Slide
Centre Interdisciplinaire
de Recherche et d’Innovation
en Cybersécurité et Société
de Recherche et d’Innovation
en Cybersécurité et Société
1.
Clemmensen, L.; Jørgensen, G.; Gundersen, K. B.; Smith, L. C.; Midtgaard, J.; Bouchard, S.; Thomsen, C. P.; Turgut, L.; Glenthoj, L. B.
Dans: BMJ Open, vol. 13, no 9, 2023, ISSN: 20446055, (Publisher: BMJ Publishing Group).
Résumé | Liens | BibTeX | Étiquettes: Anxiety disorder, article, Behavior Observation Techniques, behavioral observation, borderline state, clinical effectiveness, clinical outcome, clinical protocol, Coercion, cognitive behavioral therapy, comparative study, Denmark, Depression, feasibility study, health care need, hospital patient, human, Humans, intensive care unit, Intensive Care Units, interpersonal communication, leisure, Leisure Activities, major clinical study, neuroleptic agent, non participant observation, Patient Satisfaction, peer review, pilot study, psychiatric intensive care unit, qualitative analysis, quantitative analysis, schizophrenia spectrum disorder, semi structured interview, virtual reality, virtual reality delivered stress reduction
@article{clemmensen_study_2023,
title = {Study protocol for virtual leisure investigating the effect of virtual reality-delivered stress reduction, entertainment and distraction on the use of coercion and need-based medication and patient satisfaction at a closed psychiatric intensive care unit - A mixed-methods pilot clinical trial},
author = {L. Clemmensen and G. Jørgensen and K. B. Gundersen and L. C. Smith and J. Midtgaard and S. Bouchard and C. P. Thomsen and L. Turgut and L. B. Glenthoj},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85172425765&doi=10.1136%2fbmjopen-2022-070566&partnerID=40&md5=87f1ee7c5b1f4d9245722d461eb9e6d2},
doi = {10.1136/bmjopen-2022-070566},
issn = {20446055},
year = {2023},
date = {2023-01-01},
journal = {BMJ Open},
volume = {13},
number = {9},
abstract = {Introduction The environment at a psychiatric inpatient ward can lead to emotional distress and behavioural deviations in vulnerable individuals potentially resulting in conflicts, increased use of need-based medication and coercive actions, along with low satisfaction with treatment. To accommodate these challenges, recreational and entertaining interventions are recommended. The tested interventions have, however, shown varying effects and demand a high degree of planning and staff involvement while being difficult to adapt to individual needs. Virtual reality (VR) may help overcome these challenges. Methods and analysis The study is a mixed-methods clinical trial with a target sample of 124 patients hospitalised at a closed psychiatric ward in the capital region of Denmark. Outcomes (eg, coercion, need-based medication and perceived stress) for a 12-month period where all patients are offered VR-based recreational experiences during their hospitalisation will be compared with outcomes for a 12-month period where VR is not offered. Feasibility and acceptability will be explored with qualitative interviews supplemented with non-participant observations and focus groups. The study began on 1 January 2023, and we expect to complete data collection by 31 December 2024. Ethics and dissemination The study is registered at Danish Data Protection Agency (j.no P-2022-466) and is approved by the Committee on Health Research Ethics of the capital region of Denmark (j.no 22013313). All patients will be required to provide informed consent. Results from this study will be disseminated via peer-reviewed journals and congress/consortium presentations. Trial registration number NCT05654740. © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.},
note = {Publisher: BMJ Publishing Group},
keywords = {Anxiety disorder, article, Behavior Observation Techniques, behavioral observation, borderline state, clinical effectiveness, clinical outcome, clinical protocol, Coercion, cognitive behavioral therapy, comparative study, Denmark, Depression, feasibility study, health care need, hospital patient, human, Humans, intensive care unit, Intensive Care Units, interpersonal communication, leisure, Leisure Activities, major clinical study, neuroleptic agent, non participant observation, Patient Satisfaction, peer review, pilot study, psychiatric intensive care unit, qualitative analysis, quantitative analysis, schizophrenia spectrum disorder, semi structured interview, virtual reality, virtual reality delivered stress reduction},
pubstate = {published},
tppubtype = {article}
}
Introduction The environment at a psychiatric inpatient ward can lead to emotional distress and behavioural deviations in vulnerable individuals potentially resulting in conflicts, increased use of need-based medication and coercive actions, along with low satisfaction with treatment. To accommodate these challenges, recreational and entertaining interventions are recommended. The tested interventions have, however, shown varying effects and demand a high degree of planning and staff involvement while being difficult to adapt to individual needs. Virtual reality (VR) may help overcome these challenges. Methods and analysis The study is a mixed-methods clinical trial with a target sample of 124 patients hospitalised at a closed psychiatric ward in the capital region of Denmark. Outcomes (eg, coercion, need-based medication and perceived stress) for a 12-month period where all patients are offered VR-based recreational experiences during their hospitalisation will be compared with outcomes for a 12-month period where VR is not offered. Feasibility and acceptability will be explored with qualitative interviews supplemented with non-participant observations and focus groups. The study began on 1 January 2023, and we expect to complete data collection by 31 December 2024. Ethics and dissemination The study is registered at Danish Data Protection Agency (j.no P-2022-466) and is approved by the Committee on Health Research Ethics of the capital region of Denmark (j.no 22013313). All patients will be required to provide informed consent. Results from this study will be disseminated via peer-reviewed journals and congress/consortium presentations. Trial registration number NCT05654740. © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
2.
