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See detailMotivations to care and health motivations: A qualitative study exploring the experience of family caregivers
Spitz, Elisabeth; Bucki; Baumann, Michèle UL

in European Health Psychologist (The) (2015)

Background. The COM-B system adapted to family caregivers analyses health capability through capabilities, opportunities, and motivations. Focusing on motivations, this study investigated the motivations ... [more ▼]

Background. The COM-B system adapted to family caregivers analyses health capability through capabilities, opportunities, and motivations. Focusing on motivations, this study investigated the motivations to be a family caregiver and the motivations to maintain one’s own health. Methods. Semi-structured interviews were conducted with 14 caregivers of stroke victims (France: n=8; Luxembourg: n=6; 50% male; age 63.6±10.1) about how they preserve their health and their resources to attain optimal health. Verbatims about their motivations to care for their relative and their motivation to maintain their own health were open-coded. Items were built and validated by consensus with an expert group. Findings. Motivations to care for a relative included the sense of duty, fear of guilt or deception, perceived need and feelings like love. The motivations to maintain personal health were intrinsic (self-; family-oriented), related to caregiving, and extrinsic (induced by relatives and material needs) and encompass amotivation. Discussion. It is relevant to integrate feelings, anticipated regret, moral norms and health value to the COM-B system adapted to family caregivers. Identifying their contribution to health capability will help orient psycho-educational interventions implementation. [less ▲]

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See detailDoctor-patient communication on nutrition and the related secondary preventive behaviours
Baumann, Michèle UL; Le Bihan, Etienne UL; Lorentz, Nathalie et al

in Cardiology (2015), 132

Doctor-patient relationship impacts on the compliance. For hypercholesterolemia, diabetes, overweight and obesity, our study’s aim was to analyse the associations between the quality of communication ... [more ▼]

Doctor-patient relationship impacts on the compliance. For hypercholesterolemia, diabetes, overweight and obesity, our study’s aim was to analyse the associations between the quality of communication, evaluated in 2013, and patients’ adherence to their general practitioner (GP)’s nutritional advice, between 2008 and 2013. Methods. Five years after a coronary angiography performed by the National Institute of Cardiac Surgery and Interventional Cardiology in Luxembourg, 4391 patients were contacted. 1289 completed a self-rating questionnaire assessing the GP’Com-5 items scale (Cronbach 0.87). The variables were analysed with a multiple logistic regression model. Results. Patients declared that they reduced or stopped their consumption 71.9% of fat, 62.8% of sugar and 65% increased their consumption of fruits and vegetables. Around 37% of the patients reported having made changes to their risk behaviours following the advice of their doctor. An increased consumption of fruits and vegetables was linked with the quality of doctor-patient communication when patients were overweight (odd ratio = 1.081, IC 95%, [1.013-1.155]), obesity (OR = 1.130 [1.056-1.209]), hypercholesterolemia (OR = 1.102 [1.033–1.175]) and diabetes (OR = 1.103 [1.029-1.181]). The reduction or cessation of sugar consumption was associated with the quality of physician-patient communication when the patient was overweight (OR = 1.093 [1.020-1.170]), and more so obese (OR = 1.106 [1.031-1.187]). The same held true for patients with hypercholesterolemia (OR = 1.103 [1.031-1.180]) or diabetes (OR = 1.173 [1.088-1.265]). Conclusion. In prevention of secondary CVDs, doctor-patient communication is a relevant determinant in obtaining a favourable behavioural outcome, especially with the consumption of fresh fruit and vegetables. [less ▲]

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See detailLes aidants familiaux : Investir dans des programmes de promotion de leur« capabilité de santé »
Bucki, Barbara; Baumann, Michèle UL

Book published by L'Harmattan - Academia (2015)

Face aux changements démographiques (allongement de l’espérance de vie) et à la baisse de la croissance économique (augmentation des inégalités sociales), les répercussions du prendre soin à domicile sont ... [more ▼]

Face aux changements démographiques (allongement de l’espérance de vie) et à la baisse de la croissance économique (augmentation des inégalités sociales), les répercussions du prendre soin à domicile sont lourdes de conséquences sur la qualité de vie. Les aidants familiaux de personnes atteintes de maladie chronique présentent des risques pour leur santé physique et psychologique. Avec le temps, quelles sont les connaissances et les aptitudes requises pour être en mesure d’accompagner un proche tout en maintenant sa « capabilité de santé », c’est-à-dire en se préservant ou en adoptant un style de vie sain ? À partir de recherches menées au Luxembourg auprès d’aidants de victimes d’un accident vasculaire cérébral, huit domaines ont été identifi és: santé physique, santé psychologique, valeur accordée au mode de vie, sentiment d’auto-efficacité, soutien familial, capital social, conditions matérielles/sentiment de sécurité, satisfaction à l’égard des informations et des services de soins. Des entretiens menés en Lorraine (France) ont permis d’approfondir le contenu de ces domaines. Cet ouvrage fournit un guide utile à l’élaboration de supports innovants ainsi qu’un instrument pertinent pour l’évaluation d’actions de promotion de la capabilité de santé des aidants familiaux. [less ▲]

