References of "Adam, Stéphane"
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See detailInfluence des stéréotypes dans l'évaluation neuropsychologique
Marquet, Manon ULg; Adam, Stéphane ULg

in Amieva, Hélène; Bellin, Catherine; Maillet, Didier (Eds.) L’Evaluation Neuropsychologique : De la Norme à l’Exception (in press)

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See detailHow should proxies of Cognitive Reserve be evaluated in a population of healthy older adults?
Grotz, Catherine ULg; Seron, Xavier; Van Wissen, Marie et al

in International Psychogeriatrics (in press)

Background: While some tools have been developed to estimate an individual’s cognitive reserve (CR), no study has assessed the adequacy of the method used for assessing these CR proxy indicators ... [more ▼]

Background: While some tools have been developed to estimate an individual’s cognitive reserve (CR), no study has assessed the adequacy of the method used for assessing these CR proxy indicators. Therefore, we aimed to determine the most appropriate method to estimate CR by comparing two approaches: 1) the common assessment of CR proxies in the literature (e.g., years of education) and 2) the calculation of a comprehensive index based on most significant parameters used in the estimation of CR. Methods: Data on CR proxies: (i.e., education, occupation and leisure activities) were obtained in a sample of 204 older adults. Regression analyses were used to develop the two indices of CR (i.e., ICR-standard and ICR-detailed) and to determine which index best represented the level of one’s CR. Results: The ICR-standard was calculated using a combination of the three most common measures of reserve in the literature: number of schooling years, complexity of the primary occupation and amount of current participation in stimulating activities. The ICR-detailed was calculated using the most significant parameters (established in initial analyses) of CR: highest level of education combined with the number of training courses, last occupation and amount of current participation in social and intellectual activities. The comparison of both indices showed that higher levels of ICR-standard and ICR-detailed were associated with a greater minimization of the effects of age on cognition. However, the ICR-detailed was more strongly associated to this minimization than the ICR-standard, suggesting that the ICR-detailed best reflect one’s CR. Conclusion: This study is the first to show that it is of great importance to question methods measuring CR proxies in order to develop a clinical tool allowing a comprehensive and accurate estimation of CR. [less ▲]

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See detailA Validation of the French Version of the Attitudes to Aging Questionnaire (AAQ): Factor Structure, Reliability and Validity
Marquet, Manon ULg; Missotten, Pierre ULg; Schroyen, Sarah ULg et al

in Psychologica Belgica (in press)

Introduction: The Attitudes to Aging Questionnaire (AAQ) was developed to measure attitudes toward the aging process as a personal experience from the perspective of older people. The present study aimed ... [more ▼]

Introduction: The Attitudes to Aging Questionnaire (AAQ) was developed to measure attitudes toward the aging process as a personal experience from the perspective of older people. The present study aimed to validate the French version of the AAQ. Participants and methods: This study examined factor structure, acceptability, reliability and validity of the AAQ’s French version in 238 Belgian adults aged 60 years or older. In addition, participants provided information on demographics, self-perception of their mental and physical health (single items), quality of life (WHOQOL-OLD) and social desirability (DS-36). Results: Exploratory Factor Analysis produced a three-factor solution accounting for 36.9% of the variance. No floor or ceiling effects were found. The internal consistency, measured by Cronbach’s alpha coefficients for the AAQ subscales were 0.62 (Physical Change), 0.74 (Psychological Growth), and 0.75 (Psychosocial Loss). A priori expected associations were found between AAQ subscales, self-reported health and quality of life, indicating good convergent validity. The scale also showed a good ability to discriminate between people with lower and higher education levels, supporting adequate known-groups validity. Finally, we confirmed the need to control for social desirability biases when assessing self-reported attitudes toward one’s own aging. Conclusion: The data support the usefulness of the French version of the AAQ for the assessment of attitudes toward their own aging in older people. [less ▲]

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See detailRéserve Cognitive
Adam, Stéphane ULg; Grotz, Catherine ULg

in L’Encyclopaedia Universalis (in press)

