@article{pmid41147947,

title = {Trajectories of Well-Being and Burnout Among Health and Social Services Community Workers During the COVID-19 Pandemic: A Longitudinal Study of Job Demands and Resources},

author = {Ariane Paquin and Alexandra Giroux and Stephanie Radziszewski and François Lauzier-Jobin and Simon Coulombe and Janie Houle and Sophie Meunier},

doi = {10.1002/jcop.70052},

issn = {1520-6629},

year  = {2025},

date = {2025-11-01},

journal = {J Community Psychol},

volume = {53},

number = {8},

pages = {e70052},

abstract = {Health and social services nonprofit workers face important occupational challenges that were exacerbated by the COVID-19 pandemic and that may have impacted their psychological health during that time. In Quebec, Canada, many of these workers are employed in community-based organizations providing essential services to vulnerable populations. This longitudinal study examined the temporal evolution of well-being and burnout, as well as their associated predictors, among health and social services community workers across three time points: November 2019 to January 2020 (Time 1), June to September 2020 (Time 2), and January to March 2021 (Time 3). Findings revealed significant decreases in well-being and increases in burnout over time. Reduced opportunities to use one's strengths at work was associated with declining well-being, while increased overcommitment was associated with rising burnout. Contrary to expectations, perceived workload and dissatisfaction with pay decreased during the pandemic. Similarly, higher baseline resources and demands were unexpectedly associated with a greater decline in well-being and increase in burnout. This is one of the few studies to have longitudinally examined the well-being and burnout of health and social services community workers. The results show that, among these workers in Quebec, in a crisis situation such as COVID-19, well-being decreases while exhaustion increases. Strengths used at work and overcommitment seem to be important variables to consider in explaining these results, and such insights can be used for developing targeted interventions to support the psychological health of these essential workers.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid41318449,

title = {Associations between mental health and sociodemographic and work-related factors in Canadian SME workers: an observational study},

author = {Simon Coulombe and Marie-France de Lafontaine and Joël Gagnon and Tyler Pacheco and Carol-Anne Gauthier},

doi = {10.1186/s12889-025-25097-7},

issn = {1471-2458},

year  = {2025},

date = {2025-11-01},

journal = {BMC Public Health},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid40724136,

title = {Self-Management at Work's Moderating Effect on the Relations Between Psychosocial Work Factors and Well-Being},

author = {Carol-Anne Gauthier and Tyler Pacheco and Élisabeth Proteau and Émilie Auger and Simon Coulombe},

doi = {10.3390/ijerph22071070},

issn = {1660-4601},

year  = {2025},

date = {2025-07-01},

journal = {Int J Environ Res Public Health},

volume = {22},

number = {7},

abstract = {Mental health self-management (MHS) strategies may help workers with mental health concerns preserve and enhance their well-being. However, little research has explored how these strategies may help mitigate the effects of negative psychosocial work factors (PWFs) on well-being outcomes. This cross-sectional study investigated (1) the relationship between PWFs and well-being, (2) the association between MHS at work and well-being, and (3) the moderating role of self-management in preventing negative PWFs' deleterious effects. A sample of 896 Francophone workers in Canada completed a questionnaire that included self-reported measures related to workplace, self-management, and well-being. Structural equation modeling (conducted via the MPlus software, version 8.6) revealed that psychological demands were negatively related to positive well-being outcomes and positively associated with adverse well-being outcomes. Competency-related autonomy was positively associated with flourishing, and recognition was positively associated with flourishing and positive well-being at work, as well as being negatively associated with burnout and depression. Surprisingly, supervisor support was negatively related to positive well-being and positively related to burnout and depression. MHS was positively associated with positive well-being at work, flourishing, and work performance, but had no relationship with negative mental health. MHS significantly moderated the relationship between each PWF and well-being at work in both beneficial and adverse ways, depending on the specific well-being indicator being considered. From a workplace well-being perspective, this suggests that although self-management may help workers preserve and enhance their positive well-being, organizations must also directly target PWFs to prevent negative well-being outcomes.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid40453652,

title = {Workers' well-being during viral pandemics and epidemics: A scoping review},

author = {Tyler Pacheco and Simon Coulombe and Nancy L Kocovski and Julia Carbone},

