References of "Spitz, Elisabeth"
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See detailEmotional and social repercussions of stroke on patient-family caregiver dyads: Analysis of diverging attitudes and profiles of the differing dyads
Bucki, Barbara; Spitz, Elisabeth; Baumann, Michèle UL

in PLoS ONE (2019), 14(4), 0215425

For patients, the social and emotional repercussions of stroke include shame, personality changes, and upheavals experienced by the couple (i.e. patient and main family caregiver). These impacts on the ... [more ▼]

For patients, the social and emotional repercussions of stroke include shame, personality changes, and upheavals experienced by the couple (i.e. patient and main family caregiver). These impacts on the couple ‘patient/family caregiver’ are scarcely documented. Focusing on the perceptions of the patients and the family caregivers living at home, two years after a stroke occurrence, the aims of the study were to analyse the concordance of attitudes towards the emotional and social repercussions of stroke and to determine the profiles of the differing dyads. Two researchers conducted separate face-to-face structured interviews with stroke survivors and their family caregivers. Eleven items, identified through a content analysis of interviews and after a qualitative process of generating questionnaire items, assessed the commonly experienced impact of stroke on the family, the social repercussions of stroke, and its emotional effects on the stroke survivors. The kappa concordance coefficient was used to determine the response convergence between patients and family caregivers. Four items, selected by a panel of experts, were included in logistic regressions (i.e., demographic characteristics and patients’ impaired functions) to identify the differing dyadic profiles. Family caregivers’ and patients’ attitudes towards the social repercussions of stroke were similar. Patients with motor deficiencies tended to underestimate the upheaval brought to their couple by stroke, whereas caregivers of language-impaired patients tended to underestimate their feelings of shame and demeaning. Communication disturbances, but also residual physical disabilities in stroke survivors, may affect the understanding of each other’s attitudes within dyads. In order to avoid dysfunctional relationships between family caregivers and patients, healthcare professionals need to pay special attention to this issue, especially in cases of aphasia and motor deficiencies. [less ▲]

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See detailMotivations to care and health motivations: A qualitative study exploring the experience of family caregivers
Spitz, Elisabeth; Bucki; Baumann, Michèle UL

in European Health Psychologist (The) (2015)

Background. The COM-B system adapted to family caregivers analyses health capability through capabilities, opportunities, and motivations. Focusing on motivations, this study investigated the motivations ... [more ▼]

Background. The COM-B system adapted to family caregivers analyses health capability through capabilities, opportunities, and motivations. Focusing on motivations, this study investigated the motivations to be a family caregiver and the motivations to maintain one’s own health. Methods. Semi-structured interviews were conducted with 14 caregivers of stroke victims (France: n=8; Luxembourg: n=6; 50% male; age 63.6±10.1) about how they preserve their health and their resources to attain optimal health. Verbatims about their motivations to care for their relative and their motivation to maintain their own health were open-coded. Items were built and validated by consensus with an expert group. Findings. Motivations to care for a relative included the sense of duty, fear of guilt or deception, perceived need and feelings like love. The motivations to maintain personal health were intrinsic (self-; family-oriented), related to caregiving, and extrinsic (induced by relatives and material needs) and encompass amotivation. Discussion. It is relevant to integrate feelings, anticipated regret, moral norms and health value to the COM-B system adapted to family caregivers. Identifying their contribution to health capability will help orient psycho-educational interventions implementation. [less ▲]

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See detailBreaking bad news in different medical conditions : exploring the physicians and patients perspectives
Muller, Laurent; Kretsch, Marina; Hannachi, Nawel et al

in European Health Psychologist (The) (2014)

Background: We aim to explore factors influencing the breaking bad news process in different medical contexts with irreversible conditions (others than cancer). Methods: 23 patients and 18 physicians ... [more ▼]

Background: We aim to explore factors influencing the breaking bad news process in different medical contexts with irreversible conditions (others than cancer). Methods: 23 patients and 18 physicians concerned by different chronic diseases were interviewed by psychologists. They received/broke bad news in the few months preceding the interview. Findings: Thematic analysis of interviews allowed to identify higher-order themes, and more specific themes for both, patients and physicians. The main topics covered by physicians concerned the determinants of the strategies to communicate with patients, the encountered difficulties, the initial training, the information, interpersonal relationships, emotional reactions, perception of its role, the specifics of the disease. The discourse of patients referred to three stages including specifics topics: the communication of bad news, the health care pathways, and the life with disease. Discussion: Data analysis highlight importance of patient and physician’s profiles, and specifics of disease, in the breaking bad news process. Recommendations to build tailored intervention for physicians by using formative self-assessment will be exposed. [less ▲]

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See detailDare to Care! Benefits of a patient-centred care approach on glycaemic control management
Recchia, Sophie; Steffgen, Georges UL; Spitz, Elisabeth

