Joël Tremblay

Joël Tremblay
Université du Québec à Trois-Rivières · Département de Psychoéducation

PhD

About

90
Publications
22,194
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
872
Citations

Publications

Publications (90)
Article
Full-text available
Consequences experienced by the partners of individuals with a gambling disorder are well documented. However, little is known about the deleterious effects experienced by other people than partners of gamblers. A better understanding of these consequences could help improve clinical practices. The goal of this paper is to compare the consequences...
Article
Gambling's impact on a couple's relationship is an essential element in the gambling disorder (GD). Gamblers tend to lie to their partner to conceal the extent of their gambling problems and debts, which can lead to a serious relational transgression for the couple. One promising avenue is a couple treatment focusing on forgiveness processes. The o...
Article
Full-text available
Family caregivers provide important leverage for facilitating the recovery of persons with schizophrenia and substance use disorders. For the caregivers, this translates into needs for knowledge as well as strategies to reduce their distress and to meet the complex demands of a long journey to recovery. The objective of this qualitative evaluation...
Article
Rationale The reconceptualization of substance use disorders (SUD) as a chronic phenomenon calls for a paradigm shift in service provision, particularly by way of long-term treatment and support. Studies that have evaluated the efficacy of long-term treatment models seem to indicate that they are an improvement on more standard short-term treatment...
Article
Forgiveness as a psychological process is a promising approach to integrate into couple counseling to help couples recover from serious relational transgressions (RT). And yet, there is still no consensus in the literature to better understand the processes couples must get through during couple therapy to mutually forgive each other. The aim of th...
Article
Full-text available
An increasing number of clinical and empirical studies document the coping strategies used by partners of pathological gamblers (PGs). A postulate for this is that they may be useful for dealing with their partner’s problematic gambling behaviors. Despite a widespread endorsement of this postulate, no study has yet documented their effectiveness: d...
Article
For the last 20 years, poker has been one of the most popular forms of gambling for adults. Although various studies have demonstrated the specific characteristics of these players, few studies have focused on teenagers playing poker. However, a better understanding of this activity among this vulnerable group would help to develop more effective s...
Poster
Full-text available
This poster details the opinion of 51 Quebec young adults on what should be done to prevent internet addiction.
Article
Full-text available
Studies suggest that youth who are exposed to their first gambling experience at an earlier age are at increased risk of developing problems. However, studies reporting age of onset of gambling exposure as a risk factor for gambling problems are cross-sectional by design and the relationship between both variables are sometimes inferred over extend...
Article
Full-text available
Background: Gambling disorder (GD) is a heterogeneous disorder which has clinical manifestations that vary according to variables in each individual. Considering the importance of the application of specific therapeutic interventions, it is essential to obtain clinical classifications based on differentiated phenotypes for patients diagnosed with G...
Article
Full-text available
Objective: In the field of health care services, resource allocation is increasingly determined based on a population needs model. Although service needs models have been developed for adults with substance use problems, it would seem inappropriate to apply them indiscriminately to young people. Method: The method used proposes six steps: (1) ta...
Article
The articles presented in this issue of the Journal of Studies on Alcohol and Drugs (Supplement No. 18) describe the rapid improvements over the past decade in methods, theories, and data systems used for needs-based planning of addiction treatment services. In this concluding essay, the editors describe the progress, prospects, and implications of...
Article
Objective: Substance use services and supports have traditionally been funded without the benefit of a comprehensive, quantitative planning model closely aligned with population needs. This article describes the methodology used to develop and refine key features of such a model, gives an overview of the resulting Canadian prototype, and offers ex...
Article
Full-text available
A railway accident which occurred in Lac-Megantic in Quebec, Canada, caused disruption for an entire community. This study examines the psychosocial difficulties in a group of exposed adolescents aged between 11 to 17, nine months after the tragedy. The analyses were conducted on a sample of 515 adolescents, attending high school, and living near t...
Article
Full-text available
People living with pathological gamblers (PGs) have to endure the negative consequences of their problem gambling. It is known that the partners of PGs will develop adaptation strategies to cope with gambling behaviour. However, research conducted on the topic is still in its early stages. The goal of this study was to draw up a portrait of the str...
Article
Full-text available
Research has shown that family involvement in problem gambling (PG) treatment is important because families are significantly impacted and their involvement can improve treatment outcomes for the family and PG individual. The adverse effects of PG are a family matter, but services continue to have an individual focus. This qualitative study examine...
Article
Full-text available
Context: Couple treatment for pathological gambling is an innovative strategy. There are some results supporting its potential effectiveness, but little is known about the subjective experiences of the participants. Objective: The aim of this article is to document the experiences of gamblers and their partners participating in one of two treatment...
Article
Full-text available
