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Stratégies d'adaptation, symptômes dépressifs, anxiété et bien-être au sein des personnes âgées vivant en milieu institutionnel*

Published online by Cambridge University Press:  29 November 2010

Charles Pinard  and
Philippe Landreville
Charles Pinard
Affiliation:
Suicide-Action Montréal Inc.
Philippe Landreville
Affiliation:
Université Laval
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Abstract

Older persons living in Residential and extended care centres (RECC) have to cope with various Stressors associated with institutional life. While some residents cope successfully, a large proportion of this population presents difficulties in adjustment. Knowledge about the role of coping strategies in the adjustment process to nursing home Stressors is limited to strategies used in the first few months following admission to RECC. The goal of this exploratory study was to determine how various coping strategies are related to depressive symptoms, anxiety and well-being of 90 residents living in RECC for more than three months. Individual interviews were used to collect the data. Significant correlations were observed between measures of psychological adaptation and the strategies of escape-avoidance and seeking social support. These results confirm than certain coping strategies are associated with adaptation to life in RECC.

Résumé

Les personnes âgées demeurant en Centre d'hébergement et de soins de longue durée (CHSLD) ont à s'adapter à différents stresseurs associés à la vie en établissement. Si certains résidants s'adaptent avec succès, on note qu'une grande portion d'entre eux vivent des problèmes d'adaptation. Nos connaissances concernant l'adaptation aux stresseurs en CHSLD sont limitées aux stratégies utilisées dans les premiers mois suivant l'institutionnalisation. Cette recherche exploratoire avait pour objectif de déterminer dans quelle mesure les stratégies d'adaptation sont associées aux symptômes dépressifs, à l'anxiété et au bien-être de 90 personnes âgées vivant en CHSLD depuis plus de trois mois. Des entrevues individuelles ont permis de recueillir les données. Des corrélations significatives ont été observées entre les indices d'adaptation psychologique et les stratégies d'échappement-évitement ainsi que de recherche de soutien social. Ces résultats confirment que certaines stratégies sont associées à l'adaptation au sein des résidants âgés en CHSLD.

Keywords

AdaptationAnxietyWell-BeingDepressionInstitutionStrategy.Adaptationanxiétébien-êtredépressioninstitutionstratégie.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 17 , Issue 1 , Printemps/Spring 1998 , pp. 40 - 58
Copyright
Copyright © Canadian Association on Gerontology 1998

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Footnotes

1

École de psychologie, Université Laval, Ste-Foy, PQ, G1K 7P4

*

Cette étude a été acceptée comme exigence partielle de la maîtrise en psychologie de Charles Pinard, étudiant de l'Université du Québec à Trois-Rivières. Une première version a été présentée au 27ième congrès annuel de la Société Québécoise pour la Recherche en Psychologie au mois de novembre 1994 à Montréal, Québec. Nous désirons remercier chaleureusement Madame Valérie Briançlon pour sa contribution à cette étude.

