Understanding the Effect of Loneliness on Quality of Life in Older Adults from Longitudinal Approaches.

IF 3.6 1区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psychosocial Intervention Pub Date : 2024-09-02 eCollection Date: 2024-09-01 DOI:10.5093/pi2024a11

Zaira Torres, Amparo Oliver, José M Tomás

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Abstract

Aim: To study the longitudinal relationship between loneliness and quality of life (QoL) in adults to identify key mechanisms to better design future psychosocial interventions. Method: 13,222 participants from three consecutive waves of the Survey of Health, Ageing, and Retirement in Europe (SHARE), aged 65 or older, 56.3% women. They were analyzed using cross-lagged panel model (CLPM), random intercept cross-lagged panel model (RI-CLPM), and multi-group models disaggregated by gender. Results: The RI-CLPM provided a better fit than the CLPM. Both models showed the stability of QoL and loneliness. All autoregressive paths were significant, and a negative association between concurrent QoL and loneliness was observed across all waves. The CLPM supported a reciprocal relationship, while the RI-CLPM only confirmed the effects of loneliness on QoL. Women reported higher levels of loneliness and poorer QoL, but no gender differences were identified in the longitudinal association. Conclusions: Addressing loneliness in early stages could be a better preventive measure to promote quality of life in both genders.

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从纵向方法了解孤独感对老年人生活质量的影响。

目的：研究成人孤独感与生活质量（QoL）之间的纵向关系，找出关键机制，以便更好地设计未来的心理干预措施。研究方法13,222 名连续三波欧洲健康、老龄和退休调查（SHARE）的参与者，年龄在 65 岁或以上，56.3% 为女性。采用交叉滞后面板模型（CLPM）、随机截距交叉滞后面板模型（RI-CLPM）和按性别分列的多组模型对其进行分析。分析结果RI-CLPM 的拟合效果优于 CLPM。两个模型都显示了 QoL 和孤独感的稳定性。所有自回归路径都是显著的，并且在所有波次中都观察到并发 QoL 与孤独感之间存在负相关。CLPM支持互惠关系，而RI-CLPM仅证实了孤独感对QoL的影响。女性报告的孤独程度更高，QoL 更差，但在纵向关联中未发现性别差异。结论在早期阶段解决孤独问题可能是提高男女生活质量的更好的预防措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychosocial Intervention PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

8.00

自引率

8.30%

发文量

审稿时长

14 weeks

期刊介绍： Psychosocial Intervention is a peer-reviewed journal that publishes papers in all areas relevant to psychosocial intervention at the individual, family, social networks, organization, community, and population levels. The Journal emphasizes an evidence-based perspective and welcomes papers reporting original basic and applied research, program evaluation, and intervention results. The journal will also feature integrative reviews, and specialized papers on theoretical advances and methodological issues. Psychosocial Intervention is committed to advance knowledge, and to provide scientific evidence informing psychosocial interventions tackling social and community problems, and promoting social welfare and quality of life. Psychosocial Intervention welcomes contributions from all areas of psychology and allied disciplines, such as sociology, social work, social epidemiology, and public health. Psychosocial Intervention aims to be international in scope, and will publish papers both in Spanish and English.