Correlates and predictors of loneliness in older-adults: a review of quantitative results informed by qualitative insights

2015 ◽  
Vol 28 (4) ◽  
pp. 557-576 ◽  
Author(s):  
Jiska Cohen-Mansfield ◽  
Haim Hazan ◽  
Yaffa Lerman ◽  
Vera Shalom
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Focus Groups ◽  
Environmental Planning ◽  
Female Gender ◽  
Poor Mental Health ◽  
Social Environments ◽  
Cross Sectional ◽  
Age Related ◽  
The Impact

ABSTRACTBackground:Older persons are particularly vulnerable to loneliness because of common age-related changes and losses. This paper reviews predictors of loneliness in the older population as described in the current literature and a small qualitative study.Methods:Peer-reviewed journal articles were identified from psycINFO, MEDLINE, and Google Scholar from 2000–2012. Overall, 38 articles were reviewed. Two focus groups were conducted asking older participants about the causes of loneliness.Results:Variables significantly associated with loneliness in older adults were: female gender, non-married status, older age, poor income, lower educational level, living alone, low quality of social relationships, poor self-reported health, and poor functional status. Psychological attributes associated with loneliness included poor mental health, low self-efficacy beliefs, negative life events, and cognitive deficits. These associations were mainly studied in cross-sectional studies. In the focus groups, participants mentioned environmental barriers, unsafe neighborhoods, migration patterns, inaccessible housing, and inadequate resources for socializing. Other issues raised in the focus groups were the relationship between loneliness and boredom and inactivity, the role of recent losses of family and friends, as well as mental health issues, such as shame and fear.Conclusions:Future quantitative studies are needed to examine the impact of physical and social environments on loneliness in this population. It is important to better map the multiple factors and ways by which they impact loneliness to develop better solutions for public policy, city, and environmental planning, and individually based interventions. This effort should be viewed as a public health priority.

scholarly journals How is the COVID-19 lockdown impacting the mental health of parents of school-age children in the UK? A cross-sectional online survey

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043397
Author(s):  
Austen El-Osta ◽  
Aos Alaa ◽  
Iman Webber ◽  
Eva Riboli Sasco ◽  
Emmanouil Bagkeris ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Social Isolation ◽  
Online Survey ◽  
Female Gender ◽  
School Age Children ◽  
School Age ◽  
Cross Sectional ◽  
The Uk ◽  
The Impact

ObjectiveInvestigate the impact of the COVID-19 lockdown on feelings of loneliness and social isolation in parents of school-age children.DesignCross-sectional online survey of parents of primary and secondary school-age children.SettingCommunity setting.Participants1214 parents of school-age children in the UK.MethodsAn online survey explored the impact of lockdown on the mental health of parents with school-age children, and in particular about feelings of social isolation and loneliness. Associations between the UCLA Three-Item Loneliness Scale (UCLATILS), the Direct Measure of Loneliness (DMOL) and the characteristics of the study participants were assessed using ordinal logistic regression models.Main outcome measuresSelf-reported measures of social isolation and loneliness using UCLATILS and DMOL.ResultsHalf of respondents felt they lacked companionship, 45% had feelings of being left out, 58% felt isolated and 46% felt lonely during the first 100 days of lockdown. The factors that were associated with higher levels of loneliness on UCLATILS were female gender, parenting a child with special needs, lack of a dedicated space for distance learning, disruption of sleep patterns and low levels of physical activity during the lockdown. Factors associated with a higher DMOL were female gender, single parenting, parenting a child with special needs, unemployment, low physical activity, lack of a dedicated study space and disruption of sleep patterns during the lockdown.ConclusionsThe COVID-19 lockdown has increased feelings of social isolation and loneliness among parents of school-age children. The sustained adoption of two modifiable health-seeking lifestyle behaviours (increased levels of physical activity and the maintenance of good sleep hygiene practices) wmay help reduce feelings of social isolation and loneliness during lockdown.

