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Laurette Dubé

Publications and source records attributed to Laurette Dubé.

8 recordsLinked to original sources

Affect asymmetry and comfort food consumption.

It is proposed that the emotional triggers of comfort food consumption can reliably be predicted by factors tied to affect asymmetry whereby negative affects dominate one's experience, decision making and behaviors in some instances while positive emotions prevail in others. Specifically, we relate three of these factors (age, gender, and culture) to differences in the emotional triggers of comfort food consumption and we further explore the possibility that the type of food eaten during comfort-seeking episodes can also be tied to affect asymmetry. Two hundred and seventy-seven participants completed a web-based survey conducted to assess the emotional antecedents and consequences of comfort food consumption. Consistent with expectations, results indicate that men's comfort food consumption was motivated by positive emotions whereas women's consumption was triggered by negative affects. Consumption of comfort foods alleviated women's negative emotions but also produced guilt. Positive affect was a particularly powerful trigger of comfort food consumption for older participants and for participants with French cultural background. Younger participants and participants with English background reported more intense negative emotions prior to consuming comfort foods. Foods high in sugar and fat content were more efficient in alleviating negative affects whereas low-calorie foods were more efficient in increasing positive emotions.

Adolescent↗

The role of everyday emotion regulation on pain in hospitalized elderly: insights from a prospective within-day assessment.

Pain management is still an unresolved issue among the general elderly patient population in institutions. It is proposed that everyday emotion regulation (i.e. self-supporting maintenance or change in positive and negative emotions) performed by hospitalized elderly can help reduce pain intensity. This argument is based on (1) robust evidence in life span research of elderly's high ability for emotion regulation in the midst of everyday life and (2) experimental evidence from pain research that simple strategies to regulate emotions impact pain intensity. A prospective within-day study was designed to (1) empirically trace the occurrence of emotion regulation over specific sampling episodes, (2) assess the impact of this regulation on end-of-episode pain intensity, and (3) consider the effects of socio-demographic, psychological, and clinical factors on emotion regulation and its relationship to pain intensity. Thirty patients (mean age 78.8) of a geriatric facility provided ratings of emotional states and pain intensity. Emotion regulation was defined as maintenance/recovery of desirable emotional states and computed for individual emotions (positive feelings, anger, anxiety, and mild depressed feelings) and globally to reflect the number of emotions successfully regulated. Multilevel analyses found emotion regulation to be prospectively related to pain intensity, for both global and anxiety regulation. While this relationship held across the sample, lower emotion regulation was found for old-old (vs. young-old), males (vs. females), and patients living alone (vs. with others). Results suggest the possibility that promoting emotion regulation as self-management strategy could contribute to cost-effective pain management in general or targeted elderly populations.

Aged↗

Hunger and aversion: drives that influence food intake of hospitalized geriatric patients.

BACKGROUND: Diminished appetite occurs frequently with aging and is considered an important clinical symptom of malnutrition, a condition associated with negative clinical outcome, decreased quality of life, and increased health care costs in hospitalized geriatric patients. Yet, in this population, research is scant on hunger and aversion, the two underlying drives that shape appetite, or on their influence on food intake. This study aimed (a) to examine their interrelationship and respective contribution to food intake; (b) to determine how each relate to other health-related contemporaneous subjective states preceding the meal (good physical health, positive mood, pain); and (c) to explore clinical variables as moderators of the drives-intake relationships to identify population segments for which these relationships are the strongest. METHODS: 32 patients (21 women, 11 men; age range, 65-92 years) were observed during repeated meals in a geriatric rehabilitation unit (for a total of 1477 meals). Perceived hunger, aversion, and contemporaneous subjective states were reported before each meal. Protein and energy consumption was calculated from plate leftovers. Clinical measures were obtained from participants' medical charts. RESULTS: The hunger-aversion relationship had a low inverse correlation (p =.001), with each uniquely contributing to protein intake (positive and negative effects, respectively; all p <.05). Hunger was positively associated with the perception of physical health and with mood (all p =.001). Aversion was associated with pain (p =.001). Furthermore, aversion-intake relationships were influenced by moderators, whereas hunger-intake relationships remained constant. CONCLUSIONS: From a clinical perspective, these results suggest that nutritional interventions aimed at bolstering hunger and curbing aversion may be necessary to ensure optimal food intake. Subgroups of patients who would particularly benefit from these interventions are suggested.

Affect↗

A blueprint-based case study analysis of nutrition services provided in a midterm care facility for the elderly.