Scientific Conference (2011, September)

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See detailLeben mit Typ-I-Diabetes - Aktuelle Forschungsbefunde aus der MONDIAB-Studie
Recchia, Sophie; Steffgen, Georges UL; Spitz, Elisabeth

Scientific Conference (2011, September)

Die Selbstregulationstheorie postuliert, dass Patienten eine aktive Rolle in der Krankheitsverarbeitung einnehmen und dabei insbesondere die Ziel- setzungen der jeweiligen Person bedeutsam sind (Leventhal ... [more ▼]

Die Selbstregulationstheorie postuliert, dass Patienten eine aktive Rolle in der Krankheitsverarbeitung einnehmen und dabei insbesondere die Ziel- setzungen der jeweiligen Person bedeutsam sind (Leventhal, 1970; Maes, Karoly, 2005). Vor dem Hintergrund dieser Annahmen befasst sich die Studie „MONDIAB” (von „mon diabète” abgeleitet) mit der Fragestellung, inwiefern psychosoziale Faktoren einen Einfluss auf das subjektive Gesund- heitserleben von Diabetes-Typ-I-Patienten aufweisen. Die Stichprobe der Studie umfasst insgesamt 328 Diabetes-Typ-I-Patienten im Alter von 16 bis 65 Jahren, von denen 120 Patienten sechs Monate später an einer Nach- befragung teilnahmen. Die Daten wurden mittels eines Online-Fragebogens erhoben. Unter anderem gesundheitsbezogene Kognitionen und Motivatio- nen, die wahrgenommene Unterstützung des Pflegeteams sowie die persön- lichen Lebensziele wurden erfasst. Die Befunde unterstreichen die Bedeutung der wahrgenommenen Kontrollüberzeugung und Motivation für die Diabetesdiät. Darüber hinaus zeigt sich, dass die erlebte Unterstützung des Pflegeteams in sowohl kurz- als auch langfristiger Hinsicht einen Einfluss auf den Zuckerspiegel der Patienten hat. Weiterhin belegt die Studie, dass die Einschränkung von persönlichen Lebenszielen durch die Krankheit einen Risikofaktor für das psychologische Wohlbefinden der Patienten darstellt. Demgegenüber erweisen sich Selbstwirksamkeit und soziale Unterstützung als Schutzfaktoren. Abschließend werden die Befunde im Hinblick auf An- satzpunkte für Interventionsmaßnahmen zur Verbesserung der Lebens- qualität der Betroffenen diskutiert. [less ▲]

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See detailDeterminants of caregiving-related esteem among informal caregivers in Luxembourg, two years after their care-recipients’ stroke.
Bucki, Barbara UL; Spitz, Elisabeth; Baumann, Michèle UL

in Psychology & Health (2011), 26(suppl 2), 86

Mental health promotion policies are concerned by informal caregivers’ (ICs) suffering. What are the determinants of ICs’ caregiving-related esteem? Methods: (a) Crosssectional study. (b)62 Luxemburgish ... [more ▼]

Mental health promotion policies are concerned by informal caregivers’ (ICs) suffering. What are the determinants of ICs’ caregiving-related esteem? Methods: (a) Crosssectional study. (b)62 Luxemburgish ICs of stroke-survivors 2-year-post-event. (c)Variables: oCaregiver Reaction Assessment’s (CRA) five dimensions: caregiving-related esteem (dependent variable), impact of caregiving on health, impact on finances, impact on schedule, lack of family support, oCaregiver Satisfaction with Community Services scale, oLeisure/ couple changes/social repercussions scores. (d) Regressions adjusted on ICs’ sex and age. (e)Multiple regression including significant factors. Findings: (a) Caregiving-related esteem is determined by social repercussions (p¼0.002**), changes in couples (p¼0.004**), impact on health (p¼0.004**) and three CSCS’ dimensions: confidence (p¼0.012*), problem management (p¼0.034*) and information about stroke (p¼0.040*). (b) ICs with high caregiving related esteem (R2 adjusted¼0.275) are weakly impacted on their own health ( ¼ 0.39; p¼0.011*) and on their couple life ( ¼ 0.36; p¼0.026*). Discussion: Support programs centred on ICs’ caregiving-related esteem can reinforce ICs’ health capability. [less ▲]

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See detailYes I can: The Role of self-efficacy in diabetes care
Recchia, Sophie; Steffgen, Georges UL; Spitz, Elisabeth

in Psychology & Health (2010), 25(1), 137-376

Based on the assumptions of social cognitive theory and self-regulation theory, the present study aimed at exploring psychosocial factors in self-care of diabetes (Edgar & Skinner, 2003; Iannotti et al ... [more ▼]