Savard, J.; Ivers, H.; Savard, M. -H.; Morin, C. M.; Caplette-Gingras, A.; Bouchard, S.; Lacroix, G.
Efficacy of a stepped care approach to deliver cognitive-behavioral therapy for insomnia in cancer patients: A noninferiority randomized controlled trial Article de journal
Dans: Sleep, vol. 44, no 11, 2021, ISSN: 01618105 (ISSN), (Publisher: Oxford University Press).
Résumé | Liens | BibTeX | Étiquettes: adult, Anxiety, Anxiety disorder, cancer, cancer diagnosis, cancer patient, cognitive behavioral therapy, Cognitive-behavioral therapy, comparative study, complication, controlled study, cost effectiveness analysis, Depression, disease severity, drug use, European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30, fatigue, female, Hospital Anxiety and Depression Scale, human, Humans, insomnia, Insomnia Severity Index, long term care, major clinical study, male, malignant neoplasm, Middle Aged, Montreal cognitive assessment, neoplasm, Neoplasms, outcome assessment, procedures, psychotropic agent, quality of life, randomized controlled trial, remission, review, Self Care, short course therapy, sleep, sleep efficiency, Sleep Initiation and Maintenance Disorders, sleep pattern, stepped care, stepped care approach, Structured Clinical Interview for DSM Disorders, therapy effect, treatment outcome, web-based intervention
@article{savard_efficacy_2021,
title = {Efficacy of a stepped care approach to deliver cognitive-behavioral therapy for insomnia in cancer patients: A noninferiority randomized controlled trial},
author = {J. Savard and H. Ivers and M. -H. Savard and C. M. Morin and A. Caplette-Gingras and S. Bouchard and G. Lacroix},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85121217599&doi=10.1093%2fsleep%2fzsab166&partnerID=40&md5=8c3390082d345b725c47465f96bb8e44},
doi = {10.1093/sleep/zsab166},
issn = {01618105 (ISSN)},
year = {2021},
date = {2021-01-01},
journal = {Sleep},
volume = {44},
number = {11},
abstract = {Study Objectives: Cognitive-behavioral therapy for insomnia (CBT-I) is the recommended first-line treatment for cancer-related insomnia, but its accessibility is very limited in routine care. A stepped care approach has been recommended as a cost-effective way to make CBT-I more widely accessible. However, no controlled study has yet been published about the efficacy of this approach. The goal of this noninferiority randomized controlled trial (RCT) was to compare the short and long-term efficacy of a stepped care CBT-I (StepCBT-I) to a standard face-to-face CBT-I (StanCBT-I). Methods: A total of 177 cancer patients were randomized to: (1) StanCBT-I (6 face-to-face CBT-I sessions; n = 59) or (2) StepCBT-I (n = 118). In the StepCBT-I group, patients with less severe insomnia first received a web-based CBT-I (n = 65), while those with more severe insomnia received 6 face-to-face CBT-I sessions (n = 53). In both cases, patients could receive up to three booster sessions of CBT-I if they still had insomnia symptoms following this first step. Results: Results indicated that the Step-CBT-I group showed an Insomnia Severity Index score reduction and a sleep efficiency (on a sleep diary) increase that was not significantly inferior to that of StanCBT-I at all post-treatment time points. Analyses of secondary outcomes indicated significant time effects (ps <. 001) and no significant group-by-time interactions (ps from. 07 to. 91) on other sleep diary parameters, sleep medication use, depression, anxiety, fatigue, and quality of life scores. Conclusion(s): The efficacy of stepped care CBT-I is not inferior to that of a standard face-to-face intervention and is a valuable approach to making this treatment more widely accessible to cancer patients. Trial registration: ClinicalTrials.gov Identifier: NCT01864720 (https://clinicaltrials.gov/ct2/show/NCT01864720?term=Savard&draw=2&rank=6; Stepped Care Model for the Wider Dissemination of Cognitive-Behavioural Therapy for Insomnia Among Cancer Patients). © 2021 Sleep Research Society 2021. Published by Oxford University Press on behalf of the Sleep Research Society.},
note = {Publisher: Oxford University Press},
keywords = {adult, Anxiety, Anxiety disorder, cancer, cancer diagnosis, cancer patient, cognitive behavioral therapy, Cognitive-behavioral therapy, comparative study, complication, controlled study, cost effectiveness analysis, Depression, disease severity, drug use, European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30, fatigue, female, Hospital Anxiety and Depression Scale, human, Humans, insomnia, Insomnia Severity Index, long term care, major clinical study, male, malignant neoplasm, Middle Aged, Montreal cognitive assessment, neoplasm, Neoplasms, outcome assessment, procedures, psychotropic agent, quality of life, randomized controlled trial, remission, review, Self Care, short course therapy, sleep, sleep efficiency, Sleep Initiation and Maintenance Disorders, sleep pattern, stepped care, stepped care approach, Structured Clinical Interview for DSM Disorders, therapy effect, treatment outcome, web-based intervention},
pubstate = {published},
tppubtype = {article}
}
