Abstract:
:This study documents correlates of psychotropic drug use among older adults and compares the results observed in this group to those observed in individuals aged 18-64. A multivariate logistic regression analysis using data from the Quebec Health Survey (1992-1993) was employed to study predisposing and facilitating factors of this behavior. Results showed that 22% of the elderly reported having used anxiolytics, sedatives or hypnotics during the two days preceding the survey, compared to 4.9% of the respondents aged 18-64. Combining both samples, perceived health status, physical functional status, and health services utilization for psychological distress symptoms were the main health factors associated with psychotropic drug use. A significant difference was observed between the two age groups with regard to the association between the respondents' health status and the use of anxiolytics, sedatives or hypnotics. When the effect of other explanatory factors was controlled, older adults in poor health used anxiolytics, sedatives or hypnotics 2.21 times more than individuals aged 18-64 with a similar health condition, whereas older adults in good health used these drugs 7.49 times more than healthy individuals aged 18-64. Furthermore, after controlling for the effect of the respondents' physical and psychological health status, our results showed that more women than men used psychotropic drugs (OR = 1.57; 99% CI = 1.26-1.94). Low-income respondents were also more likely to report using these medications (OR = 1.53; 99% CI = 1.22-1.90). These results were interpreted as supporting the socio-cultural hypothesis of psychotropic drug use, which suggests that the prescribing and utilization of psychotropic drugs is influenced not only by symptoms but also by the social characteristics of individuals. It is suggested that future research may contribute to a better understanding of psychotropic drug utilization in the older adult community-dwelling population by examining consumers' attitudes and health care providers' social values concerning the appropriateness of this behavior.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
Préville M,Hébert R,Boyer R,Bravo Gdoi
10.1080/13607860120065014subject
Has Abstractpub_date
2001-08-01 00:00:00pages
216-24issue
3eissn
1360-7863issn
1364-6915journal_volume
5pub_type
杂志文章abstract:OBJECTIVE:Few studies have examined health anxiety in older adults, and it is unknown which factors account for age-related differences in health anxiety. Given similarities between health anxiety and the anxiety disorders, anxiety-related constructs, including anxiety sensitivity, intolerance of uncertainty, emotion r...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2012.688192
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:Mild cognitive impairment (MCI) refers to an early but abnormal state of cognitive impairment with minimal functional impairment. The present study aimed to evaluate the validity of Fuld Object Memory Evaluation (FOME) as a measure of episodic memory function. METHOD:The study sample included 204 Chinese ol...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1442414
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To explore caregivers' challenges and quality-of-life issues managing diabetes in patients with dementia. METHOD:We conducted six focus groups with 21 caregivers of patients with dementia and type 2 diabetes. Focus groups were digitally recorded, transcribed, and translated using a software coding system. Em...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2011.569485
更新日期:2011-09-01 00:00:00
abstract::Studies of older adults' health status and health-related quality of life (HRQoL) often rely on proxy responses when subjects have problems that affect their ability to respond. With the increased interest in outcomes research in health care, it is important to examine proxy reliability on HRQoL instruments. This stud...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860120038357
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVES:There is very often a lengthy delay between first noticing symptoms of dementia and making first contact with Health Care Professionals (HCPs). This article identifies influences on the decision to contact HCPs for the first time. METHOD:Qualitative thematic analysis of 20 case studies of carer experience. ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2011.651794
更新日期:2012-01-01 00:00:00
abstract::The purpose of this study was to consider the contribution of intergenerational exchange to mental health. Using data from a national sample of Jewish Israelis age 60 and over with children (n = 1799), reciprocal and non-reciprocal exchange patterns were identified and examined in relation to respondents' scores on a ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860410001669723
更新日期:2004-05-01 00:00:00
abstract::I examine: whether specific emotion-focused coping and help-seeking strategies adopted by older widow(er)s 6 months postloss affect depressive, anger, and yearning symptoms 1 year later; whether these effects are accounted for by psychosocial factors which guide the selection of coping strategies; and the extent to wh...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1531381
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVES:In the UK and elsewhere, specialist community mental health teams (CMHTs) are central to the provision of comprehensive services for older people with mental ill health. Recent guidance documents suggest a core set of attributes that such teams should encompass. This article reports on a systematic literatur...
journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607863.2011.651431
更新日期:2012-01-01 00:00:00
abstract::Objectives: Hong Kong - Vigilance and Memory Test (HK-VMT) is developed to distinguish early cognitive impairment in the pre-symptomatic phase from normal cognitive ageing in older adults. The objectives were to validate HK-VMT to differentiate mild cognitive impairment (MCI) and healthy control (HC), and to explore t...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1523878
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:Frailty affects an estimated 15% of community dwelling older adults. Few studies look at psychosocial variables like self-efficacy (confidence to perform well at a particular task or life domain) in relation to frailty. The purpose of this study was to evaluate associations between pre-frailty/frailty and se...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1639136
更新日期:2020-12-01 00:00:00
abstract::Objectives: Although numerous studies have documented that negative age stereotypes and perceived age discrimination are related to older adults' lower well-being, few studies have investigated the mechanisms underlying these relationships. In this study, we tested whether self-perceptions of aging and subjective age ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1514487
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVES:To determine whether caregiver relationship and race modify associations between physical functioning of persons with dementia (PWD) and their caregiver's burden and general depressive symptoms. METHOD:We pooled data from four behavioral intervention trials (N = 1,211). Using latent growth modeling, we eval...
