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Resilience, coping & satisfaction

Qualitative study of loneliness in a senior housing community: the importance of wisdom and other coping strategies

, , , , , , & show all
Pages 559-566 | Received 18 Jul 2019, Accepted 24 Nov 2019, Published online: 10 Jan 2020
 

Abstract

Objective

Older adults are at a high risk for loneliness, which impacts their health, well-being, and longevity. While related to social isolation, loneliness is a distinct, internally experienced, distressing feeling. The present qualitative study sought to identify characteristics of loneliness in older adults living independently within a senior housing community, which is typically designed to reduce social isolation.

Method

Semi-structured qualitative interviews regarding the experience of loneliness, risk factors, and ways to combat it were conducted with 30 older adults, ages 65–92 years. The interviews were audiotaped, transcribed, and coded using a grounded theory analytic approach based on coding, consensus, co-occurrence, and comparison.

Results

Three main themes with multiple subthemes are described: (A) Risk and Protective factors for loneliness: age-associated losses, lack of social skills or abilities, and protective personality traits; (B) Experience of loneliness: Sadness and lack of meaning as well as Lack of motivation; and (C) Coping strategies to prevent or overcome loneliness: acceptance of aging, compassion, seeking companionship, and environment enables socialization.

Discussion

Despite living within a communal setting designed to reduce social isolation, many older adults described feeling lonely in stark negative terms, attributing it to aging-associated losses or lack of social skills and abilities. However, interviewees also reported positive personal qualities and actions to prevent or cope with loneliness, several of which mirrored specific components of wisdom. The results support the reported inverse relationship between loneliness and wisdom and suggest a potential role for wisdom-enhancing interventions to reduce and prevent loneliness in older populations.

Disclosure statement

The authors declare no financial or other relationship relevant to the subject of this article.

Additional information

Funding

This study was supported, in part, by the NARSAD Young Investigator grant from the Brain and Behavior Research Foundation (PI: Ellen E. Lee, MD), National Institute of Mental Health [NIMH T32 Geriatric Mental Health Program MH019934 (PI: Dilip V. Jeste) and R01MH094151-01 (PI: Dilip V. Jeste, MD)], by the Stein Institute for Research on Aging (Director: Dilip V. Jeste, MD) at the University of California San Diego, and by the IBM Research AI through the AI Horizons Network.

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