RESUMO
This study examines the use of psychotropic drugs with 473 European American and American Indian children in foster care. Prescription data for seven categories of psychotropic drugs were obtained from Medical Assistance records for the year 2000. European American and American Indian children constituted 60% and 33% of the sample, respectively. Forty-three percent of the children received psychotropic medication. Usage among males was higher than females (45% vs. 35%). For children under the age of 8 usage ranged from 2% to 30%; more than 50% of the older children were medicated. Most frequently used drugs were antidepressants and stimulants. Proportionately more European American children received drugs than American Indian children (48% vs. 34%), but usage of different categories of psychotropic across racial groups was similar. The authors discuss tentative hypotheses for differences between the present and previous studies as well as for the disproportionate use of psychotropic drugs across racial groups.
Assuntos
Cuidados no Lar de Adoção/estatística & dados numéricos , Indígenas Norte-Americanos/psicologia , Psicotrópicos/uso terapêutico , População Branca/psicologia , Adolescente , Antidepressivos/uso terapêutico , Estimulantes do Sistema Nervoso Central/uso terapêutico , Criança , Pré-Escolar , Uso de Medicamentos , Feminino , Cuidados no Lar de Adoção/psicologia , Humanos , Indígenas Norte-Americanos/estatística & dados numéricos , Lactente , Masculino , Minnesota , Estudos Retrospectivos , População Branca/estatística & dados numéricosRESUMO
PURPOSE: This study examines gender differences in spousal caregiver stress associated with care-recipient problem behaviors and helping behaviors. DESIGN AND METHODS: Using data from the National Long-Term Care Survey, we examined bivariate and multivariate relationships between the behaviors of care recipients and the stress experienced by their spouses. RESULTS: Gender differences in caregiver stress emerged with respect to problem behaviors and helping behaviors of the care recipient. Helping behaviors had a moderating effect on the relationship between care-recipient problem behaviors and stress for caregiving husbands, but not for caregiving wives. IMPLICATIONS: As practitioners attempt to reduce spousal caregiving distress, they should assess the extent to which care recipient's problem behaviors and efforts to be helpful contribute to caregiver stress.
