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Souesme G. [The supportive environment in SRH: characteristics that promote self-determination]. Soins Gerontol 2024; 29:23-28. [PMID: 38677807 DOI: 10.1016/j.sger.2024.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/29/2024]
Abstract
Hospitalization is an important stage in the life of the elderly. All too often, this experience is accompanied by both physical and psychological decline. Based on self-determination theory, the aim was to qualitatively characterize support for self-determination in follow-up care and rehabilitation services (behaviours and attitudes of healthcare professionals, and patients' perception of them).
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Affiliation(s)
- Guillaume Souesme
- Université de Franche-Comté, Laboratoire de psychologie, 90000 Belfort, France.
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Souesme G, Poulin V, Ethier A, Grenier M, Sirois MJ, Beaulieu-Bonneau S, De Guise É, Lamontagne ME, Hudon C, Émond M, Ouellet MC. Challenges and facilitators in the experience of caregiving for an older adult with traumatic brain injury: A longitudinal qualitative study in the first-year postinjury. Rehabil Psychol 2024:2024-46932-001. [PMID: 38271016 DOI: 10.1037/rep0000531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2024]
Abstract
PURPOSE To obtain a better understanding of the factors which complicate or facilitate the adjustment of caregivers after traumatic brain injury (TBI) in older adults. RESEARCH METHOD At 4, 8, and 12 months post-TBI (mild to severe), 65 caregivers answered two open-ended questions regarding facilitators and challenges linked to the injury of their loved one. A thematic analysis was performed. RESULTS Participants mentioned almost as many facilitators as challenges at each time point. Among the facilitators, we found the following themes: receiving social support, having access to rehabilitation, improvement of the injured loved one's health condition, returning to live at home, having access to home services, feeling useful, effective communication, and having time for oneself. The challenges identified were: health issues in the injured loved one, psychological impact on the caregiver, assuming a new role, relationship strain, and decrease in activities and outings. CONCLUSIONS During the first year following TBI in older adults, caregivers were able to identify several facilitators despite the presence of challenging factors, suggesting effective coping and resilience. This knowledge can guide potential caregivers in their adaptation after TBI in an older adult, and we propose a simple tool to support this process. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
- Guillaume Souesme
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
| | - Valérie Poulin
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
| | - Agnès Ethier
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
| | - Marianne Grenier
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
| | | | - Simon Beaulieu-Bonneau
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
| | | | - Marie-Eve Lamontagne
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
| | | | - Marcel Émond
- Centre de recherche du Centre hospitalier universitaire de Quebec
| | - Marie-Christine Ouellet
- Centre interdisciplinaire de recherche en readaptation et integration sociale (Cirris), Institut de readaptation en deficience physique de Quebec
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Villeneuve K, Beaulieu-Bonneau S, Hudon C, Souesme G, Lévesque M, Predovan D, Sirois MJ, de Guise É, Lamontagne MÈ, Poulin V, Le Sage N, Émond M, Ouellet MC. Subjective and objective burden and psychological distress in care partners of older adults with traumatic brain injury. Rehabil Psychol 2023:2023-85628-001. [PMID: 37384485 DOI: 10.1037/rep0000500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/01/2023]
Abstract
PURPOSE/OBJECTIVE In care partners of older persons (65 years and older) having sustained traumatic brain injury (TBI), the objectives were (a) to describe subjective burden (emotional, social, financial, and physical burden), objective burden (new roles and responsibilities), and psychological distress at 4 months postinjury, and (b) to explore the predictors of subjective burden and psychological distress. RESEARCH METHOD/DESIGN This is an observational study of care partners of older adults with TBI (n = 46; Mage = 65.2 years, SD = 11.2, 87% female). Participants completed the Zarit Burden Interview, the Hospital Anxiety and Depression Scale, the Brain Injury Complaint Questionnaire (measuring difficulties of the injured older adult perceived by the care partner), and the modified Medical Outcomes Study Social Support Survey. RESULTS A majority of care partners (88%) reported at least one form of objective burden (e.g., increased/decreased time spent in certain activities post-TBI), 29% perceived at least mild subjective burden, and 27% reported either significant anxiety or depressive symptoms. Linear regressions indicated that a higher number of difficulties reported regarding the injured person and poorer perceived social support predicted higher subjective burden and psychological distress. A younger age of the care partner also predicted a higher subjective burden. CONCLUSIONS/IMPLICATIONS This study provides a better understanding of the potential impacts of TBI in older age for care partners. Future research should examine how to support adequately care partners in their psychological adaptation after TBI in an elderly person. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