This pioneering study in sub-Saharan African context examined the role played by religious strategies (religious coping, religious community support (RCS)) in the conjugal bereavement process and its outcomes depending on the expected or unexpected death. Based on cross-sectional approach, the study targeted Togolese bereaved spouses (N = 162). The...
Article
Full-text available
The purpose of this study was to develop and evaluate the initial reliability, validity and classification accuracy of a new brief screen for adolescent problem gambling. The three-item Brief Adolescent Gambling Screen (BAGS) was derived from the nine-item Gambling Problem Severity Subscale (GPSS) of the Canadian Adolescent Gambling Inventory (CAGI...
Article
Full-text available
Le taux moyen mondial pour la prévalence du jeu pathologique serait évalué à environ 2,3% (Williams et al., 2012). Outre les conséquences néfastes dans la vie des joueurs pathologiques (JP), la partenaire amoureuse est aussi confrontée à ces comportements problématiques de jeux de hasard et d’argent (JHA) et à ses effets délétères (Kourgiantakis et...
Article
Full-text available
Interpersonal distress is a common feature in gambling disorder and adding a concerned significant other (CSO) to the recovery process could be an effective tool for improving treatment outcome. However, little empirical evidence is available regarding the effectiveness of including a CSO to interventions. We aimed to compare treatment outcomes (i....
Article
Issues: Despite a growing trend towards considering addiction as a chronic disease, the development of intervention models addressing the chronicity of substance use disorder is relatively new, and no literature review on this topic is available. The aim of this systematic review is to evaluate the efficacy of intervention models designed within t...
Article
Digital technology advances have supported an expansion of gambling activities, which is notable via the advent of simulated gambling games. Simulated gambling reproduces ‘real’ gambling activities, which enables the users to gamble without investing money. According to research evidence, a certain number of adolescents are playing with these games...
Article
The concept of Problematic Internet Use (PIU) continues to raise many questions. While some researchers are interested in all activities on the Internet, others focus on one or two forms of activities when it comes to PIU assessment. Before ruling out the importance of specific activities, it is necessary to assess the contribution of each activity...
Article
L’adolescence est souvent le berceau de plusieurs conduites déviantes cooccurrentes. La consommation de substances psychoactives (SPA) et la délinquance figurent parmi ces conduites et entretiennent des liens multiples et parfois complexes. Cette étude vise à explorer le modèle drogue-délinquance économico-compulsif auprès des jeunes. Plus précisém...
Poster
Poster presented at the Discovery meeting of the Responsible Gambling Council (RGC), Toronto (Canada).
Poster
Full-text available
À ce jour, la littérature brosse un portrait assez exhaustif des conséquences négatives vécues par les partenaires de joueurs pathologiques (JP), lesquelles générant une source de stress considérable. Il est reconnu que les partenaires utilisent un amalgame de stratégies d’adaptation pour faire face aux habitudes de jeux de hasard et d’argent (JHA)...
Article
The objective of this study is, by using the general theory of rationality (GTR), to better understand the rationale underlying gambling behavior in adolescents considered to have gambling problems. The study explore gambling associated benefits, negative consequences of gambling, and the adolescents’ perceptions of the severity of their gambling b...
Article
Full-text available
Aims: Large-scale epidemiological studies show a significant prevalence of gambling disorder (GD) during adolescence and emerging adulthood, and highlight the need to identify gambling-related behaviors at early ages. However, there are only a handful of screening instruments for this population and many studies measuring youth gambling problems us...
Data
Scree plot obtained in the EFA analysis (GD group, n = 55).
Data
CAGI discrimination ability (accuracy). The ROC curve is plotted with an area of 0.50 is marked by the discontinuous line representing a worthless test, while an area of 1 represents a perfect test.
Article
Objectives This study aimed to: (1) identify clusters based on the diagnostic status of mental disorders among individuals with problematic substance use treated in an addiction rehabilitation center (ARC), and (2) characterize these clusters according to socio-demographic variables, neighborhood characteristics, and health service utilization. Me...
Article
Many people coming to emergency departments (EDs) or receiving other hospital services arrive with an unidentified substance use disorder (SUD). A well-supported approach to reach these patients is the co-location of an addiction liaison nurse (ALN) in the ED or other hospital departments in order to facilitate case identification and linkage to tr...
Article
Objective: This paper presents a systematic review and meta-analysis of available evidence on remission rates for substance use disorders (SUDs), providing weighted mean estimates of SUD remission rates. The review also explores study-level characteristics that may explain variations in remission rates across studies. Methods: A comprehensive se...
Article
Full-text available
Objectives: There are presently no data available concerning Internet addiction (IA) problems among adolescents in Canada and the province of Quebec. The goal of this study is thus to document and compare the influence of gender on Internet use and addiction. Method: The study data were collected from a larger research project on gambling among...
Article
Plusieurs modeles de traitement ont demontre leur efficacite aupres des adolescents aux prises avec une consommation problematique de substances psychoactives. Cependant, un des problemes majeurs demeure l’acces et la perseverance des jeunes en traitement. Le present article explore le role du reseau social sur le parcours therapeutique d’adolescen...
Article
Full-text available
