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See detailCombination of actor’s play training and assertiveness program to reduce difficulties in self-affirmation: A preliminary study.
Wagener, Aurélie ULg; Delvaux, Muriel ULg; Sarto, Danielle et al

in 2013 BAPS Annual Meeting : Conference booklet (2013, May 28)

BACKGROUND. Difficulties in assertiveness are often reported by individuals suffering from various psychological problems involving anxiety, depression. Cognitive and behavioral therapeutic procedures ... [more ▼]

BACKGROUND. Difficulties in assertiveness are often reported by individuals suffering from various psychological problems involving anxiety, depression. Cognitive and behavioral therapeutic procedures have already proven their effectiveness in helping these patients. The aim of our study was to test the efficacy of new therapeutic procedure, inspired by the third wave of behavioral and cognitive psychotherapies. METHOD. Our study used an actor’s play training combined with an assertiveness program which comprised ten sessions: five of which were animated by an actress and five by a psychologist-psychotherapist. Each actor play’s session was given alternatively with a psychoeducation’s session. Twenty subjects participated in this program. They fulfilled these pre and post-test assessments: social self-efficacy questionnaire, self-affirmation scales, self-esteem scale, communication scale, anxiety and depression scales. Repeated measures’ ANOVAs have been used to compare pre and post-test results. RESULTS. Results showed statistically significant improvements on each dependent variable, except for the Communication Scale. The higher effects appeared for Beck Depression Inventory and Social Self-efficacy Questionnaire which presented an effect size of 0,74 and 0,56, respectively. Scores on STAI-A and B and on Self-affirmation Scale were over the effect size’s threshold. However, these improvements don’t attain control group’s scores reported in the scientific literature. DISCUSSION. The results highlighted that our program is effective in reducing difficulties in assertiveness. [less ▲]

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See detailCombination of actor's play training and assertiveness program to reduce difficulties in self-affirmation: A preliminary study.
Wagener, Aurélie ULg; Delvaux, Muriel ULg; Sarto, Danielle et al

Poster (2013, May 28)

BACKGROUND. Difficulties in assertiveness are often reported by individuals suffering from various psychological problems involving anxiety, depression. Cognitive and behavioral therapeutic procedures ... [more ▼]

BACKGROUND. Difficulties in assertiveness are often reported by individuals suffering from various psychological problems involving anxiety, depression. Cognitive and behavioral therapeutic procedures have already proven their effectiveness in helping these patients. The aim of our study was to test the efficacy of new therapeutic procedure, inspired by the third wave of behavioral and cognitive psychotherapies. METHOD. Our study used an actor’s play training combined with an assertiveness program which comprised ten sessions: five of which were animated by an actress and five by a psychologist-psychotherapist. Each actor play’s session was given alternatively with a psychoeducation’s session. Twenty subjects participated in this program. They fulfilled these pre and post-test assessments: social self-efficacy questionnaire, self-affirmation scales, self-esteem scale, communication scale, anxiety and depression scales. Repeated measures’ ANOVAs have been used to compare pre and post-test results. RESULTS. Results showed statistically significant improvements on each dependent variable, except for the Communication Scale. The higher effects appeared for Beck Depression Inventory and Social Self-efficacy Questionnaire which presented an effect size of 0,74 and 0,56, respectively. Scores on STAI-A and B and on Self-affirmation Scale were over the effect size’s threshold. However, these improvements don’t attain control group’s scores reported in the scientific literature. DISCUSSION. The results highlighted that our program is effective in reducing difficulties in assertiveness. [less ▲]

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See detailA French Translation of the Revised Childhood Anxiety Sensitivity Index (CASI-R): Its Factor Structure, Reliability, and Validity in a Nonclinical Sample of Children Aged 12 and 13 Years Old.
Stassart, Céline ULg; Hansez, Isabelle ULg; Delvaux, Muriel ULg et al

in Psychologica Belgica (2013), 53(1), 57-74

This study (n = 237 Belgian children; mean age = 12.3 years; SD = 0.41) examined the factor structure, reliability, and validity of the French translation of the Revised Childhood Anxiety Sensitivity ... [more ▼]

