Mental health of elders in retirement communities: is loneliness a key factor?

Loneliness is often manifested by intense feelings of emptiness and abandonment and can lead to depression and suicide. The prevalence of loneliness in older adults is estimated to be 40%. This secondary analysis examined differences between elders reporting and elders not reporting loneliness and the effect of gender on resourcefulness and measures of physical and mental health within the context of L. C. Hawkley and J. T. Cacioppo's (2010) theoretical model of loneliness. A descriptive, comparative design was used to examine gender differences and associations among loneliness and indicators of physical and mental health. Results indicated that for overall health, and indicators of physical health (functional status and number chronic conditions), no significant differences were found between those who reported loneliness and those who reported no loneliness. There were significant differences, however, between lonely elders and nonlonely elders on indicators of mental health, including both anxiety and depressive symptoms. Differences between lonely elders and nonlonely elders on measures of resourcefulness approached significance. The findings from this study suggest that intervention programs designed to prevent or reduce loneliness in older adults may be beneficial for preserving their mental health.

[1]  E. Hagiwara,et al.  A Concept Analysis , 2013 .

[2]  Louise C Hawkley,et al.  From social structural factors to perceptions of relationship quality and loneliness: the Chicago health, aging, and social relations study. , 2008, The journals of gerontology. Series B, Psychological sciences and social sciences.

[3]  T Fokkema,et al.  Escape loneliness by going digital: A quantitative and qualitative evaluation of a Dutch experiment in using ECT to overcome loneliness among older adults , 2007, Aging & mental health.

[4]  R. Heikkinen,et al.  Associations between loneliness, depressive symptoms and perceived togetherness in older people , 2005, Aging & mental health.

[5]  J F Fries,et al.  The Health Assessment Questionnaire (HAQ). , 2005, Clinical and experimental rheumatology.

[6]  J. Zauszniewski Learned resourcefulness: a conceptual analysis. , 1995, Issues in mental health nursing.

[7]  J. Zauszniewski,et al.  Depressive symptoms in elderly women with chronic conditions: Measurement issues , 2009, Aging & mental health.

[8]  L. Jeannotte,et al.  The State of aging and health in America 2007 , 2007 .

[9]  J. Cohen-Mansfield,et al.  Loneliness in older persons: a theoretical model and empirical findings , 2006, International Psychogeriatrics.

[10]  Andrew Steptoe,et al.  Loneliness and neuroendocrine, cardiovascular, and inflammatory stress responses in middle-aged men and women , 2004, Psychoneuroendocrinology.

[11]  P. Martin,et al.  Personality, relationship closeness, and loneliness of oldest old adults and their children. , 2000, The journals of gerontology. Series B, Psychological sciences and social sciences.

[12]  Tim P. Lynch,et al.  Power Analysis for Experimental Research – A Practical Guide for the Biological, Medical and Social Sciences , 2004 .

[13]  C Killeen,et al.  Loneliness: an epidemic in modern society. , 1998, Journal of advanced nursing.

[14]  M. Pinquart,et al.  Risk factors for loneliness in adulthood and old age--a meta-analysis. , 2003 .

[15]  G. Mcinnis,et al.  A phenomenological exploration of loneliness in the older adult. , 2001, Archives of psychiatric nursing.

[16]  J. Zauszniewski,et al.  Comparison of Short Scales to Measure Depressive Symptoms in Elders With Diabetes , 2009, Western journal of nursing research.

[17]  M. Rosenbaum,et al.  A schedule for assessing self-control behaviors: Preliminary findings. , 1980 .

[18]  I. Hallberg,et al.  Loneliness as a predictor of quality of life among older caregivers. , 2005, Journal of advanced nursing.

[19]  J. Zauszniewski,et al.  Midwest Nursing Research Society Sage Best Paper Award: Milieu Change and Relocation Adjustment in Elders , 2008, Western journal of nursing research.

[20]  R. Golden,et al.  Loneliness in Older Chinese Adults: A Risk Factor for Elder Mistreatment , 2007, Journal of the American Geriatrics Society.

[21]  L. Mullins,et al.  Social determinants of loneliness among older Americans. , 1996, Genetic, social, and general psychology monographs.

[22]  Hsiu-Ju Chang,et al.  Reports on depressive symptoms in older adults with chronic conditions. , 2004, Research and theory for nursing practice.

[23]  F. Alpass,et al.  Loneliness, health and depression in older males , 2003, Aging & mental health.

[24]  J. Zauszniewski,et al.  Effects of teaching resourcefulness skills to elders , 2006, Aging & mental health.

[25]  L. Radloff The CES-D Scale , 1977 .

[26]  M. Rosenbaum,et al.  Learned resourcefulness: On coping skills, self-control, and adaptive behavior. , 1990 .

