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老年父母的孤独感:婚姻转变、家庭与社会关系以及分房睡眠

Loneliness in older parents: marital transitions, family and social connections, and separate bedrooms for sleep.

作者信息

Chiao Chi, Lin Wen-Hsu, Chen Yu-Hua, Yi Chin-Chun

机构信息

Institute of Health and Welfare Policy, College of Medicine, National Yang Ming Chiao Tung University, No.155, Sec.2, Linong Street, Taipei City, 112, Taiwan, Republic of China.

Institute of Public Health, College of Medicine, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong Street, Taipei City, 112, Taiwan, Republic of China.

出版信息

BMC Geriatr. 2021 Oct 22;21(1):590. doi: 10.1186/s12877-021-02550-x.

Abstract

OBJECTIVES

This research innovatively analyzed the marital transitions (i.e., divorce and widowhood) of older Taiwanese parents, their sleep problems and spousal specific characteristics (i.e., separate bedrooms for sleep and marital relationships) as well as their social and family connections, all of which were simultaneously reflected in emotional and social domains of loneliness.

METHODS

Data are from 1645 older parents from Northern Taiwan. Loneliness was assessed by a De Jong-Gierveld short scale with emotional and social domains. We conducted multivariate logistic regression to examine the associations of marital transitions and family/social connections regarding sleep problems and psychological well-being with loneliness in social and emotional domains. Besides sleep problems and individual socioeconomic status, we included data on couples' sleeping arrangements and marital relationships.

RESULTS

Social loneliness was significantly associated with being divorced (AOR = 1.80, 95% CI 1.13-2.86) and living alone (AOR = 1.50, 95% CI 1.02-2.23). In contrast, strong family cohesion and frequent weekly contact with friends were associated with lower social loneliness. Married parents who slept in separate bedrooms were more likely than bed-sharing couples to feel emotional and social loneliness, despite adjusting for their sleep problems. Furthermore, satisfactory spousal relationships significantly decreased the magnitude of associations in the social domain.

DISCUSSION

Our findings support significant associations between loneliness in later life and major marital transitions, family and social connections and sleep problems which differ in social and emotional domains. Independent of relationship satisfaction, separate bedrooms relate to higher risks of emotional loneliness in older adults.

摘要

目的

本研究创新性地分析了台湾老年父母的婚姻转变(即离婚和丧偶)、他们的睡眠问题和配偶特定特征(即分床睡眠和婚姻关系)以及他们的社会和家庭联系,所有这些都同时反映在孤独感的情感和社会领域。

方法

数据来自台湾北部的1645名老年父母。使用德容 - 吉尔维尔德简短量表评估孤独感的情感和社会领域。我们进行了多变量逻辑回归分析,以检验婚姻转变以及家庭/社会联系在睡眠问题和心理健康方面与情感和社会领域孤独感之间的关联。除了睡眠问题和个人社会经济地位外,我们还纳入了夫妻睡眠安排和婚姻关系的数据。

结果

社会孤独感与离婚(优势比[AOR]=1.80,95%置信区间[CI]1.13 - 2.86)和独居(AOR = 1.50,95% CI 1.02 - 2.23)显著相关。相比之下,强大的家庭凝聚力和每周与朋友的频繁联系与较低的社会孤独感相关。分床睡的已婚父母比同床睡的夫妻更有可能感到情感和社会孤独,尽管对他们的睡眠问题进行了调整。此外,令人满意的配偶关系显著降低了社会领域关联的程度。

讨论

我们的研究结果支持晚年孤独感与主要婚姻转变、家庭和社会联系以及睡眠问题之间的显著关联,这些在情感和社会领域有所不同。独立于关系满意度,分床睡与老年人情感孤独的较高风险相关。

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本文引用的文献

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Will the pandemic reframe loneliness and social isolation?这场大流行会重新定义孤独和社交隔离吗?
Lancet Healthy Longev. 2021 Feb;2(2):e54-e55. doi: 10.1016/S2666-7568(20)30066-0. Epub 2021 Jan 14.
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Families in Later Life: A Decade in Review.晚年的家庭:十年回顾
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Sleep disturbance and psychiatric disorders.睡眠障碍与精神疾病。
Lancet Psychiatry. 2020 Jul;7(7):628-637. doi: 10.1016/S2215-0366(20)30136-X.
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A unified approach to loneliness.应对孤独的统一方法。
Lancet. 2020 Jan 11;395(10218):114. doi: 10.1016/S0140-6736(19)32533-4.
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Loneliness and sleep in older adults.老年人的孤独感与睡眠。
Soc Psychiatry Psychiatr Epidemiol. 2020 Feb;55(2):269-272. doi: 10.1007/s00127-019-01805-8. Epub 2019 Nov 15.

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