Problem gambling can have profound consequences on a person’s life, consequences that range from financial, psychological to relational and that affect, in particular, couple relationships. Despite these widely documented relational consequences, most therapies for problem gambling favour an individual approach. Nonetheless, in the field of addicti...
Article
To estimate associations between recent licit and illicit substance use and subsequent suicide attempt among people who inject drugs (PWID). Secondary analysis of longitudinal data from a prospective cohort study of PWID followed bi-annually between 2004 and 2011. Montréal, Canada. Seven-hundred and ninety-seven PWID who reported injection drug use...
Poster
Full-text available
Les difficultés familiales et conjugales occupent une place importante parmi les problèmes rapportés par les couples dont l’un des membres a des habitudes problématiques de jeux de hasard et d’argent (JHA). Ce constat détonne toutefois avec la pauvreté du nombre d’études dédiées à la compréhension de l’expérience des partenaires et de leur rôle dan...
Poster
Full-text available
Près de 1% de la population québécoise adulte répond aux critères de joueurs pathologiques (JP). Outre les effets délétères du jeu pour le joueur lui-même, les membres de l’entourage de JP vivent de nombreuses conséquences négatives en lien avec les jeux de hasard et d’argent (JHA), et ce, dans plusieurs sphères de leur vie. Le partenaire amoureux...
Article
There are two aspects that distinguish the approaches used to conceptualize problem gambling in adolescence. The first aspect concerns the type of variables involved in conceptualizing the phenomenon: most approaches integrate variables of an individual nature in their modelling and give little consideration to social type variables. The second asp...
Article
Full-text available
http://drogues-sante-societe.ca/wp-content/uploads/2015/06/DSS_Vol13_no2_Presentation-secur.pdf
Article
While the elevated risk of suicide attempt among persons who inject drugs (PWID) is well documented, whether use of different substances is associated with varying degrees of risk remains unclear. We sought to examine the associations between substance use patterns and attempted suicide in a prospective cohort of PWID in Montreal, Canada. Between 2...
Poster
Full-text available
Moins de 1% des adultes québécois s’adonnent à des jeux de hasard et d’argent (JHA) de façon pathologique. Ces comportements ont des répercussions conjugales significatives dont la colère, les sacrifices financiers, les sentiments de culpabilité, le blâme, la perte de confiance et la trahison, la dépression, l’anxiété, les problèmes de communicatio...
Technical Report
Full-text available
Au Québec, l’implantation des ILD dans les urgences hospitalières s’inscrit directement dans le cadre de la mise sur pied d’un réseau intégré de services en santé et services sociaux. Elle implique une étroite collaboration entre les urgences hospitalières et les centres de réadaptation en dépendance (CRD) et elle a, entre autres, pour but d’aller...
Article
Full-text available
A total of 726 youths presenting a severe addiction were evaluated at the time of their request for services in an addiction rehabilitation center. Results show that the more delinquent youths have a more severe profile of substance use, thus confirming the strong association between psychoactive substance (PAS) use severity and delinquency. Girls...
Article
Problem gambling is an important public health issue affecting many spheres of the gambling individual’s life, including mental health, finances, and family. The family is a topic that has been given little attention in problem gambling research. After a comprehensive search of the literature, this review identified and analyzed 30 empirical studie...
Conference Paper
Full-text available
The main goals of this study was to evaluate the effectiveness of motivational techniques in the treatment provided to young cannabis users, taking into account personality variables and the level of motivation at the onset of treatment. Participants were 106 boys and girls (aged 14 to 18) in treatment for cannabis abuse. Individual practitioners a...
Article
Full-text available
Background: Stakeholder participation is an important trend in the field of program evaluation. Although a few measurement instruments have been proposed, they either have not been empirically validated or do not cover the full content of the concept. Objectives: This study consists of a first empirical validation of a measurement instrument tha...
Technical Report
Full-text available
Depuis 2005, des infirmières de liaison en dépendance (ILD) ont été implantées graduellement dans cinq Centres hospitaliers (CH) des régions de la Capitale-Nationale et de Chaudière-Appalaches. Cette étude permet d’obtenir davantage d’information sur l’ensemble du programme dans les deux régions, tel que les caractéristiques des personnes ayant fai...
Article
Full-text available
Implementation is a primary step in disseminating innovation because, without successful implementation, even the most effective program cannot show results. Many barriers were reported in the implementation evaluation of Alcochoix+, a Quebec program for managing alcohol consumption intended for non-dependent excessive drinkers. In addition to barr...
Article
Full-text available
Le programme Alcochoix+ est un programme de gestion de la consommation d’alcool qui se destine plus particulièrement aux consommateurs à risque de développer une dépendance. Les risques pour la santé associés à la consommation excessive d’alcool appuient la nécessité de mettre en place des programmes de prévention secondaire de l’alcoolisme. Le pro...
Article
Full-text available
Depuis les annees 2000, on estime que de 5 % a 8 % des jeunes Quebecois eprouvent des difficultes importantes de consommation de substances psychoactives (SPA), ce qui pose la question cruciale des traitements de ces problemes. Cet article propose d’abord un survol des principaux services offerts aux jeunes et des facteurs, lies ou non au traitemen...
Article
Full-text available
Trois elaborations theoriques et cliniques portant sur la motivation au changement sont resumees, ainsi que les etudes d’efficacite de leurs applications a l’intervention en alcoolisme et toxicomanie aupres des adultes. L’entretien motivationnel est le plus repandu des trois dans le champ de l’intervention en dependance en raison de sa centration s...