Entre reconnaissance sociale et cohérence personnelle. Management des émotions chez les pompiers du Québec1

St-Denis, Karine

doi:10.7202/1021183ar

Cited by 6 publications

(4 citation statements)

References 29 publications

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“…These determinants are specific to the institutional context of military personnel and may represent risk factors. Thus, normative group pressure to follow codes that encourage the nonexpression of emotions [26] can be a risk factor, as military personnel can be reluctant to speak about their psychological and somatic symptoms, which delays treatment. A fear of stigmatization by the institution and peers is another potential barrier to care.…”

Section: The Social Dimensionmentioning

confidence: 99%

Implementation of a Primary Prevention Program for Posttraumatic Stress Disorder in a Cohort of Professional Soldiers (PREPAR): Protocol for a Randomized Controlled Trial

Le Barbenchon,

Trousselard,

Pellissier

et al. 2024

JMIR Res Protoc

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Background Posttraumatic stress disorder (PTSD) is a psychiatric disorder that can manifest after a traumatic event where the individual perceives a threat to his or her life or that of others. Its estimated prevalence in the European population is 0.7% to 1.9%. According to the “dose-response” model, individuals who are most exposed to traumatic events are most at risk of developing PTSD. Hence, it is unsurprising that studies have observed a higher prevalence among the military population, ranging from 10% to 18%, or even up to 45%. This project’s overall goal is to evaluate the primary prevention actions that can strengthen the resilience of at-risk professionals, notably military personnel, in the short term, with the medium- to long-term aim of preventing the occurrence of PTSD and improving the patient’s prognosis. Objective This study’s objectives are (1) to design a primary prevention program for PTSD, tailored to the studied military population and compatible with operational constraints; and (2) to implement and validate the Primary Prevention of Posttraumatic Stress Disorder in Military Professionals (PREPARE) program in the short term with operational personnel belonging to the French Mountain Infantry Brigade. Methods This is a single-center, prospective, randomized, parallel-group controlled cohort study. The cohort is divided into 2 groups: the nonintervention group receives no training, and the intervention group follows a dedicated prevention program (structured into 8 workshops and 2 debriefing and practice reinforcement workshops). Each participant is evaluated 4 times (at inclusion, +4 months, +6 months, and +12 months). During each visit, participants complete several psychosocial questionnaires (which take 15-80 minutes to complete). Samples (a 30-mL blood sample and three 5-mL saliva samples) are collected on 3 occasions: at inclusion, +4 months, and +12 months. Emotional reactivity (electrocardiogram and electrodermal activity) is measured before, during, and after the classic and the emotional Stroop task. Results The project is currently ongoing, and results are expected to be published by the end of 2024. Conclusions The study adopts an integrative approach to the processes that play a role in the risk of developing PTSD. Our biopsychosocial perspective makes it possible to target levers related to factors specific to the individual and socio-professional factors. The following dimensions are addressed: (1) biophysiology (by studying markers of the neurobiological stress response, wear and tear, and vulnerability phenomena and reinforcing the flexibility of the autonomic nervous system), (2) psychology (by facilitating and measuring the development of flexible coping strategies to deal with stress and evaluating the moderating role of the individual’s sense of duty in the development of PTSD), and (3) social (by facilitating community strategies aimed at reducing stigmatization and supporting the use of care by professionals in difficulty, in the institutional context). Trial Registration ClinicalTrials.gov NCT05094531; https://clinicaltrials.gov/study/NCT05094531 International Registered Report Identifier (IRRID) DERR1-10.2196/47175

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Section: The Social Dimensionmentioning

confidence: 99%

Implementation of a Primary Prevention Program for Posttraumatic Stress Disorder in a Cohort of Professional Soldiers (PREPAR): Protocol for a Randomized Controlled Trial

Le Barbenchon,

Trousselard,

Pellissier

et al. 2024

JMIR Res Protoc

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“…Comme tous les acteurs sociaux, ils vivent une socialisation professionnelle et se présentent conformément aux attentes adressées par et envers leur profession (Desmond, 2006a(Desmond, , 2006b(Desmond, , 2007Pudal, 2011;Scott & Myers, 2002;St-Denis, 2013;Van Maanen & Schein, 1979 Sans surprise, l'entrevue, bien que pertinente, dura en longueur. À notre retour dans la salle commune de la caserne, nous avons joué le jeu en nous excusant de la durée de notre rencontre; excuses accueillies par un « tant mieux, il y a des choses qui doivent se régler juste en famille » (propos issus de notre journal de terrain).…”

Section: La Modification Des Comportementsunclassified

“…Dans les milieux des intervenants d'urgence, l'humour, particulièrement l'humour noir, est utilisé pour désamorcer des situations difficiles (Desmond, 2006a(Desmond, , 2006bScott & Myers 2002;St-Denis 2013;Tangherlini, 2000). Lors de nos premières présences en caserne, nous avions remarqué une atmosphère agréable de camaraderie, 72 telle que décrite dans les écrits (Desmond, 2006a(Desmond, , 2006b(Desmond, , 2007Douesnard, 2012;Pudal, 2011), mais le ton des conversations était formel et exempt d'humour.…”

