Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal. / La présente étude exploratoire compare les événements d'adversité, les problèmes psychopathologiques et les facteurs de protection chez un groupe d'hommes décédés par suicide (n= 11 ), un groupe composé de leurs frères (n= 11) et un groupe de contrôle d'hommes décédés par accident (n=11). L'un des proches de chacun des hommes décédés par suicide a répondu à trois questionnaires. Il en a été de même pour chaque homme décédé par accident. Ces personnes devaient évaluer la situation du défunt avant son décès. Un frère de chacun des hommes décédés par suicide a également répondu aux trois questionnaires. Ceux-ci portaient respectivement sur les données sociodémographiques, les problèmes psychopathologiques, les événements d'adversité et les facteurs de protection. Les analyses incluent des résultats à la fois quantitatifs et qualitatifs. Un calcul de fréquence s'applique à chacun des éléments mesurés; par la suite, cinq histoires de cas font l'objet d'une présentation. Les résultats suggèrent que, comparativement à leurs frères et aux accidentés, les suicidés ont vécu davantage de problèmes à l'école au cours de leur enfance. De plus, l'étude met en évidence le fait qu'à l'âge adulte, les suicidés ont connu plus de problèmes financiers, de problèmes à l'école ou au travail et de problèmes de logement que leurs frères et les accidentés. Les résultats ont permis de déceler que la majorité des hommes décédés par suicide souffrait d'au moins une psychopathologie au cours des six derniers mois avant leur décès, alors que, chez presque la moitié d'entre eux, on en observait au moins deux au cours de cette même période. Quant aux facteurs de protection, les résultats indiquent que les suicidés vivent autant de relations positives à l'enfance que les accidentés et qu'ils en vivent un peu plus que leurs frères, tandis qu'à l'âge adulte ils en vivent davantage que les deux autres groupes. Par ailleurs, les résultats font ressortir qu'à l'âge adulte les suicidés ont vécu moins d'événements positifs que leurs frères et que les accidentés.

No / Initiation of breast feeding and duration of any breast feeding are known to differ by ethnic group, but there are limited data on differences in exclusive breast feeding. This study aimed to determine if there are ethnic differences in the initiation and duration of any and exclusive breast feeding. METHODS: Breast-feeding data were obtained from a subsample of 1365 women recruited to a multi-ethnic cohort study (Born in Bradford) between August 2008 and March 2009. Poisson regression was used to investigate the impact of socio-economic, life style and birth factors on ethnic differences in the prevalence of breast feeding. RESULTS: Compared with white British mothers, initiation of breast feeding was significantly higher in all ethnic groups and this persisted after adjustment for socio-economic, life style and birth factors [Pakistani: prevalence rate ratio (PRR) = 1.19 (95% confidence interval 1.10, 1.29); Other South Asian: PRR = 1.29 (1.18, 1.42); Other ethnicities: PRR = 1.33 (1.21, 1.46)]. There were no differences in exclusive breast feeding at 4 months [Pakistani: PRR = 0.77 (0.54, 1.09); Other South Asian: PRR = 1.55 (0.99, 2.43); Other ethnicities: PRR = 1.50 (0.88, 2.56)]. Any breast feeding at 4 months was significantly higher in mothers of all non-white British ethnicities [Pakistani: PRR = 1.27 (1.02, 1.58); Other South Asian: PRR = 1.99 (1.52, 2.62); Other ethnicities: 2.45 (1.86, 3.21)]. CONCLUSIONS: Whilst women of ethnic minority groups were significantly more likely to initiate breast feeding and continue any breast feeding for 4 months compared with white British women, the rates of exclusive breast feeding at 4 months were not significantly different once socio-economic, life style and birth factors were accounted for.

No / A significant number of people in the UK experience chronic pain, resulting in high levels of suffering and reduced quality of life. Management of chronic pain is complex, time consuming and not always successful. Good communication between patients and healthcare professionals is essential to ensure realistic treatment plans and outcomes can be negotiated. Accurate assessment is also key, and nurses play a fundamental role in ensuring patients with chronic pain receive the most appropriate care.

Mit der vorliegenden Arbeit werden aktuelle Anwendungsbereiche der Lebensqualitätsforschung innerhalb der klinischen Medizin dargestellt. Besonderes Gewicht wurde dabei auf die Erläuterung der Grundlagen der Lebensqualitätsforschung und der derzeit verbreiteten Konzepte, die Diskussion aktueller und zukünftiger Messmethoden sowie die Darstellung einiger typischer Anwendungen gelegt. Der letzte Teil der Arbeit weist auf die bereits erkennbaren Grenzen und ethischen Konsequenzen dieser Forschungsrichtung hin. In der Habilitationsschrift werden verschiedene Originalarbeiten zusammengefasst, denen jeweils eine allgemeine Einführung zur leichteren thematische Einordnung vorangestellt ist. / This volume demonstrates the present scope of 'Quality of Life' research within a clinical context. Different chapters describe the foundations and the development of 'Quality of Life' research, presently used concepts, discussions about appropriate measurement models and some perspectives for an improvement of psychometric methods. Further, different applications and purposes to use 'Quality of Life' instruments in a clinical context are demonstrated. The last part discusses particular ethical consequences and other limitations of 'Quality of Life' research. All chapters combine introductory sections with published original works.

