Cette étude porte sur une intervention de groupe basée sur la thérapie cognitivo-comportementale pour l’hyperphagie boulimique (HB), dont les effets potentiels sur la qualité de vie reliée au poids, la fréquence et la sévérité des crises de boulimie, les symptômes dépressifs, l’image corporelle et le poids corporel ont été mesurés, et le degré d’acceptation par les participantes a été documenté. Ainsi, 11 femmes avec un surplus de poids et répondant aux critères diagnostiques de l’HB ont été recrutées du printemps 2012 à l’hiver 2013, dans la région de Montréal. Le programme comportant huit séances hebdomadaires était dispensé par une nutritionniste et une psychothérapeute. La qualité de vie reliée au poids (Impact of Weight on Quality of Life), la fréquence des crises de boulimie (rappel des sept derniers jours), la sévérité des crises de boulimie (Binge Eating Scale), les symptômes dépressifs (Inventaire de Beck pour la dépression), l’insatisfaction corporelle (Body Shape Questionnaire) et le poids corporel ont été mesurés avant et à la fin de l’intervention. Puis, un questionnaire pour mesurer l’acceptation par les participantes était soumis au terme du programme. Le taux de participation aux séances était aussi colligé. Les résultats montrent que notre programme a permis une amélioration significative du score global de la qualité de vie reliée au poids de 8,4 ± 13,3, ainsi qu’en termes d’estime de soi et de travail. Aussi, une diminution significative de la fréquence des crises de boulimie de 2,1 ± 2,1 jours, de la sévérité des crises de boulimie dont le score a diminué de 10,9 ± 7,7, des symptômes dépressifs dont le score a diminué de 8,3 ± 5,7 et de l’insatisfaction corporelle dont le score a diminué de 32,8 ± 17,1, ont été observées. Toutefois, il n’y a pas eu de perte de poids au terme de l’intervention. Puis, le programme a été bien accepté par les participantes tel que démontré par le taux de participation aux séances de 93,8 % et la satisfaction mesurée par l’appréciation des divers éléments du programme de 4,6 sur 5 et la pertinence de ceux-ci de 4,8 sur 5. Ces données suggèrent que l’intervention de groupe semble être prometteuse pour améliorer les symptômes et conséquences de l’HB, à l’exception du poids. / This study focuses on a group intervention for binge eating disorder (BED), by measuring its potential effects on the quality of life related to weight, frequency and severity of binge episodes, depressive symptoms, body dissatisfaction and body weight, and documenting the degree of acceptance of the intervention by the participants. Thus, 11 overweight women that met the BED diagnostic criteria were recruited from spring 2012 to winter 2013, in Montreal. The program includes eight weekly sessions based on Cognitive Behavioral Therapy provided by a nutritionist and a psychotherapist. Quality of life related to weight (Impact of Weight on Quality of Life), binge eating frequency (recall of the last seven days), binge eating severity (Binge Eating Scale), depression (Beck Inventory for depression), body dissatisfaction (Body Shape Questionnaire) and body weight were measured before and after the intervention. Then, a questionnaire to assess the acceptance by the participants was submitted at the end of the program. The rate of participation was also collected. The results showed that our program has resulted in significant improvements in the overall quality of life score related to weight of 8.4 ± 13.3, and in terms of self-esteem and work. We also observed a decrease in binge eating frequency by 2.1 ± 2.1 days as well as in binge eating severity, depressive symptoms and body dissatisfaction whose scores decreased by 10.9 ± 7.7, 8.3 ± 5.7 and 32.8 ± 17.1 respectively. However, there was no significant difference in weight at the end of the intervention. Also, the program was well accepted by the participants with a participation rate of 93.8%. Satisfaction and relevance of the program scored respectively 4,6 and 4,8 out of 5. These data suggest that the group intervention seems to be a promising method to improve the symptoms and consequences of HB, except for weight.

The issue of psychiatric co-morbidity is a serious public health problem occurring more and more frequently in the treatment of addiction and bringing with it various complications and often premature termination of treatment. The scoring system with a fixed set regime is still being used as the main instrument for treatment of addicted clients on the most specialized departments of psychiatric hospitals, although the effectiveness of the scoring system has not yet been clinically verified. The aim of this pilot study is to demonstrate and verify of the individual cases of clients with different categories of dual diagnosis, how they perceive the balance of the sanctions and rewards and fair setting in the context of the scoring system. Other goals are to find out and verify what is the influence of the scoring system on the motivation to change the behavior and success of treatment, what weaknesses clients with dual diagnosis perceive in this system and how they represent the treatment system, which would make them more fit and motivated to change behavior. Further, this study seeks to establish whether difficulties and obstacles on the way to stand up and go through the scoring system are different for individual dual diagnoses. A qualitative approach is used in the research part of the thesis....

