Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP)
A longitudinal mediation analysis
Bibliographic Data
| ID | 23320189 |
|---|---|
| Authors | Ziggi Ivan Santini (0000-0002-7318-3181, University of Southern Denmark, corresponding author), Paul E Jose (0000-0002-3104-1871, Victoria University of Wellington), Erin York Cornwell (0000-0003-2145-8224, Cornell University), Ai Koyanagi (0000-0002-9565-5004, Institució Catalana de Recerca i Estudis Avançats), Line Nielsen (0000-0002-4127-4361, University of Southern Denmark), Carsten Hinrichsen (0000-0003-1993-9491, University of Southern Denmark), Charlotte Meilstrup (0000-0001-5705-1288, University of Southern Denmark), Katrine Rich Madsen (0000-0002-6591-9849, University of Southern Denmark), Vibeke Koushede, Vibeke J Koushede (0000-0002-7302-1334, University of Southern Denmark) |
| Year | 2020 |
| Volume | 5 |
| Issue | 1 |
| Pages | e62-e70 |
| Publication date | 2020-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | The Lancet Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2468-2667 • E-ISSN: 2468-2667 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/s2468-2667(19)30230-0 |
| PMID | 31910981 |
| OpenAlex | W2996990963 |
| Language | EN |
| Citations received | 338 |
| References cited | 28 |
BACKGROUND: Research indicates that social isolation and loneliness increase the risk of mental disorders, but less is known about the distinct contributions of different aspects of isolation. We aimed to distinguish the pathways through which social disconnectedness (eg, small social network, infrequent social interaction) and perceptions of social isolation (eg, loneliness, perceived lack of support) contribute to anxiety and depression symptom severity in community-residing older adults aged 57-85 years at baseline. METHODS: We did a longitudinal mediation analysis with data from the National Social Life, Health, and Aging Project (NSHAP). The study included individuals from the USA born between 1920 and 1947. Validated measures on social disconnectedness, perceived isolation, and depression and anxiety symptoms were used. Structural equation modelling was used to construct complete longitudinal path models. FINDINGS: Using data from 3005 adults aged 57-85 years, we identified two significant longitudinal mediation patterns with symptoms of depression, and two with anxiety symptoms. Overall, social disconnectedness predicted higher subsequent perceived isolation (β=0·09; p<0·0001), which in turn predicted higher depression symptoms (β=0·12; p<0·0001) and anxiety symptoms (β=0·12; p<0·0001). The reverse pathways were statistically supported as well, suggesting bi-directional influences. INTERPRETATION: Social network structure and function are strongly intertwined with anxiety and depression symptoms in the general population of older adults. Public health initiatives could reduce perceived isolation by facilitating social network integration and participation in community activities, thereby protecting against the development of affective disorders. FUNDING: Nordea-fonden.
Anxiety · Depression (economics) · Isolation (microbiology) · Longitudinal study · Mediation · Psychiatry · Social anxiety · Social isolation · Sociology · Clinical Psychology · Health disparities and outcomes · Medicine · Mental Health Research Topics · Mental Health Treatment and Access · Psychology · Gerontology
Gender and Health Disparities in Psychological Distress among Indian Older Adults
Acute relationships between mental health and cognitive function during the Covid-19 pandemic
Fatores Familiares Associados ao Suporte Social Percebido entre Pessoas Idosas
Long-Term Effects of Maternal Depression during Postpartum and Early Parenthood Period on Child Socioemotional Development
The Role of Religious Coping in Understanding the Suicide Risk of Older Adults during Covid-19
The temporal relationship between social adaptation and depression
Together we stand
Understanding the mental health burden of Covid-19 in the United Kingdom
Impact of Covid-19 Pandemic and Lockdown Measures on the Mental Health of the General Population in the Gulf Cooperation Council States
Digital risk perception among middle-aged and older adults in China
The Need for a Mental Health Technology Revolution in the Covid-19 Pandemic
Reduced Social Connectedness and Compassion Toward Close Others in Patients With Chronic Depression Compared to a Non-clinical Sample
Associations of Social Isolation with Anxiety and Depression During the Early Covid-19 Pandemic
Conversations in Times of Isolation
Age and Emotional Distress during Covid-19
