Examination of social disconnectedness and perceived social isolation on health and life satisfaction in community-dwelling adults with dysvascular lower limb loss

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Sander L. Hitzig ◽  
Steven Dilkas ◽  
Michael W. Payne ◽  
Crystal MacKay ◽  
Ricardo Viana ◽  
...  
Keyword(s):  
Life Satisfaction ◽  
Social Isolation ◽  
Lower Limb ◽  
Community Dwelling ◽  
Limb Loss ◽  
Perceived Social Isolation

scholarly journals SOCIAL ISOLATION AND FALLS RISK AMONG COMMUNITY DWELLING OLDER ADULTS: THE MEDIATING ROLE OF DEPRESSION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S293-S293
Author(s):  
Jeffrey Burr ◽  
Lien Quach
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Social Isolation ◽  
Perceived Social Support ◽  
Well Being ◽  
Community Dwelling ◽  
Outcome Variable ◽  
Falls Risk ◽  
Risk Of Falls ◽  
Perceived Social Isolation

Abstract Relatively little is known about the relationship between social isolation and the risk of falls among older adults. Yet, a considerable amount of research demonstrates that lack of sufficient social relationships, broadly defined, represents a modifiable risk factor for many indicators of well-being in later life. This study examines the association between two types of social isolation and the risk of falls. The study also examines whether depression mediates the association between social isolation and risk of falls. Longitudinal data from the Health and Retirement Study (2006-2012) were collected from community-dwelling participants aged 65 and older (N=8,464). The outcome variable was number of falls self-reported over the observation period. Independent variables included perceived isolation (feeling lonely, perceptions of social support), social disconnectedness (e.g., having no friends or relatives living nearby, living alone), and number of depressive symptoms. Results from regression models indicated that social disconnectedness was associated with a 5% increase in the risk of falls (IRR=1.05, 95% CI=1.01-1.09). Perceived social support was associated with a 21% increase in the risk of falls; when examined together, perceived social support and loneliness were associated with a combined 37% increase in falls risk. Depression was associated with a 47% increase in falls. Depression mediated the association between perceived isolation and falls. Further, perceived isolation mediated the association between social disconnectedness and falls. Reducing perceived social isolation and social disconnectedness may be an avenue for designing interventions to reduce the risk of falls, especially for older adults with depression.

scholarly journals Effectiveness of a Peer-Based Intervention on Socially Isolated Older Chinese Immigrants in Canada: a Randomized Controlled Trial

2020 ◽  
Author(s):  
Daniel W.L. Lai ◽  
Jia Li ◽  
Xiaoting Ou ◽  
Celia Y.P. Li
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Isolation ◽  
Peer Support ◽  
Social Participation ◽  
Intervention Group ◽  
Chinese Immigrants ◽  
Community Dwelling ◽  
Control Group ◽  
Older Chinese

Abstract Background: Social isolation is a key concern for immigrant older adults. We examined the effectiveness of a peer-based intervention in reducing loneliness, social isolation, and improving psychosocial well-being with a sample of aging Chinese immigrants. Methods: Sixty community-dwelling older Chinese immigrants aged 65 and older were randomly assigned to an intervention group and a control group (n=30 each). Intervention group participants received an eight-week peer support intervention. Twenty-four volunteers aged 48 to 76 engaged in two-on-one peer support through home visits and telephone calls to provide emotional support, problem-solving support, and community resource sharing. An randomized control trial design was used to capture the changes of both the intervention group and the control group participants in a range of psychosocial outcomes including loneliness, social support, barriers to social participation, depressive symptoms, anxiety, life satisfaction, happiness, and purpose in life. Results: The intervention group participants showed a decrease in loneliness and increase in resilience when compared to control group participants. They reported fewer depressive symptoms, fewer barriers to social participation, increased life satisfaction, and happiness while no such improvements were observed in the control group. Conclusions: There is a need to further examine the use of peer-based interventions for both program effectiveness and delivery efficiency. In the era of population aging and increasing immigration, diverse aging adults can be trained to fill volunteer support roles via peer-based intervention approaches. Trial registration: ISRCTN, ISRCTN14572069, Registered 23 December 2019 – Retrospectively registered, https://doi.org/10.1186/ISRCTN14572069 Funding: There are no external funding for this study.

