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1.
Cancer Radiother ; 28(2): 159-163, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38548531

RESUMEN

PURPOSE: Stereotactic body radiation therapy has been used for prostate cancer. However, the bulk of published studies on stereotactic body radiation therapy for prostate cancer has involved the irradiation of the prostate alone, without irradiation of the pelvic lymph nodes. We report our preliminary experience with this approach. MATERIAL AND METHODS: The files of patients with biopsy-proven prostate cancer treated with stereotactic body radiation therapy in our institution were reviewed. Stereotactic body radiation was delivered with intensity modulated-volumetric arctherapy with daily image-guidance. The prostate planning target volume included the prostate plus a margin of 5mm in all directions. The pelvic planning target volume included pelvic nodes plus an expansion of 6 to 7mm in all directions. The prostate planning target volume received a total dose of 36.25Gy delivered in five fractions on alternate days. The nodal planning target volume received a dose of 25Gy in the same five fractions. Patients were followed during treatment, after 1, and 3 months and every 6 months thereafter. Gastrointestinal and genitourinary toxicity was prospectively graded according to Common Terminology Criteria for Adverse Events. RESULTS: Among the 188 patients, 80 received stereotactic body radiation to the prostate and the pelvic nodes, while 108 received stereotactic body radiation to the prostate target only. Grade 2 acute gastrointestinal toxicity was 4% in both groups, and grade 2 acute genitourinary toxicity was 27% and 20% (P=0.9) for prostate only versus prostate and pelvis respectively. There was no grade 3 or higher acute gastrointestinal or genitourinary toxicity. CONCLUSION: Stereotactic body radiation therapy in five fractions including the prostate and pelvic nodes, in patients with high-risk prostate cancer, has been feasible and safe in terms of acute toxicity.


Asunto(s)
Neoplasias de la Próstata , Radiocirugia , Radioterapia de Intensidad Modulada , Masculino , Humanos , Próstata/patología , Neoplasias de la Próstata/patología , Pelvis , Radiocirugia/efectos adversos , Radioterapia de Intensidad Modulada/efectos adversos , Ganglios Linfáticos/patología
2.
Curr Oncol ; 24(4): 240-248, 2017 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28874892

RESUMEN

INTRODUCTION: Since just after the year 2000 in Quebec, the management of metastatic castration-resistant prostate cancer (mcrpc) has evolved considerably, with the inclusion of docetaxel-based chemotherapy, bone-targeted therapies (zoledronic acid and denosumab), and more recently, abiraterone, enzalutamide, and cabazitaxel for docetaxel-refractory patients. In the present study, we aimed to analyze contemporary mcrpc management patterns and therapy utilization trends in Quebec. METHODS: The study cohort consisted of patients dying of prostate cancer (pca) between January 2001 and December 2013, selected from Quebec public health care insurance databases. Patient selection was based on death from a pca-related cause or therapy used according to the Canadian Urological Association guidelines on mcrpc management. Treatments included chemotherapy (mitoxantrone before 2005 and docetaxel after 2005), abiraterone, bone-targeted therapy (zoledronic acid or denosumab, or both), and palliative radiation therapy (rt). During the study period, neither enzalutamide nor cabazitaxel was publicly reimbursed in Quebec, and as a result, no capture of their use was possible for this study. Multivariate logistic regression was used to identify factors associated with the probability of receiving chemotherapy, bone-targeted therapies, and palliative rt before death from pca. RESULTS: Overall, the database search identified 3106 patients who died of pca between January 2001 and December 2013. Median age of death was 78 years. Of those 3106 patients, just 2568 (83%) received mcrpc-specific treatments: chemotherapy, abiraterone, palliative rt, or bone-targeted therapy; the other 17% of the patients were managed solely with maximum androgen blockade (androgen deprivation therapy plus anti-androgens) despite a record of pca-related death. Logistic regression analyses indicate that patients dying after 2005 were more likely to have received chemotherapy [odds ratio (or): 1.51; 95% ci: 1.22 to 1.85] and bone-targeted therapy (or: 1.97; 95% ci: 1.64 to 2.37). Age was a significant predictor for the use of chemotherapy, bone-targeted therapy, and palliative rt (ors in the range 0.96-0.98, p < 0.05). CONCLUSIONS: Patient age seems to be a strong determinant in the of selection mcrpc therapy, affecting the probability of the use of chemotherapy, bone-targeted therapy, or palliative rt. Although chemotherapy is still used only in a small percentage of patients, the introduction of new therapies-such as bone-targeted therapy, docetaxel, and abiraterone-affected treatment selection over time. The availability of enzalutamide since February 2014 will likely produce additional changes in mcrpc management.

