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See detailQuality of life and attitudes towards psychotropics and dependency: consumers versus non-consumers aged 50 and over
Baumann, Michèle UL; Bonnetain, F.

in Journal of Clinical Pharmacy & Therapeutics (2004), 29

Aim: To assess the relationships between sociodemographic factors, quality of life and attitudes towards psychotropic drugs and dependency and to compare those relationships in continuous consumers (CC ... [more ▼]

Aim: To assess the relationships between sociodemographic factors, quality of life and attitudes towards psychotropic drugs and dependency and to compare those relationships in continuous consumers (CC), occasional consumers (OC) and non-consumers (NC) of those drugs. Methods: Quality of life (SF36) and attitudes (14 statements) were measured in 601 subjects (45–60 years old) from the SUVIMAX cohort (SUpple´mentation en VItamines et en sels Mine ´raux AntioXydants). Data were obtained on 334 NC, 142 CC, 125 OC from the inclusion questionnaire and the monthly consumption report notebooks kept by subjects between 1994 and 1998. Dichotomous and polychotomous logistic regressions were used for the analysis. Results: The lower the quality of life score the more frequent was consumption. NC tended to be men, with high quality of life scores. They entertained negative attitudes towards psychotropics and dependency. OC tended to be women reporting a chronic pathology, with fairly high social status. They had intermediate quality of life and denied dependency. CC tended to be men with no professional activity and low quality of life scores in particular for mental health and perceived health. They had positive attitudes towards psychotropics and accept dependency. Discussion: Assessment of patients’ quality of life and understanding of their attitudes towards psychotropics can provide essential information for those in charge of health promotionprogrammes and may help in identifying new intervention strategies. Preventive education and follow-up of therapy may be better suited to the needs of patients [less ▲]

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See detailInteractions des rôles médecins et pharmaciens dans la mise en place et le suivi des traitements
Baumann, Michèle UL; Manache, L.

in XVII° Congrès International AISLF (2004)

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See detailAre there more than cross-selectional relationships of social support and social network with functional limitations and psychological distress in early rheumatoid arthritis ? The URIDISS longitudinal study
Demange, L.; Guillemin, F.; Baumann, Michèle UL

in Arthritis Care and Research (2004), 51(5), 782-791

Objective. To investigate whether greater social support and support network are cross-sectionally associated with less functional limitations and psychological distress in patients with early rheumatoid ... [more ▼]

Objective. To investigate whether greater social support and support network are cross-sectionally associated with less functional limitations and psychological distress in patients with early rheumatoid arthritis (RA); whether this association is constant over time; and whether increases in social support or support network are associated with less functional limitations and psychological distress. Methods. Subjects were from the European Research on Incapacitating Diseases and Social Support cohort and had early RA. Social support, support network, functional limitations (Health Assessment Questionnaire), and psychological distress (General Health Questionnaire) were assessed annually. Variance and covariance analyses with repeated measures were performed. Results. A total of 542 subjects were assessed for 3 years. On average, patients with a greater amount of specific social support or a stronger specific support network experienced less functional limitation and less psychological distress. Changes in a given subject’s functional limitations and psychological distress did not depend on his or her baseline social support or support network. Neither social support nor support network change over time. Conclusion. There may be a cross-sectional link between specific social support or support network and functional limitations and psychological distress, but no longitudinal association could be evidenced. [less ▲]

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See detailComparison of methods for generating quality of live items: individual interviews versus focus groups
Baumann, Michèle UL; Rat, AC.

in European Society of Health and Medical Sociology (2004)

Works centered on the search for a quality of life (QoL) definition have mostly privileged the individual interviews. No methodology has compared yet the quantitative production of items resulting from ... [more ▼]

Works centered on the search for a quality of life (QoL) definition have mostly privileged the individual interviews. No methodology has compared yet the quantitative production of items resulting from individual interviews with those from focus groups, concerning a lower limbs osteo-arthritis QoL. Purpose: To compare methods of item generation for methods : 2 individual interviews and 2 focus groups and to identify the pertinence of a theoretical construit of QoL. Methods: All methods compared relied on extraction of verbatim collected during tape recorded interviews, transcripted and analysed by 3 teams of health psychologists and sociologists independently. The 4 methods compared were interviewed with interview guide with OA patients in 1) focus group, 2) individual semi-structured interview and 3) using a cognitive interview technique to enhance memories. Using the final scale as a gold standard, the sensitivity and specificity, i.e. the contribution of each method to the scale, were estimated. Results: 66 individual and focus interviews were conducted with 96 OA patients. After exclusion of speeches not related to QoL (i.e. satisfaction, coping, locus of control), 80 items were identified relevant. With patients, focus group produced 74% of the items, while both individual methods contributed 100% of resulting items and none item except subject. Focus group methods contributed some themes but individuals gave more in depth information. Traditional semi-structured interviews contributed to known QoL themes and to items on the feeling of being embarrassed for people to be seen, to ask for help and to annoy close relatives, while cognitive interviews provided more fine tuned items on exchanges with and perception by others about their condition, as well as perspective in life and fears from future dependency. Conclusion. The selected method is relevant to explore the theoretical construit of QoL. One can recommend to use patients’ semi-structured interviews with a traditional or a cognitive technique, conducted by interviewers preferably non-specialist of the condition explored. Perspectives. The question is then what is the influence of the topic on the method to be retained? [less ▲]