The Effects of Covid-19 Lockdown on Social Connectedness and Psychological Distress in U.S. Adults with Chronic Diseases
A Cross-Cultural Study of Distress during Covid-19 Pandemic
Longitudinal Analysis of Social Isolation and Cognitive Functioning among Hispanic Older Adults with Sensory Impairments
Covid-19 and the Elderly’s Mental Illness
Sleep Quality and Physical Activity as Predictors of Mental Wellbeing Variance in Older Adults during Covid-19 Lockdown
Older People’s Lived Perspectives of Social Isolation during the First Wave of the Covid-19 Pandemic in Italy
The Moderating Role of Covid-19 Perceived Risk between Health Concern and Psychological Well-Being of Active Senior Campers Using PROCESS Macro Model
Essentials to Improve the Effectiveness of Healthy Aging Programming
The Road Less Traveled
Effect of Receiving Financial Support from Adult Children on Depression among Older Persons and the Mediating Role of Social Participation
Impact of Covid-19 Pandemic on Daily Life, Physical Exercise, and General Health among Older People with Type 2 Diabetes
Digital media as Covid-19 lifeline or stressor? An exploratory study on the perception of media usage under isolation
Visiting parents in times of Covid-19
Chronic pain patients low in social connectedness report higher pain and need deeper pressure for pain relief
Pessoas Idosas, Covid-19 E Saúde Bucal
Exploring the impact of shielding advice on the wellbeing of individuals identified as clinically extremely vulnerable amid the Covid-19 pandemic
Discrimination Against the Elderly on Social Media during the Covid-19 Epidemic
Loneliness and mental health at the early stages of the Covid‐19 pandemic in England
A multidimensional perspective of the relation between social isolation and depression among Portuguese older adults
Validation of the abbreviated Lubben Social Network Scale (LSNS‐6) and its association with self‐rated health amongst older adults in Puerto Rico
Measuring Social Embeddedness of Older Adults
Personas mayores, participación y cambio social antes y después del Covid-19
Ageing in Context
The Built Environment and Social and Emotional Support among Rural Older Adults
How is loneliness related to anxiety and depression
Social Isolation and Comorbid Mood and Anxiety Disorders
The bidirectional relationship between social participation, social media use and depressive symptoms
Urban-rural differences in depressive symptoms and related factors among employed middle-aged and older adults
Social Disconnectedness and Loneliness
Daily Functional Characteristics and Health Among Older Adults During Covid-19
The social determinants of mental health and disorder
Economic hardship and mental health complaints during Covid-19
The Mental Health Benefits of Physical Activity in Older Adults Survive the Covid-19 Pandemic
Impact of Covid-19 on loneliness, mental health, and health service utilisation
Older people and Covid‐19
Fear of Covid-19, Stress, and Anxiety in University Undergraduate Students
Social connectedness as a determinant of mental health
Correlates of symptoms of anxiety and depression and mental wellbeing associated with Covid-19
Covid-19 Confinement and Health Risk Behaviors in Spain
Covid-19 and the consequences of isolating the elderly
Social anxiety, behavioural activation and depression risk in older men
Changing Relationships Between Social Contact, Social Support, and Depressive Symptoms During the Covid-19 Pandemic
Social Isolation, Loneliness, and Depressive Symptoms
Interventions Aimed at Alleviating Loneliness and Social Isolation among the Older Population
Association Between Social Engagement Frequency and the Risk of Depression in South Korea, the United States, and the United Kingdom
Sensory Disabilities and Social Isolation Among Hispanic Older Adults
Novel Insights From Interviewer Assessments of Personal Attributes, Home Environment, and Residential Context in NSHAP
Social Connectedness of Older Adults During the Covid-19 Pandemic
Social network typologies moderate the association of loneliness with depressive symptomatology in middle-aged and older adults
The Enabling Role of ICT to Mitigate the Negative Effects of Emotional and Social Loneliness of the Elderly during Covid-19 Pandemic
Effectively Caring for Individuals With Behavioral and Psychological Symptoms of Dementia During the Covid-19 Pandemic
Age-Dependent Differences in Frequent Mental Distress (FMD) of US Older Adults Living in Multigenerational Families versus Living Alone
Effects of Anxiety, Stress and Perceived Social Support on Depression and Loneliness Among Older People During the Covid-19 Pandemic
