Spécificité des stratégies de coping des patients en rémission de la maladie de Crohn : une étude qualitative

IntroductionCrohn's disease (CD), a chronic inflammatory bowel disease, has strong psychological and social repercussions related to the specificity of the symptomatology. To better understand how patients cope with the disease, coping strategies have been studied but without taking into account the specificity of the CD experience.ObjectiveOur objective is to identify the perceived coping strategies used by patients in relation to their illness experience.MethodUsing a qualitative approach, semi-structured interviews and thematic content analysis with 33 CD patients in remission were conducted.ResultsOur results highlight that some of the coping strategies used are not taken into account by the coping scales frequently used in the literature. Indeed, the illness experience appears to be fundamental in the establishment of new strategies based on the experiential knowledge patients use to reduce the stress induced by a potential relapse. Moreover, coping strategies based on positive emotions are also implemented, and they enable patients to make sense of the disease.ConclusionThe coping strategies, i.e., “experiential knowledge” and “positive emotions”, may shed more light on the complexity of the illness experience of CD patients and allow us to make recommendations concerning the psychological support of patients.     

Stress scolaire des collégiens et des lycéens : effet de l’appréhension de l’orientation et de la pression de la note

The aim of this study was to test the predictive effect of two variables related to meritocratic ideology and possibly associated with academic stress: academic orientation related worries and apprehension of school evaluation. Differential effects of these variables on stress were also investigated regarding gender and school (middle-high and high schools). Six hundred and nine secondary students completed a questionnaire. Results show that emotional worries regarding academic orientation and apprehension of school evaluation are significant predictors of academic stress. Results reveal differential effects for middle-high school and high school students. In practice, grading and methods used to this aim should be carefully considered as well as the support offered regarding orientation project of middle-high school students especially.     

Pour une poétique des jeux de langage

Malgré le refus que Wittgenstein semble avoir toujours opposé à l'idée d'une esthétique philosophique, son oeuvre et les nombreuses suggestions que contiennent ses divers propos se révélent riches d'enseignements, en particulier pour ce qui concerne les voies dans lesquelles certaines formes de discours sur l'art se sot engagées. La notion wittgensteinienne dejeu de langage est, sous ce rapport, éclairante. Elle permet de mettre au jour, ou du moins d'entrevoir, deux catégories de faits. Tout d'abord, elle offre une perspective critique intéressante sur le programme de ce que l'on s'est plu à nommer une poétique, dans le prolongement d'Aristote, de Jakobson et de Valéry. La poétique structuraliste, en particulier, se révéle solidaire d'une philosophie que ses ambitions théoriques ne suffisent pas à occulter. En second lieu, la notion de jeu de langage, chez Wittgenstein lui-même, est associée à une pratique d'écriture originale qui obscurcit les frontiéres que la philosophie, depuis Platon, s'est toujours souciée de tracer. Pour une poétique des jeux de langage, il existe, entre la poétique et la philosophie une double symétrie. La premiére — celle des structuralistes ou des néo-structuralistes —obéit à un programme plus philosophique qu'on ne croit; la second, en revanche, comme on le voit avec Wittgenstein, intégr une démarche poétique qui nous invite à penser à nouveaux frais ce que nous faisons.     

L’évolution des normes face au développement des objets de santé connectés

A lot of connected objects can be sold on the Internet and in some general stores. These products can be used in a health environment; they can help to promote a healthy lifestyle. But they do not always have a well determined legal status, that is established to protect the patients or the healthcare professionals. The connected objects can support innovation. They can become an essential help for the patients and the healthcare professionals, nevertheless they can be at the origin of physical injuries, if they are badly used.     

La protection des données personnelles des patients face à la modernisation de notre système de santé

With the Internet and the artificial intelligence, the collection of personal data is becoming a strategic element for the digital economy. The collection of information touching the health or the body must respect the patients’ rights. The GDPR came into effect on May 25th, 2018. The healthcare professionals who are established in a Member state, must be careful because they can base their exercise on clinical or biological elements of their patients.     

