Slide
Centre Interdisciplinaire
de Recherche et d’Innovation
en Cybersécurité et Société
de Recherche et d’Innovation
en Cybersécurité et Société
1.
Bourbeau, F.; Bouchard, S.; Corno, G.; Monthuy-Blanc, J.
The Role of Body Image Perception on a Continuum from Dysfunctional to Healthy Eating Attitudes and Behaviors Among People Seeking Treatment Journal Article
In: Journal of Clinical Medicine, vol. 14, no. 2, 2025, ISSN: 20770383 (ISSN), (Publisher: Multidisciplinary Digital Publishing Institute (MDPI)).
Abstract | Links | BibTeX | Tags: Adolescent, adult, aged, article, Attitude, behavior, body dissatisfaction, body dysmorphic disorder, body image, body image perception, body mass, correlation analysis, eating and attitudes and behaviors, eating disorder, Eating Disorder Examination Questionnaire, eating disorder inventory, eating habit, feeding behavior, female, healthy diet, healthy lifestyle, help seeking behavior, human, intuitive eating, major clinical study, male, Middle Aged, perception, physical attractiveness, psychological rating scale, retrospective study, Self Concept, self esteem, very elderly, virtual reality, Young Adult
@article{bourbeau_role_2025,
title = {The Role of Body Image Perception on a Continuum from Dysfunctional to Healthy Eating Attitudes and Behaviors Among People Seeking Treatment},
author = {F. Bourbeau and S. Bouchard and G. Corno and J. Monthuy-Blanc},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85216120423&doi=10.3390%2Fjcm14020597&partnerID=40&md5=be414bf29fdc6264d47a9c696954c80f},
doi = {10.3390/jcm14020597},
issn = {20770383 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Journal of Clinical Medicine},
volume = {14},
number = {2},
abstract = {Background: Body image disturbance has been associated with various health conditions and has the potential to trigger the development of unhealthy behaviors, including dysfunctional attitudes and eating behaviors, which may evolve into eating disorders. This study explores the relationship between body image variables—such as global self-worth, physical self-worth, and physical attractiveness—and the continuum of eating attitudes and behaviors. Methods: A canonical correlation analysis was performed to assess the multivariate relationship between attitudinal and perceptual variables and the continuum of eating behaviors, with a total of 113 cases analyzed. Results: The findings indicate that intuitive eating and a positive body image (including global self-worth and physical attractiveness) are most strongly associated with the functional end of the continuum, while disordered eating behaviors and body dissatisfaction are linked to the dysfunctional end. Conclusions: These results suggest that interventions targeting the emotional and attitudinal dimensions of body dissatisfaction, whether delivered in vivo or via virtual reality (e.g., weight exposure), may facilitate a shift toward healthier, more functional eating behaviors along the continuum. © 2025 by the authors.},
note = {Publisher: Multidisciplinary Digital Publishing Institute (MDPI)},
keywords = {Adolescent, adult, aged, article, Attitude, behavior, body dissatisfaction, body dysmorphic disorder, body image, body image perception, body mass, correlation analysis, eating and attitudes and behaviors, eating disorder, Eating Disorder Examination Questionnaire, eating disorder inventory, eating habit, feeding behavior, female, healthy diet, healthy lifestyle, help seeking behavior, human, intuitive eating, major clinical study, male, Middle Aged, perception, physical attractiveness, psychological rating scale, retrospective study, Self Concept, self esteem, very elderly, virtual reality, Young Adult},
pubstate = {published},
tppubtype = {article}
}
Background: Body image disturbance has been associated with various health conditions and has the potential to trigger the development of unhealthy behaviors, including dysfunctional attitudes and eating behaviors, which may evolve into eating disorders. This study explores the relationship between body image variables—such as global self-worth, physical self-worth, and physical attractiveness—and the continuum of eating attitudes and behaviors. Methods: A canonical correlation analysis was performed to assess the multivariate relationship between attitudinal and perceptual variables and the continuum of eating behaviors, with a total of 113 cases analyzed. Results: The findings indicate that intuitive eating and a positive body image (including global self-worth and physical attractiveness) are most strongly associated with the functional end of the continuum, while disordered eating behaviors and body dissatisfaction are linked to the dysfunctional end. Conclusions: These results suggest that interventions targeting the emotional and attitudinal dimensions of body dissatisfaction, whether delivered in vivo or via virtual reality (e.g., weight exposure), may facilitate a shift toward healthier, more functional eating behaviors along the continuum. © 2025 by the authors.
2.
Larochelle, S.; Dugas, M. J.; Langlois, F.; Gosselin, P.; Belleville, G.; Bouchard, S.
Intolerance of Uncertainty and Emotion Dysregulation as Predictors of Generalized Anxiety Disorder Severity in a Clinical Population Journal Article
In: Journal of Clinical Medicine, vol. 14, no. 5, 2025, ISSN: 20770383 (ISSN), (Publisher: Multidisciplinary Digital Publishing Institute (MDPI)).
