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Loneliness and Anxiety About Aging in Adult Day Care Centers and Continuing Care Retirement Communities

BACKGROUND AND OBJECTIVES: The present study compares how 2 settings: adult day care centers (ADCCs) and continuing care retirement communities (CCRCs) fare with regard to loneliness and anxiety about aging. Loneliness is a highly prevalent and distressing subjective experience of inadequate social...

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Autor principal: Ayalon, Liat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177038/
https://www.ncbi.nlm.nih.gov/pubmed/30480141
http://dx.doi.org/10.1093/geroni/igy021
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author Ayalon, Liat
author_facet Ayalon, Liat
author_sort Ayalon, Liat
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description BACKGROUND AND OBJECTIVES: The present study compares how 2 settings: adult day care centers (ADCCs) and continuing care retirement communities (CCRCs) fare with regard to loneliness and anxiety about aging. Loneliness is a highly prevalent and distressing subjective experience of inadequate social relations, which has negative effects on health and well-being. Anxiety about aging is defined as worries brought up by imagining the negative consequences and losses associated with old age. The study also examines whether anxiety about aging accounts for differences in loneliness between the 2 settings. This study took place in Israel, where ADCCs are funded by the National Insurance Institute of Israel and CCRCs tend to be funded by private income and wealth. Despite notable differences between the settings, a common goal of both is to reduce loneliness among older adults. RESEARCH DESIGN AND METHODS: A cross-sectional design of 4 ADCCs and 4 CCRCs (N = 456). RESULTS: Compared with CCRC residents, older adults in ADCCs reported higher levels of loneliness (Mean [SD] = 1.46 [0.60], Mean [SD] = 1.78 [0.80], respectively, t [df]= −5.10 [448], p < .001) and higher levels of anxiety about aging (Mean [SD] = 2.96 [0.88], Mean [SD] = 3.27 [0.99], respectively, t [df] = −3.42 [440], p < .001). Anxiety about aging partially accounted for the differences between the 2 settings in levels of loneliness (B = 0.03, 95% confidence interval [CI]: 0.0037–0.0651). DISCUSSION AND IMPLICATIONS: Although it is not possible to determine causality from this cross-sectional design, it is possible that CCRCs provide a better social outlet for older adults than ADCCs.
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spelling pubmed-61770382018-11-26 Loneliness and Anxiety About Aging in Adult Day Care Centers and Continuing Care Retirement Communities Ayalon, Liat Innov Aging Original Research Article BACKGROUND AND OBJECTIVES: The present study compares how 2 settings: adult day care centers (ADCCs) and continuing care retirement communities (CCRCs) fare with regard to loneliness and anxiety about aging. Loneliness is a highly prevalent and distressing subjective experience of inadequate social relations, which has negative effects on health and well-being. Anxiety about aging is defined as worries brought up by imagining the negative consequences and losses associated with old age. The study also examines whether anxiety about aging accounts for differences in loneliness between the 2 settings. This study took place in Israel, where ADCCs are funded by the National Insurance Institute of Israel and CCRCs tend to be funded by private income and wealth. Despite notable differences between the settings, a common goal of both is to reduce loneliness among older adults. RESEARCH DESIGN AND METHODS: A cross-sectional design of 4 ADCCs and 4 CCRCs (N = 456). RESULTS: Compared with CCRC residents, older adults in ADCCs reported higher levels of loneliness (Mean [SD] = 1.46 [0.60], Mean [SD] = 1.78 [0.80], respectively, t [df]= −5.10 [448], p < .001) and higher levels of anxiety about aging (Mean [SD] = 2.96 [0.88], Mean [SD] = 3.27 [0.99], respectively, t [df] = −3.42 [440], p < .001). Anxiety about aging partially accounted for the differences between the 2 settings in levels of loneliness (B = 0.03, 95% confidence interval [CI]: 0.0037–0.0651). DISCUSSION AND IMPLICATIONS: Although it is not possible to determine causality from this cross-sectional design, it is possible that CCRCs provide a better social outlet for older adults than ADCCs. Oxford University Press 2018-07-27 /pmc/articles/PMC6177038/ /pubmed/30480141 http://dx.doi.org/10.1093/geroni/igy021 Text en © The Author(s) 2018. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Original Research Article
Ayalon, Liat
Loneliness and Anxiety About Aging in Adult Day Care Centers and Continuing Care Retirement Communities
title Loneliness and Anxiety About Aging in Adult Day Care Centers and Continuing Care Retirement Communities
title_full Loneliness and Anxiety About Aging in Adult Day Care Centers and Continuing Care Retirement Communities
title_fullStr Loneliness and Anxiety About Aging in Adult Day Care Centers and Continuing Care Retirement Communities
title_full_unstemmed Loneliness and Anxiety About Aging in Adult Day Care Centers and Continuing Care Retirement Communities
title_short Loneliness and Anxiety About Aging in Adult Day Care Centers and Continuing Care Retirement Communities
title_sort loneliness and anxiety about aging in adult day care centers and continuing care retirement communities
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177038/
https://www.ncbi.nlm.nih.gov/pubmed/30480141
http://dx.doi.org/10.1093/geroni/igy021
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