L’impact du burnout scolaire sur les comportements d’alcoolisation des adolescents

Objective

The aim of this study was to explore the impact of school-related burnout symptoms. on alcohol consumption habits among adolescents. Alcohol consumption is rather common among adolescents. Indeed, recent French research (Spilka et al., 2015) has shown that in a sample of 17-year-old adolescents up to 89.3% declared at least one alcohol consumption experience over lifetime, 58.9% experienced drunkenness over the last year, and 48.8% declared binge drinking experiences over last month. In the meantime, high-school students are exposed to a high level of school-related stress, which could lead to school-related burnout (Salmela-Aro et al., 2009). Previous studies have shown that school-related burnout is associated with several addictive behaviors, such as tobacco use (Moncla, Walburg, Milhaes, 2014) cannabis consumption (Walburg, Moncla, Milhaes, 2015) or problematic Facebook use (Walburg, Milhaes, Moncla, 2016). Therefore, the aim of the present study was to explore weather school-related burnout could influence alcohol use behaviors among high-school students.

Do Christian Denominations Exhibit Higher Rates of Alcohol Consumption? A Study of Korean American Women in California

Although Korean American women show high levels of involvement in religious practices and high prevalence of alcohol consumption, no studies have assessed the association between religious denomination and alcohol intake among this group of women. This cross-sectional study examined the associations of religious denomination and religious commitment to alcohol consumption among Korean American women in California. Polychotomous regression models were used to provide estimates of the associations between religious denomination and religious commitment to alcohol consumption. Catholic Korean American women (OR 5.61 P < 0.01) and Independent Christian women (OR 4.87 P < 0.01) showed stronger associations to heavy alcohol consumption when compared to Conservative Christian Korean American women. Path analysis suggested that specific denominations had both direct and indirect effects on the outcome of interest, and that religious commitment and drinking models served as moderators for this phenomenon.     

Religiosity, Alcohol Use, and Sex Behaviors Among College Student-Athletes

College student-athletes tend to consume more alcohol, engage in sex, and report more sex partners than nonathlete students. The current study examined the relationship between religiosity (e.g., influence of religious beliefs and church attendance) and alcohol use and sex behavior among college student-athletes. Most of the student-athletes (n = 83) were religious. Influence of religious beliefs was a significant predictor of less alcohol use and less sexual activity (i.e., oral and vaginal sex, number of sex partners). However, increased church attendance was not found to be a protective factor. Findings suggest that religious beliefs may contribute to reduction of alcohol use and sexual risk among college student-athletes. Consideration should be given to incorporating religiosity aspects in sexual and alcohol risk-reduction interventions for student-athletes.     

The Relationship Between Parent and Student Religious Coping and College Alcohol Use

The present study examined social support and alcohol norms as mediators of the relationship between religious coping and college drinking (e.g., frequency and heavy drinking). The sample consisted of college students (n = 129) and their parents (n = 113). Religious coping (parent and student) was associated with less frequent alcohol use and less heavy drinking. Using a path model to test direct and indirect effects, the mediators were entered simultaneously and allowed to correlate with each other. Alcohol norms mediated the relationship between religious coping and drinking outcomes. Social support was not a significant mediator. Broader protective implications of religious coping are discussed.     

Associations Between Mixed-Gender Friendships,Gender Reference Group Identity and Substance Use in College Students

We investigated the associations between same-gender friendship, gender reference group identity, and substance use in college students (54 % male, M age?=?19.23, SD?=?1.23) from the northeastern United States using an online survey. Male students reported greater weekly marijuana, but not alcohol use than female students. Regression analyses revealed that having a greater proportion of same-gender friendships was associated with greater weekly alcohol use for male students and lesser weekly alcohol and marijuana use for female students. Gender reference group identity was negatively associated with weekly marijuana use for male and female students. For female students, gender reference group identity mediated the association between proportion of same-gender friendships and weekly marijuana use. Our study highlights the importance of considering the social context (e.g., the gender of friends) and individual variables relating to gender (e.g. gender reference group identity) in substance use research. Our findings fit within social constructionist models of social development that suggest participation in gendered contexts (e.g., same-gender or other-gender-peer contexts) over time cue gender-typed behaviors such as using marijuana.     

