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Omgaan met somberheid op oudere leeftijd: een kwalitatieve studie

Coping strategies of older people with low mood

  • Published:
Tijdschrift voor Gerontologie en Geriatrie

Samenvatting

Achtergrond

Om nieuwe inzichten te verkrijgen voor de zorg aan ouderen met somberheid, hebben we onderzocht welke opvattingen ‘screenpositieve’ ouderen hebben over oorzaken en oplossingen voor somberheid.

Methode

Afname van twee diepte-interviews bij 38 deelnemers (≥77 jaar) die op een screeningsvragenlijst in de huisartspraktijk aangaven gevoelens van somberheid te ervaren. Om de invloed van complexe problematiek te onderzoeken, werden zowel ouderen met (n = 19) als zonder complexe problemen (n = 19) geïncludeerd. Complexe problematiek werd gedefinieerd als een combinatie van functionele, somatische, psychologische en/of sociale problemen.

Resultaten

Alle deelnemers gebruikten diverse cognitieve, sociale en praktische copingstrategieën. Vier patronen kwamen naar voren: mastery, acceptatie, ambivalentie en behoefte aan steun. Vooral deelnemers met complexe problemen waren ambivalent over mogelijke interventies.

Conclusies

De meeste ouderen beschouwen hun coping als voldoende. De huisarts kan zelfmanagement ondersteunen door de (effectiviteit van de) individuele coping te bespreken, informatie te verstrekken over alternatieve interventiemogelijkheden en met ouderen hun percepties op risico’s te bespreken.

Abstract

Background

To gain new insights for support for older people with low mood, we explored the perceptions of ‘screenpositive’ older people on underlying causes and possible solutions.

Design and method

We conducted two in-depth interviews with 38 participants (≥77 years) who screened positive for depressive symptoms in general practice. To investigate the influence of the presence of complex health problems, we included 19 persons with and 19 without complex problems. Complex problems were defined as a combination of functional, somatic, psychological or social problems.

Results

All participants used several cognitive, social or practical coping strategies. Four patterns emerged: mastery, acceptance, ambivalence, and need for support. Some participants, especially those with complex problems, were ambivalent about possible interventions.

Conclusion

Most older participants perceived their coping strategies as sufficient. General practitioners can support self-management by exploring the (effectiveness of) personal coping strategies, providing information, elaborating on perceptions of risks and discussing alternative options with older persons.

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Dankbetuiging

Deze studie werd gefinancierd door het Nationaal Programma Ouderenzorg (NPO) van ZonMw (projectnummer: 314060301).

Author information

Authors and Affiliations

  1. Afdeling Public Health en Eerstelijnsgeneeskunde, Leiden University Medical Center, Postbus 9600, 2300 RC, Leiden, Nederland

    Margaret von Faber, Geertje van der Geest, Jeanet W. Blom, Ria Reis & Jacobijn Gussekloo

  2. Marente, Voorhout, Nederland

    Margaret von Faber

  3. Afdeling Richtlijnontwikkeling en Wetenschap, Nederlands Huisartsen Genootschap, Utrecht, Nederland

    Gerda M. van der Weele

  4. GGD Hollands Midden, Leiden, Nederland

    Nicolette van der Zouwe

  5. Amsterdam Institute for Social Science Research, Universiteit van Amsterdam, Amsterdam, Nederland

    Ria Reis

  6. The Children’s Institute, University of Cape Town, Cape Town, Zuid-Afrika

    Ria Reis

  7. Afdeling Psychiatrie, Leiden University Medical Center, Leiden, Nederland

    Roos C. van der Mast

  8. Afdeling Psychiatrie, CAPRI-Universiteit van Antwerpen, Antwerp, België

    Roos C. van der Mast

Authors
  1. Margaret von Faber
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  2. Gerda M. van der Weele
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  3. Geertje van der Geest
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  4. Jeanet W. Blom
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  5. Nicolette van der Zouwe
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  6. Ria Reis
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  7. Roos C. van der Mast
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  8. Jacobijn Gussekloo
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Corresponding author

Correspondence to Jacobijn Gussekloo.

Additional information

Dit onderzoek werd eerder gepubliceerd in International Psychogeriatrics (2016;28:603–12).

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von Faber, M., van der Weele, G.M., van der Geest, G. et al. Omgaan met somberheid op oudere leeftijd: een kwalitatieve studie. Tijdschr Gerontol Geriatr 47, 249–257 (2016). https://doi.org/10.1007/s12439-016-0196-y

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  • DOI: https://doi.org/10.1007/s12439-016-0196-y

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