| | | | | | - Guillaume Souesme
- Centre Interdisciplinaire de Recherche en Readaptation et Integration Sociale (CIRRIS)
| | | | - David Predovan
- Centre Interdisciplinaire de Recherche en Readaptation et Integration Sociale (CIRRIS)
| | | | | | - Marie-Ève Lamontagne
- Centre Interdisciplinaire de Recherche en Readaptation et Integration Sociale (CIRRIS)
| | - Valérie Poulin
- Centre Interdisciplinaire de Recherche en Readaptation et Integration Sociale (CIRRIS)
| | | | - Marcel Émond
- Centre de recherche du CHU de Quebec, Universite Laval
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Lamontagne G, Belleville G, Beaulieu-Bonneau S, Souesme G, Savard J, Sirois MJ, Giguère M, Tessier D, Le Sage N, Ouellet MC. Anxiety symptoms and disorders in the first year after sustaining mild traumatic brain injury. Rehabil Psychol 2021; 67:90-99. [PMID: 34843337 DOI: 10.1037/rep0000422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
PURPOSE/OBJECTIVE The goals of the present study were (a) to document the prevalence of anxiety-related disorders and anxiety symptoms at 4, 8, and 12 months postinjury in individuals with mild traumatic brain injury (mTBI) while considering preinjury history of anxiety disorders and (b) to verify whether the presence of anxiety in the first months after mTBI was associated with more symptoms present 1 year after the injury. Research Method/Design: One hundred and twenty participants hospitalized after an accident and having sustained mTBI were assessed at 4, 8, and 12 months postaccident with the Mini-International Neuropsychiatric Interview, the Hospital Anxiety and Depression Scale, and questionnaires assessing fatigue, irritability, perceived stress, cognitive difficulties, depression, insomnia, and pain. RESULTS At 4 months, 23.8% of participants presented with at least one anxiety-related disorder compared with 15.2% at 8 months and 11.2% at 12 months. Overall, 32.5% presented with at least one anxiety disorder over the first 12 months post-mTBI. Participants with a history of anxiety (20.5%) were significantly more anxious after their accident. Individuals who were anxious 4 months after the accident presented with more symptoms in different areas 12 months postinjury compared with nonanxious individuals. CONCLUSIONS/IMPLICATIONS The present results highlight that anxiety should be evaluated and managed carefully as it appears to be a key factor in the persistence of other mTBI-related symptoms. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
| | | | | | - Guillaume Souesme
- Centre Interdisciplinaire de Recherche en Readaptation et Integration Sociale (Cirris)
| | | | | | - Myriam Giguère
- Centre Interdisciplinaire de Recherche en Readaptation et Integration Sociale (Cirris)
| | | | - Natalie Le Sage
- Centre de Recherche du Centre Hospitalier Universitaire de Quebec
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Souesme G, Voyer M, Gagnon É, Terreau P, Fournier-St-Amand G, Lacroix N, Gravel K, Vaillant MC, Gagné MÈ, Ouellet MC. Barriers and facilitators linked to discharge destination following inpatient rehabilitation after traumatic brain injury in older adults: a qualitative study. Disabil Rehabil 2021; 44:4738-4749. [PMID: 34126821 DOI: 10.1080/09638288.2021.1919212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
PURPOSE To identify facilitators and barriers associated with returning home for older adults having received inpatient rehabilitation after traumatic brain injury (TBI). METHODS A qualitative design was used. Five older patients with TBI and four family caregivers were interviewed and six healthcare professionals participated in a focus group. RESULTS Main facilitators to returning home highlighted by all participants were: (1) Patient's adequate health condition and functional status, (2) Access to health and other services at home, (3) Availability of help from a family caregiver. Conversely, if one of these factors was not met, it represented a barrier. Other facilitators identified were (4) Attachment to one's home, (5) Feeling of commitment toward a loved one, (6) Having the possibility of going through a transitional phase, (7) United front between the patient and the family caregiver towards a return home. Additional barriers to returning home included: (8) Incongruent perspectives, and (9) Unclear knowledge about available health and other services at home. CONCLUSION The results of this study could be translated into a practical tool to guide patients, families and professionals in the decision about returning home or exploring an alternative option after inpatient rehabilitation for TBI in older adults.IMPLICATIONS FOR REHABILITATIONWhen orienting an older patient home or to an alternative living environment after a traumatic brain injury (TBI), the perspective of rehabilitation professionals can differ from that of patients and caregivers.Professionals tend to emphasize security, whereas patients and caregivers' focus on the well-being associated with home and on the importance of being with their loved one.Integrating the views, values and wishes of older patients with TBI and their caregivers will support a shared decision-making approach for orientation after rehabilitation.