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INTRODUÇÃO: A obesidade na infância e adolescência representa uma epidemia global e figura como um problema de saúde pública proeminente de prevalência crescente. A obesidade frequentemente está associada à compulsão alimentar periódica (CAP) e componentes genéticos participam de sua etiologia multifatorial. Polimorfismos de nucleotídeo único (SNPs) no gene da leptina (LEP) e do receptor da leptina (LEPR) podem modificar a expressão da leptina e de suas vias de sinalização e, consequentemente, alterar a regulação do apetite e da saciedade, contribuindo assim para a etiopatogenia e manutenção da CAP. O objetivo deste trabalho foi investigar a influência dos polimorfismos rs7799039 (G > A) no gene LEP e rs1137100 (A > G), rs1137101 (A > G) e rs8179183 (G > C) no gene LEPR sobre a CAP em crianças e adolescentes obesos, além de caracterizar a população quanto à CAP e verificar a associação dos SNPs com o risco cardiometabólico (RCM) e a obesidade. MÉTODOS: Estudo transversal que incluiu 465 crianças e adolescentes obesos com idade entre 7 e 19 anos avaliados quanto a variáveis antropométricas e metabólicas. Os fatores de RCM consistiram de hipertensão arterial sistêmica, glicemia de jejum alterada, HDL-colesterol baixo e hipertrigliceridemia. A CAP foi avaliada por meio da Escala de Compulsão Alimentar Periódica (ECAP). Para investigar o efeito dos SNPs no risco para a obesidade foi incluído um grupo controle composto por 135 crianças e adolescentes eutróficos. A genotipagem foi realizada por PCR em tempo real e para análise dos SNPs, adotou-se o modelo dominante. Foi calculado o desequilíbrio de ligação entre os SNPs e estimada as frequências dos haplótipos. As comparações entre os grupos foram realizadas estratificadamente por gênero e estádio puberal. Para avaliar a magnitude do risco dos SNPs sobre a CAP e a obesidade foi realizada regressão logística ajustada para variáveis de confusão (idade, Z-IMC e estádio puberal). RESULTADOS: As crianças e adolescentes obesos (12,5 ± 2,9 anos; 52,7% meninas) classificados com CAP apresentaram maior adiposidade e a frequência da CAP foi mais elevada no gênero feminino (OR= 2,146; IC 95% 1,461-3,152; p < 0,001). A frequência do alelo A do rs7799039 foi mais elevada no grupo de obesos (OR= 1,530; IC 95% 1,022-2,292; p= 0,039) e o alelo associou-se ao maior nível de leptina e colesterol total em meninas e à maior glicemia em meninos (p < 0,05). No rs1137100 e o rs1137101, a presença do alelo G em meninas conferiu risco para a hipertrigliceridemia (OR= 1,926; IC 95% 1,010-3,673; p= 0,047 e OR= 2,039; IC 95% 1,057-3,931; p= 0,033, respectivamente). O alelo C do rs8179183 relacionou-se, em meninas, à relação cintura-estatura e glicemia mais elevadas e, em meninos, ao maior percentil de pressão arterial diastólica, glicemia, colesterol total e LDL-colesterol (p <0,05). CONCLUSÃO: Os polimorfismos não foram associados à compulsão alimentar periódica. A CAP foi relacionada ao pior grau de adiposidade e o maior risco foi observado no gênero feminino. O SNP rs7799039 no gene LEP conferiu risco para obesidade, enquanto o rs1137100, rs1137101 e rs8179183 no gene LEPR relacionaram-se ao pior perfil cardiometabólico em crianças e adolescentes obesos / INTRODUCTION: Obesity during childhood and adolescence represents a global epidemic and consists in a prominent public health issue of increasing prevalence. Obesity is frequently associated with binge eating (BE) and genetic factors participate of its multifactorial etiology. Single nucleotide polymorphisms (SNPs) in the leptin (LEP) and leptin receptor (LEPR) genes may modify the leptin expression and its signaling pathways and, consequently, alter appetite and satiety regulation, thus contributing to the etiopathogeny and maintenance of BE. The aim of this study was to investigate the influence of polymorphisms rs7799039 (G > A) in the LEP gene and rs1137100 (A > G), rs1137101 (A > G) and rs8179183 (G > C) in the LEPR gene on BE in obese children and adolescents, besides characterize the population regarding to BE and examine the association of SNPs with cardiometabolic risk (CMR) and obesity. METHODS: Cross-sectional study in which 465 obese children and adolescents aged from 7 to 19 years were enrolled and had anthropometric and metabolic variables assessed. The CMR factors consisted of systemic hypertension, impaired fasting glucose, low HDL-cholesterol levels and hypertriglyceridemia. The BE was evaluated through the Binge Eating Scale (BES). To investigate the effect of SNPs on obesity risk, a control group of 135 eutrophic children and adolescents was enrolled. Genotyping was performed by real-time PCR and for