Study Objectives: Cognitive-behavioral therapy for insomnia (CBT-I) is the recommended first-line treatment for cancer-related insomnia, but its accessibility is very limited in routine care. A stepped care approach has been recommended as a cost-effective way to make CBT-I more widely accessible. However, no controlled study has yet been published about the efficacy of this approach. The goal of this noninferiority randomized controlled trial (RCT) was to compare the short and long-term efficacy of a stepped care CBT-I (StepCBT-I) to a standard face-to-face CBT-I (StanCBT-I). Methods: A total of 177 cancer patients were randomized to: (1) StanCBT-I (6 face-to-face CBT-I sessions; n = 59) or (2) StepCBT-I (n = 118). In the StepCBT-I group, patients with less severe insomnia first received a web-based CBT-I (n = 65), while those with more severe insomnia received 6 face-to-face CBT-I sessions (n = 53). In both cases, patients could receive up to three booster sessions of CBT-I if they still had insomnia symptoms following this first step. Results: Results indicated that the Step-CBT-I group showed an Insomnia Severity Index score reduction and a sleep efficiency (on a sleep diary) increase that was not significantly inferior to that of StanCBT-I at all post-treatment time points. Analyses of secondary outcomes indicated significant time effects (ps <. 001) and no significant group-by-time interactions (ps from. 07 to. 91) on other sleep diary parameters, sleep medication use, depression, anxiety, fatigue, and quality of life scores. Conclusion(s): The efficacy of stepped care CBT-I is not inferior to that of a standard face-to-face intervention and is a valuable approach to making this treatment more widely accessible to cancer patients. Trial registration: ClinicalTrials.gov Identifier: NCT01864720 (https://clinicaltrials.gov/ct2/show/NCT01864720?term=Savard&draw=2&rank=6; Stepped Care Model for the Wider Dissemination of Cognitive-Behavioural Therapy for Insomnia Among Cancer Patients). © 2021 Sleep Research Society 2021. Published by Oxford University Press on behalf of the Sleep Research Society.
3.
Bouchard, S.; Dumoulin, S.; Robillard, G.; Guitard, T.; Klinger, E.; Forget, H.; Loranger, C.; Roucaut, F. X.
Virtual reality compared with in vivo exposure in the treatment of social anxiety disorder: A three-arm randomised controlled trial Article de journal
Dans: British Journal of Psychiatry, vol. 210, no 4, p. 276–283, 2017, ISSN: 00071250, (Publisher: Royal College of Psychiatrists).
Résumé | Liens | BibTeX | Étiquettes: adult, article, avoidance behavior, clinical outcome, cognitive therapy, comparative effectiveness, comparative study, computer interface, controlled study, cost, devices, female, hospital admission, human, Humans, Implosive Therapy, in vivo study, major clinical study, male, Middle Aged, outcome assessment, Outcome Assessment (Health Care), phobia, procedures, randomized controlled trial, Social, social phobia, User-Computer Interface, virtual reality, virtual reality exposure therapy
@article{bouchard_virtual_2017,
title = {Virtual reality compared with in vivo exposure in the treatment of social anxiety disorder: A three-arm randomised controlled trial},
author = {S. Bouchard and S. Dumoulin and G. Robillard and T. Guitard and E. Klinger and H. Forget and C. Loranger and F. X. Roucaut},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018214603&doi=10.1192%2fbjp.bp.116.184234&partnerID=40&md5=245751bf4ef3f8ae014a9c5816a585c3},
doi = {10.1192/bjp.bp.116.184234},
issn = {00071250},
year = {2017},
date = {2017-01-01},
journal = {British Journal of Psychiatry},
volume = {210},
number = {4},
pages = {276–283},
abstract = {Background: People with social anxiety disorder (SAD) fear social interactions and may be reluctant to seek treatments involving exposure to social situations. Social exposure conducted in virtual reality (VR), embedded in individual cognitive-behavioural therapy (CBT), could be an answer. Aims: To show that conducting VR exposure in CBT for SAD is effective and is more practical for therapists than conducting exposure in vivo. Method: Participants were randomly assigned to either VR exposure (n =17), in vivo exposure (n=22) or waiting list (n= 20). Participants in the active arms received individual CBT for 14 weekly sessions and outcome was assessed with questionnaires and a behaviour avoidance test. (Trial registration number ISRCTN99747069.) Results: Improvements were found on the primary (Liebowitz Social Anxiety Scale) and all five secondary outcome measures in both CBT groups compared with the waiting list. Conducting exposure in VR was more effective at post-treatment than in vivo on the primary outcome measure and on one secondary measure. Improvements were maintained at the 6-month follow-up. VR was significantly more practical for therapists than in vivo exposure. Conclusions: Using VR can be advantageous over standard CBT as a potential solution for treatment avoidance and as an efficient, cost-effective and practical medium of exposure. Declaration of interest S.B. and G.R. are consultants to and own equity in Cliniques et Développement In Virtuo, which develops virtual environments; however, Cliniques et Développement In Virtuo did not create the virtual environments used in this study. The terms of these arrangements were reviewed and approved by Universitédu Québec en Outaouais, in accordance with its policy on conflicts of interest. © The Royal College of Psychiatrists 2017.},
note = {Publisher: Royal College of Psychiatrists},
keywords = {adult, article, avoidance behavior, clinical outcome, cognitive therapy, comparative effectiveness, comparative study, computer interface, controlled study, cost, devices, female, hospital admission, human, Humans, Implosive Therapy, in vivo study, major clinical study, male, Middle Aged, outcome assessment, Outcome Assessment (Health Care), phobia, procedures, randomized controlled trial, Social, social phobia, User-Computer Interface, virtual reality, virtual reality exposure therapy},
pubstate = {published},
tppubtype = {article}
}
