Résumés
Résumé
La recherche dans le domaine de la motivation a démontré que la présence de buts personnels est associée au bien-être psychologique (BEP). Un programme de 14 semaines conçu pour aider les participants à réaliser leurs projets a été offert à des personnes âgées (≥ 65 ans) dépressives (BDI-II ≥ 9; M = 22,05) afin d’améliorer leur BEP. Les niveaux de BEP, de dépression et d’anxiété des personnes qui ont participé au programme (n = 24) ont été comparés à ceux d’un groupe contrôle (n = 18). Les analyses ont montré que les participants au programme se sont améliorés significativement sur la plupart des indicateurs de BEP, incluant la dépression, ce qui semble indiquer qu’un programme de gestion des buts pourrait être une manière innovatrice de promouvoir la santé mentale des aînés dépressifs. Toutefois, l’amélioration est observée uniquement pour la sérénité et le sens à la vie dans les analyses comparatives avec le groupe contrôle. Les études ultérieures devraient tenter de développer des programmes de promotion de la santé mentale qui offrent aux individus des moyens d’atteindre un état de fonctionnement optimal.
Mots-clés :
- dépression,
- intervention,
- personnes âgées,
- buts personnels,
- bien-être psychologique
Abstract
Research on motivation has shown that the presence of personal goals is related to psychological well-being (PWB). A 14-week program designed to help participants realize meaningful personal projects was created to improve the PWB of depressed (BDI-II ≥ 9; M = 22,05) older adults (≥ 65 years). The levels of PWB, depression, and anxiety of the persons who took part in the program (n = 24) were compared to those of a control group (n = 18). Analyses showed that the program participants improved significantly on most indicators of well-being, including depression, indicating that a goal intervention program could be an innovative way to promote the mental health of depressive older adults. However, the improvement was observed only for serenity and meaning in life in the comparative analyses with the control group. Future studies should try to develop mental health promotion program that provide individuals with means to achieve an optimal state of functioning.
Keywords:
- depression,
- intervention program,
- older adults,
- personal goals,
- psychological well-being
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Bibliographie
- Bailly, N., Gana, K., Hervé, C., Joulain, M. et Alaphilippe, D. (2014). Does flexible goal adjustment predict life satisfaction in older adults? A six-year longitudinal study. Aging and Mental Health, 18(5), 662-670.
- Bailly, N., Hervé, C., Joulain, M. et Alaphilippe, D. (2012). Validation of the French version of Brandtstädter and Renner's Tenacious Goal Pursuit (TGP) and Flexible Goal Adjustment (FGA) scales. European Review of Applied Psychology, 62(1), 29-35.
- Bailly, N., Joulain, M., Hervé, C. et Alaphilippe, D. (2012). Coping with negative life events in old age: The role of tenacious goal pursuit and flexible goal adjustment. Aging and Mental Health, 16(4), 431-437.
- Battista, J. et Almond, R. (1973). The development of meaning in life. Psychiatry:Journal for the Study of Interpersonal Processes, 36(4), 409-427.
- Bauer, I. et Wrosch, C. (2009). Il faut savoir quand s'arrêter : l'ajustement des buts pour le bien-être et la santé. Revue québécoise de psychologie, 30(2), 113-130.
- Beck, A. T., Steer, R. A. et Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.
- Blais, M. R., Vallerand, R. J., Pelletier, L. G. et Brière, N. M. (1989). L'échelle de satisfaction de vie: Validation canadienne-française du « Satisfaction with Life Scale ». Revue canadienne des sciences du comportement, 21(2), 210-223.
- Bouffard, L., Bastin, E., Lapierre, S. et Dubé, M. (2001). La gestion des buts personnels, un apprentissage significatif pour des étudiants universitaires. Revue des sciences de l'éducation, 27(3), 503-522.
- Bouffard, L. et Dubé, M. (2011). Regret de vivre et effroi de mourir. Essai sur le quatrième âge. Revue québécoise de psychologie, 32(1), 157-179.
- Bourque, P., Blanchard, L. et Vézina, J. (1991). Étude psychométrique de l’Échelle de dépression gériatrique. Revue canadienne du vieillissement, 9(4), 348-355.
- Brandtstädter, J. (2009). Goal pursuit and goal adjustment: Self-regulation and intentional self-development in changing developmental contexts. Advances in Life Course Research, 14, 52-62.
- Brandtstädter, J. et Renner, G. (1990). Tenacious goal pursuit and flexible goal adjustment. Psychology and Aging, 5(1), 58-67.
- Brandtstaadter, J. et Rothermund, K. (2002). The life-course dynamics of goal pursuit and goal adjustment: A two-process framework. Developmental Review, 22, 117-150.
- Breitbart, W., Rosenfeld, B., Gibson, C., Pessin, H., Poppito, S., Nelson, C., … et Olden, M. (2010). Meaning-centered group psychotherapy for patients with advanced cancer: A pilot randomized controlled trial. Psycho-Oncology, 19(1), 21-28.
