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Les Strategies D'Adaptation des Personnes Agees aux Prises avec des Sentiments Depressifs

Published online by Cambridge University Press:  29 November 2010

Philippe Cappeliez
Affiliation:
Université d'Ottawa
Diane Blanchet
Affiliation:
Université d'Ottawa

Abstract

As an initial step in the improvement of interventions for the depressed elderly, the present study attempts to identify the strategies they spontaneously use to cope with depressive feelings. Fifty two older persons answered two questionnaires, one measuring the intensity of depressive symptomatology, the other dealing with coping strategies and their usefulness. Results suggest that, as a whole, coping strategies used by the elderly do not fundamentally differ from the ones advocated by younger individuals, in that they favor strategies involving goal-oriented action. The subjects who reported the most depressive feelings differed from the others on two points: they less frequently relied on the strategy of problem solving and they considered general activity as less useful in their struggle against depressive feelings. Implications for the development of services for the elderly, in particular the secondary prevention of depression, are drawn.

Résumé

Comme point de départ pour l'amélioration des interventions auprès des personnes âgées déprimées, la présente étude cherche à identifier les stratégies d'adaptation auxquelles elles recourent spontanément pour lutter contre les sentiments dépressifs. Cinquante deux personnes âgées ont répondu à deux questionnaires, l'un portant sur l'intensité de la symptomatologie dépressive, l'autre sur les stratégies d'adaptation et leur utilité. Les résultats suggèrent que, dans l'ensemble, les stratégies d'adaptation des personnes âgées s'apparentent à celles relevées auprès des échantillons plus jeunes, en privilégiant les stratégies d'action concertée. Les personnes ágées présentant le plus de sentiments dépressifs se distinguent des autres sur deux points: elles ont moins recours à la stratégie de résolution de problèmes et elles considèrent l'activité générale comme moins utile. Les implications pour l'institution de services aux personnes âgées, en particulier la prévention secondaire des dépressions, sont évoquées.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 1986

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References

Bandura, A. (1977). Self-efficacy, toward a unifying theory of behavioral change. Psychological Review, 84, 191215.CrossRefGoogle Scholar
Beck, A.T. (1978). Depression Inventory. Philadelphia: Center for Cognitive Therapy.Google Scholar
Beckham, E.E., & Adams, R.L. (1984). Coping behavior in depression: report on a new scale. Behaviour Research & Therapy, 22, 7175.CrossRefGoogle ScholarPubMed
Billings, A, Cronkite, R.C., & Moos, R.H. (1983). Social-environmental factors in unipolar depression: Comparisons of depressed patients and nondepressed controls. Journal of Abnormal Psychology, 92, 119133.CrossRefGoogle ScholarPubMed
Blazer, D. (1982). The epidemiology oflate life depression. Journal of the American Geriatrics Society, 30, 587592.Google Scholar
Blazer, D., & Williams, C.D. (1980). Epidemiology of dysphoria and depression in an elderly population. American Journal of Psychiatry, 137, 439444.Google Scholar
Bourque, P., & Beaudette, D. (1982). Etude psychomé-trique du questionnaire de dépression de Beck auprés d'un échantillon d'étudiants universitaires francophones. Revue Canadienne des Sciences du Comportement, 14, 211218.CrossRefGoogle Scholar
Cappeliez, P., & Patry, S. (1985). Le concept de dépression chez les personnes âgées. Manuscit non publié, Université d'Ottawa.Google Scholar
Coyne, J.C., Aldwin, C., & Lazarus, R.S. (1981). Depression and coping in stressful episodes. Journal of Abnormal Psychology. 90, 439447.Google Scholar
Folkman, S., & Lazarus, R.S. (1980). An analysis of coping in a middle aged community sample. Journal of Health & Social Behavior, 21, 219239.CrossRefGoogle Scholar
Foster, J.M., & Gallagher, D. (1986). An exploratory study comparing depressed and nondepressed elders' coping strategies. Journal of Gerontology, 41, 9193.Google Scholar
Fry, P.S. (1984). Cognitive training and cognitive-behavioral variables in the treatment of depression in the elderly. Clinical Gerontologist, 3, 2545.CrossRefGoogle Scholar
Heppner, P.P., Baumgardner, A., & Jackson, J. (1985). Problem-solving self-appraisal, depression, and attributional style: Are they related? Cognitive Therapy & Research, 9, 105113.Google Scholar
Lazarus, R.S., & Folkman, S. (1984). Stress Appraisal, and Coping. New York: Springer.Google Scholar
Lazaraus, R.S., & De Longis, A. (1983). Psychological stress and coping in aging. American Psychologist, 38, 245254.Google Scholar
McCrae, R.R. (1982). Age differences in the use of coping mechanisms. Journal of Gerontology, 454460.CrossRefGoogle ScholarPubMed
Myers, J.K., Weissman, M.M., Tischler, G.L., Holzer, C.E., Leaf, P.J., Orvaschel, H., Anthony, J.C., Boyd, J.H., Burke, J.D., Kramer, M., & Stolzman, R. (1984). Six-month prevalence of psychiatric disorders in three communities. Archives ofGeneral Psychiatry, 41, 959967.CrossRefGoogle ScholarPubMed
Nezu, A.M. (1986). Cognitive appraqisal of problem-solving effectiveness: Relation to depression and depressive symptoms. Journal of Clinical Psychology, 42, 4248.3.0.CO;2-2>CrossRefGoogle ScholarPubMed
O'Hara, M.W., Kohout, F.J., & Wallace, R.B. (1985). Depression among the rural elderly, a study of prevalence and correlates. Journal of Nervous & Mental Diseass, 173, 582589.CrossRefGoogle ScholarPubMed
Rippere, V. (1977). “What's the thing to do when you're feeling depressed?”—A pilot study. Behaviour Research & Therapy, 15, 185191.CrossRefGoogle Scholar
Rippere, V. (1979). Scaling the helpfulness of antide-pressive activities. BehaviourResearch & Therapy, 17, 439449.Google ScholarPubMed
Schwab, J.J., Holzer, C.E., & Warheit, G.J. (1973). Depressive symptomatology and age. Psychosomatics, 14, 135141.Google Scholar
Steinmetz, J.L., Thompson, L.W., Breckenridge, J.N., & Gallagher, D.E. (1985). Behavioral Group Therapy: A psychoeducational approach. In Upper, D. & Ross, S. (Eds.), Handbook of Behavioral Group Therapy. New York: Plenum.Google Scholar
Thompson, L.W., Gallagher, D., Nies, G., & Epstein, D. (1983). Evaluation of the effectiveness of professionals and nonprofessionals as instructors of “Coping with Depression” classes for elders. The Gerontologist, 23, 390396.CrossRefGoogle ScholarPubMed
Vezina, J., & Bourque, P. (1985). Les strategies comportementales adoptees par les personnes agees devant les sentiments depressifs. Revue Cana-dienne du Vieillissement, 4, 161169.CrossRefGoogle Scholar
Zarit, S.H. (1980). Aging and Mental Disorders, Psychological Approaches to Assessment and Treatment. New York: Free Press.Google Scholar