Fidélité inter juge d’une mesure du stress par échelle visuelle analogique

The use of a visual analogue scale (VAS) for the assessment of stress during occupational health examination could be an useful tool. However, psychometrics features of the VAS have to be assessed. The aim of this study is to test the inter judge reliability of the VAS in a psychological dimension assessment. Two occupational physician have used the VAS in a worker group. There is no significant difference in the distribution of VAS values. This result supports the hypothesis of a satisfactory inter judge reliability of the VAS in stress measurement.     

The ethical and legal aspects of palliative sedation in severely brain-injured patients: a French perspective

The 2011 Varsity Medical Debate, between Oxford and Cambridge Universities, brought students and faculty together to discuss the waiving of patents for antiretroviral therapies in the developing world. With an estimated 29.5 million infected by Human Immunodeficiency Virus (HIV) in low- and middle-income countries and only 5.3 million of those being treated, the effective and equitable distribution of anti-retroviral therapy (ART) is an issue of great importance. The debate centred around three areas of contention. Firstly, there was disagreement about whether patents were the real barrier to the access of anti-retroviral therapy in the developing world. Secondly, there were differing views on the effectiveness of a patent pool. Thirdly, concerns were raised over the impact of waiving patents on research to produce new and better anti retro-viral drugs.     

Predatory violence aiming at relief in a case of mass murder: Meloy's criteria for applied forensic practice

Mass murder is the result of the complex interaction of several factors. What seems ubiquitous within mass murder are extreme feelings of anger and revenge. Yet despite these intense affective states, mass murders are, as a rule, not behaviorally impulsive, but rather prepared. The presence of extreme hate and anger evokes an impulsive outburst of rage, whereas planning and premeditation point in the direction of a cognitive, rather unemotional deed. This inconsistency is also reflected in reports of offenders' emotional states during the execution of their crimes: while some mass murderers have been described as calm, focused and emotionless during the events, others have shown signs of hostility, confusion, and distress. Considering mass murder from the perspective of its violence mode might shed some light on its nature and dynamics. With respect to the differentiation between affective and predatory violence, Meloy (1988) developed a model for applied forensic practice. The fully documented case of mass murder discussed in this study contains nine indices of predatory violence and one of affective violence. Furious affects of hate and anger were present but appeared to precede the cold-blooded killings. As a matter of fact, it is argued that the offender carried out the predatory murder in order to alleviate the psychological tension and symptoms generated by these severe ego-dystonic affects. The offender thus didn't seem to strive for narcissistic gratification of omnipotence, but rather seemed to aim to solve a problem.     

Risk profiles and peer violence in the context of school and leisure time

Though violence at school is by no means a new phenomenon, there has been growing social and scientific concern about this issue in recent years. The present study builds on prior analysis of the roles adolescents play in peer harassment, and the relationship between violence occurring at school and during free time. A representative sample of students between the ages of 14 and 18 was selected in the Community of Madrid (N = 1622) through random cluster sampling (school was the unit of analysis). Participants completed the C.E.V.E.O. questionnaire, which presents fifteen situations involving peer violence. The results reveal a relationship between violent situations occurring at school and during free time, and between the roles of aggressor and victim during free time. A profile analysis yielded three different categories: the "minimal violence exposure" type (1126 adolescents), the "psychological violence exposure" type (413 adolescents), and the "high risk of violence" type (83 adolescents). Judging from these results, we posit that interventions must be designed which tailor to each group and their respective risk situations.     

Comparative interinstrument reliability of uniaxial and triaxial accelerometers in free-living conditions

The aim of this study was to measure the inter-instrument reliability of the ActiGraph and RT3 accelerometers in free-living conditions. 15 healthy adults wore eight ActiGraph accelerometers and five RT3 accelerometers fastened to their back with an elastic belt and adjustable buckle in free-living conditions. For both accelerometers, the inter-instrument coefficient of variation (CV) decreased with increasing physical activity intensity. The inter-instrument CV of the ActiGraph (3% to 10.5%) was significantly lower than that of the RT3 (12.6% to 35.5%; p < 0.05). This finding demonstrates that the ActiGraph has higher inter-instrument reliability than the RT3. For both accelerometers, the inter-instrument reliability was higher for moderate and vigorous physical activity, the two intensities recommended for public health purposes. Studies using these devices can be compared with a low risk of misclassification of participants who meet the recommendation to perform moderate to vigorous physical activity.     

