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L'enjeu de cet article est d'analyser, comme cela a déjà été réalisé avec des adultes dans leur domaine professionnel, la façon dont les jeunes à l'école perçoivent leur environnement de travail. L'objectif principal vise à étudier l'opérationnalisation du modèle théorique << exigences professionnelles-ressources >> (Job Demands-Resources [JD-R]) de Demerouti et al. (2001) en contexte scolaire. L'objectif secondaire est de valider une échelle adaptée au contexte scolaire qui permette à la fois de déterminer le niveau d'exigences et le niveau de ressources perçus par les élèves au sein de l'école. Dans une première étude, une échelle a été adaptée, puis remplie par 414 collégiens et lycéens. Les résultats des analyses factorielles exploratoires, puis confirmatoires, indiquent une structure en deux dimensions (exigences/ ressources) à trois facteurs chacun (physique, motivationnelle et cognitive) conformément à la version d'origine. Les propriétés psychométriques de l'échelle s'avèrent satisfaisantes. À l'aide d'analyses en pistes causales, la seconde étude réalisée avec 56 élèves a permis de mettre en avant la relation entre le modèle JD-R transposé à l'école et l'épuisement (burnout) scolaire. Les données recueillies à trois moments révèlent que les exigences et les ressources au T1 prédisent celles au T2, comme il était présumé. Toutefois, seules les ressources au T2 prédisent le burnout au T3. En définitive, l'analyse des processus révèle les effets du niveau de ressources perçu par les élèves au T1 sur le burnout scolaire au T3, et un effet des exigences qui n'est pas significatif. Pour conclure, le modèle a été partiellement validé mettant en avant des relations entre l'évolution des exigences, des ressources et leurs effets sur le burnout. Mots-clés : élèves du secondaire, exigences, ressources, épuisement scolaire, burnout The aim of this article is to analyze, as has been done with adults in their professional field, how young people in school perceive their work environment. The main objective is to study the operationalization of the theoretical model 'Job Demands-Resources (JD-R)' of Demerouti and al. (2001) in the school context. The secondary objective is to validate a scale adapted to the school context that makes it possible to determine the level of both demands and resources as perceived by the students within the school. In a first study, a scale was adapted, then administered, to 414 middle and high school students. The results of exploratory and then confirmatory factor analyses indicated a two-dimensional structure (demands/resources) with three items each (physical, motivational and cognitive) in accordance with the original version. The psychometric properties of the scale were found to be satisfactory. Using causal path analyses, the second study with 56 students highlighted the relationship between the JD-R model transposed to schools and school burnout. The results collected at three points in time reveal that the demands and resources at T1 predict those at T2, as was assumed. However, only resources at T2 predict burnout at T3. In the end, the process analysis reveals the effects of students' perceived level of resources at T1 on school burnout at T3, but indicates no significant effect of demands. In conclusion, the model was partially validated showing relationships between changes in demands, resources and their effects on burnout. Keywords: secondary school students, demands, resources, school burnout, Introduction Les chiffres sont alarmants. Selon le Bureau international du Travail (BIT, 2017), un travailleur succombe toutes les quinze secondes à une maladie professionnelle ou après un accident du travail, [...]

Abstract Background The aim of this study was to compare the responsiveness of the European Organization for Research and Treatment (EORTC) quality of life questionnaires (QLQ-C30, QLQ-CR38) and the Functional Assessment of Cancer Therapy-colorectal version 4 questionnaire (FACT-C). Method This prospective study included 127 patients with colorectal cancer: 71 undergoing chemotherapy and 56 radiation therapy. Responsiveness statistics included the Standardized Response Mean (SRM) and the Effect Size (ES). The patient's overall assessment of his/her change in state of health status was the reference criterion to evaluate the responsiveness of the QoL questionnaires. Results 34 patients perceived their health as stable and 17 as improved between the first and the fourth courses of chemotherapy. 21 patients perceived their health as stable and 22 as improved between before and the last week of radiotherapy. The responsiveness of the 3 questionnaires differed according to treatments. The EORTC QLQ-C30 questionnaire was more responsive in patients receiving chemotherapy, particulary functional scales (SRM > 0.55). The QLQ-CR38 and the FACT-C questionnaires provided little clinically relevant information during chemotherapy or radiotherapy. Conclusion The EORTC QLQ-C30 questionnaire appears to be more responsive in patients receiving chemotherapy.

The COVID-19 pandemic is putting a strain on health systems around the world. Healthcare workers, on the front lines of the epidemic, are facing major and potentially traumatic stressful events, overwhelming their ability to cope and their resources. The objective of this article will be to show how the use of the URG-EMDR protocol in a telemental health setting has proven to be feasible and effective in the treatment of a group of healthcare professionals working in nursing homes or hospital services that were highly mobilized during the acute phase of COVID-19. 17 participants, registered nurses (N = 7) and licensed practical nurses (N = 10), were remotely treated using the URG-EMDR protocol in a single session. The assessment focused on anxiety and depressive symptoms (HAD scale) and the level of perceived disturbance (SUD). An additional evaluation of the satisfaction with the remote psychotherapy intervention was conducted. As the URG-EMDR protocol has already proven itself during emergency interventions, it is interesting to note that its remote use in the treatment of healthcare providers caring for COVID-19 patients allows for an improvement in the emotional state and a decrease in perceived disturbance, in a single session. This result is maintained 1 week after the intervention, despite the continued professional activities of the participants and the continuity of the event. Moreover, the remote therapy setting was judged satisfactory by the patients, even if it required adjustments and certain recommendations for practice. The remote use of the URG-EMDR protocol opens up innovative perspectives for early interventions and the prevention of the development of psychological disorders in the long term following a situation of acute stress. [ABSTRACT FROM AUTHOR]