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See detailWeight Loss Aassociated With Socioeconomic Status in Patients With Angina Pectoris, 5 Yeras After and Angiography
Tchicaya, Anastase; Baumann, Michèle UL

in Cardiology (2015), (132 (104)), 60

The aim of the study is to assess the association between weight loss and socioeconomic status (SES) in patients with cardiovascular disease (CVD) such as angina pectoris. Method: In 2013-2014, 1,873 ... [more ▼]

The aim of the study is to assess the association between weight loss and socioeconomic status (SES) in patients with cardiovascular disease (CVD) such as angina pectoris. Method: In 2013-2014, 1,873 patients out of 4,391 that had undergone an angiography in 2008- 2009 participated in a follow-up study. Among these patients, 457 suffered from angina pectoris and were obese or overweight at baseline. A self-administered questionnaire was completed. Moderate weight loss was defined as the loss of 5%-10%, severe weigh loss as more than 10% of baseline weight. Household-income was used as proxy for SES. Logistic regression was applied to assess the association between weight loss and SES. Results: During the reference period, 28% of the participants lost weight. A moderate weight loss was higher in patients with a household income between 3000€ and 4500€ per month (OR: 2.3; CI 95%: 1.0-5.2) and higher than 4500€ per month (OR: 3.0; CI 95%: 1.3-7.2) compared to the lowest income group (less than 3000€ per month). A severe weight loss was not associated with income. However, a severe weight loss was higher for retired patients (OR: 4.3; CI 95%: 1.1- 17.0) compared to non-retired. Conclusion: The potential reduction of health inequality by an elimination of social inequalities in weight loss among patients with angina pectoris might be substantial. Moderate weight loss in overweight patients with angina pectoris at baseline could be associated with household income. Intervention strategies in secondary prevention should address these social inequalities in order to support equity in health. [less ▲]

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See detailStudents’ Well-being: Impacts of studying out-EU and perceived autonomy on the Psychological Quality of Life
Bucki, Barbara UL; Karavdic, Senad UL; Karathanasi, Chrysoula UL et al

in European Health Psychologist (The) (2015), special

Introduction: With an increasing number of university students in preparation of their entrance in the labor market, the wellbeing of the postgraduates became a priority for many universities. Despite ... [more ▼]

Introduction: With an increasing number of university students in preparation of their entrance in the labor market, the wellbeing of the postgraduates became a priority for many universities. Despite numerous studies on this topic, respective relationships of wellbeing and other psychosocial factors still remain unclear. Aims: (1) to assess Psychological Quality of Life of postgraduates who study in Grand Duchy of Luxembourg (GDL), EU and non – EU countries; (2) to analyze its associations with their socio-economic,health and employability related cofactors. Method: All masters’ students registered at the Centre for Documentation and Information on Higher Education (CEDIES) database in GDL were contacted by mail to participate at an online questionnaire (in English or French) measuring: 1. Psychological Whoqol-bref (6 items) (dependent variable) 2. Wellbeing attributes: Quality of Life Autonomy, Health Satisfaction, and Penn state worry questionnaire (Worries). 3. Employability attributes: Search for Work Self Efficacy scale (SWSES), Career Goals setting. 4. Perceived financial situation and socio-demographic characteristics. Respondents who did not mention the country of their studies were excluded from the analysis. Bivariate tests and correlations were performed for association analyses between the variables. Only significant relationships (p<0.05) were used in the multiple linear model. Results: 490 participants were volunteers from which 13.5% study in Luxembourg, 77.8% in an EU country and 8.7% in a non EU country. Majority were women, with exception for those studying in non-EU countries who were mainly men. Participants studying in GDL were older than those studying abroad. Natives of Luxembourg were prevalent with higher percentages among those who study in a non EU-country. Those studying in non-EU showed significantly (p<0.05) higher Psychological Quality of Life (M=76.8; SD=12.8) than those in GDL (M=74.5;SD=12.6) respectively in EU (M=71.4; SD=15.3). While participants differ in their QoL-Autonomy score there isn’t any significant difference in their career goals setting, Search for work self efficacy, Health satisfaction, Worries and Perceived financial situation across the country of study.Conclusion: Better psychological quality of life mobilized the capability of students to study abroad, which is related to better wellbeing attributes. However this relationship remains true only for students studying in Non-EU countries. Implementing workshops to increase individual self-efficacy towards a future employment may improve and/or maintain wellbeing of academics and limit so, respective social inequalities. [less ▲]

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See detailWhy medication or tobacco consumption enhance the life satisfaction of cardiovascular patients?
Bucki, Barbara UL; Tchicaya, Anastase; Baumann, Michèle UL

in European Health Psychologist (The) (2015), special

While life satisfaction (LS) promotes the health of cardiovascular patients, LS may be affected by a range of primary and secondary determinants. We analysed LS and its relationships with cardiovascular ... [more ▼]