doi = {10.1016/j.cpnec.2025.100286},

issn = {2666-4976},

year  = {2025},

date = {2025-05-01},

journal = {Compr Psychoneuroendocrinol},

volume = {22},

pages = {100286},

abstract = {Studies have documented workers' well-being during individual pandemics and epidemics. However, there lies a need to summarize worker well-being  crises. Moreover, there is a scarcity of reviews exploring precarious workers' well-being during these crises. Adopting a multidisciplinary perspective via positive psychology's third wave, this scoping review examines positive and negative well-being across diverse occupational groups and situations (e.g., precarious employment) and across crises. Inspired by Ecological Systems Theory, factors at different ecological levels (self, social, workplace, pandemic) relevant to workers' well-being are reviewed. The following questions are addressed: 1) How are virus-related public health crises (i.e., epidemics, pandemics) related to workers' well-being? 2) What resilience and risk factors are associated with workers' well-being in these crises? And 2a) How is the well-being of precarious workers impacted during virus-related public health crises? Of the 2,395 potentially relevant articles published before October 23rd, 2020, 187 were retained. Overall, more research has been conducted on negative than positive well-being. Workers experienced: 1) positive well-being frequently or at moderately high levels overall during pandemics and epidemics, 2) mild to moderate negative well-being during SARS and COVID-19's beginning and high negative well-being during other crises, and 3) high work-related well-being during such crises. Factors at self- (age, gender), social- (social support), workplace- (occupation, frontline status), and pandemic-related (risk/exposure, knowing someone infected/killed by the virus, PPE access) levels were associated with workers' well-being. Although explored infrequently, precarious employment was typically associated with greater negative well-being. Practice- and policy-related recommendations are discussed.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid40012234,

title = {The Prevalence and Consequences of Gender-Based Violence Among Trans and Gender Diverse University Students in Ontario},

author = {Jia Qing Wilson-Yang and Michael R Woodford and Harrison Oakes and Zack Marshall and Simon Coulombe},

doi = {10.1177/08862605251315773},

issn = {1552-6518},

year  = {2025},

date = {2025-02-01},

journal = {J Interpers Violence},

pages = {8862605251315773},

abstract = {Community studies documenting gender-based violence (GBV) experienced by trans and gender diverse (TGD) people often find differences in prevalence across TGD subgroups. In contrast, studies with university students tend to treat TGD students as a homogenous group, leaving differences across subgroups unknown. Using data from TGD Ontario university students, we examined the prevalence and impacts of GBV across the spectrum of nonbinary and gender queer, trans women and trans feminine (TWTF), and trans men and trans masculine (TMTM) students. Specifically, we explored the frequency of subtle and overt forms of GBV (trans environmental microaggressions, trans interpersonal microaggressions, victimization) and their relationship with psychological (positive mental health, psychological distress, perceived stress) and social (campus belonging) well-being among each subgroup. TMTM students reported experiencing both microaggression types significantly more frequently than TWTF; no other differences in prevalence were found. Consistent with minority stress theory, all but one statistically significant result suggested that experiences of GBV are associated with poorer outcomes. Specifically, GBV can negatively impact TGD students' well-being, although its impacts are not identical across TGD subgroups. The findings highlight the importance of considering TGD students as a heterogeneous group when examining GBV and its consequences. Implications for research, policy, practice, and the training of practitioners are offered.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid39961344,

title = {Psychometric Assessment of the Mental Health Self-Management Questionnaire in a Clinical Sample With Anxiety Disorders},

author = {Natalia Muñoz Gómez and Simon Coulombe and Janie Houle and Nathalie Carrier and Martin D Provencher and Peter J Norton and Pasquale Roberge},

