The Relationship of Loneliness to End-of-Life Experience in Older Americans: A Cohort Study.

Journal of the American Geriatrics Society
Nauzley C AbediniVineet Chopra

Abstract

Little is known about the relationship between loneliness and end-of-life (EOL) experience including symptom burden, intensity of care, and advance care planning among older adults. Secondary analysis of the Health and Retirement Study (HRS). Population based. Decedents older than 50 years who died between 2004 and 2014 (n = 8700). Exclusions included those who were ineligible for surveys assessing loneliness (n = 2932) or had missing or incomplete loneliness or symptom data (n = 2872). Individuals were characterized as lonely based on responses to the three-item Revised University of California, Los Angeles Loneliness Scale in the most recent HRS survey before death. Outcomes were proxy reports of total EOL symptom burden, intensity of EOL care (eg, late hospice enrollment, place of death, hospitalizations, use of life support), and advance care planning. Results were expressed as adjusted odds ratios (aORs) with 95% confidence intervals (CIs). One-third of 2896 decedents (n = 942) were lonely. After adjusting for demographics, socioeconomic status, multimorbidity, depressive symptoms, family and friends, and social support, loneliness was independently associated with increased total symptom burden at EOL (ß = .13; P = .004)....Continue Reading

References

Mar 15, 2003·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Craig C EarleSusan Block
Jan 9, 2004·Journal of Pain and Symptom Management·Marianne KlinkenbergDorly J H Deeg
Sep 27, 2006·Journal of Pain and Symptom Management·Jean S KutnerDiane L Fairclough
Oct 4, 2007·Journal of the American Geriatrics Society·Karl A LorenzNeil Wenger
Nov 6, 2007·Journal of Pain and Symptom Management·Christine J McPhersonSusan Brajtman
May 28, 2008·Research on Aging·Mary Elizabeth HughesJohn T Cacioppo
Aug 9, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Craig C EarleJohn Z Ayanian
Jun 11, 2009·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Erin York Cornwell, Linda J Waite
Sep 4, 2009·Trends in Cognitive Sciences·John T Cacioppo, Louise C Hawkley
Jul 22, 2010·Journal of the American Geriatrics Society·Gerard J MolloyRonan M Conroy
Aug 19, 2010·Personality and Social Psychology Review : an Official Journal of the Society for Personality and Social Psychology, Inc·Christopher M MasiJohn T Cacioppo
Nov 3, 2010·Annals of Internal Medicine·Alexander K SmithKenneth E Covinsky
Jan 13, 2011·Statistics in Medicine·Ian R WhiteAngela M Wood
Jun 28, 2011·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Marianne BaernholdtMeghan Mattos
Jun 20, 2012·Archives of Internal Medicine·Carla M PerissinottoKenneth E Covinsky
Jan 29, 2013·Journal of the American Geriatrics Society·Kara E BischoffAlexander K Smith
Oct 8, 2014·Journal of Aging and Health·Nancy E G NewallVerena H Menec
Feb 3, 2015·Annals of Internal Medicine·Adam E SingerKarl A Lorenz
Mar 20, 2015·American Journal of Public Health·Kerstin Gerst-Emerson, Jayani Jayawardhana
Apr 14, 2015·Perspectives on Psychological Science : a Journal of the Association for Psychological Science·Stephanie CacioppoJohn T Cacioppo
Jan 20, 2016·JAMA : the Journal of the American Medical Association·Alexi A WrightMary B Landrum
Jan 5, 2018·PloS One·Laura Alejandra Rico-UribeMarta Miret
Jan 9, 2018·American Journal of Epidemiology·Melissa Y Wei, Kenneth J Mukamal
Mar 30, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Steven DoddCatherine Walshe
Jun 4, 2018·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Lindsay C Kobayashi, Andrew Steptoe
Jul 5, 2018·Journal of the American Geriatrics Society·Lena K MakarounVincent Mor
Dec 15, 2018·Journal of the American Geriatrics Society·Lauren J Hunt, Alexander K Smith
Dec 15, 2018·Journal of the American Geriatrics Society·Kushang V PatelDennis C Turk
Feb 15, 2019·Journal of the American Geriatrics Society·Carla PerissinottoKen Covinsky

❮ Previous
Next ❯

Citations

Sep 24, 2020·Journal of the American Geriatrics Society·Ashwin A KotwalCarla M Perissinotto
Jul 12, 2021·Journal of the American Geriatrics Society·Ashwin A KotwalAlexander K Smith
Jun 9, 2020·Journal of the American Medical Directors Association·Joyce Simard, Ladislav Volicer

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

International Journal of Qualitative Studies on Health and Well-being
Solveig Hauge, Marit Kirkevold
Journal of Social and Personal Relationships
Nancy E G NewallDaniel S Bailis
© 2021 Meta ULC. All rights reserved