Conceptualising the context and mechanisms for tackling loneliness in older adults through interventions: A Critical Interpretive Synthesis
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 13, 2025
Abstract
Background
Loneliness
in
later
life
has
been
widely
associated
with
poor
mental
and
physical
health.
However,
despite
many
reviews,
current
evidence
does
not
provide
a
clear
picture
of
how
to
tackle
loneliness
older
adults
through
interventions.
Research
examining
the
contexts
mechanisms
for
reducing
interventions
is
required
identify
how,
why,
who
work
or
do
work.
Methods
A
critical
interpretive
synthesis,
review
method
designed
rigorously
reflexively
re-examine
existing
literature,
was
conducted
re-consider
what
matters
This
enacted
broad
search
strategy
incorporating
database
searches,
contacting
experts,
reference-chaining,
team
discussions,
enabling
flexible
iterative
able
generate
new
theory.
Results
274
papers
were
included
analysis.
We
identified
four
dimensions
whether
worked.
Intended
outcome
mirrored
different
theoretical
perspectives
on
reduce
loneliness.
Four
intended
outcomes
identified:
cognitive
change;
improved
social
connections;
physiological
more
meaningful
life.
The
second
dimension
level
an
intervention
-
it
intervene
at
micro,
meso,
macro
level.
Thirdly,
13
positive
features
noted
have
evidenced
lead
constitute
effective
These
that
are
organised,
adaptable,
good
staff/volunteers,
support
attend,
routinised,
built
shared
interests/identities,
personalised,
culturally
aware,
co-produced,
involve
active
participation,
strengths-based,
lasting,
targeted
appropriate
people.
Lastly,
nine
emotions
represent
less
feeling
reciprocated
interactions;
emotional
support;
belonging;
perspective;
self-efficacy;
mattering;
pride;
purpose;
empowerment.
Conclusions
Interventions
evaluations
should
look
beyond
comparing
activities
see
which
best
recognise
multidimensionality
variation
vital
individuals
communities
needs.
Identifying
is,
society
intends
impact,
actions
this
study,
can
be
employed
better
target
variety
Язык: Английский
Topic: Evaluation and Treatment of Social Isolation and Loneliness: Evidence-based Recommendations for Stroke and Neurological Rehabilitation
Current Physical Medicine and Rehabilitation Reports,
Год журнала:
2025,
Номер
13(1)
Опубликована: Янв. 30, 2025
Язык: Английский
Emerging strategies and clinical recommendations for the management of novel depression subtypes
Expert Review of Neurotherapeutics,
Год журнала:
2025,
Номер
unknown, С. 1 - 21
Опубликована: Фев. 27, 2025
Introduction
The
phenomenology
of
depression
is
characterized
by
a
wide
array
emotional,
cognitive,
and
physical
symptoms
that
significantly
disrupt
an
individual's
life.
Societal
changes,
driven
technological
advancements,
economic
pressures,
environmental
concerns
including
climate
change,
shifting
cultural
norms,
have
influenced
how
manifests
understood.
These
developments
led
to
the
identification
new
subtypes,
highlighting
need
for
personalized
treatment
approaches
based
on
individual
underlying
causes.
Язык: Английский
Positive global mental health: an overview
Опубликована: Март 6, 2025
At
present,
most
healthcare
systems
are
reactive,
focusing
on
symptom
control.
They
over-emphasize
impairments,
disorders,
disabilities,
and
risk
factors,
without
sufficient
attention
to
individuals’
communities’
strengths,
positive
psychosocial
characteristics,
protective
preventive
the
promotion
of
well-being.
This
disorder-oriented
approach
may
contribute
a
broadening
gap
between
service
needs
rapidly
increasing
urbanized
world
population
supply
adequately
qualified
providers.
It
is
critical
assess
enhance
personal
such
as
resilience,
wisdom,
optimism,
compassion,
spirituality,
purpose
in
life,
along
with
social
connections
support.
Strong
evidence
supports
value
determinants
health,
which
reduce
mental
illnesses,
improve
long-term
course,
promote
recovery
persons
serious
illnesses
physical
maladies.
The
primary
prevention
can
be
operationalized.
Appropriate
strategies
should
culturally
sensitive,
applying
interventions
that
appropriate
local
community.
