1
|
Nasir H, Dutheil F, Ramos I, Guirado T, de Saint-Vincent S, Thivel D, Metz L, Duclos M. Effects of portable pedal machines at work on lipoprotein subfraction profile in sedentary workers - the REMOVE study. Lipids Health Dis 2024; 23:105. [PMID: 38616275 PMCID: PMC11016206 DOI: 10.1186/s12944-024-02098-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Accepted: 04/03/2024] [Indexed: 04/16/2024] Open
Abstract
BACKGROUND Sedentary behaviour at work is a major cause of atherosclerosis, particularly in tertiary workers. However, no studies have ever assessed the effect of active workstation on lipoprotein subfraction profile. This study aimed to evaluate the effect of 12-week portable pedal machines (PPMs) on lipoprotein subfraction profile among healthy sedentary workers. METHODS Healthy administrative workers were randomized into an intervention group using PPMs for 12 weeks or a control group using normal-desk. Lipoprotein subfractions were assessed using Lipoprint® electrophoresis. Main outcomes were explored using mixed models with sensitivity analyses (four models). RESULTS We included 40 participants (43.7 ± 8.6 years old, 100% women, BMI 23.8 ± 3.4 kg/m2; sedentary time at work 7.7 ± 1.8 h/day). Groups did not differ at baseline in any outcomes. 32 participants finished the trial. Changes in lipoprotein subfractions were especially marked for LDL profile. There was an interaction time x group for all parameters related to LDL and their subfractions: total LDL-cholesterol (p = 0.012), LDL particle size (p = 0.027), large LDL subfractions 1 and 2 (p = 0.001), and small dense LDL subfractions 3 to 7 (p = 0.046), using the crude model. The interaction reflects difference in the direction of changes between groups. The LDL particle size significantly increased in the intervention group (from 271.9 ± 2.5 at t0 to 272.8 ± 1.9 Ångström at t1, p = 0.037) while it did not change in the control group (272.5 ± 1.7 at t0 to 271.8 ± 1.5Å at t1, p = 0.52). All interactions were constantly significant whatever the models. Influencing variables were mainly stress at work that was associated with an increase in total LDL-cholesterol (coefficient 3.15, 95CI 0.20 to 6.11 mg/dl, p = 0.038), and BMI that was associated with Large-LDL, Large-HDL, IDL-C and triglycerides. CONCLUSIONS Lipoprotein profile was improved after a 12-week PPMs intervention at work in healthy administrative workers. Changes were mainly showed for LDL and LDL subfractions. Lipoprotein profile was worsened by stress at work, BMI and age. TRIAL REGISTRATION NCT04153214.
Collapse
Affiliation(s)
- Hijrah Nasir
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), Université Clermont Auvergne, Clermont-Ferrand, France.
| | - Frederic Dutheil
- CNRS, LaPSCo, CHU Clermont-Ferrand, Occupational and Environmental Medicine, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Ines Ramos
- CHU Clermont-Ferrand, DRCI, Biostatistics, Clermont-Ferrand, France
| | - Terry Guirado
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), CRNH, Université Clermont Auvergne, Clermont-Ferrand, France
| | | | - David Thivel
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), CRNH, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Lore Metz
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), CRNH, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Martine Duclos
- INRAE, UNH, CHU Clermont-Ferrand, Department of Sport Medicine and Functional Exploration, Université Clermont Auvergne, Clermont-Ferrand, France
| |
Collapse
|
2
|
Colin-Chevalier R, Dutheil F, Benson AC, Dewavrin S, Cornet T, Lambert C, Pereira B. Stress and job satisfaction over time, the influence of the managerial position: A bivariate longitudinal modelling of Wittyfit data. PLoS One 2024; 19:e0298126. [PMID: 38437204 PMCID: PMC10911592 DOI: 10.1371/journal.pone.0298126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 01/19/2024] [Indexed: 03/06/2024] Open
Abstract
BACKGROUND The managerial position affects stress and job satisfaction of workers, but these influences have always been studied separately. OBJECTIVE We aimed to assess bivariate influence of the managerial position on workers' stress and job satisfaction and the inter-relationship of these indicators over time. METHODS We have analyzed data from workers who use the Wittyfit software, collected annually between 2018 and 2021. Stress and job satisfaction were evaluated by self-report questionnaires. Job position (manager or employee) was provided by the software's client companies. RESULTS Data of 704 workers were included in the study. Cross-sectional and longitudinal multivariate analyses revealed that managerial position improves job satisfaction (p<0.001), but not stress (p = 0.4). Overall, while workers' job satisfaction has improved (p<0.001), stress has remained stable over time (p = 0.3). Three latent groups, with specific evolutionary multi-trajectory of stress and job satisfaction were identified in the sample (entropy = 0.80). Age and seniority, but not gender tended to influence managers' and employees' indicators. Over time, stress and job satisfaction have tended to negatively interconnect, in cross-section and in a cross-lagged manner (p<0.001). CONCLUSIONS The managerial position improves workers' job satisfaction but has no effect on stress. Sociodemographics including age and seniority, but not gender, can affect this relationship. Stress and job satisfaction can influence each other, both cross-sectionally and over time. To be more effective, organizations should implement holistic strategies targeting multiple indicators. TRIAL REGISTRATION Clinicaltrials.gov: NCT02596737.
Collapse
Affiliation(s)
- Rémi Colin-Chevalier
- Université Clermont Auvergne, CNRS, LaPSCo, CHU Clermont-Ferrand, Cegid, Clermont-Ferrand, France
| | - Frédéric Dutheil
- Université Clermont Auvergne, CNRS, LaPSCo, CHU Clermont-Ferrand, Cegid, Clermont-Ferrand, France
| | - Amanda Clare Benson
- Sport Innovation Research Group, Department of Health and Biostatistics, Swinburne University of Technology, Hawthorn, Victoria, Australia
| | | | | | - Céline Lambert
- Biostatistics Unit, DRCI, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Bruno Pereira
- Biostatistics Unit, DRCI, CHU Clermont-Ferrand, Clermont-Ferrand, France
| |
Collapse
|
3
|
Colin-Chevalier R, Pereira B, Dewavrin S, Cornet T, Zak M, Benson AC, Dutheil F. The Managerial Role and Psychosocial Factors of Job Satisfaction: A Cross-sectional Study Among Wittyfit's Users. J Occup Environ Med 2024; 66:e61-e67. [PMID: 38013387 DOI: 10.1097/jom.0000000000003017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2023]
Abstract
OBJECTIVE Job satisfaction is an emerging indicator for measuring workers' occupational well-being; however, this has been poorly studied in managers. We aimed to explore job satisfaction between managers and employees and assess its factors. METHODS Data from Wittyfit's users were collected between January 2018 and February 2020. Volunteers anonymously provided their sociodemographic profile, their sense of job satisfaction, and their psychosocial feelings (ambiance, meaning, organization, recognition, values, work-life balance). RESULTS Data of 10,484 employees and 836 managers were collected. Job satisfaction was higher in managers than employees. All psychosocial factors had an impact on job satisfaction in workers. There was a higher prevalence of satisfied managers than employees. Managerial position and other sociodemographic variables influenced this prevalence. CONCLUSIONS Managers seem to be more satisfied than employees. Psychosocial and sociodemographic factors can influence workers' job satisfaction.
Collapse
Affiliation(s)
- Rémi Colin-Chevalier
- From the Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Preventive and Occupational Medicine, Cegid, Clermont-Ferrand, France (R.C.-C., F.D.); CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Biostatistics Unit, the Clinical Research and Innovation Direction, Clermont-Ferrand, France (E.P.); Cegid, Lyon, France (S.D., T.C.); Institute of Health Sciences, Collegium Medicum, The Jan Kochanowski University of Kielce, Kielce, Poland (M.Z.); and Swinburne University of Technology, Department of Health and Biostatistics, Hawthorn, Australia (A.C.B.)
| | | | | | | | | | | | | |
Collapse
|
4
|
Tanabe R, Hongo T, Obara T, Nojima T, Nakao A, Elmer J, Naito H, Yumoto T. Treatment patterns and clinician stress related to care of out-of-hospital cardiac arrest patients with a do not attempt resuscitation order. Resusc Plus 2023; 16:100507. [PMID: 38026140 PMCID: PMC10665952 DOI: 10.1016/j.resplu.2023.100507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 10/25/2023] [Accepted: 11/01/2023] [Indexed: 12/01/2023] Open
Abstract
Objective This research investigated treatment patterns for out-of-hospital cardiac arrest patients with Do Not Attempt Resuscitation orders in Japanese emergency departments and the associated clinician stress. Methods A cross-sectional survey was conducted at 9 hospitals in Okayama, Japan, targeting emergency department nurses and physicians. The questionnaire inquired about the last treated out-of-hospital cardiac arrest patient with a Do Not Attempt Resuscitation. We assessed emotional stress on a 0-10 scale and moral distress on a 1-5 scale among clinicians. Results Of 208 participants, 107 (51%) had treated an out-of-hospital cardiac arrest patient with a Do Not Attempt Resuscitation order in the past 6 months. Of these, 65 (61%) clinicians used a "slow code" due to perceived futility in resuscitation (42/65 [65%]), unwillingness to terminate resuscitation upon arrival (38/65 [59%]), and absence of family at the time of patient's arrival (35/65 [54%]). Female clinicians had higher emotional stress (5 vs. 3; P = 0.007) and moral distress (3 vs. 2; P = 0.002) than males. Nurses faced more moral distress than physicians (3 vs. 2; P < 0.001). Adjusted logistic regression revealed that having performed a "slow code" (adjusted odds ratio, 5.09 [95% CI, 1.68-17.87]) and having greater ethical concerns about "slow code" (adjusted odds ratio, 0.35 [95% CI, 0.19-0.58]) were associated with high stress levels. Conclusions The prevalent use of "slow code" for out-of-hospital cardiac arrest patients with Do Not Attempt Resuscitation orders underscores the challenges in managing these patients in clinical practice.
Collapse
Affiliation(s)
- Ryo Tanabe
- Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Okayama, Japan
| | - Takashi Hongo
- Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Okayama, Japan
| | - Takafumi Obara
- Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Okayama, Japan
| | - Tsuyoshi Nojima
- Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Okayama, Japan
| | - Atsunori Nakao
- Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Okayama, Japan
| | - Jonathan Elmer
- Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, PA, USA
- Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA
- Department of Neurology, University of Pittsburgh, Pittsburgh, PA, USA
| | - Hiromichi Naito
- Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Okayama, Japan
| | - Tetsuya Yumoto
- Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Okayama, Japan
| |
Collapse
|
5
|
Owens M, Bunce H. The effect of brief exposure to virtual nature on mental wellbeing in adolescents. Sci Rep 2023; 13:17769. [PMID: 37853074 PMCID: PMC10584913 DOI: 10.1038/s41598-023-44717-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Accepted: 10/11/2023] [Indexed: 10/20/2023] Open
Abstract
Adolescence is a time of multiple transitions and a vulnerability period for mental health difficulties. There are many barriers to the treatment of mental health conditions which is one reason for developing alternatives to help improve efficacy in treatment and prevention. One approach is to use nature-based interventions (NBIs) to improve mental wellbeing. In this experimental proof-of-principle intervention study, we randomly allocated a sample of adolescents to brief exposure (6 min) to either a virtual woodland nature video or a busy train journey and tested the effect on mental wellbeing. Results showed beneficial effects in the nature condition on several self-reported outcomes including stress, relaxation, affect, mood, attention, nature connection and nature spirituality. The intervention was mainly acceptable and feasible to do suggesting that overall brief virtual nature interventions may have utility in a range of mental health contexts for adolescents including as self-help universal or targeted prevention strategies, adjunct to psychological therapy and as preparation for more intensive NBIs. Additionally, brief virtual nature interventions support accessibility for those who may be limited on time, unable to access real-life nature or who may be more biophobic.
Collapse
Affiliation(s)
- Matthew Owens
- Department of Psychology, The Mood Disorders Centre, University of Exeter, Exeter, EX4 4QQ, UK.
- The ROWAN Group, Exeter, UK.
| | - Hannah Bunce
- The ROWAN Group, Exeter, UK
- Somerset Foundation Trust NHS, Taunton, TA1 5DA, UK
| |
Collapse
|
6
|
Dupuy M, Dutheil F, Alvarez A, Godet T, Adeyemi OJ, Clinchamps M, Schmidt J, Lambert C, Bouillon-Minois JB. Influence of COVID-19 on Stress at Work During the First Wave of the Pandemic Among Emergency Health Care Workers. Disaster Med Public Health Prep 2023; 17:e455. [PMID: 37533367 DOI: 10.1017/dmp.2023.134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/04/2023]
Abstract
OBJECTIVES For more than 2 years, coronavirus disease (COVID-19) has forced worldwide health care systems to adapt their daily practice. These adaptations add to the already stressful demands of providing timely medical care in an overcrowded health care system. Specifically, the COVID-19 pandemic added stress to an already overwhelmed emergency and critical care health care workers (HCWs) on the front lines during the first wave of the pandemic.This study assessed comparative subjective and objective stress among frontline HCWs using a visual analog scale and biometric data, specifically heart rate variability (HRV). METHODS This is a prospective, observational study using surveys and heart rate monitoring among HCWs who work in 3 frontline health care units (emergency department, mobile intensive care unit, and intensive care unit) in the University Hospital of Clermont-Ferrand, France. Two sessions were performed: 1 during the first wave of the pandemic (April 10 to May 10, 2020) and 1 after the first wave of the pandemic (June 10 to July 15, 2020).The primary outcome is the difference in stress levels between the 2 time points. Secondary objectives were the impact of overcrowding, sociodemographics, and other variables on stress levels. We also assessed the correlation between subjective and objective stress levels. RESULTS Among 199 HCWs, 98 participated in biometric monitoring, 84 had biometric and survey data, and 12 with only biometric data. Subjective stress was higher during the second time point compared to the first (4.39 ± 2.11 vs 3.16 ± 2.34, P = 0.23). There were higher objective stress levels with a decrease in HRV between the first and the second time points. Furthermore, we found higher patient volumes as a source of stress during the second time point. We did not find any significant correlation between subjective and objective stress levels. CONCLUSION HCWs had higher stress levels between the 2 waves of the pandemic. Overcrowding in the emergency department is associated with higher stress levels. We did not find any correlation between subjective and objective stress among intensive care and emergency HCWs during the first wave of the pandemic.