Background: Physical activity questionnaires (PAQ) have been extensively used to determine physical activity (PA) levels. Most PAQ are derived from an energy expenditure-based perspective and assess activities with a certain intensity level. Activities with a moderate or vigorous intensity level are predominantly used to determine a person’s PA level in terms of quantity. Studies show that the time spent engaging in moderate and vigorous intensity PA does not appropriately reflect the actual PA behavior of older people because they perform more functional, everyday activities. Those functional activities are more likely to be considered low-intense and represent an important qualitative health-promoting activity. For the elderly, functional, light intensity activities are of special interest but are assessed differently in terms of quantity and quality. The aim was to analyze the content of PAQ for the elderly.

In disseminating information about health issues, government health departments and NGOs use, inter alia, written health texts. In a country like South Africa, these texts are generally written by medical experts and thereafter translated into the languages of the people. One of these languages is Zulu, which is spoken by the majority of South Africans. A large percentage of Zulu speakers are illiterate or semi-literate, especially in the rural areas. For this reason, Zulu translators have to use ‘simple’ language that these readers would understand when translating English texts into Zulu. Translators are expected to use strategies that can deal with non-lexicalized, problematic or other related terms that appear in health texts, as well as geographical and cultural constraints. This study focuses on the strategies used by Zulu translators in an attempt to make translated Zulu health texts accessible to the target readership. The investigation includes the use of self-administered questionnaires for respondents from two of South Africa’s nine provinces, where Zulu speakers are found (Gauteng and KwaZulu-Natal), to determine whether the health texts do reach the target readership. Focus groups, semi-structured interviews and other complementary techniques were used to collect data from the selected respondents. Furthermore, a parallel concordance called ParaConc was used to extract and analyse data from the corpus as compiled for the present study, in an attempt to investigate the strategies used to make the translated health texts easier to read. The study uncovers various strategies which are used when translating English health texts into Zulu. These strategies include the use of loan words, paraphrasing, cultural terms and so on. In future, the use of ParaConc can be broadened to investigate newly discovered translation strategies, with the aim of making health texts more accessible to the target readers. Furthermore, this software programme can also be used to study translation strategies as used in other types of texts, for example journalistic texts. / Linguistics / D. Litt. et Phil. (Linguistics (Translation Studies))

In disseminating information about health issues, government health departments and NGOs use, inter alia, written health texts. In a country like South Africa, these texts are generally written by medical experts and thereafter translated into the languages of the people. One of these languages is Zulu, which is spoken by the majority of South Africans. A large percentage of Zulu speakers are illiterate or semi-literate, especially in the rural areas. For this reason, Zulu translators have to use ‘simple’ language that these readers would understand when translating English texts into Zulu. Translators are expected to use strategies that can deal with non-lexicalized, problematic or other related terms that appear in health texts, as well as geographical and cultural constraints. This study focuses on the strategies used by Zulu translators in an attempt to make translated Zulu health texts accessible to the target readership. The investigation includes the use of self-administered questionnaires for respondents from two of South Africa’s nine provinces, where Zulu speakers are found (Gauteng and KwaZulu-Natal), to determine whether the health texts do reach the target readership. Focus groups, semi-structured interviews and other complementary techniques were used to collect data from the selected respondents. Furthermore, a parallel concordance called ParaConc was used to extract and analyse data from the corpus as compiled for the present study, in an attempt to investigate the strategies used to make the translated health texts easier to read. The study uncovers various strategies which are used when translating English health texts into Zulu. These strategies include the use of loan words, paraphrasing, cultural terms and so on. In future, the use of ParaConc can be broadened to investigate newly discovered translation strategies, with the aim of making health texts more accessible to the target readers. Furthermore, this software programme can also be used to study translation strategies as used in other types of texts, for example journalistic texts. / Linguistics and Modern Languages / D. Litt. et Phil. (Linguistics (Translation Studies))

