Mental Health among Older Adults with Caregiving Needs: The Role of Social Networks

2019 ◽  
Vol 43 (3) ◽  
pp. 157-167
Author(s):  
Fengyan Tang ◽  
Heejung Jang ◽  
Elizabeth A Mulvaney ◽  
Jane Seoyoon Lee ◽  
Donald Musa ◽  
...  

Abstract A major challenge facing an aging society is the increased caregiving needs among community-dwelling older adults with chronic conditions. Reliance on social relations may help address caregiving needs and maintain older adults’ mental well-being. This study examines the roles of different aspects of social relations—social network size, social support, and service use—in the association between caregiving needs and mental health status (MHS). Using a sample of adults age 55 and over in an urban setting, authors tested the direct, mediation, and moderation effects models of social relations. Structural equation modeling was applied and latent variables of caregiving needs, MHS, and social network size were identified. Results showed that caregiving needs and informal social support (that is, network size, positive support, and negative strain) were directly related to MHS and that informal social support partially mediated the negative effect of caregiving needs on MHS; by contrast, service use moderated the association, indicating that those with caregiving needs who used more services were in better MHS than their counterparts with less service use. Findings point to the importance of social work interventions aimed at improving social relations and enhancing awareness and access to social services.

2016 ◽  
Vol 37 (8) ◽  
pp. 990-1011 ◽  
Author(s):  
Scott R. Beach ◽  
Richard Schulz ◽  
Rodlescia Sneed

Social support and social networks are important correlates of elder mistreatment. This study tests hypothesized associations between perceived social support, social network size, and financial exploitation (FE). A population-based survey of 903 older adults (60+) in Allegheny County (Pittsburgh, Pennsylvania) found that lower perceived social support and larger social networks were simultaneously associated with higher risk for FE since age 60, controlling for known risk factors. The same associations were found for FE in the last 6 months. Older adults with larger social networks combined with lower perceived social support were most likely to report FE. When it comes to the role of social relationships and risk for FE, “more may not always be better.” Encouragement to widen the social network by “making new friends” should be stressed less than making sure these new network members will truly be supportive of the older adult.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S929-S930
Author(s):  
Ethan Siu Leung Cheung ◽  
Kedong Ding

Abstract Background: Previous studies have found older adults’ cognitive functions are strongly associated with their social networks, including memory. Yet, few studies have explored the influences of specific social network members, such as siblings and children. Further, little studies examined the impact of the size of older adults’ social networks. Hence, this study aimed to investigate how older adults’ relationships with their spouses, siblings, and children, as well as the size of their social networks, affect American older adults’ memory functions. Methods: Using the 2018 data from NHATS, 5547 samples were included. We adopted a multiple logistic regression model to test the impact of social support network sizes, and how associations of social support networks varied between spouses, siblings, and children. All models were calibrated for age, gender, education, income, and race/ethnicity. Results: Analysis showed that higher socioeconomic status (more education and without Medicaid), being female, and younger age were associated with increased odds of having good self-rated memory functions. Older adults with larger social support networks (>=3 individuals) were more likely to have better self-rated memory function (adjusted odds ratio, 1.182, p<0.05), while holding other variables. Having a spouse also increased odds of higher self-rating memory function, in contrast to having children. Conclusion: This study highlighted the importance of having a larger social network size for older adult’s memory function and indicated the necessity of developing intervention programs to expand older adults' social network size, especially for those with lower socioeconomic status.


2021 ◽  
Vol 12 ◽  
Author(s):  
Sara J. Czaja ◽  
Jerad H. Moxley ◽  
Wendy A. Rogers

Objectives: Social isolation and loneliness are serious public health issues given the association with negative physical, mental; and cognitive health outcomes and increased risk for mortality. Due to changes in life circumstances many aging adults are socially isolated and experience loneliness. We examined the relationships among four correlated but distinct constructs: social network size, social support, social isolation, and loneliness as they relate to indices of health and wellbeing among diverse subpopulations of older adults. Guided by WHO’s International Classification of Functioning, Disability and Health (ICF) we also examined factors that predict loneliness and social isolation.Methods: Analyses of baseline data from sample of older adults who participated in an intervention trial that examined the beneficial effects of a software system designed to support access to resources and information, and social connectivity. Participants included 300 individuals aged 65–98, who lived alone, were primarily of lower socio-economic status and ethnically diverse. Participants completed a demographics questionnaire, self-report measures of health, depression, social network size, social support, and loneliness.Results: Loneliness was strongly associated with depression and self-ratings of health. In turn, greater social isolation and less social support were associated with greater loneliness. Social isolation was associated with depression and lower self-ratings of health. The association between social isolation and health was mediated by loneliness. Individuals in the older cohorts (80+) reported less social support. With respect to loneliness, having a smaller social network, more functional limitations, and limitations in engaging meaningful activities was associated with higher levels of loneliness and greater social isolation.Conclusion: The findings underscore the importance of social connectively to wellbeing for older adults and suggest that those in the older cohorts, who have a small social network, and with greater physical and functional impairments may be particularly vulnerable to being socially isolated and lonely. The findings provide guidance for future interventions. In this regard, we discuss how Information and Communication Technologies (ICTs) may be used to promote social connectivity and engagement. Strategies to make the usability and availability of these applications for aging adults are highlighted.


