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.     

The Relationship Between Vicarious Posttraumatic Growth and Secondary Traumatic Stress Among Health Professionals

Limited and inconsistent research exists regarding the relationship between vicarious posttraumatic growth (VPTG), which is positive psychological growth experienced as a result of vicarious traumatic exposure, and symptoms of secondary traumatic stress (STS). The current study aimed to investigate whether a curvilinear model explained the VPTG-STS relationship among a sample of 365 nurses, psychologists, counselors, social workers, and medical doctors. Results supported this hypothesis, however this result appeared to largely be governed by the curvilinear relationship found among psychologists; STS was not found to predict VPTG among any other profession. Implications of results are discussed.     

Systematic Screening for Behavior in K–12 Settings as Regular School Practice: Practical Considerations and Recommendations

There is a priority for schools to address students' social and emotional needs as is done for academic learning. Tiered models of prevention provide a framework for teaching social skills and behavioral expectations, as well as academics, with positive, proactive, evidence-based practices. Central to responding to students' needs is accurate measurement of their performance. Systematic screening for behavior addresses this need. Specific screening tools are presented with brief evidence for their use. Then practical considerations and recommendations are offered for school leadership teams as they plan for using systematic behavior screening as a regular school practice. The study was framed within tiered models of prevention; however, screening practices may be used outside of tiered models provided structures are in place for responding to student needs when detected. Content is offered to guide school leadership teams as they undertake systematic behavior screening efforts.     

中小学生的灾难暴露程度对创伤后应激障碍的影响：中介和调节效应

汶川地震后1年时,采用灾难暴露程度问卷、主观害怕程度问卷、社会支持问卷和创伤后应激障碍症状量表,对地震极重灾区的3058名中小学生进行调查,考察灾难暴露程度、主观害怕程度、社会支持与创伤后应激障碍的关系。结果发现：（1）震后1年时中小学生创伤后应激障碍的发生率为9.6%,其中有目睹他人死亡经历的学生的创伤后应激障碍发生率为16.2%;（2）灾难暴露程度能正向预测创伤后应激障碍,而主观害怕程度在灾难暴露程度对创伤后应激障碍的影响中起部分中介作用;（3）社会支持在灾难暴露程度与创伤后应激障碍的关系中起调节作用,但不能调节主观害怕程度与创伤后应激障碍之间的关系。其中,无论支持的性质如何,父母和教师的支持都能缓解灾难暴露程度对创伤后应激障碍的影响,而同学和其他人的支持则不具有调节效应。     

城乡普高生与中职生对未来的规划和态度

以1995名城乡普高生和中职生为被试,采用未来取向问卷(中文版),考察了普高生和中职生对未来的规划和态度的基本特点。研究发现:(1)总体上,普高生对未来教育的投入水平高于中职生,对未来教育和职业目标的实现持更积极乐观的态度。此外,城市普高生对未来教育的探索水平高于城市中职生,但对未来婚姻/家庭的投入水平低于城市中职生;农村普高生对未来职业的探索和投入水平均低于农村中职生。(2)农村青少年对未来职业和婚姻/家庭的投入水平高于城市青少年,且对未来教育目标的实现持更积极乐观的态度。(3)男青少年对未来教育的投入水平低于女青少年,对未来婚姻/家庭的探索和投入水平高于女青少年,且农村男青少年比农村女青少年对未来婚姻/家庭目标的实现持更积极乐观的态度。     

中小学教师工作-家庭冲突的测量

本研究旨在分析我国中小学教师工作-家庭冲突的结构并编制适合我国中小学教师的工作-家庭冲突问卷。在文献分析基础上,通过开放式问卷调查、教师访谈,分析1025份问卷数据,确定了中小学教师工作-家庭冲突包括工作干扰家庭和家庭干扰工作两方面,两方面均包括情绪情感、心理资源和行为方式三维度。编制的我国中小学教师工作-家庭冲突问卷共22个项目,信效度良好,适合用来分析中小学教师工作-家庭冲突的状况。     

冠心病预防的健康管理模式初探

本文将健康管理中的连续动态理念与现有的社区慢性病管理相结合,构建冠心病预防的健康管理模式。通过冠心病预防策略和策略实施两方面来阐述这一冠心病预防健康管理模式的连续动态性。同时采用SWOT分析法对此模式的应用进行综合评价。希望通过对冠心病预防工作的思考,完善现有的社区慢性病防治工作。     

Satiation Therapy and Exposure Response Prevention in the Treatment of Obsessive Compulsive Disorder

The purpose of present study was to test the comparative effectiveness of Satiation Therapy and Exposure Response Prevention techniques in the treatment of obsessive–compulsive disordered patients. Sixty self-referred male outpatient cases were investigated within a randomized controlled trial. Patients were allocated to Satiation Therapy, Exposure Response Prevention or wait-list control groups. Obsessive–compulsive symptoms were measured by the Yale-Brown Obsessive Compulsive Scale at baseline, post-treatment, and 3 and 6 month follow-ups. The therapeutic groups had more significant improvement than the control group. In addition, there was not a significant difference between therapeutic groups on post-treatment and follow-up assessments which showed that Satiation Therapy and Exposure Response Prevention were similarly effective in reducing obsessive–compulsive symptoms. Analyses revealed that therapeutic groups had improved significantly while the control group had continued unchanged. Finally, the present investigation supported both Satiation Therapy and Exposure Response Prevention in the treatment of obsessive–compulsive disorder.     

Resistance to Violence Prevention Interventions in Schools: Barriers and Solutions

Studies of the prevalence and impact of aggression among school-age children and adolescents document the pervasiveness of bully-victim problems and indicate clear linkages between bully-victim problems, psychological distress, and, in rare instances, lethal attacks on perceived tormentors or towards the self. Evidence is slowly accumulating to show how well-conceived school-based strategies can be effective in addressing bully-victim problems—if implemented and sustained. However, anecdotal evidence suggests many comprehensive school-based initiatives suffer from incomplete implementation, resulting in limited effectiveness. We propose that multiple factors nested within different levels of social ecological complexity (e.g., individual, school, community, and culture) limit the widespread use of schoolwide approaches to reducing bully–victim–bystander problems. Challenges arise at each of these levels and can potentially thwart efforts to produce meaningful changes in the problems of peer victimization in and around school. Drawing from efforts to implement and evaluate bully–victim–bystander programs, we describe a core set of potential barriers at each ecological level and offer possible strategies for action.     

Modifying Social Aggression in Schools

The paper identifies aspects of subtle social aggression in the school environment that can make children and staff feel quite miserable and unsafe, and which will thus likely impair a child's capacity to learn, and a teacher's capacity to teach. Unaddressed power dynamics created by the interaction and attitudes of those in the social context are defined, and the interpersonal dynamics of the abdicating bystander described. A randomized controlled trial of an intervention for elementary schools is described briefly, which attempts to modify social aggression.