This study (n = 237 Belgian children; mean age = 12.3 years; SD = 0.41) examined the factor structure, reliability, and validity of the French translation of the Revised Childhood Anxiety Sensitivity Index (CASI-R). We obtained a hierarchical factor structure with four lower-order factors – “fear of cognitive dyscontrol,” “fear of publicly observable anxiety reactions,” “fear of respiratory symptoms,” and “fear of cardiovascular symptoms” – loading on a single higher-order factor (“anxiety sensitivity”). The French translation revealed acceptable internal consistency and a good interitem structure. Anxiety sensitivity was connected with the anxiety and depression scales but the correlation between the CASI-R and the depression score was more modest than that between the CASI-R and the trait anxiety score, indicating that the CASI-R is an anxiety scale. Girls reported more fear of anxious feelings than boys. This revised version allows for a more fine-grained assessment of the anxiety sensitivity concept. [less ▲]

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See detailLe jeu de l'acteur: une nouvelle méthode pour aborder l'affirmation de soi. Résultats d'une première étude portant sur trois groupes et follow-up
Delvaux, Muriel ULg; Sarto, Danielle; Roodthooft, S. et al

in Revue Francophone de Clinique Comportementale et Cognitive (2009)

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See detailLe Childhood Anxiety Sensitivity Index-Revised (CASI-R) : Etude de validation.
Stassart, Céline ULg; Depauw, Brigitte; Delvaux, Muriel ULg et al

Poster (2008, November 28)

La sensibilité à l'anxiété est la peur des sensations corporelles liées à l’anxiété, qui proviendrait de croyances que ces sensations ont des conséquences somatiques, psychologiques ou sociales néfastes ... [more ▼]

La sensibilité à l'anxiété est la peur des sensations corporelles liées à l’anxiété, qui proviendrait de croyances que ces sensations ont des conséquences somatiques, psychologiques ou sociales néfastes. Ce concept a été très peu exploré dans le contexte infantile. L’AS étant considérée comme un facteur de risque dans le développement et le maintien des troubles anxieux, ceci montre l’intérêt de s’intéresser davantage à l’outil d’évaluation de l’AS dans le contexte infantile, le Childhood Anxiety Sensitivity Index revised. L'objectif de cette étude est de d'évaluer les propriétés psychométriques de la version française de la CASI-R auprès d'un échantillon de 60 enfants âgés de 10 à 11 ans. En ce qui concerne les résultats, la confrontation de la CASI-R aux qualités psychométriques nous fournit des premiers éléments en faveur de l’intérêt clinique et de la pertinence théorique de cet outil dans le contexte infantile. En ce sens, la poursuite de son développement paraît constituer une perspective intéressante. [less ▲]

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See detailPerception of dyspnea in mild smoking asthmatics
Kleis, S.; Chanez, P.; Delvaux, Muriel ULg et al

in Respiratory Medicine (2007), 101(7), 1426-1430

Background: Previous data from the literature reported blunted perception of airway obstruction in severe asthmatics with near fatal asthma. Approximately 25% of patients with asthma are current smokers ... [more ▼]

Background: Previous data from the literature reported blunted perception of airway obstruction in severe asthmatics with near fatal asthma. Approximately 25% of patients with asthma are current smokers. Aim: To determine whether there is an alteration in perception of airway obstruction during a non specific provocative challenge with methacholine in mild controlled asthmatics who smoke. Methods: Enrolled in this study were 50 subjects, including 26 mild asthmatics and 24 healthy subjects, all of them current smokers. The first objective was the sensitivity of airway obstruction calculated by the regression slope linking the change in the visual analogic scale (VAS) assessed by the patient and the fall in FEV1 during a methacholine challenge. Results: Asthmatics who smoke had a blunted perception of airway obstruction during the bronchial challenge significantly different from that seen in healthy smokers (p = 0.03). This impaired dyspnea perception was inversely related to baseline VAS (r = -0.29, p<0.05) and positively related to baseline FEV1 (r = 0.35, p<0.05). Perception of airway obstruction was not correlated with age, sex, atopy or with airway inflammation features such as exhaled NO or sputum eosinophils. Conclusion: Mild asthmatics who smoke display reduced dyspnea perception during a nonspecific provocative challenge with methacholine. This altered perception of airway obstruction does not relate to airway inflammation. (C) 2007 Elsevier Ltd. All rights reserved. [less ▲]

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See detailL'affirmation de soi par la pratique de l'acteur : évaluation d'un groupe thérapeutique
Delvaux, Muriel ULg; Roodthooft, Dominique; Sarto, Danielle et al

Poster (2006, November)

Un groupe thérapeutique d’affirmation de soi a eu lieu au printemps 2006 au sein de l’Unité de Thérapies Comportementales et Cognitives de l’ULg. L’originalité du programme tient à l’association de ... [more ▼]

