Lyne Desrosiers

Bio: Lyne Desrosiers is an academic researcher from Université du Québec à Trois-Rivières. The author has contributed to research in topics: Humanities & Medicine. The author has an hindex of 3, co-authored 7 publications receiving 51 citations.

Sensory Processing Difficulties in Youths With Disruptive Mood Dysregulation Disorder

Abstract: Difficulty modulating sensory information has been described in children with developmental disorders. However, the relation of sensory processing difficulties (SPD) to emotional regulation problems remains poorly understood. The aim of this study is to determine the rate and patterns of SPD in youth with disruptive mood dysregulation disorder (DMDD). Participants were DMDD patients aged 6-16 years presenting at a university hospital in outpatient or inpatient facilities (n = 30). For each participant, the parent-reported Sensory Profile, the Affective Lability Scale, the Beck Depression Inventory-Second Edition, the Child Behavior Checklist/4-18, and the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version were completed. The scores of the Sensory Profile of the DMDD youths were compared to those obtained in a clinical control group and to the manual scores for same-age typically developing youths. SPD were reported in 53% of the subjects in the DMDD group compared to 33% in the clinical control group (p = 0.405). Youths with DMDD showed a significant difference on almost all items of the Sensory Profile compared to typically developing youth. The Sensory Profile was found to discriminate best between the participants with DMDD and those in the clinical control group with regard to the category "Behavioral outcomes of sensory processing" and the factor "Fine motor/perceptual behavior." All types of sensory processing patterns were reported in the DMDD youths: sensation avoiding (40%), low registration (27%), sensory sensitivity (20%), and sensation seeking (10%). As a group, youths with DMDD have significantly more SPD when compared to typical youths. Therefore, SPD could be an important factor to consider in youths with DMDD when providing comprehensive assessment and therapeutic interventions.

Être intervenant auprès de parents ayant un trouble de personnalité limite en protection de la jeunesse : quand la souffrance de l’un se conjugue au désarroi de l’autre

Abstract: Environ 22,5% des meres d’enfants pris en charge par les services de protection de la jeunesse presente un trouble de personnalite limite avere ou probable. Il existe cependant tres peu d’informations sur les defis que doivent relever les intervenants psychosociaux qui travaillent avec cette clientele dans le contexte d’un mandat de protection. Cette etude qualitative s’est penchee sur cette problematique particuliere. Les donnees ont ete recueillies selon la methode du groupe cible (focus group) aupres de 104 intervenants du Centre jeunesse de Montreal-Institut universitaire dans le cadre de six rencontres. Les resultats suggerent que ceux-ci percoivent que leurs interventions aupres de ces familles sont soumises a un ensemble de contingences qui rendent leur travail particulierement complexe et exigeant. Trois themes principaux relies aux preoccupations et aux difficultes a l’egard de leur pratique et de leurs besoins ont ainsi ete mis en evidence. Le premier concerne les difficultes d’intervention liees au contexte interpersonnel. Les analyses revelent notamment que devoir concilier protection des enfants et aide aux parents ou encore parler aux enfants du trouble mental de leur parent s’averent difficile pour eux. Le second theme, les enjeux lies au contexte environnemental, concernent leurs perceptions des contingences associees a l’organisation interne des services en centre jeunesse et a la collaboration avec les partenaires externes (milieu judiciaire et psychiatrie adulte). L’impact des contextes interpersonnel et environnemental sur les intervenants eux-memes constitue le troisieme theme. Les analyses suggerent que la prise en charge des familles touchees par ce trouble mental sollicite enormement les intervenants sur le plan affectif et cognitif et leur pose des defis cliniques quotidiens. Enfin, cet article souligne l’importance de se preoccuper des defis auxquels font face les intervenants oeuvrant aupres de familles touchees par un trouble de personnalite limite et presente quelques recommandations d’ordre organisationnel et clinique pour mieux les soutenir.

