Causal beliefs, social participation, and loneliness among older adults: A longitudinal study

Newall, Nancy E.; Chipperfield, Judith G.; Clifton, Rodney A.; Perry, Raymond P.; Swift, Audrey U.; Ruthig, Joelle C.

doi:10.1177/0265407509106718

Cited by 129 publications

(109 citation statements)

References 38 publications

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“…Multivariate analysis showed that patients who were severely disabled due to their ophthalmological conditions were less likely to visit hospitals than the other severely disabled patients. Compatible with this finding, it was shown that elderly people with visual impairment and/or blindness have participation restrictions and activity loss that are associated with functional and cognitive decline (6)(7)(8)(9)(10) . In conclusion, blindness gives rise to severe disability and constitutes a large proportion of the diseases that lead to severe disability.…”

Section: Discussionmentioning

confidence: 87%

“…Visually impaired and blind elderly people usually face restrictions in their ability to participate in various activities. Decreased participation and activity loss are associated with increased risk of functional and cognitive decline; in addition, these patients are at risk of social isolation and may suffer from loneliness (6)(7)(8)(9)(10) . Worldwide, 161-258 million individuals are estimated to be visually impaired, and in 33-39 million of this population, vision is reduced to the level of blindness (11)(12)(13) .…”

Section: Introductionmentioning

confidence: 99%

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Sociodemographic status of severely disabled and visually impaired elderly people in Turkey

Kıvanç¹,

Budak²,

Olcaysu³

et al. 2016

Arquivos Brasileiros De Oftalmologia

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Purpose: To identify the prevalence of ophthalmologic diseases in elderly patients who had been classified as severely disabled and to identify the ophthalmologic conditions leading to visual impairment and blindness. Methods: The medical records of 2806 patients who had applied to the Health Board of the Erzurum Region Training and Research Hospital between January 2011 and December 2012 were reviewed. One hundred ninety-nine patients aged >64 years who were classified as severely disabled with disability rates of over 50%, and who were unable to care for themselves or to move and/or communicate without help were included in the study. Results:The most frequently seen disabilities were neurological (47.2%) and those resulting from eye diseases (17.1%). The most common ophthalmologic diseases were cataract, glaucoma, and age-related macular degeneration. The mean right and left eye visual acuities were 1.17 ± 1.10 logMAR and 1.13 ± 1.0 logMAR, respectively. Of the 60 patients with ophthalmologic diseases or conditions, 33 were blind (visual acuity worse than 20/400) and 10 were visually impaired (visual acuity worse than 20/70 but better than 20/400). Cataracts were the main cause of blindness. The mean age of the patients who were still being followed up at the time of application to the disability board was significantly lower than that of the others (p=0.015). Seventy-nine percent of the blind patients were from rural areas, and 88% of these had no regular follow-up. Among the blind and visually impaired, significantly more patients from urban areas had social security insurance (SSI) than those from rural areas (p=0.043). Nearly 64% of the blind patients were women. The follow-up rate was significantly lower in women (p=0.025). According to multinomial logistic regression analysis, the visually impaired and blind patients were more likely to have lower follow-up rates than the other types of severely disabled patients (OR: 0.231, 95% Cl: 0.077-0.688, p=0.009). Conclusions: Blindness gives rise to severe disability, and the most common ophthalmologic diseases that cause severe disabilities in elderly patients are ca taract, glaucoma, and age-related macular degeneration. Sociodemographic factors that may affect the accessibility of visually impaired and blind people to health services include their place of residence and gender. (OR: 0,231, 95% Cl: 0,0770,688, e p=0,009

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Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Sociodemographic status of severely disabled and visually impaired elderly people in Turkey

Kıvanç¹,

Budak²,

Olcaysu³

et al. 2016

Arquivos Brasileiros De Oftalmologia

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“…Decreased participation and activity loss are associated with an increased risk of functional [57] and cognitive decline in the elderly [58,59]. In addition, those who participate less are at risk with regard to social isolation and may experience feelings of loneliness [60].…”

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confidence: 99%

Participation of the elderly after vision loss

Alma

Mei

Melis-Dankers

et al. 2010

Disability and Rehabilitation

108

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Purpose. To assess the degree of participation of the visually impaired elderly and to make a comparison with populationbased reference data. Method. This cross-sectional study included visually impaired elderly persons (55 years; n ¼ 173) who were referred to a low-vision rehabilitation centre. Based on the International Classification of Functioning, Disability and Health (ICF) participation in: (1) domestic life, (2) interpersonal interactions and relationships, (3) major life areas, and (4) community, social and civic life was assessed by means of telephone interviews. In addition, we assessed perceived participation restrictions.Results. Comparison with reference data of the elderly showed that visually impaired elderly persons participated less in heavy household activities, recreational activities and sports activities. No differences were found for the interpersonal interactions and relationships domain. Participants experienced restrictions in household activities (84%), socializing (53%), paid or voluntary work (92%), and leisure activities (88%). Conclusions. Visually impaired elderly persons participate in society, but they participate less than their peers. They experience restrictions as a result of vision loss. These findings are relevant, since participation is an indicator for successful aging and has a positive influence on health and subjective well-being.

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“…22,23 Individuals who are aging at home need access to a strong social network, because greater social participation has been shown to be associated with fewer feelings of loneliness. 24 Common opportunities for social integration for older adults are church, libraries, support groups, exercise classes, and senior community centers. Widowed, single, and divorced individuals are at greater risk of social isolation due to feeling disconnected from social groups.…”

Section: Resultsmentioning

confidence: 99%

Severe Loneliness in Community-Dwelling Aging Adults with Mental Illness

LoboPrabhu

Molinari

2012

Journal of Psychiatric Practice

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Successful aging involves adapting to changing needs. The 2009 U.S. Census noted that 43% of adult Americans are single and that the oldest-old population is the most rapidly growing aging segment. Geriatric, lonely, hopeless individuals are at high risk for depression and suicide. Lonely individuals fail to adapt to their circumstances; and physical and mental illness place them at risk for neglect, morbidity, and mortality. The authors discuss the role of attachment in the individual's subjective experience of loneliness and suggest how attachment theory can be used to guide interventions to improve the individual's self-esteem, coping, and problem-solving abilities. This article also discusses the use of multimodal therapy, including psychodynamic, interpersonal, and cognitive-behavior therapy and coping skills training, to improve the individual's ability to adapt to the surrounding environment and to reintegrate into the community.

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Causal beliefs, social participation, and loneliness among older adults: A longitudinal study

Cited by 129 publications

References 38 publications

Sociodemographic status of severely disabled and visually impaired elderly people in Turkey

Sociodemographic status of severely disabled and visually impaired elderly people in Turkey

Participation of the elderly after vision loss

Severe Loneliness in Community-Dwelling Aging Adults with Mental Illness

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