Abstract | Links | BibTeX | Tags: adult, aged, article, Beck Depression Inventory, clinical population, comorbidity, controlled study, Depression, difficulties in emotion regulation scale, disease severity, emotion, emotion dysregulation, emotion regulation, employment status, female, generalized anxiety disorder, human, intolerance of uncertainty, Intolerance of Uncertainty Scale, major clinical study, male, patient worry, penn state worry questionnaire, prediction, predictive model, psychotherapy, Severity of Illness Index, sociodemographics, theoretical model
@article{larochelle_intolerance_2025,
title = {Intolerance of Uncertainty and Emotion Dysregulation as Predictors of Generalized Anxiety Disorder Severity in a Clinical Population},
author = {S. Larochelle and M. J. Dugas and F. Langlois and P. Gosselin and G. Belleville and S. Bouchard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-86000587548&doi=10.3390%2Fjcm14051502&partnerID=40&md5=7a364fe831d85eff0f0f7121657649e5},
doi = {10.3390/jcm14051502},
issn = {20770383 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Journal of Clinical Medicine},
volume = {14},
number = {5},
abstract = {Background/objectives: Several factors have been shown to play a role in the development and maintenance of generalized anxiety disorder (GAD), including intolerance of uncertainty and emotion dysregulation. Although the individual contribution of both of these factors is well documented, their combined effect has yet to be studied in a clinical population with GAD. The aim of the present study was to examine the relative contribution of intolerance of uncertainty and emotion dysregulation to the prediction of worry and GAD severity in adults with GAD. Methods: The sample consisted of 108 participants diagnosed with GAD. The participants completed measures of worry, GAD severity, depressive symptoms, intolerance of uncertainty, and emotion dysregulation. Results: Multiple regression indicated that both intolerance of uncertainty and emotion dysregulation significantly contributed to both worry and GAD severity, over and above the contribution of depressive symptoms. Of note, the model explained 36% of the variance in GAD severity scores. Conclusions: The present results provide preliminary evidence of complementarity among dominant models of GAD, and point to the potential role of integrative conceptualizations and treatment strategies for GAD. © 2025 by the authors.},
note = {Publisher: Multidisciplinary Digital Publishing Institute (MDPI)},
keywords = {adult, aged, article, Beck Depression Inventory, clinical population, comorbidity, controlled study, Depression, difficulties in emotion regulation scale, disease severity, emotion, emotion dysregulation, emotion regulation, employment status, female, generalized anxiety disorder, human, intolerance of uncertainty, Intolerance of Uncertainty Scale, major clinical study, male, patient worry, penn state worry questionnaire, prediction, predictive model, psychotherapy, Severity of Illness Index, sociodemographics, theoretical model},
pubstate = {published},
tppubtype = {article}
}
Background/objectives: Several factors have been shown to play a role in the development and maintenance of generalized anxiety disorder (GAD), including intolerance of uncertainty and emotion dysregulation. Although the individual contribution of both of these factors is well documented, their combined effect has yet to be studied in a clinical population with GAD. The aim of the present study was to examine the relative contribution of intolerance of uncertainty and emotion dysregulation to the prediction of worry and GAD severity in adults with GAD. Methods: The sample consisted of 108 participants diagnosed with GAD. The participants completed measures of worry, GAD severity, depressive symptoms, intolerance of uncertainty, and emotion dysregulation. Results: Multiple regression indicated that both intolerance of uncertainty and emotion dysregulation significantly contributed to both worry and GAD severity, over and above the contribution of depressive symptoms. Of note, the model explained 36% of the variance in GAD severity scores. Conclusions: The present results provide preliminary evidence of complementarity among dominant models of GAD, and point to the potential role of integrative conceptualizations and treatment strategies for GAD. © 2025 by the authors.
3.
Bérubé, A.; Pétrin, R.; Boudreault, M.; Marcotte-Beaumier, G.; Blais, C.
Childhood maltreatment influences parental mimicry of children's emotional facial expressions Journal Article
In: Child Abuse and Neglect, vol. 170, 2025, ISSN: 01452134 (ISSN).
Abstract | Links | BibTeX | Tags: Adolescent, adult, Adult Survivors of Child Abuse, anger, article, Child, Child Abuse, child abuse survivor, child parent relation, childhood maltreatment, Childhood Trauma Questionnaire, controlled study, Diagnosis, disgust, emotion, Emotional facial expressions, emotional neglect, Emotions, Facial Expression, female, human, Humans, major clinical study, male, Mimicry, neglect, parent, Parent-Child Relations, Parenting, Parents, path analysis, physical abuse, psychological functioning, psychology, questionnaire, sadness, sexual abuse, social bonding, Surveys and Questionnaires, Young Adult
@article{berube_childhood_2025,
title = {Childhood maltreatment influences parental mimicry of children's emotional facial expressions},
author = {A. Bérubé and R. Pétrin and M. Boudreault and G. Marcotte-Beaumier and C. Blais},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-105020986193&doi=10.1016%2Fj.chiabu.2025.107787&partnerID=40&md5=18593b82f701fc76ad054419d48dfc69},
doi = {10.1016/j.chiabu.2025.107787},
issn = {01452134 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Child Abuse and Neglect},
volume = {170},
abstract = {Background: Childhood maltreatment can disrupt socio-emotional functioning, potentially influencing how parents respond to children's emotional facial expressions. Mimicry, an automatic reaction to others' facial expressions, is a critical mechanism for social bonding and affiliation in parent-child relationships. However, the effects of childhood maltreatment on parental mimicry remain underexplored. Objective: This study examined the relationship between different forms of childhood maltreatment and parents' mimicry of children's emotional facial expressions. Participants and setting: Fifty-seven parents participated in an emotion recognition task conducted either at a local community organization or at the university laboratory. Methods: Parents' facial reactions were recorded and analyzed using FaceReader software to detect mimicry. The Childhood Trauma Questionnaire (CTQ) assessed parental history of maltreatment. A path analysis model was conducted to evaluate the associations between forms of childhood maltreatment and parental mimicry. Results: A history of physical abuse predicted increased expressions of anger, while physical neglect was linked to reduced anger but heightened disgust. Emotional and sexual abuse were associated with diminished mimicry of sadness, whereas emotional neglect predicted enhanced sadness mimicry. Conclusions: Findings suggest that childhood maltreatment alters parents' facial reactions to children's emotional facial expressions, potentially impacting parental sensitivity. © 2025},
keywords = {Adolescent, adult, Adult Survivors of Child Abuse, anger, article, Child, Child Abuse, child abuse survivor, child parent relation, childhood maltreatment, Childhood Trauma Questionnaire, controlled study, Diagnosis, disgust, emotion, Emotional facial expressions, emotional neglect, Emotions, Facial Expression, female, human, Humans, major clinical study, male, Mimicry, neglect, parent, Parent-Child Relations, Parenting, Parents, path analysis, physical abuse, psychological functioning, psychology, questionnaire, sadness, sexual abuse, social bonding, Surveys and Questionnaires, Young Adult},
pubstate = {published},
tppubtype = {article}
}
Background: Childhood maltreatment can disrupt socio-emotional functioning, potentially influencing how parents respond to children's emotional facial expressions. Mimicry, an automatic reaction to others' facial expressions, is a critical mechanism for social bonding and affiliation in parent-child relationships. However, the effects of childhood maltreatment on parental mimicry remain underexplored. Objective: This study examined the relationship between different forms of childhood maltreatment and parents' mimicry of children's emotional facial expressions. Participants and setting: Fifty-seven parents participated in an emotion recognition task conducted either at a local community organization or at the university laboratory. Methods: Parents' facial reactions were recorded and analyzed using FaceReader software to detect mimicry. The Childhood Trauma Questionnaire (CTQ) assessed parental history of maltreatment. A path analysis model was conducted to evaluate the associations between forms of childhood maltreatment and parental mimicry. Results: A history of physical abuse predicted increased expressions of anger, while physical neglect was linked to reduced anger but heightened disgust. Emotional and sexual abuse were associated with diminished mimicry of sadness, whereas emotional neglect predicted enhanced sadness mimicry. Conclusions: Findings suggest that childhood maltreatment alters parents' facial reactions to children's emotional facial expressions, potentially impacting parental sensitivity. © 2025
4.
