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dc.contributor.authorLapane, Kate L
dc.contributor.authorLim, Emily
dc.contributor.authorMcPhillips, Emily
dc.contributor.authorBarooah, Adrita
dc.contributor.authorYuan, Yiyang
dc.contributor.authorDube, Catherine E
dc.date.accessioned2022-11-22T21:11:59Z
dc.date.available2022-11-22T21:11:59Z
dc.date.issued2022-05-13
dc.identifier.citationLapane KL, Lim E, McPhillips E, Barooah A, Yuan Y, Dube CE. Health effects of loneliness and social isolation in older adults living in congregate long term care settings: A systematic review of quantitative and qualitative evidence. Arch Gerontol Geriatr. 2022 Sep-Oct;102:104728. doi: 10.1016/j.archger.2022.104728. Epub 2022 May 13. PMID: 35597183.en_US
dc.identifier.eissn1872-6976
dc.identifier.doi10.1016/j.archger.2022.104728en_US
dc.identifier.pmid35597183
dc.identifier.urihttp://hdl.handle.net/20.500.14038/51295
dc.description.abstractBackground: Mounting evidence of loneliness and negative health impacts has placed loneliness among the "geriatric giants" in need of intervention by the healthcare system. Objective: To evaluate the literature regarding the health impact of loneliness among older adults living in congregate living settings (i.e., assisted living, nursing homes). Materials and methods: Five databases were searched for quantitative and qualitative studies from January 1990 through August 2021. Methodological quality was assessed using modified criteria specific to quantitative and qualitative studies. Dual review assured the quality of the systematic review conduct. Results: Five qualitative, 3 mixed method, 19 cross-sectional, and 4 cohort articles were eligible. Despite different tools used to measure loneliness, loneliness appeared common among older residents in congregate living situations. In most studies, loneliness was associated with depression (regardless of scale used), albeit all but one came from cross-sectional studies. Few studies noted the association between loneliness and suicidal ideation and frailty. The three cohort studies that evaluated loneliness and mortality had mixed results. Resilience and activities appeared to mediate the association between loneliness and negative health outcomes and social support appeared to moderate associations. Conclusions: For older adults living in congregate long term care settings, loneliness is a common phenomenon, with cross-sectional studies suggesting links to depression, suicidal ideation, and frailty. Additional longitudinal studies to understand the impact of loneliness on health outcomes in older adults living in congregate settings are needed, as are rigorous evidence-based interventions to address loneliness and mitigate its harmful effects during life's final chapter.en_US
dc.language.isoenen_US
dc.relation.ispartofArchives of Gerontology and Geriatricsen_US
dc.relation.urlhttps://doi.org/10.1016/j.archger.2022.104728en_US
dc.rightsCopyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).en_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectassisted livingen_US
dc.subjectlonelinessen_US
dc.subjectnursing homesen_US
dc.subjectsocial isolationen_US
dc.subjectsuicidal ideationen_US
dc.titleHealth effects of loneliness and social isolation in older adults living in congregate long term care settings: A systematic review of quantitative and qualitative evidenceen_US
dc.typeJournal Articleen_US
dc.source.journaltitleArchives of gerontology and geriatrics
dc.source.volume102
dc.source.beginpage104728
dc.source.endpage
dc.source.countryUnited States
dc.source.countryNetherlands
dc.identifier.journalArchives of gerontology and geriatrics
refterms.dateFOA2022-11-22T21:12:00Z
dc.contributor.departmentPopulation and Quantitative Health Sciencesen_US


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Copyright © 2022 The Authors.  Published by Elsevier B.V.  All rights reserved.  This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Except where otherwise noted, this item's license is described as Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).