The Cross-Temporal Associations between Rumination Subtypes and Substance Use in Adolescence: Exploring the Moderating Role of Gender

Several studies have linked rumination to substance use. However, only one study thus far has focused on the differential associations between the subtypes of rumination (brooding and reflection) and substance use. This previous study was cross-sectional in nature, so less is known about how these variables are related across time. To address this issue, the present three-wave longitudinal study investigated the cross-temporal associations between subtypes of rumination, alcohol consumption, drug consumption and substance use problems, using cross-lagged path analyses. In addition, the study investigated whether the cross-lagged paths of interest were moderated by gender. The sample consisted of 309 adolescents (62.1 % boys) between the ages of 13 to 20 years old (M _age at T1?=?16.82 years, SD?=?1.32). Results indicated that substance use problems predicted increases in levels of brooding and reflection over time. These effects were moderated by gender so that substance use problems only predicted increases in levels of brooding and reflection in girls. In contrast to our expectations, higher levels of brooding predicted a decrease in alcohol consumption over time, and this effect was not moderated by gender. Cross-lagged analyses also showed that alcohol consumption predicted an increase in substance use problems. All results emerged independently of depressive symptoms. The findings of the present study add to the growing body of literature on the associations between rumination subtypes and substance use in adolescence, and highlight the importance of using longitudinal designs to address the issue of directionality.     

Competitiveness, Gender, and Adjustment Among Adolescents

This study explored whether trait competitiveness in late adolescence is more detrimental to females’ than males’ social and psychological adjustment. Two types of competitiveness were studied, competing to win (CW; to dominate others) and competing to excel (CE; to surpass personal goals). Questionnaire ratings (by self and others) of 110 (53 females, 57 males, Mage 17.9 years) predominantly Caucasian (88.9%) high school students in northern Texas, USA were gathered. Males were higher on CW than females, but there were no gender differences on CE. For females, CW was associated with greater depression and loneliness, and with fewer and less close friendships. CE was associated with higher self-esteem and less depression for both genders, but was largely unrelated to social adjustment.     

Hope as a Moderator of the Associations Between Common Risk Factors and Frequency of Substance Use Among Latino Adolescents

Ample research suggests that delinquency, depressive symptoms, and peer substance use are common risk factors associated with adolescent substance use. However, the factors that may help to buffer the deleterious effects of these risk factors on adolescent substance use, such as hope, have yet to be examined. The current study evaluated hope as a moderator of the associations between these common risk factors and frequency of substance use (alcohol, tobacco, and marijuana) in a sample of Latino high school students (M _age ?=?16.14 years, SD?=?1.30; 55 % female). Findings indicated that the influence of delinquency on frequency of tobacco and marijuana use depended on levels of hope, with delinquency only positively associated with frequency of use when levels of hope were low. Additionally, hope moderated the association between depressive symptoms and alcohol use, such that depressive symptoms were only positively associated with frequency of alcohol use when levels of hope were low. Results and their implications for intervention are reviewed.     

Lifestyle Risk Factors for Breast Cancer in BRCA1/2-Mutation Carriers Around Childbearing Age

BRCA1/2-mutation carriers are at high risk of breast cancer (BC) and ovarian cancer. Physical inactivity, overweight (body mass index ≥25, BMI), smoking, and alcohol consumption are jointly responsible for about 1 in 4 postmenopausal BC cases in the general population. Limited evidence suggests physical activity also increases BC risk in BRCA1/2-mutation carriers. Women who have children often reduce physical activity and have weight gain, which increases BC risk. We assessed aforementioned lifestyle factors in a cohort of 268 BRCA1/2-mutation carriers around childbearing age (born between 1968 and 1983, median age 33 years, range 21–44). Furthermore, we evaluated the effect of having children on physical inactivity and overweight. Carriers were asked about lifestyle 4–6 weeks after genetic diagnosis at the Familial Cancer Clinic Nijmegen. Physical inactivity was defined as sports activity fewer than once a week. Carriers were categorized according to the age of their youngest child (no children, age 0–3 years and ≥4 years). In total, 48% of carriers were physically inactive, 41% were overweight, 27% smoked, and 70% consumed alcohol (3% ≥8 beverages/week). Physical inactivity was 4–5 times more likely in carriers with children. Overweight was not associated with having children. Carriers with children are a subgroup that may specifically benefit from lifestyle support to reduce BC risk.     