Beyond the myth of venting: Social sharing modes determine the benefits of emotional disclosure

When individuals experience an emotion, they talk about it afterwards. A popular ‘emotional venting’ belief claims that doing so dissolves the emotional impact. This study tested a model of when and how sharing emotions is beneficial. It predicts that benefits vary according to the listener's response mode. A socio‐affective (empathic) mode was expected to buffer emotional distress temporarily. A cognitive (reframing) mode was anticipated to grant emotional recovery. Participants viewed an aversive film and then talked about it with an intimate. The latter was instructed to adopt either cognitive or socio‐affective response modes in a 2 × 2 design (cognitive/non‐cognitive; socio‐affective/neutral). Emotional, cognitive and social benefits were assessed immediately afterwards and again 2 days later following re‐exposure to the film. As predicted, emotional recovery occurred exclusively when the listener stimulated the participant's cognitive work. Cognitive variables (basic assumptions) were also positively modified by these conditions. Listeners' socio‐affective responses entailed enhanced social integration (i.e. greater proximity to the listener; less loneliness) and an impression of feeling better. These results demonstrated that sharing emotions can lead to multiple benefits depending upon the listeners' response modes: emotional recovery, consolidation of shattered assumptions, social integration and temporary distress reduction. Copyright © 2012 John Wiley & Sons, Ltd.     

Barriers and traps: great apes’ performance in two functionally equivalent tasks

Tool-using tasks that require subjects to overcome the obstacles to get a reward have been a major component of research investigating causal knowledge in primates. Much of the debate in this research has focused on whether subjects simply use certain stimulus features or instead use more functionally relevant information regarding the effect that certain features may have on a moving reward. Here, we presented two obstacle tasks, a trap platform and a barrier platform, to 22 great apes. Although perceptually similar, these two tasks contain two perceptually different but functionally equivalent obstacles: a trap and a barrier. In a pre-exposure phase, subjects either experienced an obstacle task or a task without any obstacle. In the transfer phase, all subjects were presented with an obstacle task, either the trap platform or the barrier platform. Our results show that those subjects who received an obstacle task prior to the second task performed better than those who first received a non-obstacle task. The type of obstacle task that subjects received first did not have any effect on their performance in the transfer phase. We suggest that apes possess some knowledge about the effects that obstacles have on slow-moving unsupported objects.     

The differential influences of positive affect,random reward,and performance-contingent reward on cognitive control

Growing evidence suggests that positive affect and reward have differential effects on cognitive control. So far, however, these effects have never been studied together. Here, the authors present one behavioral study investigating the influences of positive affect and reward (contingent and noncontingent) on proactive control. A modified version of the AX-continuous performance task, which has repeatedly been shown to be sensitive to reward and affect manipulations, was used. In a first phase, two experimental groups received either neutral or positive affective pictures before every trial. In a second phase, the two halves of a given affect group additionally received, respectively, performance-contingent or random rewards. The results replicated the typical affect effect, in terms of reduced proactive control under positive as compared to neutral affect. Also, the typical reward effects associated with increased proactive control were replicated. Most interestingly, performance-contingent reward counteracted the positive affect effect, whereas random reward mirrored that effect. In sum, this study provides first evidence that performance-contingent reward, on the one hand, and positive affect and performance-noncontingent reward, on the other hand, have oppositional effects on cognitive control: Only performance-contingent reward showed a motivational effect in terms of a strategy shift toward increased proactive control, whereas positive affect alone and performance-noncontingent reward reduced proactive control. Moreover, the integrative design of this study revealed the vulnerability of positive affect effects to motivational manipulations. The results are discussed with respect to current neuroscientific theories of the effects of dopamine on affect, reward, and cognitive control.     

Co-occurrence of non-suicidal self-injury and impulsivity in extreme weight conditions

The aims of the present study were to determine the prevalence of non-suicidal self-injury (NSSI) in different eating disorder (ED) groups and morbid obesity, and to investigate whether NSSI in different ED/obesity groups co-occur with impulsivity. We assessed 535 individuals (365 ED and 170 obese patients) by means of a single item assessing lifetime NSSI and the Barratt Impulsivity Scale, which measures different dimensions of impulsivity. The results showed that 19.1% of the ED patients engaged in at least one act of NSSI during their life-time. NSSI was more prevalent in Bulimia Nervosa, Binge Eating Disorder, Eating Disorder Not Otherwise Specified compared to Anorexia Nervosa, Restrictive type and morbid obesity. Finally, ED/obese patients who engaged in NSSI scored significantly higher on the attentional, motor and non-planning subscales than patients without NSSI. The implications of these findings for the treatment of NSSI in binge/purging ED patients are discussed.     

Cognitive aging and flight performances in general aviation pilots

ABSTRACT

Unlike professional pilots who are limited by the FAA's age rule, no age limit is defined in general aviation. Our overall goal was to examine how age-related cognitive decline impacts piloting performance and weather-related decision-making. This study relied on three components: cognitive assessment (in particular executive functioning), pilot characteristics (age and flight experience), and flight performance. The results suggest that in comparison to chronological age, cognitive assessment is a better criterion to predict the flight performance, in particular because of the inter-individual variability of aging impact on cognitive abilities and the beneficial effect of flight experience.