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老年人社交与情感孤独的相关因素:来自一项英国社区研究的证据

Correlates of social and emotional loneliness in older people: evidence from an English community study.

作者信息

Dahlberg Lena, McKee Kevin J

机构信息

a Centre for Health and Social Care Research, Sheffield Hallam University , Sheffield , United Kingdom.

出版信息

Aging Ment Health. 2014 May;18(4):504-14. doi: 10.1080/13607863.2013.856863. Epub 2013 Nov 19.

Abstract

OBJECTIVES

Loneliness is an important influence on quality of life in old age and has been conceptualised as consisting of two dimensions, social and emotional. This article describes analyses that sought to produce models of social and emotional loneliness in older people, using demographic, psychological and health, and social variables.

METHOD

Older people (aged 65+, n=1255) from the Barnsley metropolitan area of the United Kingdom were recruited randomly from within a stratified sampling frame and received a questionnaire-based interview (response rate: 68.1%). The questionnaire contained items and scales on demographic, psychological and health, and social characteristics, and a validated measure of loneliness that assesses both social and emotional loneliness.

RESULTS

Of the respondents, 7.7% were found to be severely or very severely lonely, while another 38.3% were moderately lonely. Social and emotional loneliness shared 19.36% variance. Being male, being widowed, low well-being, low self-esteem, low-income comfort, low contact with family, low contact with friends, low activity, low perceived community integration, and receipt of community care were significant predictors of social loneliness (R=0.50, R2=0.25, F(18, 979)=18.17, p<0.001). Being widowed, low well-being, low self-esteem, high activity restriction, low-income comfort, and non-receipt of informal care were significant predictors of emotional loneliness (R=0.55, R2=0.30, F (18, 973)=23.00, p<0.001).

CONCLUSION

This study provides further empirical support for the conceptual separation of emotional and social loneliness. Consequently, policy on loneliness in older people should be directed to developing a range of divergent intervention strategies if both emotional and social loneliness are to be reduced.

摘要

目的

孤独对老年人的生活质量有重要影响,并且已被概念化为由社会和情感两个维度组成。本文描述了一些分析,这些分析试图利用人口统计学、心理学、健康和社会变量来构建老年人社会孤独和情感孤独的模型。

方法

从英国巴恩斯利都会区年龄在65岁及以上的老年人(n = 1255)中,在分层抽样框架内随机招募,并接受基于问卷的访谈(回复率:68.1%)。问卷包含有关人口统计学、心理学、健康和社会特征的项目及量表,以及一项经过验证的孤独感测量指标,该指标同时评估社会孤独和情感孤独。

结果

在受访者中,发现7.7%的人处于严重或非常严重的孤独状态,另有38.3%的人处于中度孤独状态。社会孤独和情感孤独的方差共享率为19.36%。男性、丧偶、幸福感低、自尊低、收入舒适度低、与家人联系少、与朋友联系少、活动少、社区融入感低以及接受社区护理是社会孤独的显著预测因素(R = 0.50,R² = 0.25,F(18, 979) = 18.17,p < 0.001)。丧偶、幸福感低、自尊低、活动受限程度高、收入舒适度低以及未接受非正式护理是情感孤独的显著预测因素(R = 0.55,R² = 0.30,F(18, 973) = 23.00,p < 0.001)。

结论

本研究为情感孤独和社会孤独的概念分离提供了进一步的实证支持。因此,如果要减少情感孤独和社会孤独,针对老年人孤独问题的政策应旨在制定一系列不同的干预策略。

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