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Appendice A
Les variables socio-psychologiques et psychiatriques
associées aux mesures d’adaptation
241
Les variables sociales socio-psychologiques et psychiatriques associées aux mesures d’adaptation
Variables d’adaptation
57 variables indépendantes
Évaluation de l’adaptation globale
I. SOCIALES
+
0
Sexe
8
6
Âge
1
Statut marital
1
Emploi (travail)
1
-
Adaptation sociale
T*
+
0
-
T
(n = 15)
8/14
1
1
2
0/2
2/2
2
2/2
1/1
2
2/2
1
1/1
2
2/2
1/2
A. Adaptation sociale prémorbide
II. SOCIOPSYCHOLOGIQUES
(n = 9)
Interaction sociale
1
1/1
III. PSYCHIATRIQUES
(n = 33)
A. Hospitalisation
Nombre d’hospitalisations antérieures
3
Durée des hospitalisations antérieures
1
3
3/4
1
2
2/3
B. Psychopathologie
Niveau de symptomatologie
Diagnostic
+ : relation positive
1
0 : aucune relation
1/1
- : relation négative
2
2/5
242
Variables d’adaptation
Performance du rôle principal
I. SOCIALES
+
Origine ethnique
0
-
T
1
3
3/4
Temps passé dans la communauté
+
Âge
Statut marital
2
1
3/3
Classe sociale
Emploi (travail)
9
9/9
0
-
T
1
0/1
1
0/1
1
1/1
3
3/3
Associé à un meilleur résultat
+
0
-
1
T
0/1
3
3/3
1
1/1
Appartenance à un groupe
1
1/1
minoritaire
Fonctionnement hétérosexuel
1
1/1
A. Adaptation sociale
2
2/2
prémorbide
Adaptation sociale
1
1/1
Présence du chômage
1
1/1
Manque d’entraînement aux
1
1/1
habiletés au travail
Habiletés et intérêts
1
1/1
Fonctionnement au travail
2
2/2
243
3 variables d’adaptation
II. SOCIOPSYCHOLOGIQUES
+
Interaction sociale
1
0
-
T
+
0
-
T
+
0
-
T
Manque de soutien social
1
1/1
Solitaire
1
1/1
Échec à établir des amitiés
1
1/1
Échec à s’engager dans des
1
1/1
1
1/1
1
1/1
Faible scolarité
1
1/1
Faible intelligence
4
4/4
1/1
activités de groupe
Échec à participer à des activités
religieuses
Échec à former et à maintenir une
relation maritale
244
3 variables dépendantes
III. PSYCHIATRIQUES
+1
01
-1
T
2
2
2/4
+
0
-
T
2
2/2
+
0
-
T
2
2/2
A. Hospitalisation
Nombre d’hospitalisations
antérieures
Durée des hospitalisations
antérieures
Longueur de la première
1
1/1
hospitalisation < 1 an
B. Début de la maladie
Insidieux
2
Aigu (< 6 mois)
20
Facteurs précipitants
16
2/2
20/20
5
16/21
C. Psychopathologie
Émoussement de l’affect
Symptôme psychophysique
Introduction de changement
4
1
4/4
1/1
1
1/1
Affect inapproprié
1
1/1
Mutisme
1
1/1
de personnalité
245
Négativisme
1
Lâcheté des associations
1
Traits dépressifs
14
1/1
1/1
2
14/16
Inaptitude à parler le langage
1
1/1
Symptôme négatif
1
1/1
Symptôme
chronique
au
1
0/1
départ
Score DRS à 6, 12, 24, 36 et
1
1/1
Personnalité non schizoïde
1
1/1
Confusion ou perplexité
15
60 mois
5
15/20
Personnalité schizoïde
3
3/3
Hallucination et délire
1
1/1
Pensée désorganisée
2
2/2
Propension à attaquer
1
1/1
246
Performance du rôle
Temps passé dans la
principal
III. PSYCHIATRIQUES
+1
01
-1
Associé à un meilleur
communauté
T
+
0
-
résultat
T
+
0
-
T
Souci avec la mort
2
2/2
Détresse subjective
1
1/1