Addressing the Challenges Faced by Early Adolescents: A Mixed-Method Evaluation of the Benefits of Peer Support

In this article, we describe a mixed-methods study used to examine the effectiveness of a widely-used peer support program designed to facilitate the transition to adolescence and high school by enhancing self-concept and other desirable outcomes. For the quantitative component, a longitudinal design was employed (930 Grade 7 students, 3 schools, 2 years), with control group and baseline (i.e., pre-program) data against which to compare the effects. Using a multilevel approach, the results provide evidence to suggest that the program was largely successful in achieving its aims of enhancing students’ school self-concept, school citizenship, sense of self and possibility, connectedness, and resourcefulness. A sub-sample of students from the experimental group participated in the qualitative component, which included open-ended survey results (n = 408 Grade 7 students, n = 75 peer support leaders) and focus groups (n = 119 Grade 7 students, n = 44 peer support leaders) to identify students’ personal perspectives of the program. The qualitative results confirmed the quantitative findings that the program has important benefits for Grade 7 students and provided rich and valuable insights into students’ views of the intervention. The findings of this research have important implications and suggest that the provision of peer support has the potential to a make significant contribution to schools’ efforts to orchestrate positive outcomes for adolescents.     

Resisting temptation: alcohol specific self-efficacy mediates the impacts of compensatory health beliefs and behaviours on alcohol consumption

Awareness of health risks linked with excessive alcohol consumption appears to have little influence on how much some people drink. Compensatory health beliefs (CHBs), in which the consequences of unhealthy behaviour are considered to be neutralised by additional healthy behaviours, are one way of justifying poor health choices. Currently, the role of CHBs within the context of drinking behaviour is not well understood. This research examined associations between alcohol specific compensatory health beliefs (ACH-Beliefs) and behaviours (ACH-Behaviours), alcohol consumption and alcohol specific self-efficacy (ASE), via an online survey completed by 249 participants, aged 18 + years (63.1% female; M age = 41.62 years; SD = 14.80). Higher ACH-Beliefs were associated with increases in ACH-Behaviours. While both predicted alcohol consumption, a greater proportion of variance was explained by ACH-Behaviours. ASE was a significant mediator of those relationships, suggesting that those with higher ASE may be better equipped to regulate drinking behaviour. Recommendations for future research include measuring both CHBs and behaviours within an experimental design, and further investigation of related cognitions such as compensatory behaviour intentions. Alcohol misuse interventions may wish to consider the potential roles of CHBs and behaviours in facilitating maladaptive coping strategies, and how addressing these may reduce harms.     

How Gendered Attitudes Relate to Women’s and Men’s Sexual Behaviors and Beliefs

This study examines associations between endorsement of a sexual double standard, gender role attitudes, and sexual behaviors and beliefs. First year university students in the northeastern United States (N = 434; 52 % female; 33 % Black, 29 % Latino, 39 % White; ages 17–19) participated during their first year of college. Endorsement of a sexual double standard was associated with more conventionally gender-stereotyped sexual behaviors and beliefs, specifically, more sexual partners and fewer perceived barriers to condom use for young men, and more perceived barriers to condom use for young women. Women who were more conventional about men’s roles in society tended to use condoms less, whereas women who were more conventional about women’s roles tended to use condoms more. Men who were more conventional about men’s roles tended to have fewer sexual partners. Findings suggest the importance of examining gender’s role in sexual behaviors and beliefs by assessing multiple gendered attitudes, rather than simply considering biological sex.     

