A Systematic Review of Loneliness and Common Chronic Physical Conditions in Adults.
A Systematic Review of Loneliness and Common Chronic Physical Conditions in Adults.
复制标题
DOI：
10.2174/1874350101508010113
复制
发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Theeke L
中科院分区：
文献类型：
--
作者：
Petitte T;Mallow J;Barnes E;Petrone A;Barr T;Theeke L
孤独症是成年人普遍存在的全球性问题，在定量研究中与多种慢性疾病有关。本文对定量研究进行了系统回顾，这些研究探讨了孤独与常见慢性疾病之间的联系，包括：心脏病，高血压，中风，肺病和代谢紊乱。在PRISMA声明的指导下进行了全面的文献检索，纳入了33篇测量慢性病人群孤独感的文章。孤独症是一种重要的生物心理社会应激源，在患有心脏病、高血压、中风和肺病的成年人中普遍存在。孤独、肥胖和代谢紊乱之间的关系尚未得到充分研究，但目前的研究表明，孤独与肥胖和肥胖者的心理压力有关。有限的干预措施已经证明了减少患有这些慢性疾病的成年人孤独感的长期有效性。未来的纵向随机试验，提高知识如何减少孤独可以导致改善健康结果的人与常见的慢性病将继续建立证据，以支持翻译的结果，临床护理的建议。
Loneliness is a prevalent and global problem for adult populations and has been linked to multiple chronic conditions in quantitative studies. This paper presents a systematic review of quantitative studies that examined the links between loneliness and common chronic conditions including: heart disease, hypertension, stroke, lung disease, and metabolic disorders. A comprehensive literature search process guided by the PRISMA statement led to the inclusion of 33 articles that measure loneliness in chronic illness populations. Loneliness is a significant biopsychosocial stressor that is prevalent in adults with heart disease, hypertension, stroke, and lung disease. The relationships among loneliness, obesity, and metabolic disorders are understudied but current research indicates that loneliness is associated with obesity and with psychological stress in obese persons. Limited interventions have demonstrated long-term effectiveness for reducing loneliness in adults with these same chronic conditions. Future longitudinal randomized trials that enhance knowledge of how diminishing loneliness can lead to improved health outcomes in persons with common chronic conditions would continue to build evidence to support the translation of findings to recommendations for clinical care.