Modèle de l’engagement et de l’abandon de traitement de l’adolescent avec trouble de personnalité limite

Abstract: Malgre une vaste litterature sur l’abandon de traitement en pedopsychiatrie, les connaissances sur cette problematique chez l’adolescent avec trouble de personnalite limite (TPL) demeurent peu developpees. Les consequences d’un arret premature du traitement sont serieuses considerant la recurrence de leurs conduites suicidaires. Afin de comprendre les processus associes a l’instabilite du mode de consultation de ces adolescents, une methode de theorisation ancree constructiviste avec un devis de cas multiples a ete utilisee. Trente-quatre entrevues aupres de trois groupes d’informateurs (adolescent, parent et clinicien) ont ete realisees. Un modele explicatif des facteurs de risque d’abandon, mais aussi des conditions susceptibles de favoriser la poursuite du traitement a ete elabore. Il identifie les determinants de l’abandon qui sont specifiques aux adolescents avec TPL et decrit les processus par lesquels ceux-ci interferent avec la poursuite du traitement. Deux moments critiques ont ete mis en evidence. Le premier survient au moment de l’offre de traitement. Il est determine par les capacites du dispositif de soins a profiter de l’impulsion de la demande d’aide pour engager l’adolescent et le parent en tenant compte de leurs vulnerabilites a l’abandon. Le deuxieme moment critique survient en cours de traitement. Il est marque par les capacites du dispositif de soins a adopter des mesures correctives lorsqu’apparaissent des complications d’engagement. Ces resultats mettent en evidence l’importance des reponses du dispositif de soins et suggerent que l’engagement des adolescents avec TPL devrait constituer un objectif therapeutique au meme titre que la reduction de la symptomatologie et des problemes de vie.

Engagement complications of adolescents with borderline personality disorder: navigating through a zone of turbulence.

Abstract: Premature treatment discontinuation is a widespread phenomenon in child and adolescent mental health services that impacts treatment benefits and costs of care Adolescents with borderline personality disorder (BPD) are heavy users of health care services and notoriously difficult to engage in treatment However, there is hardly any data regarding this phenomenon with these youths Considering that BPD treatment is associated with intense and chaotic therapeutic processes, exploring barriers emerging in the course of treatment could be relevant Thus, conceptualizing treatment dropout as a process evolving from engagement to progressive disengagement, and ultimately to dropout, could highlight the mechanisms involved The aim of this study was to describe the process of treatment disengagement and identify warning signs that foreshadow dropouts of adolescents with BPD A constructivist grounded theory method was used This method has been favoured based on the assumption that the behaviours and decisions leading to disengagement may be better informed by the subjective experience of treatment Thirty-three interviews were conducted to document 11 treatment trajectories with 3 groups of informants (9 adolescents with BPD 13–17 of age, 11 parents, and 13 clinicians) Well before dropout occurs, different phenomena identified as “engagement complications” characterize the disengagement process These unfold according to a three-step sequence starting with negative emotions associated with the appropriateness of treatment, the therapeutic relationship or the vicissitudes of treatment These emotions will then generate treatment interfering attitudes that eventually evolve into openly disengaged behaviours These complications, which may sometimes go unnoticed, punctuate the progression from treatment engagement to disengagement leading the way towards the development of a “zone of turbulence” which creates a vulnerable and unstable therapeutic process presenting risk for late dropout Engagement of adolescents with BPD is neither static nor certain, but on the contrary, subject to their fluctuating perceptions Therefore, it can never be taken for granted Clinicians must constantly pay attention to emergent signs of engagement complications Maintaining the engagement of adolescents with BPD should be a therapeutic objective akin to reducing symptomatology or improving psychosocial functioning, and should therefore be given the same attention

The work of health auxiliaries in social services and the implementation of a new approach to intervene with clients with dementia