Collapse
Affiliation(s)
- Marie Dupuy
- Université Clermont Auvergne, CHU Clermont-Ferrand, Emergency Medicine, Clermont-Ferrand, France
| | - Frédéric Dutheil
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Occupational and Environmental Medicine, Clermont-Ferrand, France
| | - Al'ai Alvarez
- Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, CA, USA
| | - Thomas Godet
- CHU Clermont-Ferrand, Department of Anesthesiology and Critical Care, Reproduction and Developmental Diseases (R2D2) Unit, EA 7281, Clermont-Ferrand, France
| | - Oluwaseun John Adeyemi
- Ronald O. Perelman Department of Emergency Medicine, NYU School of Medicine, New York University Langone Health, New York, NY, USA
| | - Maëlys Clinchamps
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Emergency Medicine, Clermont-Ferrand, France
| | - Jeannot Schmidt
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Emergency Medicine, Clermont-Ferrand, France
| | - Céline Lambert
- CHU Clermont-Ferrand, DRCI, Biostatistics unit, Clermont-Ferrand, France
| | - Jean-Baptiste Bouillon-Minois
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Emergency Medicine, Clermont-Ferrand, France
| |
Collapse
|
7
|
Chen T, Lin C, Wang Y, Yang H, Li X, Chu G, Jiang W, Liu Y. Bone Cement Reperfusion Revision Surgery for Symptomatic Recurrence of Kümmell's Disease After Percutaneous Kyphoplasty. Global Spine J 2023:21925682231174189. [PMID: 37194502 DOI: 10.1177/21925682231174189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/18/2023] Open
Abstract
STUDY DESIGN Retrospective study. OBJECTIVES To demonstrate that repeat Percutaneous vertebroplasty (PVP) performed for the same cemented vertebrae in Kümmell's disease can offer therapeutic benefit for patients with recurrent symptoms after initial percutaneous kyphoplasty (PKP) treatment. METHODS From January 2019 to December 2021, we investigated 2932 patients with PKP. Among them, 191 patients were diagnosed Kümmell's disease. 33 patients upon presentation of recurrent symptoms underwent repeat PVP procedure. Radiologic outcomes and clinic indices were investigated. RESULTS Bone cement reperfusion surgery was successfully completed in 33 patients. The average age was 73.5 ± 8.2 years old. The kyphosis angle showed significant correction from pre-operation to the final follow-up, descending from pre-operation (20.6 ± 11.1°) to final follow-up (15.4 ± 7.9°). The vertebral heights at different follow-up appointments were significantly higher than the pre-operative appointments. The VAS and ODI scores at final follow-up were respectively 1.2 ± .8 and 27.3 ± 5.4%, which were both significantly lower than those before operation. No complications such as cement leakage into the spinal canal or cement displacement occurred during follow-up. CONCLUSIONS Bone cement reperfusion surgery can ameliorate kyphosis and restore vertebral height to some extent. Repeat PVP is a minimally invasive surgery that provides superior long-term results in clinical and radiological outcomes but is technically more difficult to perform.
Collapse
Affiliation(s)
- Tangyiheng Chen
- Department of Orthopaedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, China
| | - Cheng Lin
- Department of Orthopaedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, China
| | - Yujie Wang
- Department of Orthopaedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, China
| | - Huilin Yang
- Department of Orthopaedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, China
| | - Xuefeng Li
- Department of Orthopaedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, China
| | - Genglei Chu
- Department of Orthopaedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, China
| | - Weimin Jiang
- Department of Orthopaedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, China
- Department of Orthopaedic Surgery, Dushu Lake Hospital Affiliated of Soochow University, Suzhou, China
| | - Yijie Liu
- Department of Orthopaedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, China
| |
Collapse
|
8
|
Dutheil F, Parreira LM, Pereira B, Baldet M, Marson F, Chabaud C, Blot M, Baker JS, Zak M, Vallet G, Magnon V, Clinchamps M, Altun S. SOphrology Intervention to Improve WELL-Being in Hospital Staff (SO-WELL): Protocol for a Randomized Controlled Trial Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1185. [PMID: 36673939 PMCID: PMC9859524 DOI: 10.3390/ijerph20021185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 12/23/2022] [Accepted: 12/27/2022] [Indexed: 06/17/2023]
Abstract
INTRODUCTION Stress at work and psychosocial risks are a major public health problem. Sophrology and neurolinguistic programming (NLP) have demonstrated benefits in terms of mental, physical and social health, both in the general population and in patients, and both in and out of hospital settings. However, these approaches have never been provided at the hospital for the benefit of health professionals at risk of suffering at work. In general, we aim to demonstrate the effectiveness of a hospital sophrology/NLP intervention for health care professionals at risk of stress-related disorders. The secondary objectives are to study (i) within-group, and (ii) between-group): (1) effects on mental, physical, and social health; (2) persistence of effect; (3) relationships between job perception and mental, physical, and social health; (4) intervention success factors (personality and job perception, attendance and practice, other); (5) effects on other stress biomarkers (other measures of autonomic nervous system activity, DHEAS, cortisol, etc.). METHODS Our study will be a randomized controlled prospective study (research involving the human person of type 2). The study will be proposed to any health-care workers (HCW) or any non-HCW (NHCW) from a healthcare institution (such as CHU of Clermont-Ferrand, other hospitals, clinics, retirement homes). Participants will benefit from NLP and sophrology interventions at the hospital. For both groups: (i) heart rate variability, skin conductance and saliva biomarkers will be assessed once a week during the intervention period (6 to 8 sophrology sessions) and once by month for the rest of the time; (ii) the short questionnaire will be collected once a week during the whole protocol (1-2 min); (iii) the long questionnaire will be assessed only 5 times: at baseline (M0), month 1 (M1), month 3 (M3), month 5 (M5) and end of the protocol (M7). ETHICS AND DISSEMINATION The protocol, information and consent form had received the favorable opinion from the Ethics Committee. Notification of the approval of the Ethics Committee was sent to the study sponsor and the competent authority (ANSM). The study is registered in ClinicalTrials.gov under the identification number NCT05425511 after the French Ethics Committee's approval. The results will be reported according to the CONSORT guidelines. STRENGTHS AND LIMITATIONS OF THIS STUDY The psychological questionnaires in this study are self-assessed. It is also possible that responses suffer from variation. For the study, participants need to attend 6 to 8 sophrology sessions and one visit per month for 7 months, which might seem demanding. Therefore, to make sure that participants will complete the protocol, two persons will be fully in charge of the participants' follow-up.
Collapse
Affiliation(s)
- Frédéric Dutheil
- Physiological and Psychosocial Stress, CNRS UMR 6024, LaPSCo, University Clermont Auvergne, WittyFit, 63000 Clermont-Ferrand, France
- Preventive and Occupational Medicine, University Hospital of Clermont-Ferrand (CHU), 63000 Clermont-Ferrand, France
| | - Lénise M. Parreira
- Preventive and Occupational Medicine, University Hospital of Clermont-Ferrand (CHU), 63000 Clermont-Ferrand, France
| | - Bruno Pereira
- The Clinical Research and Innovation Direction, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France
| | - Maryse Baldet
- Pole REUNIRRH, University Hospital of Clermont-Ferrand (CHU), 63000 Clermont-Ferrand, France
| | - Frédérique Marson
- Pole MobEx (Mobility–Exercise), University Hospital of Clermont-Ferrand (CHU), 63000 Clermont-Ferrand, France
| | - Christine Chabaud
- Sophrologist (Caycedo Method)–Trained in Neurolinguistic Programming (NLP), University Hospital of Clermont-Ferrand (CHU), 63000 Clermont-Ferrand, France
| | - Magali Blot
- Sophrologist (Caycedo Method)–Trained in Neurolinguistic Programming (NLP), University Hospital of Clermont-Ferrand (CHU), 63000 Clermont-Ferrand, France
| | - Julien S. Baker
- Centre for Health and Exercise Science Research, Department of Sport, Physical Education and Health, Hong Kong Baptist University, Kowloon Tong, Hong Kong
| | - Marek Zak
- Faculty of Medicine and Health Sciences, Institute of Physiotherapy, The Jan Kochanowski University, 25-369 Kielce, Poland
| | - Guillaume Vallet
- Department of Psychology, CNRS UMR 6024, LaPSCo, University Clermont Auvergne, 63000 Clermont-Ferrand, France
| | - Valentin Magnon
- Department of Psychology, CNRS UMR 6024, LaPSCo, University Clermont Auvergne, 63000 Clermont-Ferrand, France
| | - Maëlys Clinchamps
- Physiological and Psychosocial Stress, CNRS UMR 6024, LaPSCo, University Clermont Auvergne, WittyFit, 63000 Clermont-Ferrand, France
- Preventive and Occupational Medicine, University Hospital of Clermont-Ferrand (CHU), 63000 Clermont-Ferrand, France
| | - Senem Altun
- Physiological and Psychosocial Stress, CNRS UMR 6024, LaPSCo, University Clermont Auvergne, WittyFit, 63000 Clermont-Ferrand, France
- Preventive and Occupational Medicine, University Hospital of Clermont-Ferrand (CHU), 63000 Clermont-Ferrand, France
| |
Collapse
|
9
|
Dutheil F, Jeanton C, Vilmant A, Lambert C, Clinchamps M, Ugbolue UC, Schmidt J, Vallet GT, Bouillon-Minois JB. Work-related stress of companies' directors during the first lockdown due to the COVID-19. Front Psychiatry 2022; 13:975953. [PMID: 36620671 PMCID: PMC9813865 DOI: 10.3389/fpsyt.2022.975953] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Accepted: 11/28/2022] [Indexed: 12/24/2022] Open
Abstract
Background The COVID-19 pandemic and the first lockdown were particularly stressful with a major economic impact, but the impact on stress of company directors was not known. Therefore, this study aimed to assess that impact and the characteristics of companies the most at risk. Method A online questionnaire was sent to 13,114 company. It assessed stress at work, number of employees, sector of activity, business activity rate and geographical location. It studied the mean stress levels, the percentage of stress > 8/10 and carried out an analysis of the characteristics of the most at-risk companies. Results A total of 807 company directors responded. Their stress levels increased by 25.9% during lockdown and 28.7% of them had a stress > 8/10. Sectors which had the biggest increase in stress levels during lockdown were retail trade, wholesale trade, and nursing homes. Sectors the most at risk of stress >8/10 during lockdown tended to be nursing homes, pharmacies, and IT activities. Biggest companies had the highest increase in stress levels. Conclusion The first lockdown of the COVID-19 pandemic had a major impact on the stress of company directors. Directors of large companies were the most exposed to stress as well as medical and IT activities.
Collapse
Affiliation(s)
- Frédéric Dutheil
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Preventive and Occupational Medicine, WittyFit, Clermont-Ferrand, France
| | - Carole Jeanton
- Université Clermont Auvergne, CHU Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France
| | - Audrey Vilmant
- Association Interentreprises en Santé au Travail La Prévention Active, Riom, France
| | - Céline Lambert
- CHU Clermont-Ferrand, Biostatistics, Clermont-Ferrand, France
| | - Maelys Clinchamps
- Université Clermont Auvergne, CHU Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France
| | - Ukadike Chris Ugbolue
- School of Health and Life Sciences, Institute for Clinical Exercise and Health Science, University of the West of Scotland, Glasgow, United Kingdom
| | - Jeannot Schmidt
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Emergency Medicine, Clermont-Ferrand, France
| | - Guillaume T. Vallet
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, Clermont-Ferrand, France
| | - Jean-Baptiste Bouillon-Minois
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Emergency Medicine, Clermont-Ferrand, France
| |
Collapse
|
10
|
Su H, Hu SH, Chi M, Lin Y, Wang C, Nguyen TV, Chuang Y. Prevalence of depressive symptoms and associated factors among foreign caregivers: A cross-sectional study. Nurs Open 2022; 10:1693-1703. [PMID: 36303262 PMCID: PMC9912386 DOI: 10.1002/nop2.1424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 05/29/2022] [Accepted: 10/11/2022] [Indexed: 11/10/2022] Open
Abstract
AIM To understand the prevalence of depressive symptoms among foreign caregivers and the associated factors. DESIGN A cross-sectional study. METHODS Data from 178 Indonesian foreign caregivers, selected based on convenience and snowball sampling in Taiwan, were collected between July 2019 and February 2020 using questionnaires. Stepwise multiple linear regression was used to identify the factors associated with depressive symptoms. RESULTS Approximately 30.3% of the foreign caregivers displayed depressive symptoms. The symptoms were more prevalent among the participants who were younger; had more social support; shared a bed with others; and experienced higher work-related stress, more loneliness and physical discomfort. The findings suggest that nurses or nurse practitioners visiting patients at home should not only deliver care for them but also show concern for the psychological well-being of the foreign caregivers of these patients. Moreover, interventions should be developed to alleviate or prevent the emergence of depressive symptoms among foreign caregivers.