scholarly journals The effects of social isolation on well-being and life satisfaction during pandemic

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Ruta Clair ◽  
Maya Gordon ◽  
Matthew Kroon ◽  
Carolyn Reilly
Keyword(s):  
Life Satisfaction ◽  
Social Isolation ◽  
Extended Period ◽  
Well Being ◽  
Modern World ◽  
Negative Consequences ◽  
Psychological Well Being ◽  
Work Related ◽  
Related Stress ◽  
Perceived Social Isolation

AbstractThe SARS-CoV-2 pandemic placed many locations under ‘stay at home” orders and adults simultaneously underwent a form of social isolation that is unprecedented in the modern world. Perceived social isolation can have a significant effect on health and well-being. Further, one can live with others and still experience perceived social isolation. However, there is limited research on psychological well-being during a pandemic. In addition, much of the research is limited to older adult samples. This study examined the effects of perceived social isolation in adults across the age span. Specifically, this study documented the prevalence of social isolation during the COVID-19 pandemic as well as the various factors that contribute to individuals of all ages feeling more or less isolated while they are required to maintain physical distancing for an extended period of time. Survey data was collected from 309 adults who ranged in age from 18 to 84. The measure consisted of a 42 item survey from the Revised UCLA Loneliness Scale, Measures of Social Isolation (Zavaleta et al., 2017), and items specifically about the pandemic and demographics. Items included both Likert scale items and open-ended questions. A “snowball” data collection process was used to build the sample. While the entire sample reported at least some perceived social isolation, young adults reported the highest levels of isolation, χ2(2) = 27.36, p < 0.001. Perceived social isolation was associated with poor life satisfaction across all domains, as well as work-related stress, and lower trust of institutions. Higher levels of substance use as a coping strategy was also related to higher perceived social isolation. Respondents reporting higher levels of subjective personal risk for COVID-19 also reported higher perceived social isolation. The experience of perceived social isolation has significant negative consequences related to psychological well-being.

scholarly journals Effectiveness of a Peer-Based Intervention on Loneliness and Social Isolation of Older Chinese Immigrants in Canada: a Randomized Controlled Trial

2020 ◽  
Author(s):  
Daniel W.L. Lai ◽  
Jia Li ◽  
Xiaoting Ou ◽  
Celia Y.P. Li
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Isolation ◽  
Peer Support ◽  
Social Participation ◽  
Intervention Group ◽  
Chinese Immigrants ◽  
Community Dwelling ◽  
Control Group ◽  
Older Chinese

Abstract Background: Social isolation is a key concern for immigrant older adults. We examined the effectiveness of a peer-based intervention in reducing loneliness, social isolation, and improving psychosocial well-being with a sample of aging Chinese immigrants.Methods: Sixty community-dwelling older Chinese immigrants aged 65 and older were randomly assigned to an intervention group and a control group (n=30 each) in a randomized control parallel trial design. Intervention group participants received an eight-week peer support intervention. Twenty-four volunteers aged 48 to 76 engaged in two-on-one peer support through home visits and telephone calls to provide emotional support, problem-solving support, and community resource sharing. Social workers who are not blinded to the group assignment measured the changes of both the intervention group and the control group participants in a range of psychosocial outcomes including three primary outcomes (loneliness, social support, barriers to social participation) and five secondary outcomes (depressive symptoms, anxiety, life satisfaction, happiness, and purpose in life).Results: The 30 intervention group participants showed a statistically significant decrease in loneliness and increase in resilience when compared to the 30 control group participants. They reported fewer barriers to social participation, fewer depressive symptoms, increased life satisfaction, and happiness while no such improvements were observed in the control group.Conclusions: There is a need to further examine the use of peer-based interventions for both program effectiveness and delivery efficiency. In the era of population aging and increasing immigration, diverse aging adults can be trained to fill volunteer support roles via peer-based intervention approaches.Trial registration: ISRCTN, ISRCTN14572069, Registered 23 December 2019 – Retrospectively registered, https://doi.org/10.1186/ISRCTN14572069Funding: There are no external funding for this study.