3.
Anat Histol Embryol ; 46(6): 539-546, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-28913836

RESUMEN

The sprawl of the urbanization and road network process without building ecological corridors contributes to the high mortality rates and a threat to the population decline of wild species such as the crab-eating fox. A strategy for the ex situ conservation is the study of the reproductive biology of the species and cryopreservation of their genetic heritage through the formation of an animal germplasm bank. This research is in accordance with the principles adopted by Brazilian College of Animal Experimentation. Reproductive systems of Cerdocyon thous females (n = 7) were examined macroscopically and microscopically by histological techniques and scanning electron microscopy. Gross features showed the shape of the ovaries was similar to a bean, and the elongated oviducts lengths were between 5 and 8 cm, with body of the uterus (3 cm) with long and narrow uterine horns (9-11 cm). The cervix was as a single annular conformation carrying out communication between the uterus and the vagina. The vagina has lengthened and circular muscle and the vulva with dense anatomical conformation with a quite pronounced clitoris. In addition, with regard to the establishment of a cell line (fibroblasts) for the gene bank enrichment, cells showed a low clonogenic capacity, especially when compared to domestic dogs, which can be explained by "in vitro" environment, age and diet of the animal. However, it was possible to create a bank of limited cell number. This study had morphological and preservationist character and aimed to help at long term in the conservation of wild animal's genetic resources.


Asunto(s)
Biodiversidad , Bancos de Muestras Biológicas , Canidae/anatomía & histología , Criopreservación/veterinaria , Genitales Femeninos/anatomía & histología , Animales , Brasil , Canidae/genética , Medios de Cultivo , Femenino , Fibroblastos/citología , Fibroblastos/ultraestructura , Genitales Femeninos/ultraestructura , Masculino , Microscopía Electrónica de Rastreo/veterinaria
4.
Clin Oncol (R Coll Radiol) ; 29(3): 161-170, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-27780694

RESUMEN

AIMS: To compare biochemical failure-free survival (BFFS) and overall survival for prostate cancer treated with stereotactic ablative radiotherapy (SABR), low dose rate (LDR) brachytherapy or external beam radiotherapy (EBRT) using a large Canadian multi-institutional database. MATERIALS AND METHODS: Patients with low risk localised prostate cancer treated with SABR, LDR or EBRT and no androgen deprivation therapy were selected. Propensity score matching was used to create two sets of matched cohorts with LDR and EBRT serving as control groups. Kaplan-Meier survival analysis and Cox proportional hazards regression were used to compare differences in BFFS and overall survival between treatment groups. RESULTS: The pre-matched cohort contained 602 patients; the median follow-up was >5.0 years. There were no significant differences in BFFS before or after matching for SABR versus LDR but the prostate-specific antigen (PSA) nadir was lower after LDR. For the SABR versus EBRT, SABR had a BFFS trend before matching (P = 0.08), which became significant after matching (P < 0.001). CONCLUSIONS: Using the Genitourinary Radiation Oncologists of Canada Prostate Cancer Risk Stratification database, low risk prostate cancer patients receiving SABR had similar BFFS compared with patients receiving LDR but better BFFS than EBRT patients. Further comparative studies of efficacy, quality of life and economic outcomes using a broader risk of patients are warranted.


Asunto(s)
Braquiterapia/métodos , Neoplasias de la Próstata/radioterapia , Radiocirugia/métodos , Radioterapia Conformacional/métodos , Anciano , Canadá , Humanos , Estimación de Kaplan-Meier , Masculino , Persona de Mediana Edad , Puntaje de Propensión , Antígeno Prostático Específico , Neoplasias de la Próstata/mortalidad , Calidad de Vida , Dosificación Radioterapéutica , Riesgo
5.
Curr Oncol ; 20(6): e522-31, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24311952

RESUMEN

BACKGROUND: Prostate cancer (pca) is the most common non-skin cancer among men in Canada and other Western countries. Increased prevalence and higher cost of newer treatments have led to a significant rise in the economic burden of pca. The objectives of the present study were to systematically review the literature on direct costs for the initial management of pca, and to examine the methodologic considerations across studies. METHODS: Bibliographic databases were systematically searched for peer-reviewed articles in English. Studies were reviewed for methodologic considerations and mean direct cost of active surveillance or watchful waiting (as/ww) and initial treatments. Direct cost was standardized to 2011 Canadian dollars. RESULTS: After a review of abstracts and full-text papers, seventeen articles met the eligibility criteria and were included in the review. Studies were published during 1992-2010. The studies reported on health care systems in the United States, France, the United Kingdom, German, Italy, and Spain. Our review identified a lack of methodologic consensus, leading to variation in direct costs between studies. Nevertheless, results indicate a significant direct cost of pca treatments. CONCLUSIONS: The existing literature lacks methodologically rigorous studies on the direct costs of pca treatments specific to publicly funded health care systems. Additional studies are required to appreciate the direct costs of newer treatments and the impact of their adoption on the growing economic burden of pca management.