The Effects of Covid-19 and Quarantine Measures on the Lifestyles and Mental Health of People Over 60 at Increased Risk of Dementia
Validation and Psychometric Evaluation of the Italian Version of the Fear of Covid-19 Scale
Mental health symptoms and discrimination among immigrant and US-born Hispanic or Latino adults during the Covid-19 pandemic
Experiencing the Unprecedented Covid-19 Lockdown
The Role of Neuropsychological Factors in Perceived Threat of Sars-CoV-2 in Healthy Ageing
Alcohol Consumption, Loneliness, Quality of Life, Social Media Usage and General Anxiety before and during the Covid-19 Pandemic in Singapore
Social Contact with Family and Non-Family Members Differentially Affects Physical Activity
Urban Nature and Public Health
The Role of the Sense of Belonging During the Alarm Situation and Return to the New Normality of the 2020 Coronavirus Pandemic (Covid-19) in Spain
The association of psychological distress and economic and health worries with tobacco smoking behavior during the Covid-19 pandemic
The Moderating Role of Resilience in the Personality-Mental Health Relationship During the Covid-19 Pandemic
Increase in presentations with new-onset psychiatric disorders in a psychiatric emergency department in Berlin, Germany during the second wave of the Covid-19 pandemic – a retrospective cross-sectional study
Different Areas of Chronic Stress and Their Associations with Depression
Subjective Functional Difficulties and Subjective Cognitive Decline in Older-Age Adults
The impact of the social isolation in elderly Brazilian mental health (anxiety and depression) during the Covid-19 pandemic
Loneliness and Social Engagement in Older Adults Based in Lombardy during the Covid-19 Lockdown
Implementing Remote Memory Clinics to Enhance Clinical Care During and After Covid-19
Quality of care experience- aged care consumers (QCE-ACC) in residential aged care
Frailty as a Moderator of the Relationship between Social Isolation and Health Outcomes in Community-Dwelling Older Adults
The Association between Adverse Childhood and Adulthood Experiences, Social Isolation, Loneliness, and Depression among Young Adults in South Korea
Phobic Covid-19 Disorder Scale
The Difficult Balance between Ensuring the Right of Nursing Home Residents to Communication and Their Safety
Social Media Addiction Predicts Compromised Mental Health as well as Perceived and Objective Social Isolation in Denmark
Social anxiety and loneliness among older adults
Relationships between Physical and Social Behavioural Changes and the Mental Status of Homebound Residents in Hong Kong during the Covid-19 Pandemic
A Non-Linear Biostatistical Graphical Modeling of Preventive Actions and Healthcare Factors in Controlling Covid-19 Pandemic
Diminished Social and Leisure Engagement in Community Dwelling-Older Adults with Apathy
The Buffering Role of Self-compassion in the Association Between Loneliness with Depressive Symptoms
Late-life suicide
The Impact of Early Neighborhood Cohesion, and Its Mechanism, on Cognitive Function in Later Life
Pre-pandemic Predictors of Loneliness in Adult Men During Covid-19
Mental Illness Inequalities by Multimorbidity, Use of Health Resources and Socio-Economic Status in an Aging Society
Introduction to Statistical Mediation Analysis
Principled missing data methods for researchers
Loneliness as a specific risk factor for depressive symptoms
Perceived social isolation and cognition
Loneliness and neuroendocrine, cardiovascular, and inflammatory stress responses in middle-aged men and women
Hospital Anxiety and Depression (HAD) scale
The association between social relationships and depression
The Merits of Using Longitudinal Mediation
Social networks and the prediction of elderly people at risk
Effect size measures for mediation models
Loneliness and Health
Characteristics of Socially Isolated Patients With Coronary Artery Disease Who Are at Elevated Risk for Mortality
Sample Design, Sample Augmentation, and Estimation for Wave 2 of the NSHAP
Loneliness and Depression in Middle and Old Age
Profiles of social relations among older adults
Loneliness in everyday life
Does loneliness mediate the relation between social support and cognitive functioning in later life
The health benefits of network growth
Social support, social strain, loneliness, and well-being among older adults
Network Range and Health
Social Disconnectedness, Perceived Isolation, and Health among Older Adults
| Unique citing works | 338 |
|---|---|
| Citations per year | 56,33 |
| Citation span | 2020 - 2026 (7) |
| Citation velocity | current |
| Highly cited | Yes |
| Citation types | Neutral: 297 |