Social support, social strain, loneliness, and well-being among older adults

This study proposed that, among older adults, higher support and lower strain received from each of the four relational sources (spouse/partner, children, family, and friends) were associated with reduced loneliness and improved well-being and that loneliness might mediate the relationship between support/strain and well-being. Structural equation modeling was conducted using a national sample of adults aged 50 years and older (N = 7,367) from the Health and Retirement Study. Findings indicated that support from spouse/partner and friends alleviated loneliness, while strain from all the four sources intensified loneliness; higher support and lower strain from various sources directly and indirectly improved well-being, with indirect effects mediated through reduced loneliness. It was concluded that, in later life, various sources of support/strain engender distinct effects on loneliness and well-being, and loneliness serves as one of the psychological pathways linking support/strain to well-being.

[1]  Letitia Anne Peplau,et al.  Loneliness: A Sourcebook of Current Theory, Research and Therapy. , 1984 .

[2]  M. Silverstein,et al.  Solidarity, conflict, and ambivalence: Complementary or competing perspectives on intergenerational relationships? , 2002 .

[3]  Laurie A. Theeke.  Sociodemographic and health-related risks for loneliness and outcome differences by loneliness status in a sample of U.S. older adults. , 2010, Research in gerontological nursing.

[4]  T. Antonucci,et al.  Longitudinal patterns of negative relationship quality across adulthood. , 2009, The journals of gerontology. Series B, Psychological sciences and social sciences.

[5]  Louise C Hawkley,et al.  Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study. , 2010, Psychology and aging.

[6]  R. Larsen,et al.  The Satisfaction with Life Scale , 1985, Journal of personality assessment.

[7]  N. Ellison,et al.  Social capital, self-esteem, and use of online social network sites: A longitudinal analysis , 2008 .

[8]  E Dugan,et al.  The influence of depression, and family and friendship relations, on residents' loneliness in congregate housing. , 1990, The Gerontologist.

[9]  Robert T. Woods,et al.  Variations in subjective wellbeing: the mediating role of a psychological resource , 2004, Ageing and Society.

[10]  Masami Nishishiba,et al.  Understanding the relative importance of positive and negative social exchanges: examining specific domains and appraisals. , 2005, The journals of gerontology. Series B, Psychological sciences and social sciences.

[11]  Masami Nishishiba,et al.  The relative importance of three domains of positive and negative social exchanges: a longitudinal model with comparable measures. , 2003, Psychology and aging.

[12]  L. Hawkley,et al.  Loneliness predicts increased blood pressure: 5-year cross-lagged analyses in middle-aged and older adults. , 2010, Psychology and aging.

[13]  G. Westerhof,et al.  Partners and others: Social provisions and loneliness among married Dutch men and women in the second half of life , 2006 .

[14]  L. Hawkley,et al.  Loneliness Matters: A Theoretical and Empirical Review of Consequences and Mechanisms , 2010, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[15]  E. Cornwell,et al.  Social Disconnectedness, Perceived Isolation, and Health among Older Adults∗ , 2009, Journal of health and social behavior.

[16]  Qiang Guo,et al.  Loneliness and health-related quality of life for the empty nest elderly in the rural area of a mountainous county in China , 2007, Quality of Life Research.

[17]  Sharon Shiovitz-Ezra,et al.  The Role of Social Relationships in Predicting Loneliness: The National Social Life, Health, and Aging Project , 2010 .

[18]  R. P. McDonald,et al.  Principles and practice in reporting structural equation analyses. , 2002, Psychological methods.

[19]  E. M. Bertera.  Mental health in U.S. adults: The role of positive social support and social negativity in personal relationships , 2005 .

[20]  Deborah Ruth Richardson,et al.  Network Correlates of Social and Emotional Loneliness in Young and Older Adults , 2001 .

[21]  R. Weiss,et al.  Loneliness: The Experience of Emotional and Social Isolation. , 1975 .

[22]  N. Stevens.  Combating loneliness: a friendship enrichment programme for older women , 2001, Ageing and Society.

[23]  T. Wills,et al.  Stress, social support, and the buffering hypothesis. , 1985, Psychological bulletin.

[24]  A. Lowenstein.  Solidarity-conflict and ambivalence: testing two conceptual frameworks and their impact on quality of life for older family members. , 2007, The journals of gerontology. Series B, Psychological sciences and social sciences.