6.
Encephale ; 36(6): 495-503, 2010 Dec.
Artículo en Francés | MEDLINE | ID: mdl-21130234

RESUMEN

BACKGROUND: According to Bandura, individuals are able to violate their personal standards, without self-sanction, by using the psychological operations of moral disengagement. For Bandura et al., moral disengagement is characterized by eight mechanisms belonging to one of the following four groups: (a) reconstructing conduct; (b) reconsideration of negative effects; (c) disqualification of the victim; and (d) obscuring of personal causal agency. Other researchers have measured moral disengagement in various contexts of everyday life using Bandura et al.'s scale and suggested that moral disengagement mechanisms would fall into two or three groups according to context. One context in which moral issues have a major role is sport. METHODS: Three complementary studies were carried out on a total of 1305 young French adult athletes to develop and validate a Short French Questionnaire of Moral Disengagement in Sport (SFQMDS) and to test its invariance according to gender. STUDY 1: With reference to the existing literature, an initial French version of the SFQDMS was developed. French university students (n=220) then voluntarily completed the questionnaire. The validity of this preliminary version and the clarity of the items were examined and ascertained, and factorial analyses identified 10 items that loaded onto two factors (i.e., projecting fault onto others or sharing of responsibility; minimization of transgression and their consequences). Each factor displayed good internal consistency. STUDY 2: Confirmatory factor analysis (CFA) was conducted using AMOS 7.0 software. The sample included 1021 French university students (M(age)=21.52; SD=2.34). The first analysis of the data from 298 French students suggested that four items should be eliminated. The six-item model was then tested with a CFA of the data from 723 other participants (M(age)=21.51; SD=2.34) and exhibited acceptable fit indices: (χ² [8, 723]=1.54; p>0.09; GFI=0.97; TLI=0.97; CFI=0.97; RMSEA=0.03; RMSEA LO/HI=0.01/0.05). These results confirmed the bifactorial structure of the instrument, as well as its partial invariance across genders at the most complex level (i.e., strict) of its factorial structure. These statistical analyses demonstrated the excellent internal consistency and very good construct validity of the SFQDMS. STUDY 3: The third study examined the temporal stability of the SFQDMS and its theoretical validity with a sample of 221 French students (M(age)=21.00; SD=2.05). Our results were found to be stable over time. From a theoretical standpoint, the SFQDMS was related to existing instruments that measure individuals' affective self-regulatory efficacy and prosocial behavior. These results demonstrated the external validity of the instrument. CONCLUSION: The overall results presented in these studies confirmed the good psychometric properties of the SFQDMS. This questionnaire consists of two subscales of three items measuring two groups of moral disengagement. The first involves projecting the fault for one's own transgressions onto others or sharing of responsibility (e.g., "It's not my fault if I behave badly [cheating or aggression] because it's my opponent who started it"). The second subscale involves the minimization of transgressions and their consequences (e.g., "It's not serious if I behave badly [cheating or aggression] because I do it to keep the advantage"). This instrument is a reliable tool that could be fruitfully used in future research addressing the moral disengagement of French adolescents or adults in sport. A deeper understanding of the processes involved in moral disengagement would facilitate the development of strategies to prevent or remediate transgressive behavior in the sport domain.


Asunto(s)
Atletas/psicología , Comparación Transcultural , Obligaciones Morales , Inventario de Personalidad/estadística & datos numéricos , Adolescente , Agresión/psicología , Decepción , Análisis Factorial , Femenino , Francia , Reducción del Daño , Humanos , Masculino , Cómputos Matemáticos , Psicometría/estadística & datos numéricos , Reproducibilidad de los Resultados , Traducción , Adulto Joven
7.
Curr Oncol ; 17(5): 28-38, 2010 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-20975876

RESUMEN

Interest has been increasing in the use of androgen deprivation therapy (ADT) combined with radiation therapy (RT) in the management of localized prostate cancer. Preclinical studies have provided some rationale for the use of this combination. In patients with high-risk disease, the benefit of a combined approach, with the addition of adjuvant hormonal therapy, is supported by results of randomized trials. In contrast, for patients with low-risk disease, there is no obvious therapeutic advantage except for cytoreduction. The usefulness of short-term hormonal therapy in association with rt for intermediate-risk patients is still debatable, particularly in the context of doseescalated RT. The optimal timing and duration of ADT, in the neoadjuvant and adjuvant settings alike, are still under investigation. In view of the potential side effects with ADT, further studies are being performed to better identify subsets of patients who will definitely benefit from this therapy in combination with rt.

