Pre-widowhood social support is linked to loneliness patterns: a growth mixture model using the health and retirement study.

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Aging & Mental Health Pub Date : 2024-12-01 Epub Date: 2024-06-26 DOI:10.1080/13607863.2024.2367045
Gina Lee, Natasha Nemmers, Daniel Russell
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引用次数: 0

Abstract

Objectives: The first aim of the study is to compare loneliness levels between widowed and non-widowed older adults. The second aim is to identify distinct loneliness patterns among widowed individuals and explore the impact of pre-spousal loss social support on loneliness during and after bereavement.

Method: Data from the Health and Retirement Study were utilized to compare loneliness levels between widowed (n = 137) and non-widowed (n = 2361) older adults (Mage = 69.01). T-tests and latent growth curve models were conducted to compare loneliness levels between the two groups. Growth mixture models were computed to identify distinct loneliness patterns among the widowed individuals. A multinomial logistic regression analysis was conducted to determine how pre-widowhood social support was associated with the obtained classes.

Results: The results revealed that widowed individuals reported significantly higher levels of loneliness at T2. Among widowed individuals, three distinct loneliness patterns were identified: Increased Loneliness (IL) group (n = 32); Low and Stable Loneliness (LSL) group (n = 88); and Decreased Loneliness (DL) group (n = 17). The IL and DL group were less likely to receive social support from spouse, children, and friends compared to the LSL group.

Conclusion: This study provides evidence of the protective effect of pre-widowhood social support on the psychological well-being of older adults after spousal loss.

鳏寡前的社会支持与孤独模式的关系:利用健康与退休研究的增长混合模型。
研究目的研究的第一个目的是比较丧偶和非丧偶老年人的孤独程度。第二个目的是确定丧偶者独特的孤独模式,并探讨丧偶前的社会支持对丧偶期间和丧偶后孤独感的影响:方法:利用 "健康与退休研究"(Health and Retirement Study)的数据,比较鳏寡(n = 137)和非鳏寡(n = 2361)老年人(Mage = 69.01)的孤独感水平。通过 T 检验和潜在增长曲线模型来比较两组之间的孤独感水平。计算了增长混合模型,以确定丧偶者中不同的孤独模式。我们还进行了多项式逻辑回归分析,以确定鳏寡前的社会支持与所获得的等级之间的关系:结果显示,丧偶者在 T2 阶段的孤独感水平明显较高。在丧偶者中,发现了三种不同的孤独模式:孤独感增强(IL)组(32 人);孤独感低且稳定(LSL)组(88 人);孤独感降低(DL)组(17 人)。与 LSL 组相比,IL 组和 DL 组从配偶、子女和朋友那里获得社会支持的可能性较低:本研究提供了证据,证明丧偶前的社会支持对老年人丧偶后的心理健康具有保护作用。
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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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