Loneliness and its concomitants among older adults during the COVID-19 pandemic.
Loneliness and its concomitants among older adults during the COVID-19 pandemic.
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DOI：
10.1017/s1041610220003476
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发表时间：
2020-10
影响因子：
7
通讯作者：
Shrira A
中科院分区：
文献类型：
--
作者：
Frenkel-Yosef M;Maytles R;Shrira A
由于COVID-19危机，老年人可能面临一些人所谓的“孤独流行病”（Palgi et al.，2020年）。孤独的并发症可以包括发病和死亡（Jeste等人，2020年）。因此，这项研究旨在确定在大流行期间感到孤独的老年人。尽管与年轻人相比，老年人与COVID-19相关的孤独感实际上较低（Losada-Baltar等人，大流行前的数据表明，孤独感在老年人中最高（Beam和Kim，2020）。超越年龄和身体健康（Jeste等人，2020），对衰老的负面看法（VoA）也与COVID-19相关的孤独感增加有关（Losada-Baltar et al.，2020年）。然而，积极的VoA-潜在地加强心理社会资源（Schwartz等人，2020)-还未被充分发掘此外，虽然心理困扰是孤独的已知相关因素（Palgi et al.，2020），对自我隔离过程中的共同特征知之甚少，例如通过可用手段（电话，视频和面对面）进行互动或参与日常活动。我们假设孤独感在年龄最大的人中最高，那些有医疗条件的人，更消极和更少积极的VoA，减少互动，以及低活动参与。样本包括295名老年人（平均年龄= 75.73，范围60-94，68.5%女性），通过与老年人相关的组织提供的联系人列表，并通过电话，面对面采访，或在提供Bar-Ilan大学伦理委员会批准的程序的知情同意书后，要求完成基于网络的问卷调查。背景特征包括年龄、性别、教育、经济和婚姻状况、子女人数和居住地。也报告了COVID-19暴露和医疗状况。
Due to the COVID-19 crisis, older adults may face with what some have called a “loneliness epidemic”(Palgi et al., 2020). Complications from loneliness can include morbidity and death (Jeste et al., 2020). Hence, this study aimed to identify older adults who feel lonely during the pandemic. Although COVID-19-related loneliness was actually lower among older compared to young adults (Losada-Baltar et al., 2020), pre-pandemic data suggest that loneliness is highest among the oldold (Beam and Kim, 2020). Beyond age and physical health (Jeste et al., 2020), negative views on aging (VoA) were also related to higher COVID-19-related loneliness (Losada-Baltar et al., 2020). Nevertheless, positive VoA–potentially reinforcing psychosocial resources (Schwartz et al., 2020)–are underexplored. Moreover, while psychological distress is a known correlate of loneliness (Palgi et al., 2020), less is known about common features during self-isolation, such as interaction via available means (phone, video, and face-to-face) or engagement in daily activities.We hypothesized that loneliness would be highest among the oldest, those having medical conditions, more negative and less positive VoA, reduced interaction, and low activity engagement. The sample included 295 older adults (mean age= 75.73, range 60–94, 68.5% women) located across Israel between April 23 and June 17, 2020, through contact lists provided by organizations related to older adults, and interviewed face-toface, by phone, or requested to complete a webbased questionnaire when possible after providing informed consent to procedures approved by the ethics committee in Bar-Ilan University. Background characteristics included age, gender, education, financial and marital status, number of children, and place of residence. COVID-19 exposure and medical conditions were reported as well.