Abstract: The aging of the population leads to an increase in the needs for seniors who want to stay at home. In the home support business line, programs are deployed, new methods for dealing with clients are implemented, and technologies are increasingly being used to improve the services offered. Although several studies focus on the factors that may have an impact on the work and health of healthcare and social service providers, few focus on home support aides. Even fewers studies talk about the impact of innovation on the work and health of these workers. The purpose of this article is to present the results of a study carried out among healthcare and social services workers in a region of Quebec, in Canada. The analysis of the results allows us to draw a picture of the sources of satisfaction and suffering associated with the practice of this profession, as well as the strategies used by the participants to cope with the suffering. Moreover, the analysis of the results leads to a reflection on innovation in this sector of activity.

Constructing Grounded Theory: A Practical Guide through Qualitative Analysis

Abstract: การวจยเชงคณภาพ เปนเครองมอสำคญอยางหนงสำหรบทำความเขาใจสงคมและพฤตกรรมมนษย การวจยแบบการสรางทฤษฎจากขอมล กเปนหนงในหลายระเบยบวธการวจยเชงคณภาพทกำลงไดรบความสนใจ และเปนทนยมเพมสงขนเรอยๆ จากนกวชาการ และนกวจยในสาขาสงคมศาสตร และศาสตรอนๆ เชน พฤตกรรมศาสตร สงคมวทยา สาธารณสขศาสตร พยาบาลศาสตร จตวทยาสงคม ศกษาศาสตร รฐศาสตร และสารสนเทศศกษา ดงนน หนงสอเรอง “ConstructingGrounded Theory: A Practical Guide through Qualitative Analysis” หรอ “การสรางทฤษฎจากขอมล:แนวทางการปฏบตผานการวเคราะหเชงคณภาพ” จะชวยใหผอานมความรความเขาใจถงพฒนาการของปฏบตการวจยแบบสรางทฤษฎจากขอมล ตลอดจนแนวทาง และกระบวนการปฏบตการวจยอยางเปนระบบ จงเปนหนงสอทควรคาแกการอานโดยเฉพาะนกวจยรนใหม เพอเปนแนวทางในการนำความรความเขาใจไประยกตในงานวจยของตน อกทงนกวจยผเชยวชาญสามารถอานเพอขยายมโนทศนดานวจยใหกวางขวางขน

Impact of COVID-19 on loneliness, mental health, and health service utilisation: a prospective cohort study of older adults with multimorbidity in primary care.

Abstract: Background The COVID-19 pandemic has impacted the psychological health and health service utilisation of older adults with multimorbidity, who are particularly vulnerable. Aim To describe changes in loneliness, mental health problems, and attendance to scheduled medical care before and after the onset of the COVID-19 pandemic. Design and setting Telephone survey on a pre-existing cohort of older adults with multimorbidity in primary care. Method Mental health and health service utilisation outcomes were compared with the outcomes before the onset of the COVID-19 outbreak in Hong Kong using paired t-tests, Wilcoxon’s signed-rank test, and McNemar’s test. Loneliness was measured by the De Jong Gierveld Loneliness Scale. The secondary outcomes (anxiety, depression, and insomnia) were measured by the 9-item Patient Health Questionnaire, the 7-item Generalized Anxiety Disorder tool, and the Insomnia Severity Index. Appointments attendance data were extracted from a computerised medical record system. Sociodemographic factors associated with outcome changes were examined by linear regression and generalised estimating equations. Results Data were collected from 583 older (≥60 years) adults. There were significant increases in loneliness, anxiety, and insomnia, after the onset of the COVID-19 outbreak. Missed medical appointments over a 3-month period increased from 16.5% 1 year ago to 22.0% after the onset of the outbreak. In adjusted analysis, being female, living alone, and having >4 chronic conditions were independently associated with increased loneliness. Females were more likely to have increased anxiety and insomnia. Conclusion Psychosocial health of older patients with multimorbidity markedly deteriorated and missed medical appointments substantially increased after the COVID-19 outbreak.