8.
Clin Oncol (R Coll Radiol) ; 22(10): 810-7, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-20980135

RESUMEN

AIMS: Late rectal toxicity is a major concern for prostate cancer patients treated with radiotherapy. Rectal dose-volume constraints, set as guidelines to reduce its incidence, vary among institutions. From a group of patients uniformly treated with hypofractionated radiotherapy, we correlated the incidence of late rectal toxicity with rectal dose-volume rectal constraints as described in three randomised trials for prostate cancer. MATERIALS AND METHODS: Favourable-risk prostate cancer patients received a dose of 66 Gy in 22 fractions without hormonal therapy. Toxicity was prospectively assessed using Common Toxicity Criteria v3. The whole or part of the rectum and rectal wall were contoured as an organ at risk for all patients. The rectal constraints of the RTOG 0126, RTOG 0415 and the PROFIT trials were used to correlate with late rectal toxicity. RESULTS: The median follow-up time was 58 months. Late rectal toxicity was 62, 20 and 18% for grades 0, 1 and 2/3, respectively. No statistically significant correlation was found between late rectal toxicity and the rectal constraints used in the three trials. The number of patients violating the recommended constraints was similar for the group with grade 2/3 toxicity and the group without any toxicity. Analysis derived from the actual dose-volume histogram dose parameters of this group of patients did not show a relationship between dose to volume of the rectum and late rectal toxicity that could generate a guideline of dose constraints. CONCLUSION: For this group of patients, despite the use of recognised dose-volume constraint guidelines of three trials, we were unable to establish a relationship between these constraints and the late rectal toxicity registered. Further studies on the correlation of dosimetric parameters with rectal toxicity, particularly for hypofractionated regimens, are required. Non-dosimetric factors may also be involved in the risk of late rectal toxicity.


Asunto(s)
Neoplasias de la Próstata/radioterapia , Traumatismos por Radiación/etiología , Traumatismos por Radiación/prevención & control , Enfermedades del Recto/etiología , Enfermedades del Recto/prevención & control , Recto/efectos de la radiación , Anciano , Fraccionamiento de la Dosis de Radiación , Humanos , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Estudios Prospectivos , Dosificación Radioterapéutica , Recto/patología , Factores de Riesgo
9.
J Behav Ther Exp Psychiatry ; 41(3): 234-7, 2010 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-20170904

RESUMEN

The aim of the present study was to determine whether the implicit theory effect extends to children with oppositional defiant disorder (ODD), with academic difficulties. Twenty-five male children, aged 8-11 years with ODD were randomly assigned to one of two experimental conditions (Incremental Theory highlighting the possibility of self-improvement vs. control). An increase of cognitive performance (IQ) was found for children with ODD in the incremental condition, but not in the control condition. This cognitive improvement could be viewed as a protective factor for children and adolescents with ODD on academic setting.


Asunto(s)
Déficit de la Atención y Trastornos de Conducta Disruptiva/psicología , Déficit de la Atención y Trastornos de Conducta Disruptiva/terapia , Terapia Cognitivo-Conductual/métodos , Escolaridad , Teoría Psicológica , Niño , Humanos , Pruebas de Inteligencia , Masculino , Desempeño Psicomotor
10.
Curr Oncol ; 16(4): 36-47, 2009 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-19672423

RESUMEN

The concept of organ-preserving therapies is a trend in modern oncology, and several tumour types are now treated in this fashion. Trimodality therapy consisting of as thorough a transurethral resection of the bladder tumour as is judged safe, followed by concomitant chemoradiation therapy, is emerging as an attractive alternative for bladder preservation in selected patients with muscle-invasive bladder cancer. Long-term data from multiple institutional and cooperative group studies have shown that this approach is safe and effective and that it provides patients with the opportunity to maintain an intact and functional bladder with a survival rate similar to that for modern radical cystectomy.

11.
Behav Res Ther ; 46(4): 529-36, 2008 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-18313032

RESUMEN

During the past decade, several studies have reported positive effects of cognitive-behavioral therapy (CBT) in the treatment of children and adolescents with mental disorders. One of the most important CBT interventions is to teach children and adolescents to challenge negative thoughts that lead to maladjusted behaviors. Based on the implicit theories of intelligence framework, the main purpose of this study was to test whether an incremental theory manipulation could be used to affect IQ test performance in adolescents with Generalized Anxiety Disorder (GAD). Results showed that patients demonstrated enhanced IQ performance and experienced less state anxiety when they were exposed to an incremental theory of intelligence manipulation. Our findings suggest that incremental theory manipulation provides a useful cognitive strategy for addressing school-related anxiety in adolescents with mental disorders such as GAD.


