinéma, ce mémoire s’intéresse notamment aux mécanismes de défense qui transparaissent dans les œuvres. Il s’agit, tout compte fait, de comprendre comment le cinéma négocie avec le genre suite au traumatisme, et comment la temporalité peut influencer cette négociation.This thesis focuses on representations of traumatized masculinity in German Expressionism. In Germany, trauma caused by the First World War unsettled individual gender identities and upset national conceptions of male identity. The thesis examines issues of gender, trauma and national history in five Expressionist films (Das Cabinet des Dr Caligari, Robert Wiene, 1920; Nosferatu, Wilhelm Murnau, 1922; Die Nibelungen, Fritz Lang, 1924; Orlacs Hände, Robert Wiene, 1924; Metropolis, Fritz Lang, 1927). These films comprise notable embodiments of conflict and compromise. It is argued that the disruption of German masculinity after the war registers in them by way of issues related to control, corporeality and gender relations. Contemporary anxieties about masculinity are tackled differently in the films, with some directly addressing themes of war trauma, emasculation and the postwar disruption to men’s traditional social roles and others seek to re-establish pre-war notions of manhood through expressing national and individual fantasies of power and virility. Drawing on a psychoanalytic approach to cinema, this thesis examines how defence mechanisms operate in the films. Key aims are to understand how Expressionist cinema addresses the impact of trauma on masculine identity and also how its approach to articulating trauma shifts through time

Clinical practice guideline recommendations to improve the mental health of adult trauma patients:protocol for a systematic review

Introduction Mental disorders are common in adult patients with traumatic injuries. To limit the burden of poor psychological well-being in this population, recognised authorities have issued recommendations through clinical practice guidelines (CPGs). However, the uptake of evidence-based recommendations to improve the mental health of trauma patients has been low until recently. This may be explained by the complexity of optimising mental health practices and interpretating CGPs scope and quality. Our aim is to systematically review CPG mental health recommendations in the context of trauma care and appraise their quality. Methods and analysis We will identify CPG through a search strategy applied to Medline, Embase, CINAHL, PsycINFO and Web of Science databases, as well as guidelines repositories and websites of trauma associations. We will target CPGs on adult and acute trauma populations including at least one recommendation on any prevention, screening, assessment, intervention, patient and family engagement, referral or follow-up procedure related to mental health endorsed by recognised organisations in high-income countries. No language limitations will be applied, and we will limit the search to the last 15 years. Pairs of reviewers will independently screen titles, abstracts, full texts, and carry out data extraction and quality assessment of CPGs using the Appraisal of Guidelines Research and Evaluation (AGREE) II. We will synthesise the evidence on recommendations for CPGs rated as moderate or high quality using a matrix based on the Grading of Recommendations Assessment, Development and Evaluation quality of evidence, strength of recommendation, health and social determinants and whether recommendations were made using a population-based approach. Ethics and dissemination Ethics approval is not required, as we will conduct secondary analysis of published data. The results will be disseminated in a peer-reviewed journal, at international and national scientific meetings. Accessible summary will be distributed to interested parties through professional, healthcare quality and persons with lived experience associations.</p

Clinical practice guideline recommendations to improve the mental health of adult trauma patients:protocol for a systematic review

Introduction Mental disorders are common in adult patients with traumatic injuries. To limit the burden of poor psychological well-being in this population, recognised authorities have issued recommendations through clinical practice guidelines (CPGs). However, the uptake of evidence-based recommendations to improve the mental health of trauma patients has been low until recently. This may be explained by the complexity of optimising mental health practices and interpretating CGPs scope and quality. Our aim is to systematically review CPG mental health recommendations in the context of trauma care and appraise their quality. Methods and analysis We will identify CPG through a search strategy applied to Medline, Embase, CINAHL, PsycINFO and Web of Science databases, as well as guidelines repositories and websites of trauma associations. We will target CPGs on adult and acute trauma populations including at least one recommendation on any prevention, screening, assessment, intervention, patient and family engagement, referral or follow-up procedure related to mental health endorsed by recognised organisations in high-income countries. No language limitations will be applied, and we will limit the search to the last 15 years. Pairs of reviewers will independently screen titles, abstracts, full texts, and carry out data extraction and quality assessment of CPGs using the Appraisal of Guidelines Research and Evaluation (AGREE) II. We will synthesise the evidence on recommendations for CPGs rated as moderate or high quality using a matrix based on the Grading of Recommendations Assessment, Development and Evaluation quality of evidence, strength of recommendation, health and social determinants and whether recommendations were made using a population-based approach. Ethics and dissemination Ethics approval is not required, as we will conduct secondary analysis of published data. The results will be disseminated in a peer-reviewed journal, at international and national scientific meetings. Accessible summary will be distributed to interested parties through professional, healthcare quality and persons with lived experience associations.</p

