SOCIAL ENGAGEMENT AND PSYCHOLOGICAL DISTRESS IN INSTITUTIONALIZED OLDER ADULTS: A MEDIATING ROLE OF LONELINESS

Main Article Content

Mishal Khan
Zahid Mahmood

Abstract

Objective: To explore the mediating role of loneliness in social engagement and psychological distress in institutionalized older adults.
Methodology: This cross-sectional study was conducted at six government and private old age institutions in Lahore, from November, 2019 to February, 2020. The data was selected through purposive sampling technique and comprised of 100 older adults aged between 65-80 years residing in old age homes for more than 6 months. Data was collected using Lubben Social Networking Scale, Loneliness Scale and Depression, Anxiety and Stress Scale.
Results: The overall mean age was 73.46±6.91 years. A significant negative association between social engagement, loneliness and psychological distress (p<0.001), and a significant positive association between loneliness (p<0.001) and psychological distress (p<0.01) was found. Loneliness fully mediated the relationship between social engagement and psychological distress (p < 0.001).
Conclusion: Reducing social disengagement experienced by institutionalized older adults could reduce feelings of loneliness and consequently psychological distress experienced by them.

Article Details

How to Cite
1.
Khan M, Mahmood Z. SOCIAL ENGAGEMENT AND PSYCHOLOGICAL DISTRESS IN INSTITUTIONALIZED OLDER ADULTS: A MEDIATING ROLE OF LONELINESS. J Postgrad Med Inst [Internet]. 2024 May 8 [cited 2024 Nov. 18];38(2):111-6. Available from: https://jpmi.org.pk/index.php/jpmi/article/view/3303
Section
Original Article

References

Heidari M, Borujeni MG, Naseh L. Comparison of self-efficacy and loneliness between community dwelling and institutionalized older people. Iran J Ageing. 2016;11(1):142-51. DOI: 10.21859/sija-1101142.

Abdullah S. Pakistan Institute of Development Economics. Ageing in Pakistan: A curse or blessing. Weblog. 2021. Available from URL: https://pide.org.pk/research/ageing-in-pakistan-a-curse-or-blessing/.

Ashiq U, Asad AZ. The rising old age problems in Pakistan. J Res Soc Pak. 2017; 54(2):325-33.

Amiri M. Problems faced by old age people. Int J Indian Psychol. 2018; 6(3):52-63. DOI:10.25215/0603.026.

Fernández-Mayoralas G, Rojo-Pérez F, Martínez-Martín P, Maria-Eugenia P-F, Rodriguez-Blazquez C, Martin-Garcia S et al. Active ageing and quality of life: Factors associated with participation in leisure activities among institutionalized older adults, with and without dementia. Aging Ment Health. 2015; 19(11):1031-41. DOI: 10.1080/13607863.2014.996734.

Abdi S, Spann A, Borilovic J, Writte L, Hawley M. Understanding the care and support needs of older people: A scoping review and categorisation using the WHO international classification of functioning, disability and health framework (ICF). BMC Geriatr. 2019; 19:195 DOI: 10.1186/s12877-019-1189-9.

Hassan W, Abd El-Halim Z, Ahmed S, Mostafa N. Psychological problems as perceived by institutionalized and non-Institutionalized elderly. J Educ Pract. 2017;8(33): 61-7.

de Medeiros MMD, Carletti TM, Magno MB, Maia LC, Cavalcanti YW Matheus RC et al. Does the institutionalization influence elderly’s quality of life? A systematic review and meta–analysis. BMC Geriatr. 2020;44. DOI: 10.1186/s12877-020-1452-0.

Cassum LA, Cash K, Qidwai W, Vertejee S. Exploring the experiences of the older adults who are brought to live in shelter homes in Karachi Pakistan: A qualitative study. BMC Geriatrics. 2020; 20(8). DOI: 10.1186/s12877-019-1376-8.

Silva e Farias IP, Montenegro LDS, Wanderley RL, de Pontes JCX, Pereira AC, de Almeida LFD et al. Physical and psychological states interfere with health-related quality of life of institutionalized elderly: a cross-sectional study. BMC Geriatr. 2020; 386. DOI: 10.1186/s12877-020-01791-6.

