scholarly journals Older adults’ provision of informal care and support to their peers – A cornerstone of swedish society: Demographic characteristics and experiences of social isolation

Author(s):  
Elin Siira ◽  
Patricia Olaya‐Contreras ◽  
Signe Yndigegn ◽  
Helle Wijk ◽  
Bertil Rolandsson ◽  
...  
2021 ◽  
Vol 24 (1) ◽  
Author(s):  
Miroslava Köverová ◽  
Beáta Ráczová

The older population is considered one of those with the highest risk of severe coronavirus infection (Public Health Authority of the Slovak Republic, 2020). This study is a part of research focused on the analysis of the psychosocial aspects of the perception and emotional experience of older Slovak adults as a risk group during the first wave of the COVID-19 pandemic. Objectives: The first aim of this research was to examine how older adults in Slovakia perceived and experienced the first wave of the COVID-19 pandemic. We were focused on their negative emotional experience – the levels of perceived stress, anxiety and concern (regarding a fear of COVID-19 infection). The second aim was to identify differences in negative emotional experience in older adults according to demographic characteristics. The final aim was to analyze the demographic and psychological characteristics of those groups of older adults who reported extremely low and extremely high levels of negative emotional experience (perceived stress, anxiety, or concern). Method: The research was conducted online during the first wave of the COVID-19 pandemic. The participants were 607 adults from Slovakia; 429 women and 178 men aged 61-93 (M = 68.97; SD = 4.76). They completed a State-Trait Anxiety Inventory, State version (Spielberger et al., 1983), a Perceived Stress Scale (Cohen et al., 1983), and the authors’ scales focused on the assessment of the levels of fear of COVID-19 infection (concern), satisfaction with health, powerlessness, ability to deal with the situation of pandemic, loneliness, social isolation, and perceived danger of COVID-19 for themselves, their families and friends and people in Slovakia. Jamovi 1.6.15 and IBM SPSS Statistics 25 software (t-test, Pearson and Spearman correlation coefficients, one-way ANOVA, Chi-square) were used for data analysis. Results: Descriptive analyses showed that older adults experienced low levels of perceived stress, moderate levels of anxiety, and moderate levels of concern during the first wave of the COVID-19 pandemic. They reported moderate satisfaction with health, low levels of powerlessness, high levels of perceived ability to deal with the situation of the pandemic, moderate levels of loneliness and social isolation, and moderate to high levels of perceived danger of COVID-19 for themselves, their families and friends and people in Slovakia. The second step of the analyses was focused on the differences in perceived stress, anxiety, and concern according to demographic characteristics (gender, employment status, marital status, and household composition). Between-group analyses showed only gender differences in anxiety and concern – women reported higher levels of anxiety and concern than men. The third step of the analyses was focused on the comparison of the demographic and psychological characteristics between the groups of older adults who experienced extremely low and extremely high levels of negative emotions during the pandemic. Two groups were observed only in the case of concern: group 1 with older adults reporting an extremely low fear of COVID-19 infection (n = 51) and group 2 with older adults reporting an extremely high fear of COVID-19 infection (n = 40). Regarding the demographic characteristics, the two groups of older adults differed significantly only in gender – more women than men experienced an extremely high concern that they would be infected with coronavirus. Age distribution was equivalent across both groups – the mean age of older adults in group 1 and group 2 was 69.49 and 69.90 years, respectively. The two groups were also comprised of similar numbers of older adults who were single, married, divorced, or widowed and those who lived alone, with a spouse, with a spouse and children, or with children and family. However, significant differences between the two groups were found in psychological characteristics – older adults with extremely high concern reported low satisfaction with health, high powerlessness, low ability to deal with the situation of the pandemic, high loneliness and social isolation, and high perceived danger of COVID-19 for themselves, their families and friends and people in Slovakia. Limits and conclusions: One of the limitations of the research is that no data were obtained from older adults who were clients of social service facilities; mainly due to restrictions and measures existing at the time of data collection. The research sample consisted only of older adults who lived in their home environment and communicated via social networks. Online skills could have enabled them to search for information about the pandemic or to stay in contact with other people. All this could have positively affected their perception and emotional experience during the first wave of the COVID-19 pandemic, in contrast to the clients of the social service facilities. Despite this limitation, the research study has brought important findings. It showed that older adults did not experience the first wave of the pandemic only negatively and uncovered a risk group of older adults which was at increased risk of negative psychological effects (concern) during the COVID-19 pandemic. The identification of people who are most vulnerable in the elderly population is a key element for providing specific and effective psychological or social assistance.