Asunto(s)
Trastornos de Ansiedad/terapia , Terapia Cognitivo-Conductual/métodos , Inteligencia , Logro , Adolescente , Trastornos de Ansiedad/psicología , Niño , Femenino , Humanos , Pruebas de Inteligencia , Masculino , Teoría Psicológica
12.
Encephale ; 33(4 Pt 1): 579-84, 2007 Sep.
Artículo en Francés | MEDLINE | ID: mdl-18033146

RESUMEN

BACKGROUND: According to several authors, it seems that beliefs about the nature of intelligence have a very powerful impact on behavior in learning situations. These implicit theories of intelligence create a meaning system or conceptual framework that influences the individuals interpretation of school situations. Thus, an entity theory of intelligence is the belief that intelligence is a fixed trait, a personal quality that cannot be changed. Students who subscribe to this theory believe that although people can learn new things, their underlying intelligence remains the same. In contrast, an incremental theory of intelligence is the belief that intelligence is a malleable quality that can increase through efforts. This paper presents the development and the validation of the Implicit Theories Of Intelligence scale (TIDI) for French teenagers. Most of the studies attest the validity of the scales measuring the implicit theories of the intelligence. The instrument used by the authors include 3 items assessing the entity theory. Recently, theoretical debates suggested to measure within a single questionnaire both theories at the same time. Moreover, there is no instrument in French language which measures the implicit theories of the intelligence. Two studies have been conducted. The purpose of the first study was to test the factorial validity and the internal consistency of the scale. The goal of the second study was to test the temporal stability of the instrument. STUDY 1: This study describes the procedures used to create the TIDI, the internal consistency and the factorial validity. This instrument was composed of two subscales of three items assessing incremental theory of the intelligence and entity theory of the intelligence. French teenagers (n=453) aged 11 to 16 years completed the questionnaire during a lecture. Cronbach's alpha was 0.81 for the scale assessing incremental theory and 0.78 for the scale assessing entity theory. Confirmatory factor analysis was conducted using Lisrel. The fit for this model was: chi2 (8)=24.23, p<0.01, GFI=0.98, CFI=0.98, RMSEA=0.067, AGFI=0.95. All indexes of fit improved. An examination of the output indicated that the range of factor loadings of items on their respective scales was 0.66 to 0.82. These statistical analyses reveal that the TIDI shows an excellent internal consistency and a very good validity. STUDY 2: This second study examines the temporal stability of the TIDI. The sample includes 209 French teenagers aged 11 to 16 years who completed the questionnaire and participated at the second administration of the questionnaire, three months later. The stability coefficient for entity theory was 0.74 and for incremental theory was 0.70. These results indicate that the TIDI is stable over time, thus supporting its temporal stability. CONCLUSION: The overall results presented in these studies confirm the excellent psychometric properties of the TIDI. These studies also attest that a teenager can subscribe in a simultaneous way to both implicit theories of intelligence. Although a theory is dominant, the opposite theory can be available according to the context. From a theoretical point of view, this questionnaire could be used within correlational studies in order to study the correlation between the implicit theories and the psychopathological variables such as anxiety and depression. From a pragmatic point of view, this questionnaire can be used for the treatment of children with learning disabilities.


Asunto(s)
Inteligencia , Teoría Psicológica , Encuestas y Cuestionarios , Adolescente , Niño , Femenino , Humanos , Masculino , Reproducibilidad de los Resultados
13.
Encephale ; 33(5): 791-7, 2007 Oct.
Artículo en Francés | MEDLINE | ID: mdl-18357850

