Gastrointestinal diseases: psycho-social aspects

An interconnection between psychological and gastrointestinal (GI) functioning has long been recognized, incorporating multiple mechanisms and considering bidirectional processes. However, exciting discoveries regarding the role of stress and depression in etiology and disease course have shed new light on the understanding of biopsychosocial processes in chronic GI conditions. This article provides an introduction to GI tract functioning, GI disorders, and stress mechanisms in the gut, followed by an overview and discussion of the psychosocial impact of these disorders, the role of stress and mental comorbidity in GI disorders, and the current knowledge regarding psychological interventions for GI disorders.

Risks, resources and reason: understanding smallholder decisions around farming system interventions in Eastern Indonesia

Adoption of new cattle management practices by Indonesian smallholders occurs less as a ‘technology transfer’ in the classical sense but rather as a series of conscious decisions by farming households weighing risks and resources as well as matching innovations to livelihood strategies. This paper uncovers the context of decisions and communication of innovations by way of social networks. The research looks at two geographically distinct cases where new cattle management practices have been introduced. We apply the lens of a common sense framework initially introduced by Clifford Geertz. Smallholder decisions are analysed within a socio-cultural context and a particular set of resources, risks and livelihood objectives. We show that the respective value placed on land, cattle and food security is central to adoption of new cattle management techniques. Far from accepting everything novel, smallholders are selective and willing to make changes to their farming system if they do not conflict with livelihood strategies. Innovations are communicated through a range of existing social networks and are either matched to existing livelihood strategies or perceived as stepping-stones out of agriculture.

Association entre l’environnement social en milieu de garde et les comportements liés à l’apport alimentaire et l'activité physique des enfants de trois à cinq ans

Résumé : Problématique : Puisque les enfants de moins de cinq ans passent environ 29 heures par semaine dans les milieux de garde et qu’ils apprennent en observant et en imitant les autres, les éducateurs et les pairs peuvent être des modèles importants dans l’apprentissage de saines habitudes de vie. Les objectifs étaient d’analyser les associations entre 1) les pratiques des éducateurs et l’apport alimentaire, 2) l’activité physique (AP) des enfants de trois à cinq ans dans les milieux de garde, 3) le degré d’influence des pairs sur l’apport alimentaire, et 4) l’AP des enfants de trois à cinq ans. Méthodes : Les associations entre les pratiques des éducateurs et les comportements liés à l’apport alimentaire et l’AP des enfants ont été étudiées à l’aide d’une étude transversale, menée auprès de 723 enfants de trois à cinq ans de 51 milieux de garde en Saskatchewan et au Nouveau-Brunswick à l’automne 2013 et 2014. Le degré d’influence des pairs sur l’apport alimentaire et l’AP des enfants a été étudié à l’aide d’une étude longitudinale, menée auprès de 238 enfants de trois à cinq ans au début et à la fin des années scolaires 2013-2014 et 2014-2015. L’AP des enfants a été mesurée à l’aide d’accéléromètres, et l’apport alimentaire a été mesuré à l’aide d’une analyse de consommation par pesée et photographiée. Une grille d’observation de l’environnement a permis de mesurer les pratiques des éducateurs en milieu de garde. Des régressions linéaires multiniveaux ont répondu aux quatre objectifs de l’étude. Résultats : Le modelage est positivement associé à l’apport en sucre (p=0,026) et l’éducation alimentaire est négativement associée à l’apport en calories (p=0,026) et en fibres (p=0,044). Ne pas utiliser de récompenses alimentaires est négativement associée à l’apport en gras (p=0,049). Aucune pratique n’est associée à l’AP des enfants. Plus l’écart entre l’apport alimentaire et l’AP des enfants et ceux de leurs pairs est grand au début de l’année, plus les enfants voient leur apport alimentaire et leur AP changer, se rapprochant de la moyenne de leurs pairs neuf mois plus tard (p<0,05). Conclusion : Les éducateurs et les pairs jouent un rôle important dans l’adoption d’habitudes alimentaires saines et d’AP chez les enfants de trois à cinq ans dans les milieux de garde. L’environnement social est donc important à considérer dans les interventions de promotion d’habitudes de vie saine dans les milieux de garde.

Educação social e relação de ajuda: Representações dos educadores sociais sbre as suas práticas

Neste estudo, parte-se dos discursos dos educadores sociais, produzidos no grupo de discussão, para se conhecer as suas representações face à relação de ajuda que desenvolvem com as populações. Problematizou-se o conceito, analisaram-se os discursos buscando os paradigmas que orientam as intervenções, as definições de relação de ajuda, os seus objectivos, e o perfil dos educadores sociais que desenvolvem esta modalidade de intervenção. As conclusões apontam para a necessidade de a reflexão acompanhar a acção do educador social; para a coexistência de diferentes concepções sobre a relação de ajuda, variando de acordo com as orientações paradigmáticas do educador, a sua própria experiência profissional, o eu perfil pessoal e profissional. Surge reforçada a ideia de que é na relação teoria-prática que se vão configurando as práticas de intervenção, adequando-as aos sujeitos com quem se desenvolvem e activando processos internos, ao nível das capacidades e competências, pessoais e interpessoais, dos educadores sociais. /ABSTRACT: The starting point in this study is the social educators' speeches produced in the discussion group, to let us know how they view the helping relationship they develop with the populations. The concept was held as a problem needing clarification, and the speeches were analysed with a view to making understandable the paradigms, the objectives and the definitions of the helping relationship that guide their interventions; the profiles of the professionals in the group that develop this modality of intervention were also analysed. The conclusions point to the need of reflection going along with the social educator's acting. They also point to the presence in the group of different conceptions of the helping relationship, varying with the educator's paradigmatic orientation, her/his own professional experience, her/his personal and professional profile. One strong idea emerges: the intervention practices get their configuration in the relation theory-practice, in the process of making them adequate to the subjects with whom they are developed, and also because they activate the social educators' internal processes, at the level of capacities and competences, both personal and interpersonal.

The effect of gender context on children's social behaviour in a limited resources situation : an observational study

Knowing when to compete and when to cooperate to maximize opportunities for equal access to activities and materials in groups is critical to children's social and cognitive development. The present study examined the individual (gender, social competence) and contextual factors (gender context) that may determine why some children are more successful than others. One hundred and fifty-six children (M age=6.5 years) were divided into 39 groups of four and videotaped while engaged in a task that required them to cooperate in order to view cartoons. Children within all groups were unfamiliar to one another. Groups varied in gender composition (all girls, all boys, or mixed-sex) and social competence (high vs. low). Group composition by gender interaction effects were found. Girls were most successful at gaining viewing time in same-sex groups, and least successful in mixed-sex groups. Conversely, boys were least successful in same-sex groups and most successful in mixed-sex groups. Similar results were also found at the group level of analysis; however, the way in which the resources were distributed differed as a function of group type. Same-sex girl groups were inequitable but efficient whereas same-sex boy groups were more equitable than mixed groups but inefficient compared to same-sex girl groups. Social competence did not influence children's behavior. The findings from the present study highlight the effect of gender context on cooperation and competition and the relevance of adopting an unfamiliar peer paradigm when investigating children's social behavior.