Social isolation in the oldest-old: determinants and the differential role of family and friends
Purpose To examine the association of sociodemographic and health-related determinants with social isolation in relation to family and friends in the oldest-old. Methods Database was the multi-center prospective AgeCoDe/AgeQualiDe cohort study assessed at follow-up wave 5 ( N = 1148; mean age 86.6 ...
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| Veröffentlicht in: | Social Psychiatry and Psychiatric Epidemiology 2024-06, Vol.59 (6), p.979-988 |
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| creator | Moormann, Katharina Isabelle Pabst, Alexander Bleck, Franziska Löbner, Margrit Kaduszkiewicz, Hanna van der Leeden, Carolin Hajek, André Brettschneider, Christian Heser, Kathrin Kleineidam, Luca Werle, Jochen Fuchs, Angela Weeg, Dagmar Bickel, Horst Pentzek, Michael Weyerer, Siegfried Wiese, Birgitt Wagner, Michael Maier, Wolfgang Scherer, Martin König, Hans-Helmut Riedel-Heller, Steffi G. |
| description | Purpose
To examine the association of sociodemographic and health-related determinants with social isolation in relation to family and friends in the oldest-old.
Methods
Database was the multi-center prospective AgeCoDe/AgeQualiDe cohort study assessed at follow-up wave 5 (
N
= 1148; mean age 86.6 years (SD 3.0); 67% female). Social isolation was assessed using the short form of the Lubben Social Network Scale (LSNS-6). The LSNS-6 contains two sets of items establishing psychometrically separable subscales for isolation from family and friends (ranges 0–15 points), with lower scores indicating higher isolation. Cross-sectional linear (OLS) regression analyses were used to examine multivariate associations of sociodemographic and health-related determinants with social isolation from family and friends.
Results
Overall,
n
= 395 participants (34.6%) were considered socially isolated. On average, isolation was higher from friends (mean 6.0, SD 3.8) than from family (mean 8.0, SD 3.5). Regression results revealed that in relation to family, males were more socially isolated than females (β = − 0.68, 95% CI − 1.08, − 0.28). Concerning friends, increased age led to more isolation (β = − 0.12, 95% CI − 0.19, − 0.05) and functional activities of daily living to less isolation (β = 0.36, 95% CI 0.09, 0.64). Independent of the social context, depression severity was associated with more social isolation, whereas cognitive functioning was associated with less social isolation.
Conclusions
Different determinants unequally affect social isolation in relation to family and friends. The context of the social network should be incorporated more strongly regarding the detection and prevention of social isolation to sustain mental and physical health. |
| doi_str_mv | 10.1007/s00127-023-02524-x |
| format | Article |
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To examine the association of sociodemographic and health-related determinants with social isolation in relation to family and friends in the oldest-old.
Methods
Database was the multi-center prospective AgeCoDe/AgeQualiDe cohort study assessed at follow-up wave 5 (
N
= 1148; mean age 86.6 years (SD 3.0); 67% female). Social isolation was assessed using the short form of the Lubben Social Network Scale (LSNS-6). The LSNS-6 contains two sets of items establishing psychometrically separable subscales for isolation from family and friends (ranges 0–15 points), with lower scores indicating higher isolation. Cross-sectional linear (OLS) regression analyses were used to examine multivariate associations of sociodemographic and health-related determinants with social isolation from family and friends.
Results
Overall,
n
= 395 participants (34.6%) were considered socially isolated. On average, isolation was higher from friends (mean 6.0, SD 3.8) than from family (mean 8.0, SD 3.5). Regression results revealed that in relation to family, males were more socially isolated than females (β = − 0.68, 95% CI − 1.08, − 0.28). Concerning friends, increased age led to more isolation (β = − 0.12, 95% CI − 0.19, − 0.05) and functional activities of daily living to less isolation (β = 0.36, 95% CI 0.09, 0.64). Independent of the social context, depression severity was associated with more social isolation, whereas cognitive functioning was associated with less social isolation.