Un groupe thérapeutique d’affirmation de soi a eu lieu au printemps 2006 au sein de l’Unité de Thérapies Comportementales et Cognitives de l’ULg. L’originalité du programme tient à l’association de techniques théâtrales à un programme de thérapies comportementales et cognitives « classique ». En expérimentant la pratique de l’acteur, ce groupe visait à permettre aux participants de s’entraîner à se mettre en éveil, d’élargir leurs champs de perceptions et de compréhensions, de prendre conscience du langage du corps en dehors de la phrase verbale, de rechercher les mécanismes qui empêchent de s’affirmer, et de mettre en place des compétences qui améliorent l’affirmation de soi et augmentent ainsi les possibilités d’action. [less ▲]

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See detailTabagisme et dépression
Delvaux, Muriel ULg

Poster (2006, May)

Les épisodes dépressifs majeurs sont plus fréquents parmi les fumeurs (6,6 %) que les non -fumeurs (2,9%).Il y a une proportion significativement plus importante de sujets étant ou ayant été à un moment ... [more ▼]

Les épisodes dépressifs majeurs sont plus fréquents parmi les fumeurs (6,6 %) que les non -fumeurs (2,9%).Il y a une proportion significativement plus importante de sujets étant ou ayant été à un moment de leur vie fumeurs, parmi les sujets présentant des antécédents de dépression (76%) que parmi les sujets indemnes de tels antécédents (52%). Enfin, les fumeurs ayant des antécédents de dépression (prévalence sur la vie entière) ont significativement moins de chances de s’arrêter de fumer (14%) que les sujets sans antécédents dépressifs (28%) (Martinet & Bohadana, 1997). La relation entre tabagisme et dépression semble être bidirectionnelle. Cette étude tente d’établir un lien entre dépression et dépendance à la nicotine dans une population de fumeurs liégeois tout-venant, et compare le taux de dépression entre les genres d’une part, entre les fumeurs et des non-fumeurs appariés d’autre part. [less ▲]

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See detailStress, coffe drink, tobacco and alcohol consumption in a student sample of smokers
Delvaux, Muriel ULg

Poster (2006, May)

Emotional responses to stress play an important role in health behavior change. During times of low and high academic demands, health behaviors tend to be deteriorated in college undergraduate students ... [more ▼]

Emotional responses to stress play an important role in health behavior change. During times of low and high academic demands, health behaviors tend to be deteriorated in college undergraduate students (Weidner et al., 1996). A similar study found increasing anxiety and smoking behaviors, but a decrease in the consumption of alcohol during the examination period in medical students (Ogden & Mtandabari, 1997). In current smokers, mean score on Perceived Stress Scale is significantly higher than that of the students who don’t smoke (Naquin & Gilbert, 1996). [less ▲]

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See detailL'aide à l'arrêt du tabagisme : la réussite au long terme
Delvaux, Muriel ULg; Etienne, Anne-Marie ULg; Gaillard, Jean-François et al

in Revue Médicale de Liège (2006), 61(1), 27-30

This review deals with the pharmacological and psychological means to help in smoking cessation and compares the efficacy of the different methods. Pharmacological support results in a smoking cessation ... [more ▼]

This review deals with the pharmacological and psychological means to help in smoking cessation and compares the efficacy of the different methods. Pharmacological support results in a smoking cessation rate reaching at best 20-25%. The efficacy of behavioural and cognitive therapy have been much less validated so far. Multidisciplinary specialized centres for helping smokers have been raised under the care of FARES in the French Community of Belgium. [less ▲]

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See detailL'aide à l'arrêt du tabagisme : une nécessité
Delvaux, Muriel ULg; Etienne, Anne-Marie ULg; Bartsch, Pierre ULg et al

in Revue Médicale de Liège (2005), 60(11), 863-866

Today the smoker carries a risk of mortality 70% higher compared to the nonsmoker. In Belgium active smoking is indisputably the most important cause of avoidable death. In 2004 it appears that 27% of the ... [more ▼]

Today the smoker carries a risk of mortality 70% higher compared to the nonsmoker. In Belgium active smoking is indisputably the most important cause of avoidable death. In 2004 it appears that 27% of the belgian population was smoking. This review describes the comorbidity associated with active tobacco consumption and defines the concepts of dependence and smoking cessation. It also identifies the three factors which determine the success of smoking cessation, i.e. the degree of nicotinic dependence, the presence of anxio-depressive disorders and the importance of the motivation to the stop. [less ▲]

