Le droit à la protection de la santé dans la jurisprudence du Conseil constitutionnel

The establishment of constitutional review a posteriori did not fundamentally inflected jurisprudence of the Constitutional Council in the field of health protection. Decisions rendered in QPC material confirms that if the judge agrees to give priority to public health in the exercise of his office, he still refuses to recognize the subjective dimension of the right to individual health.     

Psychologie communautaire et psychologie de la santé : l’implication de la recherche psychosociale dans la promotion de la santé

This paper presents the issues and main principles of community psychology and community research as well as associated relationships and viewpoints in terms of health psychology and social psychology. In this perspective, the paper presents the context in which community psychology has emerged and its fundamental principles such as empowerment, community involvement and the ecological model. Using two examples of research in prevention of HIV infection, the paper leads to a greater comprehension of how a particular community-based approach to involve affected populations may be particularly relevant, not only to better understand their beliefs and behaviors but also to try to encourage them to change current behaviors or generate new ones. Research with adolescents involved in promoting condom use illustrates the use of psychosocial models of behavior change through a community approach. A second research focus on medical and psychosocial innovation through the use of non-routine, rapid screening tests for HIV - which are neither carried out nor supervised by medical personnel - aims to highlight the impact of the development of preventive action by directly concerned communities. The article aims to present the innovative methodological and epistemological issues which underpin community research.     

Applications cliniques en psychologie de la santé

The aim of the present article is to present recent and validated clinical applications in the field of health psychology, in particular regarding pain and chronic disease management. Techniques such as acceptance and engagement therapy, mindfulness meditation and positive emotions enhancement have proved to be successful. Mindfulness is an attribute of consciousness long believed to promote well-being. It is commonly defined as the state of being attentive to and aware of what is taking place in the present. By this way, mindfulness meditation learns to patients with chronic pain to reduce their pain sensation. Moreover, encourage patients to have positive emotions, such as gratitude, is efficient in long term well-being. Prospective studies reveal that optimism, coping strategies such as positive reframing and acceptance, and social support yield less distress for patients with chronic disease. Similarly, psychosocial interventions that foster optimistic appraisals, build coping strategies, and bolster social support are benefit for patients. Other methods such as Cognitive Behavioral Stress Management (CBSM), enable to significantly enhance quality of life, adaptation to illness and chronic disease patient compliance. This 10-week group CBSM intervention that includes anxiety reduction (relaxation training), cognitive restructuring, and coping skills training is tested among women with breast cancer and HIV patients. The intervention reduces reports of thought intrusion, anxiety and emotional distress. Furthermore, biofeedback through Heart Rate Variability appears to be an important component of the development of patient potential in terms of cognitive and emotional resources enabling better coping with stressful situations and hence maintaining optimal health conditions. Biofeedback treatment intervention on pain and quality of life is helpful in the rehabilitation of patients with chronic pain. Limits of these applications are discussed as well as future research directions.     

Travailler dans un réseau de santé : effets sur la santé psychique au travail

The new needs as regards care taking charge of patients have contributed to the creation of health networks. As they are growing fast, they are an integral part of the French sanitation system. The impact, on the health professionals, of networking is, today, the object of contrasted research and results, but has little been studied as far as Social Psychology, Work and Organizations are concerned. This article follows a research project which had the objective, on the one hand, to describe the effects of the participation to a health network mental health at work and, on the other hand, to examine the variables and process accounting for the variability of these effects. This research privileges an approach to the health network as a place of socialization and personalization (Malrieu, 1979). The research on the ground is carried out in collaboration with the health network town-hospital Prevention and Taking charge of Pediatric Obesity Network (RéPPOP) Midi-Pyrénées. We have carried out semi-guided interviews with 20 private professionals (8 doctors, 8 dieticians, 3 psychologists, 1 physiotherapist) members of the RePPOP Midi-Pyrénées network. The main results show that the perception of positive and/or negative effects of networking on mental health varies according to the age of membership of the network and the processes of transfer of experience (from professional practice within the network to professional practice off-network and vice versa). Proposals are deduced in terms of continuing education within the network.     

Conception et santé : quelques remarques sur le statut de l’activité de travail dans la conception des systèmes de production

The aim of this article is to discuss the status of activity at work for the design process. After having highlighted the stakes to take into account activity at work during design, three approaches are discussed. One can try to model the workers’ activity in order to anticipate it during the design process. One can try to support the design of flexible systems, which control activity. One can try to catch and articulate in a same process the development of both the situation and the activity. These different positions result in different understanding of the design process mainly in its temporal dimension. For each approaches, some lines of research are presented.     