the SNPs analysis, the dominant model was adopted. The linkage disequilibrium between SNPs was calculated and the haplotype frequencies were estimated. Comparisons between groups were performed stratified by gender and pubertal stage. To assess the risk magnitude for the SNPs on BE and obesity, logistic regression adjusted for confounding variables (age, Z-BMI and pubertal stage) was performed. RESULTS: Obese children and adolescents (12.5 ± 2.9 years, 52.7% girls) classified with BE showed greater adiposity and BE frequency was higher among females (OR= 2.146; 95% CI 1.461-3.152; p < 0.001). The observed frequency of A allele of rs7799039 was a higher in the obese group (OR= 1.530; 95% CI 1.022-2.292; p= 0.039) and the allele was associated with higher leptin and total cholesterol levels in girls and higher glucose levels in boys (p < 0.05). For the rs1137100 and rs1137101, the presence of the G allele among girls, conferred risk for hypertriglyceridemia (OR= 1.926; 95% CI 1.010-3.673; p= 0.047 and OR= 2.039; 95% CI 1.057-3.931; p= 0.033, respectively). The C allele of rs8179183 was associated, among girls, with a higher waist-to-height ratio and glucose levels and, among boys, with greater diastolic blood pressure percentile, glucose, total cholesterol and LDL-cholesterol levels (p < 0.05). CONCLUSION: Polymorphisms were not associated with binge eating. BE was related with a more severe adiposity and an increased risk was observed among females. The SNP rs7799039 in the LEP gene contributed to the risk of obesity, whereas the rs1137100, rs1137101 and rs8179183 in LEPR gene were related to a worse cardiometabolic profile in obese children and adolescents

Introdução: O estado nutricional da gestante constitui importante fator para o desenvolvimento do feto e da gravidez saudável. Mulheres que apresentam ingestão inadequada de nutrientes têm maior probabilidade de desenvolver gestação de risco. Essa problemática é especialmente intensa quando a mulher apresenta quadro de transtorno alimentar (TA). Este trabalho abordou aspectos históricos, etiologia e epidemiologia dos TA, contemplou os critérios diagnósticos, concebeu os TA no período gravídico puerperal e dissertou sobre TA, sintomatologia ansiosa e depressiva. Os objetivos deste estudo foram determinar a prevalência de TA em gestantes com intercorrências clínicas e verificar a associação com sintomatologia ansiosa, depressiva e atitudes alimentares. Método: Estudo prospectivo transversal foi realizado com 913 gestantes com intercorrências clínicas que estavam no 2° ou 3° trimestre gestacional no ambulatório da Divisão de Clínica Obstétrica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Foi utilizada entrevista dirigida, para avaliação de picacismo; o EAT-26, para avaliar as atitudes alimentares; Structured Clinical Interview for DSM Disorders, para diagnóstico clínico de TA e a escala Hospital Anxiety and Depression, para análise da sintomatologia ansiosa e depressiva. Os dados deste estudo foram submetidos à análise quantitativa e avaliados por meio do programa IBM SPSS for Windows versão 20.0. Resultados: constatou-se prevalência de transtorno alimentar em 7,6% (n=69) (IC 95%: 5,84%-9,28%), sendo 0,1% (n=1), anorexia nervosa; 0,7% (n=6), bulimia nervosa; 1,1% (n=10), transtorno da compulsão alimentar e 5,7% (n=52), picacismo. Encontrou-se significância estatística quando associado TA com as variáveis: religião (p=0,02), abortamento provocado anterior (p < 0,01), tempo de relacionamento (p=0,01), renda per capita (p=0,04), número de gestações (p < 0,01) e número de filhos vivos (p < 0,01). Quanto às atitudes alimentares, observou-se significância estatística com \"sentir-se mal após comer doces\" (p=0,02) e \"passar muito tempo pensando em comida\" (p < 0,01). Constatou-se ainda associação positiva com sintomatologia ansiosa (p < 0,01) e com sintomatologia depressiva (p < 0,01). Conclusão: a prevalência de TA encontrada (7,6%) e sua associação com sintomatologia ansiosa e depressiva, durante a gestação, apontam para a necessidade de cuidados especializados no que diz respeito à prevenção, diagnóstico e tratamento. Dada a importância da alimentação adequada no período gestacional, tanto no que diz respeito à saúde materna, quanto ao desenvolvimento fetal, torna-se necessário implementar, pelos profissionais de saúde, avaliação específica com protocolo predeterminado para diagnóstico de TA no período gestacional / Introduction: The nutritional status of the pregnant woman represents an important factor for the development of the fetus and for a healthy pregnancy. Women who have inadequate nutrient intake are more likely to develop a risky pregnancy. This problem is particularly severe