- Sleep and related disorders
- Sleep and Wakefulness Research
- Circadian rhythm and melatonin
- Childhood Cancer Survivors' Quality of Life
- Cancer survivorship and care
- Cancer-related cognitive impairment studies
- Youth Substance Use and School Attendance
- Workplace Health and Well-being
- Family Support in Illness
- Family Dynamics and Relationships
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Sleep and Work-Related Fatigue
- Intergenerational Family Dynamics and Caregiving
- COVID-19 and Mental Health
- Menopause: Health Impacts and Treatments
- Mental Health Research Topics
- Attachment and Relationship Dynamics
- Health, psychology, and well-being
- Child Nutrition and Feeding Issues
- Complementary and Alternative Medicine Studies
- Schizophrenia research and treatment
- Employment and Welfare Studies
- Child Abuse and Trauma
- Perfectionism, Procrastination, Anxiety Studies
- Healthcare professionals’ stress and burnout
Université Laval
2016-2025
Institut Universitaire en Santé Mentale de Québec
2009-2023
Centre hospitalier de l'Université Laval
2014-2019
Laval Mayenne Technopole
2019
Centre hospitalier universitaire de Québec
2013-2016
Cancer Research Center
2003-2016
Canadian Institutes of Health Research
2013-2016
Digital Research Alliance of Canada
2013
Hôtel-Dieu de Québec
2005-2009
Lancaster University
2006
Although insomnia is a prevalent complaint with significant morbidity, it often remains unrecognized and untreated. Brief valid instruments are needed both for screening outcome assessment. This study examined psychometric indices of the Insomnia Severity Index (ISI) to detect cases in population-based sample evaluate treatment response clinical sample. Participants were 959 individuals selected from community an epidemiological (Community sample) 183 evaluated 62 controls without (Clinical...
Study Objective:Sleep related cognitions (e.g., faulty beliefs and appraisals, unrealistic expectations, perceptual attention bias) play an important role in perpetuating insomnia. This paper presents new psychometric data on abbreviated version of the Dysfunctional Beliefs Attitudes about Sleep Scale (DBAS-16), a 16-item self-report measure designed to evaluate subset those sleep cognitions.
Cognitive behavioral therapy (CBT) and hypnotic medications are efficacious for short-term treatment of insomnia, but few patients achieve complete remission with any single treatment. It is unclear whether combined or maintenance therapies would enhance outcome.To evaluate the added value medication over CBT alone acute insomnia effects on long-term outcome.Prospective, randomized controlled trial involving 2-stage 160 adults persistent treated at a university hospital sleep center in...
Objective Although stress is often presumed to cause sleep disturbances, little research has documented the role of stressful life events in primary insomnia. The present study examined relationship and coping skills, potential mediating presleep arousal, patterns good sleepers insomnia sufferers. Methods sample was composed 67 participants (38 women, 29 men; mean age, 39.6 years), 40 individuals with 27 sleepers. Subjects completed prospective, daily measures events, for 21 consecutive...
Purpose Chronic insomnia is highly prevalent in cancer patients. Cognitive-behavioral therapy (CBT) considered the treatment of choice for chronic primary insomnia. However, no randomized controlled study has been conducted on its efficacy secondary to cancer. Using a design, this among breast survivors evaluated effect CBT sleep, assessed both subjectively and objectively, hypnotic medication use, psychological distress, quality life. Patients Methods Fifty-seven women with caused or...
Despite the high prevalence of insomnia, there is little information about its incidence and risk factors. This study estimated insomnia examined potential factors in a cohort good sleepers followed over one-year period.
<h3>Background</h3> Despite its high prevalence, little information is available about the natural history of insomnia. The extent to which episodes insomnia will persist or remit over time difficult predict. We examined and describe most common trajectories 3 years. <h3>Methods</h3> Three hundred eighty-eight adults (mean [SD] age, 44.8 [13.9] years; 61% women) were selected from a larger population-based sample on basis presence at baseline. They completed standardized sleep/insomnia...
Despite the elevated prevalence of insomnia in cancer patients, there is a lack brief validated instruments for evaluation this particular problem population. The goal study to empirically validate Insomnia Severity Index (ISI) and evaluate its ability screen 1670 patients. results support internal consistency temporal stability ISI. Its two-component factor structure clear stable between different diagnoses. construct validity that instrument also supported by correlations obtained with...