Background: People with social anxiety disorder (SAD) fear social interactions and may be reluctant to seek treatments involving exposure to social situations. Social exposure conducted in virtual reality (VR), embedded in individual cognitive-behavioural therapy (CBT), could be an answer. Aims: To show that conducting VR exposure in CBT for SAD is effective and is more practical for therapists than conducting exposure in vivo. Method: Participants were randomly assigned to either VR exposure (n =17), in vivo exposure (n=22) or waiting list (n= 20). Participants in the active arms received individual CBT for 14 weekly sessions and outcome was assessed with questionnaires and a behaviour avoidance test. (Trial registration number ISRCTN99747069.) Results: Improvements were found on the primary (Liebowitz Social Anxiety Scale) and all five secondary outcome measures in both CBT groups compared with the waiting list. Conducting exposure in VR was more effective at post-treatment than in vivo on the primary outcome measure and on one secondary measure. Improvements were maintained at the 6-month follow-up. VR was significantly more practical for therapists than in vivo exposure. Conclusions: Using VR can be advantageous over standard CBT as a potential solution for treatment avoidance and as an efficient, cost-effective and practical medium of exposure. Declaration of interest S.B. and G.R. are consultants to and own equity in Cliniques et Développement In Virtuo, which develops virtual environments; however, Cliniques et Développement In Virtuo did not create the virtual environments used in this study. The terms of these arrangements were reviewed and approved by Universitédu Québec en Outaouais, in accordance with its policy on conflicts of interest. © The Royal College of Psychiatrists 2017.
4.
Cousineau, H.; Marchand, A.; Bouchard, S.; Bélanger, C.; Gosselin, P.; Langlois, F.; Labrecque, J.; Dugas, M. J.; Belleville, G.
Insomnia symptoms following treatment for comorbid panic disorder with agoraphobia and generalized anxiety disorder Article de journal
Dans: Journal of Nervous and Mental Disease, vol. 204, no 4, p. 267–273, 2016, ISSN: 00223018, (Publisher: Lippincott Williams and Wilkins).
Résumé | Liens | BibTeX | Étiquettes: adult, agoraphobia, antidepressant agent, Anxiety Disorders, anxiolytic agent, article, clinical trial, cognitive therapy, cohort analysis, Cohort Studies, Combined Modality Therapy, comorbidity, comparative study, controlled study, Depression, disease severity, female, generalized anxiety disorder, human, Humans, hypnotic agent, insomnia, major clinical study, male, Middle Aged, multicenter study, multimodality cancer therapy, nocturnal panic attack, panic, Panic Disorder, panic disorder with agoraphobia, patient worry, procedures, psychoeducation, psychology, psychotropic agent, Psychotropic Drugs, quasi experimental study, Quebec, randomized controlled trial, Sleep Initiation and Maintenance Disorders, statistical significance, treatment outcome, wakefulness, Young Adult
@article{cousineau_insomnia_2016,
title = {Insomnia symptoms following treatment for comorbid panic disorder with agoraphobia and generalized anxiety disorder},
author = {H. Cousineau and A. Marchand and S. Bouchard and C. Bélanger and P. Gosselin and F. Langlois and J. Labrecque and M. J. Dugas and G. Belleville},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84962128029&doi=10.1097%2fNMD.0000000000000466&partnerID=40&md5=2ca2dd82c29553bd7377ba64dd5522cc},
doi = {10.1097/NMD.0000000000000466},
issn = {00223018},
year = {2016},
date = {2016-01-01},
journal = {Journal of Nervous and Mental Disease},
volume = {204},
number = {4},
pages = {267–273},
abstract = {Patients with panic disorder with agoraphobia (PDA) or generalized anxiety disorder (GAD) frequently also suffer from insomnia. However, the impact of cognitive-behavioral therapy (CBT) for anxiety disorders on insomnia has been understudied. Furthermore, comorbidity between anxiety disorders is common. Our main objective was to assess the impact of CBT for PDA or GAD on insomnia. In a quasi-experimental design, 86 participants with PDA and GAD received conventional CBT for their primary disorder or combined CBT for both disorders. Overall, CBTs had a significant impact on reducing insomnia symptoms (η2 = 0.58). However, among people with insomnia at pretest (67%), 33% still had an insomnia diagnosis, and the majority (63%) had clinically significant residual insomnia following treatment. In conclusion, the CBTs had a positive effect on the reduction of insomnia, but a significant proportion of participants still had insomnia problems following treatment. Clinicians should address insomnia during CBT for PDA and GAD. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.},
note = {Publisher: Lippincott Williams and Wilkins},
keywords = {adult, agoraphobia, antidepressant agent, Anxiety Disorders, anxiolytic agent, article, clinical trial, cognitive therapy, cohort analysis, Cohort Studies, Combined Modality Therapy, comorbidity, comparative study, controlled study, Depression, disease severity, female, generalized anxiety disorder, human, Humans, hypnotic agent, insomnia, major clinical study, male, Middle Aged, multicenter study, multimodality cancer therapy, nocturnal panic attack, panic, Panic Disorder, panic disorder with agoraphobia, patient worry, procedures, psychoeducation, psychology, psychotropic agent, Psychotropic Drugs, quasi experimental study, Quebec, randomized controlled trial, Sleep Initiation and Maintenance Disorders, statistical significance, treatment outcome, wakefulness, Young Adult},
pubstate = {published},
tppubtype = {article}
}