Sociodemographic and Lifestyle Correlates of Health-Related Quality of Life in Croatian University Students

The purpose of this study was to assess the health-related quality of life (HRQoL) in a sample of Croatian university students and to determine its association with sociodemographic and lifestyle characteristics. The study was conducted on a random sample of 1750 students in Zagreb, Croatia. We used the 12-item Short-Form Health Survey (SF-12v2) and separate questions on sex, age, body mass index (BMI), settlement size, disposable income, cigarette consumption, alcohol consumption, and exercise frequency. The HRQoL scale on which Croatian students scored the highest was Physical Functioning. High mean scores were also found for other physical health measures, while the scores in mental health scales were somewhat lower. Male students scored significantly higher than females on all SF-12 scales (p?<?0.05). The regression analysis showed that Physical Component Summary score (PCS) is negatively related to BMI (partial r?=??0.09) and cigarette consumption (partial r?=??0.06), and positively related to alcohol consumption and exercise frequency (partial r?=?0.08, for both), while Mental Component Summary score (MSC) is positively related to BMI (partial r?=?0.07) and exercise frequency (partial r?=?0.10). Although HRQoL-scores for the Croatian students were higher than in the general population of Croatia and student populations in several other countries, there is still room for improvement, especially in the mental health aspect. In general, HRQoL was found to be significantly lower among females and smokers, but positively related with exercise frequency. In order to improve students’ HRQoL, university authorities should consider initiating health-promotion programs with emphasis on females, smokers and non-exercisers.     

Academic Guidance in Medical Student Research: How Well Do Supervisors and Students Understand the Ethics of Human Research?

Research is increasingly recognised as a key component of medical curricula, offering a range of benefits including development of skills in evidence-based medicine. The literature indicates that experienced academic supervision or mentoring is important in any research activity and positively influences research output. The aim of this project was to investigate the human research ethics experiences and knowledge of three groups: medical students, and university academic staff and clinicians eligible to supervise medical student research projects; at two Australian universities. Training in research ethics was low amongst academic staff and clinicians eligible to supervise medical student research. Only two-thirds of academic staff (67.9 %) and students (65.7 %) and less than half of clinicians surveyed (47.1 %; p?=?0.014) indicated that specific patient consent was required for a doctor to include patient medical records within a research publication. There was limited awareness of requirements for participant information and consent forms amongst all groups. In the case of clinical trials, fewer clinicians (88.4 %) and students (83.3 %) than academics (100 %) indicated there was a requirement to obtain consent (p?=?0.009). Awareness of the ethics committee focus on respect was low across all groups. This project has identified significant gaps in human research ethics understanding among medical students, and university academic staff and clinicians. The incorporation of research within medical curricula provides the impetus for medical schools and their institutions to ensure that academic staff and clinicians who are eligible and qualified to supervise students’ research projects are appropriately trained in human research ethics.     

Using Detect, Practice, and Repair (DPR) to Differentiate and Individualize Math Fact Instruction in a Class-Wide Setting

A multiple baseline design was used across probe sets to evaluate the effect of detect, practice, and repair (DPR) on the math fact fluency rates of a third-grade class. DPR was applied with a large group (n = 11) selected from an intact class (n = 17) in a manner that allowed each student to work on specific problems from a specific basic fact operation (i.e., subtraction, multiplication, or division) based on a daily assessment of their instructional needs. Prior to the implementation of DPR, students were computing an average of 18.4 digits correct per minute (DCPM). After using DPR for 11 sessions, students were computing an average of 31.2 DCPM. This 12.8 DCPM increase over 36 problems required approximately 132 min (12 min per session). Discussion focuses on the need for and challenges associated with developing intervention strategies and procedures that efficiently increase student skills at the class-wide level, with an emphasis on simultaneously meeting the needs of both high and low achievers by differentiating instruction.     

Prejudice in the pub: How alcohol and ideology loosen the tongue

This study (N = 124) tested the main and interactive effects of alcohol consumption, egalitarianism, and right-wing authoritarianism (RWA) in relation to prejudice suppression in the natural environment of a British Public House (pub). Employing a quasi-experimental between-subjects design, participants who had consumed alcohol were worse at suppressing their prejudice than participants with no alcohol consumption. Further, the more participants endorsed egalitarian values, the more they were able to suppress their prejudice. This tendency was resistant to the effects of alcohol. By contrast, the stronger participants held RWA beliefs, the less they were able to suppress their prejudice. In addition, this tendency was accentuated by alcohol consumption. Results are discussed in terms of theoretical and practical implications.     