References

Références

Agrich, G.J. (1993). Autonomy and Long-Term Care. Toronto: Oxford University Press.Google Scholar
Alevizos, P., DeRise, W., Lieberman, R., Eckman, T., & Callahan, E. (1978). The behavior observation instrument: A method of direct observation for program evaluation. Journal of Applied Behavior Analysis, 11, 253–257.CrossRefGoogle ScholarPubMed
Baldwin, B.A. (1992). Stress in the elderly: Environments of care. In Wykle, M.L., Kahana, E. and Kowel, J. (Eds.), Stress and health among the elderly (pp. 197–208). New York: Springer.Google Scholar
Bergeron, J. (1981). State-trait anxiety in french-english bilinguals: Cross cultural considerations. In Spielberger, C.D. and Guerrero, R.D. (Eds.), Cross cultural anxiety (pp. 30–40). Washington, DC: Hemisphere.Google Scholar
Bourque, P., Blanchard, L., & Vézina, J. (1990). Étude psychométrique de l'Échelle de dépression gériatrique. La Revue canadienne du vieillissement, 5(4), 348–355.CrossRefGoogle Scholar
Branch, L.G., & Jette, A.M. (1982). A Propective study of long term care institu-tionnalization among the aged. American Journal of Public Health, 72, 1373–1379.CrossRefGoogle Scholar
Carstensen, L.L., & Fremouw, W.J. (1988). The influence of anxiety and mental status on social isolation among the elderly in nursing house. Behavioral Residential Treatment, 3, 63–80.Google Scholar
Direction générale de la planification et de l'évaluation. (1992). Statistiques sur les causes de mortalité au Québec: estimation annuelle post-censitaire. (Publication du Ministère de la santé et des services sociaux du Québec). Québec: Service des études sociaux sanitaires.Google Scholar
Ducros-Gagné, M. (1983). Élaboration et évaluation d'un programme de soutien destiné aux personnes âgées et à leur personne significative durant la période d'admission en centre d'accueil. Mémoire de maîtrise non-publié, Université de Montréal, PQ.Google Scholar
Dye, C.J., & Erber, J.T. (1981). Two group procedure for treatment of nursing home patients. The Gerontologist, 21(5), 539–550.CrossRefGoogle ScholarPubMed
Folkman, S., & Lazarus, R.S. (1986). Stress processes and depressive symptomatology. Journal of Abnormal Psychology, 95, 107–113.CrossRefGoogle ScholarPubMed
Folkman, S., & Lazarus, R.S. (1988). Manual for the Ways of Coping Questionaire, Reseach Edition. Palo Alto, CA: Consulting Psychological Press.Google Scholar
Folstein, M.P., Folstein, S.E., & McHugh, P.R. (1975). “Mini-mental state”: A praticai method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle Scholar
Forbes, W.F., Jackson, J.A., & Kraus, A.S. (1987). Institutionalization of the elderly in Canada. Toronto: Butterworths.Google Scholar
Fry, P.S. (1986). Depression, stress, and adaptation in the elderly: Psychological assessment and intervention. Rockville, MD: Aspen.Google Scholar
Kahana, E.F., Fairchild, T., & Kahana, B. (1982). Adaptation. In Mangen, O.J. & Peterson, W. (Eds.), Research Instruments in Social Gerontology, Clinical and Social Psychology. Vol. I. (pp. 145–194). St-Paul, MN: University of Minnesota Press.Google Scholar
Kahana, E.F., Kahana, B., & Young, R. (1987). Strategies of coping and post-institutional outcomes. Research on Aging, 9, 182–199.CrossRefGoogle Scholar
Kanner, A.D., Coyne, J.C., Schaefer, C., & Lazarus, R.S. (1981). Comparaison of two modes of stress measurement: Daily hassles and uplifts versus life events. Journal of Behavioral Medicine, 1, 1–39.CrossRefGoogle Scholar
Kraus, A.S., Spasoff, R.A., Beattie, E.S., Holden, E.W., Lawson, J.S., Rosembury, M., & Woodcock, G.M. (1976). Elderly applicants to long term institutions. I. Their caracteristics, health problems and state of mind. Journal of the American Geriatrics Society, 24, 117–121.CrossRefGoogle Scholar
Landreville, P., & Cappeliez, P. (1992). Soutien social et symptômes dépressifs au sein des personnes âgées. La Revue canadienne du vieillissement, 11(4), 322–346.CrossRefGoogle Scholar
Landreville, P., & Vézina, J. (1992). A comparison between daily hassles and major life events as correlates of well-being in older adults. La Revue canadienne du vieillissement, 11(2), 137–149.CrossRefGoogle Scholar