Bouchard, S.; Pessanha, C. Torres; Tober, K. H.
In: Annual Review of CyberTherapy and Telemedicine, vol. 23, pp. 70–75, 2025, ISSN: 15548716 (ISSN).
Abstract | Links | BibTeX | Tags: adult, agoraphobia, article, Client Satisfaction Questionnaire, cognitive behavioral therapy, discriminant validity, female, generalized anxiety disorder, human, major clinical study, male, panic, Patient Satisfaction, psychological rating scale, psychotherapy, questionnaire, social interaction, Telemedicine, telepresence, Telepresence in Videoconference Scale, Telepresence Videoconference Scale, telepsychotherapy, test retest reliability, Test-retest reliability, videoconference, videoconferencing
@article{bouchard_assessing_2025,
title = {Assessing telepresence when delivering psychotherapy in videoconference: relevance and test-retest reliability of the Telepresence Videoconference Scale},
author = {S. Bouchard and C. Torres Pessanha and K. H. Tober},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-105023903509&partnerID=40&md5=46afce3aea732a9501fc3a1096d67673},
issn = {15548716 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Annual Review of CyberTherapy and Telemedicine},
volume = {23},
pages = {70–75},
abstract = {The increasing use of psychotherapy delivered via videoconference requires sound methods to assess clients' subjective experiences. Telepresence, defined as the feeling of being together in an online session despite the actual physical distance, is receiving increased attention as an important concept. The Telepresence in Videoconference Scale (TVS) assesses client telepresence during psychotherapy sessions and has been initially validated. However, its stability across sessions and its independence from the concept of treatment satisfaction need further evaluation. This paper presents an overview of studies using the TVS and examines the psychometric properties of the TVS in 65 adults (mean age = 39.9},
keywords = {adult, agoraphobia, article, Client Satisfaction Questionnaire, cognitive behavioral therapy, discriminant validity, female, generalized anxiety disorder, human, major clinical study, male, panic, Patient Satisfaction, psychological rating scale, psychotherapy, questionnaire, social interaction, Telemedicine, telepresence, Telepresence in Videoconference Scale, Telepresence Videoconference Scale, telepsychotherapy, test retest reliability, Test-retest reliability, videoconference, videoconferencing},
pubstate = {published},
tppubtype = {article}
}
The increasing use of psychotherapy delivered via videoconference requires sound methods to assess clients' subjective experiences. Telepresence, defined as the feeling of being together in an online session despite the actual physical distance, is receiving increased attention as an important concept. The Telepresence in Videoconference Scale (TVS) assesses client telepresence during psychotherapy sessions and has been initially validated. However, its stability across sessions and its independence from the concept of treatment satisfaction need further evaluation. This paper presents an overview of studies using the TVS and examines the psychometric properties of the TVS in 65 adults (mean age = 39.9
5.
Bérubé, A.; Pétrin, R.; Blais, C.
Parental depression moderates the relationship between childhood maltreatment and the recognition of children expressions of emotions Journal Article
In: Frontiers in Psychiatry, vol. 15, 2024, ISSN: 16640640 (ISSN), (Publisher: Frontiers Media SA).
Abstract | Links | BibTeX | Tags: adult, anger, article, Beck Depression Inventory, Child, Child Abuse, child parent relation, childhood maltreatment, Childhood Trauma Questionnaire, Depression, disease severity, disgust, educational status, emotion, Emotion Recognition, Facial Expression, female, happiness, human, income, major clinical study, male, parent-child relationship, parental sensitivity, preschool child, questionnaire, recognition, sadness
@article{berube_parental_2024,
title = {Parental depression moderates the relationship between childhood maltreatment and the recognition of children expressions of emotions},
author = {A. Bérubé and R. Pétrin and C. Blais},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85196266525&doi=10.3389%2ffpsyt.2024.1374872&partnerID=40&md5=ce03a1c39e709fc0f2c773d4f82f3a10},
doi = {10.3389/fpsyt.2024.1374872},
issn = {16640640 (ISSN)},
year = {2024},
date = {2024-01-01},
journal = {Frontiers in Psychiatry},
volume = {15},
publisher = {Frontiers Media SA},
abstract = {Background: Sensitivity plays a crucial role in parenting as it involves the ability to perceive and respond appropriately to children’s signals. Childhood maltreatment and depression can negatively impact adults’ ability to recognize emotions, but it is unclear which of these factors has a greater impact or how they interact. This knowledge is central to developing efficient, targeted interventions. This paper examines the interaction between parents’ depressive symptoms and childhood maltreatment and its influence on their ability to recognize the five basic emotions (happiness, anger, sadness, fear, and disgust) in children’s faces. Method: The sample consisted of 52 parents. Depressive symptoms were measured by the depression subscale of the Brief Symptom Inventory-18 (BSI-18), and maltreatment history was assessed by the Childhood Trauma Questionnaire (CTQ). Children’s emotional stimuli were morphed images created using The Child Affective Facial Expression (CAFE) database. Results: Our findings indicate that depressive symptoms moderate the relationship between parents’ history of childhood maltreatment and emotion recognition skills. Parents with higher depressive symptoms had lower emotion recognition accuracy when they had not experienced maltreatment. When childhood maltreatment was severe, emotion recognition skills were more consistent across all levels of depression. The relationship between depression and emotion recognition was primarily linked to recognizing sadness in children’s faces. Conclusion: These findings highlight how different experiences can affect parental abilities in emotion recognition and emphasize the need for interventions tailored to individual profiles to improve their effectiveness. Copyright © 2024 Bérubé, Pétrin and Blais.},
note = {Publisher: Frontiers Media SA},
keywords = {adult, anger, article, Beck Depression Inventory, Child, Child Abuse, child parent relation, childhood maltreatment, Childhood Trauma Questionnaire, Depression, disease severity, disgust, educational status, emotion, Emotion Recognition, Facial Expression, female, happiness, human, income, major clinical study, male, parent-child relationship, parental sensitivity, preschool child, questionnaire, recognition, sadness},
pubstate = {published},
tppubtype = {article}
}