While life satisfaction (LS) promotes the health of cardiovascular patients, LS may be affected by a range of primary and secondary determinants. We analysed LS and its relationships with cardiovascular risk factors and unhealthy behaviours. Methods. In 2013, 3,632 survivors who underwent coronary angiography in 2008-2009 at the Luxembourgish National Institute of Cardiac Surgery and Cardiological Intervention (INCCI), living at home were asked to estimate, five years after, their LS [1-10] and other health-related variables. Data were analysed via multiple regression models including interaction effects. Findings. LS of the 1,289 participants (age: 69.2±11.1) was 7.3/10. Most were men, employees or manual workers, had secondary education and a 36,000€ or more/year income. The interactions between hypercholesterolemia and hypertension (regression coefficient= 0.628) and with smoking (rc= 0.941) were positively related with LS, but physical inactivity was negatively associated (rc= -0.630). Discussion. Taking medications or maintaining tobacco consumption produces better LS than being ambivalent towards physical activity. Further research is needed to evaluate the efficacy of health interventions eliciting and promoting the behaviour change wheel based on capabilities, opportunities, and motivations. [less ▲]

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See detailLife Satisfaction of Non-Luxembourgish and Native Luxembourgish Postgraduate Students
Karathanasi, Chrysoula UL; Senad, Karavdic; Odero, Angela UL et al

in International Journal of Social Welfare (2015), 9(11), 3852-3857

It is not only the economic determinants that impact on life conditions, but maintaining a good level of life satisfaction (LS) may also be an important challenge currently. In Luxembourg, university ... [more ▼]

It is not only the economic determinants that impact on life conditions, but maintaining a good level of life satisfaction (LS) may also be an important challenge currently. In Luxembourg, university students receive financial aid from the government. They are then registered at the Centre for Documentation and Information on Higher Education (CEDIES). Luxembourg is built on migration with almost half its population consisting of foreigners. It is upon this basis that our research aims to analyze the associations with mental health factors (health satisfaction, psychological quality of life, worry), perceived financial situation, career attitudes (adaptability, optimism, knowledge, planning) and LS, for non-Luxembourgish and native postgraduate students. Between 2012 and 2013, postgraduates registered at CEDIES were contacted by post and asked to participate in an online survey with either the option of English or French. The study population comprised of 644 respondents. Our statistical analysis excluded: those born abroad who had Luxembourgish citizenship, or those born in Luxembourg who did not have citizenship. Two groups were formed one consisting 147 non-Luxembourgish and the other 284 natives. A single item measured LS (1=not at all satisfied to 10=very satisfied). Bivariate tests, correlations and multiple linear regression models were used in which only significant relationships (p<0.05) were integrated. Among the two groups no differences were found between LS indicators (7.8/10 non-Luxembourgish; 8.0/10 natives) as both were higher than the European indicator of 7.2/10 (for 25-34 years). In the case of non-Luxembourgish students, they were older than natives (29.3 years vs. 26.3 years) perceived their financial situation as more difficult, and a higher percentage of their parents had an education level higher than a Bachelor's degree (father 59.2% vs 44.6% for natives; mother 51.4% vs 33.7% for natives). In addition, the father’s education was related to the LS of postgraduates and the higher was the score, the greater was the contribution to LS. Whereas for native students, when their scores of health satisfaction and career optimism were higher, their LS’ score was higher. For both groups their LS was linked to mental health-related factors, perception of their financial situation, career optimism, adaptability and planning. The higher the psychological quality of life score was, the greater the LS of postgraduates’ was. Good health and positive attitudes related to the job market enhanced their LS indicator. [less ▲]

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See detailThe integration process of Non-EU citizens in Luxembourg From an empirical approach towards a theoretical model
Odero, Angela UL; Karathanasi, Chrysoula UL; Baumann, Michèle UL

in International Journal of Social Welfare (2015), 9(11), 3868-3875

Integration of foreign communities has been a forefront issue in Luxembourg for some time now. The country’s continued progress depends largely on the successful integration of immigrants. The aim of our ... [more ▼]