Yoga in an Urban School for Children with Emotional and Behavioral Disorders: A Feasibility Study

Increasingly, school-aged children present with challenging emotional and behavioral problems and may be resistant to traditional special education approaches (Smith et al., Behav Disorders 36(3):185–194, 2011). These programs do not take into consideration the specific needs of students with emotional and behavioral disorder (EBD). We examined the feasibility and potential for positive effects of yoga sessions within a school setting for children with EBD at an urban elementary school. Thirty-seven children with EBD in an urban school completed a yoga intervention in small groups (7–10 students) twice per week for 3 ½ months. Teachers, parents, and students completed a systematic pre- and post-intervention assessment, and yoga instructors completed attendance and behavior checklists. Average attendance for the yoga sessions was 90 %. Eighty percent of responders described being very satisfied with the intervention. Teachers reported improved attention in class (p = 0.01) and adaptive skills (p = 0.03) and reduced depressive symptoms (p = 0.03), behavioral symptoms (p = 0.01), and internalizing symptoms (p = 0.04). No significant changes were found in the parent data and no discernable trend was found in student reports. These data suggest that yoga administered in small groups in an urban school setting is a feasible school intervention for children with emotional and behavioral disorders and may be effective in reducing symptoms.     

Implicit and Explicit Attitudes to Alcohol in Alcohol Dependent and Non-Alcohol Dependent Samples

Measures of implicit and explicit attitudes to alcohol have been used to predict drinking behavior. Early studies with the bipolar Implicit Association Test (IAT) indicated that heavy drinkers hold negative implicit attitudes to alcohol. More recent studies using the unipolar IAT have found that positive implicit attitudes to alcohol are associated with drinking behavior in samples of university students. The present study is the first to use a unipolar single target IAT to assess positive alcohol-related attitudes in two samples with alcohol dependency compared to a non-alcohol dependent control group. A group of recently detoxed alcohol dependent adults entering a treatment program (n?=?22), a group of alcohol dependent adults who had been in treatment for 3 months (n?=?22), and a group of age matched adults who had no history of alcohol dependence (n?=?22) were compared on a positive unipolar single target IAT and an explicit attitude measure. Results indicated that alcohol dependent participants showed stronger positive implicit attitudes, and stronger negative explicit associations compared to non-alcohol dependent participants, but there were no differences between the two groups with alcohol dependency. The findings are discussed in terms of the role of the IAT as an assessment tool for those undertaking treatment for alcohol problems and the implications for targeting unconscious attitudes to alcohol in a clinical setting.     

Acute Stress,Depression, and Anxiety Symptoms Among English and Spanish Speaking Children with Recent Trauma Exposure

A growing literature suggests the clinical importance of acute stress disorder symptoms in youth following potentially traumatic events. A multisite sample of English and Spanish speaking children and adolescents (N = 479) between the ages of 8–17, along with their caregivers completed interviews and self-report questionnaires between 2 days and 1 month following the event. The results indicate that children with greater total acute stress symptoms reported greater depressive (r = .41, p < .01) and anxiety symptoms (r = .53, p < .01). Examining specific acute stress subscales, reexperiencing was correlated with anxiety (r = .47, p < .01) and arousal was correlated with depression (r = .50, p < .01) and anxiety (r = .55, p < .01). Age was inversely associated with total acute stress symptoms (r = ?.24, p < .01), reexperiencing (r = ?.17, p < .01), avoidance (r = ?.27, p < .01), and arousal (r = ?.19, p < .01) and gender was related to total anxiety symptoms (Spearman’s ρ = .17, p < .01). The current study supports the importance of screening acute stress symptoms and other mental health outcomes following a potentially traumatic event in children and adolescents. Early screening may enable clinicians to identify and acutely intervene to support children’s psychological and physical recovery.