Changes in social engagement and depression predict incident loneliness among seriously ill home care clients

Abstract

These results highlight how changes in psychosocial factors over time can contribute to loneliness, which can inform clinicians as they seek to identify those who may be at risk for loneliness.

Efectos de la soledad en la salud de las personas mayores

“…Por otro lado, otros estudios identifican la depresión como un factor de riesgo para la soledad. Así, investigaciones como las de Prieto-Flores et al 25 y Fernandes et al 26 planteaban que la soledad y la depresión tienen una relación de retroalimentación, generando de esta forma un efecto sinérgico entre ambas que resulta muy difícil de combatir y que ocasiona un deterioro considerable en la persona mayor 4 .…”

Cross-sectional Study of Prevalence and Correlates of Urinary Incontinence in Older Home-Care Clients With Type 2 Diabetes in Ontario, Canada

“…The Depression Rating Scale score range is 0 to 14, with score of !3 indicating a potential or actual problem with depression (29). The ADL Self-performance Hierarchy Scale ranges from 0 to 6 with higher scores indicating more impairment and a cut-off of !3 was selected to reflect moderate to severe ADL impairment (14,30). The Instrumental Activities of Daily Living difficulty scale range is 0 to 6, with higher scores indicating greater difficulty (14).…”

“…The Instrumental Activities of Daily Living difficulty scale range is 0 to 6, with higher scores indicating greater difficulty (14). A cutoff of !4 was chosen to indicate great difficulty in 1 or more of the following areas: housework, meal preparation and phone use (14,30). Cognitive Performance Scale scores range from 0 to 6, with higher scores indicating more severe cognitive impairment, and a score !1 was chosen to capture any degree of cognitive impairment.…”

“…In the final multivariable model, older adults with the following characteristics were more likely to have UI ( (30).…”

Facilitation of Social Support through Negative Allosteric Modulation of α5-Associated GABAA Receptors: A Novel Mechanism for the Treatment of Depression, Agitation, and Aggression in the Elderly

“…Of the multiple factors that contribute to depression in elderly people, relative social isolation has been shown to be one important factor to consider [11]. Social isolation is associated with depression in elderly and non-elderly patients [13][14][15] and results in feelings of loneliness and a decline in quality of life [16]. Both social isolation and depression are also significant risk factors for cognitive decline in the elderly [17].…”