Dynamique des processus de développement de carrière en contexte contre-stéréotypique : modélisation de la réussite des femmes militaires aux formations professionnelles

Careers in the French Navy are determined by successive certifications allowed military to have more and more managerial responsibilities. Women are unequally represented in the hierarchy. Military identity is deeply associated with male characteristics (Sorin, 2003). Women encounter difficulties to be perceived as military in their own right (Héritier, 2011), but also to articulate their identity as women with their professional identity, de facto in opposition (Toulgoat, 2002). On the one hand women's family life is seen as incompatible with service life (Caraire & Léger, 2000), on the other hand, within the crews of warships, their skills are underestimated (Matthews, Ender, Laurence, & Rohall, 2009). The objective of this study is to model the effects of professional identifications and self-assessment of competences on the success of military women in professional certifications. We interviewed 154 students in training to become “experienced operators” (including 73 women) with an average of 3.32 years of duty (SD = 2.11) and 61 students in training to become “team leader” (including 20 women) with an average of 9.28 years of duty (SD = 3.30). The questionnaire measures self-efficacy (Bandura, 1977), performance expectations compared to their colleagues (Rosenthal, Crisp, & Suen, 2007), identification to the professional group (Laplante & Tougas, 2011) and identification to the organization (Tougas, Rinfret, Beaton, & de la Sablonniere, 2005). The final score at the end of the training is considered as an indicator of success. While women are as successful as men in the certification “operator”, they are less successful in the certification “team leader”. The structural equation model (path analysis) (χ²(15, n = 215) = 21.32, p = .13; CFI = .982, GFI = .976, RMSEA = .044) emphasizes the centrality of professional identifications to succeed in training. Women are less identified with sailor than men and feel less able to succeed, they develop lower performance expectations and they underestimate their performance compared to their colleagues, which has a negative effect on their success in training. In parallel, changes in family life are associated with reduced professional identifications, but this effect is independent of the sex of the individuals. Women are therefore exposed to two independent sources of influence limiting their career development: gender, which leads to less professional identifications and to compare unfavorably with their colleagues, and family status. These results highlight the importance of the dynamic of self-realization processes throughout the career.     

La représentation des causes de l’état de santé par les infirmiers et les points de vue envisagés des patients et des aidants naturels : une approche socionormative

This study examines the representation of the determining factors of patients’ states of health in therapeutic care situations. We describe the average representation of experienced hospital nurses (n=44) and the differences which they consider to exist between their own and their patients’ points of view. Taking as our starting point the purpose of the care provided and the asymmetry of the carer/patient relationship, we hypothesize, on the one hand, that nurses will have a representation of their patients’ state of health which is based on the care to be provided, with the factors determining the state of health being necessarily perceived as having a general impact on patients’ lives while still being remediable, i.e. capable of changing and being controlled by the provided care. On the other hand, we expect them to attribute a passive position and attitude to their patients, with the factors determining their state of health being necessarily perceived as being out of their own control. The results and the analysis of the representations reported as being those of the patients and their families seem to justify this perception and role of carer: the supposed representations of the latter would appear to be convergent but less focused on health problems and would tend to minimize the patient’s involvement, in particular when the state of health declines. The results are discussed with reference to the Health Belief Model and the social norm of internality as well as the professional practices observed in hospital environments.     

Norme francophone de complétion de trigrammes chez des participants âgés de 30 à 93 ans

This paper provides normative data for a 102-item word-stem completion task. Participants are scattered into four age groups (30/40, 40/50, 50/60, 60/70 years and 70 and more). They were asked to complete a series of word-stems by adding two letters to produce a maximum of French words of five letters long. The final database presents various indicators of completion as a function of age and word-stem polarity. In addition, normative data for each age group are included in order to compare each participant’s performance to the score obtained by a sample of the same age. This database should help researchers to construct experimental material by considering altogether, firstly, the production in French language compared to subjective production frequency and secondly, the intergroup and intragroup variability.     

Les effets de l’attrait,du sexe,des aptitudes de candidats à des postes de niveau hiérarchique et type sexuel différents sur les jugements de recrutabilité, d’utilité et de désirabilité

Gender or beauty stereotypes strongly influence evaluations and hiring decisions. Recent studies (Jawahar & Mattson, 2005) show an evolution of the lack of Fit model (Heilman, 1983) : the beauty of the women is not any more a handicap for certain managerial jobs. In order to test the model, we distinguished the hierarchical status and the sex type of the job and we measured the effects of attractiveness, gender and of the aptitude on the hirability, on the perceived desirability and utility and on the perceived competence. According to the variance analysis, the attractive applicants were ranked as more hirable, more useful, more socially desirable, and more competent. The applicants who were highly qualified were considered more hirable, more useful and more competent but the aptitude did not influence the desirability.     

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.     

La cross-évaluation : une approche d’évaluation et de développement des processus de travail inter-équipes

Organizational agility has become an increasing focus for companies and has led to the emergence of new developmental methods. This article presents the cross-evaluation as an approach to evaluating and developing inter-team interface efficacity. Though 360 degrees feedback collective processes are being evaluated, and during reflexive workshops they decide what improvements to make in their team functioning. Based on a literature review and more specifically on the theories of social identity and groupthink this article describes the scientific bases of the cross-evaluation method and the biases that can be involved and how to reduce them. It suggests new avenues of research and practical suggestions for practitioners about an inter-team development method.