scholarly journals Dual Effects of Hearing Loss and Dementia on Functional Limitations in Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 214-214
Author(s):  
Michael McKee ◽  
Yunshu Zhou ◽  
Joshua Ehrlich ◽  
Elham Mahmoudi ◽  
Jennifer Deal ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Self Care ◽  
Household Activity ◽  
Cross Sectional ◽  
Age Related ◽  
Increased Risk ◽  
Lower Mobility ◽  
Independent Effects ◽  
The Impact

Abstract Age-related hearing loss (HL) is both common and associated with elevated risk for cognitive decline and poorer health. To care for an aging population, it is critical to understand the effect of coexisting HL and dementia on functional activities. The effect of co-existing dementia and self-reported HL on daily functioning were assessed. A cross-sectional analysis was performed using nationally-representative data from the 2015 National Health and Aging Trends Study consisting of U.S. adults 65+. The sample included 1,829 adults with HL (22.8%) and 5,338 adults without HL. Multivariable Poisson regression was used to model the independent effects and interaction of self-reported HL and dementia status on three validated functional activity scales (self-care, mobility, and household). All analyses adjusted for sociodemographic and medical factors. HL participants were more likely to be white, older, male, less educated (p <0.01). 8.4% had possible dementia and 6.5% had probable dementia. Respondents with HL or possible or probable dementia had significantly lower mobility, self-care, and household activity scores (p<.001 for all comparisons) compared to their peers. A small yet significant interaction was present in all models, suggesting that HL respondents with co-occurring dementia had lower mobility, self-care, and household activity scores than predicted by the independent effects of dementia and self-reported HL (p<.001 for all comparisons). Older adults with co-occurring dementia and HL are at increased risk for poor functioning and should be screened by healthcare providers. Future work should consider the impact of intervention in this vulnerable/at-risk population.

scholarly journals The impact of COVID-19 restriction measures on loneliness among older adults in Austria

2020 ◽  
Author(s):  
Erwin Stolz ◽  
Hannes Mayerl ◽  
Wolfgang Freidl
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Positive Association ◽  
Health Issues ◽  
Negative Consequences ◽  
Cross Sectional ◽  
Social Contacts ◽  
Mental Health Issues ◽  
The Impact ◽  
Opening Phase

Abstract Background To halt the spread of COVID-19, Austria implemented a 7-week ’lockdown’ in March/April 2020. We assess whether the ensuing reduction in social contacts led to increased loneliness among older adults (60+). Methods Three analyses were conducted: (1) A comparison between pre-pandemic (SHARE: 2013-2017) and pandemic (May 2020) levels of loneliness (UCLA-3 scale), (2) an assessment of the cross-sectional correlation between being affected by COVID-19 restriction measures and loneliness (May 2020), and (3) a longitudinal analysis of weekly changes (March-June 2020) in loneliness (Corona panel). Results We found (1) increased loneliness in 2020 compared with previous years, (2) a moderate positive association between the number of restriction measures older adults were affected from and their loneliness, and (3) that loneliness was higher during ’lockdown’ compared to the subsequent re-opening phase, particularly among those who live alone. Conclusion We provide evidence that COVID-19 restriction measures in Austria have indeed resulted in increased levels of loneliness among older adults. However, these effects seem to be short-lived, and thus no strong negative consequences for older adults’ mental health are expected. Nonetheless, the effects on loneliness, and subsequent mental health issues, might be both more long-lasting and severe if future restriction measures are enacted repeatedly and/or over longer time periods.

The impact of forced migration on the mental health of the elderly: a scoping review

2016 ◽  
Vol 28 (6) ◽  
pp. 889-896 ◽  
Author(s):  
Ashwini Virgincar ◽  
Shannon Doherty ◽  
Chesmal Siriwardhana
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Older Adults ◽  
Developing Countries ◽  
Older Adult ◽  
Forced Migration ◽  
The Elderly ◽  
Poor Mental Health ◽  
Bibliographic Databases ◽  
The Impact

