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501 to 525 of 969The Roles of Life Satisfaction and Community Recreational Facilities in the Relationship between Loneliness and Depression in Older Adults.
Objectives: This study examined the mediating effect of life satisfaction and the moderating effect of the availability of community recreational facilities (CRF) in the association between loneliness and depression in rural older adults and urban older adults, respectively.
Methods: Quantitative data collected from 7547 Chinese older adults were analyzed using the SPSS macro PROCESS to test a moderated mediation model with life satisfaction as the mediator and CRF availability and residency type (rural vs. urban) as moderators.
Results: Loneliness negatively predicted life satisfaction, life satisfaction negatively predicted depression, and loneliness positively predicted depression. The interaction of loneliness and CRF availability had a significant effect on depression for urban older adults but not for rural older adults. The direct impact of loneliness on depression differed signif…
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Pandya SP (2021)MEDLINE-indexed journal, not yet read by usAging & mental health18 citations Meditation program mitigates loneliness and promotes wellbeing, life satisfaction and contentment among retired older adults: a two-year follow-up study in four South Asian cities.
Objectives: To examine the impact of a meditation program in mitigating loneliness and promoting wellbeing, life satisfaction and contentment among retired South Asian older adults.
Method: Intervention group older adults (IN2 =166) underwent weekly classes of the customized meditation program for 2 years as compared to the control group (CN2 =157) who underwent no intervention. Four scales were used to measure the outcomes: De Jong Gierveld Loneliness Scale (six-items), Warwick-Edinburgh Mental Wellbeing Scale, Satisfaction with Life Scale and Contentment with Life Assessment Scale.
Results: There were significant mean differences in the post-test scores on loneliness, wellbeing, life satisfaction and contentment outcomes of the intervention group, with high observed effect sizes (Cohen's d range = 2.43-8.78, p≤.01). The intervention group older adults reported that they were less lonel…
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Lonely in the City-Sociodemographic Status and Somatic Morbidities as Predictors of Loneliness and Depression among Seniors-Preliminary Results.
Up to a third of the population of older adults has been estimated to suffer from feelings of loneliness, which is considered a risk factor of depression. The aim of this paper is to compare the perceived level of loneliness and depression in seniors living in the country and in the cities and assess somatic morbidity and sociodemographic status as predictors of loneliness and depressiveness. n = 92 older adults in primary care units filled out a set of questionnaires: authors' survey on sociodemographic data and morbidities, Beck Depression Inventory II (BDI, to measure depressiveness) and De Jong Gierveld Loneliness Scale (DJGLS, to assess loneliness). There was a strong, positive and statistically significant correlation between the BDI and DJGLS scores (R = 0.855, p < 0.001). City residents had on average higher BDI and DJGLS scores. Linear regression models were constructed to predi…
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Creese B, Khan Z, Henley W, O'Dwyer S, Corbett A, Vasconcelos Da Silva M, Mills K, Wright N, Testad I, Aarsland D, Ballard C (2021)MEDLINE-indexed journal, not yet read by usInternational psychogeriatrics150 citations Loneliness, physical activity, and mental health during COVID-19: a longitudinal analysis of depression and anxiety in adults over the age of 50 between 2015 and 2020.
Objective: Loneliness and physical activity are important targets for research into the impact of COVID-19 because they have established links with mental health, could be exacerbated by social distancing policies, and are potentially modifiable. In this study, we aimed to identify whether loneliness and physical activity were associated with worse mental health during a period of mandatory social distancing in the UK.
Design: Population-based observational cohort study.
Setting: Mental health data collected online during COVID-19 from an existing sample of adults aged 50 and over taking part in a longitudinal study of aging. All had comparable annual data collected between 2015 and 2019.
Participants: Three-thousand two-hundred and eighty-one participants aged 50 and over.
Measurements: Trajectories of depression (measured by PHQ-9) and anxiety (measured by GAD-7) between 2015 and 2020 …
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Reducing Loneliness Among Aging Adults: The Roles of Personal Voice Assistants and Anthropomorphic Interactions.
