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Loneliness in older persons with schizophrenia. | LitMetric

Loneliness in older persons with schizophrenia.

Int J Soc Psychiatry

Department of Psychological Medicine, Dunedin School of Medicine, University of Otago, New Zealand.

Published: December 2024

AI Article Synopsis

  • The study explores loneliness among older adults with schizophrenia (OPwS) in New Zealand, highlighting that this population experiences higher rates of loneliness compared to their peers over 65 in the general population.
  • It analyzed data from 1,883 OPwS participants, focusing on how factors like marital status, depression, and living arrangements relate to feelings of loneliness.
  • Results show that 25.9% of OPwS reported being lonely, and significant predictors of loneliness include having depression and not being in a marital partnership, whereas living with someone tends to reduce loneliness.

Article Abstract

Background: In tandem with the rise in numbers of older adults in the general population, more people with schizophrenia (PwS) are also living longer. This vulnerable population has several trajectories of ageing driven by a number of social determinants of health, including the experience of loneliness and they may be more at risk of experiencing loneliness.

Aim: This study aimed to examine demographic, psychosocial and clinical variables and their relative contribution to the loneliness of older PwS (OPwS) in a large New Zealand community sample.

Method: New Zealanders 65 years and older who completed their first interRAI assessment during the study period were included. Data from 1,883 OPwS participants was analysed [mean age, 75.1 + 7.7 years; 1,132 (60.3%) females]. The majority were of European ethnicity (64.8%; Māori 15.7%, Pacifica 5.7%) and only a minority were married (20.6%). Chi-square analysis was used to examine relationships between loneliness and demographic and psychosocial variables. Logistic regression was used to measure the relative contribution of these variables to loneliness.

Results: Being lonely was reported for 25.9% of OPwS, a significantly higher rate than that reported in the general population of people over 65 years-of-age. A relationship with loneliness was found for marital status, depression and living arrangements but not gender, ethnicity or social engagement. Co-morbid depression and not being in a marital-type partnership were identified as significant predictors of being lonely. Conversely, living with someone predicted being not lonely.

Conclusions: Older community dwelling PwS experience higher rates of loneliness than older adults in a general population. Addressing loneliness, as well as its correlates, co-morbid depressive symptoms and living arrangements, is crucial to supporting the wellbeing of OPwS.

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Source
http://dx.doi.org/10.1177/00207640241307842DOI Listing

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