Boamah SA, Weldrick R, Lee TSJ, Taylor N. Social isolation among older adults in long-term care: a scoping review. J Aging Health. 2021; 33(7-8):618-32. DOI:10.1177/08982643211004174.

Tariq J, Ali MV, Zakar R, Sajjad A, Tariq H. Institutional environment of old age homes and its relation to adjustment of older adults: evidence from Pakistan. J Aging Environ. 2020; 36(1):41-50. DOI: 10.1080/26892618.2020.1858385.

Alhambra-Borrás T, Blouws TA, Gil-Salmerón A, Durá-Ferrandis E, Kalula SZ. Older people’s dialogue about loneliness and social support: a cross-cultural qualitative study conducted in Spain and South Africa. Int J Soc Psychol. 2021; 36(3):424-57. DOI: 10.1080/02134748.2021.1940702.

Manjunath J, Manoj N, Alchalabi T. Interventions against social isolation of older adults: a systematic review of existing literature and interventions. Geriatrics. 2021;6:82. DOI: 10.3390/geriatrics6030082.

Kim MH, An JH, Lee HR, Jeong SH, Hwang SJ, Hong JP. Social isolation, loneliness and their relationships with mental health status in South Korea. Psychiatry Investig. 2021;18(7):652-60. DOI: 10.30773/pi.2021.0067.

Luo M, Ding D, Bauman A, Negin J, Phongsavan P. Social engagement pattern, health behaviors and subjective well-being of older adults: an international perspective using WHO-SAGE survey data. BMC Public Health. 2020; 99. DOI: 10.1186/s12889-019-7841-7.

Fakoya OA, McCorry NK, Donnelly M. Loneliness and social isolation interventions for older adults: A scoping review of reviews. BMC Public Health. 2020; 129. DOI: 10.1186/s12889-020-8251-6.

Courtin E, Knapp M. Social isolation, loneliness and health in old age: a scoping review. Health Soc Care Community. 2017; 25(3):799-812. DOI: 10.1111/hsc.12311.

Lubben J, Blozik E, Gillmann G, Illife S, Kruse W, Beck JC et al. Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations. Gerontologist. 2006; 46(4):503-13. DOI: 10.1093/geront/46.4.503.

Coker AO, Coker OO, Sanni D. Psychometric properties of the 21-item Depression Anxiety Stress Scale (DASS-21). Afr Res Rev. 2018;12(2):135-42 DOI: 10.4314/afrrev.v12i2.13.

Zafar H, Khalily T. Urdu translations of the DASS. 2014; 30(1),131-49. Available from URL: http://www2.psy.unsw.edu.au/dass/Urdu/ Urdu.htm.

Lini EV, Portella MR, Doring M. Factors associated with the institutionalization of the elderly: a case control study. Rev Bras Geriatr Gerontol. 2016; 19(6):1004-14. DOI: 10.1590/1981-22562016019.160043.

Vogel O, Niederer D, Wilke J, El-Rajab I, Vogt L. Habitual physical activity and sleep duration in institutionalized older adults. Front Neurol. 2021;12. DOI: 10.3389/fneur.2021.706340.

Atkins J, Naismith SL, Luscombe GM, Hickie IB. Psychological distress and quality of life in older persons: Relative contributions of fixed and modifiable risk factors. BMC Psychiatry. 2013; 13:249. DOI: 10.1186/1471-244X-13-249.

Shivakumar P, Sadanand S, Bharath S, Girish N, Varghese M. Identifying Psychological Distress in Elderly Seeking Health Care. Indian J Public Health. 2015; 59(1):18-23. DOI: 10.4103/0019-557X.152849.

Ayla K, & Kanwal S. Levels of loneliness and family structure among geriatrics. J Forensic Psychol. 2018; 3(1):2-5. DOI: 10.4172/2475-319X.1000135.

Boehlen FH, Heider D, Schellberg D, Hohls JK, Schottker B, Brenner H. Gender-specific association of loneliness and health care use in community-dwelling older adults. BMC Geriatr. 2023; 23:502. DOI: 10.1186/s12877-023-04201-9.

Green SB. How many subjects does it take to do a regression analysis. Multivariate Behav Res. 2010; 26(3):499-510. DOI: 10.1207/ s15327906mbr2603_7.