ABSTRACTBackground:The worldwide elderly population fraction is increasing, with the greatest rise in developing countries. Older adults affected by conflict and forced migration mainly taking place in developing countries may be particularly vulnerable to poor mental health due to other age-specific risk factors. This review aims to explore global evidence on the effect of conflict-induced forced migration on the mental health of older adults.Methods:Seven bibliographic databases were searched. The title and abstract of 797 results were reviewed for qualitative and quantitative studies meeting inclusion and exclusion criteria.Results:Six studies were selected for the in-depth review. Five papers assessed mental health in older adult populations displaced as refugees. One paper assessed mental health of older adults with varying immigration status.Conclusions:This review highlights the dearth of evidence about the impact of forced migration on the mental health of older adults. Further research is needed to explore the risk factors and processes that contribute to adverse mental health outcomes among older adult populations. This is essential to the development of interventions for this vulnerable and at-risk population, particularly in resource-poor settings.

scholarly journals Characterising the impact of COVID-19 environment on mental health, gender affirming services and socioeconomic loss in a global sample of transgender and non-binary people: a structural equation modelling

2021 ◽  
Vol 6 (3) ◽  
pp. e004424
Author(s):  
Arjee Javellana Restar ◽  
Harry Jin ◽  
Brooke Jarrett ◽  
Tyler Adamson ◽  
Stefan David Baral ◽  
...  
Keyword(s):  
Mental Health ◽  
Latent Variables ◽  
Structural Equation ◽  
Poor Mental Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Final Model ◽  
Study Results ◽  
Gender Affirmation ◽  
The Impact

BackgroundWe characterised the impact of COVID-19 on the socioeconomic conditions, access to gender affirmation services and mental health outcomes in a sample of global transgender (trans) and non-binary populations.MethodsBetween 16 April 2020 and 3 August 2020, we conducted a cross-sectional survey with a global sample of trans and non-binary people (n=849) through an online social networking app. We conducted structural equational modelling procedures to determine direct, indirect and overall effects between poor mental health (ie, depression and anxiety) and latent variables across socioecological levels: social (ie, reduction in gender affirming services, socioeconomic loss impact) and environmental factors (ie, COVID-19 pandemic environment).ResultsAnxiety (45.82%) and depression (50.88%) in this sample were prevalent and directly linked to COVID-19 pandemic environment. Adjusted for gender identity, age, migrant status, region, education and level of socioeconomic status, our final model showed significant positive associations between relationships of (1) COVID-19 pandemic environment and socioeconomic loss impact (β=0.62, p<0.001), (2) socioeconomic loss impact and reduction in gender affirming services (β=0.24, p<0.05) and (3) reduction in gender affirming services and poor mental health (β=0.19, p<0.05). Moreover, socioeconomic loss impact and reduction in gender affirming services were found to be partial mediators in this model.ConclusionThe study results supported the importance of bolstering access to gender affirming services and strengthening socioeconomic opportunities and programmatic support to buffer the impact of COVID-19 pandemic environment on poor mental health among trans and non-binary communities globally.

scholarly journals The impact of the COVID-19 pandemic on the mental health of the adult population in Bangladesh: A nationwide cross-sectional study

2020 ◽  
Author(s):  
Hasan Al Banna ◽  
Abu Sayeed ◽  
Satyajit Kundu ◽  
Enryka Christopher ◽  
M Tasdik Hasan ◽  
...  
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Poor Mental Health ◽  
Health Interventions ◽  
Cross Sectional ◽  
Logistic Regressions ◽  
Economy And Education ◽  
The Impact

The recent COVID-19 pandemic has imposed threats on both physical andmental health since its outbreak. This study aimed to explore the impactof the COVID-19 pandemic on mental health among a representativesample of home-quarantined Bangladeshi adults. A cross-sectional designwas used with an online survey completed by a convenience samplerecruited via social media. A total of 1,427 respondents were recruited,and their mental health was assessed by the DASS-21 measure. Theprevalence of anxiety symptoms and depressive symptoms was 33.7%and 57.9%, respectively, and 59.7% reported mild to extremely severelevels of stress. Perceptions that the pandemic disrupted life events,affected mental health, jobs, the economy and education, predictions ofa worsening situation, and uncertainty of the health care system capacitieswere significantly associated with poor mental health outcomes.Multivariate logistic regressions showed that sociodemographic factorsand perceptions of COVID-19 significantly predict mental health outcomes.These findings warrant the consideration of easily accessible lowintensitymental health interventions during and beyond this pandemic.

scholarly journals Impact of Multimorbidity on Symptoms of Depression, Anxiety, and Stress in Older Adults: Is There a Sex Difference?

