L’évolution des facteurs prédictifs de la détresse psychologique des étudiants en contexte de Covid-19 : un modèle d’équation structurelle exploratoire

IntroductionStudents are at risk for mental health issues due to the COVID-19 pandemic. The implementation of lockdowns as a means to curb the spread of the disease have had an impact on this population, as observed in many international studies. However, few studies have investigated the longitudinal impact of COVID-19 lockdowns on students’ mental health.ObjectiveWe explored the relation between individual characteristics of students, context of life, difficulties in emotion regulation and psychological distress over the first two lockdowns in France during the COVID-19 pandemic.Methodology160 university students (90% female, mean of 24 years old) responded to an online questionnaire at three times points: once during the first lockdown during the COVID-19 pandemic in march 2020, a second time after this lockdown and a third time during the second lockdown. Difficulties in emotion regulation, psychological distress, acute stress, academic concerns, financial resources, and exchanges with professors were measured.ResultsAn exploratory structural equations model was developed to investigate the factors related to psychological distress (χ² = 1459.18, df = 1064, CFI = 0.910, RMSEA = 0.049, SRMR = 0.068). During both lockdowns, psychological distress was explained by academic concerns and lack of emotional clarity and acceptance. An indirect and negative significant relation was identified between financial difficulties, lack of exchanges with professors during the first lockdown, emotion clarity and experienced psychological distress during the second lockdown. Repeated measures ANOVAs identified high levels of acute stress during both lockdowns and a diminution during the deconfinement indicating an impact of sanitary measures on student's mental health.ConclusionCoherently with the Bruchon-Sweiser translational model of stress, emotion regulation capacities seem to have a central and moderating role in the experience of the pandemic for students. They would benefit greatly from appropriate therapeutic interventions in this pandemic situation and in general.     

肿瘤患者心理困扰管理研究现状及本土化思考

心理困扰存在于肿瘤发生、发展的各阶段,是最常见的问题之一,在国外研究日益聚焦的同时,我们从心理困扰起源出发,回顾肿瘤患者心理困扰管理概况、观察性及实验性研究现状,分析心理困扰管理概念内涵、筛查工具、分类标准、干预模式及最佳管理途径等本土化问题,旨在找出困扰管理与我国国情的契合点,探求肿瘤患者心理困扰管理模式的合理化途径。     

The stability of alexithymia during work in a high‐stress environment: A prospective study of Swedish peacekeepers serving in Kosovo

Larsson, M. R., Bäckström, M., Michel, P.‐O. & Lundh, L.‐G. (2010). The stability of alexithymia during work in a high‐stress environment: A prospective study of Swedish peacekeepers serving in Kosovo. Scandinavian Journal of Psychology. We applied a prospective design to reinvestigate the issue whether the sub‐domains of alexithymia could be considered stable traits or distress‐related states. Assessments of alexithymia and subjective distress were conducted before deployment to Kosovo in a sample of male peacekeepers. A second assessment was conducted approximately six months later during the final phase of service. The results showed evidence of moderate to high relative stability in all alexithymic sub‐domains. It was also found that a relative change in subjective distress predicted a relative change in difficulty identifying feelings and difficulty describing feelings but not in externally oriented thinking. We suggest therefore that the alexithymic sub‐domains could be considered relatively stable traits but that the level of difficulty identifying and describing feeling varies with the level of subjective distress.     

Une étude sur le rôle modérateur des traits de personnalité sur la relation entre les conditions de l’organisation du travail et la détresse psychologique

This study is about psychological distress lived by Canadian workers. Only a few studies considered personal traits in the comprehension of this phenomenon. This study aims to determine the moderator role of self-esteem, the sense of control and the sense of cohesion on the relation between the work organization conditions and psychological distress. Some longitudinal data (n=7338 workers) coming from five cycles (1994-2003) of the National Population Health Survey (NPHS) have been used to complete some multilevel analysis (n1=time and n2=individual). The results indicate that the sense of control and the sense of cohesion play a moderator role on the relation between some of the work organization conditions and the level of psychological distress.     

The Mediating Effects of Spiritual Bypass on Depression,Anxiety, and Stress

Spiritual bypass is a defensive psychological posture that prevents people from feeling the pain of difficult emotions or experiences through 2 primary pathways: (a) Psychological Avoidance and (b) Spiritualizing. The authors collected a sample (783 participants) from the general population and tested a parallel mediation model in which 2 factors of spiritual bypass mediated the effect of spirituality on depression, anxiety, and stress. The results demonstrated that Psychological Avoidance and Spiritualizing partially mediated the effect of spirituality on depression and anxiety, whereas they completely mediated the effect of spirituality on stress. The findings are presented in the context of the study's limitations, and implications for clinical practice and research are provided.     

A comparison of mental health literacy,attitudes, and help-seeking intentions among domestic and international tertiary students

Limited research has examined distress or help-seeking knowledge and attitudes among international students. The aim of this study was to examine psychological distress, mental health literacy (MHL), and help-seeking attitudes and intentions among a sample of domestic and international tertiary students. The sample comprised 357 domestic and international tertiary students. Participants completed an online questionnaire package, with measures relating to distress, MHL, help-seeking attitudes, and help-seeking intentions. International student status was predictive of lower scores on MHL, help-seeking attitudes, and help-seeking intentions for suicidal ideation. Student group was not predictive of help-seeking intentions for emotional problems or psychological distress, but international students had lower help-seeking intentions for suicidal ideation. Educational interventions targeting MHL and help-seeking attitudes and intentions among international students may be required to improve help-seeking behaviours.     

Distress and Divorce: Establishing Cutoff Scores for the Marital Status Inventory

This study was designed to identify Marital Status Inventory (MSI) scores that could be used as cutoff points for degrees of marital distress. Cutoff scores are useful in clinical work as a way to estimate degrees of marital distress, differentiate couples for treatments, and to provide uniformity across studies. Subjects consisted of 474 couples requesting marital therapy at a university-based clinic. Based on their individual Marital Adjustment Test (MAT) scores, participants were placed in severely distressed, moderately distressed, and non-distressed groups. Using a discriminant analysis, MSI scores of 4 for husbands and 5 for wives were found to be useful cutoff points for severe distress.     

The relationship between neuroticism and night eating: exploring the mediating roles of psychological distress and maladaptive coping

Night Eating Syndrome has been shown to be associated with various negative physical and psychological consequences. This study explored the relationship between neuroticism and night eating, which had not been studied before. We also examined the possible mediating roles of psychological distress and maladaptive coping for the relationship between neuroticism and night eating. A sample of 578 Chinese college students were assessed on several measures: The Revised Eysenck Personality Questionnaire Short Scale, the Night Eating Questionnaire, the Depression Anxiety Stress Scales, and the Simplified Coping Style Questionnaire. Results indicated that neuroticism was significantly and positively related to night eating (r = .38, p < .01), and the relationship between neuroticism and night eating was partially mediated by psychological distress, but not by maladaptive coping. The results not only revealed a medium-sized relationship between neuroticism and night eating, but also pointed out the importance of psychological distress as related to the relationship between neuroticism and night eating. Unlike neuroticism, which is a personality trait, psychological distress is an emotional state, and it is much more malleable through appropriate intervention. The treatment and intervention for night eating may benefit from our attention to the psychological distress.