The Need for Objective Measures of Stress in Autism

Hufnagel, Cédric; Chambres, Patrick; Bertrand, Pierre; Dutheil, Frédéric

doi:10.3389/fpsyg.2017.00064

Cited by 47 publications

(39 citation statements)

References 39 publications

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“…The Socio-demographic characteristics questionnaire assessed age, gender, weight, size, occupational group, education level, family situation, work characteristics, physical activity, and quantity of sleep. Sleep quality, well-being and perceived stress at work and at home are evaluated using visual analogue scales (VAS), i.e., by moving a cursor on a horizontal, non-calibrated line of 10 cm, ranging from very low (0) on the left to very high (10) on the right [ 44 , 45 , 46 , 47 , 48 , 49 ]. We also looked for the presence of other addictions such as tobacco, cannabis, and alcohol.…”

Section: Methodsmentioning

confidence: 99%

Exploring the Link between Work Addiction Risk and Health-Related Outcomes Using Job-Demand-Control Model

Dutheil

Charkhabi

Ravoux

et al. 2020

IJERPH

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Purpose of the study: Work addiction risk is a growing public health concern with potential deleterious health-related outcomes. Perception of work (job demands and job control) may play a major role in provoking the risk of work addiction in employees. We aimed to explore the link between work addiction risk and health-related outcomes using the framework of job-demand-control model. Methods: Data were collected from 187 out of 1580 (11.8%) French workers who agreed to participate in a cross-sectional study using the WittyFit software online platform. The self-administered questionnaires were the Job Content Questionnaire by Karasek, the Work Addiction Risk Test, the Hospital Anxiety and Depression scale and socio-demographics. Data Analysis: Statistical analyses were performed using the Stata software (version 13). Results: There were five times more workers with a high risk of work addiction among those with strong job demands than in those with low job demands (29.8% vs. 6.8%, p = 0.002). Addiction to work was not linked to job control (p = 0.77), nor with social support (p = 0.22). We demonstrated a high risk of work addiction in 2.6% of low-strain workers, in 15.0% of passive workers, in 28.9% of active workers, and in 33.3% of high-strain workers (p = 0.010). There were twice as many workers with a HAD-Depression score ≥11 compared with workers at low risk (41.5% vs. 17.7%, p = 0.009). Sleep quality was lower in workers with a high risk of work addiction compared with workers with a low risk of work addiction (44.0 ± 27.3 vs. 64.4 ± 26.8, p < 0.001). Workers with a high risk of work addiction exhibited greater stress at work (68.4 ± 23.2 vs. 47.5 ± 25.1) and lower well-being (69.7 ± 18.3 vs. 49.3 ± 23.0) compared with workers at low risk (p < 0.001). Conclusions: High job demands are strongly associated with the risk of work addiction. Work addiction risk is associated with greater depression and poor quality of sleep. Preventive strategies should benefit from identifying more vulnerable workers to work addiction risk.

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Section: Methodsmentioning

confidence: 99%

Exploring the Link between Work Addiction Risk and Health-Related Outcomes Using Job-Demand-Control Model

Dutheil

Charkhabi

Ravoux

et al. 2020

IJERPH

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“…Subjective self-report measures, often questionnaires or scales, indicate the individual's perceived stress level, while biomarkers give an objective measure of a person's state. Biomarkers can be monitored by smartphones and wearables for real-time stress and anxiety detection, however, existing technology has yet to be perfected [27].…”

Section: Stress and Anxiety In Children With Asdmentioning

confidence: 99%

“…Serious games for mental health care treatment often incorporate biofeedback in the game, requiring the use of wearables. However, real-time stress and anxiety detection using wearables is no easy feat as existing technology has yet to be perfected [27]. Moreover, incorporating such wearables in the game could provide an extra obstacle for children with ASD as they have to be worn correctly and can be uncomfortable to wear.…”

Section: Serious Games For Mental Healthmentioning

confidence: 99%

Empowering Children with ASD and Their Parents: Design of a Serious Game for Anxiety and Stress Reduction

