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Les psychotropes et le vieillissement normal: une perspective psychosociale et socio-économique*

Published online by Cambridge University Press:  29 November 2010

Guilhème Pérodeau ,
Adèle Jomphe Hill ,
Lisette Hay-Paquin  and
Élise Amyot
Guilhème Pérodeau
Affiliation:
Université du Québec à Hull
Adèle Jomphe Hill
Affiliation:
Université du Québec à Hull
Lisette Hay-Paquin
Affiliation:
Université du Québec à Hull
Élise Amyot
Affiliation:
Université du Québec à Hull
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Abstract

The goal of this study was to examine the reaction (anxiety, depression, and helplessness) and adaptive strategies (problem-solving and emotion-reducing) of community-dwelling elderly, confronted by one specific chronic stressor. We have conducted three face-to-face home interviews on a monthly basis with a follow-up interview seven months later. There were 237 psychotropic drug users and non-users, of high or low socio-economic status. Not only were low socio-economic psychotropic drug users more anxious about the targeted hassle of the week, but they also relied on and used more problem-solving strategies than non-drug users. It is suggested that psychotropic drug use be looked at as a strategy like any others rather than as passive behaviour when facing daily hassles. Moreover, using a high number of coping strategies is not synonymous with being good at coping with chronic stress. Various recommandations for clinical intervention are put forward.

Résumé

L'objectif de cette étude était d'examiner la réaction (sentiment d'anxiété, de dépression et d'impuissance) et les stratégies d'adaptation (résolution de problème et réduction d'émotion) de personnes âgées, vivant à domicile, face à un stresseur chronique. Nous avons mené trois entrevues en face à face, à domicile et sur une base mensuelle pendant trois mois avec un suivi sept mois plus tard auprès de 237 participants, consommateurs ou non de psychotropes, de niveau socio-économique bas ou élevé. Bien que plus anxieux face au tracas-cible de la semaine, les consommateurs en milieu défavorisé utilisaient un plus grand nombre de stratégies de résolution de problème et de façon plus fréquente que les non-consommateurs. L'utilisation de psychotropes doit done être vue comme une stratégie parmi dapos;òt qu'une indication de passivité généralisée face aux stresseurs du quotidien. Toutefois un plus grand nombre de stratégies n est pas nécessairement synonyme d efficacité. Diverses recommandations pour l'intervention sont mises de l'avant.

Keywords

Stressstratégies d'adaptationutilisation de psychotropessanté mentale.StressCopingPsychotropic Drug UseMental Health.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 15 , Issue 4 , Hiver/Winter 1996 , pp. 559 - 582
Copyright
Copyright © Canadian Association on Gerontology 1996

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