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Resume Introduction Le devoilement de soi par les professionnels de la sante est une pratique courante, bien que controversee quant au moment opportun, a l’etendue et au contenu des informations partagees et aux consequences cliniques. Objectif Cette etude qualitative vise a enqueter sur de devoilement de soi chez les professionnels de la sante et du monde socioeducatif. Methode Treize entretiens approfondis avec les animateurs d’une intervention pour ameliorer le plaisir et la motivation dans la schizophrenie. Les entretiens ont fait l’objet d’une analyse thematique. Resultats Les professionnels decrivent leurs devoilements comme un partage authentique d’experiences vecues. Du point de vue du contenu, les professionnels selectionnent des evenements simples de leur vie personnelle ou professionnelle, qu’ils trouvent faciles a partager avec les patients, en groupe. Les criteres de selection de ces experiences concernent principalement la valeur therapeutique et sont formules en termes de pertinence du contenu et de l’utilite envisagee pour le patient ainsi que d’authenticite. La revelation de soi genere une redefinition des places dans l’interaction conduisant a une relation plus egalitaire. Conclusions Le devoilement de soi s’avere etre un outil pour developper et maintenir la relation therapeutique. De plus amples etudes sur le phenomene seraient utiles pour concevoir la formation des professionnels.

BackgroundThe dissemination of new interventions in clinical practice remains challenging. E-learning may provide wide access in various settings and allow tailored learning trajectories and an adapted training pace. This study evaluates an online platform to train professionals to lead the Positive Emotion Program for Schizophrenia (PEPS) for patients with anhedonia. This study aims to test the reception provided by clinicians to the platform and its perceived usefulness and investigate whether e-PEPS training improves knowledge about the facilitation of PEPS.Materials and MethodsParticipants were recruited through advertisements. All participants provided their informed consent on a registration form and completed two pre-test questionnaires, a knowledge test on negative symptoms in schizophrenia, learning strategies and the partnership relationship, and a test on the ability to savor pleasant moments. After the training, they completed the same questionnaire and an evaluation form of the training and its application in personal and professional life.ResultsTwo-hundred and ten participants were registered to participate into the study, 185 received the access to the platform, and 101 participants completed the training and the post-test assessments. Satisfaction with training was high. The results showed that the participants significantly improved their knowledge about PEPS and increased the skills taught in their personal repertoire after the training. The training allows most clinicians to plan to lead a PEPS group in the year following training.DiscussionAs a result of this study, training has been improved and is now freely available to all interested clinicians.

Background: Negative symptoms are frequent in patients with schizophrenia and are associated with marked impairments in social functioning. The efficacy of drug-based treatments and psychological interventions on primary negative symptoms remains limited. The Positive Emotions Programme for Schizophrenia (PEPS) is designed to improve pleasure and motivation in schizophrenia patients by targeting emotion regulation and cognitive skills relevant to apathy and anhedonia. The main hypothesis of this study is that patients who attend 8 one-hour sessions of PEPS and treatment as usual (TAU) will have lower total apathy-avolition and anhedonia-asociality composite scores on the Scale for the Assessment of Negative Symptoms (SANS) than patients who attend only TAU. Methods: Eighty participants diagnosed with schizophrenia or schizoaffective disorder were randomized to receive either TAU or PEPS + TAU. The participants were assessed by independent evaluators before randomization (T0), in a post-test after 8 weeks of treatment (T1) and at a 6-month follow-up (T2). Results: The post-test results and 6-month follow-up assessments according to an intention-to-treat analysis showed that the apathy and anhedonia composite scores on the SANS indicated statistically greater clinical improvements in PEPS participants than in non-PEPS participants. In the post-test, anhedonia but not apathy was significantly improved, thus favouring the PEPS condition. These results were sustained at the 6-month follow-up. Conclusions: PEPS is an effective intervention to reduce anhedonia in schizophrenia. PEPS is a short, easy-to-use, group-based, freely available intervention that is easy to implement in a variety of environments (ClinicalTrials.gov ID: NCT02593058).

Rapid assessment of a global earthquake’s impact, focusing on damage caused by ground shaking (rather than secondary effects such as fires, tsunamis, landslides…), relies first on the spatial distribution of earthquake shaking as estimated by ground-motions prediction equations and on the building stock inventory and related vulnerability (Erdik et al. 2011). However, the variability of the ground-motion predictions model is significant (e.g., Atik et al. 2010), and at the global scale, building stock inventory and related vulnerability are difficult to evaluate with sufficient accuracy and spatial resolution (Porter et al. 2008) leading to uncertainties in impact assessments.