Lonely in a crowd: Overcoming loneliness with acceptance and wisdom

Study looked at characteristics of loneliness in a senior housing community and the strategies residents used to overcome it

January 10, 2020

Science Daily/University of California - San Diego

Researchers found the main characteristics of loneliness in a senior housing community and the strategies residents use to overcome it.

By nature, human beings are social creatures. Yet, as we age, personal dynamics and lifestyles change, which can result in loneliness and isolation. With older adults increasingly moving into senior living or retirement communities, researchers at University of California San Diego School of Medicine sought to identify the common characteristics of residents who feel lonely in these environments.

"Loneliness rivals smoking and obesity in its impact on shortening longevity," said senior author Dilip V. Jeste, MD, senior associate dean for the Center of Healthy Aging and Distinguished Professor of Psychiatry and Neurosciences at UC San Diego School of Medicine. "It is a growing public health concern, and it's important that we identify the underlying causes of loneliness from the seniors' own perspectives so we can help resolve it and improve the overall health, well-being and longevity of our aging population."

Jeste noted that there are few published qualitative studies about loneliness among older adults in the independent living sector of senior housing communities, where shared common areas, planned social outings and communal activities are intended to promote socialization and reduce isolation. "So why are many older adults living in this type of housing still experiencing strong feelings of loneliness?" asked Jeste.

The new study, published online in the January 10, 2020 issue of Aging and Mental Health, found that people's experience of living with loneliness is shaped by a number of personal and environmental factors.

Researchers conducted one-and-a-half-hour individual interviews of 30 adults ages 67 to 92, part of an overall study evaluating the physical, mental and cognitive functions of 100 older adults living in the independent living sector of a senior housing community in San Diego.

In this communal setting, 85 percent of the residents reported moderate to severe levels of loneliness. "Loneliness is subjective," said Jeste. "Different people feel lonely for different reasons despite having opportunities and resources for socialization. This is not a one size fits all topic."

Three main themes emerged from the study:

• Age-associated losses and inadequate social skills were considered to be primary risk factors for loneliness. "Some residents talked about the loss of spouses, siblings and friends as the cause of their loneliness. Others mentioned how making new friends in a senior community cannot replace deceased friends they grew up with," said first author Alejandra Paredes, PhD, a research fellow in the Department of Psychiatry at UC San Diego School of Medicine.

• The feeling of loneliness was frequently associated with a lack of purpose in life. "We heard powerful comments like, 'It's kind of gray and incarcerating,'" said Jeste. "Others expressed a sense of 'not being attached, not having very much meaning and not feeling very hopeful' or 'being lost and not having control.'"

• The research team also found that wisdom, including compassion, seemed to be a factor that prevented loneliness. "One participant spoke of a technique she had used for years, saying 'if you're feeling lonely, then go out and do something for somebody else.' That's proactive," said Jeste. Other protective factors were acceptance of aging and comfort with being alone. "One resident told us, 'I've accepted the aging process. I'm not afraid of it. I used to climb mountains. I want to keep moving, even if I have to crawl. I have to be realistic about getting older, but I consider and accept life as a transition,'" Jeste noted. "Another resident responded, 'I may feel alone, but that doesn't mean I'm lonely. I'm proud I can live by myself.'"

According to the National Center for Health Statistics, by 2029, more than 20 percent of the United States population will be over the age of 65. "It is paramount that we address the well-being of our seniors -- they are friends, parents and grandparents of the younger generations," said Jeste. "Our study is relevant to better understand loneliness within senior housing and other settings to so we can develop effective interventions."

https://www.sciencedaily.com/releases/2020/01/200110101033.htm

'Loneliness epidemic' may be due to increasing aging population

December 10, 2019

Science Daily/American Psychological Association

Despite some claims that Americans are in the midst of a 'loneliness epidemic,' older people today may not be any lonelier than their counterparts from previous generations -- there just might be more of them, according to a pair of new studies.

Despite some claims that Americans are in the midst of a "loneliness epidemic," older people today may not be any lonelier than their counterparts from previous generations -- there just might be more of them, according to a pair of studies published by the American Psychological Association.

"We found no evidence that older adults have become any lonelier than those of a similar age were a decade before," said Louise C. Hawkley, PhD, of NORC at the University of Chicago, lead author of one of the studies. "However, average reported loneliness begins to increase beyond age 75, and therefore, the total number of older adults who are lonely may increase once the baby boomers reach their late 70s and 80s."

The studies were published in the journal Psychology and Aging.

Hawkley and her colleagues used data from the National Social Life, Health and Aging Project and the Health and Retirement Study, two national surveys of older adults that compared three groups of U.S. adults born in different periods throughout the 20th century. They first analyzed data in 2005 to 2006 from 3,005 adults born between 1920 and 1947 and a second time in 2010 to 2011 from 3,377 people, which included those from the previous survey who were still alive, and their spouses or partners. The third survey, in 2015 to 2016, comprised 4,777 adults, which included an additional sample of adults born between 1948 and 1965 to the surviving respondents from the previous two surveys.

The authors examined participants' level of loneliness, educational attainment, overall health on a scale from poor to excellent, marital status and number of family members, relatives and friends they felt close to. They found that loneliness decreased between the ages of 50 and 74, but increased after age 75, yet there was no difference in loneliness between baby boomers and similar-aged adults of earlier generations.

"Loneliness levels may have decreased for adults between 50 and 74 because they had better educational opportunities, health care and social relationships than previous generations," said Hawkley.

