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Editorial| Volume 17, ISSUE 8, P680-681, August 01, 2016

Loneliness in Nursing Homes

  • Kaisu H. Pitkala
    Correspondence
    Address correspondence to Kaisu H. Pitkala, MD, PhD, University of Helsinki, PO BOX 20, 00014, Finland.
    Affiliations
    Department of General Practice and Primary Health Care and Helsinki University Hospital, Unit of Primary Health Care, University of Helsinki
    Search for articles by this author
      Loneliness is a geriatric syndrome associated with impaired health, poor quality of life, cognitive decline, and increased mortality.
      • Routasalo P.
      • Pitkälä K.
      Loneliness among older individuals.
      • Boss L.
      • Kang D.H.
      • Branson S.
      Loneliness and cognitive function in the older adult: A systematic review.
      • Holt-Lunstad J.
      • Smith T.B.
      • Baker M.
      • et al.
      Loneliness and social isolation as risk factors for mortality: A meta-analytic review.
      • Kuiper J.S.
      • Zuidersma M.
      • Oude Voshaar R.C.
      • et al.
      Social relationships and risk of dementia: A systematic review and meta-analysis of longitudinal cohort studies.
      Loneliness has been defined as a subjective feeling, a discrepancy between a person's own expectations and one's actual social network.
      • Peplau L.A.
      • Perlman D.
      Perspectives on loneliness.
      Therefore, one can suffer from loneliness even if surrounded by others.
      • Routasalo P.
      • Savikko N.
      • Tilvis R.S.
      • et al.
      Social contacts and loneliness among aged individuals. A population-based survey.
      Feelings of loneliness are common among older people. Approximately 4% to 9% of community-dwelling older people suffer from constant loneliness, and an additional one-third may experience some degree of loneliness.
      • Savikko N.
      • Routasalo P.
      • Tilvis R.S.
      • Pitkala K.H.
      Loneliness among older people.
      • Grenade L.
      • Boldy D.
      Social isolation and loneliness among older people: Issues and future challenges in community and residential settings.
      However, very little is known about the prevalence of loneliness in nursing homes even though residents in such institutions are suggested to be at risk for loneliness.
      • Savikko N.
      • Routasalo P.
      • Tilvis R.S.
      • Pitkala K.H.
      Loneliness among older people.
      One Norwegian study showed that 54% of cognitively intact nursing home residents suffer from loneliness.
      • Drageset J.
      • Kirkevold M.
      • Espehaug B.
      Loneliness and social support among nursing home residents without cognitive impairment: A questionnaire survey.
      However, cognitively intact residents are a minority among nursing home residents.
      • Pitkala K.H.
      • Pietila A.
      • Hosia H.
      • Teramuraet A.L.
      Eight year trend in opioid use among institutionalized older people in Helsinki.
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