Anxiété
1
1/1
Durée de l’épisode qui a lieu
2
2/2
avant l’évaluation initiale
Niveau de symptomatologie
1
0/1
D. Génétique
Histoire de troubles affectifs
9
9/9
familiaux
Histoire de schizophrénie dans
la famille
4
4/4
Appendice B
Les corrélations des cinq prédicteurs significatifs de l’adaptation
avec les variables descriptives et les variables des dimensions
248
Les corrélations des cinq prédicteurs significatifs de l’adaptation
avec les variables descriptives et les variables des dimensions
Données socio-démographiques
Âge
Fréquence des
Sévérité des
Accommodation
événements de
symptômes
vie
négatifs
-0,134
-0,101
0,161
Sexe
2,477a
0,163a
0,564a
État matrimonial
0,111a
-0,100a
0,039a
Scolarité
0,179
0,080
0,164
Revenus
0,010
-0,071
0,191
Type d’emploi actuel
0,285**
-0,158
-0,016
Durée du travail
0,175
-0,196*
0,018
Type de résidence
3,175a*
-0,041
0,137
Partage de la résidence
6,58a***
2,988*a
0,158a
Durée de la résidence
0,161
0,058
0,755a
0,215a
2,300a
-0,074
Données cliniques
Diagnostic
-0,153
-0,081
0,119
Nombre d’hospitalisations durant la
-0,031
0,253**
0,033
Nombre de mois antérieurs hospitalisés
-0,039
-0,154
0,144
Nombre de jours hospitalisés durant la
-0,072
-0,391
0,285
Nombre d’années de maladie
-0,130
-0,063
0,046
Nombre d’années sans hospitalisation
-0,045
-0,151
0,100
Nombre de mois en psychiatrie
-0,116
-0,137
0,012
dernière année
dernière année
Type de suivi
0,796a
1,361a
0,042a
Rythme du suivi
0,535a
0,473a
-0,015a
249
Fréquence
des
Sévérité des
événements
de
symptômes
vie
Accommodation
négatifs
Présence d’une maladie physique
0,010a
0,284a
0,011a
Type de maladie physique
1,58a
0,951a
0,257a
-0,125
0,140
-0,005
Facteur global
0,192
0,581*
-0,005
Facteur dépressif
0,155
0,587*
-0,021
Facteur anxiété
0,164
0,500*
0,054
Facteur irritabilité
0,178
0,488*
-0,056
Facteur cognitif
0,240
0,318*
-0,008
1
0,121
0,100
Médication psychotrope
Détresse psychologique
Événements de vie
Fréquence
Impact négatif
-0,710*
-0,160
0,122
Impact positif
0,541*
-0,091
0,328*
Total de l’impact
0,033
-0,132
0,395*
Tracas quotidiens
Fréquence
0,347*
0,478*
0,022
Sévérité
0,298
0,479*
0,033
Fréquence globale
0,141
0,794***
0,031
Sévérité globale
0,143
0,798***
0,024
Fréquence négative
0,120
0,755***
-0,080
Sévérité négative
0,121
1
-0,085
Fréquence positive
0,125
0,543***
0,124
Sévérité positive
0,151
0,535***
0,130
0,115
0,195*
0,105
Symptômes
Stigmatisation
250
Fréquence des
Sévérité des
événements de
symptômes
vie
négatifs
Score global
0,088
0,306***
Intrusion
0,082
0,188*
Tolérance-attente
0,108
0,323***
-0,088
Réponse émotive
0,091
0,279*
-0,033
Attitudes négatives envers la maladie
0,008
0,277
-0,123
Émotions exprimées
Estime de soi
-0,008
-0,550***
Accommodation
-0,009
0,152
0,096
Stress perçu
Score global
0,154
0,286*
Menace
0,125
0,463***
Défi
0,118
Centralité
0,132
0,360**
0,106
Contrôlable par soi
0,187
-0,385**
0,168
Contrôlable par autrui
-0,026
-0,244*
0,075
Incontrôlabilité
-0,021