2021 ◽  
Vol 12 ◽  
Author(s):  
Huang Lin ◽  
Shujuan Xiao ◽  
Lei Shi ◽  
Xiao Zheng ◽  
Yaqing Xue ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Older People ◽  
Sex Difference ◽  
Interaction Analysis ◽  
Cross Sectional Study ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Stress Symptoms ◽  
The Impact

Introduction: Multimorbidity has become a key issue in the health care sector globally, and it can also lead to psychological distress in older adults. This study aimed to assess the impact of multimorbidity on depression, anxiety, and stress symptoms and identify whether there is a sex difference in these associations.Methods: A cross-sectional study using a multistage random sampling method was conducted among 3,266 older adults in China. Multiple linear regression models were used to estimate the independent associations between multimorbidity and depression, anxiety, and stress symptoms. Furthermore, interaction analysis was employed to investigate the interaction effect of multimorbidity and sex on depression, anxiety, and stress symptoms.Results: A total of 3,250 participants aged 60 years and older were included in this study. Our findings suggest that multimorbidity is strongly positively associated with depression, anxiety, and stress symptoms. In addition, the positive relations between multimorbidity and depression, anxiety, and stress symptoms are stronger for older female than male adults.Conclusion: Old adults with multimorbidity are more likely have depression, anxiety, and stress symptoms. This study offers new insight for the mental health from the perspective of multimorbidity among older people, implies that encouraging the accessibility of treatment for multimorbidity in older people with different sex may be effective in promoting mental health in China.

scholarly journals Mental health condition of physicians working frontline with COVID-19 patients in Bangladesh

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Aminur Rahman ◽  
Farah Deeba ◽  
Sadika Akhter ◽  
Farzana Bashar ◽  
Dilruba Nomani ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Condition ◽  
Poor Mental Health ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Depression Anxiety Stress Scale ◽  
Cross Sectional ◽  
The People ◽  
Group Data ◽  
The Impact

Abstract Background The impact of the unpredictable COVID-19 pandemic had triggered new challenges for mental health. This quick survey aimed to identify the mental health status of physicians who served the people during COVID-19 in Bangladesh. Methodology The cross sectional survey was conducted adopting a quantitative approach and using an online questionnaire through Facebook Platform Group. Data was collected from August-October, 2020, on socio-demographic status, information on COVID-19 and questionnaires about Depression Anxiety Stress Scale (DASS-21). A total of 395 participants were enrolled from all eight administrative divisions of Bangladesh. Result Our study reported a higher prevalence of depression (55.3%), anxiety (35.2%), and stress (48.4%) among 347 participants. Female physicians were found to have more stress (OR = 2.16, 95% CI: 1.09 – 4.30) compared to the male. Physicians who were previously diagnosed as mentally ill were found to be significantly more depressed (OR = 3.45, 95% CI: 1.07 – 11.10) and stressed (OR = 4.22, 95% CI: 1.48 – 12.02) compared to them who did not. Along with that, having a chronic disease, working in non-government and COVID hospitals significantly contributed to poor mental health outcomes. Conclusion The study findings denoted that, the mental health of physicians was deeply affected by the pandemic situation. The availability of appropriate mental health support will help foster resilience by giving them the ability and confidence to manage crisis moments like the COVID-19 pandemic.

scholarly journals The Evolution of Mental Health in Patients with Psoriasis during the COVID-19 Pandemic

2021 ◽  
Vol 12 (2) ◽  
Author(s):  
Roxana-Cristina Oltenacu ◽  
Alexandru Bogdan Ciubara ◽  
Alexandru Nechifor ◽  
Stefan Lucian Burlea ◽  
Anamaria Ciubara
Keyword(s):  
Mental Health ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Poor Mental Health ◽  
Assessment Scale ◽  
Self Assessment ◽  
Cross Sectional ◽  
Anxiety Assessment ◽  
The Impact ◽  
Hamilton Anxiety