Patients with panic disorder with agoraphobia (PDA) or generalized anxiety disorder (GAD) frequently also suffer from insomnia. However, the impact of cognitive-behavioral therapy (CBT) for anxiety disorders on insomnia has been understudied. Furthermore, comorbidity between anxiety disorders is common. Our main objective was to assess the impact of CBT for PDA or GAD on insomnia. In a quasi-experimental design, 86 participants with PDA and GAD received conventional CBT for their primary disorder or combined CBT for both disorders. Overall, CBTs had a significant impact on reducing insomnia symptoms (η2 = 0.58). However, among people with insomnia at pretest (67%), 33% still had an insomnia diagnosis, and the majority (63%) had clinically significant residual insomnia following treatment. In conclusion, the CBTs had a positive effect on the reduction of insomnia, but a significant proportion of participants still had insomnia problems following treatment. Clinicians should address insomnia during CBT for PDA and GAD. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.
5.
Primiano, S.; Marchand, A.; Gosselin, P.; Langlois, F.; Bouchard, S.; Bélanger, C.; Labrecque, J.; Dugas, M.; Dupuis, G.
Dans: Behavior Modification, vol. 38, no 1, p. 3–24, 2014, ISSN: 01454455, (Publisher: SAGE Publications Inc.).
Résumé | Liens | BibTeX | Étiquettes: Adolescent, adult, agoraphobia, Anxiety Disorders, clinical trial, cognitive therapy, comparative study, complication, controlled clinical trial, controlled study, female, human, Humans, male, Middle Aged, multicenter study, Panic Disorder, Psychiatric Status Rating Scales, psychological rating scale, quality of life, Young Adult
@article{primiano_effect_2014,
title = {The Effect of a Combined Versus a Conventional Cognitive-Behavioral Therapy on Quality of Life for Comorbid Panic Disorder With Agoraphobia and Generalized Anxiety Disorder: Preliminary Results},
author = {S. Primiano and A. Marchand and P. Gosselin and F. Langlois and S. Bouchard and C. Bélanger and J. Labrecque and M. Dugas and G. Dupuis},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899643099&doi=10.1177%2f0145445513504430&partnerID=40&md5=8ea3eebff362c2fb683ba62935b9e2c9},
doi = {10.1177/0145445513504430},
issn = {01454455},
year = {2014},
date = {2014-01-01},
journal = {Behavior Modification},
volume = {38},
number = {1},
pages = {3–24},
abstract = {Concurrent panic disorder with agoraphobia (PDA) and generalized anxiety disorder (GAD) are the most common diagnostic occurrences among anxiety disorders. This particular comorbidity is associated with significant impairments in quality of life (QOL). The current study sought to investigate the efficacy of a combined cognitive-behavioral psychotherapy that addressed both conditions compared with a conventional psychotherapy, which attends solely to the primary disorder. The hypotheses postulated firstly, that both treatment conditions would lead to improvements in participants' QOL and secondly, that the combined therapy would lead to greater QOL ameliorations. Twenty-five participants with comorbid PDA/GAD diagnoses were evaluated with a number of clinical interviews and self-report questionnaires, and were provided with either conventional or combined cognitive-behavioral psychotherapy, which consisted of 14 one-hour weekly sessions. Participants were once again evaluated in the same fashion 2-weeks after the completion of the psychotherapy. The results revealed that both conditions led to significant improvements in participants' QOL, but that the two groups did not significantly differ in terms of the effect on QOL. The results also reveal that the two conditions did not significantly differ in terms of their effect on PDA and GAD symptomatology or psychiatric comorbidity. The results demonstrate that the combined psychotherapy, which addresses both conditions simultaneously, is similar to the conventional psychotherapy employed for the primary disorder in terms of QOL enhancement, symptom severity, and comorbidity reduction. © The Author(s) 2013.},
note = {Publisher: SAGE Publications Inc.},
keywords = {Adolescent, adult, agoraphobia, Anxiety Disorders, clinical trial, cognitive therapy, comparative study, complication, controlled clinical trial, controlled study, female, human, Humans, male, Middle Aged, multicenter study, Panic Disorder, Psychiatric Status Rating Scales, psychological rating scale, quality of life, Young Adult},
pubstate = {published},
tppubtype = {article}
}
Concurrent panic disorder with agoraphobia (PDA) and generalized anxiety disorder (GAD) are the most common diagnostic occurrences among anxiety disorders. This particular comorbidity is associated with significant impairments in quality of life (QOL). The current study sought to investigate the efficacy of a combined cognitive-behavioral psychotherapy that addressed both conditions compared with a conventional psychotherapy, which attends solely to the primary disorder. The hypotheses postulated firstly, that both treatment conditions would lead to improvements in participants' QOL and secondly, that the combined therapy would lead to greater QOL ameliorations. Twenty-five participants with comorbid PDA/GAD diagnoses were evaluated with a number of clinical interviews and self-report questionnaires, and were provided with either conventional or combined cognitive-behavioral psychotherapy, which consisted of 14 one-hour weekly sessions. Participants were once again evaluated in the same fashion 2-weeks after the completion of the psychotherapy. The results revealed that both conditions led to significant improvements in participants' QOL, but that the two groups did not significantly differ in terms of the effect on QOL. The results also reveal that the two conditions did not significantly differ in terms of their effect on PDA and GAD symptomatology or psychiatric comorbidity. The results demonstrate that the combined psychotherapy, which addresses both conditions simultaneously, is similar to the conventional psychotherapy employed for the primary disorder in terms of QOL enhancement, symptom severity, and comorbidity reduction. © The Author(s) 2013.
