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毕生孤独体验的研究:定性研究的系统评价和主题综合分析。

Experiences of Loneliness Across the Lifespan: A Systematic Review and Thematic Synthesis of Qualitative Studies.

机构信息

Centre for Improving Health-Related Quality of Life, School of Psychology, Queen's University Belfast, Belfast, UK.

Centre for Identity and Intergroup Relations, School of Psychology, Queen's University Belfast, Belfast, UK.

出版信息

Int J Qual Stud Health Well-being. 2023 Dec;18(1):2223868. doi: 10.1080/17482631.2023.2223868.

Abstract

PURPOSE

Loneliness is a fundamentally subjective experience that is common at various life stages. Studies have qualitatively explored loneliness, but a comprehensive overview is lacking. This research therefore provides a fine-grained review of studies on loneliness experiences across the lifespan.

METHODS

A systematic review and thematic synthesis were performed on studies that qualitatively investigated experiences of loneliness in people of any age from non-clinical populations. Sensitivity analysis assessed the impact of lower-quality studies and specific age groups on the findings.

RESULTS

Twenty-nine studies of 1,321 participants aged between 7 and 103 were included. Fifteen descriptive themes and three overarching analytical themes were developed: (1) Loneliness is both psychological and contextual, (2) Loneliness centres on feelings of meaningful connection and painful disconnection, and (3) Loneliness can exist in a general, pervasive sense or can relate to specific other people or relationship types. Some features were particularly pertinent to children, younger adults, and older adults, respectively.

CONCLUSIONS

Loneliness involves a primarily aversive psychological experience of perceived disconnection which is linked to physical, personal, and socio-political contexts and can be pervasive or relate to specific relationships or relationship types. An awareness of context, life stage, and personal experiences is essential to understand loneliness.

摘要

目的

孤独是一种普遍存在于人生各个阶段的主观体验。已有研究对孤独进行了定性探讨,但缺乏全面的综述。因此,本研究对人生各阶段孤独体验的研究进行了细致的综述。

方法

对定性研究非临床人群中各年龄段人群孤独体验的研究进行了系统评价和主题综合分析。敏感性分析评估了低质量研究和特定年龄组对研究结果的影响。

结果

共纳入 29 项研究,涉及 1321 名年龄在 7 至 103 岁的参与者。共提出 15 个描述性主题和 3 个总体分析主题:(1)孤独既是心理上的,也是情境上的;(2)孤独的核心是有意义的联系感和痛苦的脱节感;(3)孤独可以是普遍存在的,也可以与特定的他人或关系类型有关。一些特征分别与儿童、年轻成人和老年成人有关。

结论

孤独主要涉及一种被感知到的脱节的负面心理体验,这种体验与身体、个人和社会政治背景有关,可能是普遍存在的,也可能与特定的关系或关系类型有关。了解背景、人生阶段和个人经历对于理解孤独至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbc3/10281437/4fef749663e8/ZQHW_A_2223868_F0001_B.jpg

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