Conclusions
Different determinants unequally affect social isolation in relation to family and friends. The context of the social network should be incorporated more strongly regarding the detection and prevention of social isolation to sustain mental and physical health.</description><identifier>ISSN: 0933-7954</identifier><identifier>ISSN: 1433-9285</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-023-02524-x</identifier><identifier>PMID: 37407737</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Aged, 80 and over ; Context ; Cross-Sectional Studies ; Epidemiology ; Family - psychology ; Female ; Females ; Friends - psychology ; Humans ; Male ; Medicine ; Medicine & Public Health ; Prospective Studies ; Psychiatry ; Regression analysis ; Social factors ; Social isolation ; Social Isolation - psychology ; Social networks ; Social Support ; Sociodemographics ; Surveys and Questionnaires</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2024-06, Vol.59 (6), p.979-988</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-c89e3d6dbb4bf5148d5756c253bd70cf2cf9881a78f65be44c16e06c701fc5513</citedby><cites>FETCH-LOGICAL-c419t-c89e3d6dbb4bf5148d5756c253bd70cf2cf9881a78f65be44c16e06c701fc5513</cites><orcidid>0000-0003-0432-5681</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00127-023-02524-x$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00127-023-02524-x$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37407737$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moormann, Katharina Isabelle</creatorcontrib><creatorcontrib>Pabst, Alexander</creatorcontrib><creatorcontrib>Bleck, Franziska</creatorcontrib><creatorcontrib>Löbner, Margrit</creatorcontrib><creatorcontrib>Kaduszkiewicz, Hanna</creatorcontrib><creatorcontrib>van der Leeden, Carolin</creatorcontrib><creatorcontrib>Hajek, André</creatorcontrib><creatorcontrib>Brettschneider, Christian</creatorcontrib><creatorcontrib>Heser, Kathrin</creatorcontrib><creatorcontrib>Kleineidam, Luca</creatorcontrib><creatorcontrib>Werle, Jochen</creatorcontrib><creatorcontrib>Fuchs, Angela</creatorcontrib><creatorcontrib>Weeg, Dagmar</creatorcontrib><creatorcontrib>Bickel, Horst</creatorcontrib><creatorcontrib>Pentzek, Michael</creatorcontrib><creatorcontrib>Weyerer, Siegfried</creatorcontrib><creatorcontrib>Wiese, Birgitt</creatorcontrib><creatorcontrib>Wagner, Michael</creatorcontrib><creatorcontrib>Maier, Wolfgang</creatorcontrib><creatorcontrib>Scherer, Martin</creatorcontrib><creatorcontrib>König, Hans-Helmut</creatorcontrib><creatorcontrib>Riedel-Heller, Steffi G.</creatorcontrib><title>Social isolation in the oldest-old: determinants and the differential role of family and friends</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>Purpose
To examine the association of sociodemographic and health-related determinants with social isolation in relation to family and friends in the oldest-old.
Methods
Database was the multi-center prospective AgeCoDe/AgeQualiDe cohort study assessed at follow-up wave 5 (
N
= 1148; mean age 86.6 years (SD 3.0); 67% female). Social isolation was assessed using the short form of the Lubben Social Network Scale (LSNS-6). The LSNS-6 contains two sets of items establishing psychometrically separable subscales for isolation from family and friends (ranges 0–15 points), with lower scores indicating higher isolation. Cross-sectional linear (OLS) regression analyses were used to examine multivariate associations of sociodemographic and health-related determinants with social isolation from family and friends.
Results
Overall,
n
= 395 participants (34.6%) were considered socially isolated. On average, isolation was higher from friends (mean 6.0, SD 3.8) than from family (mean 8.0, SD 3.5). Regression results revealed that in relation to family, males were more socially isolated than females (β = − 0.68, 95% CI − 1.08, − 0.28). Concerning friends, increased age led to more isolation (β = − 0.12, 95% CI − 0.19, − 0.05) and functional activities of daily living to less isolation (β = 0.36, 95% CI 0.09, 0.64). Independent of the social context, depression severity was associated with more social isolation, whereas cognitive functioning was associated with less social isolation.