6.
Robillard, G.; Bouchard, S.; Dumoulin, S.; Guitard, T.; Klinger, E.
Using virtual humans to alleviate social anxiety: Preliminary report from a comparative outcome study Article de journal
Dans: Annual Review of CyberTherapy and Telemedicine, vol. 8, no 1, p. 46–48, 2010, ISSN: 15548716.
Résumé | Liens | BibTeX | Étiquettes: adult, article, clinical article, clinical trial, cognitive therapy, comparative study, controlled clinical trial, controlled study, Diagnostic and Statistical Manual of Mental Disorders, female, human, male, randomized controlled trial, rating scale, social phobia, structured questionnaire, virtual reality
@article{robillard_using_2010-1,
title = {Using virtual humans to alleviate social anxiety: Preliminary report from a comparative outcome study},
author = {G. Robillard and S. Bouchard and S. Dumoulin and T. Guitard and E. Klinger},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952941239&partnerID=40&md5=87efe655c7ce6cdf965fa0c7b7742500},
issn = {15548716},
year = {2010},
date = {2010-01-01},
journal = {Annual Review of CyberTherapy and Telemedicine},
volume = {8},
number = {1},
pages = {46–48},
abstract = {Empirical studies have consistently shown the effectiveness of a multicomponent CBT treatment of social anxiety disorder (SAD). Previous outcome studies on virtual reality and SAD have focused on people suffering from fear of public speaking and not full blown SAD. In this study, 45 adults receiving a DSM-IV-TR diagnostic of social anxiety were randomly assigned to traditional CBT treatment (with in vivo exposure), CBT-VR combined treatment, or a waiting list. Results show significant reduction of anxiety on all questionnaires as well as statistically significant interactions between both treatment groups and the waiting list.},
keywords = {adult, article, clinical article, clinical trial, cognitive therapy, comparative study, controlled clinical trial, controlled study, Diagnostic and Statistical Manual of Mental Disorders, female, human, male, randomized controlled trial, rating scale, social phobia, structured questionnaire, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Empirical studies have consistently shown the effectiveness of a multicomponent CBT treatment of social anxiety disorder (SAD). Previous outcome studies on virtual reality and SAD have focused on people suffering from fear of public speaking and not full blown SAD. In this study, 45 adults receiving a DSM-IV-TR diagnostic of social anxiety were randomly assigned to traditional CBT treatment (with in vivo exposure), CBT-VR combined treatment, or a waiting list. Results show significant reduction of anxiety on all questionnaires as well as statistically significant interactions between both treatment groups and the waiting list.
7.
Pagé, C. A.; Tourigny, M.; Renaud, P.
Dans: Sexologies, vol. 19, no 2, p. 109–118, 2010, ISSN: 11581360 (ISSN).
Liens | BibTeX | Étiquettes: Adolescent, adult, article, Child, child behavior, comparative study, controlled study, coping behavior, Coping Inventory for Stressful Situation, emotion, female, human, male, peer group, prediction, psychological rating scale, school child, Sexual Behavior, sexual crime, Stress
@article{page_comparative_2010,
title = {A comparative analysis of youth sex offenders and non-offender peers: Is there a difference in their coping strategies? [Analyse comparée d'un groupe de jeunes délinquants sexuels et de jeunes non délinquants sexuels : y a-t-il une différence au niveau de leurs stratégies d'adaptation ?]},
author = {C. A. Pagé and M. Tourigny and P. Renaud},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-77954501869&doi=10.1016%2fj.sexol.2009.11.001&partnerID=40&md5=ee716e11cfd3716ce582214044fb7bda},
doi = {10.1016/j.sexol.2009.11.001},
issn = {11581360 (ISSN)},
year = {2010},
date = {2010-01-01},
journal = {Sexologies},
volume = {19},
number = {2},
pages = {109–118},
keywords = {Adolescent, adult, article, Child, child behavior, comparative study, controlled study, coping behavior, Coping Inventory for Stressful Situation, emotion, female, human, male, peer group, prediction, psychological rating scale, school child, Sexual Behavior, sexual crime, Stress},
pubstate = {published},
tppubtype = {article}
}
8.
