2nd place for Best Presentation Award at the CoP-SMT conference
Contexte : L’étude Cerveaux@Travail-TDAH évaluera l’efficacité d’une nouvelle intervention en milieu de travail visant à améliorer l’intégration professionnelle et la qualité de vie des adultes vivant avec des incapacités liées au trouble déficitaire de l’attention avec ou sans hyperactivité (TDAH). Cette étude met en œuvre une intervention de groupe psychosociale, adaptée aux défis spécifiques rencontrés par ces individus. Méthodes : Un essai contrôlé randomisé à simple insu sera utilisé pour évaluer l’efficacité de l’intervention. Les participants éligibles seront randomisés de manière stratifiée (âge, sexe). Le groupe expérimental recevra l’intervention Cerveaux@Travail-TDAH sur 8 semaines en virtuel, tandis que le groupe témoin bénéficiera de contacts téléphoniques hebdomadaires de 15 minutes. Les évaluations seront réalisées avant l’intervention, immédiatement après et lors de suivis trimestriels. Les participants pourront inviter des acteurs du milieu de travail à des séances virtuelles pour sensibiliser et réduire la stigmatisation liée au TDAH. Résultats : Les principaux résultats, axés sur la qualité de vie au travail, seront évalués au début de l’étude, après l’intervention et lors de suivis trimestriels. Les mesures secondaires incluent les progrès auto-rapportés vers des objectifs personnels, le fonctionnement cognitif, les compétences socio-émotionnelles, la motivation au travail et les relations en milieu de travail. Discussion : En collaboration étroite avec les parties prenantes du Regroupement des associations PANDA du Québec, la recherche-action participative a été développée de manière itérative, intégrant continuellement les contributions des parties prenantes, des patients et des acteurs en milieu de travail, assurant ainsi une approche inclusive et l’intégration continue des retombées de l’étude. Cette étude fournira des données probantes essentielles, compte tenu de la rareté des interventions psychosociales professionnelles pour les adultes vivant avec une incapacité liée au TDAH.
Job Tenure
Predictors of job tenure in people living with mental illness from a transdiagnostic perspective: A scoping review protocol [poster]
*K. Shulman, *M. Hannon, C. Voyer, E. Gagliano, N. Hannaoui, and 4 more authors
Background: While the high prevalence of ADHD in children garners considerable attention, there remains a noticeable gap in addressing ADHD symptoms that persist into adulthood, thereby impeding occupational functioning. The Minds@Work-ADHD study seeks to assess the efficacy of a novel workplace intervention aimed at enhancing professional integration and quality of life for adults with ADHD. This study involves the delivery of a manualized group psychosocial intervention tailored for individuals facing challenges related to ADHD. Methods: Employing a single-blind randomized controlled design with a longitudinal cohort, eligible participants will be randomly assigned to either an eight-week intervention or a control condition. Primary outcomes, focusing on quality of life at work, will be evaluated at baseline, post-intervention, and trimonthly follow-ups. Secondary measures encompass self-reported progress towards personal goals, cognitive functioning, social-emotional abilities, work motivation, and workplace relations. This study will provide much needed evidence-based findings given the scarcity of occupational psychosocial interventions in adults living with ADHD. Patient and Stakeholder Involvement: Through close collaboration with stakeholders from the Regroupement des associations PANDA du Québec, our participatory action research was iteratively developed, incorporating continuous feedback from service providers at every stage. During the finalization of the intervention material, a focus group informed on the lived experience of individuals with ADHD. Psychosocial workers will play a pivotal role as co-facilitators, contributing their expertise and ensuring the intervention’s practicality from the perspective of frontline workers. An additional dedicated teaching capsule will engage workplace actors, with the goal of demystifying ADHD-related disabilities and offering inclusive management strategies to enhance job retention and quality of life. Workplace actors will actively participate in awareness-raising sessions, which aim to improve their mental health literacy and reduce stigma. The study, through a comprehensive action research protocol, embraces input from stakeholders, patients, and workplace actors, fostering an inclusive and integrative approach.
The Minds@Work-ADHD study is a randomized controlled trial evaluating the effectiveness of an eight-week workplace psychosocial intervention to improve quality of life, cognitive functioning, and social-emotional abilities in adults with ADHD-related disabilities.