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See detailLa sensibilité à l'anxiété, une synthèse
Chaboteaux, Martine; Delvaux, Muriel ULg; Etienne, Anne-Marie ULg

in Revue Francophone de Clinique Comportementale et Cognitive (2004), IX(2), 1-8

This article makes a literature's overview about the concept of anxiety sensitivity, i.e. fear of anxiety sensations . After the definition of anxiety sensitivity and description of the main theorical ... [more ▼]

This article makes a literature's overview about the concept of anxiety sensitivity, i.e. fear of anxiety sensations . After the definition of anxiety sensitivity and description of the main theorical models, methods of measurement will be shown. Then, the comorbidity between anxiety sensitivity and anxiety disorders, more specifically panic disorder, as well as between anxiety sensitivity and hyperventilation, depression and chronic health disorders will be examined. At last, the treatment of anxiety sensitivity's benefits and some research perspectives will be considered. [less ▲]

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See detailNebulised salbutamol administered during sputum induction improves bronchoprotection in patients with asthma
Delvaux, Muriel ULg; Henket, Monique ULg; Lau, L. et al

in Thorax (2004), 59(2), 111-115

Background: Inhalation of hypertonic or even isotonic saline during sputum induction may cause bronchospasm in susceptible patients with asthma, despite premedication with 400 mug inhaled salbutamol ... [more ▼]

Background: Inhalation of hypertonic or even isotonic saline during sputum induction may cause bronchospasm in susceptible patients with asthma, despite premedication with 400 mug inhaled salbutamol delivered by pressurised metered dose inhaler (pMDI). The bronchoprotection afforded by additional inhaled salbutamol administered through the ultrasonic nebuliser during sputum induction was investigated. Methods: Twenty patients with moderate to severe asthma underwent sputum induction by inhaling saline 4.5% (or 0.9% if post-bronchodilation forced expiratory volume in 1 second (FEV1) <65% predicted) for 10 minutes according to two protocols given 1 week apart in random order. At visit A the patients received 400 mg salbutamol administered through a pMDI + spacer 20 minutes before induction while at visit B the premedication was supplemented by 1500 mg nebulised salbutamol inhaled throughout the induction procedure. Both the investigator and the patients were blind to the nebulised solution used. FEV1 was recorded during sputum induction at 1, 3, 5, and 10 minutes. Sputum cell counts and histamine, tryptase and albumin levels in the supernatants were determined. Results: The mean (SE) maximal reduction in FEV1 over the 10 minute period of sputum induction was 11.7 (2.8)% at visit A, which was significantly greater than at visit B (2.6 (1.2)%; mean difference 9% (95% CI 2.7 to 15.4), p < 0.01). Total and differential sputum cell counts as well as albumin, tryptase, and histamine levels did not differ between the two visits. Conclusion: The addition of inhaled salbutamol through an ultrasonic nebuliser markedly improves bronchoprotection against saline induced bronchoconstriction in patients with moderate to severe asthma undergoing sputum induction without affecting cell counts and inflammatory markers. [less ▲]

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See detailBreathing retraining in mild asthma: What are the advantages?
DELVAUX, Muriel ULg; Etienne, Anne-Marie ULg; Bartsch, Pierre ULg et al

in Biological Psychology (2002, May), 59(3), 241-241

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See detailAnxiety and hyperventilation in mild to moderate asthmatics
Delvaux, Muriel ULg; Fontaine, Ovide ULg; Bartsch, Pierre ULg

in European Review of Applied Psychology = Revue Européenne de Psychologie Appliquée (2002), 52(2), 149-160

Studied breathing patterns and hyperventilation symptoms in 80 adolescents and adults (aged 16-60 yrs) with mild to moderate asthma and 40 adolescents and adults (aged 16-60 yrs) with no asthma symptoms ... [more ▼]

