Loneliness, social support networks, mood and wellbeing in community-dwelling elderly
Loneliness, social support networks, mood and wellbeing in community-dwelling elderly
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DOI：
10.1002/gps.2181
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发表时间：
2009-07-01
影响因子：
4
通讯作者：
Lawlor, Brian A.
中科院分区：
文献类型：
--
作者：
Golden, Jeannette;Conroy, Ronan M.;Lawlor, Brian A.
目的孤独感和社交网络都与情绪和幸福感有关。然而，很少有研究同时在社区居住的参与者中检查这些因素。本研究旨在探讨都柏林社区老年人的社会网络、孤独感、抑郁、焦虑与生活质量之间的关系。方法对1,299名65岁及以上通过初级保健服务招募的老年人，在家中使用GMS-AGECAT进行访谈。结果35%的受试者感到孤独，9%的受试者认为这很痛苦，6%的受试者觉得很烦人。同样，34%的人拥有非整合的社交网络。然而，这两种结构是截然不同的：32%拥有一体化社交网络的参与者报告说他们感到孤独。孤独感在女性、寡妇和身体残疾的人中更高，并随着年龄的增长而增加，但当年龄相关变量被控制后，这种联系并不显著。幸福感、情绪低落和绝望都与孤独和不完整的社会网络独立相关。特别是，孤独感解释了寡妇患抑郁症的额外风险。与孤独相关的人群归因风险(PAR)为61%，而未整合的社会网络的PAR为19%。总而言之，他们得出的结论是，孤独和社交网络都独立地影响着老年人的情绪和幸福感，这在抑郁情绪中占据了非常大的比例。版权所有(C)2009 John Wiley&Sons，Ltd.
Objective Both loneliness and social networks have been linked with mood and wellbeing. However, few studies have examined these factors simultaneously in community-dwelling participants. The aim of this study was to examine the relationship between social network, loneliness, depression, anxiety and quality of life in community dwelling older people living in Dublin.Methods One thousand two hundred and ninety-nine people aged 65 and over, recruited through primary care practices, were interviewed in their own homes using the GMS-AGECAT. Social network was assessed using Wenger's typology.Results 35% of participants were lonely, with 9% describing it as painful and 6% as intrusive. Similarly, 34% had a non-integrated social network. However, the two constructs were distinct: 32% of participants with an integrated social network reported being lonely. Loneliness was higher in women, the widowed and those with physical disability and increased with age, but when age-related variables were controlled for this association was non-significant. Wellbeing, depressed mood and hopelessness were all independently associated with both loneliness and non-integrated social network. In particular, loneliness explained the excess risk of depression in the widowed. The population attributable risk (PAR) associated with loneliness was 61%, compared with 19% for non-integrated social network. Taken together they had a PAR of 70%Conclusions Loneliness and social networks both independently affect mood and wellbeing in the elderly, underlying a very significant proportion of depressed mood. Copyright (C) 2009 John Wiley & Sons, Ltd.