Social support and sense of loneliness in solitary older adults

Older people are vulnerable to loneliness and isolation. Solitary seniors are more likely to suffer the feelings of loneliness with inadequate social networks. Based on a face-to-face questionnaire survey with 151 community-dwelling solitary seniors, the present study examined the associations between social support and the sense of loneliness among solitary older adults in Hong Kong. The results showed that poor mental health status, financial inadequacy and weak social support networks were significantly associated with the sense of loneliness of solitary older adults, with social support being the most prominent risk factor. Frequent contacts with siblings, relatives or friends were found to be important sources of social support to combat loneliness. Policy and service implications are discussed

Sources and directions of social support and life satisfaction among solitary Chinese older adults in Hong Kong: the mediating role of sense of loneliness

Based on survey data collected from 151 community-dwelling solitary Chinese older adults in Hong Kong, the present study used path analysis to examine the mediating role of sense of loneliness in the relationship between different sources and directions of social support and life satisfaction. The results showed that sense of loneliness mediated the effects of support from families, friends, and support for others on life satisfaction. In addition, a formal source of social support was not associated with life satisfaction among solitary older adults, although those with a more secure financial status had greater overall life satisfaction. These findings highlight the importance of enhancing awareness among social and health care service providers about the negative effects of insufficient social support on older adults’ sense of loneliness and life satisfaction. Family and friendship networks should be expanded for solitary older adults

Qualitative study of loneliness in a senior housing community: the importance of wisdom and other coping strategies.

ObjectiveOlder adults are at a high risk for loneliness, which impacts their health, well-being, and longevity. While related to social isolation, loneliness is a distinct, internally experienced, distressing feeling. The present qualitative study sought to identify characteristics of loneliness in older adults living independently within a senior housing community, which is typically designed to reduce social isolation.MethodSemi-structured qualitative interviews regarding the experience of loneliness, risk factors, and ways to combat it were conducted with 30 older adults, ages 65-92 years. The interviews were audiotaped, transcribed, and coded using a grounded theory analytic approach based on coding, consensus, co-occurrence, and comparison.ResultsThree main themes with multiple subthemes are described: (A) Risk and Protective factors for loneliness: age-associated losses, lack of social skills or abilities, and protective personality traits; (B) Experience of loneliness: Sadness and lack of meaning as well as Lack of motivation; and (C) Coping strategies to prevent or overcome loneliness: acceptance of aging, compassion, seeking companionship, and environment enables socialization.DiscussionDespite living within a communal setting designed to reduce social isolation, many older adults described feeling lonely in stark negative terms, attributing it to aging-associated losses or lack of social skills and abilities. However, interviewees also reported positive personal qualities and actions to prevent or cope with loneliness, several of which mirrored specific components of wisdom. The results support the reported inverse relationship between loneliness and wisdom and suggest a potential role for wisdom-enhancing interventions to reduce and prevent loneliness in older populations

Solitary days, solitary activities, and associations with well-being among older adults

Objectives.- Drawing on activity theory of aging, we examined whether solitary activities may be associated with negative well-being, as they may reflect social isolation. Using American Time Use Surveys, with information on "with whom" individuals engaged in activities over a 24 hr period, we created measures capturing solitary days and solitary activities to understand their prevalence and associations with well-being. Methods.- At the daily level, we examined associations between solitary days and proportion of the day in solitary activities with life satisfaction. At the activity level, we examined associations between engaging in an activity alone versus with others and emotional state during the activity. Results.- Solitary days and higher proportion of the day spent in solitary activities were associated with lower life satisfaction. These associations were attenuated controlling for individual covariates. Engagement in activities alone was associated with lower levels of happiness and higher levels of sadness and pain during the activity, and association with happiness remained even adjusting for covariates. Discussion.- A sizable proportion of older adults reported solitary days, and proportion of the day spent in solitary activities increases by age. Examining lived experiences of older adults and presence of others during activities could contribute to research on social isolation

The effects of community on wellness: An exploration of utilizing community to address loneliness

The subjective experience of loneliness is a growing public health concern that is deserving of the attention of mental health professionals. This project offers a review of current literature necessary for conceptualizing and understanding loneliness, and provides evidence for the positive impact of finding community in fostering acceptance and sense of belonging for lonely individuals. Research on possible responses to loneliness are explored, as are cultural influences and the implications of connection through the use of technology. Finally, the responsibility of mental health practitioners in addressing loneliness is examined, and suggestions for prevention, advocacy, and treatment are discussed

