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Negative old-age life events and well-being in later life: the moderating and mediating role of loneliness

Published online by Cambridge University Press:  17 February 2021

Lise Switsers Open the ORCID record for Lise Switsers [Opens in a new window] ,
Eva Dierckx Open the ORCID record for Eva Dierckx [Opens in a new window] ,
Joan Domènech-Abella Open the ORCID record for Joan Domènech-Abella [Opens in a new window] ,
Liesbeth De Donder Open the ORCID record for Liesbeth De Donder [Opens in a new window] ,
Sarah Dury Open the ORCID record for Sarah Dury [Opens in a new window]  and
the D-SCOPE Consortium
Lise Switsers*
Affiliation:
Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel (VUB), Brussels, Belgium Research Foundation Flanders (FWO), Brussels, Belgium
Eva Dierckx
Affiliation:
Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel (VUB), Brussels, Belgium Psychiatric Hospital Alexianen Zorggroep Tienen, Tienen, Belgium
Joan Domènech-Abella
Affiliation:
Department of Sociology, Universitat de Barcelona, Barcelona, Spain Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain
Liesbeth De Donder
Affiliation:
Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel (VUB), Brussels, Belgium
Sarah Dury
Affiliation:
Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel (VUB), Brussels, Belgium
*
Correspondence should be addressed to: Lise Switsers, Vrije Universiteit Brussel (VUB), Department of Educational Sciences (EDWE), Pleinlaan 2 - 1050Brussels, Belgium, Phone +32 2 629 26 74. Email: lise.switsers@vub.be.
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Abstract

Objectives:

Although older adults often experience negative life events or loss experiences, they rarely experience large decreases in their quality of life or well-being. Emotionally satisfying relationships in older adults may serve as a protective factor that reduces the impact of negative events in decreasing well-being. The availability of these close social contacts is essential, and their potential for alleviating feelings of loneliness after negative events could have an important role in promoting well-being. The aim of this study was to test the hypothetical moderation and mediation effects of social and emotional loneliness on the occurrence of negative old-age life events and well-being in later life.

Design:

This was a cross-sectional survey conducted as part of the Detection, Support and Care for older people – Prevention and Empowerment research project (2015–2018).

Setting:

Participants were community-dwelling older adults in Flanders (Belgium).

Participants:

The sample composed of 770 participants aged 60 years and over.

Measurements:

Participant demographics, social and emotional loneliness, and subjective well-being were measured. Moderation and mediation analyses were performed using the regression-based approach as conducted by Hayes and Rockwood (2017).

Results:

Results indicated that a low degree of (social) loneliness is a protective, moderating factor and (emotional) loneliness is a mediating factor on the effects of negative life events on well-being in later life.

Conclusions:

Findings highlight the importance of emotionally and socially satisfying social contacts in order to maintain positive subjective well-being in later life when negative life events may occur.

Keywords

lonelinessagingnegative life eventssubjective well-beingmoderation and mediation
Type
Original Research Article
Information
International Psychogeriatrics , Volume 33 , Special Issue 12: Issue Theme: Social Engagement and Mental Health , December 2021 , pp. 1265 - 1276
Copyright
© International Psychogeriatric Association 2021