Background: Sensitivity plays a crucial role in parenting as it involves the ability to perceive and respond appropriately to children’s signals. Childhood maltreatment and depression can negatively impact adults’ ability to recognize emotions, but it is unclear which of these factors has a greater impact or how they interact. This knowledge is central to developing efficient, targeted interventions. This paper examines the interaction between parents’ depressive symptoms and childhood maltreatment and its influence on their ability to recognize the five basic emotions (happiness, anger, sadness, fear, and disgust) in children’s faces. Method: The sample consisted of 52 parents. Depressive symptoms were measured by the depression subscale of the Brief Symptom Inventory-18 (BSI-18), and maltreatment history was assessed by the Childhood Trauma Questionnaire (CTQ). Children’s emotional stimuli were morphed images created using The Child Affective Facial Expression (CAFE) database. Results: Our findings indicate that depressive symptoms moderate the relationship between parents’ history of childhood maltreatment and emotion recognition skills. Parents with higher depressive symptoms had lower emotion recognition accuracy when they had not experienced maltreatment. When childhood maltreatment was severe, emotion recognition skills were more consistent across all levels of depression. The relationship between depression and emotion recognition was primarily linked to recognizing sadness in children’s faces. Conclusion: These findings highlight how different experiences can affect parental abilities in emotion recognition and emphasize the need for interventions tailored to individual profiles to improve their effectiveness. Copyright © 2024 Bérubé, Pétrin and Blais.
6.
Sheehy, L.; Bouchard, S.; Kakkar, A.; Hakim, R. El; Lhoest, J.; Frank, A.
Development and Initial Testing of an Artificial Intelligence-Based Virtual Reality Companion for People Living with Dementia in Long-Term Care Journal Article
In: Journal of Clinical Medicine, vol. 13, no. 18, 2024, ISSN: 20770383 (ISSN), (Publisher: Multidisciplinary Digital Publishing Institute (MDPI)).
Abstract | Links | BibTeX | Tags: aged, article, Artificial intelligence, cognitive decline, cognitive impairment, compassion, conversation, dementia, Elderly, female, human, large language models, long term care, long-term care, major clinical study, male, program acceptability, program feasibility, reaction time, reminiscence, speech discrimination, very elderly, virtual reality
@article{sheehy_development_2024,
title = {Development and Initial Testing of an Artificial Intelligence-Based Virtual Reality Companion for People Living with Dementia in Long-Term Care},
author = {L. Sheehy and S. Bouchard and A. Kakkar and R. El Hakim and J. Lhoest and A. Frank},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85205071099&doi=10.3390%2fjcm13185574&partnerID=40&md5=844732ff858a0d5feb0a95a54093ad4d},
doi = {10.3390/jcm13185574},
issn = {20770383 (ISSN)},
year = {2024},
date = {2024-01-01},
journal = {Journal of Clinical Medicine},
volume = {13},
number = {18},
publisher = {Multidisciplinary Digital Publishing Institute (MDPI)},
abstract = {Background/Objectives: Feelings of loneliness are common in people living with dementia (PLWD) in long-term care (LTC). The goals of this study were to describe the development of a novel virtual companion for PLWD living in LTC and assess its feasibility and acceptability. Methods: The computer-generated virtual companion, presented using a head-mounted virtual reality display, was developed in two stages. In Stage 1, the virtual companion asked questions designed to encourage conversation and reminiscence. In Stage 2, more powerful artificial intelligence tools allowed the virtual companion to engage users in nuanced discussions on any topic. PLWD in LTC tested the application at each stage to assess feasibility and acceptability. Results: Ten PLWD living in LTC participated in Stage 1 (4 men and 6 women; average 82 years old) and Stage 2 (2 men and 8 women; average 87 years old). Session lengths ranged from 0:00 to 5:30 min in Stage 1 and 0:00 to 53:50 min in Stage 2. Speech recognition issues and a limited repertoire of questions limited acceptance in Stage 1. Enhanced conversational ability in Stage 2 led to intimate and meaningful conversations with many participants. Many users found the head-mounted display heavy. There were no complaints of simulator sickness. The virtual companion was best suited to PLWD who could engage in reciprocal conversation. After Stage 2, response latency was identified as an opportunity for improvement in future versions. Conclusions: Virtual reality and artificial intelligence can be used to create a virtual companion that is acceptable and enjoyable to some PLWD living in LTC. Ongoing innovations in hardware and software will allow future iterations to provide more natural conversational interaction and an enhanced social experience. © 2024 by the authors.},
note = {Publisher: Multidisciplinary Digital Publishing Institute (MDPI)},
keywords = {aged, article, Artificial intelligence, cognitive decline, cognitive impairment, compassion, conversation, dementia, Elderly, female, human, large language models, long term care, long-term care, major clinical study, male, program acceptability, program feasibility, reaction time, reminiscence, speech discrimination, very elderly, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Background/Objectives: Feelings of loneliness are common in people living with dementia (PLWD) in long-term care (LTC). The goals of this study were to describe the development of a novel virtual companion for PLWD living in LTC and assess its feasibility and acceptability. Methods: The computer-generated virtual companion, presented using a head-mounted virtual reality display, was developed in two stages. In Stage 1, the virtual companion asked questions designed to encourage conversation and reminiscence. In Stage 2, more powerful artificial intelligence tools allowed the virtual companion to engage users in nuanced discussions on any topic. PLWD in LTC tested the application at each stage to assess feasibility and acceptability. Results: Ten PLWD living in LTC participated in Stage 1 (4 men and 6 women; average 82 years old) and Stage 2 (2 men and 8 women; average 87 years old). Session lengths ranged from 0:00 to 5:30 min in Stage 1 and 0:00 to 53:50 min in Stage 2. Speech recognition issues and a limited repertoire of questions limited acceptance in Stage 1. Enhanced conversational ability in Stage 2 led to intimate and meaningful conversations with many participants. Many users found the head-mounted display heavy. There were no complaints of simulator sickness. The virtual companion was best suited to PLWD who could engage in reciprocal conversation. After Stage 2, response latency was identified as an opportunity for improvement in future versions. Conclusions: Virtual reality and artificial intelligence can be used to create a virtual companion that is acceptable and enjoyable to some PLWD living in LTC. Ongoing innovations in hardware and software will allow future iterations to provide more natural conversational interaction and an enhanced social experience. © 2024 by the authors.
