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A Social Model of Loneliness: The Roles of Disability, Social Resources, and Cognitive Impairment

Vanessa Burholt Orcid Logo, Gill Windle, Deborah Morgan Orcid Logo, (on behalf of the CFAS Wales team)

The Gerontologist, Volume: 57, Issue: 6, Pages: 1020 - 1030

Swansea University Authors: Vanessa Burholt Orcid Logo, Deborah Morgan Orcid Logo

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DOI (Published version): 10.1093/geront/gnw125

Abstract

Purpose of the study: We consider the points at which cognitive impairment may impact on the pathway to loneliness for older people, through impeding social interaction with family and friends, or by interfering with judgments concerning satisfaction with relationships.Design and methods: We concept...

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Published in: The Gerontologist
ISSN: 0016-9013 1758-5341
Published: Oxford University Press (OUP) 2017
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URI: https://cronfa.swan.ac.uk/Record/cronfa30569
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spelling 2020-10-15T11:27:12.1566465 v2 30569 2016-10-14 A Social Model of Loneliness: The Roles of Disability, Social Resources, and Cognitive Impairment cf7fe9863906cd54df5b0a99904d535e 0000-0002-6789-127X Vanessa Burholt Vanessa Burholt true false 6ab809844c56957c0e9773518a251516 0000-0002-3107-3945 Deborah Morgan Deborah Morgan true false 2016-10-14 PHAC Purpose of the study: We consider the points at which cognitive impairment may impact on the pathway to loneliness for older people, through impeding social interaction with family and friends, or by interfering with judgments concerning satisfaction with relationships.Design and methods: We conceptualize a mediation model anticipating that social resources (LSNS-6) will mediate the pathway between disability (Townsend Disability Scale) and loneliness (De Jong Gierveld 6 item scale) and a moderated-mediation model in which we hypothesize that cognitive impairment (MMSE) will moderate the association between disability and social resources and between social resources and loneliness. To validate the hypothesized pathways, we draw on the CFAS Wales data set (N=3,593) which is a nationally representative study of community-dwelling people aged 65 and over in Wales Results: Disability had a significant indirect effect on loneliness through the mediating variable social resources. Cognitive impairment was significantly associated with social resources, but did not moderate the relationship between disability and social resources. Cognitive impairment had a significant impact on loneliness, and moderated the effect of social resources on loneliness. Implications: Social structures can (dis)empower people with cognitive impairment and lead to exclusion from social resources or impact on the social construction of ageing, cognitive impairment and dementia. The sense of self for an older person with cognitive impairment may be influenced by social norms and stereotypes, or through a temporal social comparison with an ‘earlier’ sense of self. We conclude that loneliness interventions should be theoretically-informed to identify key areas for modification. Journal Article The Gerontologist 57 6 1020 1030 Oxford University Press (OUP) 0016-9013 1758-5341 social interaction; social model of disability; isolation; dementia; analysis – moderated-mediation modeling 1 12 2017 2017-12-01 10.1093/geront/gnw125 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University RCUK 2020-10-15T11:27:12.1566465 2016-10-14T08:34:15.0234332 Faculty of Medicine, Health and Life Sciences The Centre for Innovative Ageing Vanessa Burholt 0000-0002-6789-127X 1 Gill Windle 2 Deborah Morgan 0000-0002-3107-3945 3 (on behalf of the CFAS Wales team) 4 30569__17823__b669491eb5e54d2d854630b52b2c9712.pdf SocialmodellonelinessGerontologistOffprint.pdf 2020-07-31T18:56:31.7033745 Output 783196 application/pdf Version of Record true Released under the terms of a Creative Commons Attribution License (CC-BY). true eng http://creativecommons.org/licenses/by/3.0/
title A Social Model of Loneliness: The Roles of Disability, Social Resources, and Cognitive Impairment
spellingShingle A Social Model of Loneliness: The Roles of Disability, Social Resources, and Cognitive Impairment
Vanessa Burholt
Deborah Morgan
title_short A Social Model of Loneliness: The Roles of Disability, Social Resources, and Cognitive Impairment
title_full A Social Model of Loneliness: The Roles of Disability, Social Resources, and Cognitive Impairment
title_fullStr A Social Model of Loneliness: The Roles of Disability, Social Resources, and Cognitive Impairment
title_full_unstemmed A Social Model of Loneliness: The Roles of Disability, Social Resources, and Cognitive Impairment
title_sort A Social Model of Loneliness: The Roles of Disability, Social Resources, and Cognitive Impairment
author_id_str_mv cf7fe9863906cd54df5b0a99904d535e
6ab809844c56957c0e9773518a251516
author_id_fullname_str_mv cf7fe9863906cd54df5b0a99904d535e_***_Vanessa Burholt
6ab809844c56957c0e9773518a251516_***_Deborah Morgan
author Vanessa Burholt
Deborah Morgan
author2 Vanessa Burholt
Gill Windle
Deborah Morgan
(on behalf of the CFAS Wales team)
format Journal article
container_title The Gerontologist
container_volume 57
container_issue 6
container_start_page 1020
publishDate 2017
institution Swansea University
issn 0016-9013
1758-5341
doi_str_mv 10.1093/geront/gnw125
publisher Oxford University Press (OUP)
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str The Centre for Innovative Ageing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}The Centre for Innovative Ageing
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description Purpose of the study: We consider the points at which cognitive impairment may impact on the pathway to loneliness for older people, through impeding social interaction with family and friends, or by interfering with judgments concerning satisfaction with relationships.Design and methods: We conceptualize a mediation model anticipating that social resources (LSNS-6) will mediate the pathway between disability (Townsend Disability Scale) and loneliness (De Jong Gierveld 6 item scale) and a moderated-mediation model in which we hypothesize that cognitive impairment (MMSE) will moderate the association between disability and social resources and between social resources and loneliness. To validate the hypothesized pathways, we draw on the CFAS Wales data set (N=3,593) which is a nationally representative study of community-dwelling people aged 65 and over in Wales Results: Disability had a significant indirect effect on loneliness through the mediating variable social resources. Cognitive impairment was significantly associated with social resources, but did not moderate the relationship between disability and social resources. Cognitive impairment had a significant impact on loneliness, and moderated the effect of social resources on loneliness. Implications: Social structures can (dis)empower people with cognitive impairment and lead to exclusion from social resources or impact on the social construction of ageing, cognitive impairment and dementia. The sense of self for an older person with cognitive impairment may be influenced by social norms and stereotypes, or through a temporal social comparison with an ‘earlier’ sense of self. We conclude that loneliness interventions should be theoretically-informed to identify key areas for modification.
published_date 2017-12-01T03:37:10Z
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