Text in Afrikaans / This study is aimed at the development of a guiding framework for fathers and their adolescent sons by focusing on male identity as the main binding factor in the relationship between father a and son. The establishment, as well as the confusion regarding male identity, have been stated as starting point and problem statement of the study. The need regarding the way in which the father and son can be guided within this dynamic relationship in order to establish male identity, has been stated as motivation for the study. The need regarding the guidance of fathers and their sons was thus the primary aim with the research question, namely what the most applicable factors in a guiding framework should be that would guide fathers and their sons in order to support the formation of male identity within the sons. The research methodology that has been followed, was from a Gestalt perspective as meta theoretical assumption from which qualitative, explorative and descriptive strategies were followed. The qualitative strategy consisted of an auto-ethnography and semi-structured interviews. The trustworthiness of the research has been strengthened by a quantitative component of the research by utilizing questionnaires, after which data was collected and analysed. A purposive sample was drawn that included respondents from the Drakenstein municipal area in the Boland district. Categories that were identified from data from the semi-structured interviews, as well as indicators from the questionnaires, have been integrated, from which propositions were constructed. Six themes and resulting guiding strategies were presented in the form of a guiding framework. / Hierdie studie is gerig op die ontwikkeling van 'n begeleidingsraamwerk vir vaders en hulle adolessente seuns deur te fokus op manlike identiteit as die samebindende faktor in die verhouding tussen vader en seun. Die vestiging, asook die verwarring ten opsigte van manlike identiteit, is as vertrekpunt en probleemstelling vir die studie gestel. Die behoefte ten opsigte van die manier waarop vader en seun binne hierdie dinamiese verhouding begelei kan word ten einde manlike identiteit te vestig, is as motivering vir die studie gestel. Die behoefte aan begeleiding vir vaders en huile seuns was dus die primere doel met 'n navorsingsvraag, naamlik wat die mees toepaslike faktore sal wees wat in 'n begeleidingsraamwerk aan vaders en hulle seuns leiding sal bied ten einde die vorming van manlike identiteit by die seuns te ondersteun. Die navorsingsmetodologie wat gevolg is, was vanuit die Gestaltperspekief as metateoretiese aanname waaruit kwalitatiewe, verkennende en beskrywende strategies gevolg is. Die kwalitatiewe strategie het bestaan uit 'n outoetnografie en semi-gestruktureerde onderhoude. Die vertrouenswaardigheid van die navorsing is deur 'n kwantitatiewe komponent van die navorsing versterk deur vraelyste te benut waarna data ingesamel en geanaliseer is. 'n Doelgerigte steekproef is getrek, wat respondente ingesluit het uit die Drakenstein munisipale gebied in die Boland distrik. Kategoriee wat vanuit die data van die semi-gestruktureerde onderhoude geidentifiseer is, asook indikatore vanuit die vraelyste, is geintegreer waaruit proposisies saamgestel is. Ses temas en voortspruitende begeleidingstrategiee is aangebied in die vorm van 'n begeleidingsraamwerk. / Social Work / D.Diac. (Spelterapie)

Text in German with summaries in German and English / Zusammenfassung Die vorliegende empirische Forschungsstudie hat es sich zur Aufgabe gestellt, das Predigtverstandnis der baptistischen und mennonitischen Aussiedlerfreikirchen im heutigen Deutschland darzustellen. Da es keine von diesen Freikirchen veroffentlichten Dokumente zur Predigtlehre gibt, musste hier empirisch geforscht werden. Hierbei kamen anerkannte empirische Methoden zur Anwendung, die eine moglichst grosse Objektivitat bzgl. der Sammlung und der Analyse von Umfrage-Daten gewahrleisten sollen, damit die Ergebnisse des Weiteren ein moglichst reprasentatives Bild der Gesamtsituation der genannten Freikirchen bzgl. ihres Predigtverstandnisses in den Gottesdiensten darzustellen vermogen. Die Ergebnisse mehrerer zyklisch-triangularer Umfragen bzgl. des Predigtverstandnisses genannter Gemeinden werden dann diskutiert unter Berucksichtigung des prominentesten deutschen evangelikalen Predigtansatzes. Da diese Forschungsarbeit jedoch nicht einfach nur einem wissenschaftlich-theoretischen Interesse dienen soll, sollen ihre Ergebnisse auch fur die zukunftige Gemeindearbeit von Nutzen sein. Abstract The present empiric research study aims to present the current concept of preaching in the Russian-German Baptist and Mennonite Free Evangelical Churches in Germany. As these churches have not published documents concerning their preaching concept, this study has to be based on empiric research. For this purpose acknowledged empirical methods were applied which vouch for as much objectivity as possible in the collection and analysis of data. The subsequent aim was that the results thereof represent as much as possible an accurate picture of the current situation of these Free Churches with regard to their understanding of preaching in their services. The conclusions to various cyclic-triangular questionnaires regarding the understanding of preaching in these churches are then discussed against the background of a German evangelical homiletic concept. Since this study does not just serve a theoretical research interest, its conclusions are thought to be of use for future work within these churches. / Christian Spirituality, Church History and Missiology / M.Th. (Missiology)

The study sought to explore the influence of gastrointestinal symptoms in female respondents with emetophobia disorder, panic disorder with agoraphobia and obsessive compulsive disorder. The research assessed a sample of sixty respondents which formed part of three groups which were recruited from clinical and online support groups. The age ranged from twenty to forty-five years. Non-probability quota sampling was employed. A non-experimental research design was implemented in order to make comparisons between these groups’ association of gastrointestinal symptoms and the occurrence of possible vomiting. The differential research strategy determined whether a statistically significant difference existed. The groups were assessed on the Gastrointestinal Symptom Score (2005) and the Patient Assessment of Upper Gastrointestinal Symptom Severity Index (2004). The research aimed to determine whether empirical support exists for the Cognitive Behavioural Model of Emetophobia by Boschen (2007). / Psychology / M.A. (Psychology)