MAVAN Cohort
Impact of prenatal stress on youth mental health and resilience amidst the COVID-19 pandemic In D. P. Laplante (chair), Identifying pathways from prenatal exposure to adult mental health: MAVAN/MAVAN-R cohort [symposium]
C. Voyer
34th Life History Research Society Conference (LHRS) May 29–31, 2024
Objective: In efforts to limit the spread of COVID-19, the imposed mitigation measures (e.g., school closures, remote learning, social distancing, curfew) were particularly disruptive to the lives of adolescents. While many studies have emphasized the risks to youth mental health brought on by the COVID-19 pandemic and its associated mitigation measures, little attention has been given towards identifying markers of resilience. The present study aimed to examine the role of prenatal stress on general psychopathology outcomes and indicators of resilience in youth, recognizing the need to understand protective factors amidst the challenges posed by the pandemic. Methods: Data from the Maternal Adversity, Vulnerability and Neurodevelopment longitudinal birth cohort, collected pre and during the COVID-19 formed the basis of our examination. The study involved 144 mother-infant dyads. Maternal prenatal adversity was assessed using the Center for Epidemiologic Studies Depression Scale, the Pregnancy-Specific Anxiety scale, and measures of socio-demographic adversity. Family and youth resilience was assessed using the Family Resilience Assessment Scale, Child and Youth Resilience Measure-Revised, and Responses to Stress Questionnaire. Youth psychopathology was assessed using the Youth Self-Report, Child Behavior Checklist, Strength and Difficulties Questionnaire, and the Conners rating Scales. Latent factor modeling including prenatal maternal adversity, pandemic-related family and youth resilience, and youth psychopathology was employed to analyze the relationships between various factors. Results: Findings revealed an increase in COVID-related youth general psychopathology. While the maternal adversity × resilience interactions were not significant, resilience main effects (family organization patterns and caregiver support) were observed for COVID-related youth psychopathology and changes in youth psychopathology levels from pre-COVID-19 levels. Conclusion: This study underscored the importance of addressing the mental health implications of pandemic-related stress on the different trajectories in child development. Our results suggested the need for preventive interventions tailored to those at greater risk, emphasizing the role of caregiver support and family organization patterns as potential protective factors. Understanding these dynamics can inform targeted strategies to mitigate the detrimental effects of stress during these challenging times.
MAVAN Cohort
COVID-related daily life changes and personal threats moderate the relationship between prenatal maternal adversity and youth mental health: The MAVAN longitudinal study [poster]
Objective: The COVID-19 pandemic mitigation measures resulted in daily life disruptions which were believed to have negatively impacted the mental health of youth. However, not all youth reacted negatively in the face of these measures. The present study examined whether youth-reported and mother-reported COVID-related daily life changes and personal threats experiences moderated the relationship between maternal prenatal adversity and youth psychopathology during the pandemic.
Cognitive Biases
T59. Transdiagnostic cognitive biases in psychiatric disorders: A systematic review and network meta-analysis [poster]
Psychiatric disorders are characterized by cognitive deficits, which have been proposed as a transdiagnostic feature of psychopathology ("C" factor). Similarly, cognitive biases (e.g., in attention, memory, and interpretation) represent common tendencies in information processing that are often associated with psychiatric symptoms. However, the question remains whether cognitive biases are also transdiagnostic or are specific to certain psychiatric disorders/symptoms. The current systematic review sought to address whether the proposed "C" factor of transdiagnostic cognitive dysfunction in psychopathology can be extended to cognitive biases. Overall, 31 studies comprising 4401 participants (2536 patients, 1865 non-clinical controls) met inclusion criteria, assessing 19 cognitive biases across 20 diagnostic categories, with most studies focusing on interpretation (k = 22) and attention (k = 11) biases and only 2 assessing memory biases. Traditional meta-analyses found a moderate effect size (g = 0.32) for more severe cognitive biases in all patients relative to non-clinical controls, as well as small but significant associations between interpretation biases and transdiagnostic symptom categories (general psychopathology: r = .20, emotion dysfunction: r = .17, psychotic symptoms: r = .25). Network meta-analyses revealed significant patient versus non-clinical control differences on attention and interpretation biases across diagnoses, as well as significant differences between diagnoses, with highest severity in panic disorder for attention biases and obsessive-compulsive disorder for interpretation biases. The current findings extend the big "C" interpretation of transdiagnostic cognitive dysfunction in psychiatric disorders to cognitive biases and transdiagnostic symptom dimensions. Results also suggest that while the presence of cognitive biases is transdiagnostic, bias severity differs across diagnoses, as in traditional neurocognitive deficits.
Future Work Skills
Savoir-être gagnant, employé attrayant! Optimiser le maintien en emploi des client·es grâce au développement des compétences essentielles Winning skills, attractive employee! Optimizing client job retention through the development of essential skills [oral]
C. Voyer, and A. Morel
Colloque de professionnelles et professionnels en emploi (QUARIERA) Feb 7–9, 2024
Remarquez-vous un alourdissement dans les profils des personnes qui passent par vos services ? Avez-vous l’impression qu’elles rencontrent une difficulté à maintenir un emploi ? Si vous avez répondu oui, vous n’êtes pas seul·es. Le maintien en emploi est une préoccupation montante sur le marché du travail québécois et nous nous questionnons toutes et tous sur la façon de diminuer cette tendance. La question reste : comment les intervenant·es en employabilité peuvent-ils faciliter l’intégration et le maintien en emploi de leurs client·es ? Le développement des compétences essentielles au travail est une solution et c’est l’objectif du projet Savoir-être gagnant, employé attrayant! développé par CIBLE-EMPLOI, en collaboration avec l’équipe de recherche de l’UQAM et avec la participation financière de la CPMT. Dans cet atelier, nous vous proposons d’en apprendre davantage sur les compétences essentielles et sur ce projet. Nous vous initierons à un nouvel outil autodiagnostic et à une série d’ateliers de perfectionnement qui pourront être offerts à vos client·es afin de les aider à faire face aux défis quotidiens de la recherche en emploi et de l’employabilité.