when the woman presents an eating disorder (ED). This paper discusses the historical aspects, etiology and epidemiology of ED, considers the diagnostic criteria, delineates ED in the puerperal pregnancy period and addresses ED, anxiety and depression symptoms. The aims of this study were to estimate the prevalence of ED in pregnant women with clinical complications and to assess the relationship between anxiety and depression symptoms and eating attitudes. Methods: A transversal and prospective study was conducted with 913 women between 2nd and 3rd trimester with high-risk pregnancies in the Obstetrics Clinic Division of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. We conducted structured interviews for the assessment of pica, Structured Clinical Interview for DSM Disorders for diagnostic of ED and Hospital Anxiety and Depression Scale for anxiety and depression symptoms, and applied the EAT-26 questionnaire for eating attitudes. The data analysis was quantitative and conducted with the IBM SPSS for Windows, version 20.0. Results: Lifetime prevalence of ED was 7.6% (n=69) (95% CI: 5.84%-9.28%), 0.1% (n=1) for anorexia nervosa; 0.7% (n=6) for bulimia nervosa; 1.1% (n=10) for binge eating disorder, and 5.7% (n=52) for pica. ED was statistically significant with respect to the following variables: religion (p=0.02), previous induced abortion (p < 0.01), being in a relationship (p=0.01), per capita income (p=0,04), number of previous pregnancies (p<0.01) and number of children (p < 0.01). For the eating attitudes, statistical significance was found with \"feeling ill after eating sweets\" (p < 0.02) and \"spend too much time thinking about food\" (p=0.05), as well as between ED and anxiety (p < 0.01) and depressive symptoms (p < 0.01). Conclusion: The prevalence of ED (7.6%) and its association with anxiety and depression symptoms during pregnancy highlights the need for specialist care for prevention, diagnosis and treatment. Given the importance of proper nutrition during pregnancy, both with regard to maternal health and fetal development, it is necessary to have specific predetermined evaluation protocols implemented by health care professionals for the diagnosis of ED during pregnancy

Introdução: O estado nutricional da gestante constitui importante fator para o desenvolvimento do feto e da gravidez saudável. Mulheres que apresentam ingestão inadequada de nutrientes têm maior probabilidade de desenvolver gestação de risco. Essa problemática é especialmente intensa quando a mulher apresenta quadro de transtorno alimentar (TA). Este trabalho abordou aspectos históricos, etiologia e epidemiologia dos TA, contemplou os critérios diagnósticos, concebeu os TA no período gravídico puerperal e dissertou sobre TA, sintomatologia ansiosa e depressiva. Os objetivos deste estudo foram determinar a prevalência de TA em gestantes com intercorrências clínicas e verificar a associação com sintomatologia ansiosa, depressiva e atitudes alimentares. Método: Estudo prospectivo transversal foi realizado com 913 gestantes com intercorrências clínicas que estavam no 2° ou 3° trimestre gestacional no ambulatório da Divisão de Clínica Obstétrica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Foi utilizada entrevista dirigida, para avaliação de picacismo; o EAT-26, para avaliar as atitudes alimentares; Structured Clinical Interview for DSM Disorders, para diagnóstico clínico de TA e a escala Hospital Anxiety and Depression, para análise da sintomatologia ansiosa e depressiva. Os dados deste estudo foram submetidos à análise quantitativa e avaliados por meio do programa IBM SPSS for Windows versão 20.0. Resultados: constatou-se prevalência de transtorno alimentar em 7,6% (n=69) (IC 95%: 5,84%-9,28%), sendo 0,1% (n=1), anorexia nervosa; 0,7% (n=6), bulimia nervosa; 1,1% (n=10), transtorno da compulsão alimentar e 5,7% (n=52), picacismo. Encontrou-se significância estatística quando associado TA com as variáveis: religião (p=0,02), abortamento provocado anterior (p < 0,01), tempo de relacionamento (p=0,01), renda per capita (p=0,04), número de gestações (p < 0,01) e número de filhos vivos (p < 0,01). Quanto às atitudes alimentares, observou-se significância estatística com \"sentir-se mal após comer doces\" (p=0,02) e \"passar muito tempo pensando em comida\" (p < 0,01). Constatou-se ainda associação positiva com sintomatologia ansiosa (p < 0,01) e com sintomatologia depressiva (p < 0,01). Conclusão: a prevalência de TA encontrada (7,6%) e sua associação com sintomatologia ansiosa e depressiva, durante a gestação, apontam para a necessidade de cuidados especializados no que diz respeito à prevenção, diagnóstico e tratamento. Dada a importância da alimentação