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.     

Examen des pratiques d'évaluation en recrutement et en bilan de compétences

Using two empirical studies, this article compare assessment methods and tools used in personnel selection and career counseling. Subjects are requested to point up their methods and assessment tools, on the one hand by 327 recruiters, on the other hand, by 318 competences reports. The results indicated a spread tendency to use interview and personality assessment tools. This spread tendency to use work psychology tools whatever the assessment context raises thought about choices and representations associated with psychometrical methods.     

Les groupes de parole de prévention de la récidive en France : observation des effets produits

Recidivism prevention became the core of mission of the probation service in France. Support groups were created in order to bring probationers’ social skills to enhance their reentry into society. This article describes the effects of such groups by evaluation of their effects on 19 probationers divided into 4 groups. Observations show that the effects are different according to the apprehension of subject, mission and which pedagogy is employed. Different process produced different effects onto probationers.     

De la question de l’évaluation psychologique et de la psychométrie en douleur chronique

The practice of psychological assessment is an important step in the evaluation of the complex problems presented by patients dealing with chronic pain. We want to discuss here the framework of intervention of the psychologist in the context, but also shed light on the contributions of this practice to the pain clinic. This will include discussing a joint assessment, combining a psychological assessment referred to as classic with a psychological evaluation specific pain.     

Éléments de réflexion pour la mise en œuvre d’une démarche de prévention des risques psychosociaux au travail en France

Preventing social risks at work is an international concern. It has been demonstrated that the work in its all dimensions such as, organizational, technical, technological and relational, involves a multiplicity of constraints. They participate to the degradation of work health and to the organizational performance through to the complex and various mechanisms. The aim of this paper is to explain how a methodological consensus linking the European legislation, national agreements, scientifically theories and tools, and actual work has been gradually introducing in France. Based on theoretical and methodological considerations and on a Return Of Experience (ROE) we demonstrate the necessity to adopt an integrated approach to prevent social risks that focusing more on the work determinants than on individuals’ issues.     

Incidences de la (ré)organisation du (télé)travail en temps de crise du point de vue de l’encadrement intermédiaire

IntroductionThe Covid-19 pandemic disrupted the organization of work and represented a turning point in the deployment of mediated and remote work. Wherever the continuation of the activity was possible at a distance, telework was imposed. Nevertheless, it is exercised in new conditions and the organization of work modalities is defined according to the evolution of the situation and governmental health measures.ObjectiveIn this context, the objective of this study is to understand what are, from the point of view of middle managers, the impacts of telework in confinement and then during the progressive re-establishment of the activity on site, on the one hand, on the work, its organization and its conditions of realization and, on the other hand, on the work collectives, the relationship to work and the quality of life of the employees.MethodIn this perspective, we carried out an exploratory and comprehensive study through semi-structured interviews with 17 directors of service in a French public organization.ResultsThe lexical and morphosyntactic analysis performed shows that the modalities of work organization/reorganization at different moments of the crisis, their impact on work activity, the psychosocial experience of telework within the services and the managerial practices deployed (3 classes) could constitute opportunities but also generate risks.ConclusionThe results of this study allow us to identify the benefits but also the potentially deleterious effects of the use of telework in times of crisis and provide elements for consideration in its post-pandemic deployment.     

Importancia de la variable «Investigador» en los resultados de las técnicas de autocontrol

RESUMEN

El presente trabajo desea contribuir en alguna medida a un mejor conocimiento de los factores o mecanismos a los que verdaderamente debe su éxito la técnica «paquete» de Azrin y Nunn denominada «inversión del hábito», diseñada para modificar la conducta de onicofagia. Trata de dar una respuesta empírica a la pregunta de hasta qué punto la relación interpersonal que se establece entre el terapeuta y el cliente—elemento accidental en esta técnica—influye en los resultados. Han participado en la experiencia como sujetos 36 mujeres con un arraigo del hábito superior a un año, divididas en tres grupos: a) Grupo 1, al que se ha administrado la técnica de inversión del hábito; b) Grupo 2, al que se ha aplicado la misma técnica pero con interacciones terapeuta-cliente complementarias; y c) Grupo 2, de control. Los resultados corroboran la elevada eficacia de la técnica encontrada por otros autores pero sugieren, además, que aunque un mayor número de interacciones entre el terapeuta y el cliente parece tener escasa influencia a corto plazo, puede ser un factor decisivo en la consolidación de los resultados obtenidos y para evitar recaídas en el futuro.     

Les stratégies d'influence dans les situations de travail en chine et en France

This study aimed to show the impact of social position, category and culture on strategies of influence in a managerial context. Although cultural norms in a society can lead to preferences for certain types of behaviour, status and organizational culture are also determinants in interpersonal relations. To demonstrate this phenomenon, a questionnaire was presented to middle managers belonging to different cultures (Chinese/French) and working in different sectors of activity (finance/industry). The participants were asked to evaluate strategies for dealing with situations in which a manager asks the target (of superior, equal or inferior status) to carry out a task. The results reveal some cultural similarities: there is relative consensus between Chinese and French managers on the strategies to adopt according to the status of the target. However, differences were also identified: in China there is more focus on relations with greater flexibility concerning social position. It appears therefore that certain values are necessary to participate in the phenomenon of globalisation, but these values seem to be negotiable, if not entirely negotiated, according to the culture.     