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References

Aiken, L. S. and West, S. G. (1991). Multiple Regression: Testing and Interpreting Interactions. Newbury Park, CA: Sage.Google Scholar
Baltes, P. B. and Baltes, M. M. (1990) Psychological perspectives on successful aging: The model of selective optimization with compensation. In Baltes, P. B. and Baltes, M. M. (Eds.) Successful Aging: Perspectives from the Behavioral Sciences (pp. 1–34). Cambridge: Cambridge University Press (European Network on Longitudinal Studies on Individual Development). doi: 10.1017/CBO9780511665684.003.CrossRefGoogle Scholar
Beech, R. and Murray, M. (2013). Social engagement and healthy ageing in disadvantaged communities. Quality in Ageing and Older Adults, 14(1), 12–24. doi: 10.1108/14717791311311076.CrossRefGoogle Scholar
Burholt, V. and Scharf, T. (2014). Poor health and loneliness in later life: The role of depressive symptoms, social resources, and rural environments. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 69(2), 311–324. doi: 10.1093/geronb/gbt121.CrossRefGoogle ScholarPubMed
Burholt, V. et al. (2019). A critical review and development of a conceptual model of exclusion from social relations for older people. European Journal of Ageing, 17, 3–19. doi: 10.1007/s10433-019-00506-0.CrossRefGoogle ScholarPubMed
Carstensen, L. L. and Turk-Charles, S. (1994). The salience of emotion across the adult life span. Psychology and Aging, 9(2), 259–264.CrossRefGoogle ScholarPubMed
Carstensen, L. L. (2016). Evidence for a Life-Span Theory of Socioemotional Selectivity. Current Directions in Psychological Science, 4(5), 151–156. doi: 10.1111/1467-8721.ep11512261.CrossRefGoogle Scholar
Carstensen, L. L. et al. (2011). Emotional experience improves with age: Evidence based on over 10 years of experience sampling. Psychology and Aging, 26(1), 21–33. doi: 10.1037/a0021285.CrossRefGoogle ScholarPubMed
Chou, K. L. and Chi, I. (2001). Stressful life events and depressive symptoms: Social support and sense of control as mediators or moderators? International Journal of Aging & Human Development, 52(2), 155–171. doi: 10.2190/9C97-LCA5-EWB7-XK2W.CrossRefGoogle ScholarPubMed
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.Google Scholar
Cohen-Mansfield, J., Hazan, H., Lerman, Y. and Shalom, V. (2016). Correlates and predictors of loneliness in older-adults: A review of quantitative results informed by qualitative insights. International Psychogeriatrics, 28(4), 557–576. doi: 10.1017/S1041610215001532.CrossRefGoogle ScholarPubMed
Devanand, D. P., Kim, M. K., Paykina, N. and Sackeim, H. A. (2002). Adverse life events in elderly patients with major depression or dysthymic disorder and in healthy-control subjects. The American Journal of Geriatric Psychiatry, 10(3), 265–274. doi: 10.1097/00019442-200205000-00005 CrossRefGoogle ScholarPubMed
De Jong Gierveld, J. and Van Tilburg, T. (2010). The De Jong Gierveld short scales for emotional and social loneliness: Tested on data from 7 countries in the UN generations and gender surveys. European Journal of Ageing, 7(2), 121–130. doi: 10.1007/s10433-010-0144-6.CrossRefGoogle Scholar
Dumitrache, C. G., Rubio, L. and Rubio-Herrera, R. (2017). Perceived health status and life satisfaction in old age, and the moderating role of social support. Aging & Mental Health, 21(7), 751–757. doi: 10.1080/13607863.2016.1156048.CrossRefGoogle ScholarPubMed
Duppen, D., Rossi, G., Dierckx, E., Hoeyberghs, L., De Donder, L. and D-SCOPE Consortium. (2019). Focusing on positive outcomes in frailty research: Development of a short well-being instrument for older adults (SWIO). International Psychogeriatrics, 31(6), 1–11. doi: 10.1017/S1041610219000401.CrossRefGoogle Scholar
Dury, S. et al. (2017). Identifying frailty risk profiles of home-dwelling older people: Focus on sociodemographic and socioeconomic characteristics. Aging & Mental Health, 21(10), 1031–1039. doi: 10.1080/13607863.2016.1193120.CrossRefGoogle ScholarPubMed
