Longitudinal associations between mindfulness and well-being in people with multiple sclerosis

Background/Objective: Depression, anxiety, fatigue, and sleep problems are typical conditions reported in people with multiple sclerosis (MS), often resulting in a reduction of their quality of life (QOL) and well-being. Mindfulness is a multifaceted and complex construct that has been increasingly explored for its correlated to well-being. Despite preliminary evidence, longitudinal data about the impact of mindfulness on QOL in MS remain limited. In addition, Langerian mindfulness, one of the prominent approaches to mindfulness, is yet unexplored in this field. The study aims to examine the longitudinal relationships between two forms of mindfulness (Langerian and contemplative) and QOL, anxiety, depression, fatigue, and sleep. Method: Within a larger randomized controlled trial of an online mindfulness-based stress reduction intervention, a cohort of 156 people with MS was recruited and assessed for both mindfulness constructs, QOL, anxiety, depression, fatigue, and sleep problems. Assessments were repeated after 2 and after another 6 months. Results: Both mindfulness constructs were highly correlated with all investigated outcomes. Both Langerian and contemplative mindfulness predicted higher QOL, lower anxiety, depression, fatigue, and sleep, over time. Conclusions: In both approaches dispositional mindfulness is a protective factor against depression, anxiety, fatigue, and sleep in people with MS.     

Les techniques biomédicales en matière d’assistance médicale à la procréation conçues dans l’objectif de pallier l’infertilité médicale peuvent-elles évoluer de manière à être utilisées pour remédier à l’infertilité sociale ?

Medically assisted procreation includes techniques that may allow infertile couples to procreate. However, the application of 2011 bioethics law reveals lots of paradox and high-risk behaviors which arouse the question of the relevance and advisable aspect of its opening to all women.     

La décision médicale et la relation médecin–patient en oncologie

The announcement of the cancer diagnosis and his treatment is an important moment in the set up of the doctor–patient relationship. The law of contracts has long governed the relationship between the doctor and the patient. But the legislature clearly demonstrated its will to consider the patient as full actor of his health, leaving the regime of medical decision, the shared decision. This shared decision is based on an obligation to inform the patient on his health and knows many exceptions (minor patients or adults under guardianship, emergency). In Oncology, the medical decision is a decision coordinated between doctors in the multidisciplinary consultation meetings. This decision is considered as a guarantee of the quality of the medical care. It does not preclude the time of the doctor–patient relationship.     

The assessment of autistic traits with the Autism Spectrum Quotient: Contribution of the French version to its construct validity

IntroductionThe Autism Spectrum Questionnaire (AQ, Baron-Cohen et al., 2001) is a self-report assessment tool aiming at screening autistic traits in normal intelligence adults. While numerous versions in other languages than English now exist, few factorial evidence do sustain the valid use of this instrument as it was conceived, based upon five distinct dimensions (Social skills, Communication, Attention to detail, Attention switching, Imagination); no such study exists with a French version of the AQ. The aim of our study is therefore to present the French version of the scale and to explore its factorial validity with confirmatory factorial analyses and, possibly, its invariance across men and women.MethodSeveral confirmatory factorial analyses, with the robust WLSMV estimator for categorical response format, were run on the questionnaire data from 788 French-speaking students (17–25 years old) at university faculties or schools for higher education in Belgium. The original five-factor measurement model of the AQ was assessed as well as alternative models. An exploratory factorial analysis was also applied to get more insight as to possible sources of misfit.ResultsNo measurement model – neither the original five-factor one nor any of the six other models tested – did produce statistics or fit indices close to significant values: there was no fit to the data. The internal consistency of the subscales was weak; the exploratory factorial analysis further confirmed that as much as ten factors were needed to explain 45% of the data variance.ConclusionOur results, with a French version of the scale, add to many other ones which suggest that the AQ is a too heterogeneous questionnaire with somewhat ill-defined dimensions and non specific/ambiguous items. The questionnaire should probably be shortened and its content realigned to core features of the autism spectrum.     

