Factors Related to Alcohol and Drug Consumption in Swedish Widows

Grimby, Agneta; Johansson, A

doi:10.1177/1049909107310140

Cited by 21 publications

(28 citation statements)

References 23 publications

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“…Ten of the 11 quantitative studies (Brady et al ., 2003; Valdirmarsdóttir et al ., 2003; Bisconti et al ., 2004; Field & Friedrichs, 2004; Ong et al ., 2004; Zettel & Rook, 2004; Telonidis et al ., 2005; Montpetit et al ., 2006; Janke et al ., 2008; Grimby & Johansson, 2009) were assessed as containing well‐designed longitudinal, case‐control, and cohort evidence. Wilcox et al .…”

Section: Resultsmentioning

confidence: 99%

Systematic review of the emotional state and self‐management of widows

Holm¹,

Severinsson

2012

Nursing & Health Sciences

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The death of a partner in later life is generally experienced as the most stressful normative life event. This study reviewed evidence about the emotional state of widows. Both qualitative and quantitative studies were included in the review. A systematic search was made of the OVID Medline, PubMed, ProQuest, and EBSCOhost/Academic Search Premier databases using the following search words: "depression", "elderly"/"older", "emotional state", "mood", "self-management", "widows", and "women" for the period January 2000 to December 2010. Thirteen articles met the inclusion criteria, and a qualitative content analysis was used to review them. The findings revealed one main theme: "A struggle to perceive meaning in the meaningless", which was based on three themes: "Numbing the pain and struggling to control feelings", "Feeling sad, yet trying to maintain close emotional relationships and meaningful activities", and "The process of change and self-management dominated by resilience". The widows seemed overwhelmed by the need to overcome an unbearable emotional state. The resilience process was experienced as a struggle, and they required time to improve their well-being and self-management. To achieve self-management, nurses should strengthen widows' optimism, control, well-being, and the pathways that lead to recovery.

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Section: Resultsmentioning

confidence: 99%

Systematic review of the emotional state and self‐management of widows

Holm¹,

Severinsson

2012

Nursing & Health Sciences

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“…Prior research suggests that the risk of psychoactive medication misuse or abuse increases with female gender, poorer overall health, a prior history of substance abuse, and psychiatric illness (16–18, 26–28). PCPs echoed these associations in the focus group discussions, but many explained that these risk factors are seldom helpful in practice.…”

Section: Discussionmentioning

confidence: 99%

Primary Care Providers' Perspectives on Psychoactive Medication Disorders in Older Adults

Payne

Gething

Moore

et al. 2011

The American Journal of Geriatric Pharmacotherapy

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Background Compared to younger adults, older adults consume a disproportionate percentage of pain and sleep medications. Some studies have reported that psychoactive medication misuse and abuse in older populations is a significant problem. Objectives To understand primary care providers' (PCPs) perspectives regarding the extent and clinical presentations of misuse and abuse of psychoactive medications in older patients and to explore PCP’s perceived barriers to identifying affected individuals. Design Semi-structured focus groups with PCPs. Participants Seventeen physicians and five nurse practitioners from two ambulatory care practices serving older adults in New York City. Methods Six focus group discussions were audiotaped and transcribed. Two raters coded transcripts to identify recurring themes. Qualitative analysis software (QSR NVivo 8) was employed for data coding and sorting purposes. Results Although PCPs felt that only a small percentage of older patients were actively misusing or abusing their psychoactive medications (average estimate given by providers = 8%), PCPs felt that these patients placed significant time burdens on them. Perceived risk factors included psychiatric disorders, prior substance abuse history, and cognitive impairment, but many PCPs found it impossible to predict which patients were at increased risk. PCPs identified multiple barriers to identifying affected patients, including lack of communication (between provider and patient, provider and patient’s caregivers, and between different providers), nonspecific symptoms, and the lack of a clear definition of misuse and abuse. Conclusions The lack of a clear definition, absence of well-defined risk factors, and ambiguous clinical manifestations of psychoactive medication misuse and abuse present substantial barriers to diagnosis. A standard, age-appropriate definition could help PCPs to establish a diagnosis, clarify what constitutes appropriate psychoactive medication use, define the extent of the problem, and pave the way for the development of effective screening and diagnostic tools.

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“…Contrariamente a lo reportado en la bibliografía, 36 se observa una asociación entre percepción de buena salud y un consumo anual riesgoso. Sin embargo, resulta conveniente abordar estos datos con cautela, pues la dependencia del alcohol alguna vez en la vida ha sido relacionada con una contradictoria percepción, a la vez de buena y de mala salud.…”

Section: Consumo De Sustancias Y Variables De Cuidadounclassified