Conclusions
Different determinants unequally affect social isolation in relation to family and friends. The context of the social network should be incorporated more strongly regarding the detection and prevention of social isolation to sustain mental and physical health.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Context</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Family - psychology</subject><subject>Female</subject><subject>Females</subject><subject>Friends - psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Prospective Studies</subject><subject>Psychiatry</subject><subject>Regression analysis</subject><subject>Social factors</subject><subject>Social isolation</subject><subject>Social Isolation - psychology</subject><subject>Social networks</subject><subject>Social Support</subject><subject>Sociodemographics</subject><subject>Surveys and Questionnaires</subject><issn>0933-7954</issn><issn>1433-9285</issn><issn>1433-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kE9LHDEYh4NY6mr7BTzIgBcv076ZJJPEm4ithYUe2p7TTP5olplkTWZBv33j7qrgoYfwBvL8fnl5EDrF8AUD8K8FAHe8hY7UwzraPh6gBaaEtLIT7BAtQNY7l4weoeNSVgBAJCcf0RHhFDgnfIH-_kom6LEJJY16Dik2ITbzvWvSaF2Z2zouG-tml6cQdZxLo6PdAjZ477KL83M8p7FGfOP1FManLeNzcNGWT-iD12Nxn_fzBP35dvP7-rZd_vz-4_pq2RqK5dwaIR2xvR0GOniGqbCMs950jAyWg_Gd8VIIrLnwPRscpQb3DnrDAXvDGCYn6GLXu87pYVNXV1Moxo2jji5tiuoEIVJyIUVFz9-hq7TJsW6nCDCJgQrKKtXtKJNTKdl5tc5h0vlJYVDP_tXOv6r-1da_eqyhs331ZpicfY28CK8A2QGlPsU7l9_-_k_tPzCfkPw</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Moormann, Katharina Isabelle</creator><creator>Pabst, Alexander</creator><creator>Bleck, Franziska</creator><creator>Löbner, Margrit</creator><creator>Kaduszkiewicz, Hanna</creator><creator>van der Leeden, Carolin</creator><creator>Hajek, André</creator><creator>Brettschneider, Christian</creator><creator>Heser, Kathrin</creator><creator>Kleineidam, Luca</creator><creator>Werle, Jochen</creator><creator>Fuchs, Angela</creator><creator>Weeg, Dagmar</creator><creator>Bickel, Horst</creator><creator>Pentzek, Michael</creator><creator>Weyerer, Siegfried</creator><creator>Wiese, Birgitt</creator><creator>Wagner, Michael</creator><creator>Maier, Wolfgang</creator><creator>Scherer, Martin</creator><creator>König, Hans-Helmut</creator><creator>Riedel-Heller, Steffi G.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0432-5681</orcidid></search><sort><creationdate>20240601</creationdate><title>Social isolation in the oldest-old: determinants and the differential role of family and friends</title><author>Moormann, Katharina Isabelle ; Pabst, Alexander ; Bleck, Franziska ; Löbner, Margrit ; Kaduszkiewicz, Hanna ; van der Leeden, Carolin ; Hajek, André ; Brettschneider, Christian ; Heser, Kathrin ; Kleineidam, Luca ; Werle, Jochen ; Fuchs, Angela ; Weeg, Dagmar ; Bickel, Horst ; Pentzek, Michael ; Weyerer, Siegfried ; Wiese, Birgitt ; Wagner, Michael ; Maier, Wolfgang ; Scherer, Martin ; König, Hans-Helmut ; Riedel-Heller, Steffi G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-c89e3d6dbb4bf5148d5756c253bd70cf2cf9881a78f65be44c16e06c701fc5513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Context</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology</topic><topic>Family - psychology</topic><topic>Female</topic><topic>Females</topic><topic>Friends - psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Prospective Studies</topic><topic>Psychiatry</topic><topic>Regression analysis</topic><topic>Social factors</topic><topic>Social isolation</topic><topic>Social Isolation - psychology</topic><topic>Social networks</topic><topic>Social Support</topic><topic>Sociodemographics</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moormann, Katharina Isabelle</creatorcontrib><creatorcontrib>Pabst, Alexander</creatorcontrib><creatorcontrib>Bleck, Franziska</creatorcontrib><creatorcontrib>Löbner, Margrit</creatorcontrib><creatorcontrib>Kaduszkiewicz, Hanna</creatorcontrib><creatorcontrib>van der Leeden, Carolin</creatorcontrib><creatorcontrib>Hajek, André</creatorcontrib><creatorcontrib>Brettschneider, Christian</creatorcontrib><creatorcontrib>Heser, Kathrin</creatorcontrib><creatorcontrib>Kleineidam, Luca</creatorcontrib><creatorcontrib>Werle, Jochen</creatorcontrib><creatorcontrib>Fuchs, Angela</creatorcontrib><creatorcontrib>Weeg, Dagmar</creatorcontrib><creatorcontrib>Bickel, Horst</creatorcontrib><creatorcontrib>Pentzek, Michael</creatorcontrib><creatorcontrib>Weyerer, Siegfried</creatorcontrib><creatorcontrib>Wiese, Birgitt</creatorcontrib><creatorcontrib>Wagner, Michael</creatorcontrib><creatorcontrib>Maier, Wolfgang</creatorcontrib><creatorcontrib>Scherer, Martin</creatorcontrib><creatorcontrib>König, Hans-Helmut</creatorcontrib><creatorcontrib>Riedel-Heller, Steffi G.