References of "Couffignal, Sophie"
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See detailThe downward spiral of mental disorders and educational attainment: a systematic review on early school leaving.
Esch, Pascale UL; Bocquet, Valery; Pull, Charles et al

in BMC psychiatry (2014), 14

BACKGROUND: Most psychiatric disorders present symptom patterns that cause severe impairment on the emotional, cognitive and social level. Thus, adolescents who suffer from a mental disorder risk finding ... [more ▼]

BACKGROUND: Most psychiatric disorders present symptom patterns that cause severe impairment on the emotional, cognitive and social level. Thus, adolescents who suffer from a mental disorder risk finding themselves in a downward spiral caused by the reciprocal association of psychological symptoms and negative school experiences that may culminate in early school leaving. In addition to previous collective work that mainly focused on school refusing behaviour among children and was presented as an expert's opinion, the following systematic review fills the knowledge gap by providing a structured overview of the bidirectional association between mental health and secondary school dropout based on a sound methodology and with a particular focus on mediating factors. METHODS: Four electronic databases were searched from January 1990 until June 2014. Selected references were assessed for study details, main results, mediating factors and methodological limitations. Standardized risk of bias assessment was conducted. RESULTS: Mood and anxiety disorders seemed to have a less consequential direct effect on early school leaving than substance use and disruptive behaviour disorders. The association between externalizing disorders and educational attainment was even stronger when the disorder occurred early in life. On the other hand, internalizing disorders were reported to develop as a consequence of school dropout. Only few studies had addressed gender differences, with discrepant results. Socio-economic background, academic achievement and family support were identified as significant mediating factors of the association between mental disorders and subsequent educational attainment. CONCLUSIONS: Findings suggested a strong association between mental health and education, in both directions. However, most studies focused on mediating factors that could not be targeted by intervention programs. [less ▲]

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See detailLife satisfaction two-years after stroke onset: the effects of gender, occupational status, memory function and quality of life among stroke patients (Newsqol) and their family caregivers (Whoqol-bref) in Luxembourg
Baumann, Michèle UL; Couffignal, Sophie; Le Bihan, Etienne UL et al

in BMC Neurology (2012), 12

Life satisfaction (LS) of cerebrovascular disease survivors and their family caregivers may relate to socioeconomic factors, impaired functions, health-related quality of life (QoL), but their respective ... [more ▼]

Life satisfaction (LS) of cerebrovascular disease survivors and their family caregivers may relate to socioeconomic factors, impaired functions, health-related quality of life (QoL), but their respective influences remain unclear. This study assessed, two years post-stroke onset, the effects of these factors on patients' LS and family caregivers' LS in Luxembourg. METHODS: All stroke patients admitted to all hospitals in Luxembourg were identified by the 'Inspection Général de la Sécurité Sociale' using the only national system database for care expenditure reimbursement. Their diagnosis was confirmed by medical investigator. The sample included ninety four patients living at home having given consent (mean age 65.5 years) and sixty two main caregivers (mean age 59.3 years). Questionnaires were completed during face-to-face interviews. LS was assessed via European single question (range 1-10), survivors' QoL via Newsqol (11 dimensions), and caregivers' QoL via Whoqol-bref (4 domains) (range 0-100). Data were analysed using multiple regression models. RESULTS: Two years after stroke onset, 44.7% of patients suffered from impaired sensory function, 35.1% from impaired motor function, and 31.9% from impaired memory function. Mean patient' LS was 7.1/10 (SD 1.9). It was higher in women (+12.4) and lower among unemployed socioeconomically active patients (-13.1, vs. retired people). Adjusted for sex, occupation, impaired motor and memory functions, LS positively correlated with scores of Newsqol feelings, sleep, emotion, cognition and pain dimensions (slopes 0.20 to 0.31), but did not correlate with those of caregivers' Whoqol-bref domains. Family caregiver' LS was 7.2 (SD 1.7). It was lower in those with patients suffering from impaired memory function (-12.8) as well as from feelings and emotion issues (slopes 0.22). It was associated with all caregivers' Whoqol-bref domains (physical health, psychological health, environment, and social relationships) (slopes 0.53 to 0.68). CONCLUSIONS: Two-year post-cerebrovascular disease patient' LS was associated with gender, occupation, and impaired memory function. It correlated with feelings, sleep, emotion, cognition, and pain issues. Family caregivers of patients with impaired memory function had lower LS. Family caregiver' LS correlated with dimensions of patients' feelings (less independent, yourself, life changed, depressed, useless, less control because of stroke) and emotion (get more emotional, fear of another stroke or to become dependent on others), and with their own QoL. LS, Newsqol, and Whoqol appeared to be appropriate tools. Our findings may be useful for policy makers in relation to family and medical-social issues of stroke home-based rehabilitation. [less ▲]

