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Validation of the Chinese translation of the 6-item De Jong Gierveld Loneliness Scale in elderly Chinese

Published online by Cambridge University Press:  01 July 2008

Grace Tak Yu Leung*
Affiliation:
Department of Psychiatry, Tai Po Hospital, HKSAR, China.
Jenny de Jong Gierveld
Affiliation:
Faculty of Social Sciences, VU University Amsterdam, The Netherlands
Linda Chiu Wa Lam
Affiliation:
Department of Psychiatry, The Chinese University of Hong Kong, HKSAR, China
*
Correspondence should be addressed to: Dr Grace Tak Yu Leung, Department of Psychiatry, Tai Po Hospital, 9 Chuen On Road, Tai Po, New Territories, HKSAR, China. Phone: +852 26076111; Fax: +852 26623568. Email: schroederleung@yahoo.com.hk.

Abstract

Background: This study aims to develop and validate a Chinese translation of the 6-item De Jong Gierveld Loneliness Scale – a widely used instrument to measure loneliness – specifically determining its psychometric properties in community-dwelling Chinese elders in Hong Kong. The relationships between loneliness and several clinical variables are also assessed.

Method: The English version was translated into Chinese. Content validity was established by group discussion and Delphi panel. The questionnaire was administered to 103 Hong Kong Chinese community-dwelling elders. Statistical analysis was performed to test the reliability and validity of the scale.

Results: The content validity was high as shown by the results of the Delphi panel. Cronbach's α of the 6-item scale was 0.76. For the inter-rater reliability of the six items, the intra-class correlation coefficients ranged from 0.98 to 1.00. The emotional loneliness subscale significantly correlated with the social loneliness subscale (ρ = 0.37; p < 0.001). In using a direct question to measure loneliness, 21 participants (20%) reported that they were lonely. The overall loneliness scale score significantly correlated with the answers on the direct question of loneliness (rpb = 0.71; p < 0.001). The overall loneliness score showed significant correlation with Cornell Scale for Depression in Dementia (ρ = 0.29; p = 0.003), current smoking status (rpb = 0.24; p = 0.014), and some objective social characteristics.

Conclusion: The Chinese version of the 6-item De Jong Gierveld Loneliness Scale is a reliable and valid measure of loneliness in Chinese elders.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2008

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References

Alexopoulos, G. A., Abrams, R. C., Young, R. C. and Shamoian, C. A. (1988). Cornell scale for depression in dementia. Biological Psychiatry, 23, 271284.CrossRefGoogle ScholarPubMed
Chalise, H. N., Saito, T. and Kai, I. (2007). Correlates of loneliness among older Newar adults in Nepal. Japanese Journal of Public Health, 54, 427433.Google ScholarPubMed
Chiu, H. F. K., Lee, H. C., Chung, W. S. and Kwong, P. K. (1994). Reliability and validity of the Cantonese version of Mini-Mental State Examination – a preliminary study. Hong Kong Journal of Psychiatry, 4 (2), 2528.Google Scholar
Conwell, Y., Frobes, N. T., Cox, C. and Caine, E. D. (1993). Validation of a measure of physical illness burden at autopsy: the Cumulative Illness Rating Scale. Journal of the American Geriatrics Society, 41, 3841.CrossRefGoogle ScholarPubMed
de Jong Gierveld, J. (1987). Developing and testing a model of loneliness. Journal of Personality and Social Psychology, 53, 119128.CrossRefGoogle Scholar
de Jong Gierveld, J. and Kamphuis, F. (1985). The development of a Rasch-type loneliness scale. Applied Psychological Measurement, 9, 289299.CrossRefGoogle Scholar
de Jong Gierveld, J. and van Tilburg, T. (1999). Manual of the Loneliness Scale. Amsterdam: Vrije Universiteit Press.Google Scholar
de Jong Gierveld, J. and van Tilburg, T. (2006). A 6-item scale for overall, emotional, and social loneliness: confirmatory tests on survey data. Research on Aging, 28, 582598.CrossRefGoogle Scholar
de Jong Gierveld, J., van Tilburg, T. and Dykstra, P. A. (2006). Loneliness and social isolation. In Vangelisti and, A. Perlman, D. (eds.), Cambridge Handbook of Personal Relationships (pp. 485500). Cambridge: Cambridge University Press.CrossRefGoogle Scholar
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 of Aging/La Revue Canadienne du Vieillissement, 23, 141155.CrossRefGoogle ScholarPubMed
Dykstra, P. A., van Tilburg, T. and de Jong Gierveld, J. (2005). Changes in older adult loneliness: results from a seven-year longitudinal study. Research on Aging, 27, 725747.CrossRefGoogle Scholar
Hughes, M. E. and Waite, L. J. (2003). The American family as a context for healthy aging. In Harper, S. (ed.), The Family in Ageing Societies. Oxford: Oxford University Press.Google Scholar
Hughes, M. E., Waite, L. J., Hawkley, L. C. and Cacioppo, J. T. (2004). A short scale for measuring loneliness in large surveys: results from two population-based studies. Research on Aging, 26, 655672.CrossRefGoogle Scholar
Lam, L. C. W. et al. (2008). Prevalence of very mild and mild dementia in community-dwelling older Chinese people in Hong Kong. International Psychogeriatrics, 20, 135148.CrossRefGoogle ScholarPubMed
Morris, J. C. (1993). The CDR: current version and scoring rules. Neurology, 43, 24122413.CrossRefGoogle ScholarPubMed
Nieboer, A. P. (1997). Life events and well-being: a prospective study on changes in well-being of elderly people due to a serious illness event or death of the spouse. Unpublished PhD thesis, University of Groningen, The Netherlands.Google Scholar
Pinquart, M. and Sörensen, S. (2001a). Influences on loneliness in older adults: a meta-analysis. Basic and Applied Social Psychology, 23, 245-66.CrossRefGoogle Scholar
Pinquart, M. and Sörensen, S. (2001b). Gender differences in self-concept and psychological well-being in old age: a meta-analysis. Journal of Gerontology: Psychological Sciences, 56, 195-213.Google ScholarPubMed
Pinquart, M. and Sörensen, S. (2003). Risk factors for loneliness in adulthood and old age: a meta-analysis. Advances in Psychology Research, 19, 111143.Google Scholar
Russell, D. W. (1996). UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure. Journal of Personality Assessment, 66, 2040.CrossRefGoogle ScholarPubMed
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, 472480.CrossRefGoogle ScholarPubMed
van Tilburg, T., Havens, B. and de Jong Gierveld, J. (2004). Loneliness among older adults in the Netherlands, Italy, and Canada: a multifaceted comparison. Canadian Journal of Aging/La Revue Canadienne du Vieillissement, 23, 169180.CrossRefGoogle Scholar
Weiss, R. S. (1973). Loneliness: The Experience of Emotional and Social Isolation. Cambridge, MA: MIT Press.Google Scholar