Introduction: The aim of this study was to assess the impact of the Covid-19 pandemic on mental health on a sample of 37 patients with psoriasis in Brăila County. Methods: A cross-sectional study on a sample of 37 patients with psoriasis was conducted by questionnaires e-mailed to patients. The study was conducted between November 20th, 2020 - January 15th, 2021. Mental health was measured using the Hamilton Anxiety Assessment Scale (HAS). Data collected on predictors included, but were not limited to, sex, age, background, marital status, level of education, smoking, alcohol consumption, comorbidities, period of self-isolation, severity of psoriasis, and type of treatment for psoriasis. Results: There were 37 participants included. Factors associated with poor mental health were: place of origin (54% from urban areas), sex (62.1% women), age (67.5% between 65 and 80 years old), period of self-isolation (81% in self-isolation for more than 14 days), comorbidities (75.6% with multiple comorbidities) and form of treatment for psoriasis (48.6% are systemically administered treatment for psoriasis). Conclusions: In this sample of patients with psoriasis from Brăila County who isolate or socially distance themselves, urban patients, women, elderly, those with comorbidities and those who are systemically administered treatment for psoriasis were associated with a high score on the Hamilton anxiety assessment scale. However, we have to admit that our research has some limitations. First, the number of participants included in the study was small. Secondly, we used an online way to conduct the study. Thirdly, we used a self-assessment scale to assess the anxiety symptoms of psoriasis patients, which might have some deviation from the outcome. Looking beyond the current situation, it is essential to evaluate and restructure the way we think about patient’s care.

scholarly journals The impact of mental health and substance use issues on COVID-19 vaccine readiness: a cross sectional community-based survey in Ontario, Canada

2021 ◽  
Author(s):  
Kamna Mehra ◽  
Roula Markoulakis ◽  
Sugy Kodeeswaran ◽  
Donald A. Redelmeier ◽  
Mark Sinyor ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Substance Use ◽  
Female Gender ◽  
Depression Score ◽  
Vaccine Hesitancy ◽  
Community Based ◽  
Cross Sectional ◽  
Younger Age ◽  
The Impact

AbstractBackgroundCOVID-19 vaccines have been approved for use in Canada since December 2020. However, data about factors associated with vaccine hesitancy and the impact of mental health and/or substance use (MHSU) issues on vaccine uptake are currently not available. The goal of this study was to explore factors, particularly MHSU factors, that impact COVID-19 vaccination intentions in Ontario, Canada.MethodsA community-based cross-sectional survey with recruitment based on age, gender, and geographical location (to ensure a representative population of Ontario), was conducted in February 2021. Multinomial logistic regression was used to test the relationship between COVID-19 vaccination status and plans and sociodemographic background, social support, anxiety about contracting COVID-19, and MHSU concerns.ResultsOf the total sample of 2528 respondents, 1932 (76.4%) were vaccine ready, 381 (15.1%) were hesitant, and 181 (7.1%) were resistant. Significant independent predictors of vaccine hesitancy compared with vaccine readiness included younger age (OR=2.11, 95%CI=1.62-2.74), female gender (OR=1.36, 95%CI=1.06-1.74), Black ethnicity (OR=2.11, 95%CI=1.19-3.75), lower education (OR=1.69, 95%CI=1.30-2.20), lower SES status (OR=.88, 95%CI=.84-.93), lower anxiety about self or someone close contracting COVID-19 (OR=2.06, 95%CI=1.50-2.82), and lower depression score (OR=.90, 95%CI=.82-.98). Significant independent predictors of vaccine resistance compared with readiness included younger age (OR=1.72, 95%CI=1.19-2.50), female gender (OR=1.57, 95%CI=1.10-2.24), being married (OR=1.50, 95%CI=1.04-2.16), lower SES (OR=.80, 95%CI=.74-.86), lower satisfaction with social support (OR=.78, 95%CI=.70-.88), lower anxiety about contracting COVID-19 (OR=7.51, 95%CI=5.18-10.91), and lower depression score (OR=.85, 95%CI=.76-.96).InterpretationCOVID-19 vaccination intention is affected by sociodemographic factors, anxiety about contracting COVID-19, and select mental health issues.

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