Carlier

Paelt

Ongenae

et al. 2020

Sensors

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Autism Spectrum Disorder (ASD) is characterized by social interaction difficulties and communication difficulties. Moreover, children with ASD often suffer from other co-morbidities, such as anxiety and depression. Finding appropriate treatment can be difficult as symptoms of ASD and co-morbidities often overlap. Due to these challenges, parents of children with ASD often suffer from higher levels of stress. This research aims to investigate the feasibility of empowering children with ASD and their parents through the use of a serious game to reduce stress and anxiety and a supporting parent application. The New Horizon game and the SpaceControl application were developed together with therapists and according to guidelines for e-health patient empowerment. The game incorporates two mini-games with relaxation techniques. The performance of the game was analyzed and usability studies with three families were conducted. Parents and children were asked to fill in the Spence's Children Anxiety Scale (SCAS) and Spence Children Anxiety Scale-Parents (SCAS-P) anxiety scale. The game shows potential for stress and anxiety reduction in children with ASD.Sensors 2020, 20, 966 2 of 41 language. ASD is a heterogeneous condition: the profile of each child or adult with ASD is unique [4]. An estimated 1 in 132 individuals suffers from ASD [5]. As a result of these challenges, related to social functioning and communication, people with ASD often suffer from other conditions, such as mood swings and anxiety. It is estimated that up to 72% of children with ASD suffer from co-morbidities [6], however, co-morbidity rates remain largely unknown for ASD, as co-morbid conditions can be difficult to diagnose [7][8][9][10]. Depression and anxiety are two of the most common ASD co-morbidities with rates around 40 to 50% [11].Due to communication difficulties, children with ASD are often unable to express themselves when stressed or frustrated. Combined with unique symptoms in every child and overlap in symptoms of co-morbidities, it is challenging to find the appropriate response. As a result, temper tantrums are common, which can be an important cause of parental stress [1]. Determining the correct diagnosis or finding appropriate treatment is difficult due to the challenges in communication and uniqueness in symptoms [7].Empowering both the children and their parents by raising awareness of the child's anxiety and stress can result in better management of the child's temper tantrums, which can result in a decrease in stress and anxiety. The term "patient empowerment" is used in many different settings and domains, but no general definition exists. The consensus is that patient empowerment is used to describe situations where patients and users are encouraged to take control of their health management [12]. In other words, patient empowerment is enabling patients to actively understand their health [13], but also the support to restore a sense of hope, respect, self-efficacy and the drive to face seemingly insurmountable challenges [14...

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“…The rationale for the sample size calculation is based on HRV, which is a biomarker of both stress and morbidity/mortality 10 14 15. Specifically, within the multiple parameters of HRV, we considered the log low frequency (LF)/high frequency (HF) for the sample size calculation because it is the parameter that traditionally represents sympathovagal balance (see description of LF/HF below in the description of the primary outcome) 10 14.…”

Section: Power Analysismentioning

confidence: 99%

“…A deregulation of the sympathovagal balance is a major factor of morbidity cardiovascular mortality 13. Conveniently, the sympathovagal balance can be measured easily and without pain using heart rate variability (HRV), which is a biomarker of both stress and morbidity/mortality 10 14 15. Stress and obesity also cause arterial ischaemic pathology16 through complex mechanisms involving changes in endothelial and arterial atheroscleroses 16.…”

Section: Introductionmentioning

confidence: 99%

Stress management in obesity during a thermal spa residential programme (ObesiStress): protocol for a randomised controlled trial study

et al. 2019

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IntroductionStress and obesity are two public health issues. The relationship between obesity and stress is biological through the actions of stress on the major hormones that regulate appetite (leptin and ghrelin). Many spa resorts in France specialise in the treatment of obesity, but no thermal spa currently proposes a specific programme to manage stress in obesity. The ObesiStress protocol has been designed to offer a new residential stress management programme. This thermal spa treatment of obesity implements stress management strategies as suggested by international recommendations.Methods and analysis140 overweight or obese participants with a Body Mass Index of >25 kg/m2 and aged over 18 years will be recruited. Participants will be randomised into two groups: a control group of usual practice (restrictive diet, physical activity and thermal spa treatment) and an intervention group with stress management in addition to the usual practice. In the present protocol, parameters will be measured on five occasions (at inclusion, at the beginning of the spa (day 0), at the end of the spa (day 21), and at 6 and 12 months). The study will assess the participants’ heart rate variability, cardiac remodelling and function, electrodermal activity, blood markers, anthropometric profile, body composition, psychology and quality of life via the use of questionnaires and bone parameters.Ethics and disseminationThe ObesiStress protocol complies with the ethics guidelines for Clinical Research and has been approved by the ethics committee (CPP Sud-Est VI, Clermont-Ferrand - ANSM: 2016-A01774-47). This study aimed to highlight the efficacy of a 21-day thermal spa residential programme of stress management in obesity through objective measurements of well-being and cardiovascular morbidity. Results will be disseminated during several research conferences and articles published in peer-reviewed journals.Trial registration numberNCT03578757.

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The Need for Objective Measures of Stress in Autism

Abstract: International audienc

Cited by 47 publications

References 39 publications

Exploring the Link between Work Addiction Risk and Health-Related Outcomes Using Job-Demand-Control Model

Exploring the Link between Work Addiction Risk and Health-Related Outcomes Using Job-Demand-Control Model

Empowering Children with ASD and Their Parents: Design of a Serious Game for Anxiety and Stress Reduction

Stress management in obesity during a thermal spa residential programme (ObesiStress): protocol for a randomised controlled trial study

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