7.
Baillot, A.; Brunet, J.; Lemelin, L.; Gabriel, S. A.; Langlois, M. -F.; Tchernof, A.; Biertho, L.; Rabasa-Lhoret, R.; Garneau, P. Y.; Aimé, A.; Bouchard, S.; Romain, A. J.; Bernard, P.
Factors Associated with Excess Skin After Bariatric Surgery: a Mixed-Method Study Journal Article
In: Obesity Surgery, vol. 33, no. 8, pp. 2324–2334, 2023, ISSN: 09608923 (ISSN), (Publisher: Springer).
Abstract | Links | BibTeX | Tags: adult, Alcohol Use Disorders Identification Test, anthropometry, Anxiety, article, asthma, Bariatric Surgery, body dissatisfaction, body image, body mass, Body Mass Index, controlled study, dermatomycosis, Dyadic Adjustment Scale, employment status, excess skin, female, heart disease, Hospital Anxiety and Depression Scale, household income, human, Humans, hypertension, major clinical study, male, Mental health, Middle Aged, Mixed methods, Morbid, morbid obesity, non insulin dependent diabetes mellitus, obesity, physical activity, procedures, psychology, qualitative analysis, quality of life, quantitative analysis, sedentary time, skin irritation, skin malformation, sleep apnea syndromes, social psychology, Social Support, stria, sun exposure
@article{baillot_factors_2023,
title = {Factors Associated with Excess Skin After Bariatric Surgery: a Mixed-Method Study},
author = {A. Baillot and J. Brunet and L. Lemelin and S. A. Gabriel and M. -F. Langlois and A. Tchernof and L. Biertho and R. Rabasa-Lhoret and P. Y. Garneau and A. Aimé and S. Bouchard and A. J. Romain and P. Bernard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85163716815&doi=10.1007%2fs11695-023-06698-w&partnerID=40&md5=c86ee43b5f7daf6c350936d38944d013},
doi = {10.1007/s11695-023-06698-w},
issn = {09608923 (ISSN)},
year = {2023},
date = {2023-01-01},
journal = {Obesity Surgery},
volume = {33},
number = {8},
pages = {2324–2334},
publisher = {Springer},
abstract = {Purpose: After metabolic and bariatric surgery (MBS), many patients have excess skin (ES), which can cause inconveniences. Identifying factors related to ES quantity and inconveniences is crucial to inform interventions. The aim of this study was to identify sociodemographic, physical, psychosocial, and behavioral factors associated with ES quantity and inconveniences. Materials and Methods: A mixed-method study with a sequential explanatory design was conducted with 124 adults (92% women, M age 46.5 ± 9.9 years, M time post-MBS 34.2 ± 27.6 months). During phase I, ES quantity (arms, abdomen, thighs) and inconveniences and sociodemographic, anthropometric, clinical, and behavioral outcomes were assessed. In phase II, 7 focus groups were performed with 37 participants from phase I. A triangulation protocol was completed to identify convergences, complementarities, and dissonances from quantitative and qualitative data. Results: Quantitative data indicate only ES quantity on arms was associated with ES inconveniences on arms (r =.36, p <.01). Total ES quantity was associated with maximal body mass index (BMI) reached pre-MBS (r =.48, p <.05) and current BMI (r =.35, p <.05). Greater ES inconvenience was associated with higher social physique anxiety and age (R 2 =.50, p <.01). Qualitative data were summarized into 4 themes: psychosocial experiences living with ES, physical ailments due to ES, essential support and unmet needs, and beliefs of ES quantity causes. Conclusion: Measured ES quantity is related to higher BMI, but not reported inconveniences. Greater self-reported ES quantity and inconveniences were associated with body image concerns. Graphical Abstract: [Figure not available: see fulltext.] © 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.},
note = {Publisher: Springer},
keywords = {adult, Alcohol Use Disorders Identification Test, anthropometry, Anxiety, article, asthma, Bariatric Surgery, body dissatisfaction, body image, body mass, Body Mass Index, controlled study, dermatomycosis, Dyadic Adjustment Scale, employment status, excess skin, female, heart disease, Hospital Anxiety and Depression Scale, household income, human, Humans, hypertension, major clinical study, male, Mental health, Middle Aged, Mixed methods, Morbid, morbid obesity, non insulin dependent diabetes mellitus, obesity, physical activity, procedures, psychology, qualitative analysis, quality of life, quantitative analysis, sedentary time, skin irritation, skin malformation, sleep apnea syndromes, social psychology, Social Support, stria, sun exposure},
pubstate = {published},
tppubtype = {article}
}
Purpose: After metabolic and bariatric surgery (MBS), many patients have excess skin (ES), which can cause inconveniences. Identifying factors related to ES quantity and inconveniences is crucial to inform interventions. The aim of this study was to identify sociodemographic, physical, psychosocial, and behavioral factors associated with ES quantity and inconveniences. Materials and Methods: A mixed-method study with a sequential explanatory design was conducted with 124 adults (92% women, M age 46.5 ± 9.9 years, M time post-MBS 34.2 ± 27.6 months). During phase I, ES quantity (arms, abdomen, thighs) and inconveniences and sociodemographic, anthropometric, clinical, and behavioral outcomes were assessed. In phase II, 7 focus groups were performed with 37 participants from phase I. A triangulation protocol was completed to identify convergences, complementarities, and dissonances from quantitative and qualitative data. Results: Quantitative data indicate only ES quantity on arms was associated with ES inconveniences on arms (r =.36, p <.01). Total ES quantity was associated with maximal body mass index (BMI) reached pre-MBS (r =.48, p <.05) and current BMI (r =.35, p <.05). Greater ES inconvenience was associated with higher social physique anxiety and age (R 2 =.50, p <.01). Qualitative data were summarized into 4 themes: psychosocial experiences living with ES, physical ailments due to ES, essential support and unmet needs, and beliefs of ES quantity causes. Conclusion: Measured ES quantity is related to higher BMI, but not reported inconveniences. Greater self-reported ES quantity and inconveniences were associated with body image concerns. Graphical Abstract: [Figure not available: see fulltext.] © 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
8.