[27]  A. Yarcheski,et al.  Differences in social support and loneliness in adolescents according to developmental stage and gender. , 1994, Public health nursing.

[28]  D F Klein,et al.  COGNITIVE THERAPY , 2016 .

[29]  B. Wildman,et al.  The impact of dysmenorrhea on daily activities. , 1987, Behaviour Research and Therapy.

[30]  P. van’t Veer,et al.  Evaluation design for a complex intervention program targeting loneliness in non-institutionalized elderly Dutch people , 2010, BMC public health.

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

[32]  A. G. Austin Becoming immune to loneliness helping the elderly fill a void. , 1989, Journal of gerontological nursing.

[33]  E. Eshbaugh The role of friends in predicting loneliness among older women living alone. , 2009, Journal of gerontological nursing.

[34]  James J. Ponzetti,et al.  Loneliness among College Students. , 1990 .

[35]  B. Mcwhirter,et al.  Loneliness: A Review of Current Literature, With Implications for Counseling and Research , 1990 .

[36]  W. E. Berg,et al.  Loneliness among the elderly: a causal approach. , 1985, Journal of gerontology.

[37]  E. Gullone,et al.  The clinical significance of loneliness: a literature review. , 2006, Clinical psychology review.

[38]  L. Finos,et al.  Six-year outcome of cognitive behavior therapy for prevention of recurrent depression. , 2004, The American journal of psychiatry.

[39]  J. Zauszniewski,et al.  Spirituality, Resourcefulness, and Arthritis Impact on Health Perception of Elders with Rheumatoid Arthritis , 2000, Journal of holistic nursing : official journal of the American Holistic Nurses' Association.

[40]  Gary G Berntson,et al.  Loneliness in everyday life: cardiovascular activity, psychosocial context, and health behaviors. , 2003, Journal of personality and social psychology.

[41]  M. Haan,et al.  Can dementia be prevented? Brain aging in a population-based context. , 2004, Annual review of public health.

[42]  K. Rook,et al.  Promoting social bonding: Strategies for helping the lonely and socially isolated. , 1984 .

[43]  C. Spielberger,et al.  Manual for the State-Trait Anxiety Inventory , 1970 .

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

[45]  P. Murphy,et al.  Loneliness, Stress and Well-Being: A Helper's Guide , 1992 .

[46]  J. Harvey,et al.  Effects of housing relocation on immunocompetence and psychosocial functioning in older adults. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[47]  Someone is lonely. , 1981, Issues in mental health nursing.

[48]  J. Beck,et al.  Assessing older adults with generalized anxiety: a replication and extension. , 2001, Behaviour research and therapy.

[49]  M. Svartberg,et al.  Existential loneliness: a review of the concept, its psychosocial precipitants and psychotherapeutic implications for HIV-infected women. , 2001, The British journal of medical psychology.

[50]  E. Cornwell,et al.  Measuring social isolation among older adults using multiple indicators from the NSHAP study. , 2009, The journals of gerontology. Series B, Psychological sciences and social sciences.

[51]  M. Rosedale Loneliness: An Exploration of Meaning , 2007 .

[52]  S Eronen,et al.  Social strategies and loneliness. , 1997, The Journal of social psychology.

[53]  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.

[54]  J. Fries,et al.  The Stanford Health Assessment Questionnaire: a review of its history, issues, progress, and documentation. , 2003, The Journal of rheumatology.

[55]  Mullins Lc,et al.  Social determinants of loneliness among older Americans. , 1996 .

[56]  Gerda G. Fillenbaum,et al.  Multidimensional Functional Assessment of Older Adults: The Duke Older Americans Resources and Services Procedures , 1988 .

[57]  E. Pfeiffer A Short Portable Mental Status Questionnaire for the Assessment of Organic Brain Deficit in Elderly Patients † , 1975, Journal of the American Geriatrics Society.

[58]  C. Spielberger Manual for the State-Trait Anxiety Inventory (STAI) (Form Y , 1983 .

[59]  Melba A. Hernandez,et al.  Prevalence and correlates of poor self-rated health in the United States: the national elder mistreatment study. , 2010, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[60]  R. Winningham,et al.  A cognitive intervention to enhance institutionalized older adults’ social support networks and decrease loneliness , 2007, Aging & mental health.

[61]  T. V. van Tilburg,et al.  Changes in Older Adult Loneliness , 2005 .

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

[63]  J. Zauszniewski,et al.  Loneliness: a concept analysis. , 2008, Nursing forum.

[64]  Shireen Pavri Loneliness in Children with Disabilities How Teachers Can Help , 2001 .

[65]  V. Freedman,et al.  Biobehavioral Correlates of Relocation in the Frail Elderly: Salivary Cortisol, Affect, and Cognitive Function , 2004, Journal of the American Geriatrics Society.