2003 ◽  
Author(s):  
John T. Cacioppo ◽  
Louise C. Hawkley

Author(s):  
Stephanie Veazie ◽  
Jennifer Gilbert ◽  
Kara Winchell ◽  
Robin Paynter ◽  
Jeanne-Marie Guise

2020 ◽  
Author(s):  
Rachel Elizabeth Weiskittle ◽  
Michelle Mlinac ◽  
LICSW Nicole Downing

Social distancing measures following the outbreak of COVID-19 have led to a rapid shift to virtual and telephone care. Social workers and mental health providers in VA home-based primary care (HBPC) teams face challenges providing psychosocial support to their homebound, medically complex, socially isolated patient population who are high risk for poor health outcomes related to COVID-19. We developed and disseminated an 8-week telephone or virtual group intervention for front-line HBPC social workers and mental health providers to use with socially isolated, medically complex older adults. The intervention draws on skills from evidence-based psychotherapies for older adults including Acceptance and Commitment Therapy, Cognitive-Behavioral Therapy, and Problem-Solving Therapy. The manual was disseminated to VA HBPC clinicians and geriatrics providers across the United States in March 2020 for expeditious implementation. Eighteen HBPC teams and three VA Primary Care teams reported immediate delivery of a local virtual or telephone group using the manual. In this paper we describe the manual’s development and clinical recommendations for its application across geriatric care settings. Future evaluation will identify ways to meet longer-term social isolation and evolving mental health needs for this patient population as the pandemic continues.


2020 ◽  
Author(s):  
Tracy Epton ◽  
Chris Keyworth ◽  
Chris Armitage

Objective: To assess the extent of spontaneous self-affirmation pre COVID-19 and during COVID-19 pandemic to identify for whom self-affirmation interventions might be helpful; and the extent to which spontaneous self-affirmation is associated with increased information-seeking, worry and adherence to UK government instructions. Methods: Two large nationally-representative surveys of UK adults were conducted via YouGov in March 2019 (pre COVID-19; N = 10421) and April 2020 (during COVID-19; N = 2252); both surveys measured demographic characteristics and spontaneous self-affirmation. The latter survey included measures of time spent accessing COVID-19 related news, worry about COVID-19 related news and degree of adherence to UK government instructions. Results: Spontaneous self-affirmation was lower before COVID-19 (44%) than it was during the pandemic (57%), although the pattern was in the opposite direction among older adults. Older adults were more likely to spontaneously self-affirm during COVID-19 than pre COVID-19. Greater spontaneous self-affirmation was associated with more time spent accessing news, and greater adherence to UK government instructions, but not media-related worry. Conclusions: The threat of COVID-19 may have triggered greater levels of spontaneous self-affirmation, which could give people the resources they needed to allow them to seek COVID-19-related news and adhere to UK government instructions. Groups lower in spontaneous self-affirmation, such as younger people could be targeted with brief interventions to promote self-affirmation and encourage performance of adaptive behaviors.


2021 ◽  
pp. 1-8
Author(s):  
Bin Yu ◽  
Andrew Steptoe ◽  
Yongjie Chen ◽  
Xiaohua Jia

Abstract Background Social isolation and loneliness have each been associated with cognitive decline, but most previous research is limited to Western populations. This study examined the relationships of social isolation and loneliness on cognitive function among Chinese older adults. Methods This study used two waves of data (2011 and 2015) from the China Health and Retirement Longitudinal Study and analyses were restricted to those respondents aged 50 and older. Social isolation, loneliness, and cognitive function were measured at baseline. Follow-up measures on cognitive function were obtained for 7761 participants (mean age = 60.97, s.d. = 7.31; male, 50.8%). Lagged dependent variable models adjusted for confounding factors were used to evaluate the association between baseline isolation, loneliness, and cognitive function at follow-up. Results Loneliness was significantly associated with the cognitive decline at follow-up (episodic memory: β = −0.03, p < 0.01; mental status: β = −0.03, p < 0.01) in the partially adjusted models. These associations became insignificant after additional confounding variables (chronic diseases, health behaviors, disabilities, and depressive symptoms) were taken into account (all p > 0.05). By contrast, social isolation was significantly associated with decreases in all cognitive function measures at follow-up (episodic memory: β = −0.05, p < 0.001; mental status: β = −0.03, p < 0.01) even after controlling for loneliness and all confounding variables. Conclusions Social isolation is associated with cognitive decline in Chinese older adults, and the relationships are independent of loneliness. These findings expand our knowledge about the links between social relationships and the cognitive function in non-Western populations.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Junhong Yu ◽  
Rathi Mahendran

AbstractThe COVID-19 lockdown has drastically limited social interactions and brought about a climate of fear and uncertainty. These circumstances not only increased affective symptoms and social isolation among community dwelling older adults but also alter the dynamics between them. Using network analyses, we study the changes in these dynamics before and during the lockdown. Community-dwelling older adults (N = 419) completed questionnaires assessing depression, anxiety, and social isolation, before the COVID-19 pandemic, as part of a cohort study, and during the lockdown period. The total scores of these questionnaires were compared across time. For the network analyses, partial correlation networks were constructed using items in the questionnaires as nodes, separately at both timepoints. Changes in edges, as well as nodal and bridge centrality were examined across time. Depression and anxiety symptoms, and social isolation had significantly increased during the lockdown. Significant changes were observed across time on several edges. Greater connectivity between the affective and social isolation nodes at lockdown was observed. Depression symptoms have become more tightly coupled across individuals, and so were the anxiety symptoms. Depression symptoms have also become slightly decoupled from those of anxiety. These changing network dynamics reflect the greater influence of social isolation on affective symptoms across individuals and an increased vulnerability to affective disorders. These findings provide novel perspectives and translational implications on the changing mental health context amidst a COVID-19 pandemic situation.


2021 ◽  
Vol 29 (4) ◽  
pp. S122-S123
Author(s):  
Sophia G. Perez ◽  
Alexandria G. Nuccio ◽  
Ashley M. Stripling

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