Dykstra, P. A. and de Jong Gierveld, J. (2004). Gender and marital-history differences in emotional and social loneliness among Dutch older adults. Canadian Journal on Aging/La Revue Canadienne Du Vieillissement, 23(2), 141–155. doi:10.1353/cja.2004.0018.CrossRefGoogle ScholarPubMed
Gaymu, J. and Springer, S. (2010). Living conditions and life satisfaction of older Europeans living alone: A gender and cross-country analysis. Ageing & Society, 30(7), 1153–1175. doi: 10.1017/S0144686X10000231.CrossRefGoogle Scholar
Haron, S. A., Foong, H. F. and Hamid, T. A. (2018). Moderating effect of emotional support on the relationship between disability and life satisfaction in older adults. Geriatrics & Gerontology International, 18(9), 1361–1365. doi: 10.1111/ggi.13490.CrossRefGoogle ScholarPubMed
Hatfield, J. P., Hirsch, J. K. and Lyness, J. M. (2013). Functional impairment, illness burden, and depressive symptoms in older adults: does type of social relationship matter? International Journal of Geriatric Psychiatry, 28(2), 190–198. doi: 10.1002/gps.3808.CrossRefGoogle ScholarPubMed
Hayes, A.F. (2013). Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. New York, NY: Guilford Press.Google Scholar
Hayes, A. F. and Rockwood, N. J. (2017). Regression-based statistical mediation and moderation analysis in clinical research: Observations, recommendations, and implementation. Behaviour Research and Therapy, 98, 39–57. doi: 10.1016/j.brat.2016.11.001.CrossRefGoogle Scholar
Hsu, H.-C. (2011). Impact of morbidity and life events on successful aging. Asia-Pacific Journal of Public Health, 23(4), 458–469. doi: 10.1177/1010539511412575 CrossRefGoogle ScholarPubMed
Katsumata, Y., Arai, A., Ishida, K., Tomimori, M., Lee, R. B. and Tamashiro, H. (2012). Which categories of social and lifestyle activities moderate the association between negative life events and depressive symptoms among community-dwelling older adults in Japan? International Psychogeriatrics, 24(2), 307–315. doi: 10.1017/S1041610211001736.CrossRefGoogle ScholarPubMed
Koenig, H. G., Westlund, R. E., George, L. K., Hughes, D. C., Blazer, D. G. and Hybels, C. (1993). Abbreviating the Duke social support index for use in chronically ill elderly individuals. Psychosomatics, 34(1), 61–69. doi: 10.1016/S0033-3182(93)71928-3.CrossRefGoogle ScholarPubMed
Kraaij, V. and de Wilde, E. J. (2001). Negative life events and depressive symptoms in the elderly: a life span perspective. Aging & Mental Health, 5(1), 84–91. doi: 10.1080/713650006.CrossRefGoogle ScholarPubMed
Kraaij, V., Arensman, E. and Spinhoven, P. (2002). Negative life events and depression in elderly persons: a meta-analysis. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 57(1), 87–94. doi: 10.1093/geronb/57.1.p87.CrossRefGoogle ScholarPubMed
Krause, N. (2004). Lifetime trauma, emotional support, and life satisfaction among older adults. The Gerontologist, 44(5), 615–623. doi: 10.1093/geront/44.5.615 CrossRefGoogle ScholarPubMed
Lambotte, D. et al. (2018). Randomized controlled trial to evaluate a prevention program for frail community-dwelling older adults: A D-SCOPE protocol. BMC Geriatrics, 18(1), 194. doi: 10.1186/s12877-018-0875-3.CrossRefGoogle ScholarPubMed
Li, H., Ji, Y. and Chen, T. (2014). The roles of different sources of social support on emotional well-being among chinese elderly. PLOS ONE, 9(3), e90051. doi: 10.1371/journal.pone.0090051.CrossRefGoogle ScholarPubMed
Lutzman, M., Sommerfeld, E. and Ben-David, S. (2020). Loneliness and social integration as mediators between physical pain and suicidal ideation among elderly men. International Psychogeriatrics, 1–7. doi: 10.1017/S104161022000112X.CrossRefGoogle Scholar
Lyubomirsky, S., King, L. and Diener, E. (2005). The benefits of frequent positive affect: does happiness lead to success? Psychological Bulletin, 131(6), 803–855. doi: 10.1037/0033-2909.131.6.803.CrossRefGoogle Scholar
Mather, M. (2012). The emotion paradox in the aging brain. Annals of the New York Academy of Sciences, 1251(1), 33–49. doi: 10.1111/j.1749-6632.2012.06471.x.CrossRefGoogle ScholarPubMed