Interventions
informed
by
biological
similarities
etiopathology
across
globe,
but
also
diverse
expressions
varied
people
from
communities.
Recent
reports
global
behavioral
pandemic
loneliness,
isolation,
suicides,
drug
abuse
point
an
urgent
need
for
developing
therapeutic
at
both
individual
societal
levels
well-being
general
population,
including
illnesses.
There
potentially
exciting
examples
age-friendly
communities,
intergenerational
activities,
digital
support
well
health.
important
medicine
psychiatry
their
focus
diseases
factors
health
factors.
Язык: Английский
Loneliness among older adults in Europe: time to integrate health and social care
Internal and Emergency Medicine,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 25, 2025
Язык: Английский
The association between loneliness and suicidality: A systematic review of general populations and persons with depression-related disorders
Journal of Affective Disorders,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 1, 2025
Loneliness
and
suicidality
are
interrelated
phenomena
with
implications
for
public
health
clinical
psychiatry.
This
systematic
review
seeks
to
analyze
this
association
in
general
population
samples
of
varying
age
groups
persons
depression-related
disorders-depressive
bipolar
disorders.
Search
terms
include
words
related
loneliness
populations
(elderly
adults
adolescents)
Databases
PubMed
OVID
(MedLine
Embase
AMED
PsychINFO
JBI
EBP)
Web
Science.
The
search
occurred
from
database
inception
May
27,
2024.
Fifty-six
studies
met
eligibility
criteria:
52
involving
4
patients
In
healthy
(18-64yo),
showed
a
moderate
positive
correlation
(r
=
0.26
0.59),
while
correlations
elderly
(65+)
0.498)
adolescents
(13-17yo)
were
weaker.
disorders,
ranged
weak
-0.06
0.40),
associations
stronger
unadjusted
models
(UOR
2.8
7.07).
Depressive
symptoms
mediator.
We
mostly
found
cross-sectional
studies.
Mixed
group
made
direct
comparisons
difficult.
addition,
an
inadequate
amount
found.
also
only
focused
on
depressive
as
covariate.
A
generally
was
observed
between
suicidality,
particularly
adults.
However,
moderates
these
associations,
warranting
further
exploration.
role
disorders
remains
unclear,
highlighting
the
need
longitudinal
diverse
inform
prevention
strategies.
Язык: Английский
A Social Identity Intervention to Improve Mental Health in Construction Workers
Journal of Construction Engineering and Management,
Год журнала:
2025,
Номер
151(7)
Опубликована: Апрель 17, 2025
Язык: Английский
Associations Between Social Disconnectedness and Possible Depression Across Age Groups (Preprint)
Опубликована: Дек. 10, 2024
UNSTRUCTURED
Rates
of
social
disconnectedness
and
depression
have
intensified
in
recent
years.
Yet,
little
is
known
about
how
they
relate
to
one
another
across
different
age
groups.
This
study
assessed
the
relationship
between
depressive
symptoms
among
U.S.
adults
varying
ages
using
an
internet-delivered
survey
data
collected
November
2021
January
2022
from
a
national
sample
2,496
employed
aged
18-89
Participants
completed
Upstream
Social
Interaction
Risk
Scale
(U-SIRS-13)
Patient
Health
Questionnaire
short
version
(PHQ-2).
Within
each
five
groups
(18-29,
30-39,
40-49,
50-59,
60+),
descriptive
statistics
Pearson’s
r
correlations
were
calculated
for
U-SIRS-13
PHQ-2.
Subsequently,
logistic
regression
models
fitted
assess
PHQ-2
(a
score
3
or
greater
indicated
possible
depression,
requiring
further
screening),
controlling
sociodemographic
covariates.
The
prevalence
participants
was
31.6%,
which
ranged
46.8%
(ages
18-29)
10.5%
60+).
had
significant
all
(Pearson’s
range:
0.283-0.275,
P<0.001).
Holding
covariates
constant,
higher
scores
consistently
associated
with
increased
odds
(Odds
Ratio
1.24-1.50,
While
more
prevalent
younger
(18-29
30-39),
stronger
older
(40-49,
Given
this
association,
coordinated
efforts
are
needed
simultaneously
treat
symptomology
facilitate
meaningful
interactions
others.
Язык: Английский