- Carstensen, L. L. (2011). Emotional experience improves with age: Evidence based on over 10 years of experience sampling. Psychological Aging, 26(1), 21-33.
- Chen, Y., Lee, Y. T., Pethtel, O. L., Gutowitz, M. S. et Kirk, R. M. (2012). Age differences in goal concordance, time use, and well-being. Educational Gerontology, 38(11), 742-752.
- Cook, T. D. et Campbell, D. T. (1979). Quasi-experimentation: Design and analysis issues for field setting. Chicago : Rand McNally.
- Coote, H. J. et MacLeod, A. K. (2012). A self-help, positive goal-focused intervention to increase well-being in people with depression. Clinical Psychology and Psychotherapy, 19(4), 305-315.
- Crum R. M., Anthony J. C., Bassett S. S. et Folstein M. F. (1993). Population-based norms for the Mini-Mental State Examination by age and educational level. Journal of the American Medical Association, 269, 2386-2391.
- de Grâce, G.-R., Joshi, P. et Pelletier, R. (1993). L'Échelle de solitude de l'Université Laval (ÉSUL): validation canadienne-française du UCLA Loneliness Scale. Revue canadienne des sciences du comportement, 25(1), 12-27.
- Diener, E., Emmons, R. A., Larsen, R. J. et Griffin, S. (1985). The Satisfaction with Life Scale, Journal of Personality Assessment, 49(1), 71-75.
- Dubé, M., Bouffard, L., Lapierre, S. et Alain, M. (2005). La santé mentale par la gestion des projets personnels : une intervention auprès de jeunes retraités. Santé mentale au Québec, 30(2), 321-344.
- Dubé, M. Lapierre, S., Bouffard, L. et Alain, M. (2007). Impact of a personal goal management program on the subjective well-being of young retirees. European Review of Applied Psychology, 57(3), 183-192.
- Dubé, M., Bouffard, L., Lapierre, S. et Marcoux, L. (2014). En route vers une vie plus heureuse par la gestion des buts et des projets personnels. Guide de l’animateur. Manuscrit inédit. Laboratoire de gérontologie. Université du Québec à Trois-Rivières, Canada.
- Folstein, M. F., Folstein, S. E. et McHugh, P. R. (1975). Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198.
- Freund, A. M. (2008). Successful aging as management of resources: The role of selection, and optimization, and compensation. Research on Human Development, 5, 94-106.
- Gagné, M. (2003). The role of autonomy support and autonomy orientation in prosocial behavior engagement. Motivation and Emotion, 27(3), 199-223.
- Gerety, M. S., Williams, J. W., Mulrow, C. D., Cornell, J. E., Kadri, A. A., Rosenberg, J., … Long, M. (1994). Performance of case-finding tools for depression in the nursing home: Influence of clinical and functional characteristics and selection of optimal threshold scores. Journal of the American Geriatrics Society. 42, 1103-1109.
- Hanssen, M. M., Vancleef, L. G., Vlaeyen, J. S., Hayes, A. F., Schouten, E. W. et Peters, M. L. (2014). Optimism, motivational coping and well-being: Evidence supporting the importance of flexible goal adjustment. Journal of Happiness Studies,
- Heyl, V., Wahl, H. W. et Mollenkopf, H. (2007). Affective well-being in old age: The role of tenacious pursuit and flexible goal adjustment. European Psychologist, 12, 119-129.
- Hinton, L., Zweifach, M., Oishi, S., Tang, L. et Unützer, J. (2006). Gender disparities in the treatment of late-life depression: Qualitative and quantitative findings from the IMPACT trial. The American Journal of Geriatric Psychiatry, 14(10), 884-892.
- Kelly, R. E., Wood, A. M. et Mansell, W. (2013). Flexible and tenacious goal pursuit lead to improving well-being in an aging population: A ten-year cohort study. International Psychogeriatrics, 25(1), 16-24.
- Klug, H. P. et Maier, G. W. (2014). Linking goal progress and subjective well-being: A meta-analysis. Journal of Happiness Studies, 16(1), 37-65.
- Labelle, R., Bouffard, L., Alain, M., Dubé, M., Bastin, É. et Lapierre, S. (2001). Bien-être et détresse psychologique : vers un modèle hiérarchique cognitivo-affectif en santé mentale Revue québécoise de psychologie, 22(1), 71-87.
- Lapierre, S., Bouffard, L. et Bastin, É. (1993). Motivational goal objects in later life. International Journal of Aging and Human Development, 36(4), 279-292.
- Lapierre, S., Bouffard, L. et Bastin, É. (1997). Personal goals and subjective well-being in later life. International Journal of Aging and Human Development, 45(4), 287-303.
- Lapierre, S., Bouffard, L., Dubé, M., Labelle, R. et Bastin, É. (2001). Aspirations and well-being in old age. Dans P. Schmuck et K. M. Sheldon (dir.), Life goals and well-being. Towards a positive psychology of human striving (pp. 102-115). Toronto, ON : Hogrefe et Huber Publishers.