Plurality and prevalence of sexual motivations in a sample of young francophone adults

IntroductionUnderstanding the motivations that lead to the adoption of sexual behaviors is of major interest to both the individual and public health.ObjectivesThis work (i) questions the reasons that lead students from two French universities to adopt sexual behaviors, (ii) examines the motivational similarities and differences between men and women, (iii) compare the results to data from north American subjects.MethodIn total, 657 subjects (526 women; 131 men, mean age: 22.6 years) were requested to take part in an online study investigating sexual behaviors. Reason for Having Sex Questionnaire (Meston & Buss, 2007), was used as a basis for the identification of sexual motivations.ResultOn average 53.05 different motivations led to the adoption of sexual behaviors. Significant differences of men/women were found between men and women (72% significant differences in p < 0.05) but mainly of small amplitude (d < 0.33: 58.33%). Men and women also differ in the structure of interrelations between motivations and by the role played by the different motivations. Overall, female motivational system is more sectorized and more organized than the male system, which seems more resilient (density of interrelations Men: 46.3%; women: 34.2%; distance between motivations: 5.44 vs. 3.86, p < 0.001, d = 2.07). Cultural comparisons showed significant differences of low to moderate amplitude between young adult students in France and those who come from North American universities. Gender differences in sexual motivations for sex were more marked in France than in the US.ConclusionOur results argue for a bio-psychosocial and systemic approach of sexual motivations. Theoretical, methodological and practical perspectives are envisaged.     

The Cross and the Computer: Actor-Network Theory and Christianity

This paper explores the relationship between Christianity and new technologies. I contend that the “Christ and Culture” model of H. Richard Niebuhr, while influential for many authors, is inadequate to grasp the real relationship. Authors who follow this framework tend to overlook the reality of the situation due to in-built biases. Actor-Network Theory, which attends carefully to intricate networks of relations, is a better lens through which to understand this relation. This allows us to see that Christianity interplays with new technologies, sometimes shaping them and sometimes being shaped by them.     

个体特征因素对师徒之间选择倾向的影响

师徒的相互选择过程是师徒关系研究中的一个重要问题。本文采用三个实验探讨了影响师徒相互选择倾向的个体特征因素。实验一和实验二探讨了徒弟选师傅时,师傅的外向性、成就动机水平、管理职务和性别一致性对徒弟选择师傅倾向的影响。实验三探讨了师傅选择徒弟时,徒弟的外向性、成就动机水平和性别一致性对师傅选择徒弟倾向的影响。实验结果表明在徒弟选择师傅时,师傅的外向性、成就动机、管理职务,是影响因素;在师傅选择徒弟时,徒弟的外向性、成就动机水平是影响因素。     

Avoidance behavior associated with depressive symptoms in patients with implantable cardioverter defibrillators

Objective: Many patients with implantable cardioverter defibrillators experience depressive symptoms. In addition, avoidance behavior is a common problem among patients with implantable cardioverter defibrillators. We examined the association between avoidance behaviors and depressive symptoms in patients with implantable cardioverter defibrillators. Method: We conducted a single-center, cross-sectional study with self-completed questionnaires between May 2010 and March 2011. We measured avoidance behaviors (avoidance of places, avoidance of objects, and avoidance of situations) and depressive symptoms (using the Beck Depression Inventory, Version II) in 119 participants. An avoidance behaviors instrument was developed for this study and we confirmed its internal consistency reliability. Results: Ninety-two (77.3%) patients were aged older than 50 years, and 86 (72.3%) were men. Fifty-one (42.9%) patients reported “avoidance of places”, 34 (28.6%) reported “avoidance of objects”, and 63 (52.9%) reported “avoidance of activity”. Avoidance behavior was associated with increased odds for the presence of depressive symptoms (OR 1.31; 95% CI 1.06–1.62). Conclusions: This was the first study to identify the relationship between avoidance behavior and depressive symptoms among patients with implantable cardioverter defibrillators; however, there are a few methodological limitations.