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See detailWhat is the value of keeping patients at home if informal caregivers become exhausted to the detriment of their own life satisfaction?
Baumann, Michèle UL; Couffignal, Sophie

in Social Justice and Democratization (2012)

Cerebrovascular diseases like Alzheimer’s disease increase among European populations, and the number of patients living at home, with domestic support is growing. Our study analysed, two years post ... [more ▼]

Cerebrovascular diseases like Alzheimer’s disease increase among European populations, and the number of patients living at home, with domestic support is growing. Our study analysed, two years post-stroke, the life satisfaction (LS) and its relationships with the quality of life (QoL) of the survivors and their informal caregivers, and socioeconomic characteristics, and impaired functions. All stroke survivors admitted in hospital from the 1st July 2006 to the 30th June 2007 were selected by the National Health Insurance of Luxembourg, using the administrative reimbursement database: patients living at home and their main caregivers were interviewed with questionnaires assessing LS (one question as the European survey), survivor’s Newsqol, and caregiver’s Whoqol-bref. Ninety-four survivors (65.5 years) and 62 informal caregivers (59.3 years) were included in our analyses. Sex and occupational status had a positively effect on patients: their LS was higher in women and retired people. In opposite, patients at home without a professional activity had a much lower LS score. Adjusted for sex, occupational status and impaired motor and memory functions, patients’ LS was higher for higher scores of Newsqol dimensions of feelings, sleep, emotion, cognition, and pain, but was not correlated with any of the caregiver’s Whoqol-bref domains. Informal caregiver’s LS was negatively associated with female sex and care taking of patients with impaired memory. Similarly, it was relied to feelings and emotion Newsqol dimensions and to all Whoqol-bref domains: social relationships, psychological, physical health, and environment. The needs, resources, skills and will of the informal caregivers for taking care of the other must be better taken into account. The informal caregivers represent a “population at risk” who European health systems need to consider. Coaching patients and informal caregivers with socio-educational activities that foster positive attitudes and provide motivation, reassurance and information can help sustain home-based rehabilitation and maintain patients’ LS. [less ▲]

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See detailPsychosocial risk and protective factors of secondary school dropout in Luxembourg: the protocol of an exploratory case-control study.
Esch, Pascale UL; Bocquet, Valery; Pull, Charles et al

in BMC public health (2011), 11

BACKGROUND: In Luxembourg, the extensive phenomenon of school dropout is a prime policy concern in the light of individual, social and economic consequences. Although the authorities report an overall ... [more ▼]

BACKGROUND: In Luxembourg, the extensive phenomenon of school dropout is a prime policy concern in the light of individual, social and economic consequences. Although the authorities report an overall decrease of the national dropout rate, the proportion of early school leavers who remain without any specific occupation is still alarming. Therefore, this study intends a shift of focus from system-inherent to individual factors, including mental health and family correlates, to provide a more comprehensive analysis of the dropout phenomenon. METHODS/DESIGN: The objectives of this study are to investigate the type and prevalence of psychiatric disorders among school dropouts and to compare the findings with those by a matched control group of regularly enrolled students. Furthermore, family variables and socioeconomic status will be analysed, as they are factors likely to interfere with both educational attainment and mental health. A trained psychologist will use structured interviews and self-report forms to investigate for mental health issues, information on schooling, socioeconomic situation and family life. Controls will be matched for gender, age, school type and educational grade. DISCUSSION: As school dropouts face a serious risk of long term professional and social marginalization, there is an evident need for action. Identifying psychosocial risk and protective factors of school dropout will deliver solid insight on how to conceive public health strategies for young people who may need a more customized support to carry out their academic potential. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01354236. [less ▲]

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