Based on the assumptions of social cognitive theory and self-regulation theory, the present study aimed at exploring psychosocial factors in self-care of diabetes (Edgar & Skinner, 2003; Iannotti et al., 2006; Nouwen et al., 2009). The study sample comprised N 1⁄4 99 patients with type 1 diabetes aged between 12 and 39 years. Participants completed the diabetes self-efficacy scale, the brief illness perceptions questionnaire, the WHO-five index and the summary of diabetes self-care activities scale. Results showed that illness perceptions (i.e. perceived consequences (r1⁄4􏰆0.28), personal control (r1⁄40.24), treatment control (r1⁄40.27), compre- hension (r1⁄40.27) and emotional response (r1⁄40.27)), as well as well-being (r1⁄40.42) and perceived diabetes self-efficacy (r 1⁄4 0.55) were significantly correlated with self-care. Furthermore, stepwise regression analyses elucidated self-efficacy (􏰈1⁄40.44) to be the most powerful predictor of self-care, as illness perceptions and well-being became non significant when introducing self-efficacy. Moreover, self-efficacy completely mediated the effect of well- being on self-care (Sobel t 1⁄4 3.74, p50.01). As for clinical implications of these results, it can be suggested that a stronger emphasise should be given on fostering patients’ confidence in their ability to effectively manage their diabetes. [less ▲]

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See detailDo overweight students experience more physical aggression?
Recchia, Sophie; Hoffmann, M.; Steffgen, Georges UL et al

Poster (2009, September)

Findings demonstrated that overweight adolescents are more likely to be both victims and perpetrators of violent acts (Janssen et al., 2004). The present study tested this weight-based victimization ... [more ▼]

Findings demonstrated that overweight adolescents are more likely to be both victims and perpetrators of violent acts (Janssen et al., 2004). The present study tested this weight-based victimization/perpetrator hypothesis. The study sample comprised N1⁄4649 middle school students, which were regrouped in three weight categories (i.e. underweight, normal weight, overweight) according to the cut-offs proposed by the International Obesity Taskforce. In order to analyze group differences between the weight categories, three same sized groups (N 1⁄4 75) were randomly created from the whole data set. Results confirmed that overweight students are more likely to be victimized but not to become perpetrators themselves compared to their peers. Logistic regressions showed that being anxious (OR 1⁄4 2.34), having low self- esteem (OR1⁄40.58), having a higher BMI (OR1⁄41.11) and being male (OR1⁄40.26) are risk factors of victimization. Results will be discussed with respect to psychosocial interventions. [less ▲]

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See detailDo anger expression and emotional distress affect diabetes patients' well-being?
Recchia, Sophie; Brenner, M.; Steffgen, Georges UL et al

Poster (2009, September)

Preliminary results demonstrated that anger coping style is linked to mental and physical health in diabetes (Kolbasovsky, 2004; Yi et al., 2008). The present study examined the effect of anger expression ... [more ▼]

Preliminary results demonstrated that anger coping style is linked to mental and physical health in diabetes (Kolbasovsky, 2004; Yi et al., 2008). The present study examined the effect of anger expression and emotional distress on well-being of diabetics. A sample of diabetic patients (n1⁄488 type I, n1⁄4111 type II) completed the WHO-five well-being index, the Problem Areas in Diabetes scale and the State-Trait-Anger-Expression-Inventory. Results showed that diabetics with type I demonstrated significantly more emotional distress than type II patients and that well-being was negatively correlated with emotional distress and anger in. Regression analyses showed that well-being was predicted for both types of diabetes by emotional distress. In addition, type II patients’ well-being could be explained by anger in. These findings confirmed anger in as a risk factor of type II diabetics’ mental health. Considering these results, anger-management interventions may be useful in particular for type II diabetics’ patients. [less ▲]

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See detailGeteiltes Leid ist halbes Leid: Soziale Unterstützung, Angst und perzipierte Gesundheit
Recchia, Sophie; Hoffmann, M.; Steffgen, Georges UL et al

Scientific Conference (2009, September)

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See detailDo overweight students experience more physical aggression?
Recchia, Sophie UL; Hoffmann, Martine UL; Steffgen, Georges UL et al

in Journal of Prenatal and Perinatal Psychology and Health (2009), 24

Findings demonstrated that overweight adolescents are more likely to be both victims and perpetrators of violent acts (Janssen, et al., 2004). This study tested this weight-based victimization/perpetrator ... [more ▼]

Findings demonstrated that overweight adolescents are more likely to be both victims and perpetrators of violent acts (Janssen, et al., 2004). This study tested this weight-based victimization/perpetrator hypothesis. The study sample comprised N = 649 middle school students, which were regrouped in three weight categories (i.e. underweight, normal weight, overweight) according to the cut-offs proposed by the International Obesity Taskforce. In order to analyze group differences between the weight categories, three same sized groups (N = 75) were randomly created from the whole data set. Results confirmed that overweight students are more likely to be victimized but not to become perpetrators themselves compared to their peers. Logistic regressions showed that risk factor of being physically aggressed were being anxious (OR = 2.34), having low self-esteem (OR = 0.58), having a higher BMI (OR = 1.11) and being male (OR = 0.26). Results will be discussed with respect to psychosocial interventions. [less ▲]

