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Santé psychologique au travail des femmes avec un passé de cancer du sein : une approche comparative et dyadique

Abstract : Introduction : An increasing number of people surviving the cancer lead more and more to assist them in order to return to active working life. This study had two objectives. First, we investigated the mental health at work of women survivor of breast cancer using a comparative approach with a control group. More specifically, we identified stressors that affect burnout and resources that impact psychological well-being at work. The second objective focused on the couple and the mental health at work of each of its members using a dyadic and comparative approach. The main objective of this research wereto identify what positively affects well-being at work, while considering the possible partner’s influence in the context of return to work after cancer. Method: 308 adults were interviewed (88 women affected by a history of breast cancer and 20 spouses, 100 women without cancer experience and their spouse). They completed measures of mental health at work (burnout and psychological well-being at work), personal and work-related resources (self-efficacy, optimism, emotional expressivity, psychological detachment at work), stressors (workload, work-family conflict), anxiety and depression, life satisfaction and satisfaction with their relationship. Results: Results of the first study showed that women with a history of cancer have higher burnout scores than women who do not have this experience. However, these scores were below the critical thresholds for both groups. In addition, this first study identified a moderating effect of anxious manifestations on the relationship between work-family conflict and burnout in the clinical group. In this same group, and compared to the control group, the second study identified self-efficacy as the most predictive resource of psychological well-being at work and its components. In addition, the third study showed the mediating effect of feeling of belonging to professional environment it would protect the clinical group from the impact of the workload on burnout. Finally, in the last two studies, and contrary to expectations, the causal analyzes revealed an increased sensitivity of the spouse whose woman was affected by cancer to his satisfaction with his relationship, as well as an influence at the level of partner’s emotional distress and resources on his mental health at work.Conclusion: In a professional context, women with a history of breast cancer in this thesis work proved to be able to mobilize resources to protect themselves from burnout and to promote and maintain their well-being at work. Moreover, their spouses appeared more sensitive to the situation of their couple and signals of their partner. Recommendations in terms of support for the couple, during the period after the announcement of the remission, will be discussed and suggested.
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Submitted on : Wednesday, April 7, 2021 - 9:17:04 AM
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Marie Saramago. Santé psychologique au travail des femmes avec un passé de cancer du sein : une approche comparative et dyadique. Psychologie. Université de Lorraine, 2018. Français. ⟨NNT : 2018LORR0329⟩. ⟨tel-02148426⟩



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