Integration of foreign communities has been a forefront issue in Luxembourg for some time now. The country’s continued progress depends largely on the successful integration of immigrants. The aim of our study was to analyze factors which intervene in the course of integration of Non-EU citizens through the discourse of Non-EU citizens residing in Luxembourg, who have signed the Welcome and Integration Contract (CAI). The two year contract, offers integration services to assist foreigners in getting settled in the country. Semi-structured focus group discussions with 50 volunteers were held in English, French, Spanish, Serbo-Croatian or Chinese. Participants were asked to talk about their integration experiences. Recorded then transcribed, the transcriptions were analyzed with the help of NVivo 10, a qualitative analysis software. A systematic and reiterative analysis of decomposing and reconstituting was realized through (1). The identification of predetermined categories (difficulties, challenges and integration needs) (2). Initial coding – the grouping together of similar ideas (3). Axial coding – the regrouping of items from the initial coding in new ways in order to create sub-categories and identify other core dimensions. Our results show that intervening factors include language acquisition, professional career and socio-cultural activities or events. Each of these factors constitutes different components, whose weight shifts from person to person and from situation to situation. Connecting these three emergent factors are two elements essential to the success of the immigrant’s integration – the role of time and deliberate effort from the immigrants, the community and the formal institutions charged with helping immigrants integrate. We propose a theoretical model where the factors described may be classified in terms of how they predispose, facilitate and / or reinforce the process towards a successful integration. Measures currently in place propose one size fits all programs, yet integrative measures which target to the family unit and those customized to target groups based on their needs would work best. [less ▲]

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See detailDynamic career attitudes among master students: Social disparities in employment capabilities.
Karavdic, Senad UL; Baumann, Michèle UL

in Pracana, Clara (Ed.) Social Psychology (2015)

The preparation of students’ future career trajectories is a dynamic process in relation with social and educational determinants, but their interactions must be further investigated. Our objective is to ... [more ▼]

The preparation of students’ future career trajectories is a dynamic process in relation with social and educational determinants, but their interactions must be further investigated. Our objective is to analyze the associations between generic employment capabilities, career attitudes and other related factors among postgraduate students. Method: All master's students recorded in the Centre for Documentation and Information on Higher Education from Luxembourg database were contacted by letter to participate in an online questionnaire. The online questionnaire (French and English) with five scales was scored: 1) Dynamic Career Attitudes (DCA- 13 items); 2) Employability Soft-Skills (ESS-14); 3) Search for Work Self-Efficacy (SWSES - 12 items); 4) Quality of Life domain Autonomy (QLA- 4 items); and 5) Socio-demographical characteristics. The data were analyzed using bivariate tests, correlations and multiple linear regression models. Results: Of the 481 volunteers (26.4 years; SD=5.5) a majority were women, Luxembourgish, unemployed, and had less than or equal to six months of job experiences. Higher the ESS, SWSES and QLA scores, higher was the DCA score. Nationality, being unemployed, having less than six months of job experiences and being in the first year of master were associated with lower Dynamic Career Attitudes score. Conclusion: Covering the whole period of the master’s degree, internship activities and proactive workshops may be developed to improve generic employment capabilities and quality of autonomy. The Dynamic Career Attitudes scale appears an appropriate instrument to evaluate the efficacy of the university career services programme. [less ▲]

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See detailDes souffrances multiples à la souffrance paroxystique.
Karavdic, Senad UL; Bucki, Barbara UL; Baumann, Michèle UL

in Pensée plurielle (2015), 2015/1(N°38), 9-22

The purpose of our study is to contribute to the understanding of the mechanisms playing a role in the deconstruction of mental suffering. With the support of the Luxembourgish RE.SO.NORD (REseau du ... [more ▼]

The purpose of our study is to contribute to the understanding of the mechanisms playing a role in the deconstruction of mental suffering. With the support of the Luxembourgish RE.SO.NORD (REseau du centre SOcial de la région du NORD), a diagnosis of the sufferings of people living in rural districts was completed with the first-line health and social professionals who work with their clients on a daily basis. Twenty-six professionals participated in interviews during which they described the sufferings of their clients. They appeared as the effects of a drift and show how the amplification process of psychic sufferings (permanent anxiety, depression, etc.) and the accumulation of social and family factors (job loss, family separation, etc.) can lead to the emergence of critical mental health conditions. In this logic of paroxystic gradation, mental health problems may aggregate a set of harmful behaviors. This gradation illustrates the state achieved by the clients when their intimate and social domains of life are impeded. The paroxystic suffering represents the state during which the individual seems to fail to cope with their sufferings and is no longer able to recover. The professionals recognize a lack of information and incentive during medical consultation in which their clients dread the fear of being stigmatized. They admit the existence of poor coordination and access to primary health care and a lack of support for those who suffer and their family caregivers in order to prepare them to become actors that can mobilize their "health capability". [less ▲]

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See detailFatal Opioid and Cocaine Related Overdoses: Prevention and Harm Reduction in the Light of Socioeconomic Inequality
Origer, Alain; Baumann, Michèle UL

in Addictive Behaviours (2015)

Objective. To explore socioeconomic inequalities in fatal overdose cases related to non-prescribed opioids’ and cocaine use. Methods. Overdose cases recorded in Luxembourg between 1994 and 2011 were ... [more ▼]