Collapse
Affiliation(s)
- Hsuan‐Cheng Su
- School of Nursing, College of NursingTaipei Medical UniversityTaipeiTaiwan
| | - Sophia H. Hu
- Department of Nursing, College of NursingNational Yang Ming Chiao Tung UniversityTaipeiTaiwan
| | - Mei‐Ju Chi
- School of Gerontology and Long‐Term Care, College of NursingTaipei Medical UniversityTaipeiTaiwan
| | - Yen‐Kuang Lin
- Graduate Institute of Athletics and Coaching ScienceNational Taiwan Sport UniversityTaoyuanTaiwan
| | - Chih‐Yu Wang
- School of Nursing, College of NursingTaipei Medical UniversityTaipeiTaiwan
| | - Trung V. Nguyen
- School of Nursing, College of NursingTaipei Medical UniversityTaipeiTaiwan,Nursing Department, Faculty of Medicine and PharmacyTra Vinh UniversityTra Vinh CityVietnam
| | - Yeu‐Hui Chuang
- School of Nursing, College of NursingTaipei Medical UniversityTaipeiTaiwan,Center for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang HospitalTaipei Medical UniversityTaipeiTaiwan
| |
Collapse
|
11
|
Recurrent SARS-CoV-2 Serology Testing and Pandemic Anxiety: A Study of Pediatric Healthcare Workers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159562. [PMID: 35954913 PMCID: PMC9368345 DOI: 10.3390/ijerph19159562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Revised: 07/20/2022] [Accepted: 07/26/2022] [Indexed: 11/17/2022]
Abstract
Background: Limited access to SARS-CoV-2 testing has been identified as a potential source of anxiety among healthcare workers (HCWs), but the impact of repeated testing on pandemic-related anxiety in pediatric HCWs has not been examined. We sought to understand the impact of repeated SARS-CoV-2 antibody testing on pediatric HCWs’ COVID-19 anxiety. Methods: This longitudinal cohort study was conducted between April and July 2020. Participants, 362 pediatric HCWs, underwent rapid SARS-CoV-2 antibody testing either every 96 h or weekly and were asked to rate their COVID-19 anxiety on a visual analog scale. Changes in self-reported anxiety from the study baseline were calculated for each testing day response. Bivariate analyses, repeated measures, and logistic regression analyses were performed to examine demographics associated with changes in anxiety. Results: Baseline COVID-19 anxiety was significantly higher in HCWs with less than 10 years of experience (Z = −2.63, p = 0.009), in females compared to males (Z = −3.66 p < 0.001), and in nurses compared to other HCWs (F (3,302) = 6.04, p = 0.003). After excluding participants who received a positive test result, repeated measures analyses indicated that anxiety decreased over time (F (5,835) = 3.14, p = 0.008). Of the HCWs who reported decreased anxiety, 57 (29.8%) had a clinically meaningful decrease (≥30%) and Emergency Department (ED) HCWs were 1.97 times more likely to report a clinically meaningful decrease in anxiety (X2 (1) = 5.05, p = 0.025). Conclusions: The results suggest that repeated SARS-CoV-2 antibody serology testing is associated with decreased COVID-19 anxiety in HCWs. Routine screening for the disease may be a helpful strategy in attenuating pandemic-related anxiety in pediatric HCWs.
Collapse
|
12
|
Delamarre L, Tannous S, Lakbar I, Couarraze S, Pereira B, Leone M, Marhar F, Baker JS, Bagheri R, Berton M, Rabbouch H, Zak M, Sikorski T, Wasik M, Nasir H, Quach B, Jiao J, Aviles R, Clinchamps M, Dutheil F. The Evolution of Effort-Reward Imbalance in Workers during the COVID-19 Pandemic in France-An Observational Study in More than 8000 Workers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159113. [PMID: 35897478 PMCID: PMC9331729 DOI: 10.3390/ijerph19159113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/04/2022] [Revised: 07/21/2022] [Accepted: 07/22/2022] [Indexed: 11/17/2022]
Abstract
(1) Background: The effects of lockdown repetition on work-related stress, expressed through Effort-Reward Imbalance (ERI), during the COVID-19 pandemic are poorly documented. We investigated the effect of repetitive lockdowns on the ERI in French workers, its difference across occupations, and the change in its influencing factors across time. (2) Methods: Participants were included in a prospective cross-sectional observational study from 30 March 2020 to 28 May 2021. The primary outcome was the ERI score (visual analog scale). The ERI score of the population was examined via Generalized Estimating Equations. For each period, the factors influencing ERI were studied by multivariate linear regression. (3) Results: In 8121 participants, the ERI score decreased in the first 2 lockdowns (53.2 ± 0.3, p < 0.001; 50.5 ± 0.7, p < 0.001) and after lockdown 2 (54.8 ± 0.8, p = 0.004) compared with the pre-pandemic period (59 ± 0.4). ERI was higher in medical than in paramedical professionals in the pre-pandemic and the first 2 lockdowns. Higher workloads were associated with better ERI scores. (4) Conclusions: In a large French sample, Effort-Reward Imbalance worsened during the COVID-19 pandemic until the end of the 2nd lockdown. Paramedical professionals experienced a higher burden of stress compared with medical professionals.
Collapse
Affiliation(s)
- Louis Delamarre
- LaPSCo, Physiological and Psychosocial Stress, Université Clermont Auvergne, CNRS, 63000 Clermont-Ferrand, France; (S.T.); (F.M.); (M.B.); (M.C.); (F.D.)
- Department of Anesthesiology and Intensive Care, University Hospital of Marseille, Hopital Nord, Assistance Publique Hôpitaux de Marseille, 13015 Marseille, France; (I.L.); (M.L.)
- Correspondence:
| | - Salma Tannous
- LaPSCo, Physiological and Psychosocial Stress, Université Clermont Auvergne, CNRS, 63000 Clermont-Ferrand, France; (S.T.); (F.M.); (M.B.); (M.C.); (F.D.)
| | - Ines Lakbar
- Department of Anesthesiology and Intensive Care, University Hospital of Marseille, Hopital Nord, Assistance Publique Hôpitaux de Marseille, 13015 Marseille, France; (I.L.); (M.L.)
| | - Sébastien Couarraze
- Pôle Régional d’Enseignement et de Formation aux Métiers de la Santé, University Hospital of Toulouse, 31000 Toulouse, France;
| | - Bruno Pereira
- Direction de la Recherche Clinique et de l’Innovation, Centre Hospitalier Universitaire de Clermont-Ferrand, 63000 Clermont-Ferrand, France;
| | - Marc Leone
- Department of Anesthesiology and Intensive Care, University Hospital of Marseille, Hopital Nord, Assistance Publique Hôpitaux de Marseille, 13015 Marseille, France; (I.L.); (M.L.)
| | - Fouad Marhar
- LaPSCo, Physiological and Psychosocial Stress, Université Clermont Auvergne, CNRS, 63000 Clermont-Ferrand, France; (S.T.); (F.M.); (M.B.); (M.C.); (F.D.)
- Department of Anesthesiology and Intensive Care, University Hospital of Marseille, Hopital Nord, Assistance Publique Hôpitaux de Marseille, 13015 Marseille, France; (I.L.); (M.L.)
| | - Julien S. Baker
- Centre for Health and Exercise Science Research, Department of Sport, Physical Education and Health, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China;
| | - Reza Bagheri
- Department of Exercise Physiology, University of Isfahan, Isfahan 81746-73441, Iran;
| | - Mickael Berton
- LaPSCo, Physiological and Psychosocial Stress, Université Clermont Auvergne, CNRS, 63000 Clermont-Ferrand, France; (S.T.); (F.M.); (M.B.); (M.C.); (F.D.)
| | - Hana Rabbouch
- Institut Supérieur de Gestion de Tunis, Université de Tunis, Tunis 2000, Tunisia;
| | - Marek Zak
- The Institute of Health Sciences, Collegium Medicum, Jan Kochanowski University of Kielce, ul. Zeromskiego 5, 25-369 Kielce, Poland;
| | - Tomasz Sikorski
- Doctoral School, Collegium Medicum, Jan Kochanowski University of Kielce, Zeromskiego 5, 25-369 Kielce, Poland; (T.S.); (M.W.)
| | - Magdalena Wasik
- Doctoral School, Collegium Medicum, Jan Kochanowski University of Kielce, Zeromskiego 5, 25-369 Kielce, Poland; (T.S.); (M.W.)
| | - Hijrah Nasir
- Department of Economic Development, Université Clermont Auvergne, 63000 Clermont-Ferrand, France;
| | - Binh Quach
- Centre for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong, China; (B.Q.); (J.J.)
| | - Jiao Jiao
- Centre for Health and Exercise Science Research, Hong Kong Baptist University, Hong Kong, China; (B.Q.); (J.J.)
| | - Raimundo Aviles
- Universidad Finis-Terrae, El-Carmen, Hospital Dr. Luis-Valentìn-Ferrada, Obstetrics and Gynecology, Maipù 5641235, Chile;
| | | | - Maëlys Clinchamps
- LaPSCo, Physiological and Psychosocial Stress, Université Clermont Auvergne, CNRS, 63000 Clermont-Ferrand, France; (S.T.); (F.M.); (M.B.); (M.C.); (F.D.)
- Department of Preventive and Occupational Medicine, University Hospital of Clermont-Ferrand, 63000 Clermont-Ferrand, France
| | - Fréderic Dutheil
- LaPSCo, Physiological and Psychosocial Stress, Université Clermont Auvergne, CNRS, 63000 Clermont-Ferrand, France; (S.T.); (F.M.); (M.B.); (M.C.); (F.D.)
- Department of Preventive and Occupational Medicine, University Hospital of Clermont-Ferrand, 63000 Clermont-Ferrand, France
| |
Collapse
|
13
|
Dutheil F, Pereira B, Bouillon-Minois JB, Clinchamps M, Brousses G, Dewavrin S, Cornet T, Mermillod M, Mondillon L, Baker JS, Schmidt J, Moustafa F, Lanhers C. Validation of Visual Analogue Scales of job demand and job control at the workplace: a cross-sectional study. BMJ Open 2022; 12:e046403. [PMID: 35301199 PMCID: PMC8932271 DOI: 10.1136/bmjopen-2020-046403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES Work-related stress is a major concern. One of the best performing models is the Job Content Questionnaire (JCQ) of Karasek, assessing job demand and job control using 18 items. However, the JCQ is long and complex. Visual Analogue Scales (VASs) are easy to use and quick to implement. VASs have been validated to assess pain and occupational stress; however, VASs demand and control have not been evaluated. Therefore, we aimed to validate the use of VAS demand and control compared with the 18 items of the JCQ. DESIGN We implemented a cross-sectional observational study, by administering a self-reported questionnaire to the users of Wittyfit software, with a second test (retest) proposed 1 week later. In addition to JCQ, VAS demand and control, we measured sociodemographic outcomes, as well as characteristics of work, sleep, well-being, stress, depression and anxiety. PARTICIPANTS 190 volunteers French workers using WittyFit software participated in the study, and 129 completed the test-retest. RESULTS VAS demand and VAS control correlated with the two Karasek domains from the JCQ, respectively, at 0.59 and 0.57 (p<0.001). Test-retest reliability highlighted concordance coefficients higher than 0.70. Sensitivity was higher than 70% for each VAS. External validity was acceptable. For both demand and control, VAS cut-offs were 75/100. Compared with other workers, senior executives and individuals with master's degrees had higher levels of job control but did not differ in job demand using the VAS and JCQ. CONCLUSIONS VAS demand and VAS control are valid, quick, easy to use, and reliable tools for the assessment of job demand and job control. They can be used in daily clinical practice for primary prevention and diagnosis. However, when results are over 75 mm on VAS, we promote the use of JCQ to be more discriminant and specific to initiate action plans to help workers. TRIAL REGISTRATION NUMBER NCT02596737.
Collapse
Affiliation(s)
- Frederic Dutheil
- Occupational and Environmental Medicine, University Hospital Centre, F-63000 Clermont-Ferrand, France
- Physiological and Psychosocial Stress, LAPSCO, F-63000 Clermont-Ferrand, France
| | - Bruno Pereira
- Biostatistics Unit, Clinical Research and Innovation Direction, University Hospital Centre, F-63000 Clermont-Ferrand, France
| | | | - Maëlys Clinchamps
- Occupational and Environmental Medicine, University Hospital Centre, F-63000 Clermont-Ferrand, France
| | - Georges Brousses
- Psychiatry, University Hospital Centre, F-63000 Clermont-Ferrand, France
- NPSY-SYDO, University Clermont Auvergne, F-63000 Clermont-Ferrand, France
| | | | | | - Martial Mermillod
- Psychology and NeuroCognition Laboratory, University Grenoble Alpes, F-38000 Grenoble, France
- Institut Universitaire de France, F-75000 Paris, France
| | - Laurie Mondillon
- Psychology, University Clermont Auvergne, F-63000 Clermont-Ferrand, France
- LAPSCO, F-63000 Clermont-Ferrand, France
| | | | - Jeannot Schmidt
- Emergency Medicine, University Hospital Centre, F-63000 Clermont-Ferrand, France
| | - Farès Moustafa
- Pôle SAMU-SMUR-Urgences, Service Urgences Adultes, University Hospital Centre, F-63000 Clermont-Ferrand, France
| | - Charlotte Lanhers
- General medicine, University Hospital Clermont-Ferrand, F-63000 Clermont-Ferrand, France
| |
Collapse
|
14
|
Dutheil F, Vilmant A, Boudet G, Mermillod M, Lesage FX, Jalenques I, Valet G, Schmidt J, Bouillon-Minois JB, Pereira B. Assessment of sick building syndrome using visual analog scales. INDOOR AIR 2022; 32:e13024. [PMID: 35347792 DOI: 10.1111/ina.13024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 03/06/2022] [Accepted: 03/13/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Despite there is no recommendations for assessing symptoms of sick building syndrome, the use of visual analog scales (VAS) seems attractive and appropriate. We aimed to demonstrate the benefits of using VAS for evaluating subjective symptoms of sick building syndrome. METHOD We compared an exposed group to a control group with a one-year follow-up. To assess chronology of symptoms, employees were asked to complete four VAS at different times: after vacations (time 1), beginning of the week-beginning of the day (time 2), beginning of the week-end of the day (time 3), and end of the week-end of the day (time 4). Measurements were repeated before and after ventilation work for the exposed group and at the same time in the control group without intervention. Confounding factors were assessed. RESULTS We included 36 employees (21 in the exposed group and 15 in the control group). Both groups were comparable. Prior to ventilation work, the exposed group had more subjective symptoms than the control group with a chronology of symptoms. After ventilation work, symptoms did not differ between groups, and most symptoms decreased within the exposed group. PRACTICAL IMPLICATION The use of VAS provided reliable data for assessing sick building syndrome and showed a dose-response relationship between occupational exposure and symptoms.