Psychologie de la santé et cancers : quels apports et quelles perspectives ?

How to adjust to the malignancy is an area that is widely explored by researchers in health psychology for over 35 years. A number of concepts and theories have been developed in an attempt to help people better cope with this particularly stressful life event. Two theoretical approaches are briefly presented: the transactional model of stress and the health belief model. Then, we discuss the interest of several concepts from these models (personality traits, social support, perceived control and coping), illustrating recent research. Finally, both theoretical and practical perspectives are discussed, with proposals that are supported to develop to help patients.     

Prévenir et agir sur les problèmes de santé au travail : les services de santé au travail à la croisée des chemins

This article presents an ongoing research regarding work-related health issues as they are perceived and identified by professionals practicing in occupational health services. The study is based on interviews with occupational doctors, nurses, technicians in prevention of occupational hazards and assistants, employed in two general services. The article starts with an overview of the recent changes in the workplace and in the practicing conditions of the professionals in the services. It then analyses the types of issues they identify among the employees they have in charge. Finally, the article examines the actions that can be done by the services, and the limitations of these actions. The professionals appear to be negotiating with various strains.     

Sentiment de responsabilité pour le changement et l'innovation dans le contexte du comportement de santé : le rôle de la charge de travail cognitive,le leadership,l’autonomisation et la personnalité proactive

The innovation is one of the possible answers to the actual global competitive context able to foster and cope the high standards necessary for survival and competition of the organisations. The objective of this study, realized in the health context, is the exploration of the relationships between the innovative work behaviour and three antecedents (proactive personality, job cognitive demands and empowering leadership) trying to maintain the interactionist perspective between individual factors and context factors. These relationships have been investigated with a mediator role of felt responsibility to change, the individual belief that has a person when has feeling of responsibility in a realisation of transformations and new and constructive changes.     

L’impact de la reconnaissance organisationnelle sur la santé psychologique au travail des répartiteurs d’urgence

The purpose of this research is to measure the relationships between organizational recognition and workplace psychological health for emergency dispatchers by a predictif correlational design. Data collected from a secure online questionnaire sent to dispatchers via four emergency call centers (n = 155) measured psychological health at work (Gilbert et al., 2011) and organizational recognition (Brun and Dugas, 2005). The results of multiple linear regression analyses partially confirmed the hypothesized links between the two variables: they attested that organizational and co-worker recognition partially explained psychological well-being at work (R² = .25, p < .001) and psychological distress at work (R² = .30, p < .001) among emergency dispatchers.     

Effet du télétravail sur la santé psychologique et la performance des travailleurs durant la pandémie de la Covid-19

The aim of this study was to examine how the widespread use of telework during the COVID-19 pandemic may have created a specific work context influencing employees’ psychological health and performance. Results of analyses conducted on a sample of 3771 Canadian teleworkers revealed that telework created additional demands such as task interdependence and professional isolation. These demands had negative effects on telework performance by increasing the frequency of perceived stress. However, the presence of resources such as organizational support appeared to play a buffering role in moderating the direct effect of professional isolation on telecommuting performance.     

Les modèles de changements de comportements dans le domaine de la santé

Chronic diseases require both a medical treatment that a patient adherence to health recommendations. These include changes in lifestyle to adopt healthy behaviors. However, these changes are hardly adopted by patients. This article provides a review of theoretical models to explain resistance to change or factors motivating new behaviors. After presenting the steps by which a person gets through when changing an aspect of her lifestyle, we will discuss the factors involved in motivational and volitional phases of change. Thus, in the motivational phase, we will refer to classic sociocognitive models, illness representations model and the self-determination model. In the volitional phase, we discuss concepts related to action monitoring and action planning, self-control, and the anticipation of barriers to help maintain the action in time.     

Validation d’une mesure de santé psychologique au travail

IntroductionThere is currently no instrument developed to measure the two dimensions of psychological health, namely psychological well-being and distress, in organizational settings.ObjectiveThe aim of this study is to validate a work frame-of-reference version of two instruments initially developed to measure general psychological health.MethodIn order to adapt the questionnaires to the work domain, 561 Quebec workers from various work sectors completed measures of psychological well-being and distress adapted for the work context. For nomological networking purpose, they also completed optimism, organizational justice and climate measures.ResultsAdapting psychological health constructs for the work domain revealed, for both psychological well-being at work and psychological distress at work, a three-fold structure based on the worker's relationship with himself, others and work. Predictions based on the nomological network were all confirmed, reinforcing the validity of adapting the construct for a work-specific context. Furthermore, the psychometric properties of the scales are satisfactory.DiscussionResults suggest the relevance to adapt measures of psychological health for the work domain.     