Gender Inequality in Household Chores and Work-Family Conflict

The fact that the permeability between family and work scopes produces work-family conflict (WFC) is well established. As such, this research aims to check whether the unequal involvement in household chores between men and women is associated with increased WFC in women and men, interpreting the results also from the knowledge that arise from gender studies. A correlational study was carried out by means a questionnaire applied to 515 subjects (63% men) of two independent samples of Spanish men and women without emotional relationship, who lived with their heterosexual partner. As expected, results firstly show unequal involvement in household chores by women and men as it is higher in women that in men, and the perception of partner involvement is lower in women that in men. Secondly, those unequal involvements relate differently to men and women on different ways of work-family interaction. They do not increase WFC in women comparing to men, although there are tangentially significant differences in work conflict (WC) and statistically significant in family conflict (FC). However, perception of partner involvement on household chores increases WFC both in men and in women but not WC nor FC. Nevertheless, increase on marital conflict (MC) by domestic tasks neither affect in a significant way WFC in women nor in men, but increase WC in both women and men and FC only in women. Results also confirm that subject involvement on household chores is not a significant predictor of WFC in women nor in men, and that MC by domestic tasks is a statistically significant predictor in women of WFC and FC, but not in men. Thus, results show that traditional gender roles still affect the way men and women manage the work and family interaction, although the increased WFC due to involvement in housework is not exclusive to women, but also occurs in men. Personal and institutional recommendations are made on the basis of these results to cope with these conflicts

A cross-national study on the antecedents of work–life balance from the fit and balance perspective

Drawing on the perceived work–family fit and balance perspective, this study investigates demands and resources as antecedents of work–life balance (WLB) across four countries (New Zealand, France, Italy and Spain), so as to provide empirical cross-national evidence. Using structural equation modelling analysis on a sample of 870 full time employees, we found that work demands, hours worked and family demands were negatively related to WLB, while job autonomy and supervisor support were positively related to WLB. We also found evidence that resources (job autonomy and supervisor support) moderated the relationships between demands and work–life balance, with high resources consistently buffering any detrimental influence of demands on WLB. Furthermore, our study identified additional predictors of WLB that were unique to some national contexts. For example, in France and Italy, overtime hours worked were negatively associated with WLB, while parental status was positively associated with WLB. Overall, the implications for theory and practice are discussed.Peer ReviewedPostprint (author's final draft

Genomewide Association Scan of Suicidal Thoughts and Behaviour in Major Depression

Background Suicidal behaviour can be conceptualised as a continuum from suicidal ideation, to suicidal attempts to completed suicide. In this study we identify genes contributing to suicidal behaviour in the depression study RADIANT. Methodology/Principal Findings A quantitative suicidality score was composed of two items from the SCAN interview. In addition, the 251 depression cases with a history of serious suicide attempts were classified to form a discrete trait. The quantitative trait was correlated with younger onset of depression and number of episodes of depression, but not with gender. A genome-wide association study of 2,023 depression cases was performed to identify genes that may contribute to suicidal behaviour. Two Munich depression studies were used as replication cohorts to test the most strongly associated SNPs. No SNP was associated at genome-wide significance level. For the quantitative trait, evidence of association was detected at GFRA1, a receptor for the neurotrophin GDRA (p = 2e-06). For the discrete trait of suicide attempt, SNPs in KIAA1244 and RGS18 attained p-values of <5e-6. None of these SNPs showed evidence for replication in the additional cohorts tested. Candidate gene analysis provided some support for a polymorphism in NTRK2, which was previously associated with suicidality. Conclusions/Significance This study provides a genome-wide assessment of possible genetic contribution to suicidal behaviour in depression but indicates a genetic architecture of multiple genes with small effects. Large cohorts will be required to dissect this further

Imbalanced Lignin Biosynthesis Promotes the Sexual Reproduction of Homothallic Oomycete Pathogens

Lignin is incorporated into plant cell walls to maintain plant architecture and to ensure long-distance water transport. Lignin composition affects the industrial value of plant material for forage, wood and paper production, and biofuel technologies. Industrial demands have resulted in an increase in the use of genetic engineering to modify lignified plant cell wall composition. However, the interaction of the resulting plants with the environment must be analyzed carefully to ensure that there are no undesirable side effects of lignin modification. We show here that Arabidopsis thaliana mutants with impaired 5-hydroxyguaiacyl O-methyltransferase (known as caffeate O-methyltransferase; COMT) function were more susceptible to various bacterial and fungal pathogens. Unexpectedly, asexual sporulation of the downy mildew pathogen, Hyaloperonospora arabidopsidis, was impaired on these mutants. Enhanced resistance to downy mildew was not correlated with increased plant defense responses in comt1 mutants but coincided with a higher frequency of oomycete sexual reproduction within mutant tissues. Comt1 mutants but not wild-type Arabidopsis accumulated soluble 2-O-5-hydroxyferuloyl-l-malate. The compound weakened mycelium vigor and promoted sexual oomycete reproduction when applied to a homothallic oomycete in vitro. These findings suggested that the accumulation of 2-O-5-hydroxyferuloyl-l-malate accounted for the observed comt1 mutant phenotypes during the interaction with H. arabidopsidis. Taken together, our study shows that an artificial downregulation of COMT can drastically alter the interaction of a plant with the biotic environment