L’annonce en cancérologie

En cancérologie, le dispositif d’annonce marque une avancée positive dans la prise en charge des patients. Pour autant, aucun dispositif ne solutionnera par lui-même les difficultés qu’il y a à dire et à entendre la maladie. C’est ce contenu de l’annonce que l’article se propose d’analyser en recensant les questions qui devraient être prises en compte dans l’interaction entre le professionnel et la personne malade. Le texte souligne l’importance d’une relation qui confère au patient une place de sujet autonome de l’action thérapeutique.Disease announcement system witnesses a certain progress in patient care policy in oncology. However no system will solve by itself the difficulties to speak or to hear about the disease. Our article aims to analyze this announcement content by listing the questions which should be taken into consideration in the interaction between doctor and patient. It highlights the weight of a relationship which places the patient like an autonomous subject in therapeutic action

Construction and validation of a dimensional scale exploring mood disorders: MAThyS (Multidimensional Assessment of Thymic States)

<p>Abstract</p> <p>Background</p> <p>The boundaries between mood states in bipolar disorders are not clear when they are associated with mixed characteristics. This leads to some confusion to define appropriate therapeutic strategies. A dimensional approach might help to better define bipolar moods states and more specifically those with mixed features.</p> <p>Therefore, we proposed a new tool based on a dimensional approach, built with a priori five sub-scales and focus on emotional reactivity rather than exclusively on mood tonality. This study was designed to validate this MAThyS Scale (Multidimensional Assessment of Thymic States).</p> <p>Methods</p> <p>One hundred and ninety six subjects were included: 44 controls and 152 bipolar patients in various states: euthymic, manic or depressed. The MAThyS is a visual analogic scale consisting of 20 items. These items corresponded to five quantitative dimensions ranging from inhibition to excitation: emotional reactivity, thought processes, psychomotor function, motivation and sensory perception. They were selected as they represent clinically relevant quantitative traits.</p> <p>Results</p> <p>Confirmatory analyses demonstrated a good validity for this scale, and a good internal consistency (Cronbach's alpha coefficient = 0.95). The MathyS scale is moderately correlated of both the MADRS scale (depressive score; r = -0.45) and the MAS scale (manic score; r = 0.56).</p> <p>When considering the Kaiser-Guttman rule and the scree plot, our model of 5 factors seems to be valid. The four first factors have an eigenvalue greater than 1.0 and the eigenvalue of the factor five is 0.97. In the scree plot, the "elbow", or the point at which the curve bends, indicates 5 factors to extract. This 5 factors structure explains 68 per cent of variance.</p> <p>Conclusion</p> <p>The characterisation of bipolar mood states based on a global score assessing inhibition/activation process (total score of the MATHyS) associated with descriptive analysis on sub-scores such as emotional reactivity (rather than the classical opposition euphoria/sadness) can be useful to better understand the broad spectrum of mixed states.</p

Une méthode pour étudier les effets d’une intervention psychologique en tenant compte de la dynamique du changement et des différences inter- et intra-individuelles : MlVAR (Multi-Level Vector Autoregression)

International audienc

Assessing Eco-Anxiety with a mixed method: Creation and Validation of a three dimensions scale.

Introduction Climate change represents an unprecedented threat to humanity. In addition to the palpable consequences in terms of climate, it can generate psychological effects, such as eco-anxiety. Objective The aim of the present study was to validate a French-language scale (EMEA) measuring eco-anxiety, in order to contribute to the latter’s understanding and characterization. To fully reflect the diversity of its manifestations, the construction of the items was based on a qualitative study involving in-depth interviews with 18 eco-anxious people. This study also analyzed the relationships between eco-anxiety, intolerance to uncertainty, and perception of climate risk. Method A total of 691 individuals participated in the two phases of this research: 262 in Phase 1 (selection of scale items) and 429 in Phase 2 (psychometric validation). In addition to the items contained in the EMEA, Phase 2 included a climate anxiety scale, a climate risk perception scale, and a scale measuring intolerance to uncertainty. The research was conducted online after being approved by a research ethics board. Results Results reveal a hierarchical model with one main factor and three subfactors (anxiety-depressive manifestations, relational disturbances, and obsession with ecology). There were positive correlations between eco-anxiety, intolerance of uncertainty, and climate risk perception, and negative correlations between obsession with ecology (third EMEA subdimension) and intolerance of uncertainty, consistent with convergent validity hypotheses. Conclusion The EMEA’s psychometric qualities will allow it to be used for further research, but also as an assessment and care decision aid for health professionals to help patients with severe or paralyzing eco-anxiety. It will also be useful for studying the efficiency of psychotherapeutic interventions

Effets de la pratique de la mindfulness sur la dynamique affective

National audienc

Time evolution of affective processes in a mindfulness-based intervention

International audienc

Rumination and Mindlessness Processes: Trajectories of Change in a 42-Day Mindfulness-Based Intervention

International audienceThis preliminary study aimed to understand the effects of an autonomous mindfulness-based intervention (MBI) on mindlessness propensities: rumination, automatic pilot functioning, and attentional distractibility. The ecological momentary assessment was completed by community participants assigned to two nonrandomized groups: an experimental group (n = 45) that practiced 20-minute daily mindfulness meditation for 42 days and a control group (n = 44) that was on the waiting list for the MBI. All participants completed a self-assessment on rumination and mindlessness propensities twice a day. The MBI led to a favorable gradual decrease in automatic pilot functioning and attentional distractibility. Rumination evolved in three stages: a rapid decrease during the first week, a stabilization phase between the 10th and 30th days, and an additional decrease after 30 days of practice. This innovative study provides a promising perspective regarding rumination, automatic pilot functioning, and attentional distractibility dynamic trajectories over the course of an MBI