0,304*
-0,074
Changer la situation
0,158
0,008
Accommodation
0,100
-0,085
1
-0,080
-0,051
0,414**
Réduction des symptômes
0,185
-0,093
0,486**
Évitement
0,006
-0,017
0,255
-0,290*
0,066
-0,069
0,256*
Coping cybernétique
Dévaluation
0,397*
251
Les corrélations des cinq prédicteurs significatifs de l’adaptation avec
les variables descriptives et les variables des dimensions
Âge
Données socio-démographiques
Scolarité
Âge
1
-0,072
Sexe
0,043a
0,521a
État matrimonial
0,028a
-0,006a
Scolarité
-0,072
1
Revenus
0,072
0,201*
Type d’emploi actuel
-0,230*
0,152
Durée du travail
-0,128
0,125
Type de résidence
-0,008a
0,097a
Partage de la résidence
1,545a
0,508a
Durée de la résidence
0,018
0,110
Diagnostic
2,300a
0,137a
0,328***
Données socio-cliniques
Nombre d’hospitalisations durant la dernière
-0,141
-0,179
-0,062
année
Nombre de mois antérieurs hospitalisés
Nombre de jours hospitalisés durant la dernière
0,263**
-0,084
-0,172
-0,011
année
Nombre d’années de maladie
0,688***
-0,190
Nombre d’années sans hospitalisation
0,680***
0,101
Nombre de mois suivis en psychiatrie
0,455***
0,060
Type de suivi
0,100a
0,009a
Rythmne du suivi
1,776a
1,116a
Présence d’une maladie physique
0,021a
0,268a
Type de maladie physique
2,902**
0,523a
Médication psychotrope
0,092
-0,187
252
Détresse psychologique
Âge
Scolarité
Facteur global
-0,014
0,027
Facteur dépressif
-0,094
-0,013
0,054
0,037
-0,037
0,148
0,046
-0,016
-0,134
0,180
Impact négatif
0,080
-0,164
Impact positif
-0,006
0,015
0,084
-0,125
-0,029
0,088
0,034
0,040
Fréquence globale
0,046
0,024
Sévérité globale
0,030
0,016
Fréquence négative
-0,090
0,088
Sévérité négative
-0,102
0,081
Fréquence positive
0,176
0,072
Sévérité positive
0,154
0,072
0,018
0,249*
Score global
-0,039
0,153
Intrusion
-0,077
0,142
Tolérance-attente
-0,058
0,146
Réponse émotive
-0,023
0,176
Facteur anxiété
Facteur irritabilité
Facteur cognitif
Événements de vie
Fréquence
Total de l’impact
Tracas quotidiens
Fréquence
Sévérité
Symptômes
Stigmatisation
Émotions exprimées
253
Attitudes négatives envers la maladie
0,042
0,030
0,101
-0,193*
-0,065
0,031
Menace
0,022
0,055
Défi
0,000
-0,017
Centralité
0,082
0,016
-0,008
0,097
0,133
0,034
-0,103
-0,027
Changer la situation
0,014
-0,026
Accommodation
0,162
0,164
Dévaluation
0,047
-0,024
Réduction des symptômes
0,018
0,024
Évitement
0,084
0,009
Estime de soi
Stress perçu
Score global
Contrôlable par soi
Contrôlable par autrui
Incontrôlabilité
Coping cybernétique
a)
Calculé par un test Eta squared
* p < .05, ** p < .01, *** p < .001
Appendice C
Matrice des intercorrélations des 37 échelles
255
256
257
Appendice D
Formulaire de consentement pour
participer au projet de recherche
259
260
261
Appendice E
Procédure de validation du diagnostic
263
Appendice F
Les onze questionnaires de
l’évaluation psychosociale
265
266
267
268

RÉFÉRENCES Addington, J. et D. Addington. (1991). Positive and

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