Collapse
Affiliation(s)
- Frédéric Dutheil
- LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Occupational and Preventive Medicine, WittyFit, Université Clermont Auvergne, CNRS, Clermont-Ferrand, France
| | - Audrey Vilmant
- Association Interentreprises en Santé au Travail La Prévention Active, RIOM, France
| | - Gil Boudet
- LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Occupational and Preventive Medicine, Université Clermont Auvergne, CNRS, Clermont-Ferrand, France
| | - Martial Mermillod
- LPNC, Univ. Grenoble Alpes, CNRS, Grenoble, France
- Institut Universitaire de France, Paris, France
| | - François-Xavier Lesage
- Laboratory Epsylon EA 4556, Dynamic of Human Abilities & Health Behaviors, CHU Montpellier, Occupational Medicine, University of Montpellier, Montpellier, France
| | - Isabelle Jalenques
- CHU Clermont-Ferrand, Addictology, Université Clermont Auvergne, NPsy-Sydo, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France
| | - Guillaume Valet
- LaPSCo, Physiological and Psychosocial Stress, Université Clermont Auvergne, CNRS, , Clermont-Ferrand, France
| | - Jeannot Schmidt
- LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Emergency, Université Clermont Auvergne, CNRS, Clermont-Ferrand, France
| | - Jean-Baptiste Bouillon-Minois
- LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Emergency, Université Clermont Auvergne, CNRS, Clermont-Ferrand, France
| | - Bruno Pereira
- Biostatistics Unit, Clinical Research and Innovation Direction, CHU Clermont-Ferrand, Clermont-Ferrand, France
| |
Collapse
|
15
|
Colin-Chevalier R, Pereira B, Benson AC, Dewavrin S, Cornet T, Dutheil F. The Protective Role of Job Control/Autonomy on Mental Strain of Managers: A Cross-Sectional Study among Wittyfit's Users. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042153. [PMID: 35206335 PMCID: PMC8872257 DOI: 10.3390/ijerph19042153] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 02/04/2022] [Accepted: 02/10/2022] [Indexed: 11/16/2022]
Abstract
BACKGROUND Karasek's Job Demand-Control-Support model is the gold standard to assess the perception of work; however, this model has been poorly studied among managers. We aimed to explore the perception of work (job demand, control, and support) in managers, and to quantify their risk of job strain (high job demand and low job control) and isostrain (job strain with low job support). METHODS We conducted a cross-sectional study on workers from various French companies using the Wittyfit software. Job demand, control, and support were evaluated by self-reported questionnaires, as well as sociodemographic data. RESULTS We included 9257 workers: 8488 employees (median age of 45 years, median seniority of 10 years, 39.4% women) and 769 managers (463 were more than 45 years old, 343 with more than 10 years of service, 33.3% women). Managers had higher mean ± SD levels than employees in job control (79.2 ± 14.9 vs. 75.4 ± 16.9) and job support (25.2 ± 5.1 vs. 24.0 ± 6.1) (p < 0.001). Compared to employees, managers had a 37% decreased risk of job strain (OR = 0.63, 95% CI 0.52 to 0.77) and a 47% decreased risk of isostrain (OR = 0.53, 95% CI 0.40 to 0.69) (p < 0.001). Workers over age 45 (OR = 1.26, 95% CI 1.14 to 1.40, p < 0.001) and women (OR = 1.12, 95% CI 1.01 to 1. 25, p = 0.03) were at greater risk of job strain. Furthermore, workers over age 45 (OR = 1.51, 95% CI 1.32 to 1.73, p < 0.001), workers with over 10 years of service (OR = 1.35, 95% CI 1.16 to 1.56, p < 0.001), and women (OR = 1.15, 95% CI 1.00 to 1.31, p = 0.04) were at greater risk of isostrain. CONCLUSIONS Managers seem to have higher autonomy and greater social support and therefore are less at risk of job strain or isostrain than employees. Other factors such as age, seniority, and sex may influence this relationship. TRIAL REGISTRATION Clinicaltrials.gov: NCT02596737.
Collapse
Affiliation(s)
- Rémi Colin-Chevalier
- CNRS, LaPSCo, Physiological and Psychosocial Stress, University Hospital of Clermont-Ferrand, Preventive and Occupational Medicine, Université Clermont Auvergne, Wittyfit, 63000 Clermont-Ferrand, France;
- Correspondence:
| | - Bruno Pereira
- Biostatistics Unit, Clinical Research and Innovation Direction, University Hospital of Clermont-Ferrand, 63000 Clermont-Ferrand, France;
| | - Amanda Clare Benson
- Department of Health and Biostatistics, Swinburne University of Technology, Hawthorn, VIC 3122, Australia;
| | | | | | - Frédéric Dutheil
- CNRS, LaPSCo, Physiological and Psychosocial Stress, University Hospital of Clermont-Ferrand, Preventive and Occupational Medicine, Université Clermont Auvergne, Wittyfit, 63000 Clermont-Ferrand, France;
| |
Collapse
|
16
|
Wang Q, Lv C, Han X, Shen M, Kuang Y. A Web-Based Survey on Factors for Unvaccination and Adverse Reactions of SARS-CoV-2 Vaccines in Chinese Patients with Psoriasis. J Inflamm Res 2021; 14:6265-6273. [PMID: 34866925 PMCID: PMC8636842 DOI: 10.2147/jir.s341429] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Accepted: 11/15/2021] [Indexed: 12/13/2022] Open
Abstract
Purpose Vaccination is one of the most important strategy to prevent infections and control epidemics, but it also raises concerns about safety in patients receiving treatments. This study aimed to investigate the rate and factors for unvaccination, as well as adverse reactions and deterioration of disease after SARS-CoV-2 vaccination in psoriatic patients. Methods A web-based questionnaire survey on SARS-CoV-2 vaccination, adverse reactions, and self-reported change of disease condition after vaccination in patients with psoriasis was conducted. Demographic, clinical, and psychological data were collected. Multivariable logistic regression was used in the estimation of associations. Results A total of 788 psoriatic patients were investigated, and 68.9% reported SARS-CoV-2 vaccination. Younger age, use of interleukin-17 inhibitors, and symptoms of anxiety were associated with unvaccination. The incidence of overall adverse reactions after vaccination was 30.8%, and no severe adverse reaction was reported. The most common local and systemic adverse reactions were pain at the injection site and fatigue, respectively. Most patients reported no change in psoriasis after vaccination, while 16.6% and 4.4% reported slight and significant deteriorations of the disease, respectively. Nonadherence to treatment, symptoms of anxiety and depression, and perceived stress were associated with self-reported deterioration of psoriasis after vaccination. Conclusion While a favorable safety profile of SARS-CoV-2 vaccines is observed, receiving biologic treatment is factor for unvaccination in patients with psoriasis. Deterioration of psoriasis reported by a small proportion of patients is partially attributable to mental and behavioral factors.
Collapse
Affiliation(s)
- Qiaolin Wang
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.,National Clinical Research Center for Geriatric Disorders (Xiangya Hospital), Changsha, Hunan, People's Republic of China.,Hunan Engineering Research Center of Skin Health and Disease; Hunan Key Laboratory of Skin Cancer and Psoriasis (Xiangya Hospital), Changsha, Hunan, People's Republic of China
| | - Chengzhi Lv
- Department of Psoriasis, Dalian Dermatosis Hospital, Dalian, Liaoning, People's Republic of China
| | - Xi Han
- ULink College Guangzhou, Guangzhou, Guangdong, People's Republic of China
| | - Minxue Shen
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.,National Clinical Research Center for Geriatric Disorders (Xiangya Hospital), Changsha, Hunan, People's Republic of China.,Hunan Engineering Research Center of Skin Health and Disease; Hunan Key Laboratory of Skin Cancer and Psoriasis (Xiangya Hospital), Changsha, Hunan, People's Republic of China.,Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, People's Republic of China
| | - Yehong Kuang
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.,National Clinical Research Center for Geriatric Disorders (Xiangya Hospital), Changsha, Hunan, People's Republic of China.,Hunan Engineering Research Center of Skin Health and Disease; Hunan Key Laboratory of Skin Cancer and Psoriasis (Xiangya Hospital), Changsha, Hunan, People's Republic of China
| |
Collapse
|
17
|
Couarraze S, Delamarre L, Marhar F, Quach B, Jiao J, Avilés Dorlhiac R, Saadaoui F, Liu ASI, Dubuis B, Antunes S, Andant N, Pereira B, Ugbolue UC, Baker JS, Clinchamps M, Dutheil F. The major worldwide stress of healthcare professionals during the first wave of the COVID-19 pandemic - the international COVISTRESS survey. PLoS One 2021; 16:e0257840. [PMID: 34614016 PMCID: PMC8494302 DOI: 10.1371/journal.pone.0257840] [Citation(s) in RCA: 35] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Accepted: 09/10/2021] [Indexed: 12/21/2022] Open
Abstract
INTRODUCTION The COVID-19 pandemic has initiated an upheaval in society and has been the cause of considerable stress during this period. Healthcare professionals have been on the front line during this health crisis, particularly paramedical staff. The aim of this study was to assess the high level of stress of healthcare workers during the first wave of the pandemic. MATERIALS AND METHODS The COVISTRESS international study is a questionnaire disseminated online collecting demographic and stress-related data over the globe, during the pandemic. Stress levels were evaluated using non-calibrated visual analog scale, from 0 (no stress) to 100 (maximal stress). RESULTS Among the 13,537 individuals from 44 countries who completed the survey from January to June 2020, we included 10,051 workers (including 1379 healthcare workers, 631 medical doctors and 748 paramedical staff). The stress levels during the first wave of the pandemic were 57.8 ± 33 in the whole cohort, 65.3 ± 29.1 in medical doctors, and 73.6 ± 27.7 in paramedical staff. Healthcare professionals and especially paramedical staff had the highest levels of stress (p < 0.001 vs non-healthcare workers). Across all occupational categories, women had systematically significantly higher levels of work-related stress than men (p < 0.001). There was a negative correlation between age and stress level (r = -0.098, p < 0.001). Healthcare professionals demonstrated an increased risk of very-high stress levels (>80) compared to other workers (OR = 2.13, 95% CI 1.87-2.41). Paramedical staff risk for very-high levels of stress was higher than doctors' (1.88, 1.50-2.34). The risk of high levels of stress also increased in women (1.83, 1.61-2.09; p < 0.001 vs. men) and in people aged <50 (1.45, 1.26-1.66; p < 0.001 vs. aged >50). CONCLUSIONS The first wave of the pandemic was a major stressful event for healthcare workers, especially paramedical staff. Among individuals, women were the most at risk while age was a protective factor.
Collapse
Affiliation(s)
- Sébastien Couarraze
- Department of Anesthesiology and Critical Care, University Hospital of Toulouse, University Toulouse 3-Paul Sabatier, Toulouse, France
- UMR EFTS, Université Toulouse 2 –Jean Jaurès, Toulouse, France
| | - Louis Delamarre
- Department of Anesthesiology and Critical Care, University Hospital of Toulouse, University Toulouse 3-Paul Sabatier, Toulouse, France
| | - Fouad Marhar
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, University Hospital of Toulouse, CHU Toulouse, France
| | - Binh Quach
- Hong Kong Baptist University, Physical Education and Health, Centre for Health and Exercise Science Research, Kowloon Tong, Hong Kong
| | - Jiao Jiao
- Hong Kong Baptist University, Physical Education and Health, Centre for Health and Exercise Science Research, Kowloon Tong, Hong Kong
| | | | - Foued Saadaoui
- King Abdulaziz University, Saudi Arabia, College of Sciences and Theoretical Studies, Riyadh, Saudi Arabia
| | - Andy Su-I Liu
- University of Taipei, Exercise and Health Science, Taipei, Taiwan
| | - Benoït Dubuis
- Université de Genève, UNIGE, Fondation INARTIS, Genève, Switzerland
| | - Samuel Antunes
- ISPA—Instituto Universitário, Ordem dos Psicólogos Portugueses, APPsyCI—Applied Psychology Research Center Capabilities & Inclusion, Lisboa, Portugal
| | - Nicolas Andant
- University Hospital of Clermont Ferrand, CHU Clermont-Ferrand, Clinical Research and Innovation Direction—Biostatistics, Clermont-Ferrand, France
| | - Bruno Pereira
- University Hospital of Clermont Ferrand, CHU Clermont-Ferrand, Clinical Research and Innovation Direction—Biostatistics, Clermont-Ferrand, France
| | - Ukadike C. Ugbolue
- University of the West of Scotland, Institute for Clinical Exercise & Health Science, School of Health and Life Sciences, South Lanarkshire, Scotland, UK
| | - Julien S. Baker
- Hong Kong Baptist University, Physical Education and Health, Centre for Health and Exercise Science Research, Kowloon Tong, Hong Kong
| | | | - Maëlys Clinchamps
- University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Preventive and Occupational Medicine, Clermont-Ferrand, France
| | - Frédéric Dutheil
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Preventive and Occupational Medicine, WittyFit, Clermont-Ferrand, France
| |
Collapse
|
18
|
Bouillon-Minois JB, Roux V, Pereira B, Flannery M, Pelissier C, Occelli C, Schmidt J, Navel V, Dutheil F. Stress among Emergency Health Care Workers on Nuclear or Radiation Disaster: A Preliminary State Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18168384. [PMID: 34444134 PMCID: PMC8393601 DOI: 10.3390/ijerph18168384] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 08/02/2021] [Accepted: 08/05/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND The nuclear or radiation disaster risk within the French Auvergne-Rhone-Alpes state is low (but not absent) due to its proximity to four Nuclear Power Generation Centers and two regional cancer control centers. This study aims to compare subjective stress ratings for emergency health care workers regarding nuclear and radiation disasters between two locations: at work versus at home. MATERIALS AND METHODS We distributed an anonymous online questionnaire via RedCap® to all emergency health care workers who could be involved in patient care after a nuclear or radiation disaster. It comprised 18 questions divided into three parts-theoretical knowledge and practical assessment, stress assessment, and sociodemographic criteria. RESULTS We analyzed 107 responses. There was a significant 11-point increase in stress levels between work and home regarding nuclear or radiation disaster risks (p = 0.01). Less than 25% of emergency health care workers surveyed benefited from annual training. CONCLUSION The stress levels of emergency health care workers regarding nuclear or radiation disaster were higher at work than at home and increased without annual training. It is important to increase knowledge about these protocols and to mandate yearly training for all workers potentially involved in these disasters.