Belleville, G.; Ouellet, M. -C.; Békés, V.; Lebel, J.; Morin, C. M.; Bouchard, S.; Guay, S.; Bergeron, N.; Ghosh, S.; Campbell, T.; Macmaster, F. P.
In: Behavior Therapy, vol. 54, no. 2, pp. 230–246, 2023, ISSN: 00057894 (ISSN), (Publisher: Elsevier Inc.).
Abstract | Links | BibTeX | Tags: adult, Anxiety, article, clinical effectiveness, clinical feature, cognitive behavioral therapy, controlled study, Depression, disaster, Disasters, disease severity, e-mental health, female, human, Humans, insomnia, Internet-Based Intervention, major clinical study, male, Middle Aged, natural disaster, physical disability, Post-Traumatic, posttraumatic stress disorder, psychotherapist, PTSD, randomized controlled trial, risk factor, Sleep Initiation and Maintenance Disorders, Stress Disorders, telepsychotherapy, treatment outcome, wildfire
@article{belleville_efficacy_2023,
title = {Efficacy of a Therapist-Assisted Self-Help Internet-Based Intervention Targeting PTSD, Depression, and Insomnia Symptoms After a Disaster: A Randomized Controlled Trial},
author = {G. Belleville and M. -C. Ouellet and V. Békés and J. Lebel and C. M. Morin and S. Bouchard and S. Guay and N. Bergeron and S. Ghosh and T. Campbell and F. P. Macmaster},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85140981202&doi=10.1016%2fj.beth.2022.08.004&partnerID=40&md5=261383919bbdaa149ac0eeb6d3317fc0},
doi = {10.1016/j.beth.2022.08.004},
issn = {00057894 (ISSN)},
year = {2023},
date = {2023-01-01},
journal = {Behavior Therapy},
volume = {54},
number = {2},
pages = {230–246},
publisher = {Elsevier Inc.},
abstract = {This study aimed at evaluating the efficacy of an online CBT intervention with limited therapist contact targeting a range of posttraumatic symptoms among evacuees from the 2016 Fort McMurray wildfires. One hundred and thirty-six residents of Fort McMurray who reported either moderate PTSD symptoms (PCL-5 ≥ 23) or mild PTSD symptoms (PCL-5 ≥ 10) with moderate depression (PHQ-9 ≥ 10) or subthreshold insomnia symptoms (ISI ≥ 8) were randomized either to a treatment (n = 69) or a waitlist condition (n = 67). Participants were on average 45 years old, and mostly identified as White (82%) and as women (76%). Primary outcomes were PTSD, depression, and insomnia symptoms. Secondary outcomes were anxiety symptoms and disability. Significant Assessment Time × Treatment Condition interactions were observed on all outcomes, indicating that access to the treatment led to a decrease in posttraumatic stress (F[1,117.04] = 12.128},
note = {Publisher: Elsevier Inc.},
keywords = {adult, Anxiety, article, clinical effectiveness, clinical feature, cognitive behavioral therapy, controlled study, Depression, disaster, Disasters, disease severity, e-mental health, female, human, Humans, insomnia, Internet-Based Intervention, major clinical study, male, Middle Aged, natural disaster, physical disability, Post-Traumatic, posttraumatic stress disorder, psychotherapist, PTSD, randomized controlled trial, risk factor, Sleep Initiation and Maintenance Disorders, Stress Disorders, telepsychotherapy, treatment outcome, wildfire},
pubstate = {published},
tppubtype = {article}
}
This study aimed at evaluating the efficacy of an online CBT intervention with limited therapist contact targeting a range of posttraumatic symptoms among evacuees from the 2016 Fort McMurray wildfires. One hundred and thirty-six residents of Fort McMurray who reported either moderate PTSD symptoms (PCL-5 ≥ 23) or mild PTSD symptoms (PCL-5 ≥ 10) with moderate depression (PHQ-9 ≥ 10) or subthreshold insomnia symptoms (ISI ≥ 8) were randomized either to a treatment (n = 69) or a waitlist condition (n = 67). Participants were on average 45 years old, and mostly identified as White (82%) and as women (76%). Primary outcomes were PTSD, depression, and insomnia symptoms. Secondary outcomes were anxiety symptoms and disability. Significant Assessment Time × Treatment Condition interactions were observed on all outcomes, indicating that access to the treatment led to a decrease in posttraumatic stress (F[1,117.04] = 12.128
9.
Du, K. Le; Septans, A. -L.; Maloisel, F.; Vanquaethem, H.; Schmitt, A.; Goff, M. Le; Clavert, A.; Zinger, M.; Bourgeois, H.; Dupuis, O.; Denis, F.; Bouchard, S.
In: Journal of Medical Internet Research, vol. 25, 2023, ISSN: 14388871 (ISSN), (Publisher: JMIR Publications Inc.).
