Bergua Valérie, Bouisson Jean
Laboratoire de psychologie, EA4139, Bordeaux.
Psychol Neuropsychiatr Vieil. 2008 Dec;6(4):235-43. doi: 10.1684/pnv.2008.0144.
The concept of routinization in the elderly is defined as the performance of environmental, behavioral, and social activities, in the same manner over time. First, routines are described from a developmental point of view and a multidisciplinary approach. Second, the development of this concept in recent studies is analyzed. Different functions of routinization are discussed as a general model of disability. Based on the results of the PAQUID epidemiological investigation, routinization of behaviors and activities in older persons appears as a complex phenomenon that cannot only be understood in terms of adaptive functioning. Various relationships were found between preference for routines and vulnerability factors in psychological, functional or cognitive domains. Finally, the theoretical issues and clinical implications are discussed with regard to distinct dimensions of the routinization concept, including its relevance for identifying the vulnerability markers in the elderly, and improving early detection, prevention and management of adaptation difficulties in this population.
老年人日常行为模式化的概念被定义为随着时间推移以相同方式进行的环境、行为和社会活动。首先，从发展的角度和多学科方法来描述日常行为模式。其次，分析该概念在近期研究中的发展情况。讨论日常行为模式化的不同功能作为残疾的一般模型。基于PAQUID流行病学调查的结果，老年人行为和活动的日常行为模式化似乎是一个复杂的现象，不能仅从适应性功能的角度来理解。在心理、功能或认知领域中，日常行为模式偏好与脆弱性因素之间发现了各种关系。最后，针对日常行为模式化概念的不同维度讨论了理论问题和临床意义，包括其在识别老年人脆弱性标志物以及改善该人群适应困难的早期检测、预防和管理方面的相关性。