Studied breathing patterns and hyperventilation symptoms in 80 adolescents and adults (aged 16-60 yrs) with mild to moderate asthma and 40 adolescents and adults (aged 16-60 yrs) with no asthma symptoms (healthy controls). Data on pulmonary function, ventilation and breathing pattern, and psychological symptoms were obtained by clinical observation and questionnaire. Asthmatic Ss were requested not to take bronchodilatation medications for 24-48 hrs prior to testing. The Anxiety Sensitivity Index-Revised (S. Taylor and Cox, 1998), the Self-Consciousness Scale-Revised (A. Fenigwstein et al, 1975), the State-Train Anxiety Inventory, the Nijmegen Questionnaire (P. van Doorn et al, 1982), the Sense of Coherence Scale (A. Antonovsky, 1987), the Positive and Negative Affect Schedule (D. Watson et al, 1988), the Beck Depression Inventory, and the Asthma Symptoms Checklist (R. A. Kinsman et al, 1973, revision by Brooks et al, 1989) were used. The results show that the asthmatic subjects have lower PetCO2 than normal subjects and that variables associated with lower PetCO2 include total volume, female gender, and negative affectivity. The results also show that female subjects and asthmatics have similar breathing patterns and compared to male subjects [less ▲]

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See detailTétanie, spasmophilie, syndrome d'hyperventilation : synthèse théorique et thérapeutique.
Delvaux, Muriel ULg; Fontaine, Philippe; Bartsch, Pierre ULg et al

in Revue Médicale de Liège (1998), 53

Le syndrome d’hyperventilation(SHV), caractérisé par des symptômes somatiques multiples induits par une hyperventilation inappropriée, constitue la description physiopathologique d’un trouble fréquent en ... [more ▼]

Le syndrome d’hyperventilation(SHV), caractérisé par des symptômes somatiques multiples induits par une hyperventilation inappropriée, constitue la description physiopathologique d’un trouble fréquent en médecine générale. Synonyme de spasmophilie, ou encore de tétanie normocalcique, il présente l’avantage de proposer des critères diagnostiques, même si ceux-ci sont encore vagues. Mais sa définition permet des mesures objectives : en effet, on peut facilement quantifier la chute de PCO2 lors d’un test de provocation d’hyperventilation, ou la PCO2 anormalement basse au repos. Le concept de syndrome d’hyperventilation propose également un traitement structuré (rééducation respiratoire, psychothérapie et pharmacologie) et efficace. Malgré tout, il subsiste certaines incertitudes scientifiques à son sujet. Il n’existe pas de consensus concernant les critères à prendre en compte lors d’un test de provocation d’hyperventilation pour diagnostiquer un syndrome d’hyperventilation ; la spécificité de ce test est faible et un placebo (hyperventilation isocapnique) peut induire autant de symptômes que lui. La rééducation respiratoire, si elle donne de bons résultats, n’agit pas pour autant nécessairement sur la PCO2. Certains y voient uniquement un mécanisme de relaxation et une explication rationnelle aux symptômes effrayants. Tout ceci pousse certains auteurs à rejeter le terme « syndrome d’hyperventilation », pour préférer celui «d’hyperventilation chronique de cause inconnue ». [less ▲]

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See detailL'hyperventilation chronique existe-t-elle?
Delvaux, Muriel ULg; Fontaine, Philippe; Fontaine, Ovide ULg et al

in Revue Francophone de Clinique Comportementale et Cognitive (1998), 3(3), 1-9

Longtemps, on a considéré que les sujets atteints d’attaques de panique étaient des hyperventilants chroniques qui plongeaient soudainement en hypocapnie. En fait, l’examen des résultats au test de ... [more ▼]

Longtemps, on a considéré que les sujets atteints d’attaques de panique étaient des hyperventilants chroniques qui plongeaient soudainement en hypocapnie. En fait, l’examen des résultats au test de provocation d’hyperventilation, de la rééducation respiratoire et de la mesure ambulatoire de PCO2 montre qu’il n’y a pas de recouvrement parfait entre les deux phénomènes. Le syndrome d’hyperventilation est sans doute une entité à part entière. Les modèles biologiques se basent sur les expériences utilisant le lactate ou le dioxyde de carbone pour aboutir, avec Klein (1993), à l’hypothèse d’une hypersensibilité au CO2. Les modèles psychologiques envisagent diverses options. Lum (1994) y voit la conséquence d’une mauvaise habitude respiratoire. Pour Clark (1986), l’hyperventilation joue un rôle dans les attaques de panique seulement si elle est interprétée de manière catastrophique. Ley (1993) considère la dyspnée comme l’élément initiateur d’un réflexe de peur innée. Enfin, Van den Bergh (1995) a réalisé des études prometteuses sur le conditionnement respiratoire. Si tous les sujets souffrant d’attaques de panique ne sont pas des hyperventilants chroniques, il faut admettre que les deux phénomènes coexistent souvent. Une approche intégrative des modèles biologiques et psychologiques pourrait éclaircir la nature de leur relation. [less ▲]

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