Objective. To explore socioeconomic inequalities in fatal overdose cases related to non-prescribed opioids’ and cocaine use. Methods. Overdose cases recorded in Luxembourg between 1994 and 2011 were individually matched with four controls, in a nested case-control study design, according to sex, year of birth, drug administration route and duration of drug use. 272 cases vs. 1,056 controls were analyzed. The study sample was stratified according to a Social Inequality Accumulation Score (SIAS), based on educational attainment, employment, income, financial situation and professional status of father or legal guardian of subjects. Least squares linear regression analysis on overdose mortality rates and ridit scores were applied to determine the Relative Index of Inequality (RII). Results. A negative linear relationship between the overdose mortality rate and the relative socioeconomic position was observed. We found a difference in mortality of 29.22 overdose deaths per 100 drug users between the lowest socioeconomic class compared to the most advantaged class. In terms of Relative Inequality Index, the overdose mortality rate of opioid and cocaine users with lowest socioeconomic profiles was 9.58 times as high as that of their peers from the highest socioeconomic class (95% CI ; 6.49 - 13.26).Conclusions. Our results suggest the existence of a social gradient in opioid and cocaine related overdose fatalities. Medical services, emergency and psychiatric wards should take due account of the socioeconomic situation of substance abusing patients and refer those at increased risk to socially supportive offers, thus contributing to reduce drug-related mortality. [less ▲]

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See detailEcological Inequalities and Social Inequalities in health
Baumann, Michèle UL

Presentation (2014, September)

Taking into account the growing number of people exposed to environmental risks in the EU member countries and the budgetary constraints weighing on their respective social protection systems, an overall ... [more ▼]

Taking into account the growing number of people exposed to environmental risks in the EU member countries and the budgetary constraints weighing on their respective social protection systems, an overall redesign of social policies is at stake. Against this background piecemeal measures are indeed not sufficient to cope with new challenges and paradigm shifts will be needed to deal with environmental problems and their consequences for affected populations. How can we take care of the people who are victims of these environmental risks? Who should finance this? Based on which principles (insurance-based or universal) and by which means? What kind of coverage could be provided by the social protection system (sickness insurance in particular) in different countries with equivalent institutions? How can we at the same time tackle the issue of ‘ecological inequalities’ taking into consideration that in complex environments presenting an accumulation of disadvantages (poor working and living conditions, smoking, alcoholism) it is not easy to isolate the effects of environmental damage as other variables have to be held constant. And how the responsibilities should be shared between stakeholders, social partners and the state when, for instance, people living close to the borders of different countries are affected by the same environmental-related problems? My presentation will therefore be organized as follows: first I will provide a brief overview of challenges (for instance assessing existing and potential damage to the health of affected populations) posed for social protection systems as far as environmental issues are concerned, then I will comment on some of the main key drivers of change I could identify in social policies related to the impact related to environmental problems and possible social policy responses will be explored. [less ▲]

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See detailBesoins des professionnels sociaux et de santé de proximité face aux problèmes de santé mentale des communes rurales du Nord
Baumann, Michèle UL

Presentation (2014, August)

Les indicateurs de santé mentale existants restent partiels en Europe, et le système de surveillance sanitaire du Luxembourg ne semble pas y avoir échappé. Cette carence d’informations fiables bien connue ... [more ▼]

