Catherine Potard

Bullying, sleep/wake patterns and subjective sleep disorders: Findings from a cross-sectional survey

The aim of this study was to explore: (a) sleep patterns and disorders possibly associated with adolescent bullying profiles (pure bully, pure victim, bully/victim and neutral) and (b) the effect of sleep on psychosocial problems (externalized and internalized) related to bullying. The sample consisted of 1422 students aged 10–18 (mean = 14.3, SD = 2.7; 57% male) from five socioeconomically diverse schools in France. Bullying profiles were obtained using the revised Bully–Victim Questionnaire. Subjective sleep disorders were assessed using the Athens Insomnia Scale. School-week and weekend sleep/wake patterns were recorded. Internalizing problems were investigated using a Perceived Social Disintegration Scale and a Psychological Distress Scale. Externalizing behaviors were assessed using a General Aggressiveness Scale and an Antisocial Behavior Scale. These questionnaires were administered during individual interviews at school. After controlling for effects of gender and age, victims of bullying showed significantly more subjective sleep disturbances than the pure-bully or neutral groups (p < 0.001). Bullies’ sleep schedules were more irregular (p < 0.001 for bedtime irregularity and p<0.01 for wake-up time irregularity) and their sleep duration was shorter than their schoolmates (p < 0.001 for the school week and p < 0.05 for the weekend). There was an effect of sleep on psychosocial problems related to bullying, and our results indicate that sleep has a moderating effect on aggression in bullies (p < 0.001). This would suggest a higher vulnerability of bullies to sleep deprivation. These results show differences in sleep problems and patterns in school-bullying profiles. Findings of this study open up new perspectives for understanding and preventing bullying in schools, with implications for research and clinical applications.

Determinants of the intention to use condoms in a sample of French adolescents

ABSTRACT Objective To identify the determinants of the intention to use and actual use of condoms in a sample of French adolescents based on Ajzens Theory of Planned Behaviour. Method Two-hundred-and-thirty French secondary-school students (mean age: 17.68 years; SD = 1.08) completed a questionnaire about condom use intention. Results ‘Perceived behavioural control’, ‘individual attitudes’, ‘subjective socio-cultural norms’ and ‘subjective norms of close friends and relatives’ are the main factors explaining 33% of variance of condom use intention. For girls, intention is essentially associated with perceived control, subjective norms (‘close friends and relatives’, and then, ‘socio-cultural norms’) and individual attitudes, whereas for boys, it is more closely linked to individual attitudes and to subjective socio-cultural norms. The best predictors of the intention to use a condom are perceived control and individual attitudes for girls while, for boys, individual attitudes come before perceived control. Conclusion In order to design effective programmes for prevention of sexually transmitted infections, the determinants of the intention to use condoms must be considered.

Validation of the French version of the Suicidal Ideation Questionnaire among adolescents

Teenage suicide is a major public health issue in Western societies, especially in France. An instrument to measure suicidal thoughts in French adolescents and thus identify the teenagers at risk is urgently required. The aim of this study was to validate a French version of the Suicidal Ideation Questionnaire (SIQ) for use with teenagers. Respondents (n=956, age range 14-18.0) completed the SIQ and other convergent measures (self-esteem, psychic morbidity, anxiety, and personality) for three validation steps (general and clinical samples). A confirmatory factor analysis was performed on the SIQ. The study supported a 30-item one-factor model, similar to the original questionnaire, with moderate model fit indices (χ(2)/ddl=3.21; RMSEA=0.05; CFI=0.87; GFI=0.92). Significant correlations (-0.22 to 0.74) were found with convergent measures among general (n=871) and psychiatric samples (n=38). A high internal consistency was found with a reliability coefficient of 0.91. The results confirm the psychometric qualities of the questionnaire for French adolescents.

The relationship between parental attachment and sexuality in early adolescence

This study questions the links between the young adolescents quality of attachment to the mother and father (secure, ambivalent or avoidant) and the sexual behaviours reported by early adolescents. Two questionnaires were completed by 312 French middle-school students (mean age: 13.8 years) to test attachment style and sexuality (emotion, intention and relation). Ambivalent attachment was related to greater sexual involvement than to secure attachment. Avoidant attachment to the mother was associated with emotional disinvestment in sexuality. Avoidant attachment to the father appears to influence sexual decision-making, especially for girls. These results support an individuated conception of attachment patterns with differential influence of dyadic relationships and could provide a better understanding of adolescent sexual behaviour.