Abstract | Links | BibTeX | Tags: 80 and over, Adolescent, adult, aged, alprazolam, Anxiety, article, Biopsy, blood pressure measurement, Bone Marrow, bone marrow biopsy, clinical trial, controlled study, demographics, digital health, digital therapeutics, Distraction, Effectiveness, efficacy, eHealth, female, follow up, head-mounted display, hematologic disease, human, human tissue, Humans, hypertension, imagery, imaginary, imagination, Immersive environment, Intention to Treat Analysis, interactive environment, leukemia, lidocaine, local anesthesia, lymphoma, major clinical study, male, medical procedure, Meopa, Middle Aged, monoclonal immunoglobulinemia, multicenter study, myelodysplastic syndrome, myeloma, myeloproliferative disorder, myeloproliferative neoplasm, nitrous oxide plus oxygen, open study, Pain, pain intensity, pain measurement, paracetamol, phase 3 clinical trial, prospective study, questionnaire, randomized controlled trial, RCT, relaxation training, safety, satisfaction, solid malignant neoplasm, State Trait Anxiety Inventory, very elderly, virtual reality, visual analog scale, VR, Young Adult
@article{le_du_new_2023,
title = {A New Option for Pain Prevention Using a Therapeutic Virtual Reality Solution for Bone Marrow Biopsy (REVEH Trial): Open-Label, Randomized, Multicenter, Phase 3 Study},
author = {K. Le Du and A. -L. Septans and F. Maloisel and H. Vanquaethem and A. Schmitt and M. Le Goff and A. Clavert and M. Zinger and H. Bourgeois and O. Dupuis and F. Denis and S. Bouchard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85148250546&doi=10.2196%2f38619&partnerID=40&md5=e27bfbd3d4c42f8850daf70bdf60b384},
doi = {10.2196/38619},
issn = {14388871 (ISSN)},
year = {2023},
date = {2023-01-01},
journal = {Journal of Medical Internet Research},
volume = {25},
publisher = {JMIR Publications Inc.},
abstract = {Background: Evidence regarding the analgesic effect of distraction through immersion in virtual reality (VR) for care-induced pain has been documented in several phase 2 trials, but comparison with standard treatments in large, randomized studies is needed. Objective: In this open-label, multicenter, randomized, phase 3 trial, we evaluated the safety and efficacy of a novel VR therapy solution for distraction in the context of bone marrow biopsy. Methods: Bliss is a VR software with 4 imaginary interactive environments in 3 dimensions with binaural sound (head-mounted display). Efficacy regarding pain intensity was evaluated using a visual analog scale (VAS; score from 0 to 10) immediately after the biopsy. Secondary end points were anxiety and tolerance. Modified intention-to-treat analysis was performed. Results: Overall, 126 patients with previously documented untreated or suspected malignant hemopathy between September 6, 2018, and May 18, 2020, were randomly assigned in a 1:1 ratio to receive pain prevention with a mixture of nitrous oxide/oxygen (MEOPA; n=63) or VR (n=63) before and during the bone marrow biopsy. We excluded 8 patients from the final analysis (3 in the MEOPA group and 5 in the VR group). All patients received local anesthesia (lidocaine) before biopsy. Follow-up was limited to 1 month after the biopsy. Participants' median age was 65.5 (range 18-87) years, and 54.2% (64/118) of patients were male. The average pain intensity was 3.5 (SD 2.6, 95% CI -1.6 to 8.6) for the MEOPA group and 3.0 (SD 2.4, 95% CI -1.7 to 7.7) for the VR group, without any significant differences in age, sex, center, and hemopathy (P=.26). Concerning anxiety, 67.5% (79/117; fear of pain questionnaire) of the patients were afraid before the biopsy, and anxiety scores were moderate to very high in 26.3% (30/114; revised Spielberger State-Trait Anxiety Inventory questionnaire) of the patients before the biopsy and 9.0% (10/114) after the biopsy for all patients, without a significant difference between the 2 groups (P=.83). Immersion in VR was well tolerated by the majority (54/57, 95%) of patients in the VR group. Conclusions: The intensity of pain did not significantly differ between both arms. VR was well tolerated, and the satisfaction of patients, nurses, and physicians was very high. VR could be an alternative treatment in case of contraindication or intolerance to MEOPA. © 2023 Journal of Medical Internet Research. All rights reserved.},
note = {Publisher: JMIR Publications Inc.},
keywords = {80 and over, Adolescent, adult, aged, alprazolam, Anxiety, article, Biopsy, blood pressure measurement, Bone Marrow, bone marrow biopsy, clinical trial, controlled study, demographics, digital health, digital therapeutics, Distraction, Effectiveness, efficacy, eHealth, female, follow up, head-mounted display, hematologic disease, human, human tissue, Humans, hypertension, imagery, imaginary, imagination, Immersive environment, Intention to Treat Analysis, interactive environment, leukemia, lidocaine, local anesthesia, lymphoma, major clinical study, male, medical procedure, Meopa, Middle Aged, monoclonal immunoglobulinemia, multicenter study, myelodysplastic syndrome, myeloma, myeloproliferative disorder, myeloproliferative neoplasm, nitrous oxide plus oxygen, open study, Pain, pain intensity, pain measurement, paracetamol, phase 3 clinical trial, prospective study, questionnaire, randomized controlled trial, RCT, relaxation training, safety, satisfaction, solid malignant neoplasm, State Trait Anxiety Inventory, very elderly, virtual reality, visual analog scale, VR, Young Adult},
pubstate = {published},
tppubtype = {article}
}
Background: Evidence regarding the analgesic effect of distraction through immersion in virtual reality (VR) for care-induced pain has been documented in several phase 2 trials, but comparison with standard treatments in large, randomized studies is needed. Objective: In this open-label, multicenter, randomized, phase 3 trial, we evaluated the safety and efficacy of a novel VR therapy solution for distraction in the context of bone marrow biopsy. Methods: Bliss is a VR software with 4 imaginary interactive environments in 3 dimensions with binaural sound (head-mounted display). Efficacy regarding pain intensity was evaluated using a visual analog scale (VAS; score from 0 to 10) immediately after the biopsy. Secondary end points were anxiety and tolerance. Modified intention-to-treat analysis was performed. Results: Overall, 126 patients with previously documented untreated or suspected malignant hemopathy between September 6, 2018, and May 18, 2020, were randomly assigned in a 1:1 ratio to receive pain prevention with a mixture of nitrous oxide/oxygen (MEOPA; n=63) or VR (n=63) before and during the bone marrow biopsy. We excluded 8 patients from the final analysis (3 in the MEOPA group and 5 in the VR group). All patients received local anesthesia (lidocaine) before biopsy. Follow-up was limited to 1 month after the biopsy. Participants' median age was 65.5 (range 18-87) years, and 54.2% (64/118) of patients were male. The average pain intensity was 3.5 (SD 2.6, 95% CI -1.6 to 8.6) for the MEOPA group and 3.0 (SD 2.4, 95% CI -1.7 to 7.7) for the VR group, without any significant differences in age, sex, center, and hemopathy (P=.26). Concerning anxiety, 67.5% (79/117; fear of pain questionnaire) of the patients were afraid before the biopsy, and anxiety scores were moderate to very high in 26.3% (30/114; revised Spielberger State-Trait Anxiety Inventory questionnaire) of the patients before the biopsy and 9.0% (10/114) after the biopsy for all patients, without a significant difference between the 2 groups (P=.83). Immersion in VR was well tolerated by the majority (54/57, 95%) of patients in the VR group. Conclusions: The intensity of pain did not significantly differ between both arms. VR was well tolerated, and the satisfaction of patients, nurses, and physicians was very high. VR could be an alternative treatment in case of contraindication or intolerance to MEOPA. © 2023 Journal of Medical Internet Research. All rights reserved.