doi = {10.1177/00332941251320305},

issn = {1558-691X},

year  = {2025},

date = {2025-02-01},

journal = {Psychol Rep},

pages = {332941251320305},

abstract = {The development of self-management strategies plays an active role in the recovery process of individuals suffering from mental disorders. The Mental Health Self-Management Questionnaire (MHSQ) was developed to give empirical insight into the construct of self-management. This study aimed to assess the psychometric properties of this recent instrument in a sample of patients meeting DSM-5 criteria for anxiety disorders. Data were drawn from a randomized controlled trial examining transdiagnostic group cognitive-behavioural therapy compared to treatment-as-usual for anxiety disorders. Participants ( = 231) completed a structured interview for anxiety disorders and several self-reported measures, including the MHSQ. Confirmatory factor analysis for the initial three-factor structure showed adequate fit after adding covariances between certain items. The MHSQ had acceptable reliability for the  (α = .73, ω = .78),  (α = .80, ω = .80) and  (α = .71, ω = .71) subscales. Results showed high correlations with measures of well-being and moderate correlations with measures of disability and depression, especially on the empowerment and vitality subscales. Lower correlations were found between the MHSQ and anxiety symptoms. The linear mixed model examining sensitivity to change showed that the MHSQ score at post-treatment was significantly greater for the experimental condition compared to the control condition for the clinical and empowerment subscales. The MHSQ is a promising measure, and research with other clinical populations and long-term follow-up is warranted to gather further evidence on the validity and fidelity of the instrument.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid40416328,

title = {Trajectories of Canadian Workers' Well-Being During the Onset of the COVID-19 Pandemic},

author = {Tyler Pacheco and Simon Coulombe and Nancy L Kocovski},

doi = {10.1007/s11482-024-10397-8},

issn = {1871-2584},

year  = {2025},

date = {2025-01-01},

journal = {Appl Res Qual Life},

volume = {20},

number = {1},

pages = {393--433},

abstract = {Research regarding workers' well-being over time during COVID-19 has primarily used variable-centered approaches (e.g., ANOVA) to explore changes in negative well-being. However, variable-centered approaches provide insufficient information on the different well-being experiences that diverse workers may have experienced during COVID-19. Furthermore, researchers have understudied positive well-being in workers' general lives and work during COVID-19. We used latent trajectory analysis, a person-centered analysis, to explore diverse well-being trajectories Canadian workers experienced during the first few months of COVID-19 across distress, flourishing, presenteeism, and thriving at work measures. We hypothesized that: H1) Intragroup differences would be present on each well-being indicator at study onset; H2) Different longitudinal trajectories would emerge for each well-being indicator (i.e., some workers' scores would get better, some would get worse, and some would remain the same); and H3) Factors at different ecological levels (self, social, workplace, pandemic) would predict membership to the different trajectories. Canadian workers ( = 648) were surveyed March 20-27th, April 3rd-10th, and May 20-27th of 2020. Depending on the well-being indicator, and supporting H1, three to five well-being trajectories were identified. Providing some support for H2, distress and presenteeism trajectories improved over time or stayed stagnant; flourishing and thriving at work trajectories worsened or stayed stagnant. Providing some support for H3, self- (gender, age, disability status, trait resilience), social- (family functioning), workplace- (employment status, financial strain, sense of job security), and pandemic-related (perceived vulnerability to COVID-19) factors significantly predicted well-being trajectory membership. Recommendations for diverse stakeholders (e.g., employers, mental health organizations) are discussed.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid38557210,

title = {Minority Stressors, Social Provisions, and Past-Year Suicidal Ideation and Suicide Attempts in a Sample of Sexual Orientation and Gender Identity/Expression Minority People in Canada},

author = {Todd A Coleman and Kenny Chee and Robert Chin-See and Ramez Salama and Maria Sajan and Macie Narbonne and Robb Travers and Simon Coulombe},