Sentiment de compétence paternelle et adaptation socioaffective des enfants de deux à six ans en contexte de précarité socioéconomique

How fathers perceive their paternal competence when they live in disadvantaged conditions and how it affects young children's socioemotional behaviors? One hundred and eighty-seven fathers of 2 to 6 years old children completed the Child Behavior CheckList as well as the Parenting Sense of Competence Scale. Living in disadvantaged conditions, fathers feel in average less competent in their paternal role (P < 0.05) and children manifest more socioemotional problems (P = 0.001). However, children's behaviours are not affected by socioeconomic disadvantage when paternal sense of competence is strong. These results highlight the importance to take into consideration paternal sense of competence when treating young children's socioemotional problems living in disadvantaged conditions.     

Le rôle de la stigmatisation dans la symptomatologie dépressive de femmes françaises en surpoids ou en situation d’obésité

IntroductionDespite the high prevalence of depressive symptoms among women being overweight or having obesity, the role of stigma and causal attributions in the expression of these symptoms in French women has been largely under-explored to date.ObjectiveThe aim of this research is to study the role of internalized stigmatization, stigmatizing experiences and causal attribution in the intensity of depressive symptoms in overweight and obese French women.MethodThese four variables were measured in 160 French women being overweight or having obesity.ResultsOur analyses highlight positive correlations between stigmatizing experiences, internalized stigmatization and depressive symptomatology. It is important to note that stigmatizing experiences seem to play a more preponderant role than internalized stigmatization in the expression of depressive symptoms.ConclusionFor women with significant depressive symptoms, it appears essential to integrate interventions aimed at reducing their level of stigma. Moreover, from a preventive perspective, it also seems essential to promote campaigns in France aimed at reducing the stigmatization in this population.     

Effet de la thérapie des schémas sur la dépression de la personne âgée institutionnalisée : 3 études de cas uniques de type AB en lignes de bases multiples

IntroductionSchema therapy has confirmed its effectiveness in caring for depression. However, few studies have evaluated its effectiveness of an institutionalized elderly population.ObjectiveThe aim of this pilot study is to evaluate the efficiency of this therapy for the treatment of depression in 3 elderly people, with no neurocognitive disease, living in a nursing home.MethodClinician conducted a single case experimental protocol AB with multiple baseline for 3 participants who were experiencing depressive symptoms. Participants were randomized in 3 baselines and performed respectively 8, 7, and 6 intervention sessions.ResultsThe results highlight progressive effectiveness for two of the three residents. From baseline to the end of the therapeutic sessions (11 weeks), the improvement was significant and clinically observable for the activation of the schemas (–1.4 and –2 points on average) as well as for the level of depression (–8 and –9 points to the GDS).ConclusionThis pilot study indicates the effectiveness and replicability of schema therapy as therapeutic intervention for depression in elderly people.     

Un ensayo controlado de intervención social en familias de pacientes esquizofrénicos

RESUMEN

En este estudio se expone un ensayo controlado de intervención social en familias de pacientes esquizofrénicos con alto riesgo de recaída. Los pacientes se seleccionaron por tener mucho contacto con familiares con alta emoción expresada. Todos los pacientes mantuvieron su tratamiento con medicamentos neurolépticos. Una mitad de las veinticuatro familias se asignaron al azar a cuidados rutinarios de pacientes externos, mientras que la otra mitad recibió un paquete de intervenciones sociales. Éste comprendía un programa de educación acerca de la esquizofrenia, un grupo para los parientes y sesiones familiares para parientes y pacientes. La tasa de recaída en el grupo de control fue de cincuenta por ciento comparada con el nueve por ciento del grupo experimental (P = 0.04). Los objetivos establecidos en las intervenciones terapéuticas se alcanzaron en el setenta y tres por ciento de las familias experimentales, en las cuales no hubo pacientes con recaídas. Los resultados evidencian el papel causal de la emoción expresada de los familiares en la recaída de pacientes esquizofrénicos, así como de la efectividad terapéutica de la intervención social combinada con el tratamiento farmacológico.     

Stratégies identitaires et structuration des relations de pouvoir en milieu carcéral

This qualitative study explores power between supervisors and of young prisoners in prison. We study the relation between the identity strategies and the use of power by the actors. The data reveal that the relations are primarily based on the exchange between the supervisors and the prisoners. The bases of power used by the supervisors depend on the way in which it reacts to the bad image they have in the institution. In the same way, the supervisors hold account of the situation to control prisoners. These results are discussed by reference to the IPIM model of Raven.