The perception of feeling lonely is an influential factor in determining quality of life among aging adults. As the US Census Bureau projects that the number of Americans ages 65 and older will double by 2060, reducing loneliness is imperative. Personal voice assistants (PVAs) such as Amazon's Echo offer the ease-of-use of voice control with a friendly, helpful artificial intelligence. This study aimed to understand the influence of a PVA on loneliness reduction among adults of advanced ages, i.e., 75+, and explore anthropomorphism as a potential underlying mechanism. Participants (N = 16) ages 75 or older used an Amazon Echo PVA for 8 weeks in an independent living facility in the Midwest. Surveys were used to collect information about perceived loneliness, and PVA interaction data was recorded and analyzed. Participants consistently exceeded the required daily interactions. As hypothes…
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Loneliness unlocked: Associations with smartphone use and personality.
Communication and relationships have been dramatically altered among emerging adults thanks to the rapid adoption of the smartphone in just over a decade. Studying the effects of evolving personal technology helps researchers understand both the detriments of widespread adoption and the benefits that accompany the technology. One such area of concern is the relationship of technology with loneliness. Emerging adulthood is described as the period of transition from adolescence to adulthood, taking place from age 18-25. This period is characterized by change, exploration, but also a vulnerability to psychological distress. Young adults are not only at greater risk of loneliness compared to other developmental stages, but report greater distress about being lonely (Rokach, 2000). Previous research has found support for the hypothesis that use of social communication on the Internet has a bi…
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Health Factors as Potential Mediators of the Longitudinal Effect of Loneliness on General Cognitive Ability.
Objective: Higher levels of loneliness in older adulthood predict cognitive decline, but research on mediating mechanisms is sparse. We examine multisystemic physiological risk, functional ability, self-rated health, depressive symptoms, and social participation as mediating processes for the association between loneliness and general cognitive ability over a 10-year follow-up in an older adult sample.
Methods: Three waves of data from 3,005 individuals (mean intake age: 69.30 (SD: 7.85) years; female = 51.61%) recruited during Wave 1 of the National Social Life, Health, and Aging Project were used to test whether hypothesized mediators collected at the 5-year follow-up explained effects of baseline loneliness on 10-year general cognitive ability.
Results: The relationship between baseline loneliness and 10-year general cognitive ability was not mediated by multisystemic physiological ri…
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The relationship between resilience and loneliness elucidated by a Danish version of the resilience scale for adults.
Background: Research on the relationship between resilience and loneliness is sparse. The construct of resilience has been conceptualized in multiple ways, including the measurement of resilience. The Resilience Scale for Adults (RSA) is a measure of protective factors. The present study examined whether resiliency moderates any negative relationship between loneliness and mental health and additionally examined the psychometric properties of the Danish translation of the RSA.
Methods: A Danish sample (N = 422) completed the UCLA Loneliness Scale, Hopkins Symptom Check List-25 (HSCL-25), the Sense of Coherence (SOC-13), and the RSA, Resilience Scale for Adults.
Results: The measure of loneliness correlated significantly and negatively with most facets of the RSA, except the subscales of family cohesion and structured style. The strongest correlation was the negative one between lonelines…
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A pilot digital intervention targeting loneliness in young people with psychosis.
Purpose: Loneliness has been identified as a significant challenge for people with psychosis. Interventions targeting loneliness are lacking but adopting a positive psychology approach may reduce loneliness, promote well-being, and support meaningful social interactions. Together with youth mental health consumers, we developed a digital smartphone application (app) called +Connect, which delivers positive psychology content daily for 6 weeks.
Materials and methods: Twelve participants diagnosed with a psychotic disorder were recruited from early psychosis services. Loneliness was assessed pre-intervention, post-intervention, and 3-month post-intervention. Acceptability, feasibility, and usability were measured post-intervention, including a semi-structured interview on the user's experience of +Connect.
Results: We found evidence for the feasibility of +Connect. All but two participants…
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Longitudinal analysis of loneliness and inflammation at older ages: English longitudinal study of ageing.
Loneliness has been associated with adverse health outcomes, including age-related diseases with an inflammatory etiology such as cardiovascular disease. We aimed to identify potential biological pathways linking loneliness with morbidity and mortality by examining associations of loneliness with biomarkers. Participants in the English Longitudinal Study of Ageing (n = 3239) aged 50 years or older with an average age of 64 years, provided data in waves 4 (2008/2009) and 6 (2012/2013). Linear regression conditional change models had three outcomes: C reactive protein (CRP) measured in mg/L (log transformed), fibrinogen in g/L and ferritin in g/dL. In men, the onset of loneliness indicated by answering 'no' at wave 4 and 'yes' at wave 6 to question "Much of the time during the past week, you felt lonely?" was associated with a statistically significant increase in levels of CRP (β = 0.36, …
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Does loneliness 'get under the skin'? Associations of loneliness with subsequent change in inflammatory and metabolic markers.