RESUMEN

INTRODUCTION: The aim of this study was to complete the identification of predictive factors of depression during adolescence. For some authors, depression is characterized by a style of attribution, which consists essentially in attributing most of the negative outcomes to internal, stable, and uncontrollable factors. It seems that these attributions depend essentially on the type of their beliefs and in particular, those concerning the nature of intelligence. These beliefs called "implicit theories of intelligence", are the entity theory of intelligence and the incremental theory of intelligence. The entity theory of intelligence corresponds to the belief according to which intelligence is the expression of a relatively stable, fixed, and noncontrollable feature, and which we cannot change. In contrast, the incremental theory corresponds to the belief according to which intelligence is a controllable quality, which we can develop through effort and work. Several studies have demonstrated that the adolescents who consider intelligence as a malleable quality explain their bad results by internal, unstable, and controllable factors. Conversely, students who consider intelligence as a fixed capacity tend to strongly attribute their failure to internal, stable, and uncontrollable factors. We have consequently formulated the hypothesis according to which the entity theory should be a predictive factor of depression. We have also tested the fact that anxiety should be a mediating factor within the relation between the entity theory and depression. METHOD: The sample was composed of 424 adolescents. Using different questionnaires, we measured implicit theories of the intelligence (TIDI), self-esteem (EES), anxiety (STAI-Form Y-B) and depression (CDI). RESULTS: Multiple regression analyses demonstrated that the entity theory of intelligence positively predicts depression. Self-esteem negatively predicts anxiety and depression. Moreover, anxiety is a mediator of the relation between self-esteem and depression, on one hand, and the relation between the entity theory of intelligence and depression, on the other. Finally, the effect of the entity theory of intelligence appears to be modulated by the level of self-esteem. DISCUSSION: This study explains the mechanisms by which the implicit theories of intelligence engender anxiety and depression. Furthermore, this approach provides interesting perspectives in the prevention and management of adolescents presenting depression.


Asunto(s)
Trastorno Depresivo Mayor , Inteligencia , Teoría Psicológica , Estudiantes/psicología , Estudiantes/estadística & datos numéricos , Adolescente , Trastornos de Ansiedad/diagnóstico , Trastornos de Ansiedad/epidemiología , Trastornos de Ansiedad/psicología , Niño , Trastorno Depresivo Mayor/diagnóstico , Trastorno Depresivo Mayor/epidemiología , Trastorno Depresivo Mayor/psicología , Femenino , Humanos , Pruebas de Inteligencia , Masculino , Valor Predictivo de las Pruebas , Escalas de Valoración Psiquiátrica , Instituciones Académicas , Encuestas y Cuestionarios
14.
Arch Pediatr ; 11(10): 1225-9, 2004 Oct.
Artículo en Francés | MEDLINE | ID: mdl-15475281

RESUMEN

Since the 50s, the role of implicit theories in the organization and interpretation of information has gained increasing acceptance among both cognitive and social psychologists. These implicit theories refer to the two different assumptions people may make about the malleability of personal attributes. They may believe that a highly valued personal attribute, such as intelligence or morality, is fixed, i.e. a nonmalleable trait-like entity (entity theory), or that the attribute is a malleable quality that can be changed and developed (incremental theory). The identification of these two theories allows us to understand the cognition, emotion and behavior of individuals in achievement situations. Many studies carried out in the primary school show that children who hold an entity theory of personal attribute (i.e. they consider badness like a stable quality) have a strong tendency to attribute their failures to a fixed trait. They are more likely to attribute failures to their bad abilities. In contrast, children who hold an incremental theory of personal attribute (i.e. they consider badness as a malleable quality) are more likely to understand the same negative outcomes in terms of specific factors: they attribute them to a lack of effort. In addition, several studies have shown that entity theorists are more likely than incremental theorists to react helplessly in the face of failure. They are more likely to show negative affect and behaviors. This helpless response pattern is characterized by a lack of persistence. In contrast, incremental theorists try harder and develop better strategies and continue to work. Finally, several studies demonstrate that environmental factors play an important role in the implicit theories elaboration.


Asunto(s)
Modelos Educacionales , Instituciones Académicas , Niño , Humanos
15.
Encephale ; 30(5): 456-63, 2004.
Artículo en Francés | MEDLINE | ID: mdl-15627050