Collapse
Affiliation(s)
- Jean-Baptiste Bouillon-Minois
- Emergency Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France;
- Correspondence: ; Tel.: +33-6-74-36-04-23; Fax: +33-4-73-27-46-49
| | - Vincent Roux
- CNRS, LaPSCo, Université Clermont Auvergne, Physiological and Psychosocial Stress, 63000 Clermont-Ferrand, France; (V.R.); (F.D.)
| | - Bruno Pereira
- Clinical Research and Innovation Direction, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France;
| | - Mara Flannery
- Ronald O. Perelman Department of Emergency Medicine, NYU School of Medicine, New York University Langone Health, New York, NY 10016, USA;
| | - Carole Pelissier
- Service de Santé au Travail, CHU de Saint-Étienne, Saint-Étienne, France. Univ Lyon 1, Univ St Etienne, 42005 Saint-Étienne, France;
| | - Céline Occelli
- CHU Nice, Emergency Department, Université Côte d’Azur, 06000 Nice, France;
| | - Jeannot Schmidt
- Emergency Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France;
| | - Valentin Navel
- Translational Approach to Epithelial Injury and Repair, Université Clermont Auvergne, CHU Clermont-Ferrand, CNRS, INSERM, GReD., 63000 Clermont-Ferrand, France;
- Ophthalmology, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France
| | - Frédéric Dutheil
- CNRS, LaPSCo, Université Clermont Auvergne, Physiological and Psychosocial Stress, 63000 Clermont-Ferrand, France; (V.R.); (F.D.)
- Occupational and Environmental Medicine, CHU Clermont-Ferrand, WittyFit, 63000 Clermont-Ferrand, France
| |
Collapse
|
19
|
Patronis S, Staffileno BA. Favorable Outcomes From an In-person and Online Feasibility Mindful Moment Pilot Study. Holist Nurs Pract 2021; 35:158-166. [PMID: 33853100 DOI: 10.1097/hnp.0000000000000443] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Long hours, inadequate staff, and increasingly complicated patients make nurses more vulnerable to increased levels of stress and burnout. Nurses skilled in exercising self-care practices are better equipped to manage complex clinical situations. The purpose of this pilot study was to evaluate the feasibility of short mindfulness sessions (Mindful Moment) practiced prior to a shift, available in person and online, on nurse burnout and perceived levels of stress. The 8-week Mindful Moment study consisted of 20-minute sessions delivered either in person or online that included yoga, self-reflection, and meditation. Nurse burnout was assessed using the Maslach Burnout Inventory at weeks 0, 4, and 8. Perceived stress was assessed using a visual analog scale before and after each Mindful Moment session. Descriptive statistics, pre/postintervention differences, and percent change calculations were used to evaluate study outcomes. Forty-seven nurses agreed to participate, with 20 nurses completing the study (43%). Participants were all female, aged 36.8 ± 9.8 years, with 12 ± 8.6 years of nursing experience. With respect to nurse burnout, there was a -31% change in emotional exhaustion (P = .079), a -31% change in depersonalization (P = .057), and a +10% change in personal accomplishment (P = .331). There were consistent reductions in nurses' perceived stress pre/post-Mindful Moment session, with percent changes ranging from -35% to 40%. Findings from this study suggest that practicing a brief Mindful Moment prior to the start of a shift is feasible and self-care interventions provide lower levels of burnout and perceived stress among this sample of nurses.
Collapse
Affiliation(s)
- Stephanie Patronis
- Rush-Copley Medical Center Aurora, Illinois (Ms Patronis); and College of Nursing (Dr Staffileno) and Center for Clinical Research and Scholarship (Dr Staffileno), Rush University Medical Center, Chicago, Illinois
| | | |
Collapse
|
20
|
Hou Y, Zhou B, Amuti A, Hao Y, Dai C, Peng K. Rapid efficacy of percutaneous kyphoplasty (PKP) in treating thoracolumbar fractures in elderly patients. Am J Transl Res 2021; 13:2662-2669. [PMID: 34017426 PMCID: PMC8129340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Accepted: 11/27/2020] [Indexed: 06/12/2023]
Abstract
OBJECTIVE This study aims to investigate the effects of percutaneous kyphoplasty (PKP) on the elderly patients with thoracolumbar fractures and its influence on their complications and quality of life. METHODS Totally 175 elderly patients with thoracolumbar fractures admitted to our hospital from June 2017 to January 2019 were selected as the research participants. Seventy patients in the control group (CG) were treated with conventional therapy, and 105 in the research group (RG) were treated by percutaneous kyphoplasty (PKP). The surgical indications (time of hospitalization and ground exercise), pressure injury and pain (VAS score) of patients in both groups were tested and compared. The ODI score, quality of life GQOLI-74 scale score, height of anterior vertebral border and cobb angle of patients were compared, and their total effective and complication rates were statistically analyzed. RESULTS The surgical indications of patients in the RG were better than those in the CG. Those with pressure injury in stages 1 and 2 were fewer, and VAS and ODI scores were lower; GQOLI-74 scale score was higher, height of anterior vertebral border was higher than that in the CG, and the cobb angle was smaller The total effective rate was higher and the incidence of complications was lower than that in the CG. CONCLUSION PKP is more effective and faster in treating thoracolumbar fractures in elderly patients with fewer postoperative complications, and can promote the recovery of function and quality of life.
Collapse
Affiliation(s)
- Yanjie Hou
- Department of Orthopedics, The Second Affiliated Hospital of Xinjiang Medical UniversityUrumqi 830063, Xinjiang Uygur Autonomous Region, China
| | - Bo Zhou
- Department of Orthopedics, Yixing People’s HospitalYixing 214200, Jiangsu Province, China
| | - Abulimiti Amuti
- Department of Orthopedics, The Second Affiliated Hospital of Xinjiang Medical UniversityUrumqi 830063, Xinjiang Uygur Autonomous Region, China
| | - Youguo Hao
- Department of Rehabilitation, Putuo People’s Hospital, Tongji UniversityShanghai 200060, China
| | - Chuanqiang Dai
- Department of Orthopedics, The First People’s Hospital of ZiyangZiyang 641300, Sichuan, China
| | - Kejun Peng
- Department of Orthopedics, Chongqing Qianjiang National HospitalChongqing 409000, China
| |
Collapse
|
21
|
Pan Z, Huang Q, Jiang L, Li M, Liu Z, Chen X, Zhuang Y. Application effects of targeted nursing model in patients undergoing thyroid surgery and its influence on patients' negative emotions. Am J Transl Res 2021; 13:2822-2830. [PMID: 34017445 PMCID: PMC8129208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Accepted: 11/22/2020] [Indexed: 06/12/2023]
Abstract
OBJECTIVE To explore the effectiveness of a targeted nursing model for patients undergoing thyroid surgery, and to analyse the influence of intervention on the negative emotions of patients. METHODS Eighty patients who received thyroid surgery in our hospital were enrolled and divided into a study group (n=40, given targeted nursing) and a control group (n=40, given routine surgical nursing) according to the difference of intervention measures. The postoperative bed-leaving time, hospitalization time, medical expenses, drainage tube indwelling time and incidence of postoperative adverse reactions were compared between the two groups. The degree of pain, anxiety and depression was compared between the two groups at 1 d, 3 d, 5 d, and 7 d after surgery. The scales of voice handicap index (VHI-10) and standard swallowing assessment (SSA) were used to evaluate voice quality and swallowing function in the two groups. RESULTS The postoperative bed-leaving time, hospitalization time, medical expenses, drainage tube indwelling time and incidence of postoperative adverse reactions of patients in the study group were lower than those in the control group (P<0.05). The scores of visual analogue scale (VAS), self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the study group at 3 d, 5 d and 7 d after surgery were lower than those in the control group (P<0.05). The scores of VHI-10 and SSA in the study group were lower than those in the control group at 7 d and 30 d after surgery (P<0.05). CONCLUSION Targeted nursing for patients undergoing thyroid surgery can help accelerate the improvement of postoperative clinical symptoms, relieve the unhealthy emotions and pain of patients, and help improve their voice quality and swallowing function, which also has a positive effect on reducing postoperative complications. Therefore, it is worthy of clinical popularization and application.
Collapse
Affiliation(s)
- Zhaoyan Pan
- Department of Thyroid and Breast Surgery/Gastrointestinal Tumor Surgery, The Second Affiliated Hospital of Hainan Medical UniversityHaikou 570311, Hainan Province, China
| | - Qian Huang
- Department of General Surgery/Wound Stoma Nursing Clinic, The Second Affiliated Hospital of Hainan Medical UniversityHaikou 570311, Hainan Province, China
| | - Liping Jiang
- Department of Thyroid and Breast Surgery/Gastrointestinal Tumor Surgery, The Second Affiliated Hospital of Hainan Medical UniversityHaikou 570311, Hainan Province, China
| | - Minxiang Li
- Department of Nursing, The Second Affiliated Hospital of Hainan Medical UniversityHaikou 570311, Hainan Province, China
| | - Zan Liu
- Department of Tropical Diseases and Infectious Diseases, The Second Affiliated Hospital of Hainan Medical UniversityHaikou 570311, Hainan Province, China
| | - Xiuxiu Chen
- Department of Thyroid and Breast Surgery/Gastrointestinal Tumor Surgery, The Second Affiliated Hospital of Hainan Medical UniversityHaikou 570311, Hainan Province, China
| | - Yufen Zhuang
- Department of Surgery, Donghu Branch of The Second Affiliated Hospital of Hainan Medical UniversityHaikou 570100, Hainan Province, China
| |
Collapse
|
22
|
Salles J, Yrondi A, Marhar F, Andant N, Dorlhiac RA, Quach B, Jiao J, Antunes S, Ugbolue UC, Guegan J, Rouffiac K, Pereira B, Clinchamps M, Dutheil F. Changes in Cannabis Consumption During the Global COVID-19 Lockdown: The International COVISTRESS Study. Front Psychiatry 2021; 12:689634. [PMID: 34858218 PMCID: PMC8632365 DOI: 10.3389/fpsyt.2021.689634] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Accepted: 10/18/2021] [Indexed: 12/31/2022] Open
Abstract
Introduction: COVID-19 lockdown measures have been sources of both potential stress and possible psychological and addiction complications. A lack of activity and isolation during lockdown are among the factors thought to be behind the growth in the use of psychoactive substances and worsening addictive behaviors. Previous studies on the pandemic have attested to an increase in alcohol consumption during lockdowns. Likewise, data suggest there has also been a rise in the use of cannabis, although it is unclear how this is affected by external factors. Our study used quantitative data collected from an international population to evaluate changes in cannabis consumption during the lockdown period between March and October, 2020. We also compared users and non-users of the drug in relation to: (1) socio-demographic differences, (2) emotional experiences, and (3) the information available and the degree of approval of lockdown measures. Methods: An online self-report questionnaire concerning the lockdown was widely disseminated around the globe. Data was collected on sociodemographics and how the rules imposed had influenced the use of cannabis and concerns about health, the economic impact of the measures and the approach taken by government(s). Results: One hundred eighty two respondents consumed cannabis before the lockdown vs. 199 thereafter. The mean cannabis consumption fell from 13 joints per week pre-lockdown to 9.75 after it (p < 0.001). Forty-nine respondents stopped using cannabis at all and 66 admitted to starting to do so. The cannabis users were: less satisfied with government measures; less worried about their health; more concerned about the impact of COVID-19 on the economy and their career; and more frightened of becoming infected in public areas. The risk factors for cannabis use were: age (OR = 0.96); concern for physical health (OR = 0.98); tobacco (OR = 1.1) and alcohol consumption during lockdown (OR = 1.1); the pre-lockdown anger level (OR = 1.01); and feelings of boredom during the restrictions (OR = 1.1). Conclusion: In a specific sub-population, the COVID-19 lockdown brought about either an end to the consumption of cannabis or new use of the drug. The main risk factors for cannabis use were: a lower age, co-addictions and high levels of emotions.