2018 ◽  
Vol 40 (9) ◽  
pp. 859-882 ◽  
Author(s):  
Anna Muraco ◽  
Jennifer Putney ◽  
Chengshi Shiu ◽  
Karen I. Fredriksen-Goldsen

This study uses mixed-methods data and a life-course perspective to explore the role of pets in the lives of lesbian, gay, bisexual, and transgender (LGBT) adults age 50 and over and addresses the following research questions: (1) How does having a pet relate to perceived social support and social network size? and (2) how do LGBT older adults describe the meaning of pets in their lives? The qualitative data ( N = 59) were collected from face-to-face interviews, and the quantitative data ( N = 2,560) were collected via surveys from a sample across the United States. Qualitative findings show that pets are characterized as kin and companions and provide support; we also explore why participants do not have pets. The quantitative findings show that LGBT older adults with a pet had higher perceived social support; those with a disability and limited social network size, who had a pet had significantly higher perceived social support than those without a pet.


Author(s):  
Wesley Monroe Shrum ◽  
Jonathan Teye Yevuyibor ◽  
Shriya Thakkar

Prior research has shown that mental health in urban slums is associated with the a share number of older individuals in personal networks. This presentation will examine the extent to which that association is mediated through Internet and social media use. We conducted face to face interviews with residents (minimum 18 years) in two high density, low income areas of Accra (West Africa) and Trivandrum (Kerala, India), where local teams have conducted repeated studies of personal networks since 1994. Our preliminary results show that mobile phones are primary way in which respondents communicate with members of their core networks. Further preliminary results show that while research in high income areas has generally shown the importance of larger networks for positive mental health, our analysis of urban slums reveals a different pattern. First, there is no general association of larger networks with reduced symptoms of anxiety and depression. Second, one particular group of relationships is strongly associated with depression and anxiety: ties with older individuals. The questions we explore are: (1) To what extent are indicators of mental health related to indicators of Internet and social media usage? (2) To what extent are indicators of mental health related to indicators of social network size and composition? (3) To what extent are indicators of Internet and social media usage related to indicators of indicators of social network size and composition?


2017 ◽  
Vol 29 (3) ◽  
pp. 148-158 ◽  
Author(s):  
Jeffrey Hall

Abstract. This multistudy investigation examines how entrapment, which is the guilt, anxiety, or stress to respond and be available to others via mobile devices, shapes and is shaped by patterns of mobile use. Using structural equation modeling on cross-sectional survey responses, Study 1 (N = 300) tested relationships among offline social network size, voice and text frequency, entrapment, and well-being. Offline social network size was associated with text message frequency, and both were indirectly associated with lower subjective well-being via entrapment. Study 2 used experience sampling to confirm associations among entrapment, texting, and well-being. Participants (N = 112) reported on face-to-face, phone, and text interactions five times a day for 5 consecutive days (n = 1,879). Multilevel modeling results indicated that beginning-of-week entrapment was associated with more interactions with acquaintances and strangers, and with reporting lower affective well-being and relatedness when interacting via text. Well-being reported during text interactions and number of interactions with acquaintances and strangers during the week both predicted changes in entrapment by the week’s end. Change in entrapment was associated with lower subjective well-being at the week’s end. Results suggest that entrapment is associated with using texting to maintain larger networks of social relationships, potentially stressing individuals’ capacity to maintain less close relationships via mobile communication.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 563-563
Author(s):  
Amber Seidel ◽  
Jeremy Yorgason ◽  
Áine Humble ◽  
Roxanne Humphris

Abstract Social support has a rich foundation in family gerontology benefiting older adults, such as bolstering mental health, decreasing social isolation, and connecting them in families and communities. This study draws from a decade review of 995 empirical articles focusing on family gerontology from 13 of the top journals in gerontology, family, and relationships. Of the 995 articles, 86 were coded as social support or social network. Of these 86 articles, less than 3% included dyadic analyses, 95% were quantitative with just over 30% longitudinal. Over 30 different theories were identified with many building their work off multiple theories. Two key theories appear in over 30% of the articles, social support and socioemotional selectivity. Only 4% did not cite any theoretical framework. Overall, this presentation will review the methods, theories, and key findings of the social network/social support subtheme of a decade review of family gerontology and identify related gaps.


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