[25]  B. Winblad,et al.  Loneliness among elderly people living in stockholm: a population study. , 1992, Journal of advanced nursing.

[26]  K. Pillemer,et al.  Intergenerational Ambivalence : a New Approach to the Study of Parent-Child Relations in Later Life , 1998 .

[27]  L. Berkman,et al.  From social integration to health: Durkheim in the new millennium. , 2000, Social science & medicine.

[28]  O. Huxhold,et al.  Wellbeing depends on social relationship characteristics: comparing different types and providers of support to older adults , 2010, Ageing and Society.

[29]  E. Deci,et al.  On happiness and human potentials: a review of research on hedonic and eudaimonic well-being. , 2001, Annual review of psychology.

[30]  C. Segrin,et al.  Social Support, Loneliness, Recuperative Processes, and Their Direct and Indirect Effects on Health , 2011, Health communication.

[31]  Stacey A. Passalacqua,et al.  Functions of Loneliness, Social Support, Health Behaviors, and Stress in Association With Poor Health , 2010, Health communication.

[32]  J. House.  Work stress and social support , 1981 .

[33]  A. Komter,et al.  Solidarity and ambivalence: comparing two perspectives on intergenerational relations using longitudinal panel data. , 2012, The journals of gerontology. Series B, Psychological sciences and social sciences.

[34]  W. Stroebe,et al.  The role of loneliness and social support in adjustment to loss: a test of attachment versus stress theory. , 1996, Journal of personality and social psychology.

[35]  L. Berkman,et al.  Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. , 1979, American journal of epidemiology.

[36]  K. Rook,et al.  Pain, Positive and Negative Social Exchanges, and Depressive Symptomatology in Later Life , 2007, Journal of aging and health.

[37]  A. Sherman,et al.  Friendship in Childhood and Adulthood: Lessons across the Life Span , 2000, International journal of aging & human development.

[38]  W. H. Jones,et al.  Loneliness and social contact. , 1981 .

[39]  Margie E. Lachman,et al.  Social Support and Strain from Partner, Family, and Friends: Costs and Benefits for Men and Women in Adulthood , 2000 .

[40]  T. Strandberg,et al.  Social Contacts and Their Relationship to Loneliness among Aged People – A Population-Based Study , 2006, Gerontology.

[41]  T. Antonucci,et al.  Impact of Positive and Negative Aspects of Marital Relationships and Friendships on Well-Being of Older Adults , 2001 .

[42]  L. Hawkley,et al.  Loneliness as a specific risk factor for depressive symptoms: cross-sectional and longitudinal analyses. , 2006, Psychology and aging.

[43]  Rex B. Kline,et al.  Principles and Practice of Structural Equation Modeling , 1998 .

[44]  Jennifer Caroline Greene,et al.  Handbook of communication and social interaction skills , 2003 .

[45]  Vern L. Bengtson,et al.  Intergenerational Solidarity and the Structure of Adult Child‐Parent Relationships in American Families , 1997, American Journal of Sociology.

[46]  M. Silverstein,et al.  Affection, social contact, and geographic distance between adult children and their parents , 1994 .

[47]  Brant R. Burleson,et al.  Emotional support skills. , 2003 .

[48]  K. Boerner,et al.  Good to have but not to use: Differential impact of perceived and received support on well-being , 2006 .

[49]  A. Lowenstein,et al.  A possible innovative association between the concept of inter-generational ambivalence and the emotions of guilt and shame in care-giving , 2007, European journal of ageing.

[50]  L. Carstensen,et al.  Taking time seriously. A theory of socioemotional selectivity. , 1999, The American psychologist.

[51]  E. Diener,et al.  Subjective well-being is essential to well-being. , 1998 .

[52]  H. S. Sullivan.  The interpersonal theory of psychiatry , 1953 .

[53]  Elisheva F. Gross,et al.  Internet Use and Well-Being in Adolescence , 2002 .

[54]  T. Antonucci,et al.  Life sustaining irritations? Relationship quality and mortality in the context of chronic illness. , 2008, Social science & medicine.

[55]  D. Goldsmith,et al.  Communicating Social Support , 2004 .

[56]  A. Skogstad,et al.  The Oldest Old, ADL, Social Network, and Loneliness , 1998, Western journal of nursing research.

[57]  D. Russell.  UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure. , 1996, Journal of personality assessment.

[58]  E. Hay,et al.  The best of ties, the worst of ties: Close, problematic, and ambivalent social relationships , 2004 .