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Affiliation(s)
- Guillaume Souesme
- Interdisciplinary Centre for Research in Rehabilitation and Social Integration, Québec, Canada.,School of Psychology, Laval University, Québec, Canada
| | - Manon Voyer
- Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale- Site, Institut de réadaptation en déficience physique de Québec, Canada
| | - Éric Gagnon
- Centre de Recherche sur les Soins et les Services de Première Ligne, Québec, Canada.,Sociology Department, Laval University, Québec, Canada
| | - Paule Terreau
- Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale- Site, Institut de réadaptation en déficience physique de Québec, Canada
| | - Geneviève Fournier-St-Amand
- Interdisciplinary Centre for Research in Rehabilitation and Social Integration, Québec, Canada.,School of Psychology, Laval University, Québec, Canada
| | - Nadine Lacroix
- Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale- Site, Institut de réadaptation en déficience physique de Québec, Canada
| | - Kristina Gravel
- Interdisciplinary Centre for Research in Rehabilitation and Social Integration, Québec, Canada.,School of Psychology, Laval University, Québec, Canada
| | - Marie-Claude Vaillant
- Interdisciplinary Centre for Research in Rehabilitation and Social Integration, Québec, Canada.,School of Psychology, Laval University, Québec, Canada
| | - Marie-Ève Gagné
- Interdisciplinary Centre for Research in Rehabilitation and Social Integration, Québec, Canada.,School of Psychology, Laval University, Québec, Canada
| | - Marie-Christine Ouellet
- Interdisciplinary Centre for Research in Rehabilitation and Social Integration, Québec, Canada.,School of Psychology, Laval University, Québec, Canada
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Souesme G, Martinent G, Akour D, Giraudeau C, Ferrand C. Causality Orientations and Supportive/Controlled Environment: Understanding Their Influence on Basic Needs, Motivation for Health and Emotions in French Hospitalized Older Adults. Front Psychol 2021; 11:575489. [PMID: 33424685 PMCID: PMC7793817 DOI: 10.3389/fpsyg.2020.575489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 11/16/2020] [Indexed: 11/15/2022] Open
Abstract
Objectives From a self-determination theory perspective, the purpose of this cross sectional study was to better understand how to motivate hospitalized older adults’ behaviors and test an integrative model of the role of causality orientations and a supportive/controlled environment on basic need satisfaction, motivation for health oriented physical activity, positive and negative affective states, depressive symptoms, apathy, and boredom. Methods Older adults (N = 146; Mage = 81.27 years, SD = 7.75, 74.7% female) in French hospital units completed self-report questionnaires and socio-demographic data were also collected. Results Partial least squares path modeling results showed that participants’ autonomy orientation positively associated with the perception of a supportive environment was related to need satisfaction, autonomous motivation for health-oriented physical activity, and high scores on positive affective states. Conversely, participants’ impersonal orientation positively associated with the perception of a controlled environment was related to undermining need satisfaction, controlled motivation for health-oriented physical activity, and amotivation, and high scores on both negative affective states, and boredom. Conclusion The present results indicate that taking into account personality factors in hospital units can be useful and health professionals should take an interest both in the patients’ causality orientations and the supportive nature of the environment in order to understand better how to motivate patients’ behaviors. The present study points to the need to focus on all motivational dynamics which allow patients’ need satisfaction.