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See detailHealth risk behaviours and life satisfaction among victims of physical aggression
Recchia, Sophie UL; Hoffmann, Martine UL; Steffgen, Georges UL et al

in Journal of Prenatal and Perinatal Psychology and Health (2008)

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See detailAssociations of social and material deprivation with tobacco, alcohol, and psychotropic drug use, and gender differentials: a population-based study
Baumann, Michèle UL; Spitz, Elisabeth; Guillemin, F. et al

in International Journal of Health Geographics (2007), 2

The aim was to assess the relationships between social and material deprivation and the use of tobacco, excessive alcohol and psychotropic drugs by both sexes and in various age groups. Greater knowledge ... [more ▼]

The aim was to assess the relationships between social and material deprivation and the use of tobacco, excessive alcohol and psychotropic drugs by both sexes and in various age groups. Greater knowledge concerning these issues may help public health policy-makers design more effective means of preventing substance abuse. Methods: The sample comprised 6,216 people aged ≥ 15 years randomly selected from the population in northeastern France. Subjects completed a post-mailed questionnaire covering socio-demographic characteristics, occupation, employment, income, smoking habit, alcohol abuse and "psychotropic" drug intake (for headache, tiredness, nervousness, anxiety, insomnia). A deprivation score (D) was defined by the cumulative number of: low educational level, manual worker, unemployed, living alone, nationality other than western European, low income, and non-home-ownership. Data were analysed using adjusted odds ratios (ORa) computed with logistic models. Results: Deprivation was common: 37.4% of respondents fell into category D = 1, 21.2% into D = 2, and 10.0% into D ≥ 3. More men than women reported tobacco use (30.2% vs. 21.9%) and alcohol abuse (12.5% vs. 3.3%), whereas psychotropic drug use was more common among women (23.8% vs. 41.0%). Increasing levels of deprivation were associated with a greater likelihood of tobacco use (ORa vs. D = 0: 1.16 in D = 1, 1.49 in D = 2, and 1.93 in D ≥ 3), alcohol abuse (1.19 in D = 1, 1.32 in D = 2, and 1.80 in D ≥ 3) and frequent psychotropic drug intake (1.26 in D = 1, 1.51 in D = 2, and 1.91 in D ≥ 3). These patterns were observed in working/other non-retired men and women (except for alcohol abuse in women). Among retired people, deprivation was associated with tobacco and psychotropic drug use only in men. Conclusion: Preventive measures should be designed to improve work conditions, reduce deprivation, and help deprived populations to be more aware of risk and to find remedial measures. [less ▲]

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See detailAdvising adolescents on the use of psychotropic medication: attitudes among medical and psychology students
Baumann, Michèle UL; Spitz, Elisabeth

in Substance Abuse Treatment, Prevention, and Policy (2007), 2(21), 21-31

There is evidence that medical students are more aware of the benefits of psychotropic treatment than are members of the general public, and that the more knowledge students acquire about psychiatry and ... [more ▼]

There is evidence that medical students are more aware of the benefits of psychotropic treatment than are members of the general public, and that the more knowledge students acquire about psychiatry and pharmacology, the more favorable their attitudes become towards psychotropic drugs and other treatments. Objectives: This study among students investigates the relationship between certain aspects of personality and attitudes towards advising adolescents with psychosocial problems about the use of psychotropic medication. Methods: Two groups of healthcare students were recruited from universities in Eastern France. 41 fourth-year medical students (MS) who had completed their psychiatry course, and 76 thirdyear psychology students (PS) in the faculty of human sciences. Respondents completed a selfadministered instrument (20 brief case studies, and a personality inventory) at the end of a lecture. Participation was voluntary and unpaid. Results: MS would recommend psychotropic drugs in 40% of the 20 cases, PS in 27%. MS who would prescribe psychotropic medication differed in personality profile from PS. MS with a tendency to experience anger and related states such as frustration, and who did not see fulfilling moral obligations as important were more likely to prescribe psychotropic drugs. Also more likely to recommend psychotropic drugs, but for different reasons, were PS who were susceptible to stress but not shy or socially anxious, who showed friendliness but little interest in others, and who lacked distance in their decision-making. Conclusion: Health promotion is not simply a matter of educating those young people who take psychotropic drugs – health professionals must also question the criteria that inform their decisions. It is as important to investigate the attitudes of the future health professionals (advisers or prescribers) as it is to focus on consumer-related issues. [less ▲]

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