Women with breast cancer are increasingly being cured of the disease but fatigue remains the most frequently reported symptom. The aims of our study were to identify distinct trajectories in four fatigue dimensions during 2 years after breast cancer surgery and to explore the demographic, clinical and personality characteristics associated with these profiles. We included women from the prospective longitudinal multicenter FATSEIN cohort in France. They completed the Multidimensional Fatigue Inventory for nine follow‐ups over 24 months after surgery. A group‐based trajectory model identified distinct trajectories in each fatigue dimension. Multinomial logistic regression determined the factors associated with each profile. From the 459 women followed, 3–5 fatigue trajectories were revealed in each fatigue dimension, from its absence to its severest degree. In our multivariate analysis, the risk of severe fatigue was decreased in all dimensions by a high quality of life before surgery (measured by the European Organization for Research and Treatment of Cancer 30‐item QoL questionnaire; e.g., for general and physical fatigue: OR = 0.93, 95% CI 0.91, 0.96), especially a high physical and emotional functions for general and physical fatigue, and a high cognitive function for mental fatigue. Both severe mental fatigue and severely reduced motivation worsened with low optimism before surgery (e.g., for mental fatigue: OR = 0.93, 95% CI 0.89, 0.97). Severely reduced activities increased by having chemotherapy (OR = 9.41, 95% CI 2.28, 38.79). Targeting women at risk for severe fatigue can provide early preventive and curative treatment and appropriate psychological support. What's new? Today breast cancer is increasingly being cured, but adverse effects persist, with fatigue being the most frequently reported symptom. In this longitudinal prospective study of long‐term, self‐reported fatigue trajectories of breast cancer survivors, fatigue increased after surgery, peaked at the end of chemotherapy, and then decreased up until 18 months before slightly rising again. The risk of severe fatigue was decreased by a high quality of life before surgery. Severe mental fatigue and severe reduced motivation both worsened with low optimism before surgery. The findings may help provide early preventive and curative treatment for women at risk for severe fatigue. [ABSTRACT FROM AUTHOR]

Obesity has been associated with an increased risk of developing acute myeloblastic leukaemia (AML). The outcome of AML patients could thus be dependent on their nutritional status that can be evaluated by the simple measurement of serum albumin (SA) and body mass index (BMI). These two parameters could have a value as prognostic factors to guide patients' management. We evaluated the association between SA levels, BMI, and survival, evaluated as overall survival (OS) and event-free survival. Furthermore, we investigated the association between BMI, SA, and other prognostic factors of interest in AML. This retrospective single-center study included 159 patients diagnosed with AML at Nancy Hospital between 2005 and 2013, treated with aracytine and anthracycline. Forty-four percent of patients presented with normal weight while 56% were obese/overweight. Serum albumin levels were <30 g/L for 49 patients, and ≥30 g/L for 110. Thirty-four patients with low SA levels were also obese. Favourable OS was associated with SA levels ≥30 g/L (HR = 0.467; 95% CI 0.230-0.946; P = .034) but was not impacted by the BMI. Serum albumin levels appear to be an independent prognostic factor in AML and a better parameter than BMI for evaluating the nutritional status of patients at diagnosis. [ABSTRACT FROM AUTHOR]

A systematic review of articles using qualitative methods to generate questionnaire items identified in MEDLINE and PsycINFO from 2000 to 2014 was carried out. Articles were analyzed for (a) year of publication and journal domain, (b) qualitative data collection methods, (c) method of data content analysis, (d) professional experts' input in item generation, and (e) debriefing of the newly developed items. In total, 371 articles were included and results showed (a) an acceleration of published articles, (b) individual interviews and focus groups were common ways of generating items and no emergent approach was identified, (c) the content analysis was usually not described (43% of articles), (d) experts were involved in eliciting concepts in less than a third of articles, (e) 61% of articles involved a step of further submission of newly developed items to the population of interest. This review showed an insufficient reporting of qualitative methods used to generate new questionnaires despite previous recommendations. [ABSTRACT FROM AUTHOR]

Introduction: Even if indications for mastectomy have been progressively reduced in loco-regional breast cancer (BC) treatment, the harmful effects of surgery are still numerous and can impact physical and psychological wellbeing of women. The RIPOSTE (Reconstruction, self-Image, Posture, Oncology, "Santé"-Health, Therapy, "Escrime"-Fencing) program aimed to propose adapted fencing to patients with BC. This study aims to investigate the effect and conditions of effectiveness of the RIPOSTE program., Methods and Analysis: This is a prospective randomized controlled trial including 24 patients with invasive BC who have just undergone surgery. The study will be proposed to the patient and if interested, the patient will be referred to a sports physician for a medico-sportive evaluation. At the end the evaluation, if the patient meets the inclusion criteria, she will be randomly assigned to one of the 2 groups based on a 1:1 principle: Early RIPOSTE group (receive one fencing session per week for 3 months immediately after their inclusion), Delayed RIPOSTE group (receive one fencing session per week for 3 months but within the 3 months following their inclusion). Patients will be included for 6 months with 3 follow-up times (0, 3, and 6 months) by a sport physician. The primary outcome is the evolution of quality of life score. Secondary outcomes are disability score, fatigue, anxiety-depression, cost-effectiveness and process evaluation., Ethics and Dissemination: The study protocol has been approved by a French ethics committee (CPP Sud Méditerranée IV, N°ID-RCB: 2020-A01916-33). Results will be submitted for publication, at scientific conferences and through press releases., Trial Registration: NCT04627714., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Omorou, Peiffert, Rotonda, Van Hoye, Allado, Hily, Temperelli, Chenuel, Hornus-Dragne and Poussel.)