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Le jeudi 10 juin 2021 à 12 h, la Communauté […]
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Background: Based on the most common psychological difficulties of the evacuees from the 2016 Fort McMurray wildfires in Alberta, Canada, a therapist-guided cognitive behavioral self-treatment was developed. This study aimed to explore how gender influences the usage and subjective appreciation of the RESILIENT online treatment. Methods: Our study included 81 English-speaking evacuees with significant posttraumatic symptoms, or with some posttraumatic symptoms accompanied by at least mild depression symptoms or subclinical insomnia, and who logged into the platform at least once. Various usage and subjective appreciation variables were analyzed, including number of completed sessions, number of logins, number of words per session, perceived efforts, perception of usefulness and intention to continue using the different strategies. Results: No difference was detected in most objective usage indicators. The number of words written in sessions 7 and 10 was significantly greater for women than for men. Regarding subjective appreciation, men had a greater perception of having put strong efforts in the cognitive restructuring strategy, while women reported in a greater proportion that they wanted to continue using physical exercise as a behavioral activation strategy. Conclusions: Our study offers a first look into how women and men use online treatments, and what their preferences are.
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La présente pandémie nécessite le recours aux mécanismes qui favorisent l’action intersectorielle entre les autorités et les partenaires de différents secteurs de la santé et de la société civile pour coordonner et adapter la réponse socio-sanitaire en fonction des particularités des milieux et de l’évolution de la pandémie. Ce commentaire propose de mettre en lumière quelques défis qui se posent actuellement dans la mise en œuvre d’actions intersectorielles dans les milieux ruraux du Québec. Des pistes de réflexion en faveur du renforcement des mécanismes de concertation nécessaires à la gestion de la pandémie sont proposées.
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Abstract Background The Canadian government’s response to the ongoing COVID-19 pandemic included the implementation of several restrictive measures since March 2020. These actions sought to decrease social contact and increase physical distancing, including that within universities. Such constraints were required to impede the transmission of the virus; however, concerns remain about their impact on the sexual and intimate relationships of university employees and students. Aim This study examined the associations between COVID-19–related stress and sexual frequency, sexual satisfaction, and relationship satisfaction, also testing the mediating role of psychological distress. Methods The models were tested with Canadian data collected from university employees and students in 2 phases: the first wave in April-May 2020 (T1; n = 2754) and the second wave in November-December 2021 (T2; n = 1430), 18 months afterward. Participants completed self-report questionnaires online. Path analyses were performed to test the associations of the mediation models. Outcomes The principal outcomes included psychological distress determined via the Patient Health Questionnaire–4, relationship satisfaction measured via the Dyadic Adjustment Scale, and sexual satisfaction and sexual frequency ascertained through a single item each. Results Overall, COVID-19–related stress was associated with higher psychological distress, which in turn was related to lower sexual frequency, sexual satisfaction, and relationship satisfaction. Similar results were obtained with T1 and T2 data, indicating the mediating effect of psychological distress. Clinical Implications These findings increase scholarly comprehension of the negative associations between stress/distress and sexual and romantic relationships. Sexuality and close relationships are vital to the quality of human life; thus, targeted interventions should be developed to reduce COVID-19–related stress and its impact on sexual and romantic relationships to mitigate the long-term influences of this unique global challenge. Strengths and Limitations To our knowledge, this study is the first to use a large sample size and replicate findings in 2 waves. Nonetheless, it is limited by the use of cross-sectional data. Longitudinal studies with the same participants are mandated to better understand the evolution of these outcomes. Conclusion COVID-19–related stress and psychological distress were found among participating university students and employees and were associated with lower sexual satisfaction, sexual frequency, and intimate relationship satisfaction. These results were observed at the early onset of the pandemic and 18 months afterward, suggesting that the stress generated by the pandemic were not mere reactions to the onset of the pandemic but persisted over time.
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En raison de la pandémie, en mars 2020, les adolescents et les adolescentes se sont retrouvés confinés à leur domicile pour un temps indéterminé. Afin de mieux comprendre leur vécu dans ce contexte particulier, notamment en ce qui concerne leurs habitudes de vie, des entrevues de groupe (n=10) ont été réalisées auprès de 57 jeunes fréquentant trois écoles secondaires du Saguenay-Lac-Saint-Jean en 2021-2022. Les résultats soulignent la pertinence de mieux comprendre leur vécu et leurs besoins en temps de crise, de même que l’importance du rôle des milieux scolaires quant à la pratique d’activité physique chez les jeunes, et ce, en vue d’améliorer la qualité du soutien qui leur est offert.