journal_title:Aging & mental health
pub_type: 杂志文章,meta分析
doi:10.1080/13607863.2018.1441263
更新日期:2019-05-01 00:00:00
abstract::This study examined the relationship between adherence to tradition and depression in a large sample (N = 1502) of Chinese elders living in the People's Republic of China. In Chinese traditional culture, an elder's purpose, meaning and self-worth are derived, in large, from their social roles within the family and com...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500308017
更新日期:2006-01-01 00:00:00
abstract::Background: Research shows that formal and informal social support can facilitate resilience in carers. There is a paucity of research exploring social support and resilience amongst recently bereaved informal carers. Aim: To examine how the presence or absence of distinct dimensions of social support facilitate or hi...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1484886
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVES:The authors set out to systematically review the research literature in order to identify the anxiety measures most commonly used in the assessment of older adults. Once identified, the literature was reviewed to determine the extent to which these instruments had age-relevant norms and psychometric data sup...
journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607863.2011.602960
更新日期:2012-01-01 00:00:00
abstract::Little is known about the prevalence of dementia and its associated risk factors in developing countries. Some studies suggest that the prevalence of dementia is lower in developing countries than it is in high-income nations. We sought to determine risk factors for dementia in elderly persons in central Nigeria. Usin...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860600736182
更新日期:2006-11-01 00:00:00
abstract:OBJECTIVES:Fear of falling leads to many adverse consequences and may compromise the quality of life of older adults. Psychological factors are potential mediators between the fear of falling and quality of life, but have yet to be explored in detail. This study presents results from examining the mediating effect of t...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.805398
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:Given the chronically painful, incurable nature of osteoarthritis, effective cognitive and behavioral coping strategies may be critical for older adults with the disease. Little is known about how and why coping changes over time, nor about stability of coping strategies in persons with osteoarthritis. The a...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.1003286
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:Stressors are critical to the caregiver stress process, yet little work has examined resources that contribute to longitudinal changes in subjective stressors. The present study examines a variety of factors that contribute to changes in subjective stressors across time. METHOD:Dementia caregivers (N = 153)...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1402292
更新日期:2019-02-01 00:00:00
abstract::Employing a randomized controlled trial, this study documents the effects of six months of physical activity and six month follow-up on reduction in social physique anxiety (SPA) in older adults. In addition, the role played by changes in behavioral, physiological, and psychological predictors of changes in SPA were e...
journal_title:Aging & mental health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1080/13607860220142459
更新日期:2002-08-01 00:00:00
abstract::Objectives: Providing care for family members with Alzheimer's disease (AD) might awaken ambivalent feelings in caregivers. This topic, however, has received little research attention. Having reliable and valid scales is a first step in expanding our knowledge in this area, particularly among different cultural groups...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1715341
更新日期:2020-01-20 00:00:00
abstract::The Acute versus Chronic Pain Questionnaire (ACPQ) was applied to older people. Two groups emerged from an analysis of which an item of each pair (an acute and a chronic affective item) was considered to cause the most suffering. One group of subjects comprised those who expected to suffer more from one or more acute ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860220142378
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVES:To evaluate whether fall risk in older adults is associated with the use of selective serotonin receptor inhibitor (SSRI) monotherapy among geriatric outpatients, and whether this association is moderated by the presence of depressive disorder and/or frailty. METHODS:Prospective cohort study with a 12-month...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1675143
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVES:To document the reliability, construct and nomological validity of the perceived Social Stigmatisation (STIG) scale in the older adult population. DESIGN:Cross-sectional survey. SETTING:Primary medical health services clinics. PARTICIPANTS:Probabilistic sample of older adults aged 65 years and over waitin...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.944092
更新日期:2015-01-01 00:00:00
abstract::The quality of written prescriptions has not been examined in a psychiatric setting. The aim of this study was to examine the quality of drug prescribing by medical staff for elderly patients hospitalized with dementia in comparison with the quality of prescribing for elderly patients hospitalized for functional psych...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860220126817
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVES:Older adults who have experienced traumatic events earlier in life may be especially vulnerable to additional challenges associated with aging. In a cross-sectional study of older females, the present study examines whether a history of rape is associated with current psychological and health problems. METH...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.884538
更新日期:2014-01-01 00:00:00
abstract::This paper reflects Alzheimer Europe's position on PPI (patient and public involvement) in the context of dementia research and highlights some of the challenges and potential risks and benefits associated with such meaningful involvement. The paper was drafted by Alzheimer Europe in collaboration with members of INTE...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1317334
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:In the past few decades, foreign home care to frail older adults has become a common alternative to family care in many developed countries. Whereas Alzheimer's disease and related dementias (ADRD) are common conditions in this population of frail older adults, little is known about the beliefs of foreign ho...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802534625
更新日期:2009-05-01 00:00:00
abstract::Objectives: This study aimed to assess how childhood socioeconomic conditions are associated with sleeping problems in older adults and how this association may be mediated by socioeconomic conditions across the lives of individuals using a life course perspective. Since the life course opportunities differ systematic...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1534078
更新日期:2020-02-01 00:00:00
abstract::The purpose of the present investigation was to examine the impact of speed of processing training on the cognitive and everyday abilities of older adults with initial processing speed or processing difficulty. Participants were randomized to either a speed of processing intervention or a social- and computer-contact ...
journal_title:Aging & mental health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1080/13607860412331336788
更新日期:2005-05-01 00:00:00