doi = {10.1089/lgbt.2022.0344},

issn = {2325-8306},

year  = {2024},

date = {2024-10-01},

journal = {LGBT Health},

volume = {11},

number = {7},

pages = {539--551},

abstract = { Mental health disparities in sexual orientation and/or gender identity and/or expression (SOGIE) minority groups are well-documented, with research consistently showing higher levels of suicidality, even in Canada, considered one of the world's most accepting countries of SOGIE minority groups. Adverse outcomes in these groups are often framed using minority stress theory, with social support frequently studied as an integral buffer to these outcomes. This analysis explores facets of minority stress and social support associated with past-year suicidal ideation and suicide attempts.  A cross-sectional internet survey of SOGIE diverse people in Canada ( = 1542) was conducted. Binary logistic regression calculated bivariate and multivariate factors associated with past-year suicidal ideation and suicide attempts. Backward elimination (retaining sociodemographic factors and self-rated mental health) identified salient minority stress and social support (provisions) factors.  Over half (56.72%) of participants had ever thought of dying by suicide, with 24.84% having attempted suicide. During the past year, 26.80% had thought of dying by suicide, with 5.32% having attempted suicide. Victimization events, and guidance (e.g., someone to talk to about important decisions) and attachment (e.g., close relationships providing emotional security) social provision subscales remained salient after backward elimination procedures.  Our findings emphasize that a fulsome, multilevel approach considering structural, community, and individual strategies to address overt discrimination, integrating social connections and guidance, is necessary to prevent dying by suicide.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid38850503,

title = {Exploring LGBT2Q+ Intracategorical Factors in Mental Health Service Utilization: Differences in Gender Modalities, Sexual Orientations, and Ethnoracial Groups in Canada},

author = {Samson Tse and Kenny Chee and Todd A Coleman and Simon Coulombe and Robb Travers},

doi = {10.1007/s10597-024-01299-y},

issn = {1573-2789},

year  = {2024},

date = {2024-10-01},

journal = {Community Ment Health J},

volume = {60},

number = {7},

pages = {1434--1447},

abstract = {LGBT2Q+ (lesbian, gay, bisexual, transgender, Two-Spirit, queer, plus) Canadians face minority stressors that lead to higher mental health inequalities such as worse self-reported mental health and increased risk of mental health issues when compared to their heterosexual/straight and cisgender counterparts. However, there are within-group (intracategorical) differences within a community as large as LGBT2Q+ peoples. Guided by the Andersen Model of Healthcare Utilization, we sought to explore intracategorical differences in LGBT2Q+ Canadian predisposing, enabling, and need factors in mental health service utilization within the past year. Using data from the 2020 LGBT2Q+ Health Survey (N = 1542), modified Poisson logistic regression found that more polysexual respondents and trans/gender-diverse respondents were more likely to have utilized mental health services within the past year than their gay, lesbian, and cis male counterparts. As well, compared to White respondents, Indigenous respondents were more likely to have utilized mental health services, while other racialized respondents were associated with less utilization. Backwards elimination of Andersen model of healthcare utilization factors predicting mental health service utilization retained two predisposing factors (ethnoracial groups and gender modality) and two need factors (self-reporting living with a mood disorder and self-reporting living with an anxiety disorder). Results suggest that polysexual, trans and gender-diverse, and racialized LGBT2Q+ peoples have an increased need for mental health services due to increased specific minority stressors that cisgender, White, monosexual peoples do not face. Implications for healthcare providers are discussed on how to improve service provision to LGBT2Q+ peoples.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid39110009,

title = {Aiming for transformations in power: lessons from intersectoral CBPR with public housing tenants (Québec, Canada)},

author = {Stephanie Radziszewski and Janie Houle and Corentin Montiel and Jean-Marc Fontan and Juan Torres and Kate Frolich and Antoine Boivin and Simon Coulombe and Hélène Gaudreau},

doi = {10.1093/heapro/daae085},

issn = {1460-2245},

year  = {2024},

date = {2024-08-01},

journal = {Health Promot Int},

volume = {39},

number = {4},

abstract = {Intersectoral collaborations are recommended as effective strategies to reduce health inequalities. People most affected by health inequalities, as are people living in poverty, remain generally absent from such intersectoral collaborations. Community-based participatory research (CBPR) projects can be leveraged to better understand how to involve people with lived experience to support both individual and community empowerment. In this paper, we offer a critical reflection on a CBPR project conducted in public housing in Québec, Canada, that aimed to develop intersectoral collaboration between tenants and senior executives from four sectors (housing, health, city and community organizations). This single qualitative case study design consisted of fieldwork documents, observations and semi-structured interviews. Using the Emancipatory Power Framework (EPF) and the Limiting Power Framework (LPF), we describe examples of types of power and resistance shown by the tenants, the intersectoral partners and the research team. The discussion presents lessons learned through the study, including the importance for research teams to reflect on their own power, especially when aiming to reduce health inequalities. The paper concludes by describing the limitations of the analyses conducted through the EPF-LPF frameworks and suggestions to increase the transformative power of future studies.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}