RESUMEN

Most studies have tried to explain the school difficulties by analysing the intellectual factors that lead to school failure. However in addition to the instrumental capacities, authors also recognize the role played by other factors such as motivation. More specifically, the theory of achievement motivation aims to determine motivational factors involved in achievement situations when the students have to demonstrate their competencies. This paradigm attributes a central place to beliefs in order to explain children's behavior in academic situations. According to Dweck, it seems that beliefs about the nature of intelligence have a very powerful impact on behavior. These implicit theories of intelligence create a meaning system or conceptual framework that influences the individual interpretation of school situations. Thus, an entity theory of intelligence is the belief that intelligence is a fixed trait, a personal quality that cannot be changed. Students who subscribe to this theory believe that although people can learn new things, their underlying intelligence remains the same. In contrast, an incremental theory of intelligence is the belief that intelligence is a malleable quality that can increase through efforts. The identification of these two theories allows us to understand the cognition and behavior of individuals in achievement situations. Many studies carried out in the academic area show that students who hold an entity theory of intelligence (ie they consider intelligence like a stable quality) have a strong tendency to attribute their failures to a fixed trait. They are more likely to blame their intelligence for ne-gative outcomes and to attribute failures to their bad intellectual ability. In contrast, students who hold an incremental theory of intelligence (ie they consider intelligence as a malleable quality) are more likely to understand the same ne-gative outcomes in terms of specific factors: they attribute them to a lack of effort. This differential emphasis on traits versus specific mediators in turn fosters different reactions to negative events. Several studies have shown that entity theorists of intelligence are more likely than incremental theorists to react helplessly in the face of failure. They are not only more likely to make negative judgments about their intelligence from the failures, but also more likely to show negative affect and behaviors. This helpless response pattern is cha-racterized by a lack of persistence, and performance decrements. In contrast, incremental theorists, who focus more on behavioral factors (eg effort, problem-solving strategies) as causes of negative achievement outcomes, tend to act on these mediators. They try harder and develop better strategies and continue to work. Some authors have tendency to consider implicit theories of intelligence as a disposition or a stable dimension. But in the last few years, several studies showed that people's theories are not fixed traits; they are beliefs that may be influenced. These studies also suggested that students use the two types of beliefs and that the context determines the choice between the two types of theories. According to these authors, the psychological state of the student depends on dispositional factors but also on situational factors. Thus, several studies have tried to demonstrate that it is possible to modify experimentally implicit theories of intelligence and subsequent cognitions and behaviors by modifying situational factors. Several studies have demonstrated that it was possible to induce students to adopt one of the two theories of intelligence by presenting them a scientific article that compelling argued for either an entity or an incremental view of intelligence. The results showed that participants who had received the entity theory induction exhibited more evidence of a helpless reaction to failure. These studies show that some of the judgments and reactions associated with implicit theories can be experimentally induced by manipulating participant theories. However in the context of school difficulties, only few works have been conducted. We think that the model of the motivation of achievement would allow us to better understand maladjusted behaviors that engender failure and scholastic exclusion. In one study, reseachers have demonstrated that children with mental disorders are less likely than other children to hold an incremental theory of their intellectual abilities. Other studies have demonstrated that entity theorists interpret their bad results according to their global intelligence level by negatively judging their global abilities ("I think I am stupid"). It is interesting to note that these students make the same attributions as depressive students. These results reveal the need to determine systems of beliefs within populations with anxiety or depressive symptoms in order to characterise their motivational profiles. Indeed, we think that these symptoms contribute to modify implicit theories of intelligence and the nature of the subsequent scholastic achievement. Finally, we think that it is inte-resting to demonstrate the positive motivational effects of the experimental induction of the incremental theory. A series of studies showed that children's theories of intelligence expe-rimentally induced will influence their tendency to persevere in the face of failure. Like normally developing children, children with mental disorders were more likely to prefer challenging activities and report high levels of interest-enjoyment when the task was presented as one which is improvable. It suggests that although children with difficulties are pessimistic about improving their intellectual capacities, if a new task is introduced in a way that highlights the possibility of self-improvement (incremental theory), then they will pursue the challenge in an adaptive manner (strong perseverance, enjoy, and important interest). These results are very inte-resting. Indeed, highlighting an incremental theory had a po-sitive motivational effect on behavior in achievement situations. In addition, all these results also may open up several interesting perspectives for the treatment of learning disabi-lities. The results should lead to plan programmes of cognitive therapy in order to modify beliefs that underlie maladjusted achievement behaviors of children and adolescents in scholastic failure.


Asunto(s)
Logro , Inteligencia , Discapacidades para el Aprendizaje/psicología , Teoría Psicológica , Adolescente , Niño , Cultura , Humanos , Pruebas de Inteligencia , Motivación
16.
Br J Educ Psychol ; 73(Pt 4): 529-43, 2003 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-14713376

RESUMEN

BACKGROUND: Contemporary views on motivation suggest that the approach-avoidance achievement goals conceptualization--namely the trichotomous model--can shed light on the important issue of student motivation. AIMS: To test the predictive value of the trichotomous model on the investment in learning a sport task for test preparation, and to validate a model which included a set of psychological processes (i.e., state anxiety and competence valuation) which mediate the relationship between the three goals (i.e., performance-approach, performance-avoidance, and mastery goals) and test preparation. The study was designed to investigate the direct and mediational effects of three experimental goal conditions on the time in which pupils prepared for a sport test. SAMPLE: French male school pupils (N = 75). Pupils were aged 13-15 years and attended schools in southern France. METHOD: Pupils prepared themselves for a sport task with a 5-minute period of training, and performed in one of three experimental conditions to which they were randomly assigned: a performance goal with a positive outcome focus (performance-approach), a performance goal with a negative outcome focus (performance-avoidance), or a mastery goal. RESULTS: Pupils in the performance-avoidance group reported higher state anxiety and lower competence valuation than those in the performance-approach and mastery groups, and this psychological state was associated with less time taken to prepare for the test. CONCLUSION: School pupils placed in an examination preparation context that elicits a performance goal with a negative outcome focus (performance-avoidance) show motivational deficits which manifest themselves in less time spent practising. The trichotomous model appears to be valid for the study of motivational processes in school physical education.