10.
Corno, G.; Villani, D.; Montigny, F.; Pierce, T.; Bouchard, S.; Molgora, S.
The role of perceived social support on pregnant women’s mental health during the COVID-19 pandemic Journal Article
In: Journal of Reproductive and Infant Psychology, vol. 41, no. 5, pp. 488–502, 2023, ISSN: 02646838, (Publisher: Routledge).
Abstract | Links | BibTeX | Tags: adult, Anxiety, article, Canada, coronavirus disease 2019, COVID-19, cross-sectional study, Depression, Edinburgh Postnatal Depression Scale, educational status, female, human, Humans, major clinical study, Mental health, mental stress, Multidimensional Scale of Perceived Social Support, pandemic, Pandemics, postnatal depression, Pregnancy, pregnant woman, Pregnant Women, psychology, questionnaire, Satisfaction with Life Scale, Social Support, State Trait Anxiety Inventory
@article{corno_role_2023,
title = {The role of perceived social support on pregnant women’s mental health during the COVID-19 pandemic},
author = {G. Corno and D. Villani and F. Montigny and T. Pierce and S. Bouchard and S. Molgora},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85128462603&doi=10.1080%2f02646838.2022.2042799&partnerID=40&md5=aa1b1a6cbd1fab3d6302a31612c86068},
doi = {10.1080/02646838.2022.2042799},
issn = {02646838},
year = {2023},
date = {2023-01-01},
journal = {Journal of Reproductive and Infant Psychology},
volume = {41},
number = {5},
pages = {488–502},
publisher = {Routledge},
abstract = {Purpose: The present study aimed at investigating which sources of social support best account for pregnant women’s levels of psychological distress and mental well-being during the COVID-19 pandemic. Methods: 274 Italian and Canadian expectant mothers completed an online-based survey including measures of perceived social support (from family, significant other and friends), state anxiety, depressive symptoms, and satisfaction with life. Correlation analyses and amultivariate analysis of covariance were performed to explore how social support from different sources was related to depressive symptoms, state anxiety and satisfaction with life. Results: Different sources of social support contributed to explaining women’s psychological distress and mental well-being. Social support both from family and friends was significantly related to women’s state anxiety and depressive symptoms. Social support from friends was specifically related to women’s satisfaction with life. Conclusion: Our findings endorse the crucial role of perceived social support as a protective factor for pregnant women’s mental health. In the context of the COVID-19 pandemic, our results suggest that support from family seems important in preventing psychological distress, whereas support from friends is also associated with mental well-being. These results may help designing future interventions aimed at improving women’s perinatal mental health in life-threatening conditions. ©, Society for Reproductive and Infant Psychology.},
note = {Publisher: Routledge},
keywords = {adult, Anxiety, article, Canada, coronavirus disease 2019, COVID-19, cross-sectional study, Depression, Edinburgh Postnatal Depression Scale, educational status, female, human, Humans, major clinical study, Mental health, mental stress, Multidimensional Scale of Perceived Social Support, pandemic, Pandemics, postnatal depression, Pregnancy, pregnant woman, Pregnant Women, psychology, questionnaire, Satisfaction with Life Scale, Social Support, State Trait Anxiety Inventory},
pubstate = {published},
tppubtype = {article}
}
Purpose: The present study aimed at investigating which sources of social support best account for pregnant women’s levels of psychological distress and mental well-being during the COVID-19 pandemic. Methods: 274 Italian and Canadian expectant mothers completed an online-based survey including measures of perceived social support (from family, significant other and friends), state anxiety, depressive symptoms, and satisfaction with life. Correlation analyses and amultivariate analysis of covariance were performed to explore how social support from different sources was related to depressive symptoms, state anxiety and satisfaction with life. Results: Different sources of social support contributed to explaining women’s psychological distress and mental well-being. Social support both from family and friends was significantly related to women’s state anxiety and depressive symptoms. Social support from friends was specifically related to women’s satisfaction with life. Conclusion: Our findings endorse the crucial role of perceived social support as a protective factor for pregnant women’s mental health. In the context of the COVID-19 pandemic, our results suggest that support from family seems important in preventing psychological distress, whereas support from friends is also associated with mental well-being. These results may help designing future interventions aimed at improving women’s perinatal mental health in life-threatening conditions. ©, Society for Reproductive and Infant Psychology.