Les indicateurs de santé mentale existants restent partiels en Europe, et le système de surveillance sanitaire du Luxembourg ne semble pas y avoir échappé. Cette carence d’informations fiables bien connue est liée en partie aux difficultés méthodologiques inhérentes aux recueils de ces données et à la complexité des classifications. Par ailleurs, aucune information sur les besoins locaux des professionnels de première ligne n’existe. Avec l’appui du RE.SO.NORD (REseau du centre SOcial de la région du NORD), une équipe de l’unité de recherche INSIDE a mis en oeuvre d’un projet innovant, intitulé « diagnostic des professionnels sur les besoins associés à la santé mentale ». Ce diagnostic a eu pour objectifs d’identifier les problèmes de souffrance psychique et sociale des clients des communes rurales, décrits par les professionnels sociaux et de santé de première ligne et de déterminer leurs besoins pour maintenir/améliorer la qualité de leur travail au quotidien et l’efficacité des prises en charge. Cette approche s’inscrit dans une compréhension des processus présents dans la construction et l’amplification des souffrances mentales (angoisses permanentes, dépressions, etc.) ainsi que l’accumulation de facteurs psychosociaux (exigences du monde du travail, ruptures familiales, etc.) qui contribuent à leur émergence. Vingt-huit professionnels (médecins, assistants sociaux, psychologues) travaillant auprès d’adultes de 18 à 65 ans ont été interrogés. L’analyse des transcriptions de leurs discours met en évidence la nécessiter d’insister sur :1) la mise en place de démarches globales, et sur le fait d’associer les aidants aux échanges sur la connaissance de la maladie et de ses symptômes (lieux de parole, etc.) ; 2) la nécessité de faciliter et d’encourager la consultation médicale ou psychologique ; 3) l’engagement et le développement d’une responsabilisation clients-aidants. Les professionnels proposent également que l’on augmente : 1) les possibilités de rencontres entre les médecins, assistants sociaux, psychologues (synthèses, analyses de cas, etc.) qui permettraient à la communication d’être plus efficiente ; 2) la mutualisation des informations entre les professionnels de proximité en créant une plate-forme d’échanges interactifs qui faciliteraient le suivi des parcours ; 3) les formations interdisciplinaires pour actualiser les connaissances (dépression, suicides, etc.), renforcer le respect réciproque clients-aidants-professionnels et la déstigmatisation. ____________________________________ Mental Health & Recovery Luxembourg 23 & 24 Octobre 2014 2 Needs of local social and health professionals addressing the mental health problems of rural communities in the North. The existing mental health indicators remain partially developed in Europe, and Luxembourg’s system of health surveillance does not seem to have escaped. This lack of reliable information is well known partly due to the methodological difficulties inherent to the collections of data and complexity of the classifications. Moreover, any information on the needs of local frontline professionals exists. With the support of RE.SO.NORD (REseau du centre SOcial de la région du NORD), a research unit INSIDE team has implemented an innovative project " diagnostic des professionnels sur les besoins associés à la santé mentale ». The aim of this diagnostic was to identify problems of psychic and social suffering of clients in rural towns, described by the social and health frontline professionals, and to define their needs to maintain / improve the quality of their daily work and effectiveness of their care. This approach is part of an understanding of the processes occurring in the construction and amplification of mental suffering (permanent anxiety, depression, etc.) and the accumulation of psychosocial factors (demands of the workforce, family separation, etc.) that contribute to their emergence. Twenty-eight professionals (doctors, social workers, psychologists) working with adults 18 to 65 years were interviewed. The analysis of transcripts highlighted the need to focus on: 1) the development of comprehensive approaches, associating caregivers to exchange knowledge of the disease and its symptoms (place of dialogue, etc.); 2) the need to facilitate and encourage medical or psychological counseling; 3) commitment and a growing accountability of clients -caregivers. The professionals also propose to increase: 1) the possibilities of meetings between the doctors, social workers and psychologists (syntheses, case studies, etc.) allowing communication to be more efficient; 2) the sharing of information between local professionals by creating a platform for interactive exchanges which would facilitate the follow-up of the trajectory ; 3) interdisciplinary training to update knowledge (on depression, suicide, etc.), enhancing mutual client-family caregivers-professional respect and destigmatization. ____________________________________ [less ▲]

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See detailDéconstruction du processus cumulatif et d’amplification des souffrances
Baumann, Michèle UL

Presentation (2014, May)

Le thème de la souffrance occupe une place prépondérante dans les approches socio-écologiques, et biopsychosociales actuelles, les réflexions éthiques sur la qualité de vie et le bien-être et sur la ... [more ▼]

Le thème de la souffrance occupe une place prépondérante dans les approches socio-écologiques, et biopsychosociales actuelles, les réflexions éthiques sur la qualité de vie et le bien-être et sur la recherche du bonheur. Qu’il s’agisse de la fatigue professionnelle ou la fatigue d’être soi, la problématique des souffrances est au cœur des discours et des rapports sociaux. De même, elle est au centre des interventions qui tentent d’y faire face de façon individuelle ou communautaire dans les soins de santé, les soutiens psychologiques, les actions sociales, etc. Le but de cette session qui s’appuyera sur des travaux de recherches empririques, n’est pas de se demander « y a-t-il plus ou moins de souffrance ? », mais plutôt de s’interroger sur l’émergence des souffrances, elles-mêmes produits sociaux, l’identification des facteurs impliqués et la compréhension des processus en jeu. La souffrance est la résultante d’une conduite, elle-même sociale, dont les valeurs culturelles la rendent plus ou moins supportables. Issue d’une vision que l’individu a sur sa propre existence, les déterminants culturels qui contribuent à développer ces souffrances, à les cumuler, les amplifier, les maintenir de génération en génération seront des objectifs auxquels nous chercherons à répondre. Décomposer ces souffrances et comprendre les liens qu’elles peuvent avoir avec une douleur physique, une privation affective, une carence éducative, pourront être des pistes de discussion. Enfin, face aux mobilités, aux multiplicités, nous tenterons de répondre à la question de la souffrance liée au fait de vivre ensemble dans un contexte démographique, économique et politique changeant. [less ▲]

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See detailLes problèmes que rencontrent les professionnels pour prendre en charge les souffrances et les recommandations qu’ils préconisent pour répondre à leurs besoins.
Baumann, Michèle UL

Conference given outside the academic context (2014)

2ème partie Les problèmes que rencontrent les professionnels pour prendre en charge ces souffrances et les recommandations qu’ils préconisent pour répondre à leurs besoins. _________________________ Les ... [more ▼]

2ème partie Les problèmes que rencontrent les professionnels pour prendre en charge ces souffrances et les recommandations qu’ils préconisent pour répondre à leurs besoins. _________________________ Les problèmes que rencontrent ces professionnels des communes rurales du nord pour prendre en charge ces souffrances et les recommandations qu’ils préconisent pour répondre à leurs besoins. [less ▲]

