Wister Andrew, Kim Boah, Levasseur Mélanie, Poulin Valérie, Qiu Sarah, Yuwono Esther, Meynet Stéphanie, Beadle Julie, Kadowaki Laura, Klasa Katarzyna, Linkov Igor
Gerontology Research Centre and Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada.
Gerontology Research Centre, Simon Fraser University, Vancouver, BC, Canada.
Front Public Health. 2025 Aug 15;13:1589781. doi: 10.3389/fpubh.2025.1589781. eCollection 2025.
The development of a theoretical model applied to social isolation and loneliness (SI/L) among older adults has not kept pace with the exponential growth in empirical research, especially since the COVID-19 pandemic. One promising but under-investigated area is the contribution of resilience models to this field. This paper provides a scoping review of the application of resilience theoretical models to social isolation and loneliness and suggests directions for the development of an integrated new model.
Using the Arksey and O'Malley scoping review method, searches of four databases with 13 keywords were conducted April 9, 2024, with 17 articles meeting the inclusion criteria of the 1,671 extracted articles.
Findings were summarized using thematic analysis separated into four major themes: (1) coping self-efficacy to reduce SI/L; (2) moderating expectations to foster resilience to SI/L; (3) the effects of social support, the environment and resilience on COVID-19 stressors, and; (4) resilience as a mediator between SI/L and mental health. We integrate these findings into a new model entitled the Resilience and Social Isolation Model of Aging (RSIMA).
RSIMA highlights SI/L as a dynamic process on a continuum, as well as elucidating what broader factors can lead to improved social connection, contributing to both individual-level and community resilience. To address the looming public health crisis of social isolation and loneliness among older people, future research studies must consider a systems-level perspective to SI/L and resilience.
应用于老年人社会隔离与孤独感（SI/L）的理论模型的发展，未能跟上实证研究呈指数增长的步伐，尤其是自新冠疫情以来。一个有前景但研究不足的领域是复原力模型在该领域的贡献。本文对复原力理论模型在社会隔离与孤独感方面的应用进行了范围综述，并提出了开发综合新模型的方向。
采用阿克西和奥马利的范围综述方法，于2024年4月9日在四个数据库中用13个关键词进行检索，在提取的1671篇文章中有17篇符合纳入标准。
研究结果采用主题分析进行总结，分为四个主要主题：（1）应对自我效能以减少SI/L；（2）调节期望以增强对SI/L的复原力；（3）社会支持、环境和复原力对新冠疫情压力源的影响，以及；（4）复原力作为SI/L与心理健康之间的中介。我们将这些研究结果整合到一个名为衰老复原力与社会隔离模型（RSIMA）的新模型中。
RSIMA强调SI/L是一个连续统一体上的动态过程，同时阐明了哪些更广泛的因素可导致社会联系改善，有助于个人层面和社区层面的复原力。为应对老年人社会隔离与孤独感这一迫在眉睫的公共卫生危机，未来的研究必须从系统层面考虑SI/L和复原力。