Objectives: To expand existing knowledge about the associations of late-life loneliness with subsequent change in inflammation as well as with metabolic dysregulation, using national representative longitudinal data. The current analysis also explores age, gender, and race differences in these pre-disease pathways. Method: The analysis is based on data from the 2005-06 and 2010-11 waves of the National Social Life, Health, and Aging Project (NSHAP)-a longitudinal survey conducted among a representative sample of community-dwelling Americans aged 57-85. Adjusted logistic regression models were used to examine associations of loneliness with changes in C-reactive protein (CRP), Glycated hemoglobin (HbA1c), Body Mass Index (BMI), Waist Circumference (WC), and metabolic burden. Results: Loneliness was found to be associated with a change for the worse in most of the metabolic bio-markers. Sp…
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Loneliness interacts with family relationship in relation to cognitive function in Chinese older adults.
ABSTRACTObjectives:Loneliness and social networks have been extensively studied in relation to cognitive impairments, but how they interact with each other in relation to cognition is still unclear. This study aimed at exploring the interaction of loneliness and various types of social networks in relation to cognition in older adults.
Design: a cross-sectional study.
Setting: face-to-face interview.
Participants: 497 older adults with normal global cognition were interviewed.
Measurements: Loneliness was assessed with Chinese 6-item De Jong Gierverg's Loneliness Scale. Confiding network was defined as people who could share inner feelings with, whereas non-confiding network was computed by subtracting the confiding network from the total network size. Cognitive performance was expressed as a global composite z-score of Cantonese version of mini mental state examination (CMMSE), Categori…
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Loneliness in middle age and biomarkers of systemic inflammation: Findings from Midlife in the United States.
Objective: Middle-aged adults who are lonely have an elevated likelihood of death. Systemic inflammation may contribute to these increased odds. Using population-level data, this study tested if systemic inflammation is associated with loneliness in a broad age range of middle-aged adults in the United States.
Methods: This study used data from the Midlife in the US (MIDUS) survey Biomarker Project, which collected data on psychological, social, and physiological measures from a sample of middle-aged adults. This sample included the 927 participants who were 35-64 years at Biomarker Project data collection. MIDUS collected baseline data from 1995-1996 and a follow-up survey was conducted from 2004-2006. The baseline Milwaukee sample of African Americans was collected in 2005-2006 and the biomarker database was collected in 2004-2009. Biomarkers were obtained from a fasting blood sample. …
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Promoting social capital to alleviate loneliness and improve health among older people in Spain.
Loneliness is especially frequent among older people in Southern Europe. Furthermore, promoting social capital to tackle loneliness and its health effects is an understudied intervention strategy. Therefore, a complex intervention was piloted in Spain in a pre-post study with a 2-year follow-up. Its aims were to explore the feasibility of the intervention and its short- and long-term effects. It was conducted in one mixed rural-urban and two urban areas of diverse socioeconomic levels from 2011 to 2012. The intervention framework was based on social capital theory applying a behaviour change model and care co-ordination. The intervention comprised: (i) a co-ordinated action aimed at building a network between primary healthcare centres and community assets in the neighbourhood and (ii) a group-based programme, which promoted social capital among lonely older people, especially social sup…
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Loneliness and depression in the elderly: the role of social network.
Purpose: Loneliness and depression are associated, in particular in older adults. Less is known about the role of social networks in this relationship. The present study analyzes the influence of social networks in the relationship between loneliness and depression in the older adult population in Spain.
Methods: A population-representative sample of 3535 adults aged 50 years and over from Spain was analyzed. Loneliness was assessed by means of the three-item UCLA Loneliness Scale. Social network characteristics were measured using the Berkman-Syme Social Network Index. Major depression in the previous 12 months was assessed with the Composite International Diagnostic Interview (CIDI). Logistic regression models were used to analyze the survey data.
Results: Feelings of loneliness were more prevalent in women, those who were younger (50-65), single, separated, divorced or widowed, living…
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Loneliness is adversely associated with physical and mental health and lifestyle factors: Results from a Swiss national survey.