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See detailPhysical and mental health, substance abuse and preventive behaviour: disparities between Central/Eastern versus Western European first-year university students in social sciences
Ionescu, Ion; Bucki, Barbara UL; Baumann, Michèle UL

in Analele Stiintifice ale Universitatii "Alexandru Ioan Cuza". Sectiunea Sociologie si Asistenta Sociala = Scientific Annals of the “Alexandru Ioan Cuza” University. Sociology and Social Work Section (2014), 7(1), 96-115

Background: Students at many European universities are in poor health and have unhealthy lifestyles. This study assessed and compared physical and mental health, substance use and preventive behaviour ... [more ▼]

Background: Students at many European universities are in poor health and have unhealthy lifestyles. This study assessed and compared physical and mental health, substance use and preventive behaviour among Polish and Romanian students versus students from France, a longer-standing member of the European Union. Methods: Four months after the beginning of the academic year, 934 French (Metz), 480 Polish (Katowice), and 195 Romanian (Iasi) first-year students of human and social sciences volunteered to complete an online self-reported questionnaire in their native language. The data were analysed using the age and sex adjusted odds ratios (OR) computed with logistic models and analysis of variance controlling for age and sex. Results: 41.9% of French students, 79.2% of Polish students and 48.2% of Romanian students were aged 20 years or over, and 58%, 82% and 87% respectively were female. Compared with French students, Romanian and Polish students experienced more stress/psychological distress, received less social support, and smokers smoked more intensively (ORs about 2.3). Drunkenness, impaired physical health or morale and suicidal ideation were more frequent (ORs 1.5-1.8) while tobacco use was less frequent (0.34) among Polish than among French students. Being uneasy, wanting to cry, having financial problems, and impaired physical health or morale were more frequent (ORs 1.5-4.9) among Romanian than among French students, in contrast to drunkenness (0.43). Both not using a motorcycle/cycle helmet and drink driving were less frequent among Polish students (ORs 0.06 and 0.47, respectively). Romanian students less frequently used tranquillisers (0.07) but were more likely not to use a condom during sexual intercourse (2.06). Finally, French students more frequently reported feeling isolated or dissatisfied with their integration into university. Conclusion: Poor health, substance use and lack of support were common but the risks greatly differed between Polish, Romanian and French students. There is a need to help students solve their integration problems and material difficulties. Health promotion on campus should provide appropriate advice, particularly for individuals at risk that takes account of the socio-economic and cultural context. [less ▲]

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See detailWhat factors can enhance Dynamic Career Attitudes of University students?
Karavdic, Senad UL; Baumann, Michèle UL

in InPACT International Psychological Applications Conference and Trends (2014)

In order to develop a University programme to prepare students for the demands of the job market our experimental study analyzes the relationships between the job search capabilities, the employability ... [more ▼]

In order to develop a University programme to prepare students for the demands of the job market our experimental study analyzes the relationships between the job search capabilities, the employability soft-skills, the domain autonomy of the quality of life and the dynamic career attitudes. During a class, 46 undergraduate students were invited to complete a self-administered paper pencil questionnaire that explores the Job search capabilities (JSC=26 items), Employability soft-skills (ESS 32 items), Quality of life autonomy domain (QoLA 4 items), and the Dynamic career attitudes (DCA 16 items). Each instrument was scored from 0 to 100. Correlation and multiple linear regression models were used for the analysis. 43 students have participated. (1) The JSC score is linked to the ESS score (r=0.561; p=0.000). (2) The ESS score, and QoL-autonomy scores are correlated to DCA score (r=0.644, p=0.000; respectively, r=0.595, p=0.000). Enhancing dynamic carrier attitudes could be stimulated with pedagogical workshops and interpersonal trainings developing students’ autonomy and employability abilities. [less ▲]

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See detailAssociation between health-related quality of life and being an immigrant among adolescents, and the role of socioeconomic and health-related difficulties
Baumann, Michèle UL; Chau, Kénora

in International Journal of Environmental Research and Public Health (2014), 10(1),

To develop satisfactorily, adolescents require a good health-related quality of life (QOL, including physical health, psychological health, social relationships and living environment). However, for ... [more ▼]