- Lapierre, S., Desjardins, S., Préville, M., Berbiche, D., Marcoux, L. et Dubé, M. (2015). Wish to die and physical illness in older adults. Psychology Research, 5(2), 125-137.
- Lapierre, S., Dubé, M., Bouffard, L. et Alain, M. (2007). Addressing suicidal ideations with the realization of meaningful personal goals. Crisis, 28(1), 16-25.
- Leary, M. R., Tambor, E. S., Terdal, S. K. et Downs, D. L. (1995). Self-esteem as an interpersonal monitor: The sociometer hypothesis. Journal of Personality and Social Psychology, 68(3), 518-530.
- O’Connor, R. C., Connery, H. et Cheyne, W. (2000). Hopelessness: The role of depression, future directed thinking and cognitive vulnerability. Psychology, Health and Medicine, 5, 155-161.
- Pachana, N. A. et Byrne, G. J. (2012). The Geriatric Anxiety Inventory: International use and future directions. Australian Psychologist, 47(1), 33-38.
- Riediger, M., Freund, A. et Baltes, P. B. (2005). Managing life through personal goals: Intergoal facilitation and intensity of goal pursuit in younger and older adulthood. Journals of Gerontology-Series B: Psychological Sciences and Social Sciences, 60B(2), P84-P91.
- Rivest, L., Dubé, M. et Dubé, C. (2009). Effet du programme Gestion des buts personnels sur la santé mentale des femmes victimes d’agressions à caractère sexuel. Revue québécoise de psychologie, 30(2), 93-111.
- Roberts, K. T. et Aspy, C. B. (1993). Development of the Serenity Scale. Journal of Nursing Measurement, 1(2), 145-164.
- Royse, D., Thyer, B. A., Padgett, D. K. et Logan, T. K. (2006). Program evaluation: An introduction (4e éd.). Belmont, CA: Thomson Brooks/Cole Publishing Co.
- Segal, D. L., Coolidge, F. L., Cahill, B. S. et O'Riley. A. A. (2008). Psychometric properties of the Beck Depression Inventory-II (BDI-II). Behavior Modification, 32(3), 3-20.
- Sheikh, J. I. et Yesavage, J. A. (1986). Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontologist, 5(1-2), 165-173.
- Sheldon, K. M. (2014). Becoming oneself: The central role of self-concordant goal selection. Personality and Social Psychology Review, 18(4), 349-365.
- Sheldon, K. M., Abad, N., Ferguson, Y., Gunz, A., Houser-Marko, L., Nichols, C. P. et Lyubomirsky, S. (2010). Persistent pursuit of need-satisfying goals leads to increased happiness: A 6-month experimental longitudinal study. Motivation and Emotion, 34(1), 39-48.
- Sheldon, K. M. et Elliot, A. (1999) Goal striving, need satisfaction, and longitudinal well-being: The self-concordance model. Journal of Personality and Social Psychology, 76, 482-497.
- Sheldon, K. M. et Lyubomirsky, S. (2006). Achieving sustainable gains in happiness: Change your actions, not your circumstances. Journal of Happiness Studies, 7(1), 55-86.
- Sin, N. L. et Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: A practice-friendly meta-analysis. Journal of Clinical Psychology, 65(5), 467-487.
- Snyder, C. R., Sympson, S. C., Ybasco, F. C., Borders, T. F. Babyak, M. A et Higgins, R. L. (1996). Development and validation of the State Hope Scale. Journal of Personality and Social Psychology, 70(2), 321-335.
- Straus, E. G. (1979). Memoir. Dans A. P. French (dir.), Einstein: A centenary volume (pp. 31–32). Cambridge, MA : Harvard University Press.
- Van Ranst, N. et Marcoen, A. (1997). Meaning in life of young and elderly adults: An examination of the factorial validity and invariance of the Life Regard Index. Personality and Individual Differences, 22(6), 877-884.
- Wiese, B. S. (2007). Successful pursuit of personal goals and subjective well-being. Dans B. R. Little, K. Salmela-Aro et S. D. Phillips (dir.), Personal project pursuit: Goals, action, and human flourishing (p. 301-328). Mahwah, NJ: Erlbaum.
- Wrosch, C., Scheier, M. F. et Miller, G. E. (2013). Goal adjustment capacities, subjective well-being, and physical health. Social and Personality Psychology Compass, 7(12), 847-860.
- Wrosch, C., Scheier, M. F., Miller, G. E., Schulz, R. et Carver, C. S. (2003). Adaptive self-regulation of unattainable goals: Goal disengagement, goal reengagement, and subjective well-being. Personality and Social Psychology Bulletin, 29, 1494-1508. doi: 10.1177/0146167203256921
- Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M. et Leirer, V. O. (1982). Development and validation of a Geriatric Depression Screening Scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49. doi:10.1016/0022-3956(82)90033-4
10.7202/009962ar