Introduction: Loneliness is a common, emotionally distressing experience and is associated with adverse physical and mental health and an unhealthy lifestyle. Nevertheless, little is known about the prevalence of loneliness in different age groups in Switzerland. Furthermore, the existing evidence about age and gender as potential effect modifiers of the associations between loneliness, physical and mental health and lifestyle characteristics warrants further investigation. Thus, the aim of the study was to examine the prevalence of loneliness among adults in Switzerland and to assess the associations of loneliness with several physical and mental health and behavioral factors, as well as to assess the modifying effect of sex and age.
Methods: Data from 20,007 participants of the cross-sectional population-based Swiss Health Survey 2012 (SHS) were analyzed. Logistic regression analyses w…
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Beutel ME, Klein EM, Brähler E, Reiner I, Jünger C, Michal M, Wiltink J, Wild PS, Münzel T, Lackner KJ, Tibubos AN (2017)MEDLINE-indexed journal, not yet read by usBMC psychiatry643 citations Loneliness in the general population: prevalence, determinants and relations to mental health.
Background: While loneliness has been regarded as a risk to mental and physical health, there is a lack of current community data covering a broad age range. This study used a large and representative German adult sample to investigate loneliness.
Methods: Baseline data of the Gutenberg Health Study (GHS) collected between April 2007 and April 2012 (N = 15,010; 35-74 years), were analyzed. Recruitment for the community-based, prospective, observational cohort study was performed in equal strata for gender, residence and age decades. Measures were provided by self-report and interview. Loneliness was used as a predictor for distress (depression, generalized anxiety, and suicidal ideation) in logistic regression analyses adjusting for sociodemographic variables and mental distress.
Results: A total of 10.5% of participants reported some degree of loneliness (4.9% slight, 3.9% moderate and …
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Association of Higher Cortical Amyloid Burden With Loneliness in Cognitively Normal Older Adults.
Importance: Emotional and behavioral symptoms in cognitively normal older people may be direct manifestations of Alzheimer disease (AD) pathophysiology at the preclinical stage, prior to the onset of mild cognitive impairment. Loneliness is a perceived state of social and emotional isolation that has been associated with cognitive and functional decline and an increased risk of incident AD dementia. We hypothesized that loneliness might occur in association with elevated cortical amyloid burden, an in vivo research biomarker of AD.
Objective: To determine whether cortical amyloid burden is associated with greater loneliness in cognitively normal older adults.
Design, setting, and participants: Cross-sectional analyses using data from the Harvard Aging Brain Study of 79 cognitively normal, community-dwelling participants. A continuous, aggregate measure of cortical amyloid burden, determi…
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Euthanasia and Assisted Suicide of Patients With Psychiatric Disorders in the Netherlands 2011 to 2014.
Importance: Euthanasia or assisted suicide (EAS) of psychiatric patients is increasing in some jurisdictions such as Belgium and the Netherlands. However, little is known about the practice, and it remains controversial.
Objectives: To describe the characteristics of patients receiving EAS for psychiatric conditions and how the practice is regulated in the Netherlands.
Design, setting, and participants: This investigation reviewed psychiatric EAS case summaries made available online by the Dutch regional euthanasia review committees as of June 1, 2015. Two senior psychiatrists used directed content analysis to review and code the reports. In total, 66 cases from 2011 to 2014 were reviewed.
Main outcomes and measures: Clinical and social characteristics of patients, physician review process of the patients' requests, and the euthanasia review committees' assessments of the physicians' act…
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Yang CC (2016)MEDLINE-indexed journal, not yet read by usCyberpsychology, behavior and social networking105 citations Instagram Use, Loneliness, and Social Comparison Orientation: Interact and Browse on Social Media, But Don't Compare.
Ever since the emergence of social networking sites (SNSs), it has remained a question without a conclusive answer whether SNSs make people more or less lonely. To achieve a better understanding, researchers need to move beyond studying overall SNS usage. In addition, it is necessary to attend to personal attributes as potential moderators. Given that SNSs provide rich opportunities for social comparison, one highly relevant personality trait would be social comparison orientation (SCO), and yet this personal attribute has been understudied in social media research. Drawing on literature of psychosocial implications of social media use and SCO, this study explored associations between loneliness and various Instagram activities and the role of SCO in this context. A total of 208 undergraduate students attending a U.S. mid-southern university completed a self-report survey (Mage = 19.43, …
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Loneliness, common mental disorders and suicidal behavior: Findings from a general population survey.