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Affiliation(s)
- Guillaume Souesme
- Laboratoire de Psychologie des Âges de la Vie et Adaptation (PAVéA-EA 2114), Université de Tours, Tours, France
| | - Guillaume Martinent
- Laboratoire sur les Vulnérabilités et l'Innovation dans le Sport (L-Vis-EA 7428), Université Lyon 1, Villeurbanne, France
| | | | - Caroline Giraudeau
- Laboratoire de Psychologie des Âges de la Vie et Adaptation (PAVéA-EA 2114), Université de Tours, Tours, France
| | - Claude Ferrand
- Laboratoire de Psychologie des Âges de la Vie et Adaptation (PAVéA-EA 2114), Université de Tours, Tours, France
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Souesme G, Voyer M, Terreau P, St-Amand GF, Gagnon É, Gravel K, Gagné MÈ, Vaillant MC, Ouellet MC. Returning Home After Inpatient Rehabilitation for Geriatric Traumatic Brain Injury: Facilitators and Barriers Identified by Patients, Family Members, and Healthcare Professionals. Arch Phys Med Rehabil 2020. [DOI: 10.1016/j.apmr.2020.09.140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Bailly N, Sanchez S, Ferrand C, Souesme G, Giraudeau C, Agli O. The impact of street clothes among caregivers on residents with dementia in special care units: The STRECLO study. J Clin Nurs 2020; 29:1723-1732. [PMID: 32043688 DOI: 10.1111/jocn.15210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Revised: 12/26/2019] [Accepted: 02/03/2020] [Indexed: 11/26/2022]
Abstract
AIMS AND OBJECTIVES To examine the impact of caregivers' street clothes on people living in special care units (SCUs). We hypothesised that caregivers wearing street clothes would improve residents' relationships with other residents and caregivers and, as a consequence, would improve their quality of life. BACKGROUND Environmental factors have been recognised as important elements in the care of people with dementia. Among these factors, the importance of the caregivers' appearance and more particularly their street clothes has been raised. DESIGN The Street Clothes study (STRECLO) was designed as a multicentre crossover observational study. METHOD This study was conducted in two volunteer nursing homes. It involved videotaping residents (N = 24) over a 6-month period: caregivers wore uniform and then street clothes for two consecutive three-month periods. Three outcome measures were observed as follows: (a) behaviours of residents, (b) contents of conversations and (c) proximal interactions between residents and caregivers. The STROBE checklist was used to ensure quality reporting during this observational study. RESULTS When caregivers wore street clothes, we observed the following: (a) greater solicitation and less anxiety in residents, (b) content of conversations between residents and caregivers included more personal and less health information, and (c) more proximal interaction between caregivers and residents. CONCLUSION To our knowledge, this is the first study which investigated the long-term effects on residents of SCU caregivers wearing street clothes. Our study demonstrated the potential benefit of not wearing uniform on the quality of life of institutionalised people with dementia. RELEVANCE TO CLINICAL PRACTICE Given the budgetary constraints faced by nursing homes, wearing street clothes for caregivers could be readily applied to clinical practice and represents a promising way to increase the quality of life of dementia residents and their families.
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Affiliation(s)
- Nathalie Bailly
- EA2114 Psychologie des Ages de la Vie et Adaptation, University of Tours, Tours, France
| | - Stéphane Sanchez
- Pôle Information Médicale, Hôpitaux Champagne Sud, Centre Hospitalier Troyes, Troyes, France
| | - Claude Ferrand
- EA2114 Psychologie des Ages de la Vie et Adaptation, University of Tours, Tours, France
| | - Guillaume Souesme
- EA2114 Psychologie des Ages de la Vie et Adaptation, University of Tours, Tours, France
| | - Caroline Giraudeau
- EA2114 Psychologie des Ages de la Vie et Adaptation, University of Tours, Tours, France
| | - Océane Agli
- EA2114 Psychologie des Ages de la Vie et Adaptation, University of Tours, Tours, France
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Souesme G, Ferrand C. What is an autonomy supportive environment in geriatric care units? Focus group interviews with healthcare professionals. Int J Older People Nurs 2019; 14:e12221. [DOI: 10.1111/opn.12221] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 11/27/2018] [Accepted: 12/07/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Guillaume Souesme
- Research Team of Psychology of Ages of Life and Adaptation (EA 2114); University of Tours; Tours France
| | - Claude Ferrand
- Research Team of Psychology of Ages of Life and Adaptation (EA 2114); University of Tours; Tours France
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Bonnafé E, Alayrangues J, Hotier L, Massou I, Renom A, Souesme G, Marty P, Allaoua M, Treilhou M, Armengaud C. Monoterpenoid-based preparations in beehives affect learning, memory, and gene expression in the bee brain. Environ Toxicol Chem 2017; 36:337-345. [PMID: 27306119 DOI: 10.1002/etc.3527] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2016] [Revised: 04/18/2016] [Accepted: 06/13/2016] [Indexed: 06/06/2023]
Abstract
Bees are exposed in their environment to contaminants that can weaken the colony and contribute to bee declines. Monoterpenoid-based preparations can be introduced into hives to control the parasitic mite Varroa destructor. The long-term effects of monoterpenoids are poorly investigated. Olfactory conditioning of the proboscis extension reflex (PER) has been used to evaluate the impact of stressors on cognitive functions of the honeybee such as learning and memory. The authors tested the PER to odorants on bees after exposure to monoterpenoids in hives. Octopamine receptors, transient receptor potential-like (TRPL), and γ-aminobutyric acid channels are thought to play a critical role in the memory of food experience. Gene expression levels of Amoa1, Rdl, and trpl were evaluated in parallel in the bee brain because these genes code for the cellular targets of monoterpenoids and some pesticides and neural circuits of memory require their expression. The miticide impaired the PER to odors in the 3 wk following treatment. Short-term and long-term olfactory memories were improved months after introduction of the monoterpenoids into the beehives. Chronic exposure to the miticide had significant effects on Amoa1, Rdl, and trpl gene expressions and modified seasonal changes in the expression of these genes in the brain. The decrease of expression of these genes in winter could partly explain the improvement of memory. The present study has led to new insights into alternative treatments, especially on their effects on memory and expression of selected genes involved in this cognitive function. Environ Toxicol Chem 2017;36:337-345. © 2016 SETAC.