adequada no período gestacional, tanto no que diz respeito à saúde materna, quanto ao desenvolvimento fetal, torna-se necessário implementar, pelos profissionais de saúde, avaliação específica com protocolo predeterminado para diagnóstico de TA no período gestacional / Introduction: The nutritional status of the pregnant woman represents an important factor for the development of the fetus and for a healthy pregnancy. Women who have inadequate nutrient intake are more likely to develop a risky pregnancy. This problem is particularly severe when the woman presents an eating disorder (ED). This paper discusses the historical aspects, etiology and epidemiology of ED, considers the diagnostic criteria, delineates ED in the puerperal pregnancy period and addresses ED, anxiety and depression symptoms. The aims of this study were to estimate the prevalence of ED in pregnant women with clinical complications and to assess the relationship between anxiety and depression symptoms and eating attitudes. Methods: A transversal and prospective study was conducted with 913 women between 2nd and 3rd trimester with high-risk pregnancies in the Obstetrics Clinic Division of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. We conducted structured interviews for the assessment of pica, Structured Clinical Interview for DSM Disorders for diagnostic of ED and Hospital Anxiety and Depression Scale for anxiety and depression symptoms, and applied the EAT-26 questionnaire for eating attitudes. The data analysis was quantitative and conducted with the IBM SPSS for Windows, version 20.0. Results: Lifetime prevalence of ED was 7.6% (n=69) (95% CI: 5.84%-9.28%), 0.1% (n=1) for anorexia nervosa; 0.7% (n=6) for bulimia nervosa; 1.1% (n=10) for binge eating disorder, and 5.7% (n=52) for pica. ED was statistically significant with respect to the following variables: religion (p=0.02), previous induced abortion (p < 0.01), being in a relationship (p=0.01), per capita income (p=0,04), number of previous pregnancies (p<0.01) and number of children (p < 0.01). For the eating attitudes, statistical significance was found with \"feeling ill after eating sweets\" (p < 0.02) and \"spend too much time thinking about food\" (p=0.05), as well as between ED and anxiety (p < 0.01) and depressive symptoms (p < 0.01). Conclusion: The prevalence of ED (7.6%) and its association with anxiety and depression symptoms during pregnancy highlights the need for specialist care for prevention, diagnosis and treatment. Given the importance of proper nutrition during pregnancy, both with regard to maternal health and fetal development, it is necessary to have specific predetermined evaluation protocols implemented by health care professionals for the diagnosis of ED during pregnancy

Thesis (MA. (Clinical Psychology)) -- University of Limpopo, 2014 / A study investigating alcohol use amongst female undergraduate students was conducted at the University of Limpopo Turfloop Campus. The study was quantitative in nature and used a cross-sectional survey design. A purposive sample of 200 undergraduate female psychology students across 1st, 2nd and 3rd year levels was used. The Protection Motivation Theory (PMT) was used as a framework which guided the study and the reporting of the research results. The self-report questionnaire was made up of several standardized questionnaires and open-ended questions. Quantitative data was analyzed using descriptive statistics namely, frequency tables and figures as they gave a clear overall picture of the data. The chi square (X2) statistic was also used to see if there was significant difference in drinking trends between 1st, 2nd and 3rd year female psychology students. Nearly 89% of the entire sample reported to being Christian, it was expected that they would have moral values associated with the religion which would either call for moderate drinking or abstinence. The results of this study generally underpin this statement. Overall, a significant difference in drinking patterns across year levels, with first years more likely to report problem behaviours relating to alcohol consumption, than second or third year levels was found. In terms of the PMT, the majority of the respondents reported responsible drinking behaviours and patterns. However, a notable number of participants, although not statistically significant, did report a number of problems associated with alcohol consumption. The study recommends that future research be undertaken into alcohol use amongst both genders at different year levels at the institution. It was also recommended that qualitative research, to find out students motivations for drinking, be undertaken amongst both genders.