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See detailAgeism among medical students
Corvol, Aline; Missotten, Pierre ULg; Gentric, Armelle et al

Poster (2016, October 06)

Introduction Negative stereotypes concerning elderly persons are widespread in general population. When they are adopted by health care professionals, it can decrease the quality of care or even induce ... [more ▼]

Introduction Negative stereotypes concerning elderly persons are widespread in general population. When they are adopted by health care professionals, it can decrease the quality of care or even induce disability. That’s why medical curriculum should take the question of ageism in consideration. Though, little is known about ageism among medical students and its determinants. Method We conducted a study on Rennes University (France) medical students (year 2 to year 6) using on line questionnaire. Validated tools, such as Fraboni Scale of Ageism, and innovating ones, such as verbal fluency task about aging and youth, have been proposed. Results have been compared with those obtained in Liège, Belgium, and analyzed according to age, gender, year of study, and geriatric training. Results Response rate was above 90%, leading to 814 replies. Replies, especially at the verbal fluency task, demonstrate the strength of negative stereotypes, with similar results in Rennes and Liège. No effect of courses or internship in geriatrics has been identified. Negative stereotypes seem lower in female students, and in those who have regular contact with elderly persons, especially if these contacts are good. Key conclusion Ageism is widespread in French medical students, whatever the year of study. Enhancing positive contacts between elderly persons and medical students may be an effective way to prevent it, but may be challenging to implement. Further studies could focus on implicit stereotypes to underplay the social desirability bias. [less ▲]

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See detailThe link between self-perceptions of aging, cancer view and physical and mental health of older people with cancer: A cross-sectional study
Schroyen, Sarah ULg; Marquet, Manon ULg; Jerusalem, Guy ULg et al

in Journal of Geriatric Oncology (2016)

Objectives Older people may suffer from stigmas linked to cancer and aging. Although some studies suggested that a negative view of cancer may increase the level of depression, such an association has ... [more ▼]

Objectives Older people may suffer from stigmas linked to cancer and aging. Although some studies suggested that a negative view of cancer may increase the level of depression, such an association has never been studied in the elderly population. Similarly, even though it is established that a negative self-perception of aging has deleterious consequences on mental and physical health in normal aging, the influence in pathological contexts, such as oncology, has not been studied. The main aim of this study is thus to analyze the effect of these two stigmas on the health of elderly oncology patients. Materials and Methods 101 patients suffering from a cancer (breast, gynecological, lung or hematological) were seen as soon as possible after their diagnosis. Their self-perception of age, cancer view and health (physical and mental) was assessed. Results Multiple regressions showed that patients with a more negative self-perception of aging and/or more negative cancer view reported poorer global health. We also observed that negative self-perception of aging was associated with worse physical and mental health, whereas negative cancer views were only linked to worse mental health. No interaction was observed between these two stigmas, suggesting that their action is independent. Conclusion Older patients with cancer face double stigmatization, due to negative self-perception of aging and cancer, and these stigmas have impacts on global and mental health. Self-perception of aging is also linked to physical health. Longitudinal studies will be necessary to analyze the direction of the association between this double stigmatization and health. [less ▲]

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See detailPsychological transition and adjustment processes related to retirement: Influence on cognitive functioning
Grotz, Catherine ULg; Matharan, Fanny; Pérès, Karine et al

in Aging & Mental Health (2016)

Objective: To investigate the relationship between psychological transition and adjustment to retirement and cognitive performances in older adults. Methods: The study’s sample was taken from the Approche ... [more ▼]