To estimate the prevalence of insomnia, describe clinical characteristics sleep difficulties, assess influence cancer on insomnia course, and identify potential risk factors involved in development among women who had received radiotherapy for non metastatic breast cancer.A sample 300 consecutive been treated with first completed an screening questionnaire. Participants reported difficulties were subsequently interviewed over phone to evaluate further nature, severity, duration, course their...
Purpose This study aimed to assess the prevalence and natural course (incidence, persistence, remission, relapse) of insomnia comorbid with cancer during an 18-month period. Patients Methods All patients scheduled receive a curative surgery for first diagnosis nonmetastatic were approached on day their preoperative visit participate in study. A total 962 (mixed sites) completed diagnostic interview at perioperative phase (T1), as well 2 (T2), 6 (T3) 10 (T4), 14 (T5), 18 (T6) months after...
To estimate the prevalence of insomnia and examine its correlates (for example, demographics physical mental health) treatments.A sample 2000 Canadians aged 18 years older responded to a telephone survey about sleep, health, use sleep-promoting products. Respondents with were identified using Diagnostic Statistical Manual Mental Disorders, Fourth Edition, Text Revision, International Classification Diseases, Tenth criteria.Among sample, 40.2% presented at least 1 symptom (that is, trouble...
<h3>Background:</h3> Although insomnia is a prevalent complaint with significant consequences on quality of life, health, and health care utilization, it often remains undiagnosed untreated in primary settings. Brief, reliable, valid instruments are needed to facilitate screening for general practice. This study examined psychometric indices the Insomnia Severity Index (ISI) identify individuals clinically <h3>Methods:</h3> A sample 410 patients recruited from 6 medical clinics completed ISI...
BACKGROUND Insomnia affects between 30% to 60% of patients with cancer but the authors' knowledge little is known regarding factors associated its development. It has been postulated that adjuvant treatments and their side effects could trigger sleep disturbances in this population empirical evidence lacking. The goal current study was assess, separately breast prostate cancer, effect on evolution insomnia symptoms mediating role somatic symptoms. METHODS As part a population‐based...
Insomnia is a significant public health problem, but there little information on its natural history.To assess the incidence, persistence, and remission rates of insomnia over 5-year naturalistic follow-up period.This cohort study included participants with without sleep problems selected from adult population in Canada August 2007 to June 2014. Participants completed an annual survey about their status for 5 consecutive years.Using validated algorithms, were classified at each assessment as...
This study investigated the efficacy of a multimodal cognitive-behavioral intervention for women who had been treated nonmetastatic breast cancer. Ten participants were enrolled in treatment protocol multiple-baseline design. Intervention time series analyses daily sleep diary data revealed significant improvements efficiency and total wake time. These results corroborated by polysomnographic data. In addition, insomnia was associated with mood, general physical fatigue, global cognitive...
Objective The goal of this study was to investigate whether clinical insomnia is associated with immune alterations by comparing functioning between patients chronic and good sleepers. Methods sleepers group composed 19 adults a regular sleep schedule no complaint disturbances. 17 meeting criteria for primary disorder. Peripheral blood samples were taken at the interview (time 1) before second night polysomnographic assessment 2) measures, including enumeration cell counts (ie, white cells,...
To examine the unique contribution of behavior therapy (BT) and cognitive (CT) relative to full (CBT) for persistent insomnia.
Purpose This study aimed to assess the prevalence, natural course, and risk factors of insomnia comorbid with cancer over a 2-month period. Patients Methods All patients scheduled receive curative surgery for first diagnosis nonmetastatic were approached participate in on day their preoperative visit. As part larger population-based longitudinal study, 991 completed various self-report scales an diagnostic interview at perioperative phase (T1) 2 months later (T2). Results At T1, 28.5% met...
Objective: Depression is particularly prevalent in patients with advanced cancer. Cognitive therapy (CT) an empirically supported treatment for depression the general population. However, efficacy remains to be demonstrated A prior controlled trial of CT a group format showed improvements depression, mood disturbance, and self-esteem; however, these effects were not maintained over time. Studies examining individual interventions that may ensure more long-term maintenance benefits are...