Onset of loneliness in older adults: results of a 28 year prospective study.

Onset of loneliness in older adults: results of a 28 year prospective study.
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DOI:
10.1007/s10433-011-0175-7
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发表时间:
2011-03
影响因子:
3.8
通讯作者:
Jylha, Marja
Jylha, Marja
中科院分区:
法学2区
文献类型:
--
作者:
Aartsen, Marja;Jylha, Marja

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这项研究的目的是测试是否经常观察到的老年孤独相关性与孤独的纵向发作有关。尽管越来越多的纵向研究,调查的因素,与孤独的发病仍然是有限的。分析是基于TamELSA研究的数据,这是一项在芬兰坦佩雷进行的基于人群的前瞻性研究,始于1979年。在本研究中,选择了469名年龄在60至86岁之间的老年人,他们在基线时并不孤独,并在1989年,1999年和2006年进行了随访。在28年的随访中,大约三分之一(N = 178)的研究人群产生了孤独感。Logistic回归分析表明,失去伴侣,减少社交活动,增加身体残疾,情绪低落,无用和紧张的感觉增加,而不是基线特征,与后续的孤独感增强有关。妇女孤独感的发生率较高,这完全可以用男女之间风险因素的不平等分布来解释(例如,妇女往往成为寡妇)。我们的研究结果是符合认知的方法,概念化的孤独作为一种不愉快的感觉,由于所期望的和实现的社会和个人资源的水平之间的感知差异。
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.
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