Objective: To investigate the relationship between psychological transition and adjustment to retirement and cognitive performances in older adults. Methods: The study’s sample was taken from the Approche Multidisciplinaire Int egr ee cohort, a French prospective study of retirees from agriculture, aged 65 and over, living in rural settings in southwestern France. The cross-sectional analyses were conducted on a sample of 590 elderly people without dementia at baseline and for whom information on perception of the work setting, experience of the retirement transition and adaptation to retirement life (nine variables) as well as neuropsychological measures (global cognitive functioning, episodic memory, verbal fluency, attention and psychomotor speed) were available at first visit. Results: Multivariable linear regression analyses, including nine variables related to retirement and adjusted for potential confounding factors, indicated that three of them positive consideration of former work situation, development of new activities during retirement and good adaptation to free time were associated with better cognitive performances. Conclusions: We found that several factors proved to be determinants of good cognitive functioning at retirement and could serve as a basis for the development of more efficient intervention programs aimed at helping retirees to maintain good cognitive functioning after retirement. [less ▲]

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See detailAgeism in Belgium and Burundi: A comparative analysis
Marquet, Manon ULg; Missotten, Pierre ULg; Schroyen, Sarah ULg et al

in Clinical Interventions in Aging (2016), 11

Background: Recent cross-cultural comparisons between Asian and Western cultures have shown that ageism arises more from the lack of availability of social and economic resources for older adults than ... [more ▼]

Background: Recent cross-cultural comparisons between Asian and Western cultures have shown that ageism arises more from the lack of availability of social and economic resources for older adults than from the culture itself. We tested this assumption by conducting a survey among people living in a least-developed country compared with a developed country. Methods: Twenty-seven Belgians living in Belgium, 29 Burundians living in Belgium and 32 Burundians living in Burundi were included in this study. Their attitudes toward older adults were assessed using several self-reported measures. Results: Statistical analyses confirmed that older people are more negatively perceived by Burundians living in Burundi than by Burundians and Belgians living in Belgium, whose attitudes did not differ from each other. Conclusion: Consistent with our hypothesis, our results suggest that the level of development of a country and more particularly the lack of government spending on older people (pension and healthcare systems) may contribute to their younger counterparts perceiving them more negatively. [less ▲]

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See detailProgramme de soutien aux aidants de patients présentant la maladie d’Alzheimer : une étude de cas
Clesse, Audrey ULg; Missotten, Pierre ULg; Adam, Stéphane ULg

Poster (2016, July 05)

Il est largement reconnu que vivre au jour le jour avec un proche atteint de la maladie d’Alzheimer est une situation particulièrement éprouvante. La charge générée par cette maladie peut menée à des ... [more ▼]

Il est largement reconnu que vivre au jour le jour avec un proche atteint de la maladie d’Alzheimer est une situation particulièrement éprouvante. La charge générée par cette maladie peut menée à des états de fatigue psychologiques et physiques, voir au burnout, pour l’aidant. Plusieurs études sur la santé des aidants prenant en charge un proche dément ont montré qu’ils constituent, en comparaison aux personnes s’occupant d’un individu âgé non dément, une population à risque, notamment en termes de symptômes dépressifs, détresse psychologique ou de problèmes de santé. Ces constats alarmants justifient la mise en place de programmes de soutien visant à offrir un suivi thérapeutique aux personnes ayant un conjoint ou un parent présentant une démence de type Alzheimer. Nous présentons l’étude de cas de Mme C.G., fille d’une patiente âgée de 79 ans, ayant suivi le programme de soutien développé par Adam et al. (2009), basé sur l’approche de gestion du stress qui suggère l’utilisation de stratégies d’ajustement centrées sur la résolution de problèmes. Avant et après l’intervention, Mme C.G. a répondu à différents questionnaires examinant sa santé psychologique (MBI, BDI-II, STAI, etc.), sa manière de gérer la maladie de son parent (WCC, CAMI, SCQ, etc.) et l’état général de la patiente (ADRQL, IADL, NPI). La comparaison pré et post-intervention apporte des éléments positifs, notamment concernant l’amélioration de la qualité de vie de l’aidante, de son sentiment de compétence et d’efficacité à gérer la maladie au quotidien. Concernant le burnout, qui était la priorité de cette intervention, nous constatons que l’épuisement émotionnel de l’aidante tend à diminuer au cours des séances de counseling. Un autre constat particulièrement important concerne les changements familiaux opérés tout au long de la thérapie ; ce qui pose question quant à la réorganisation de la dynamique familiale. Ces résultats positifs démontrent l’importance de développer des programmes d’aide aux aidants grâce à une approche clinique globale et holistique de la situation, étant donné les composantes neuropsychologiques, cognitives et systémiques impliquées. [less ▲]