scholarly journals Financial difficulty in community-dwelling persons with lower limb loss is associated with reduced self-perceived health and wellbeing

2020 ◽  
Vol 44 (5) ◽  
pp. 290-297
Author(s):  
Szu-Ping Lee ◽  
Lung-Chang Chien ◽  
Tyler Chin ◽  
Heather Fox ◽  
Juan Gutierrez
Keyword(s):  
Socioeconomic Factors ◽  
Lower Limb ◽  
Medical Information ◽  
Short Form ◽  
Perceived Health ◽  
Community Dwelling ◽  
Limb Loss ◽  
Financial Difficulty ◽  
Amputation Level ◽  
Health And Wellbeing

Background: Socioeconomic status has been shown to be an important factor in the disparate prevalence and selected treatment of limb loss, but how personal financial difficulty affects patients’ health outcomes is currently unclear. Objective: Examining how presence and experience of personal financial difficulty affects perceived health and wellbeing in individuals with lower limb loss. Study Design: Cross-sectional study. Methods: A total of 90 participants (68 males, mean age 58.7 ± 16.7 years) were recruited from local physical therapy and prosthetic and orthotic clinics, rehabilitation hospitals, and a regional amputee patient support group. All participants were community-dwelling, non-military adults with amputation involving at least one major lower limb joint. Participants were interviewed, and each completed a survey that included basic demographic/medical information, self-reported health and wellbeing (Short-Form Health Survey, SF-36v2), and a question to determine their financial situation after limb loss. Multiple regression analyses were used to examine the effect of financial difficulty on the eight subscales of SF-36v2 while accounting for age, gender, and amputation level. Results: Experiencing financial difficulty significantly and negatively affected Role-Physical and Role-Emotional subscale scores ( p < 0.01 and p = 0.02, respectively). Individuals with financial difficulty scored approximately 60% lower in these two specific subscales. Conclusion: Experiencing financial difficulty is a significant predictor for diminished work or daily activity participation due to physical and emotional stresses. Clinicians and health policy makers need to understand how socioeconomic factors may prevent individuals with lower limb loss from achieving higher levels of functional recovery and community re-integration after amputation. Clinical relevance Our findings showed that presence or experience of financial difficulty was significantly associated with diminished community re-integration in community-dwelling, non-military adults with lower limb loss. It affects both physical and emotional aspects of wellbeing. Clinicians should be aware how socioeconomic factors may affect social re-integration after amputation.

scholarly journals Effect of Antidepressant Medication Use and Social Engagement on the Level of Depressive Symptoms in Community-Dwelling, Older African Americans and Whites With Dementia

2018 ◽  
Vol 31 (7) ◽  
pp. 1278-1296
Author(s):  
Jovita Rodrigues ◽  
Ana W. Capuano ◽  
Lisa L. Barnes ◽  
David A. Bennett ◽  
Raj C. Shah
Keyword(s):  
Social Network ◽  
Depressive Symptoms ◽  
Depressive Symptom ◽  
Social Isolation ◽  
Symptom Score ◽  
Social Engagement ◽  
Medication Use ◽  
Antidepressant Medication ◽  
Community Dwelling ◽  
Perceived Social Isolation

Objective: This study examines the effect of antidepressant medication use and social engagement on the level of depressive symptoms at the time of initially meeting criteria for dementia. Method: Measures of social engagement, medication use, and depressive symptoms from 402 participants with incident dementia were utilized for the study. Proportional odds models adjusted for demographics were constructed with depressive symptoms as the outcome and social network size, perceived social isolation, and antidepressant medication use as independent variables. Results: Each additional person in the social network was associated with a lower depressive symptom score, odds ratio (OR) = 0.93, 95% confidence interval (CI) = [0.90, 0.97], p ≤ .01, and each unit increase in perceived social isolation was associated with a higher depressive symptom score (OR = 4.14, 95% CI = [2.94, 5.85], p ≤ .01). No association was found between antidepressant medication use and depressive symptom score. Discussion: Depression management at the time of dementia diagnosis should probably be directed toward increasing social engagement in older adults.