Langer, E.J., & Robin, R. (1976). The effects of choice and enhanced personal responsibility for aged: A field experiment in an institutional setting. Journal of Personality and Social Psychology, 34, 191–198.CrossRefGoogle Scholar
Lazarus, R.S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.Google Scholar
Lefebvre-Girouard, A. (1986). Les comportements psychosociaux des personnes âgées hébergées: rapport analytique. In Association des Centres de services sociaux du Québec. Montréal, PQ.Google Scholar
Lévesque, L., & Marot, O. (1988). Le défi simplement humain. Des soins pour les personnes âgées atteintes de déficits cognitifs. St-Laurent, PQ: Éditions du renouveau pédagogique Inc.Google Scholar
Lieberman, M.A., & Tobin, S. (1983). The experience of old age. New York: Basic Books.Google Scholar
Mishara, B.L. (1992). Traduction et standardisation du Ways of Coping Questionnaire (revised ) Manuscrit non-publié, Université du Québec à Montréal, PQ.Google Scholar
Nirenberg, T.D. (1983). Relocation of institutionalized elderly. Journal of Consulting and Clinical Psychology, 51(5), 693–701.CrossRefGoogle ScholarPubMed
Osgood, N.J., Brant, B.A., & Lipman, A. (1991). Suicide among the elderly and long-term facilities. New York: Greenwood Press.Google Scholar
Parmelee, P.A., Katz, I.R., & Lawton, M.P. (1989). Depression among institutionalized aged: Assessment and prevalence estimation. Journal of Gerontology: Medical Sciences, 44, M22–M29.CrossRefGoogle ScholarPubMed
Pearlin, L.I., & Lieberman, M.A. (1979). Social sources of emotinal distress. In Simmons, Roberta (Ed.), Research in community and mental health. Vol. I. (pp. 217–218). Greenwich, CO: JAI Press.Google Scholar
Qassis, S., & Hayden, D.C. (1990). Effects of environment on psychological well-being of elderly persons. Psychological Reports, 66, 147–150.CrossRefGoogle ScholarPubMed
Quintal, J. (1995). Étude de l'occupation des Uts subventionnés en CHSLD. Conférence Québécoise des Centres d'hébergement et d'habitation. Montréal, PQ: Ministère de la santé et des services sociaux.Google Scholar
Reker, G.T., & Wong, P.T. (1984). Psychological and physical well-being in the elderly: The perceived well-being scale (PWB). La Revue canadienne du vieillissement, 5(1), 23–32.CrossRefGoogle Scholar
Rodin, G., Craven, J., & Littlefield, C. (1991). Depression in the medically ill: An integrated approach. New York: Brunner and Mazel.Google Scholar
Rutman, D., & Freedman, J. (1988). Anticipating relocation: Coping strategies and the meaning of home for older people. La Revue canadienne du vieillissement, 7(1), 17–31.CrossRefGoogle Scholar
Shapiro, E., & Tate, R. (1988). Who is really at risk of institutionnalization? The Gerontological Society of America, 22, 237–245.Google Scholar
Snowdon, J., & Donnely, N. (1986). A study of depression in nursing homes. Journal of Psychiatric Research, 20, 327–333.CrossRefGoogle ScholarPubMed
Spielberger, C.D., Gorsuch, R.L., & Lushene, R.E. (1970). Manual for the State-trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Turner, B.F., Tobin, S.S., & Lieberman, M.A. (1972). Personality traits as predictors of institutional adaptation among the aged. Journal of Gerontology, 27, 61–68.CrossRefGoogle ScholarPubMed
Vesperi, M. (1983). The reluctant consumer: Nursing home residents in post-Bergman era. In Sokolovsky, Jays (Ed.). Growing old in different societies: Cross-cultural perspectives (pp. 225–237). Belmont, CA: Wadsworth.Google Scholar
Vézina, J., Bourque, P., & Bélanger, Y. (1988). Traduction du “Perceived 'Well-Being Scale”. Ste-Foy, PQ: Université Laval, École de psychologie.Google Scholar
Vézina, J., Cappeliez, P., & Landreville, P. (1994). Psychologie gérontologique. Montréal, PQ: Gaëtan Morin.Google Scholar
Vitaliano, P.P., Maiuro, R.D., Russo, J., & Becker, J. (1987). Raw versus relative scores in the assessment of coping strategies. Journal of Behavioral Médecine, 10, 1–18.Google ScholarPubMed
Yesavage, J.A., Brink, T.L., Lum, O., Huang, V., Adey, M., & Leirer, V.O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37–49.CrossRefGoogle Scholar
Zurakowski, T., Kahana, E.F., & Kahana, B. (1992). Coping as a mediator in predicting outcomes in institutionnalized older adults. Communication présentée au congrès de “Gerontological Society of America”, Washington, DC.Google Scholar