Abstracts
Résumé
L’usage à risque de la benzodiazépine (BZD), fréquent chez les aînés, est un problème souvent sous-estimé. Cet article présente une recension des écrits qui explore ce profil de consommation problématique sur les plans biologique, psychologique et environnemental. Les auteurs constatent qu’il y un manque de consensus et de validité quant à la description du phénomène. Ils discutent de certains facteurs qui contribuent à l’usage à risque des BZD chez les aînés : des habitudes de prescriptions et des attitudes parfois laxistes des médecins ; les attitudes des aînés envers la maladie mentale et la façon dont se manifestent leurs symptômes ; les difficultés dans l’évaluation de l’anxiété et de la dépression des aînés. En conclusion, les auteurs proposent que la recherche s’intéresse à des méthodes intégratives pour l’évaluation de l’usage à risque de la BZD chez les aînés.
Abstract
Inappropriate benzodiazepine use among the elderly is a common and frequently underestimated problem. The present literature review explores benzodiazepine abuse in this population from a biological, psychological, and environmental perspective. A further objective is the identification of intervention strategies for addressing this problem. The scientific literature reveals a lack of consensus and validity concerning the description of BZD abuse. The prescription practices and somewhat lax attitudes of doctors working with the elderly contribute substantially to the lack of acknowledgement of the magnitude of this problem. Complications specific to the elderly, such as attitudes toward mental illness and differential manifestation of distress, are discussed. Difficulties related to the evaluation of anxiety and depression in elderly patients, have also been identified to contribute too many cases of BZD abuse. In conclusion, it is proposed that research in this area investigate integrative methods for evaluating BZD abuse in the elderly.
Resumen
El empleo arriesgado de la benzodiacepina (BZD), común en los ancianos, es un problema con frecuencia subestimado. Este artículo presenta una recensión de los textos que exploran este perfil de consumo problemático en el plano biológico, psicológico y medioambiental. Los autores constatan que hay una carencia de consenso y validez en cuanto a la descripción del fenómeno. Discuten ciertos factores que contribuyen al uso arriesgado de las BZD en los ancianos: los hábitos de prescripción y las actitudes en ocasiones laxistas de los médicos; las actitudes de los ancianos para con la enfermedad mental y la forma en que manifiestan sus síntomas; las dificultades en la evaluación de la ansiedad y la depresión en los ancianos. En conclusión, los autores proponen que la investigación se interese en métodos integrativos para la evaluación del uso arriesgado de la BZD en los ancianos.
Resumo
O uso arriscado da benzodiazepina (BZD), comum nas pessoas idosas, é um problema subestimado com frequência. Este artigo apresenta uma recensão da literatura que explora este perfil de consumo problemático nos planos biológico, psicológico e ambiental. Os autores constatam que há uma falta de consenso e de validade quanto à descrição do fenômeno. Eles discutem sobre alguns fatores que contribuem para o uso arriscado das BZD nas pessoas idosas: hábitos de prescrição e atitudes às vezes laxistas dos médicos; atitudes dos idosos com respeito à doença mental e à maneira como se manifestam seus sintomas; dificuldades na avaliação da ansiedade e da depressão nas pessoas idosas. Em conclusão, os autores propõem que a pesquisa se interesse pelos métodos integrativos para a avaliação do uso arriscado das BZD nas pessoas idosas.
Appendices
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