L’abord de la sexualité par les professionnel·le·s de santé en oncologie : une revue de la littérature

The improvement in medical techniques has drastically modified the practice of care in oncology. Supportive care, geared towards supporting patients with chronic illnesses, now occupies a greater place alongside treatments aimed at survival. These changes have conducted some health care professionals to be more interested in patients’ quality of life and, in particular, to the impact of cancer on sexuality. Repercussions on sexuality are actually one of the most problematic aspects of patients’ quality of life post cancer. The aim of this paper is to draw up a review of the English and French literature on this “new” concern which still seems to raise many challenges in practice. Our review emphasizes that despite the recognition of the importance of addressing sexuality issues post cancer in oncology, in their practices, physicians as the nurses alike find it difficult to address. In addition, it underlines that the dominant social representations of sexuality – in terms of gender, sexual orientation and age – have permeated health care professionals’ subjectivities and, at the same time, influence how sexuality is address and interfere with a systematic discussion of these issues throughout the care process. Our discussion tackles the lack of psychologists, both in research and clinic, regarding these issues. Finally, our conclusion highlights the contributions of psychology facing issue posed by sexuality in oncology.     

Étude de l’influence de la dynamique interlocutoire,entre acteurs de la promotion et éducation pour la santé et publics cibles,sur leur changement d’attitude

The central assumption underlying this study is that social representations and attitudes to risk expressed in an awareness session to prevention messages would function of the socio-affective dynamics of the group. The collection of data was conducted with 70 focus groups. The variation of the heterogeneity or homogeneity of the groups allows to assessing the impact of this factor on the developments in these groups. The results obtained by the analysis of content of the exchanges in the groups (with a factorial analysis exploratory realized from an analysis to main components) allow to understanding the dynamics of the evolution of these representations along the interaction in the groups and to propose a qualitative evaluation of these sessions.     

Confort au travail : Le rôle de l'attachement et de la personnalisation dans la perception de la qualité de l'espace de travail

This article investigates the links between personalization, workplace attachment and perceived workplace quality. Participants (N = 116) work in the same office building. This investigation focus also about the office ability to improve intimacy and appropriation by owners (open space, individual office, shared office). As we were expecting, we observe an effective link between personalization and workplace attachment, and perceived workplace quality. The overall results lead to the conclusion of a solid link between attachment and perceived workplace quality. We will discuss our conclusions furthermore and we will offer recommendations.     

Psychologie de la santé et éducation thérapeutique : état des lieux et perspectives

The aim of Patient Education (PE) is to make patients with chronic diseases more autonomous by facilitating their adherence to treatments and improving their quality of life. It is a multidisciplinary and expanding device. This article's aim is to propose a state of play of PE and its perspective in relation to psychology, especially health psychology, as a discipline and a practice. First, the development of PE in its historical context is presented as well as its definition. Then, the place and contribution of health psychology and psychologists in PE is presented. The following points deal with the contributions of research to understand the efficacy of PE, the difficulties that the different professionals face and the place of relatives. Finally, a reflexion about the links between the training of psychologists and the training for PE is proposed.     

Changements technologiques,TIC et santé psychologique au travail : une revue de la littérature

Changes, innovations and developments in the corporate environment are followed by new organizational policies. These new work policies are marked by the introduction of innovative working tools commonly known as Information and Communication Technologies (ICTs). The aim of this article is to propose a theoretical reflection on the technological changes and psychological health at work. From a corpus of articles and books published in management and psychology journals (English and French), several categories of ICTs in organizations are explored. These ICTs lead from a rigid organization to a flexible one. They enable organizations to maximize productive capacities, reduce intermediate management, recompose work collectives and develop the versatility of employees. These arrangements also change the nature, modalities and content of the work to be carried out. Beyond that, ICTs give workers the opportunity to renew their skills, open up new fields of action, broaden the space for autonomy and increase efficiency. But at the same time, these technologies can also involve more control and pressure, increase intensification factors and considerably reduce the scope for maneuver and expression of the trade; exposing the psychological health of employees to risks such as stress and burn out.