Collapse
Affiliation(s)
- Juliette Salles
- University Hospital of Toulouse, CHU Toulouse, Department of Psychiatry, Infinity (Toulouse Institute for Infectious and Inflammatory Diseases), INSERM UMR1291, CNRS UMR5051, Université Toulouse III, Toulouse, France
| | - Antoine Yrondi
- University Hospital of Toulouse, CHU Toulouse, Department of Psychiatry, Inserm Toulouse NeuroImaging Center, ToNIC, Toulouse, France
| | - Fouad Marhar
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress F-63000 Clermont-Ferrand, France University Hospital of Toulouse, Department of Anaesthesiology and Critical Care, Toulouse, France
| | - Nicolas Andant
- University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, DRCI, Biostatistics Unit, Clermont-Ferrand, France
| | - Raimundo Avilés Dorlhiac
- Universidad Finis-Terrae, El-Carmen, Hospital Dr. Luis-Valentìn-Ferrada, Obstetrics and Gynecology, Maipù, Chile
| | - Binh Quach
- Sport and Physical Education, Hong Kong Baptist University, Hong Kong, Hong Kong SAR, China
| | - Jiao Jiao
- Sport and Physical Education, Hong Kong Baptist University, Hong Kong, Hong Kong SAR, China
| | - Samuel Antunes
- Ordem dos Psicólogos Portugueses, ISPA-Instituto Universitário, Lisbon, Portugal
| | - Ukadike Chris Ugbolue
- University of the West of Scotland, Institute for Clinical Exercise & Health Science, School of Health and Life Sciences, Glasgow, United Kingdom
| | - Julien Guegan
- Université Clermont Auvergne, CNRS, LaPSCo, Catech, Clermont-Ferrand, France
| | - Karine Rouffiac
- University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Preventive and Occupational Medicine, Clermont-Ferrand, France
| | - Bruno Pereira
- University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, DRCI, Biostatistics Unit, Clermont-Ferrand, France
| | | | - Maëlys Clinchamps
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Preventive and Occupational Medicine, WittyFit, Clermont-Ferrand, France
| | - Frederic Dutheil
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Preventive and Occupational Medicine, WittyFit, Clermont-Ferrand, France
| |
Collapse
|
23
|
Zheng YB, Sun J, Liu L, Zhao YM, Yan W, Yuan K, Su SZ, Lu ZA, Huang YT, Liu L, Zeng N, Zhu XM, Gong YM, Lin X, Meng SQ, Wong SYS, Ran MS, Shi J, Shi L, Kosten T, Bao YP, Lu L. COVID-19 Vaccine-Related Psychological Stress Among General Public in China. Front Psychiatry 2021; 12:774504. [PMID: 34950070 PMCID: PMC8689133 DOI: 10.3389/fpsyt.2021.774504] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Accepted: 11/12/2021] [Indexed: 11/13/2022] Open
Abstract
Background: The COVID-19 pandemic is our generation's greatest global challenge to our public health system. Vaccines are considered one of the most effective tools available for preventing COVID-19 infection and its complications and sequelae. Understanding and addressing the psychological stress related to COVID-19 vaccination may promote acceptance of these vaccines. Methods: We conducted an online survey from January 29 to April 26, 2021 to explore stress levels related to COVID-19 vaccination among the general public in China. Participants were asked to evaluate their psychological stress of considering whether or not to get vaccinated at the beginning period of the COVID-19 mass vaccination, after getting access to the information about the vaccine, as well as after getting vaccinated, using visual analog stress scale. Multiple linear regression analysis was performed to explore factors potentially associated with COVID-19-related psychological stress levels before and after getting vaccinated. Results: A total of 34,041 participants were included in the final analysis. The mean stress score concerning COVID-19 vaccination was 3.90 ± 2.60 among all participants, and significantly decreased over time. In addition, the vaccine-related stress level significantly decreased after accessing information about the COVID-19 vaccine (N = 29,396), as well as after getting vaccinated (N = 5,103). Multivariable regression analysis showed higher stress levels related to COVID-19 vaccination in participants who were younger, having lower education level, having history of chronic diseases, mistrusting vaccine's efficacy, experience of vaccine allergy events, being affected by the COVID-19 epidemic, and having mental illness symptoms. Moreover, mistrust in vaccine efficacy and experience of vaccine allergy events had a long-term impact on psychological stress levels about COVID-19 vaccination even after getting vaccinated. Conclusions: The current findings profiled the COVID-19 vaccine-related psychological stress among the general public in China. Population-specific management and interventions targeting the stress related to COVID-19 vaccination are needed to help governments and policy makers promote individual's willingness to get vaccinations for public well-being during the COVID-19 pandemic.
Collapse
Affiliation(s)
- Yong-Bo Zheng
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China.,Peking-Tsinghua Centre for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing, China
| | - Jie Sun
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China.,Pain Medicine Center, Peking University Third Hospital, Beijing, China
| | - Lin Liu
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China
| | - Yi-Miao Zhao
- National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China.,School of Public Health, Peking University, Beijing, China
| | - Wei Yan
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China
| | - Kai Yuan
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China
| | - Si-Zhen Su
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China
| | - Zheng-An Lu
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China
| | - Yue-Tong Huang
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China
| | - Lin Liu
- National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China.,School of Public Health, Peking University, Beijing, China
| | - Na Zeng
- National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China.,School of Public Health, Peking University, Beijing, China.,Beijing Friendship Hospital, Capital Medical University, Beijing, China
| | - Xi-Mei Zhu
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China
| | - Yi-Miao Gong
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China
| | - Xiao Lin
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China
| | - Shi-Qiu Meng
- National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China
| | - Samuel Yeung Shan Wong
- JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Mao-Sheng Ran
- Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Jie Shi
- Pain Medicine Center, Peking University Third Hospital, Beijing, China
| | - Le Shi
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China
| | - Thomas Kosten
- Department of Psychiatry, Baylor College of Medicine, Houston, TX, United States.,Department of Pharmacology, Baylor College of Medicine, Houston, TX, United States.,Department of Neuroscience, Baylor College of Medicine, Houston, TX, United States.,Department of Immunology, Baylor College of Medicine, Houston, TX, United States
| | - Yan-Ping Bao
- National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China.,School of Public Health, Peking University, Beijing, China
| | - Lin Lu
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China.,Peking-Tsinghua Centre for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing, China.,National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China
| |
Collapse
|
24
|
Dutheil F, Charkhabi M, Ravoux H, Brousse G, Dewavrin S, Cornet T, Mondillon L, Han S, Pfabigan D, S Baker J, Mermillod M, Schmidt J, Moustafa F, Pereira B. Exploring the Link between Work Addiction Risk and Health-Related Outcomes Using Job-Demand-Control Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17207594. [PMID: 33086543 PMCID: PMC7593928 DOI: 10.3390/ijerph17207594] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Revised: 10/07/2020] [Accepted: 10/07/2020] [Indexed: 01/12/2023]
Abstract
Purpose of the study: Work addiction risk is a growing public health concern with potential deleterious health-related outcomes. Perception of work (job demands and job control) may play a major role in provoking the risk of work addiction in employees. We aimed to explore the link between work addiction risk and health-related outcomes using the framework of job-demand-control model. Methods: Data were collected from 187 out of 1580 (11.8%) French workers who agreed to participate in a cross-sectional study using the WittyFit software online platform. The self-administered questionnaires were the Job Content Questionnaire by Karasek, the Work Addiction Risk Test, the Hospital Anxiety and Depression scale and socio-demographics. Data Analysis: Statistical analyses were performed using the Stata software (version 13). Results: There were five times more workers with a high risk of work addiction among those with strong job demands than in those with low job demands (29.8% vs. 6.8%, p = 0.002). Addiction to work was not linked to job control (p = 0.77), nor with social support (p = 0.22). We demonstrated a high risk of work addiction in 2.6% of low-strain workers, in 15.0% of passive workers, in 28.9% of active workers, and in 33.3% of high-strain workers (p = 0.010). There were twice as many workers with a HAD-Depression score ≥11 compared with workers at low risk (41.5% vs. 17.7%, p = 0.009). Sleep quality was lower in workers with a high risk of work addiction compared with workers with a low risk of work addiction (44.0 ± 27.3 vs. 64.4 ± 26.8, p < 0.001). Workers with a high risk of work addiction exhibited greater stress at work (68.4 ± 23.2 vs. 47.5 ± 25.1) and lower well-being (69.7 ± 18.3 vs. 49.3 ± 23.0) compared with workers at low risk (p < 0.001). Conclusions: High job demands are strongly associated with the risk of work addiction. Work addiction risk is associated with greater depression and poor quality of sleep. Preventive strategies should benefit from identifying more vulnerable workers to work addiction risk.
Collapse
Affiliation(s)
- Frédéric Dutheil
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Preventive and Occupational Medicine, Witty Fit, F-63000 Clermont-Ferrand, France
| | - Morteza Charkhabi
- Institute of Education, National Research University Higher School of Economics, 101000 Moscow, Russia
| | - Hortense Ravoux
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Preventive and Occupational Medicine, Witty Fit, F-63000 Clermont-Ferrand, France
| | - Georges Brousse
- Psychology Department, University Hospital of Clermont-Ferrand, F-63000 Clermont-Ferrand, France
| | | | | | - Laurie Mondillon
- Psychology Department, Physiological and Psychosocial Stress, Université Clermont Auvergne, CNRS, LaPSCo, F-63000 Clermont-Ferrand, France
| | - Sihui Han
- Culture and Social Cognitive Neuroscience Laboratory, School of Psychological and Cognitive Sciences, Peking University, Beijing 100080, China
| | - Daniela Pfabigan
- Culture and Social Cognitive Neuroscience Laboratory, School of Psychological and Cognitive Sciences, Peking University, Beijing 100080, China
| | - Julien S Baker
- Centre for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon Tong, Hong Kong
| | - Martial Mermillod
- Psychology Department, University Grenoble Alpes, CNRS, LPNC, 38000 Grenoble, France
| | - Jeannot Schmidt
- Emergency department, University Hospital of Clermont-Ferrand, F-63000 Clermont-Ferrand, France
| | - Fares Moustafa
- Emergency department, University Hospital of Clermont-Ferrand, F-63000 Clermont-Ferrand, France
| | - Bruno Pereira
- Biostatistics Unit, University Hospital of Clermont-Ferrand, F-63000 Clermont-Ferrand, France
| |
Collapse
|
25
|
Ugbolue UC, Duclos M, Urzeala C, Berthon M, Kulik K, Bota A, Thivel D, Bagheri R, Gu Y, Baker JS, Andant N, Pereira B, Rouffiac K, Clinchamps M, Dutheil F. An Assessment of the Novel COVISTRESS Questionnaire: COVID-19 Impact on Physical Activity, Sedentary Action and Psychological Emotion. J Clin Med 2020; 9:E3352. [PMID: 33086648 PMCID: PMC7603364 DOI: 10.3390/jcm9103352] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2020] [Revised: 09/29/2020] [Accepted: 10/09/2020] [Indexed: 12/15/2022] Open
Abstract
Globally the COVID-19 pandemic outbreak has triggered an economic downturn and a rise in unemployment. As a result, global communities have had to face physical, health, psychological and socio-economical related stressors. The purpose of this study was to assess and report the impact of isolation and effect of coronavirus on selected psychological correlates associated with emotions. Following ethical approval, a mixed methods observational study was conducted using the validated COVISTRESS questionnaire. Two observational study scenarios were evaluated namely "Prior" to the COVID-19 outbreak and "Currently", i.e., during the COVID-19 pandemic. 10,121 participants from 67 countries completed the COVISTRESS questionnaire. From the questionnaire responses only questions that covered the participant's occupation; sociodemographic details, isolation and impact of coronavirus were selected. Further analyses were performed on output measures that included leisure time, physical activity, sedentary time and emotions. All output measures were evaluated using the Visual Analogue Scale (VAS) with an intensity ranging from 0-100. Descriptive statistics, Wilcoxon signed-rank test and Spearman correlational analysis were applied to the leisure time, physical activity, sedentary time and emotional feeling datasets; p = 0.05 was set as the significance level. Both males and females displayed similar output measures. The Wilcoxon signed rank test showed significant differences with respect to "Prior" COVID-19 and "Currently" for sedentary activity (Z = -40.462, p < 0.001), physical activity (Z = -30.751, p < 0.001) and all other emotional feeling output measures. A moderate correlation between "Prior" COVID-19 and "Currently" was observed among the Males (r = 0.720) in comparison to the Females (r = 0.639) for sedentary activity while weaker correlations (r < 0.253) were observed for physical activity and emotional feeling measurements, respectively. Our study reported incremental differences in the physical and psychological output measures reported, i.e., "Prior" COVID-19 and "Currently". "Prior" COVID-19 and "Currently" participants increased their sedentary habits by 2.98%, and the level of physical activity reduced by 2.42%, depression levels increased by 21.62%, anxiety levels increased by 16.71%, and stress levels increased by 21.8%. There were no correlations (r) between leisure, physical activity and sedentary action (i.e., "Prior" = -0.071; "Currently" = -0.097); no correlations (r) between leisure physical activity and emotion (i.e., -0.071 > r > 0.081) for "Prior"; and poor correlations (r) between leisure, physical activity and sedentary action (i.e., -0.078 > r > 0.167) for "Current". The correlations (r) between sedentary action and emotion for "Prior" and "Currently" were (-0.100 > r > 0.075) and (-0.040 > r > 0.041) respectively. The findings presented here indicate that the COVISTRESS project has created awareness in relation to the physical and psychological impact resulting from the COVID-19 pandemic. The findings have also highlighted individual distress caused by COVID-19 and associated health consequences for the global community.
Collapse
Affiliation(s)
- Ukadike Chris Ugbolue
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China; (Y.G.); (J.S.B.)