Adults over 75 were more susceptible to becoming lonely, possibly due to life factors such as declining health or the loss of a spouse or significant other, according to Hawkley.

"Our research suggests that older adults who remain in good health and maintain social relationships with a spouse, family or friends tend to be less lonely," said Hawkley.

In a similar study, researchers in the Netherlands found that older adults were less lonely than their counterparts from previous generations.

These researchers used data from the Longitudinal Aging Study Amsterdam, a long-term study of the social, physical, cognitive and emotional functioning of older adults. A total of 4,880 people, born between 1908 and 1957, participated.

The study measured peoples' loneliness, control over situations and life in general and goal achievement. For example, participants rated loneliness on a scale from 0 (no loneliness) to 11 (severe loneliness) based on feelings such as, "I miss having people around."

Older adults born in later generations were actually less lonely, because they felt more in control and thus most likely managed their lives better, according to Bianca Suanet, PhD, of Vrije Universiteit Amsterdam and lead author of the study.

"In contrast to assuming a loneliness epidemic exists, we found that older adults who felt more in control and therefore managed certain aspects of their lives well, such as maintaining a positive attitude, and set goals, such as going to the gym, were less lonely," said Suanet. "Additionally, as is well-known in loneliness research, participants who had a significant other and/or larger and more diverse networks were also less lonely."

Suanet recommended that older adults take personal initiative to better nurture their social ties, such as making friends to help them overcome increasing loneliness as they age. Also, interventions to reduce loneliness should focus more on bolstering older adults' feelings of control, instead of only offering social activities.

"People must manage their social lives better today than ever before because traditional communities, which provided social outlets, such as neighborhoods, churches and extended families, have lost strength in recent decades," said Suanet. "Therefore, older adults today need to develop problem-solving and goal-setting skills to sustain satisfying relationships and to reduce loneliness."

Seniors may also want to make use of modern technology to maintain meaningful social connections, according to Hawkley.

"Video chatting platforms and the Internet may help preserve their social relationships," said Hawkley. "These tools can help older adults stay mobile and engaged in their communities."

https://www.sciencedaily.com/releases/2019/12/191210111711.htm

Poll shows many older adults, especially those with health issues, feel isolated

Physical and mental health issues, hearing problems, and poor diet, exercise and sleep all linked to feeling isolated

March 4, 2019

Science Daily/Michigan Medicine - University of Michigan

One in four older adults say they feel isolated from other people at least some of the time, and one in three say they lack regular companionship, according to a new national poll. Those feelings of loneliness showed up most in people aged 50 to 80 who also reported they had health issues and unhealthy habits. The findings amplify research showing links between chronic loneliness and health issues ranging from memory loss to shorter lives.

Those feelings of loneliness showed up most in people aged 50 to 80 who also reported they had health issues and unhealthy habits, the poll shows. The new findings amplify research that has shown links between chronic loneliness and health issues ranging from memory loss to shorter lives.

In the new poll, people who said they had fair or poor physical health, mental health, or hearing loss were more likely to report that they felt isolated or lacked companions.

Meanwhile, people who said they ate healthy diets, exercised, got enough sleep or didn't use tobacco were less likely to report feelings of loneliness.

The new findings come from the National Poll on Healthy Aging, conducted by the University of Michigan Institute for Healthcare Policy and Innovation, and sponsored by AARP and Michigan Medicine, U-M's academic medical center.

"More than a quarter of poll respondents said they only had social contact once a week, or less, with family members they don't live with, or with friends and neighbors," says Erica Solway, Ph.D., the co-director of the poll and a social science researcher. "These results indicate the importance of proactively reaching out to those in your community who may be at risk of feeling isolated and disconnected, especially those with or at risk of health issues."

Poll director Preeti Malani, M.D., who has training in caring for older adults, notes that a growing body of research points to strong connections between health and loneliness -- and to positive effects on health from increased social contact through volunteering, taking part in religious or community groups, and other activities.

"As we grow older, and mobility or hearing becomes more of a barrier, these poll data show the importance of maintaining and strengthening our ties to other people," says Malani. "It also suggests that caregivers, spouses and partners, adult children and others involved in older adults' lives have a role to play in encouraging and facilitating these connections."

"We know that social isolation and loneliness are as bad for our health as obesity and smoking," says Alison Bryant, Ph.D., senior vice president of research for AARP. "AARP's own research shows that older adults who are unpaid caregivers, are low-income, or that identify as LGBT are at an increased risk for chronic loneliness. This is such an important public health issue that AARP Foundation launched Connect2Affect to help combat isolation and loneliness among older adults."

Other key findings

The poll explored many aspects of social connection and health and asked about feelings of companionship, feelings of social isolation, and social contact among people age 50 to 80. It found:

·     Those who were unemployed, lived in lower-income households, lived alone and/or had one or more children living with them were more likely to say they lacked companionship

·     Living alone was highly associated with feeling lonely; 60 percent of those who lived alone reported feeling a lack of companionship, and 41 percent felt isolated

·     36 percent of women said they lacked companionship often or some of the time, compared with 31 percent of men

·     26 percent of adults who said they lacked companionship also said they were in fair or poor physical health, while 13 percent of people who said they hardly ever lacked companionship reported fair or poor physical health

·     Of those who reported feeling isolated, 17 percent had fair/poor mental health, compared to only 2 percent of those who hardly ever felt isolated.

·     One in five respondents who reported feeling socially isolated said they had fair or poor hearing compared to about one in 10 of those who said they hardly ever feel isolated.

https://www.sciencedaily.com/releases/2019/03/190304095901.htm