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See detailPromote physical activity and reduce ageism across generations: effects of an intergenerational program
Mouton, Alexandre ULg; Heldenbergh, Corentin ULg; Flamion, Allison ULg et al

Conference (2016, June 09)

Introduction From early to later age populations, regular physical activity (PA) could be considered as a key behaviour to struggle against the major health, mental, social and economic issues of the 21st ... [more ▼]

Introduction From early to later age populations, regular physical activity (PA) could be considered as a key behaviour to struggle against the major health, mental, social and economic issues of the 21st century (Rippe & Angelopoulos, 2010). Among PA interventions, international scientific statements recommend an emerging approach targeting specific intergenerational dyads, such as grandparent-grandchild pairs (Marcus et al., 2006). Besides, Ory and colleagues (2003) underlined that intergenerational interactions could also combat aging stereotypes across generations. Accordingly, the aim of this study was to examine the effects of an intergenerational PA program on PA behaviours and aging stereotypes of grandparent-grandchild pairs. Methods Intergenerational grandparent-grandchild pairs were recruited in two Belgian municipalities. Those two groups took part in a three-month intergenerational intervention, adapted from a previous intervention (Mouton, Renier & Cloes, 2015) and including one weekly session of PA. Assessments were performed before (T0), during (process analysis) and after the intervention (T1). Grandparents PA was assessed with the QAPPA and the SF-36 questionnaires and with a battery of physical fitness test (SFT). The UCLA loneliness scale was also administrated to seniors. Grandchildren PA was evaluated with a seven items Likert scale. Relationship quality and ageism stereotypes between generations were assessed using a combination of existing validated instruments. Results and conclusions The intergenerational groups were composed of 14 dyads of grandparent (65±3.2 years)-grandchild (8.8±2.3 years) in one municipality and 6 dyads of grandparent (64±4.5 years)-grandchild (7.7±1.3 years) in the second. By its combination of physical and psychosocial objectives, the results of this study are expected to provide a significant and original contribution to the research field. If intergenerational PA has the potential to reduce ageism, it could pave the way to interdisciplinary interventions among physical education professionals. [less ▲]

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See detailThe association of timing of retirement with cognitive performance in old age: The role of leisure activities after retirement
Ihle, Andreas; Grotz, Catherine ULg; Adam, Stéphane ULg et al

in International Psychogeriatrics (2016)

Background: The role of timing of retirement on cognitive functioning in old age is inconclusive so far. Therefore, the present study set out to investigate the association of timing of retirement with ... [more ▼]

Background: The role of timing of retirement on cognitive functioning in old age is inconclusive so far. Therefore, the present study set out to investigate the association of timing of retirement with cognitive performance and its interplay with key correlates of cognitive reserve in a large sample of older adults. Methods: Two thousand two hundred and sixty three older adults served as sample for the present study. Different psychometric tests (TMT A, TMT B, Mill Hill) were administered. In addition, individuals were interviewed on their retirement, occupation, educational attainment, and regarding 18 leisure activities that have been carried out after retirement. Results: Earlier retirement (compared to retirement at legal age) was significantly associated with better performance in the TMT A, the TMT B, and the Mill Hill vocabulary test. Moderation analyses showed that in individuals with a moderate number of leisure activities in old age, earlier retirement was related to better cognitive performance, but not in those with a relatively large number of leisure activities. Hierarchical regression analyses revealed that entering leisure activities as additional predictor significantly increased explained variance in the cognitive measures over and above all other investigated markers of cognitive reserve (i.e., occupation and education). Conclusions: Present data further corroborate the view that leisure activities even in old age may lead to further enrichment effects and thereby may be related to better cognitive functioning. The role of engaging in activities in the context of major life events such as retirement is discussed. [less ▲]