To develop satisfactorily, adolescents require a good health-related quality of life (QOL, including physical health, psychological health, social relationships and living environment). However, for poorly understood reasons, it is often lacking, especially among immigrants with lower family and socioeconomic resources. This study assessed health-related QOL of European and non-European immigrant adolescents and the contributions of socioeconomic difficulties, unhealthy behaviors, and violence. It included 1,559 middle-school adolescents from north-eastern France (mean age 13.5, SD 1.3; 1451 French adolescents, 54 European immigrants and 54 non-European immigrants), who completed a self-administered questionnaire including sex, age, socioeconomic characteristics (family structure, parents’ education, occupation, and income), unhealthy behaviors (uses of tobacco/alcohol/cannabis/hard drugs, obesity, and involvement in violence), having sustained violence, sexual abuse, and the four QOL domains measured with the World Health Organization’s WHOQOL-BREF (poor: score<25PthP percentile). Data were analyzed using logistic regression models. Poor physical health, psychological health, social relationships, and living environment affected more European immigrants (26% to 35%) and non-European immigrants (43% to 54%) than French adolescents (21% to 26%). European immigrants had a higher risk of poor physical health and living environment (gender-age-adjusted odds ratio 2.00 and 1.88, respectively) while non-European immigrants had a higher risk for all poor physical health, psychological health, social relationships, and living environment (3.41, 2.07, 3.25, and 3.79, respectively). Between 20% and 58% of these risks were explained by socioeconomic difficulties, parts of which overlapped with unhealthy behaviors and violence. The associations between the two sets of covariates greatly differed among French adolescents and immigrants. Poor QOL was more common among European and non-European immigrants due to socioeconomic difficulties and associated unhealthy behaviors and violence. The different risk patterns observed between French adolescents and immigrants may help prevention. [less ▲]

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See detailIndividual Differences in Learning Difficulty
Chau, Kénora; Karavdic, Senad UL; Baumann, Michèle UL

in International Psychological Applications Conference and Trends (2014)

Correlates of adolescent learning difficulty may include a number of issues sustained across the life course but this is little documented. This study assessed the associations of learning difficulty with ... [more ▼]

Correlates of adolescent learning difficulty may include a number of issues sustained across the life course but this is little documented. This study assessed the associations of learning difficulty with socioeconomic, behavior and health-related difficulties in early adolescence. This study included 1,559 middle-school adolescents from north-eastern France, who completed a self-administered questionnaire gathering socioeconomic characteristics (gender, age, nationality, family structure, father’s occupation, and family income), measured body mass index, alcohol/tobacco/cannabis/hard drug use, health status, back pain, allergy, depressive symptoms (Kandel scale), sustained physical/verbal violence, sexual abuse, social support, learning difficulty (a 4-item scale: lesson understanding, concentration/lesson learning, follow school pace/constraints, and school interrogations, range 0-4), grade repetition, low school performance (last trimester, <10/20), and school dropout contemplation at 16 years. Data were analyzed using multiple linear and logistic regression models. Learning difficulty score was strongly related to grade repetition (gender-age-adjusted odds ratio 1.56, 95% CI 1.38-1.76), low school performance (2.39, 2.08-2.75) and school dropout contemplation (1.79, 1.50-2.13). Learning difficulty was strongly related to socioeconomic factors (gaRC reaching 0.76). It was also related to alcohol, tobacco, cannabis, and hard drug use (0.22, 0.74, 0.71 and 1.25, respectively), overweight (0.17), obesity (0.43), poor health status (0.45), back pain (0.21), allergy (0.11), depressive symptoms (0.69), sustained violence (0.41), sexual abuse (0.72), and poor social support (0.22). These associations were partly explained by socioeconomic factors (contribution reaching 54% for various factors; it was 109% for alcohol use). These findings suggest that prevention to limit learning difficulty and promote school achievement should focus on socioeconomic, behavior and health-related difficulties in early adolescence. [less ▲]

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See detailFirst-year at university: the effect of academic employability skills and physical quality of life on students’ well-being.
Baumann, Michèle UL; Karavdic, Senad UL; Limbach-Reich, Arthur UL

in Work: A Journal of Prevention, Assessment, and Rehabilitation (2014), 49

With increasing access at European universities, supporting and promoting the high education, students’ mental well-being and generic employability capacities have become priorities, but their respective ... [more ▼]

With increasing access at European universities, supporting and promoting the high education, students’ mental well-being and generic employability capacities have become priorities, but their respective influences, after an adaptation period of seven months, remain unclear. <br />OBJECTIVE: To analyse the relationships between students’ well-being and self-perceived academic employability skills, and other social and environmental factors. METHODS: 321 freshmen students at the end of their first year completed an online questionnaire. Two instruments were used to assess well-being: the General Health Questionnaire (GHQ-12), which explores psychological suffering, and the psychological quality of life subdomain of the Whoqol-bref. RESULTS: Psychological Whoqol-bref scores are linked to the academic employability skills (AES) items of drafting, critical spirit, problem-solving, teamwork, and supervision/direction of others, and has positive effects on AES score and on the following Whoqol-bref domains: physical, social relationships and environmental. Although three of six psychological Whoqol-bref items (ability to concentrate, satisfaction with self, negative feelings) are correlated with GHQ-12 items (sleeping, decision-making, feeling under strain, problem-solving, depression, self-confidence, thinking about self, feeling happy). GHQ-12 score is negatively linked with Whoqol-bref physical. CONCLUSIONS: For better quality of life, and improved employability skills, innovative activities should be developed to ascertain the sustainable academic's abilities of students. [less ▲]

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