The roles of depression and social relationships in the onset and course of loneliness amongst Nigerian elders

Abstract

Objectives Few studies in Africa have investigated the risk profile and course of loneliness in old age. This study examined the risk factors for onset and chronicity, as well as the predictors of recovery from loneliness in a large representative sample of community dwelling older Africans. Methods/Design A household multistage probability sample of Nigerians who were 65 years or older was drawn from a geographical area with approximately 25 million population. Loneliness was measured using the 3‐item University of California (UCLA) scale in 2007 and annually in 2008 and 2009. Social engagement, social network, and depression were evaluated using the WHO Composite International Diagnostic Interview. Respondents were also administered the 30‐item Geriatric Depression Scale. Multivariate logistic regression models were used to explore for risk factors. Estimates of adjusted hazard ratios (HR) for recovery were derived with the discrete time version of the Cox regression model for time invariant explanatory variables. Results Of 1704 respondents, 1525 were free of loneliness, using the UCLA scale, in 2007. A total of 209 (18.8%) persons developed new onset of loneliness in 2008 and 2009. Depression (O.R = 2.9, 95% C.I = 1.3–6.7), unmarried status (OR = 2.1, 95% C.I = 1.2–3.9) and social isolation (OR = 1.8, 95% CI = 1.0–3.2) independently predicted loneliness onset. Baseline demographic, health, social, and lifestyle factors were not associated with a chronic course of loneliness. The overall recovery rate estimated over two years was 89.5% (95% CI = 75.3–106.4). Being male (HR = 1.3, 95% C.I = 1.0–1.6), ≥80 years (HR = 1.4, 95% CI = 1.2–1.8) and having good social engagement at baseline (HR = 1.5, 95% C. = 1.1–2.0) independently predicted recovery from loneliness. Conclusions Over a 2‐year period, nearly one in five community‐dwelling Africans developed new onset loneliness in old age, with a similar proportion having a chronic course of the emotional experience. While depression and indices of social isolation at baseline were associated with onset, good social engagement predicted recovery from loneliness.

Social connectedness as a determinant of mental health: A scoping review

“…These theoretical underpinnings provided an important framework for this review that synthesizes recent literature on the various categories of social connectedness and their differential effects on depression and anxiety in specific populations. Because depression and anxiety can have adverse effects on social connectedness [ 13 ], we restricted our search to longitudinal/cohort studies from which appropriate temporal ordering that is necessary, although not sufficient, for causal inferences, can be established. We performed a scoping review of the literature published during the last five years addressing whether social connectedness is longitudinally associated with common mental health outcomes of depression and anxiety among adults.…”

Lifetime Prevalence of Psychiatric Disorders in City of Mosul-Iraq

“…It is, however, slightly higher than the estimation of a recent Yoruba-speaking Nigerian report and higher than in the number of other nations participating in the first phase of the World Mental Health Survey Program of the WHO. [12][13][14] Examining socio-demographic conditions helps to explain the origins and occurrence of different mental illnesses.…”

Mediating Effect of Loneliness in the Relationship between Depressive Symptoms and Cognitive Frailty in Community-Dwelling Older Adults

“…A systematic review of longitudinal studies reported that depression is a risk factor for loneliness [ 21 ]. Among older adults in Africa, depression can increase the risk of loneliness by 2.9 times [ 22 ]. Among the elderly in Turkey, a positive correlation exists between depression and loneliness, loneliness can predict depression, and depression can also affect loneliness [ 23 ].…”