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Perceived Loneliness, Social Isolation, and Social Support Resources of Frail Older People Ageing in Place Alone in Italy

Overview
Specialty Health Services
Date 2024 May 10
PMID 38727432
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Abstract

This paper presents some findings from the IN-AGE ("Inclusive ageing in place") study, which the authors carried out in 2019 in Italy. It explores the available social support resources for frail older people with functional limitations ageing in place alone, and possible links between their social isolation and perceived loneliness. The authors conducted qualitative/semi-structured interviews involving 120 participants aged 65 years and over, and used a mixed-methods analysis (quantitative/qualitative). The main results show the family as the main help resource for daily activities, but also for intimate confidences against social isolation, especially when said relatives live close. Family confidants are less present when seniors are supported by friends/neighbours or/and public services. Moreover, the family is valuable for decreasing loneliness, although not always. However, some older people feel particularly alone when they are supported by public services. Such a complex context draws attention on the need of support for frail seniors living alone and could provide insights for policymakers on adequate policies for preventing and managing loneliness and social isolation in later life. This is especially relevant when family (and other) resources are not available or scarce, also considering the opportunities offered by technology, which can help seniors remain socially connected to relatives, friends and their overall community.

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References
1.
Fakoya O, McCorry N, Donnelly M . How do befriending interventions alleviate loneliness and social isolation among older people? A realist evaluation study. PLoS One. 2021; 16(9):e0256900. PMC: 8428774. DOI: 10.1371/journal.pone.0256900. View

2.
van Poelgeest E, Pronk A, Rhebergen D, van der Velde N . Depression, antidepressants and fall risk: therapeutic dilemmas-a clinical review. Eur Geriatr Med. 2021; 12(3):585-596. PMC: 8149338. DOI: 10.1007/s41999-021-00475-7. View

3.
Thoits P . Mechanisms linking social ties and support to physical and mental health. J Health Soc Behav. 2011; 52(2):145-61. DOI: 10.1177/0022146510395592. View

4.
Santini Z, Jose P, York Cornwell E, Koyanagi A, Nielsen L, Hinrichsen C . Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Health. 2020; 5(1):e62-e70. DOI: 10.1016/S2468-2667(19)30230-0. View

5.
Lee S, Pearce E, Ajnakina O, Johnson S, Lewis G, Mann F . The association between loneliness and depressive symptoms among adults aged 50 years and older: a 12-year population-based cohort study. Lancet Psychiatry. 2020; 8(1):48-57. PMC: 8009277. DOI: 10.1016/S2215-0366(20)30383-7. View