Pagé, C. A.; Tourigny, M.; Renaud, P.
A comparative analysis of youth sex offenders and non-offender peers: Is there a difference in their coping strategies? Article de journal
Dans: Sexologies, vol. 19, no 2, p. 78–86, 2010, ISSN: 11581360 (ISSN).
Résumé | Liens | BibTeX | Étiquettes: Adolescent, Adolescents, adult, article, Child, child psychiatry, comparative study, controlled study, coping behavior, Coping Inventory for Stressful Situation, Coping strategies, emotion, human, male, peer group, prediction, psychological rating scale, school child, Sexual Behavior, sexual crime, Sexual offending, Stress, Youth sexual offenders
@article{page_comparative_2010-1,
title = {A comparative analysis of youth sex offenders and non-offender peers: Is there a difference in their coping strategies?},
author = {C. A. Pagé and M. Tourigny and P. Renaud},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-77954537963&doi=10.1016%2fj.sexol.2009.11.002&partnerID=40&md5=8bfd0b580c2b08569fa180ec7713b7ca},
doi = {10.1016/j.sexol.2009.11.002},
issn = {11581360 (ISSN)},
year = {2010},
date = {2010-01-01},
journal = {Sexologies},
volume = {19},
number = {2},
pages = {78–86},
abstract = {Purpose: To investigate the coping strategies of youth sexual offenders, which are believed to be important elements in the development of sexual offending behaviours. Subjects and method: This cross-sectional study investigated two groups of male adolescents (n = 196) consisting of youth sexual offenders and non-offender peers. Examination of the coping strategies was measured by a Coping Inventory for Stressful Situations (CISS). Results: It was hypothesized that youth sexual offenders used sex-related activities and emotions as coping strategies to alleviate negative emotional states and problematic situations. The results obtained demonstrated that youth sexual offenders make less use of sex-related activities as a way of coping with stressful situations, but make more use of emotions-coping strategies when compared to non-offender peers. An attempt was made to predict youth as sexual offenders or non-offenders according to the coping strategies they used in times of stress. The logistic regression model used was statistically significant and the analysis performed increased the likelihood of correctly identifying youth sexual offenders based on the coping strategies used in times of stress. Conclusion: The results of the study demonstrated that youth sexual offenders have a tendency to use emotional responses to cope with life's difficulties, which may be increasing their level of stress and thereby placing them at a higher risk to offend sexually. © 2009 Elsevier Masson SAS. All rights reserved.},
keywords = {Adolescent, Adolescents, adult, article, Child, child psychiatry, comparative study, controlled study, coping behavior, Coping Inventory for Stressful Situation, Coping strategies, emotion, human, male, peer group, prediction, psychological rating scale, school child, Sexual Behavior, sexual crime, Sexual offending, Stress, Youth sexual offenders},
pubstate = {published},
tppubtype = {article}
}
Purpose: To investigate the coping strategies of youth sexual offenders, which are believed to be important elements in the development of sexual offending behaviours. Subjects and method: This cross-sectional study investigated two groups of male adolescents (n = 196) consisting of youth sexual offenders and non-offender peers. Examination of the coping strategies was measured by a Coping Inventory for Stressful Situations (CISS). Results: It was hypothesized that youth sexual offenders used sex-related activities and emotions as coping strategies to alleviate negative emotional states and problematic situations. The results obtained demonstrated that youth sexual offenders make less use of sex-related activities as a way of coping with stressful situations, but make more use of emotions-coping strategies when compared to non-offender peers. An attempt was made to predict youth as sexual offenders or non-offenders according to the coping strategies they used in times of stress. The logistic regression model used was statistically significant and the analysis performed increased the likelihood of correctly identifying youth sexual offenders based on the coping strategies used in times of stress. Conclusion: The results of the study demonstrated that youth sexual offenders have a tendency to use emotional responses to cope with life's difficulties, which may be increasing their level of stress and thereby placing them at a higher risk to offend sexually. © 2009 Elsevier Masson SAS. All rights reserved.
9.
Nouwen, A.; Gingras, J.; Talbot, F.; Bouchard, S.
The Development of an Empirical Psychosocial Taxonomy for Patients with Diabetes Article de journal
Dans: Health Psychology, vol. 16, no 3, p. 263–271, 1997, ISSN: 02786133, (Publisher: American Psychological Association Inc.).