- Institute for Clinical Exercise & Health Science, School of Health and Life Sciences, University of the West of Scotland, South Lanarkshire G72 0LH, Scotland, UK
- Department of Biomedical Engineering, University of Strathclyde, Glasgow G11XQ, UK
| | - Martine Duclos
- Department of Sport Medicine and Functional Exploration, University Hospital CHU G. Montpied, INRA, UNH, CRNH Auvergne, Clermont Auvergne University, Clermont-Ferrand, F-63000 Clermont-Ferrand, France;
| | - Constanta Urzeala
- Sports and Motor Performance Department, Faculty of Physical Education and Sports, National University of Physical Education and Sports, 060057 Bucharest, Romania;
| | - Mickael Berthon
- LaPSCo, Catech, Université Clermont Auvergne, CNRS, F-63000 Clermont-Ferrand, France;
| | - Keri Kulik
- Health and Physical Education Program, Indiana University of Pennsylvania, Bloomington, IN 47405-1006, USA;
| | - Aura Bota
- Department of Teaching Staff Training, Faculty of Physical Education and Sports, National University of Physical Education and Sports, 060057 Bucharest, Romania;
| | - David Thivel
- Laboratory of Metabolic Adaptations to Exercise under Physiological and Pathological conditions (AME2P), Université Clermont Auvergne, CRNH Auvergne, F-63000 Clermont-Ferrand, France;
| | - Reza Bagheri
- Department of Exercise Physiology, University of Isfahan, 8174673441 Isfahan, Iran;
| | - Yaodong Gu
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China; (Y.G.); (J.S.B.)
| | - Julien S. Baker
- Faculty of Sports Science, Ningbo University, Ningbo 315211, China; (Y.G.); (J.S.B.)
- Department of Sport, Physical Education and Health, Centre for Health and Exercise Science Research, Hong Kong Baptist University, Kowloon Tong 999077, Hong Kong, China
| | - Nicolas Andant
- Biostatistics Unit, DRCI, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, France; (N.A.); (B.P.)
| | - Bruno Pereira
- Biostatistics Unit, DRCI, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, France; (N.A.); (B.P.)
| | - Karine Rouffiac
- Preventive and Occupational Medicine, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, France;
| | - Maëlys Clinchamps
- Physiological and Psychosocial Stress, LaPSCo, CNRS, Preventive and Occupational Medicine, WittyFit, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France; (M.C.); (F.D.)
| | - Frédéric Dutheil
- Physiological and Psychosocial Stress, LaPSCo, CNRS, Preventive and Occupational Medicine, WittyFit, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France; (M.C.); (F.D.)
| | | |
Collapse
|
26
|
Fisch S, Binting S, Roll S, Cree M, Brinkhaus B, Teut M. Group Hypnosis for Stress Reduction - A Feasibility Study. Int J Clin Exp Hypn 2020; 68:493-510. [PMID: 32643543 DOI: 10.1080/00207144.2020.1781537] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The aim of this study was to develop a standardized hypnotherapeutic group program for stress reduction, test its feasibility, and measure its preliminary pre- to postintervention effects. In this prospective, single-arm feasibility study, healthy adult participants with self-assessed increased stress levels received 5 weekly group hypnosis sessions plus audio recordings. Twelve persons (10 females, mean (SD) age 48.9 (11.8) years participated. The mean (SD) intensity of perceived stress on a 0-to-100 mm VAS was reduced from 75.5 (11.5) mm at baseline to 33.9 (18.8) mm after 5 weeks. Cohen's perceived stress scale was reduced from 20.8 (5.7) to 13.8 (5.4). Focus group interviews showed that the study intervention was feasible and well accepted. Confirmatory testing of the intervention in a randomized controlled trial is necessary.
Collapse
Affiliation(s)
| | - Sylvia Binting
- Institute for Social Medicine, Epidemiology, and Health Economics, Charité Universitätsmedizin Berlin , Germany
| | - Stephanie Roll
- Institute for Social Medicine, Epidemiology, and Health Economics, Charité Universitätsmedizin Berlin , Germany
| | - Margit Cree
- Institute for Social Medicine, Epidemiology, and Health Economics, Charité Universitätsmedizin Berlin , Germany
| | - Benno Brinkhaus
- Institute for Social Medicine, Epidemiology, and Health Economics, Charité Universitätsmedizin Berlin , Germany
| | - Michael Teut
- Institute for Social Medicine, Epidemiology, and Health Economics, Charité Universitätsmedizin Berlin , Germany
| |
Collapse
|
27
|
Guo Y, Shen M, Zhang X, Xiao Y, Zhao S, Yin M, Bu W, Wang Y, Chen X, Su J. Association of Socioeconomic Changes due to the COVID-19 Pandemic With Health Outcomes in Patients With Skin Diseases: Cross-Sectional Survey Study. J Med Internet Res 2020; 22:e22288. [PMID: 32845850 PMCID: PMC7490117 DOI: 10.2196/22288] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 08/06/2020] [Accepted: 08/10/2020] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The outbreak of COVID-19 has profoundly influenced people's lifestyles; these impacts have varied across subgroups of people. The pandemic-related impacts on the health outcomes of people with dermatological conditions are unknown. OBJECTIVE The aim of this paper was to study the association of COVID-19 pandemic-related impacts with health-related quality of life in patients with skin diseases. METHODS This was a cross-sectional study among Chinese patients with skin diseases. A self-administered web-based questionnaire was distributed through social media. Demographic and clinical data and pandemic-related impacts (isolation status, income changes, and employment status) were collected. The main outcomes included perceived stress (Visual Analog Scale), symptoms of anxiety (Generalized Anxiety Disorder-7) and depression (9-Item Patient Health Questionnaire), quality of life (Dermatology Life Quality Index), and health utility mapping based on the EQ-5D-3L descriptive system. Multivariable logistic regression was used to investigate the associations. RESULTS A total of 506 patients with skin diseases completed the survey. The mean age of the patients was 33.5 years (SD 14.0), and 217/506 patients (42.9%) were male. Among the 506 respondents, 128 (25.3%) were quarantined, 102 (20.2%) reported unemployment, and 317 (62.6%) reported decrease or loss of income since the pandemic. The pandemic-related impacts were significantly associated with impaired mental well-being and quality of life with different effects. Unemployment and complete loss of income were associated with the highest risks of adverse outcomes, with increases of 110% to 162% in the prevalence of anxiety, depression, and impaired quality of life. CONCLUSIONS Isolation, income loss, and unemployment are associated with impaired health-related quality of life in patients with skin diseases during the COVID-19 pandemic.
Collapse
Affiliation(s)
- Yeye Guo
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China.,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China.,Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, China
| | - Minxue Shen
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China.,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China.,Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, China.,Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
| | - Xu Zhang
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China.,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China.,Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, China
| | - Yi Xiao
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China.,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China.,Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, China
| | - Shuang Zhao
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China.,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China.,Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, China
| | - Mingzhu Yin
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China.,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China.,Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, China
| | - Wenbo Bu
- Institute of Dermatology, Chinese Academy of Medical Science and Peking Union Medical College, Nanjing, China
| | - Yan Wang
- Institute of Dermatology, Chinese Academy of Medical Science and Peking Union Medical College, Nanjing, China
| | - Xiang Chen
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China.,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China.,Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, China
| | - Juan Su
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China.,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China.,Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, China
| |
Collapse
|
28
|
Beletsky A, Lu Y, Nwachukwu BU, Polce E, Maheshwer B, Chahla J, Forsythe B, Cole BJ, Verma NN. Preoperative psychometric properties of visual analog scale asessments for function, pain, and strength compared with legacy upper extremity outcome measures in glenohumeral osteoarthritis. JSES Int 2020; 4:443-448. [PMID: 32939466 PMCID: PMC7478988 DOI: 10.1016/j.jseint.2020.03.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Background Patient-reported outcome measures (PROMs) are increasingly being used in orthopedic surgery; however, there is significant variability and burden associated with their administration. The visual analog scale (VAS) may represent an efficient, single-question method to establish functional baselines in a domain-specific manner for glenohumeral arthritis. Methods Single-question VAS measures assessing function, strength, and pain as a percentage of normal were administered alongside legacy PROMs in patients with primary glenohumeral arthritis in a preoperative setting between October 2015 and March 2017. PROM performance was assessed using Spearman correlation coefficients. Both absolute and relative floor and ceiling effects were examined. Results A total of 70 patients (age 66.09 ± 9.84 years, body mass index 28.8 ± 9.77, 57.1% male, 54.2% right-sided) were included. The VAS Pain instrument (r = 0.45-0.64) outperformed the VAS Function (r = 0.23-0.62) and VAS Strength (r = 0.21-0.65) in correlation to preoperative PROMs. The performance of VAS Pain was comparable to American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES; r = 0.47-0.84). None of the VAS instruments in our study demonstrated preoperative floor effects (7.1%-8.6%) or ceiling effects (0.0%-4.3%). The most efficient instruments were Single-Assessment Numerical Evaluation (SANE; 0.87 ± 0.41 minutes), Patient-Reported Outcome Measurement Information System Upper Extremity Computer Adaptive Test (PROMIS UE CAT; 1.27 ± 1.30 minutes), and the triad of VAS measures (1.51 ± 1.61 minutes). Conclusion VAS Pain outperformed VAS Strength and Function relative to legacy PROMs, while performing comparable to ASES. None of the VAS measures were susceptible to significant floor or ceiling effects preoperatively. The VAS instruments along with SANE and PROMIS UE were the most time-efficient measures. VAS instruments may have a role in establishing preoperative baselines in those with glenohumeral arthritis in a simple, efficient, and adoptable manner.
Collapse
Affiliation(s)
- Alexander Beletsky
- Division of Sports Medicine, Department of Orthopedics, Midwest Orthopedics at Rush, Rush University, Chicago, IL, USA
| | - Yining Lu
- Division of Sports Medicine, Department of Orthopedics, Midwest Orthopedics at Rush, Rush University, Chicago, IL, USA
| | - Benedict U Nwachukwu
- Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA
| | - Evan Polce
- Division of Sports Medicine, Department of Orthopedics, Midwest Orthopedics at Rush, Rush University, Chicago, IL, USA
| | - Bhargavi Maheshwer
- Division of Sports Medicine, Department of Orthopedics, Midwest Orthopedics at Rush, Rush University, Chicago, IL, USA
| | - Jorge Chahla
- Division of Sports Medicine, Department of Orthopedics, Midwest Orthopedics at Rush, Rush University, Chicago, IL, USA
| | - Brian Forsythe
- Division of Sports Medicine, Department of Orthopedics, Midwest Orthopedics at Rush, Rush University, Chicago, IL, USA
| | - Brian J Cole
- Division of Sports Medicine, Department of Orthopedics, Midwest Orthopedics at Rush, Rush University, Chicago, IL, USA
| | - Nikhil N Verma
- Division of Sports Medicine, Department of Orthopedics, Midwest Orthopedics at Rush, Rush University, Chicago, IL, USA
| |
Collapse
|
29
|
Wang Q, Luo Y, Lv C, Zheng X, Zhu W, Chen X, Shen M, Kuang Y. Nonadherence to Treatment and Patient-Reported Outcomes of Psoriasis During the COVID-19 Epidemic: A Web-Based Survey. Patient Prefer Adherence 2020; 14:1403-1409. [PMID: 32884243 PMCID: PMC7431943 DOI: 10.2147/ppa.s263843] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Accepted: 07/16/2020] [Indexed: 12/24/2022] Open
Abstract
PURPOSE The COVID-19 epidemic has caused difficulties in continuous treatment for patients with chronic diseases and resulted in nonadherence to treatment and adverse health outcomes. This study aimed to investigate the associations of nonadherence to treatment with patient-reported outcomes of psoriasis during the COVID-2019 epidemic. METHODS A cross-sectional study among Chinese patients with psoriasis was conducted through a web-based questionnaire survey during 25 Feb 2020 and 6 Mar 2020. Demographic and clinical data, nonadherence to treatment, and patient-reported outcomes were collected. The outcomes included deterioration of the disease condition, perceived stress, and symptoms of anxiety and depression. Logistic regression was used to investigate the associations. RESULTS A total of 926 questionnaires were collected. A total of 634 (68.5%) reported nonadherence to treatment, and worse adherence was found among patients receiving systemic treatment (adjusted odds ratio [AOR]: 2.67; 95% CI: 1.40-5.10) and topical treatment (AOR: 4.51; 95% CI: 2.66-7.65) compared to biological treatment. Nonadherence to treatment (less than two weeks and more than two weeks) was significantly associated with deterioration of psoriasis (aOR: 2.83 to 5.25), perceived stress (AOR: 1.86 to 1.57), and symptoms of anxiety (AOR: 1.42 to 1.57) and depression (AORs: 1.78). Subgroup analysis by treatment showed consistent results in general. CONCLUSION Nonadherence to treatment was associated with the aggravation of psoriasis conditions, perceived stress, and symptoms of anxiety and depression.