Section: La Modification Des Comportementsunclassified

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La mobilisation des savoirs lors de recherches ethnographiques. Illustrations à partir de terrains chez les pompiers et paramédics du Québec

St-Denis

2018

approchesind

Self Cite

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La méthode ethnographique se caractérise par son induction, mais observer et analyser une culture et diffuser efficacement ses résultats de recherche nécessite de mobiliser les résultats de recherches antérieures. Le chercheur inductif doit donc parvenir à gérer l’équilibre précaire entre l’induction analytique et l’appel aux savoirs préexistants. À partir de nos travaux récents chez les pompiers et ambulanciers paramédics québécois, nous montrerons comment la mobilisation des connaissances contribue à l’identification et au dépassement des biais inhérents à la recherche terrain, à l’analyse des données ainsi qu’à l’écriture et à la diffusion des résultats de recherche.

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Implementation of a Primary Prevention Program for Posttraumatic Stress Disorder in a Cohort of Professional Soldiers (PREPAR): Protocol for a Randomized Controlled Trial (Preprint)

Barbenchon¹,

Trousselard²,

Pellissier³

et al. 2023

Preprint

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BACKGROUND Post-traumatic stress disorder (PTSD) is a psychiatric disorder that can manifest after a traumatic event, in which the individual perceives a threat to his or her life, or that of others. Its estimated prevalence in the European population is 0.7–1.9%. According to the ‘dose-response’ model, individuals who are most exposed to traumatic events are most at risk of developing the disorder. Hence, it is unsurprising that studies have observed a higher prevalence among the military population, ranging from 10–18%, or even up to 45%. The overall goal of this project is to evaluate primary prevention actions that can strengthen the resilience of at-risk professionals, notably military personnel, in the short term, with the medium to long-term aim of preventing the occurrence of PTSD, and improving the patient’s prognosis. OBJECTIVE The project’s objectives are: (i) to design a primary prevention program for PTSD, tailored to the studied military population, and compatible with operational constraints; and (ii) to implement/ validate the PREPAR program in the short term with operational personnel belonging to the French Mountain Infantry Brigade (Brigade d’Infanterie de Montagne). METHODS This is a single-center, prospective, randomized, parallel-group controlled cohort study. The cohort of 116 participants is divided into two groups: the non-intervention (NI) group receives no training, and the intervention group (I) follows a dedicated prevention program. Each participant is evaluated four times (at inclusion, +4 months, +6 months, and +12 months). Members of the I group attend eight workshops, making up the prevention program, and two debriefing and practice reinforcement workshops. All visits and workshops are conducted at the Brigade’s premises. During each visit, participants complete several psychosocial questionnaires (which take 15–80 minutes to complete, depending on the visit). Samples (a 30 ml blood sample, and three 5 ml saliva samples) are collected on three occasions: at inclusion, +4 months, and +12 months. Emotional reactivity (electrocardiogram and electrodermal activity) is measured before, during and after the classic and the emotional Stroop task, using surface electrodes placed on the last phalanx of two fingers, and the thorax. RESULTS This a protocol paper, therefore there is no result presented CONCLUSIONS The study adopts an integrative approach to the processes that play a role in the risk of developing PTSD. Our biopsychosocial perspective makes it possible to target levers related to factors specific to the individual (at physiological and psychological levels), and contextual and social factors (related to the professional environment). The following dimensions are addressed: (i) biophysiology (by studying the key markers of the neurobiological stress response, wear and tear, and vulnerability phenomena, and by reinforcing the flexibility of the autonomic nervous system), (ii) psychology (by facilitating and measuring the development of flexible coping strategies to deal with stress, and evaluating the moderating role of the individual’s sense of duty in the development of PTSD) and (iii) social (by facilitating community strategies aimed at reducing stigmatization and supporting the use of care by professionals in difficulty, in the institutional context). CLINICALTRIAL Trial Registration: ClinicalTrials.gov NCT05094531.

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Entre reconnaissance sociale et cohérence personnelle. Management des émotions chez les pompiers du Québec1

Cited by 6 publications

References 29 publications

Implementation of a Primary Prevention Program for Posttraumatic Stress Disorder in a Cohort of Professional Soldiers (PREPAR): Protocol for a Randomized Controlled Trial

Implementation of a Primary Prevention Program for Posttraumatic Stress Disorder in a Cohort of Professional Soldiers (PREPAR): Protocol for a Randomized Controlled Trial

La mobilisation des savoirs lors de recherches ethnographiques. Illustrations à partir de terrains chez les pompiers et paramédics du Québec

Implementation of a Primary Prevention Program for Posttraumatic Stress Disorder in a Cohort of Professional Soldiers (PREPAR): Protocol for a Randomized Controlled Trial (Preprint)

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