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The goal of this research is to test whether often observed correlates of loneliness in older age are related to onset of
loneliness longitudinally. Despite the increasing number of longitudinal studies, the investigation of factors that are related
to onset of loneliness is still limited. Analyses are based on data of the TamELSA study, which is a population-based prospective
study in Tampere, Finland and started in 1979. For the present study 469 older adults aged between 60 and 86 years at baseline,
who were not lonely at baseline, were selected and followed-up in 1989, 1999 and 2006. During the 28 years of follow-up approximately
one third (N = 178) of the study population developed feelings of loneliness. Logistic regression analyses indicated that losing a partner,
reduced social activities, increased physical disabilities, increased feelings of low mood, uselessness and nervousness, rather
than baseline characteristics, are related to enhanced feelings of loneliness at follow-up. The higher incidence of loneliness
among women can be fully explained by the unequal distribution of risk factors among men and women (e.g., women more often
become widowed). Our results are in line with the cognitive approach that conceptualizes loneliness as an unpleasant feeling
due to a perceived discrepancy between the desired and the achieved level of social and personal resources. 相似文献
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The epidemiology of social isolation and loneliness among older adults during the last years of life
Ashwin A. Kotwal MD MS Irena S. Cenzer PhD Linda J. Waite PhD Kenneth E. Covinsky MD MPH Carla M. Perissinotto MD MHSH W. John Boscardin PhD Louise C. Hawkley PhD William Dale MD PhD Alexander K. Smith MD MPH MS 《Journal of the American Geriatrics Society》2021,69(11):3081-3091
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The aim of the present study was to evaluate the effectiveness of Acceptance and Commitment Therapy (ACT) for treatment of anorexia nervosa (AN) using a case series methodology among participants with a history of prior treatment for AN. Three participants enrolled; all completed the study. All participants had a history of 1–20 years of intensive eating disorder treatment prior to enrollment. Participants were seen for 17–19 twice‐weekly sessions of manualized ACT. Symptoms were assessed at baseline, post‐treatment and 1‐year follow‐up. All participants experienced clinically significant improvement on at least some measures; no participants worsened or lost weight even at 1‐year follow‐up. Simulation modelling analysis (SMA) revealed for some participants an increase in weight gain and a decrease in eating disorder symptoms during the treatment phase as compared to a baseline assessment phase. These data, although preliminary, suggest that ACT could be a promising treatment for subthreshold or clinical cases of AN, even with chronic participants or those with medical complications. Copyright © 2009 John Wiley & Sons, Ltd and Eating Disorders Association. 相似文献
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Profile of ethnicity,living arrangements and loneliness amongst older adults in Aotearoa New Zealand: A national cross‐sectional study 下载免费PDF全文
Hamish A Jamieson Helen M Gibson Rebecca Abey‐Nesbit Annabel Ahuriri‐Driscoll Sally Keeling Philip J Schluter 《Australasian journal on ageing》2018,37(1):68-73
Objective
To explore the patterns of living arrangements, ethnicity and loneliness amongst older adults (aged 65+ years) living at home.Methods
National interRAI‐HC (International Residential Assessment Instrument‐Home Care) assessments conducted between 1 September 2012 and 31 January 2016 were analysed. Analysis focused on the associations between loneliness and both ethnic groups and living arrangements.Results
There were 71 859 eligible participants, with average age 82.7 years, comprising Māori (5%), Pasifika (3%), Asian (2%) and European/Other (89%) ethnic identification. Most stated that they were not lonely (79%), but those living alone were more likely to be lonely (29%) than those living with others (14%) (P < 0.05). Amongst those living alone, significant differences in the likelihood of being lonely emerged between ethnic groups (P < 0.05).Conclusions
Ethnic identification and living arrangements were significantly associated with the likelihood of loneliness for those having an interRAI‐HC assessment. Efforts to reduce the negative impacts of loneliness need a nuanced approach. 相似文献15.
Amy Budrikis Cate Parry Claire Adams Eyal Gringart Moira Sim Daniel McAullay Natalie Strobel 《Australasian journal on ageing》2023,42(2):429-435
Objective
To investigate how small, local organisations were impacted by and responded to COVID-19 in their delivery of social care services to older adults (70 years and older). Lessons learnt and future implications are discussed.Methods
Six representatives from four social care services (five females and one male) participated in individual semistructured interviews. Responses were analysed thematically.Results
The key themes identified were service providers' experience, perceived needs of older adults and adapting services. Service providers positioned themselves as front-line essential workers for their older adult clients, resulting in some emotional toll and distress for the service providers. They provided information, wellness checks and at-home assistance to keep their older adult clients connected.Conclusions
Service providers feel more prepared for future restrictions but flag the potential of training and supporting older adults to use technology to stay connected, as well as the need for more readily available funding to allow services to adapt quickly during times of crisis. 相似文献16.
The aim of this study was to analyze the situation of social support exchange among elderly men and women and to study the cross-cultural validity of predictors of loneliness in two Nepalese castes/ethnicities of older adults. Data for this study were taken from a cross-sectional study of the elderly at least 60 years old living in one ward of Kathmandu City, conducted in 2005. Loneliness was measured using a three-item loneliness scale based on the University of California at Los Angeles (UCLA) Loneliness Scale. Sources of social support were classified as spouse, children living with their elders, children living apart, and friends/neighbors. Study findings indicate that the main social support exchange for the elderly was with adult children living together, spouse, and friends/neighbors. Results also show gender difference in social support. Significant variables of loneliness were social support received from spouse, social support provided to spouse, and children living together with both elderly parents. This finding shows there is a high degree of cross-cultural invariance in the predictor sources of social support on loneliness among two Nepalese castes/ethnicities older adults. 相似文献
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Annahita Ehsan Danilo Bolano Sylvie Guillaume-Boeckle Dario Spini 《European journal of ageing》2021,18(3):333
Older adults are at a high risk for loneliness, and community-based interventions can help reduce loneliness for all older adults in a community, regardless of their migration status. However, little research has investigated how older adults, including locals and migrants (in this case, internal newcomers and international expats) participate in these interventions. The “Neighbourhoods in Solidarity” (NS) are a series of community-based interventions that aim to increase social connectedness and reduce loneliness in older adults (55+) in the canton of Vaud, Switzerland. This longitudinal embedded mixed-methods study aimed to understand whether older adults (distinguishing between locals, newcomers, and expats) were aware of and participated in the NS, to assess whether participation was associated with changes in loneliness, and to identify relevant processes that could explain a reduction in loneliness. We combined a longitudinal pre/post survey (235 respondents) with ethnographic observations and informal interviews. Quantitative findings showed that individuals who participated in the NS did not have significant changes in loneliness. Qualitative findings showed that perceived migration played an important role in who participated, and that the community distinguished between two types of migrants: newcomers who spoke French fluently, and expats who did not. Individuals were only ‘local’ if they had ancestors from the town. Some newcomers and some locals used the NS as a platform to build a new sense of community within the NS, whereas expats rarely participated. This was due to linguistic and cultural determinants, institutional constraints, interpersonal relationships, and personal preferences. 相似文献