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See detailTwo years post-stroke, predictors of survivors’ life satisfaction: common associations between Luxembourg and Portugal.
Baumann, Michèle UL; Lurbe-Puerto, Kàtia UL; Bucki, Barbara UL et al

in Psychology & Health (2011), 26(suppl 2), 90

Two years post-stroke, we analysed the survivors’ LS by looking at its associations with their QoL and their informal caregivers’ QoL and drawing from a national survey in Luxembourg (LU) and a Braganc¸a ... [more ▼]

Two years post-stroke, we analysed the survivors’ LS by looking at its associations with their QoL and their informal caregivers’ QoL and drawing from a national survey in Luxembourg (LU) and a Braganc¸a district survey in Portugal (PT). Method: Face-to-face structured interviews at home. Findings: For LU, the 94 stroke survivors’ LS was linked with all survivors’ Newsqol (Newscstle Stroke-Specific Quality of Life)* dimensions, with strong links for feelings and sleep. No association was observed with their 62 caregivers’ Whoqol-bref domains. For PT, the 50 survivors’ LS was correlated with all Newsqol’ dimensions (except vision) with strong relations for mobility, self-care, feelings and sleep, and with all 46 caregivers’ Whoqol-bref domains (physical, psychological, environmental and social relationships). Discussion: Common associations exist with stronger links for PT. Survivors’ QoL is a predictor of LS which is a useful patient-centred marker for the practice of the psychologists who develop family interventions and counselling programmes. [less ▲]

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See detailDay-to-day home caring for a stroke survivor, two-year post-stroke perceived psychosocial impacts for woman caregivers in Luxembourg
Bucki, Barbara UL; Lurbe-Puerto, Katia UL; Baumann, Michèle UL

in Women’s Mental Health (2011)

In the Grand-Duchy of Luxembourg (GDL) informal caregivers are increasingly requested to provide daily home care to stroke survivors to avoid institutionalization (Kjellstrom et al. 20071). As this major ... [more ▼]

In the Grand-Duchy of Luxembourg (GDL) informal caregivers are increasingly requested to provide daily home care to stroke survivors to avoid institutionalization (Kjellstrom et al. 20071). As this major life event brings upheavals to caregiver-survivor pairs, we aimed to identify and analyse the perceived psychosocial impacts for female caregivers. Method. Over 12 months, with the help of the Social Security, two-years post-stroke survivors were contacted, and 41 women (59,1 years) and 21 men (59,6 years) informal caregivers consented to participate in this cross national survey. Research assistants interviewed them at home, using face-to-face questionnaires, containing: 1) Life Satisfaction (LS) measure in accordance to the European Quality of Life Study (EQLS)2 (scale 0 - 10) ; 2) Caregiver Reaction Assessment 24 assertions (CRA) (Given et al., 19923); 3) 7 questions about the evolution of caregivers’ tasks and responsibilities in the household since the stroke onset. Means and percentages and, a comparison between sexes were estimated using t tests and chi². Results. The LS mean is lower in woman caregivers (6.84 vs. 8.00 male caregivers t = - 2.52). Women appear to be more affected in terms of physical health (33.0 ±22.1 vs. 19.1±20.1 t = 2.06), disrupted schedule (46.7 ±29.7 vs. 26.2 ±18.8 t = 2.54) and lack of family support (39.9 ±24.7 vs. 25.0 ±15.6 t = 2.18). More women responded to feel « tired all the time » (50.0% vs. 12.5% p=0.013) and found « difficult to find time for relaxation » (35.7% vs. 6.3% p=0.030). They admitted “others have dumped caring for their partner onto them” (35.7% vs. 11.8% p=0.078) and had difficulty “to get help from their family” (17.9% vs. 0.0% p = 0.073). Women considered to be more “in charge of the relationships with professionals” (52.0% vs. 6.3% p=0.003) and to “have more household responsibilities” than before the event (37.5% vs 5.9% p=0.020). Less women declared to « enjoy caring for their partner » (67.9% vs. 93.8% p= 0.049). Conclusions. Informal woman caregivers’ LS average (6.84) were one point lower than the indicator in 2007 for the GDL general population (7.85) who participated at the EQLS, near to the EU-27’ one (7.0). Our study showed their psychosocial repercussions them to require gender-based adaptation strategies to perform their caregiving role. Interventions reinforcing women’s health capability could improve their LS. Follow-up qualitative research would help to identify and understand women’s specific needs regarding these capabilities to develop. [less ▲]

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See detailAccompagner, à leur domicile, des personnes victimes d’un accident vasculaire cérébral : des perceptions différentes entre femmes et hommes
Bucki, Barbara UL; Lurbe-Puerto, Katia UL; Baumann, Michèle UL

in Genre et parcours de vie Enfance, adolescence, vieillesse. (2011)