The healthy solitary person

This thesis explored the concept of the healthy solitary person who prefers to spend time alone and pursue activities independently and whose independent way of life serves as a source of strength and pleasure. Despite the American ideal of the rugged individualist, the solitary person is often pathologized, seen as being in a transitional state, or not considered at all by much of the psychological literature and by American society at large. This paper examined the societal role played by solitude and drew from self psychology and object relations theory to answer the following question: how can a solitary lifestyle be based on a foundation of psychological health and provide additional psychological and emotional benefits? To provide a contextual understanding of solitary people, this paper discussed the preponderance of negative views of solitude in the scholarly literature as well as benefits from solitude and the possibility of a developmental need for solitude as important as the need for attachment. The issue of stereotyping and discrimination against singles was presented as an important issue for solitary people, who may encounter these difficulties as they pursue independent activities. Winnicott\u27s belief that the capacity to be alone is one of the greatest signs of emotional maturity supported the concept that a solitary lifestyle can be based on a foundation of psychological health. From self psychology, solitary pursuits can promote the acquisition of selfobject experiences that build and strengthen one\u27s cohesive self. A solitary lifestyle can therefore provide additional psychological and emotional benefits

The Science of Solitary: Expanding the Harmfulness Narrative

The harmful effects of solitary confinement have been established in a variety of direct observations and empirical studies that date back to the nineteenth century, conducted in many different countries by researchers with diverse disciplinary backgrounds. This Essay argues that these effects should be situated and understood in the context of a much larger scientific literature that documents the adverse and sometimes life- threatening psychological and physical consequences of social isolation, social exclusion, loneliness, and the deprivation of caring human touch as they occur in free society. These dangerous conditions are the hallmarks of solitary confinement. Yet they are imposed on prisoners in far more toxic forms that exacerbate their harmful effects, are incurred in addition to the adverse consequences of incarceration per se, and operate in ways that increase their long-term negative impact. This broader empirical and theoretically grounded scientific perspective expands the harmfulness narrative about solitary confinement and argues in favor of much greater restrictions on its use

Transitions in loneliness in later life: the role of social comparisons and coping strategies

This study explored the coping strategies and social comparisons used by older adults on different loneliness trajectories (decreased loneliness, stable loneliness and degenerating loneliness). The adaptive consequences of social comparison in later life are recognised as an important strategy for preserving life satisfaction regardless of age-related losses. Coping strategies are also important in managing loneliness. Narrative interviews were conducted with lonely older adults (N = 11) who had participated in Wave One of the Maintaining Function and Well-being in Later Life Study Wales (CFAS Wales). The study found key differences in the coping strategies employed by older adults on different loneliness trajectories. Differences in coping styles between those who reported decreased loneliness and those who were chronically lonely stemmed from perceptions as to whether loneliness was modifiable or not. Different types of social comparison were also found to modulate the loneliness experience. The findings indicate that higher-order strategies (problem, emotional and meaning focused) are not distinct entities but are part of a dynamic process. The management of loneliness in later life may be dependent on several factors, including older adults’ interpretations of the cause of loneliness. These interpretations will have implications for interventions aimed at alleviating chronic loneliness, where the focus may have to be on changing older adult's perceptions of unmodifiable loneliness

Coping with loneliness: What do older adults suggest?

Objectives: A limited amount of information is available on how older adults cope with loneliness. Two ways of coping are distinguished here, i.e. active coping by improving relationships and regulative coping by lowering expectations about relationships. We explore how often older adults suggest these options to their lonely peers in various situations and to what extent individual resources influence their suggestions. Method: After introducing them to four vignettes of lonely individuals, discriminating with regard to age, partner status, and health, 1187 respondents aged 62 to 100 from the Longitudinal Aging Study Amsterdam were asked whether this loneliness can be alleviated by using various ways of coping. Results: In general, both ways of coping were often suggested. However, regression analyses revealed that active coping was suggested less often to people who are older, in poor health, or lonely and by older adults who were employed in midlife and have high self-esteem. Regulative coping was suggested more often to people who are older and by older adults with a low educational level and with low mastery. Conclusions: Coping with loneliness by actively removing the stressor is less often seen as an option for and by the people who could benefit most from it. This underlines the difficulty of combating loneliness

Healthy ageing and home: The perspectives of very old people in five European countries

This paper reports on in-depth research, using a grounded theory approach, to examine the ways in which very old people perceive healthy ageing in the context of living alone at home within urban settings in five European countries. This qualitative study was part of a cross-national project entitled ENABLE-AGE which examined the relationship between home and healthy ageing. Interviews explored the notion of healthy ageing, the meaning and importance of home, conceptualisations of independence and autonomy and links between healthy ageing and home. Data analysis identified five ways in which older people constructed healthy ageing: home and keeping active; managing lifestyles, health and illness; balancing social life; and balancing material and financial circumstances. Older people reflected on their everyday lives at home in terms of being engaged in purposeful, meaningful action and evaluated healthy ageing in relation to the symbolic and practical affordances of the home, contextualised within constructions of their national context. The research suggests that older people perceive healthy ageing as an active achievement, created through individual, personal effort and supported through social ties despite the health, financial and social decline associated with growing older. The physicality and spatiality of home provided the context for establishing and evaluating the notion of healthy ageing, whilst the experienced relationship between home, life history and identity created a meaningful space within which healthy ageing was negotiated