Predictors of Mental Health During the COVID Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 409-410
Author(s):  
Helen Lach ◽  
Devita Stallings ◽  
Rebecca Lorenz ◽  
John Taylor ◽  
Janice Palmer
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Isolation ◽  
Perceived Stress ◽  
Process Model ◽  
Community Dwelling ◽  
Life Space ◽  
Perceived Stress Scale ◽  
Stress Scale ◽  
Perceived Social Isolation

Abstract Health professionals have been concerned about mental health of older adults during the COVID pandemic. To explore their experiences, we conducted an online survey of community-dwelling older people to examine their mental health related to stress, based on Pearlin’s Stress Process Model. A snowball approach was used; we sent recruitment e-mails through senior organizations and contacts with e-mail lists of potential participants; there were 504 respondents. We used regression analysis to explore predictors of mental health based on Pearlin’s model. Background characteristics included age (m = 75.7, SD 4.95), gender (77.4% female) and race (White = 93.4%). The CESD-10 provided a measure of mental health. Scores indicated 62.3% of the sample scored in the low range for depressive symptoms and 37.7% in the moderate to high range. Stressors were measured using the Perceived Stress Scale that includes subscales of perceived helplessness and perceived self-efficacy. We also measured perceived social Isolation, and current life space as predictor variables. Results of regressing the CESD-10 onto the set of theoretical predictors revealed that the inclusion both subscales of the Perceived Stress Scale, social isolation, and current life space jointly accounted for approximately 63.0% of the variability in the outcome beyond the baseline model (FChange[4, 449] = 211.15, p &lt; .01), which included age, race, and gender. The model overall, accounted for approximately 66.5% (R2adjusted = 66.0%) of the variability in CESD-10 scores, (F[7, 449] = 127.473, p &lt; .01). Addressing stress among older adults is important to help them maintain positive mental health.

scholarly journals Effectiveness of a peer-based intervention on loneliness and social isolation of older Chinese immigrants in Canada: a randomized controlled trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Daniel W. L. Lai ◽  
Jia Li ◽  
Xiaoting Ou ◽  
Celia Y. P. Li
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Isolation ◽  
Peer Support ◽  
Social Participation ◽  
Intervention Group ◽  
Chinese Immigrants ◽  
Community Dwelling ◽  
Control Group ◽  
Older Chinese

Abstract Background Social isolation is a key concern for immigrant older adults. We examined the effectiveness of a peer-based intervention in reducing loneliness, social isolation, and improving psychosocial well-being with a sample of aging Chinese immigrants. Methods Sixty community-dwelling older Chinese immigrants aged 65 and older were randomly assigned to an intervention group and a control group (n = 30 each) in a randomized control parallel trial design. Intervention group participants received an eight-week peer support intervention. Twenty-four volunteers aged 48 to 76 engaged in two-on-one peer support through home visits and telephone calls to provide emotional support, problem-solving support, and community resource sharing. Social workers who are not blinded to the group assignment measured the changes of both the intervention group and the control group participants in a range of psychosocial outcomes including three primary outcomes (loneliness, social support, barriers to social participation) and five secondary outcomes (depressive symptoms, anxiety, life satisfaction, happiness, and purpose in life). Results The 30 intervention group participants showed a statistically significant decrease in loneliness and increase in resilience when compared to the 30 control group participants. They reported fewer barriers to social participation, fewer depressive symptoms, increased life satisfaction, and happiness while no such improvements were observed in the control group. Conclusions There is a need to further examine the use of peer-based interventions for both program effectiveness and delivery efficiency. In the era of population aging and increasing immigration, diverse aging adults can be trained to fill volunteer support roles via peer-based intervention approaches. Trial registration ISRCTN, ISRCTN14572069, Registered 23 December 2019 – Retrospectively registered.

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