Asunto(s)
Aprendizaje , Deportes , Adolescente , Ansiedad/diagnóstico , Ansiedad/psicología , Objetivos , Humanos , Masculino , Desempeño Psicomotor , Encuestas y Cuestionarios
17.
Percept Mot Skills ; 95(1): 233-44, 2002 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-12365260

RESUMEN

To test and extend the conceptualization of the endorsement of achievement goals in the physical education setting Mastery, Performance-approach, and Performance-approach goals, Perception of the physical education competence, Implicit theory about sport ability, and Perception of the motivational climate were assessed among 682 boys attending five French schools. Analysis indicated that (1) Performance-approach goals were positively associated with perception of physical education Competence, Entity beliefs about sport ability, the Performance dimension of the motivational climate, and negatively associated with Incremental beliefs about sport ability. (2) Mastery goals were positively associated with perception of physical education Competence, Incremental beliefs about sport ability, the Mastery dimension of the motivational climate, and negatively associated with the Performance dimension of the motivational climate. Also, (3) Performance-avoidance goals were positively associated with Entity beliefs about sport ability and the Performance dimension of the motivational climate; these goals were negatively associated with Incremental beliefs about sport ability and perception of physical education Competence. These results clearly attested to the validity of the trichotomous model in the physical education setting.


Asunto(s)
Logro , Ambiente , Objetivos , Motivación , Percepción , Educación y Entrenamiento Físico , Teoría Psicológica , Deportes , Adolescente , Humanos , Masculino , Encuestas y Cuestionarios
18.
Br J Educ Psychol ; 67 ( Pt 3): 293-309; discussion 339-43, 1997 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-9376308

RESUMEN

BACKGROUND: Contemporary views on motivation suggest that expectancy-value and social-cognitive perspectives can shed light on the important issue of student motivation. AIMS: To test the predictive value of achievement goals on the investment in learning a sport task. Two studies investigated whether investment in learning is affected by achievement goals and perceived ability. SAMPLES: Study 1: 57 school pupils selected from an initial sample of 212. Study 2: 99 pupils selected from 400. Selection was based on motivation and perceived ability scores from questionnaires. Pupils were aged 13-15 years and attended schools in northern France. METHODS: In Study 1 pupils prepared themselves for a sport task with a five-minute period of training. Study 2 pupils prepared themselves with a five-minute period of training after prior failure. RESULTS: Study 1 showed that those who were ego-involved with a low perceived ability had a weaker investment in the training situation than those ego-involved with a high perceived ability, or those task-involved regardless of their perceived ability. Ego-involved pupils used an attributional bias to minimise the effect of effort on performance. Study 2 confirmed these results by underlining the motivational deficits of ego involvement for those with a low perceived ability. CONCLUSIONS: School pupils with high ego involvement in a sport task and low perceived ability show motivational deficits which manifest themselves in less time spent on practising a task. A social-cognitive and expectancy-value perspective appears to be valid for the study of motivational processes in school physical education.


Asunto(s)
Motivación , Educación y Entrenamiento Físico , Esfuerzo Físico , Práctica Psicológica , Psicología del Adolescente , Autoevaluación (Psicología) , Deportes/psicología , Estudiantes/psicología , Adolescente , Análisis de Varianza , Estudios Transversales , Humanos , Funciones de Verosimilitud , Modelos Lineales , Masculino , Modelos Psicológicos
19.
Br J Educ Psychol ; 65 ( Pt 3): 341-58, 1995 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-7577561

RESUMEN

Motivational research in the classroom has adopted a social cognitive perspective but has mainly been restricted to the study of individual achievement cognitions. In addition to this, there is a need to study and assess the perception children have of the class climate. Using social cognitive theory as a base, this research reports the development of class climate scales in French and English for use in physical education classes. Psychometric development with the French scale was shown to be satisfactory, including adequate factorial structure assessed by exploratory and confirmatory factor analysis (CFA), and good internal and test-retest reliability. A parallel English scale demonstrated a less adequate fit to the proposed model when using CFA, but shortened scales assessing just mastery and performance dimensions of climate were shown to predict important motivational measures in a structural equation modelling analysis.


Asunto(s)
Comparación Transcultural , Educación y Entrenamiento Físico , Medio Social , Percepción Social , Adolescente , Niño , Inglaterra , Femenino , Francia , Humanos , Masculino , Inventario de Personalidad/estadística & datos numéricos , Psicometría
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