Toward a Better Understanding of Loneliness In Community-Dwelling Older Adults

被引:66
作者
Smith, Judith M. [1 ]
机构
[1] Barnes Jewish Coll, Goldfarb Sch Nursing, St Louis, MO USA
关键词
loneliness; social interaction; stress and coping; SOCIAL-ISOLATION; ELDERLY-PEOPLE; FOLLOW-UP; SCALE; SUPPORT; HEALTH; INTERVENTIONS; VALIDITY; PROGRAM; NETWORK;
D O I
10.1080/00223980.2011.602132
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
The purpose of this interpretive phenomenological study was to explore the meaning of loneliness in community-dwelling older adults and to understand their daily practices in coping with loneliness. The sample consisted of 8 women and 4 men. Interviews were conducted with the 12 participants utilizing several tools, including 3 separate interview guides and the UCLA Loneliness Scale, Version 3 (Russell, 1996). A critical finding was that many participants experienced loneliness as a result of disrupted meaningful engagement, due to age-related changes, as well as other losses, including death of spouse, retirement, and giving up the car. Two paradigm cases and themes representing the loneliness and coping experience emerged. Participant coping practices with loneliness included reaching out to others, helping those in need, and seeking companionship with pets. Many older adults are at risk for loneliness because of declining health and other age-related losses that prevent them from remaining engaged in meaningful relationships. Health care professionals can screen for loneliness to identify those at risk and can intervene to help older adults maintain connections. Recommendations for those caring for lonely older adults include active listening, vision and hearing screenings, transportation needs, pet therapy, volunteering, and engagement in social activities.
引用
收藏
页码:293 / 311
页数:19
相关论文
共 66 条
[1]   Loneliness and depression in independent living retirement communities: risk and resilience factors [J].
Adams, KB ;
Sanders, S ;
Auth, EA .
AGING & MENTAL HEALTH, 2004, 8 (06) :475-485
[2]  
Aebischer Jane, 2008, Home Healthc Nurse, V26, P521, DOI 10.1097/01.NHH.0000338510.54828.89
[3]   Loneliness research and interventions: a review of the literature [J].
Andersson, L .
AGING & MENTAL HEALTH, 1998, 2 (04) :264-274
[4]  
Angen MJ, 2000, QUAL HEALTH RES, V10, P378, DOI 10.1177/104973230001000308
[5]  
[Anonymous], 2000, INTRO PHENOMENOLOGY
[6]   FACTORIAL STRUCTURE OF THE UCLA LONELINESS SCALE [J].
AUSTIN, BA .
PSYCHOLOGICAL REPORTS, 1983, 53 (03) :883-889
[7]  
Benner P.E., 1994, Interpretive Phenomenology: Embodiment, Caring, and Ethics in Health and Illness, P99, DOI [10.4135/9781452204727, DOI 10.4135/9781452204727.N6]
[8]   Screening and management of adult hearing loss in primary care - Clinical applications [J].
Bogardus, ST ;
Yueh, B ;
Shekelle, PG .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (15) :1986-1990
[9]  
Cacioppo J. T., 2008, LONELINESS HUMAN NAT
[10]   Preventing social isolation and loneliness among older people: a systematic review of health promotion interventions [J].
Cattan, M ;
White, M ;
Bond, J ;
Learmouth, A .
AGEING & SOCIETY, 2005, 25 :41-67