Project (Ed.S.)--James Madison University, 2009. / Includes bibliographical references.

Social networking sites (SNSs) are an increasingly popular channel for communication among college students. Often students disclose more freely via social networking sites than they would in other situations. These disclosures commonly include information about engaging in risky health behaviors (e.g., binge drinking). Study 1 examined students’ impression management goals and self-presentation tactics specifically related to self-disclosures of drinking behavior on SNSs. Findings suggest that students use differing self-presentation tactics across various SNSs in order to achieve their impression management goals and to avoid consequences associated with disclosing about risky health behaviors to certain audiences. Study 2 sought to develop and measure SNS communication about alcohol related activities (SNCAA). It used the theory of normative social behavior as framework for investigating and predicting SNCAA. Additional variables that predict SNCAA were also identified. Findings demonstrate partial fit of the TNSB as a framework for explaining SNCAA. The overarching results of this project suggest a need for interventions aimed at reducing students’ SNCAA as well as increasing their overall knowledge about privacy and safety online.

Le décrochage scolaire est un phénomène touchant une proportion importante d’adolescents au Québec. Les facteurs permettant de prédire ce phénomène peuvent être d’ordre individuel, familial, social, scolaire et sociodémographique. Bien que plusieurs études ont permis d’établir un lien significatif entre la consommation de substances psychoactives et le décrochage scolaire, aucune étude ne s’est attardé sur le possible rôle modérateur protecteur de l’environnement socioéducatif sur le lien existant entre ces deux comportements malgré plusieurs indications soutenant un tel effet. Cette étude vise donc à déterminer, à l’aide d’un devis longitudinal prospectif, si le climat relationnel maître-élève joue un rôle modérateur protecteur sur ce lien. L’échantillon utilisé pour cette étude est tiré de la Stratégie d’Intervention Agir Autrement (SIAA) et comprend 728 adolescents. Les données ont été obtenues à l’aide de questionnaires auto-révélés et des données officielles du Ministère de l’éducation, des loisirs et des sports. Des analyses de régressions logistiques ont été effectuées et ont démontré que le climat relationnel maître-élève semble diminuer les risques de décrochage scolaire pour les élèves consommateurs. Effectivement, le climat relationnel semble être un facteur de protection pour les élèves consommateurs réguliers de cannabis identifiés comme un groupe à risque de décrochage scolaire alors qu’il ne l’est pas pour le groupe des non consommateurs et des faibles consommateurs. En revanche, ces analyses n’ont pas permis de détecter un tel effet pour l’intoxication à l’alcool. Les implications de ces résultats sont discutées. / School dropout is affecting a large proportion of adolescents in Quebec. Factors which predict school dropout come from individual, familial, social, school, and sociodemographic dimensions. Although many studies have found a significative link between substance use and school dropout, no study have examined the potential protective role of the socioeducational climate on the relationship between these behaviors despite support for such an effect. Thus, this study aims to verify if the student-teacher relationship climate plays a protective (moderator) role on the link between substance use and school dropout by using a longitudinal prospective design. The sample for this study is taken from New approach, new solutions (NANS) and includes 728 participants. Data were obtained thru self-report questionnaires as well as from the Ministère de l’éducation, des loisirs et des sports for official data on school dropout. Logistic regression analyses showed that the student-teacher relationship climate seems to protect against the effect of regular cannabis use on school dropout but not against low or non-use. Conversely, the analyses haven’t shown such a protective effect in the case of alcohol intoxication. Implications for these results are discussed.