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See detailAgeism and communication in oncology
Schroyen, Sarah ULg; Adam, Stéphane ULg; Marquet, Manon ULg et al

Poster (2016, March 11)

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See detailRetirement and cognitive functioning: A tricky association
Grotz, Catherine ULg; Adam, Stéphane ULg

in Pachana, N.A. (Ed.) Encyclopedia of Geropsychology (2016)

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See detailLe Concept de Réserve Cognitive
Grotz, Catherine ULg; Adam, Stéphane ULg

in Amieva, Hélène; Bellin, Catherine; Maillet, Didier (Eds.) L’évaluation neuropsychologique : De la norme à l’exception (2016)

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See detailDementia-specific quality of life instruments: a conceptual analysis
Missotten, Pierre ULg; Dupuis, Gilles; Adam, Stéphane ULg

in International Psychogeriatrics (2016), 28(8), 1245-1262

Background: Over the past 20 years, many researchers have worked in developing various methods for measuring quality of life (QoL) of people with dementia. The aim of this review is to develop the ... [more ▼]

Background: Over the past 20 years, many researchers have worked in developing various methods for measuring quality of life (QoL) of people with dementia. The aim of this review is to develop the conceptual frameworks of the dementia-specific QoL instruments, to identify their evolution over time and to provide elements of reflection on the QoL concept in dementia and its evaluation. Method: An electronic search was conducted on PsycINFO and MEDLINE databases, from January 1985 to June 2015 using a combination of key words that include quality of life, dementia and review. Result: The analysis of the conceptual frameworks of the eighteen selected dementia-specific QoL tools shows a great diversity in: (1) the QoL definitions (e.g. health-related QoL definitions, QoL definitions based on Lawton’s work or similar to this latter); (2) the theoretical QoL models (e.g. Lawton’ work and modified Lawton, adaptation, personhood); (3) the domains and dimensions; (4) the way to construct the instrument (e.g. development based on literature, opinion of the experts) and (5) the items’ formulation (e.g. use of criterion of intensity or frequency). Conclusion: There are different conceptual frameworks in the dementia-specific QoL measures with improvements over time (e.g. inclusion of interesting concepts such as adaptation, taking into account the views of patients themselves). Each of the conceptual parameters (definitions, models, domains and dimensions) is discussed to identify the scales that are conceptually the strongest. Through their review, recommendations for future instrument refinement and development are discussed and a new QoL definition is proposed. [less ▲]

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See detailÂgisme et surestimation des difficultés cognitives des personnes âgées: une revue de la question
Marquet, Manon ULg; Missotten, Pierre ULg; Adam, Stéphane ULg

in Gériatrie et Psychologie Neuropsychiatrie du Vieillissement (2016), 14(2), 177-186

Stigmatization related to age (i.e., ageism) is a widespread phenomenon in the modern industrial societies where older people are perceived as cognitively incompetent. Therefore negative stereotypes about ... [more ▼]

Stigmatization related to age (i.e., ageism) is a widespread phenomenon in the modern industrial societies where older people are perceived as cognitively incompetent. Therefore negative stereotypes about age-related cognitive decline may have a detrimental influence on older adults on their cognitive performance. The aim of the present review is to understand how stereotypes can influence the performance of the elderly on cognitive tests. We first describe the stereotype threat phenomenon by providing an overview of situations likely to produce stereotype threat, as well as contextual and personal characteristics that moderate its effects. Possible mechanisms underlying these influences on cognitive performance are also presented. Secondly, we address self-stereotyping, which explains long-term negative effects of stereotypes and their unconscious influence on older adults’ cognitive performance. However, some age stereotypes have also positive effects on aged people, as shown by some studies describing such beneficial effects of positive stereotypes on cognitive performance. Finally we try to understand why negative age stereotyping has a much stronger influence on important behavioral outcomes among older adults than does positive age stereotyping. Given all these results, we examine how negative age stereotypes may impact older adults’ cognitive performance in real-world settings such as during a cognitive assessment. [less ▲]

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