Psychometric properties of the French version of the short form of the Coopersmith Self-Esteem Inventory among adolescents and young adults.

We examined the psychometric qualities of the Short Form of the Coopersmith Self-Esteem Inventory (SF-CSEI) in a large sample of French adolescents and young adults. A 25-item French version was administered to 1,362 participants (561 aged below 16 years and 801 aged 16–25 years). Participants also completed other scales to measure construct validity (e.g., Rosenberg Self-Esteem Scale, Hospital Anxiety and Depression Scale, and General Health Questionnaire). Factorial analysis yielded evidence for a structure with three first-order factors for the SF-CSEI: personal, social, and family-derived self-esteem. The internal consistency of the questionnaire’s different dimensions was satisfactory (Cronbach’s α = .68–.77). Pearson’s correlation coefficients showed that the SF-CSEI had moderate to high correlations with convergent measures (r = .19–.73) and constructs related to self-esteem (r = −.23–.65). Psychiatric patients (n = 67) scored significantly lower than a control group. Test–retest reliability was good for some of the factors, especially at 5 weeks and 1 year (r = .29–.79). The French version of the SF-CSEI appears to be a useful instrument, with a cross-culturally stable factorial structure.

Peer violence, mental health and suicidal ideation in a sample of French adolescent

The aim of this study was to investigate the link between suicidal ideation, psychological morbidity and experiences with peer violence (victim or perpetrator) among adolescents. This study examined direct and indirect violence separately. A sample of 361 high school students from France completed a self-administered survey consisting of the Suicidal Ideation Questionnaire, the Rosenberg Self-Esteem Scale and the General Health Questionnaire. Indirect peer victimization experienced by girls and direct peer victimization experienced by boys were more strongly linked to suicidal thoughts. Indirect aggression was also related to suicidal ideation among boys only. Indirect victimization at school was linked to a drop in self-esteem, a factor strongly related to the level of suicidal ideation, particularly for boys. These findings show that adolescent peer violence must be given particular attention in educational institutions due to its links not only with suicidal ideation, but also more broadly with students’ psychological distress.

Psychological barriers and facilitators of colorectal cancer screening: a French qualitative study

The aim of this qualitative study was to explore the psychological barriers to and facilitators of undergoing the Hemoccult-II® colorectal cancer screening test in France. Sixty-nine French people aged 50 to 74 years were divided into seven qualitative focus groups. Three issues were discussed with participants: knowledge and beliefs about colorectal cancer screening; facilitators of colorectal cancer screening by Hemoccult-II®; barriers to colorectal cancer screening by Hemoccult-II®. All the discussions were led by two psychologists and were recorded, transcribed verbatim and analyzed using qualitative data analysis software. Correspondence factor analyses identified three dimensions for each topic. The main psychological facilitators of colorectal cancer screening were: information about colorectal cancer screening, perceived simplicity of using Hemoccult-II®, and perception of risk. Uncertainty about the reliability of Hemoccult-II®, health anxiety, and embarrassment emerged as the main barriers to colorectal cancer screening. Cross-sectional analyses identified the differences between the views expressed by women and men. Women appeared more embarrassed about Hemoccult-II® and men seemed to be more worried about colorectal cancer. This preliminary study suggests that psychological factors play an important role in colorectal cancer screening by Hemoccult-II®. This finding may help health organizations to conceive better awareness campaigns to promote colorectal cancer screening in order to reduce the related mortality rate by taking into account psychological determinants.

Examining Relationships Between Sexual Risk–Safety Behaviors and Physical Self-Concept by Gender: A Cluster Analytical Approach

Sexual behavior is a normative part of the transition to adulthood, with an intensification of the exploration of the links between self-esteem, sexuality, and physical self-perception. This study examined the relationships between sexual risk–safety behaviors and overall physical self-concept, as well as its subdimensions such as sports ability, body fat, or physical appearance. In total, 652 sexually active undergraduate students completed self-report questionnaires about their physical self-concept and sexual behaviors. A clustering analysis described three patterns of sexual risk–safety behaviors for women and men: “birth control in a relationship,” “condom users,” and “risk-takers.” The male sexual risk-takers reported lower physical self-concept scores related to physical competence and masculinity subdomains (sports, endurance) than the two other groups. The female sexual risk-takers expressed significantly higher physical dissatisfaction in social and femininity subdomains (appearance, strength) than the others. A lack of perceived physical coordination was strongly associated with sexual risk-taking for both men and women. These findings indicate that specific subdomains of physical self-concept may be linked to safer or risky sexual behaviors in a sample of young adults.