Collapse
Affiliation(s)
- Qiaolin Wang
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha410008, People’s Republic of China
- National Clinical Research Center for Geriatric Disorders (Xiangya Hospital), Changsha410008, People’s Republic of China
- Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis (Xiangya Hospital), Changsha410008, People’s Republic of China
| | - Yan Luo
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha410008, People’s Republic of China
- National Clinical Research Center for Geriatric Disorders (Xiangya Hospital), Changsha410008, People’s Republic of China
- Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis (Xiangya Hospital), Changsha410008, People’s Republic of China
| | - Chengzhi Lv
- Department of Psoriasis, Dalian Dermatosis Hospital, Dalian, Liaoning116021, People’s Republic of China
| | - Xuanwei Zheng
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha410008, People’s Republic of China
- National Clinical Research Center for Geriatric Disorders (Xiangya Hospital), Changsha410008, People’s Republic of China
- Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis (Xiangya Hospital), Changsha410008, People’s Republic of China
| | - Wu Zhu
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha410008, People’s Republic of China
- National Clinical Research Center for Geriatric Disorders (Xiangya Hospital), Changsha410008, People’s Republic of China
- Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis (Xiangya Hospital), Changsha410008, People’s Republic of China
| | - Xiang Chen
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha410008, People’s Republic of China
- National Clinical Research Center for Geriatric Disorders (Xiangya Hospital), Changsha410008, People’s Republic of China
- Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis (Xiangya Hospital), Changsha410008, People’s Republic of China
| | - Minxue Shen
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha410008, People’s Republic of China
- National Clinical Research Center for Geriatric Disorders (Xiangya Hospital), Changsha410008, People’s Republic of China
- Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis (Xiangya Hospital), Changsha410008, People’s Republic of China
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha410078, People’s Republic of China
| | - Yehong Kuang
- Department of Dermatology, Xiangya Hospital, Central South University, Changsha410008, People’s Republic of China
- National Clinical Research Center for Geriatric Disorders (Xiangya Hospital), Changsha410008, People’s Republic of China
- Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis (Xiangya Hospital), Changsha410008, People’s Republic of China
- Correspondence: Yehong Kuang; Minxue Shen Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan, People’s Republic of China Email ;
| |
Collapse
|
30
|
Hand M, Margolis J, Staffileno B. Massage Chair Sessions: Favorable Effects on Ambulatory Cancer Center Nurses’ Perceived Level of Stress, Blood Pressure, and Heart Rate. Clin J Oncol Nurs 2019; 23:375-381. [DOI: 10.1188/19.cjon.375-381] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
31
|
Association between Dry Eye Disease and Psychological Stress among Paramedical Workers in Korea. Sci Rep 2019; 9:3783. [PMID: 30846779 PMCID: PMC6405835 DOI: 10.1038/s41598-019-40539-0] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Accepted: 02/19/2019] [Indexed: 12/14/2022] Open
Abstract
This study was performed to evaluate the prevalence and risk factors of dry eye disease (DED) among paramedical workers at a university hospital in Korea. This cross-sectional study included 566 paramedical workers at a university hospital in Korea. Dry eye symptoms were assessed using a 9-item questionnaire, and DED was defined as having 1 or more dry eye symptoms often or all the time. A survey including demographic data and potential risk factors of DED was also performed. Psychological stress was measured using stress VAS and perceived stress scale 4 (PSS-4) questionnaires. Of the 566 paramedical workers, 232 (35 male and 197 female) completed the survey. Prevalence of DED was 42.7% (99/232). Univariate analysis revealed that female sex (P < 0.001), prolonged computer use (P = 0.003) and higher stress VAS (P < 0.001) and PSS-4 (P = 0.009) scores had significant association with DED. In multivariate analysis, DED had significant association with female sex (P = 0.003) and stress VAS (P = 0.013) after adjustment for sex, duration of computer use and stress VAS, and had significant association with female sex (P = 0.003) and durations of computer use (P = 0.029) after adjustment for sex, duration of computer use and PSS-4 score. In conclusion, DED was prevalent among paramedical workers in Korea. Its risk increased among females and workers with increased psychological stress. Prolonged use of computer was possibly associated with DED.
Collapse
|
32
|
Lesage FX, Dutheil F, Godderis L, Divies A, Choron G. Incidence of ill-health related job loss and related social and occupational factors. The "unfit for the job" study: a one-year follow-up study of 51,132 workers. PeerJ 2018; 6:e5073. [PMID: 29942704 PMCID: PMC6014311 DOI: 10.7717/peerj.5073] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2017] [Accepted: 06/04/2018] [Indexed: 11/26/2022] Open
Abstract
Objective The analysis of ill-health related job loss may be a relevant indicator for the prioritization of actions in the workplace or in the field of public health, as well as a target for health promotion. The aim of this study was to analyze the medical causes, the incidence, and the characteristics of employees medically unfit to do their job. Methods This one-year prospective study included all workers followed by occupational physicians in an occupational health service in the south of France. The incidence of unfitness for work have been grouped according to the main medical causes and analyzed. We performed a multivariate analysis in order to adjust the observed risk of job loss based on the age groups, sex, occupation and the activity sectors. Results A total of 17 occupational physicians followed up 51,132 workers. The all-cause incidence of being unfit to return to one’s job was 7.8‰ (n = 398). The two main causes of being unfit for one’s job were musculoskeletal disorders (47.2%, n = 188) and mental ill-health (38.4%, n = 153). Being over 50 years old (Odds ratio (OR) 2.63, confidence interval 95% CI [2.13–3.25]) and being a woman (OR 1.52, 95% CI [1.21–1.91]) were associated with the all-cause unfitness, independent of occupation and activity sector. Conclusions Identification of occupational and demographic determinants independently associated with ill-health related job loss may provide significant and cost-effective arguments for health promotion and job loss prevention.
Collapse
Affiliation(s)
| | - Frederic Dutheil
- CNRS, LaPSCo, Physiological and Psychosocial Stress, University Hospital of Clermont-Ferrand, CHU Clermont-Ferrand, Preventive and Occupational Medicine, WittyFit, Université Clermont Auvergne, Clermont-Ferrand, France.,Faculty of Health, School of Exercise Science, Australian Catholic University, Melbourne, VIC, Australia
| | - Lode Godderis
- Department of Public Health and Primary Care, Environment and Health, Katholieke Universiteit Leuven, Leuven, Belgium
| | | | | |
Collapse
|
33
|
Chamoux A, Lambert C, Vilmant A, Lanhers C, Agius R, Boutaleb M, Bonneterre V, Naughton G, Pereira B, Djeriri K, Ben-Brik E, Breton C, De Clavière C, Letheux C, Paolillo AG, Valenty M, Vandenberghe O, Aeschlimann MP, Lasfargues G, Lesage FX, Dutheil F. Occupational exposure factors for mental and behavioral disorders at work: The FOREC thesaurus. PLoS One 2018; 13:e0198719. [PMID: 29927960 PMCID: PMC6013225 DOI: 10.1371/journal.pone.0198719] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2015] [Accepted: 05/24/2018] [Indexed: 12/14/2022] Open
Abstract
Background Mental disorders in the workplace are a major public health problem. Knowledge of the impact of the psychosocial work environment on mental and behavioral disorders can assist occupational physicians in the identification and description of occupational risk situations, and help to define priority actions. However, no classification for occupational exposure factors is currently available. We aimed to build a thesaurus of “Organizational, Relational, Ethical and other Contributing Factors” (FOREC) linked with the onset of mental and behavioral disorders. Methods The French Agency for Food, Environmental and Occupational Health and Safety (ANSES) initiated and supervised a multidisciplinary working group consisting of the representatives of the main French occupational and public health actors. All decisions were accepted on a consensus basis. This collaborative work led to the classification of occupational exposure factors for mental and behavioral disorders in the workplace. To test this thesaurus in clinical practice, a French multicenter study was implemented. Patients were workers referred to the Occupational Disease Centers for mental health issues at work. Factors contributing to mental and behavioral disorders among workers were identified and coded retrospectively from the worker’s point of view using the FOREC thesaurus. Results We recruited 323 workers, aged 44.9±9.2 years, of which 31.3% were men. The most commonly encountered disorders were generalized anxiety disorders (106 workers, 32.8%) and moderate depressive episodes (86 workers, 26.7%). We identified 1357 factors, i.e. an average of 4.2 factors per worker. Among them, 575 (42.4%) were relational and 515 (37.9%) were organizational. All factors identified during consultations were described in the thesaurus. Conclusions We built the first thesaurus of “Organizational, Relational, Ethical and other Contributing Factors” (FOREC) that may help to generate profiles of mental and behavioral disorders at work. Encoding and describing these exposure factors, as well as using a worldwide standardized and shared terminology, will help to identify specific workplace prevention programs.
Collapse
Affiliation(s)
- Alain Chamoux
- CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France
| | - Céline Lambert
- CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France
- CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Clinical Research and Innovation Direction, Clermont-Ferrand, France
| | - Audrey Vilmant
- CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France
| | - Charlotte Lanhers
- CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France
| | - Raymond Agius
- University of Manchester, Institute of Population Health, Centre for Occupational and Environmental Health, Centre for Epidemiology, Manchester, United Kingdom
| | - Mounir Boutaleb
- CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France
| | - Vincent Bonneterre
- CHU Grenoble, University Hospital of Grenoble, Occupational Medicine, Grenoble, France
| | - Geraldine Naughton
- Australian Catholic University, Faculty of Health, Melbourne, Victoria, Australia
| | - Bruno Pereira
- CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Clinical Research and Innovation Direction, Clermont-Ferrand, France
| | - Khalid Djeriri
- CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational Medicine, Clermont-Ferrand, France
| | - Eric Ben-Brik
- CHU Poitiers, University Hospital of Poitiers, Occupational Medicine, Poitiers, France
| | - Christine Breton
- Regional Health Insurance Fund of Ile de France (CRAMIF), Prevention of Occupational Risks, Paris, France
| | - Caroline De Clavière
- CHU Créteil, University Hospital of Créteil, Occupational Medicine, Créteil, France
| | - Corinne Letheux
- Interdepartmental Center of Health and Occupational Medicine in Factories (Cisme), Paris, France
| | - Anne-Gaëlle Paolillo
- CHU Garches, University Hospital of Garches, Occupational Medicine, Garches, France
| | - Madeleine Valenty
- The French Institute for Public Health Surveillance (InVS), Paris, France
| | | | | | - Gérard Lasfargues
- Environmental and Occupational Health and Safety (ANSES), Maisons-Alfort, France
| | | | - Francois-Xavier Lesage
- University of Montpellier, CHU, Montpellier, France
- Epsylon, Univ Paul Valery Montpellier 3, Montpellier, France
- * E-mail:
| | - Frédéric Dutheil
- Australian Catholic University, Faculty of Health, Melbourne, Victoria, Australia
- Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, Clermont-Ferrand, France
- University Hospital of Clermont-Ferrand, Occupational and Preventive Medicine, WittyFit, Clermont-Ferrand, France
| |
Collapse
|
34
|
Ravoux H, Pereira B, Brousse G, Dewavrin S, Cornet T, Mermillod M, Mondillon L, Vallet G, Moustafa F, Dutheil F. Work Addiction Test Questionnaire to Assess Workaholism: Validation of French Version. JMIR Ment Health 2018; 5:e12. [PMID: 29439945 PMCID: PMC5829463 DOI: 10.2196/mental.8215] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2017] [Revised: 10/25/2017] [Accepted: 11/30/2017] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Work addiction is a significant public health problem with a growing prevalence. The Work Addiction Risk Test (WART) is the gold standard questionnaire to detect workaholism. OBJECTIVE The main objective of this study was to validate the French version of the WART. METHODS Questionnaires were proposed to voluntary French workers using the WittyFit software. There were no exclusion criteria. The questionnaire was administered anonymously for initial validity testing and readministered one week later for test-retest reliability. We also assessed the workers' sociodemographic characteristics, as well as other measurements for external validity, such as stress, well-being, and coaddictions to tobacco, alcohol, and cannabis. Several psychometric properties of the French-WART were explored: acceptability, reliability (internal consistency [Cronbach alpha coefficient] and reproducibility [Lin concordance coefficient]), construct validity (correlation coefficients and principal component analysis), and external validity (correlation coefficients). RESULTS Among the 1580 workers using WittyFit, 187 (11.83%) agreed to complete the WART questionnaire. Of those, 128 completed the test-retest survey (68.4%). Acceptability found that all respondents had fully completed the questionnaire, with few floor or ceiling effects. Reliability was very good with a Cronbach alpha coefficient at .90 (internal consistency) and Lin concordance coefficient at .90 (95% CI .87-.94] with a difference on the retest of .04 (SD 4.9) (95% CI -9.6 to 9.7) (reproducibility). We identified three main dimensions (construct validity). Relationships between WART and stress and well-being confirmed its external validity. CONCLUSIONS The French version of the WART is a valid and reliable instrument to assess work addiction with satisfactory psychometric properties. Used in occupational medicine, this tool would allow the diagnosis of work addiction and can be easily implemented in current practice.
Collapse
Affiliation(s)
- Hortense Ravoux
- Service Santé Travail Environnement, Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France.,Équipe Stress physiologique et psychosocial, Laboratoire de Psychologie Sociale et Cognitive, Université Clermont Auvergne, Centre National de la Recherche Scientifique, Clermont-Ferrand, France
| | - Bruno Pereira
- Service de Biostatistique, Direction de la Recherche Clinique et de l'Innovation, Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France
| | - Georges Brousse
- Service Addictologie, Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France.,Neuro-Psycho-pharmacologie des systèmes dopaminergiques sous-corticaux, Université Clermont Auvergne, Clermont-Ferrand, France
| | | | | | - Martial Mermillod
- Laboratoire de Psychologie et NeuroCognition, Centre National de la Recherche Scientifique, Université Grenoble Alpes, Grenoble, France.,Institut Universitaire de France, Paris, France
| | - Laurie Mondillon
- Équipe Stress physiologique et psychosocial, Laboratoire de Psychologie Sociale et Cognitive, Université Clermont Auvergne, Centre National de la Recherche Scientifique, Clermont-Ferrand, France
| | - Guillaume Vallet
- Équipe Stress physiologique et psychosocial, Laboratoire de Psychologie Sociale et Cognitive, Université Clermont Auvergne, Centre National de la Recherche Scientifique, Clermont-Ferrand, France
| | - Farès Moustafa
- Service des Urgences, Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France
| | - Frédéric Dutheil
- Service Santé Travail Environnement, Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France.,Équipe Stress physiologique et psychosocial, Laboratoire de Psychologie Sociale et Cognitive, Université Clermont Auvergne, Centre National de la Recherche Scientifique, Clermont-Ferrand, France.,Faculty of Health, Australian Catholic University, Melbourne, Victoria, Australia
| |
Collapse
|