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moormann, Katharina Isabelle</au><au>Pabst, Alexander</au><au>Bleck, Franziska</au><au>Löbner, Margrit</au><au>Kaduszkiewicz, Hanna</au><au>van der Leeden, Carolin</au><au>Hajek, André</au><au>Brettschneider, Christian</au><au>Heser, Kathrin</au><au>Kleineidam, Luca</au><au>Werle, Jochen</au><au>Fuchs, Angela</au><au>Weeg, Dagmar</au><au>Bickel, Horst</au><au>Pentzek, Michael</au><au>Weyerer, Siegfried</au><au>Wiese, Birgitt</au><au>Wagner, Michael</au><au>Maier, Wolfgang</au><au>Scherer, Martin</au><au>König, Hans-Helmut</au><au>Riedel-Heller, Steffi G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Social isolation in the oldest-old: determinants and the differential role of family and friends</atitle><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle><stitle>Soc Psychiatry Psychiatr Epidemiol</stitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>59</volume><issue>6</issue><spage>979</spage><epage>988</epage><pages>979-988</pages><issn>0933-7954</issn><issn>1433-9285</issn><eissn>1433-9285</eissn><abstract>Purpose
To examine the association of sociodemographic and health-related determinants with social isolation in relation to family and friends in the oldest-old.
Methods
Database was the multi-center prospective AgeCoDe/AgeQualiDe cohort study assessed at follow-up wave 5 (
N
= 1148; mean age 86.6 years (SD 3.0); 67% female). Social isolation was assessed using the short form of the Lubben Social Network Scale (LSNS-6). The LSNS-6 contains two sets of items establishing psychometrically separable subscales for isolation from family and friends (ranges 0–15 points), with lower scores indicating higher isolation. Cross-sectional linear (OLS) regression analyses were used to examine multivariate associations of sociodemographic and health-related determinants with social isolation from family and friends.
Results
Overall,
n
= 395 participants (34.6%) were considered socially isolated. On average, isolation was higher from friends (mean 6.0, SD 3.8) than from family (mean 8.0, SD 3.5). Regression results revealed that in relation to family, males were more socially isolated than females (β = − 0.68, 95% CI − 1.08, − 0.28). Concerning friends, increased age led to more isolation (β = − 0.12, 95% CI − 0.19, − 0.05) and functional activities of daily living to less isolation (β = 0.36, 95% CI 0.09, 0.64). Independent of the social context, depression severity was associated with more social isolation, whereas cognitive functioning was associated with less social isolation.
Conclusions
Different determinants unequally affect social isolation in relation to family and friends. The context of the social network should be incorporated more strongly regarding the detection and prevention of social isolation to sustain mental and physical health.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37407737</pmid><doi>10.1007/s00127-023-02524-x</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0432-5681</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0933-7954 |
| ispartof | Social Psychiatry and Psychiatric Epidemiology, 2024-06, Vol.59 (6), p.979-988 |
| issn | 0933-7954 1433-9285 1433-9285 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Aged, 80 and over Context Cross-Sectional Studies Epidemiology Family - psychology Female Females Friends - psychology Humans Male Medicine Medicine & Public Health Prospective Studies Psychiatry Regression analysis Social factors Social isolation Social Isolation - psychology Social networks Social Support Sociodemographics Surveys and Questionnaires |
| title | Social isolation in the oldest-old: determinants and the differential role of family and friends |
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