Background: Loneliness has been linked to an increased risk of engaging in suicidal behavior. To date, however, there has been comparatively little research on this in the general adult population, or on the role of common mental disorders (CMDs) in this association. The current study examined these associations using nationally representative data from England.
Methods: Data came from the Adult Psychiatric Morbidity Survey 2007. Information was obtained from 7403 household residents aged ≥16 years on perceived loneliness and lifetime and past 12-month suicide ideation and attempts. The Clinical Interview Schedule Revised (CIS-R) was used to assess six forms of CMD. Logistic regression analysis was used to examine these associations.
Results: Loneliness was associated with suicidal behavior. Although adjusting for CMDs attenuated associations, higher levels of loneliness were still signi…
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"Where are all the lonely people?" A population-based study of high-risk groups across the life span.
Background: Loneliness is a prevalent and urgent public health issue. Optimal planning of community approaches to loneliness requires a differentiated understanding of loneliness across the life span. We identified groups at high risk of loneliness by exploring the relationship between loneliness and socio-demographic and health-related factors across multiple age groups.
Methods: This was a combined population-based questionnaire survey and register data study based on a representative sample, including 33,285 Danish individuals aged 16-102 years. Loneliness was measured using the Three-Item Loneliness Scale.
Results: The relation between loneliness and age took a shallow U-shaped distribution. Ethnic minority status, receiving disability pensions or being unemployed, living alone, prolonged mental disorder, and psychiatric treatment were strongly associated with severe loneliness. Soci…
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Loneliness as a public health issue: the impact of loneliness on health care utilization among older adults.
Objectives: We aimed to determine whether loneliness is associated with higher health care utilization among older adults in the United States.
Methods: We used panel data from the Health and Retirement Study (2008 and 2012) to examine the long-term impact of loneliness on health care use. The sample was limited to community-dwelling persons in the United States aged 60 years and older. We used negative binomial regression models to determine the impact of loneliness on physician visits and hospitalizations.
Results: Under 2 definitions of loneliness, we found that a sizable proportion of those aged 60 years and older in the United States reported loneliness. Regression results showed that chronic loneliness (those lonely both in 2008 and 4 years later) was significantly and positively associated with physician visits (β = 0.075, SE = 0.034). Loneliness was not significantly associated w…
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Disparities in prevalence and risk indicators of loneliness between rural empty nest and non-empty nest older adults in Chizhou, China.
Aim: The goal of the present study was to determine the disparities in prevalence and risk factors of loneliness between rural empty nest and non-empty nest older adults in Chizhou, China.
Methods: A sample of 730 participants (381 empty nest older adults and 349 non-empty nest older adults) were surveyed using the University of California at Los Angeles-Loneliness Scale, the 30-item Geriatric Depression Scale (GDS-30), the Pittsburgh Sleep Quality Index, the Social Support Rate Scale, the Perceived Social Support from Family Scale and the World Health Organization Quality of Life questionnaire abbreviated version.
Results: The present study showed that the mean level of loneliness did significantly differ between empty nest older adults and non-empty nest older adults (41.52 ± 6.98 vs 39.46 ± 7.38). Empty nesters had significantly higher GDS scores; by contrast, they received lower obje…
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Luo Y, Waite LJ (2014)MEDLINE-indexed journal, not yet read by usThe journals of gerontology. Series B, Psychological sciences and social sciences169 citations Loneliness and mortality among older adults in China.
Objectives: To examine the relationships between loneliness, social and health behaviors, health, and mortality among older adults in China.
Method: Data came from a nationally representative sample of 14,072 adults aged 65 and older from the 2002, 2005, and 2008 waves of the Chinese Longitudinal Healthy Longevity Survey. A cross-lagged model combined with survival analysis was used to assess the relationships between loneliness, behavioral and health outcomes, and risk of mortality.
Results: About 28% of older Chinese adults reported feeling lonely, and lonely adults faced increased risks of dying over the subsequent years. Some of the effect was explained by social and health behaviors, but most of the effect was explained by health outcomes. Loneliness both affects and is affected by social activities, solitary leisure activities, physical exercise, emotional health, self-rated health…
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