Au Grand-duché de Luxembourg, les aidants informels qui accompagnent au quotidien des personnes victimes d’un accident vasculaire cérébral (AVC) sont de plus en plus nombreux (OMS, 2004 ). L’évènement ... [more ▼]

Au Grand-duché de Luxembourg, les aidants informels qui accompagnent au quotidien des personnes victimes d’un accident vasculaire cérébral (AVC) sont de plus en plus nombreux (OMS, 2004 ). L’évènement majeur que représente l’AVC amène-t-il les femmes et les hommes à percevoir différemment la vie ? Notre étude tente de comparer et d’analyser, deux ans après la survenue d’un AVC, les répercussions psychosociales chez les aidants et les aidantes. A leur domicile, 41 femmes âgées de 59,1 ans (σ = 13,9) et 21 hommes âgés de 59,6 ans (σ = 13,9) ont accepté de répondre volontairement en face à face à un(e) enquêteur/trice. Le questionnaire comportait 1) la mesure de l’autonomie des victimes de l’AVC évaluée par les aidants à l’aide de l’index de Barthel (échelle 0 à 100) ; 2) la satisfaction à l’égard de la vie (échelle 0 à 10) ; 3) les assertions traduites et adaptées du Caregiver Reaction Assessment (CRA) (Given et al., 1992 ) ; 4) des questions sur l’évolution, depuis l’AVC, de la répartition des tâches, des rôles et des responsabilités au sein du foyer. <br />D’après les aidants/tes, le degré d’autonomie des personnes victimes d’AVC (âge moyen 64,8 ans ; σ = 14,1) dont ils/elles s’occupent, ne présente aucune différence significative (moyenne générale 82,2 ; σ = 28,7). Ce sont les hommes qui déclarent avoir la meilleure satisfaction à l’égard de la vie (t = - 2,52** ). D’après les scores obtenus aux dimensions du CRA, ce sont les femmes qui paraissent le plus affectées par le retentissement sur leur santé (t = 2,06**), les retombées sur l’organisation des activités quotidiennes (t = 2,54**) et le manque de soutien familial (t = 2,18**). Aucune différence entre femmes et hommes n’est mise en évidence dans le partage de la plupart des tâches quotidiennes. Il en est de même pour les scores du CRA de l’impact financier et de l’estime de soi, qui sont d’ailleurs perçues de manière positive. Cependant, les femmes reconnaissent se sentir « toujours fatiguées » (56% vs 16,7% **) et centrer leurs activités autour des soins (76,5% vs 38,9% **). Elles ne parviennent pas à trouver du temps pour pouvoir se détendre (45,5% vs 6,7% ***) et ont l’impression que les autres se sont déchargés sur elles (52,6% vs 16,7% **). Elles assurent plus qu’avant les rapports avec les professionnels (52% vs 6,3% ***) et des responsabilités au sein du foyer (37,5% vs 5,9% ***). L’AVC a modifié les parcours de vie en mobilisant des compétences culturelles et des ressources psychologiques liées au genre. Des interventions contribuant à renforcer les « health capabilities » des hommes et des femmes devraient permettre aux aidants de bénéficier d’un appui dans le maintien à domicile des personnes victimes d’un AVC. Des approches qualitatives permettront de mieux comprendre leurs besoins spécifiques. [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 detailHealth status among French, Polish and Romanian students
Baumann, Michèle UL; Le Bihan, Etienne UL; Amara, Marie-Emmanuelle UL et al

in Health Psychology and Society. Congressboock (2007)

Research question. Students face many school and living difficulties which alter health status and favour substance use which were assessed in this study among university students from France, Poland and ... [more ▼]

Research question. Students face many school and living difficulties which alter health status and favour substance use which were assessed in this study among university students from France, Poland and Romania. Methods. In total 934 French, 480 Polish, and 195 Romanian students from the Universities of Metz, Iaşi, and Silésie, completed a self-administred questionnaire. The data were analyzed using adjusted odds ratios (OR) and variance analysis taking age and sex into account, vs. French. Results. Mean age 20 (SD = 2) years. Female represented 58% French and 80% Polish/Romanian. Although most students were satisfied with their university integration (81-97%), many students had deteriorated heath status compared with the period before the university (13-22%), suffered from tiredness (11-85%), nervousness (42-56%), sleep disorders (19-48%), financial difficulty (15-39%), and being alone (8-23%). Were also common increasing tobacco use (15-32%), alcohol use every day (15-40%), tranquilizer pill use (1-6%), hashish/marijuana use (2-42%), suicide thinking (15-19%), and frequent consultation of health professionals (7-30%). Bad heath status was more frequent among French and Romanian overall, and suicide thinking among Polish. Higher PSS-14 and GHQ-12 scores among Polish compared with their French counterparts who used more hashish/marijuana. Satisfied social support was similar between the three groups. Conclusion. A better guidance for those who are in need of adapted mental health care seem nevertheless recommended to support them through their university success. [less ▲]

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