Moran, J. M., Jolly, E. and Mitchell, J. P. (2012). Social-cognitive deficits in normal aging. The Journal of Neuroscience, 32(16), 5553–5561. doi: 10.1523/JNEUROSCI.5511-11.2012.CrossRefGoogle ScholarPubMed
Patrick, J. H., Cottrell, L. E. and Barnes, K. A. (2001). Gender, emotional support, and well-being among the rural elderly. Sex Roles, 45(1), 15–29. doi: 10.1023/A:1013056116857.CrossRefGoogle Scholar
Perlman, D. and Peplau, L. A. (1981). Toward a social psychology of loneliness. In Gilmour, R. and Duck, S. (Eds.), Personal Relationships: 3. Relationships in Disorder (pp. 31–56). London: Academic Press.Google Scholar
Preacher, K. J. and Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. doi: 10.3758/BRM.40.3.879.CrossRefGoogle ScholarPubMed
Prieto-Flores, M.-E., Fernandez-Mayoralas, G., Forjaz, M. J., Rojo-Perez, F. and Martinez-Martin, P. (2011). Residential satisfaction, sense of belonging and loneliness among older adults living in the community and in care facilities. Health & Place, 17(6), 1183–1190. doi: 10.1016/j.healthplace.2011.08.012.CrossRefGoogle ScholarPubMed
Ratner, B. (2009). The correlation coefficient: Its values range between +1/−1, or do they?. Journal of Targeting, Measurement and Analysis for Marketing 17, 139–142. doi: 10.1057/jt.2009.5 CrossRefGoogle Scholar
Rubio, L., Dumitrache, C. G. and Cordón-Pozo, E. (2018). Do past stressful life events and personal control beliefs predict subjective wellbeing in old age? Evidence from a Spanish nationwide representative sample. Ageing & Society, 38(12), 2519–2540. doi: 10.1017/S0144686X17000691.CrossRefGoogle Scholar
Russell, D. W., Peplau, L. A. and Cutrona, C. E. (1980). The revised UCLA loneliness scale: Concurrent and discriminant validity evidence. Journal of personality and social psychology, 39(3), 472–480. doi: 10.1037/0022-3514.39.3.472.CrossRefGoogle ScholarPubMed
Seematter-Bagnoud, L., Karmaniola, A. and Santos-Eggimann, B. (2010). Adverse life events among community-dwelling persons aged 65-70 years: Gender differences in occurrence and perceived psychological consequences. Social Psychiatry and Psychiatric Epidemiology, 45(1), 9–16. doi: 10.1007/s00127-009-0035-3.CrossRefGoogle ScholarPubMed
Singh, A. and Misra, N. (2009). Loneliness, depression and sociability in old age. Industrial Psychiatry Journal, 18(1), 51–55. doi: 10.4103/0972-6748.57861.CrossRefGoogle ScholarPubMed
Sjöberg, M., Beck, I., Rasmussen, B. H. and Edberg, A.-K. (2018). Being disconnected from life: Meanings of existential loneliness as narrated by frail older people. Aging & Mental Health, 22(10), 1357–1364. doi: 10.1080/13607863.2017.1348481.CrossRefGoogle ScholarPubMed
Steptoe, A., Deaton, A. and Stone, A. A. (2015). Psychological wellbeing, health and ageing. Lancet, 385(9968), 640–648. doi: 10.1016/S0140-6736(13)61489-0.CrossRefGoogle ScholarPubMed
Theeke, L. A. (2009). Predictors of loneliness in U.S. adults over age sixty-five. Archives of Psychiatric Nursing, 23(5), 387–396. doi: 10.1016/j.apnu.2008.11.002.CrossRefGoogle ScholarPubMed
Wang, J., Mann, F., Lloyd-Evans, B., Ma, R. and Johnson, S. (2018). Associations between loneliness and perceived social support and outcomes of mental health problems: A systematic review. BMC Psychiatry, 18(1), 156. doi: 10.1186/s12888-018-1736-5.CrossRefGoogle ScholarPubMed
Weiss, R. S. (1974). The provisions of social relationships. In Rubin, Z. (Ed.), Doing Unto Others (pp. 17–26). Englewood, NJ: Prentice-Hall.Google Scholar
Wells, Y. (2015). Life events and older people. In Pachana, N. A. (Eds.), Encyclopedia of Geropsychology (pp. 1–9). Springer Singapore. doi:10.1007/978-981-287-080-3_338-1.CrossRefGoogle Scholar
Yu, J., Kahana, E., Kahana, B. and Han, C. (2019). Depressive symptoms among elderly men and women who transition to widowhood: Comparisons with long term married and long term widowed over a 10-year period. Journal of Women & Aging, 1–16. doi: 10.1080/08952841.2019.1685855.CrossRefGoogle Scholar
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