Ensuring nutritionally adequate food intake in institutions is a complex and important challenge for dietitians. To tackle this problem, we argue that dietitians need to adopt a systematic, integrative, and patient-centered approach to identify and manage more effectively organizational determinants of the quality of food intake under their control. In this study, we introduce such an approach, the blueprint-based case study, that we applied in the context of a midterm care facility for elderly patients. Data gathered through interviews and field observations were used to develop, from the perspective of key patient encounters, detailed representations of the food, nutrition, and nursing activities necessary to ensure adequate food intake. These service "blueprints" were developed to illustrate all activities that might potentially impact on the nutritional, sensory, functional, and social quality of patients' meals. They were also used as roadmaps to develop a case study analysis in which critical areas were identified and opportunities for improvement put forth, while considering services' resources and priorities. By providing a precise, objective, yet comprehensive mapping of the service operations and management, the blueprint-based case study approach represents a valuable tool to determine the optimal allocation of resources to insure nutritionally adequate food intake to patients.

Aged↗

Direct and indirect effects of everyday emotions on food intake of elderly patients in institutions.

BACKGROUND: Decreased food intake is an important risk factor for malnutrition, which is highly prevalent among geriatric patients. The emotional nature of the hospitalization experience and the complex organizational setting involved in meal production and delivery services in institutions increase the risk for decreased food intake. Everyday emotions are known to have a particularly strong influence on decision-making and behavior in the elderly, and have also been shown, in younger populations, to influence food intake and its psychological antecedents, such as quality perception and satisfaction judgments. The objective of this paper is to study the direct impact of elderly patients' everyday emotions on food intake and their indirect effects mediated by quality perceptions and satisfaction judgments. METHODS: Thirty patients (20 women, 10 men, 65-92 age range) in a geriatric rehabilitation unit were observed on repeated meal episodes (average of 46 care episodes per patient) where they provided self-reports for emotions (positive emotions, anger, anxiety, and mild depressed feelings), perceived meal quality, and satisfaction. Food intake was measured in terms of energy and protein content. RESULTS: The impact on food intake was favorable, and both direct and indirect for positive emotions, direct and negative for anxiety, direct and positive for mild depressed feelings, and indirect and negative for anger. Indirect effects were mediated by quality perception judgments but not by satisfaction, which was not significantly related to food intake. CONCLUSION: Results suggest that, given their impact on food intake, measuring and monitoring patients' everyday emotions may be an important innovative strategy to improve food intake of elderly patients in institutions.

Aged↗

[Media treatment of messages on weight loss products by the Association for Public Health of Quebec and its reception].

BACKGROUND: The results of a study on weight loss products and services were released during a press conference organized by the Association pour la santé publique du Québec (ASPQ). The media widely covered this press conference. The purpose of this article is to answer the question: "How are messages emitted by public health institutions transmitted by the media and received by the population?" METHOD: The transcripts of the press conference, the press release as well as 43 documents from the print and broadcast media were evaluated according to a press analysis method. The analysis of these documents was based on the concept of the information unit. The compilation of these information units was used to produce charts which include data such as the frequency, partiality, weight tendency ("poids-tendance") and tendency-impact ("tendance-impact"). Furthermore, two focus groups of persons using weight loss products and services were conducted. RESULTS: In this article, we compare the emitted message with the one transmitted. The analysis of the message emitted by the ASPQ and that conveyed by the media revealed that for almost all subjects dealt with during the press conference, the media have been more partial than the ASPQ. The media not only expanded on the emitted message but also gave a negative image of weight loss products and services. Furthermore, the message transmitted by the media was very similar to the initial message. The focus groups on how the message was received by persons using weight loss products and services also revealed that the message was lost in the flow of information on weight loss products and services. CONCLUSION: This analysis of the emitted, transmitted and received messages has given us some indications on how to readjust the initial message and on what to emphasize in future press conferences.

Focus Groups↗

A model of mechanisms underlying the influence of media on health behaviour norms.

Media-based interventions are common in health promotion, yet their conceptual underpinnings tend to be based on a simple linear model of direct influence on individuals' health behaviour. Recent studies have suggested that the processes through which media influence health behaviours are actually far more complex. This paper presents a conceptual model of how the medias influence the emergence and maintenance of the social norms that can contribute to shaping health behaviours. Through positive (amplifying) and negative (dampening) loops, a total of six potential influence pathways are proposed, and the role of opinion leaders and specialists is specified. Future directions for empirical tests of the model are identified.

Attitude to Health↗