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See detailNon observance des psychotropes: implication thérapeutique mutuelle du patient et du médecin généraliste
Baumann, Michèle UL; Baumann, C.; Alla, F.

in Presse Médicale (2004), 33(7), 445-448

Différencier, sur une période de 5 ans, les consommateurs de psychotropes non-observants (Nob), des observants (Ob) en fonction de leurs caractéristiques démographiques et de leurs opinions sur la ... [more ▼]

Différencier, sur une période de 5 ans, les consommateurs de psychotropes non-observants (Nob), des observants (Ob) en fonction de leurs caractéristiques démographiques et de leurs opinions sur la confiance accordée aux prescripteurs, les effets de la prise, le discours de l’entourage, les informations reçues. Méthode. Parmi 166 consommateurs âgés en moyenne de 55 ans, deux questions pour chaque psychotrope consommé pendant une durée de 5 ans ont permis de les classer en Ob ou Nob. Les données ont été recueillies par auto-questionnaire et entretien téléphonique. Résultats Trente-neuf pour cent des consommateurs ont été définis comme Nob. Les médicaments psychotropes sont prescrits en majorité par des médecins généralistes, dont la clientèle est moins souvent observante que celle des psychiatres. Les Nob sont plus enclins à ressentir les effets positifs après une prise et à déclarer pouvoir s’en passer. Quatre-vingt-dix pour cent des consommateurs déclarent porter un regard positif sur les psychotropes et 40% parlent de leur consommation à leur entourage ; les Nob sont plus nombreux à le faire. Seuls 12% des consommateurs ne cherchent pas d’informations sur les psychotropes car ils font confiance aux prescripteurs. Discussion Les consommateurs de psychotropes nécessitent une éducation thérapeutique mieux adaptée à leurs attentes. [less ▲]

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See detailEvaluation professionelle compréhensive du programme obésité en Polynésie fFançaise
Baumann, Michèle UL; Thiery, Delphine; Cao

in Cahiers de Sociologie et de Démographie Médicales (2004), 44(2), 187-202

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See detailTrajectoires sur 5 ans et dépendance aux psychotropes de consommateurs de la cinquantaine.
Alla, François; Baumann, Michèle UL

in Thérapie (2003), 58(2), 145-151

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See detailLes attitudes d’autonomie dans l'observance thérapeutique d’une cohorte de consommateurs continus de psychotropes
Baumann, Michèle UL

in Encéphale (L') (2002), 28(1), 389-398

Identifier et comparer les pratiques d’autonomie de consommateurs de médicaments psychotropes associées aux attitudes mises en jeu par ceux qui déclarent observer ou non leur traitement est l’objectif de ... [more ▼]

Identifier et comparer les pratiques d’autonomie de consommateurs de médicaments psychotropes associées aux attitudes mises en jeu par ceux qui déclarent observer ou non leur traitement est l’objectif de ce travail. L'analyse qualitative des discours est basée sur l’analyse de contenu catégorielle de 46 retranscriptions de 23 femmes et 23 hommes consommateurs continus (prise régulière tous les mois depuis au moins 5 ans), âgés de 50 à 65 ans. La stratégie adoptée autour de la médication relève de l'autonomie d'action. L'intentionnalité, la détermination des conduites et leurs choix dépendent de l'autonomie de volonté. L’analyse de ces autonomies nous a permis distinguer deux types d’attitudes. Les observants pour qui le psychotrope est un soutien face à un mal vivre et qui s'inscrit dans une habitude cachée des autres. Ils respectent les doses ordonnées et ne s'aventurent pas à les modifier. Ils ont une confiance totale dans le corps médical. Les non-observants pour qui le psychotrope est une aide, une béquille dont ils se méfient. Conscients des méfaits, ils affirment une intention, une volonté de réguler cette médication. Pour donner sens à l'ordonnance, éviter une trop grande culpabilité, ils légitiment celle-ci par une obligation engendrée par un besoin, par une amélioration de la symptomatologie, minimisent la quantité et les effets de la prise. Ils coopèrent avec le médecin et sont impliqués dans une relation proche " mon médecin ". Ils montrent une certaine familiarité à l’égard du médicament et parlent ouvertement de leur consommation. L'autonomie est un moyen de responsabiliser et de valoriser une partie des patients notamment ceux qui sont non-observants afin de renforcer leur capacité à gérer au mieux leur santé. [less ▲]

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See detailPsychotropes et dépendance: profils de consommateurs et trajectoires de leur consommation
Baumann, Michèle UL; Alla, F.; Empereur, F.

Book published by OFDT - Observatoire Français des Drogues et Toxicomanies (2001)

Detailed reference viewed: 96 (2 UL)