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Affiliation(s)
- Elsa Bonnafé
- Jean-François Champollion University Center, Albi, France
| | | | - Lucie Hotier
- Research Center on Animal Cognition, Integrative Biology Center, University of Toulouse, CNRS, Toulouse, France
| | - Isabelle Massou
- Research Center on Animal Cognition, Integrative Biology Center, University of Toulouse, CNRS, Toulouse, France
| | - Allan Renom
- Research Center on Animal Cognition, Integrative Biology Center, University of Toulouse, CNRS, Toulouse, France
| | - Guillaume Souesme
- Research Center on Animal Cognition, Integrative Biology Center, University of Toulouse, CNRS, Toulouse, France
| | - Pierre Marty
- Jean-François Champollion University Center, Albi, France
| | - Marion Allaoua
- Jean-François Champollion University Center, Albi, France
| | | | - Catherine Armengaud
- Research Center on Animal Cognition, Integrative Biology Center, University of Toulouse, CNRS, Toulouse, France
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Souesme G, Martinent G, Ferrand C. Perceived autonomy support, psychological needs satisfaction, depressive symptoms and apathy in French hospitalized older people. Arch Gerontol Geriatr 2016; 65:70-8. [PMID: 27002495 DOI: 10.1016/j.archger.2016.03.001] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2015] [Revised: 02/08/2016] [Accepted: 03/03/2016] [Indexed: 11/19/2022]
Abstract
Based on the self-determination theory, the aim of the present study was (1) to provide a better understanding of older people's psychological needs satisfaction in geriatric care units, then to link this information with depressive symptoms and apathy; (2) to examine whether the perceived autonomy support from health care professionals differs between needs satisfaction profiles; and (3) to investigate for all participants how each need satisfaction was related to depressive symptoms and apathy. Participants (N=100; Mage=83.33years, SD=7.78, 61% female) completed the measures of psychological needs satisfaction, perceived autonomy support, geriatric depression and apathy. Sociodemographic data were also collected. Cluster analyses showed three distinct profiles: one profile with low-moderate need satisfaction, one profile with high-moderate need satisfaction and one profile with high need satisfaction. These profiles are distinct, and did not differ in terms of participants' characteristics, except gender. Multivariate analysis of covariance (MANCOVA) revealed that participants with low-moderate need satisfaction profile have significantly higher level of depressive symptoms and apathy, and lower levels of perceived autonomy support than participants of the two other profiles. Moreover, for all participants, regression analyses revealed that both competence and relatedness needs satisfaction significantly and negatively explained 28% of the variance in depressive symptoms score and 44% of the variance in apathy score. Our results highlight the interest to examine more thoroughly the variables fostering autonomy-supportive environment in geriatric care units, and to deepen the relationship between competence and relatedness needs satisfaction and depressive symptoms and apathy.
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Affiliation(s)
- Guillaume Souesme
- Research Team of Psychology of Ages of Life (EA 2114), University François Rabelais, Tours, France.
| | - Guillaume Martinent
- Laboratoire sur les Vulnérabilités et l'Innovation dans le Sport (L-Vis), University Claude Bernard Lyon 1, Villeurbanne, France.
| | - Claude Ferrand
- Research Team of Psychology of Ages of Life (EA 2114), University François Rabelais, Tours, France.
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