Résumé | Liens | BibTeX | Étiquettes: Adaptation, adaptive behavior, Adolescent, adult, aged, article, Attitude to Health, Cluster Analysis, comparative study, Depression, Depressive Disorder, Diabetes Mellitus, female, human, Humans, male, Middle Aged, Psychological, psychological aspect, questionnaire, Questionnaires, Social Support
@article{nouwen_development_1997,
title = {The Development of an Empirical Psychosocial Taxonomy for Patients with Diabetes},
author = {A. Nouwen and J. Gingras and F. Talbot and S. Bouchard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-0031136468&doi=10.1037%2f0278-6133.16.3.263&partnerID=40&md5=710f3c6a05c5ba553f3d2a06c08d4e1e},
doi = {10.1037/0278-6133.16.3.263},
issn = {02786133},
year = {1997},
date = {1997-01-01},
journal = {Health Psychology},
volume = {16},
number = {3},
pages = {263–271},
abstract = {The main purpose of this study was to develop and to cross-validate an empirically derived psychosocial taxonomy of patients with diabetes. In the first study, 101 patients with Type I or Type II diabetes completed the Multidimensional Diabetes Questionnaire. Cluster analysis identified three clusters, labeled adaptive copers, low support-low involvement, and spousal overinvolvement. In the second study, the taxonomy was cross-validated using an independent sample of 132 patients with long-standing Type II diabetes. The results confirmed that the multivariate classification system was unique and highly accurate. External validation, using general psychological as well as diabetes-specific measures, supported the validity and distinctiveness of the patients' profiles. These findings help establish a multiaxial psychosocial taxonomy of diabetes and may have significant implications for the management of patients with diabetes.},
note = {Publisher: American Psychological Association Inc.},
keywords = {Adaptation, adaptive behavior, Adolescent, adult, aged, article, Attitude to Health, Cluster Analysis, comparative study, Depression, Depressive Disorder, Diabetes Mellitus, female, human, Humans, male, Middle Aged, Psychological, psychological aspect, questionnaire, Questionnaires, Social Support},
pubstate = {published},
tppubtype = {article}
}
The main purpose of this study was to develop and to cross-validate an empirically derived psychosocial taxonomy of patients with diabetes. In the first study, 101 patients with Type I or Type II diabetes completed the Multidimensional Diabetes Questionnaire. Cluster analysis identified three clusters, labeled adaptive copers, low support-low involvement, and spousal overinvolvement. In the second study, the taxonomy was cross-validated using an independent sample of 132 patients with long-standing Type II diabetes. The results confirmed that the multivariate classification system was unique and highly accurate. External validation, using general psychological as well as diabetes-specific measures, supported the validity and distinctiveness of the patients' profiles. These findings help establish a multiaxial psychosocial taxonomy of diabetes and may have significant implications for the management of patients with diabetes.
10.
Bouchard, S.; Gauthier, J.; Laberge, B.; French, D.; Pelletier, M. -H.; Godbout, C.
Exposure versus cognitive restructuring in the treatment of panic disorder with agoraphobia Article de journal
Dans: Behaviour Research and Therapy, vol. 34, no 3, p. 213–224, 1996, ISSN: 00057967 (ISSN), (Publisher: Elsevier Ltd).
Résumé | Liens | BibTeX | Étiquettes: adult, agoraphobia, article, behavior, clinical article, clinical trial, cognitive therapy, comparative study, controlled clinical trial, controlled study, exposure, female, follow up, human, male, panic, randomized controlled trial, treatment outcome
@article{bouchard_exposure_1996,
title = {Exposure versus cognitive restructuring in the treatment of panic disorder with agoraphobia},
author = {S. Bouchard and J. Gauthier and B. Laberge and D. French and M. -H. Pelletier and C. Godbout},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-0029943779&doi=10.1016%2f0005-7967%2895%2900077-1&partnerID=40&md5=dbca450db05b4a8edaed11706a3224ce},
doi = {10.1016/0005-7967(95)00077-1},
issn = {00057967 (ISSN)},
year = {1996},
date = {1996-01-01},
journal = {Behaviour Research and Therapy},
volume = {34},
number = {3},
pages = {213–224},
abstract = {The aim of this study was to assess the rate of change on clinical, behavioral and cognitive variables during exposure therapy and cognitive restructuring in the treatment of panic disorder with agoraphobia. A total of 28 Ss who received a diagnosis of panic disorder with agoraphobia were randomly assigned to either of two treatment conditions: exposure therapy or cognitive restructuring. Treatment conditions were kept as distinct as possible from each other. Subjects were assessed on five occasions: pretreatment, after 5, 10, and 15 (posttreatment) sessions of treatment and at a 6-month follow-up. Analyses of outcome data revealed strong and significant time effects on all measures. However, no group x time interaction reached statistical significance, suggesting that both strategies operate at the same pace. Furthermore, power analyses suggest that any difference that might exist in the rate of improvement between exposure and cognitive restructuring in the treatment of panic disorder with agoraphobia is marginal.},
note = {Publisher: Elsevier Ltd},
keywords = {adult, agoraphobia, article, behavior, clinical article, clinical trial, cognitive therapy, comparative study, controlled clinical trial, controlled study, exposure, female, follow up, human, male, panic, randomized controlled trial, treatment outcome},
pubstate = {published},
tppubtype = {article}
}
The aim of this study was to assess the rate of change on clinical, behavioral and cognitive variables during exposure therapy and cognitive restructuring in the treatment of panic disorder with agoraphobia. A total of 28 Ss who received a diagnosis of panic disorder with agoraphobia were randomly assigned to either of two treatment conditions: exposure therapy or cognitive restructuring. Treatment conditions were kept as distinct as possible from each other. Subjects were assessed on five occasions: pretreatment, after 5, 10, and 15 (posttreatment) sessions of treatment and at a 6-month follow-up. Analyses of outcome data revealed strong and significant time effects on all measures. However, no group x time interaction reached statistical significance, suggesting that both strategies operate at the same pace. Furthermore, power analyses suggest that any difference that might exist in the rate of improvement between exposure and cognitive restructuring in the treatment of panic disorder with agoraphobia is marginal.