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Overcoming existential loneliness: a cross-cultural study
B P M Chung1, J Olofsson2, F K Y Wong3
1School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, SAR, China.
BMC Geriatrics
|September 15, 2020
Summary
Older adults in long-term care facilities can experience existential loneliness (EL). This study found both Chinese and Swedish participants coped by reframing experiences and finding new meaning, highlighting the need for supportive environments.
Area of Science:
- Gerontology
- Psychology
- Sociology
Background:
- Long-term care facilities (LTCFs) can diminish social roles and networks for older adults.
- This can lead to existential loneliness (EL), a profound sense of emptiness and lack of meaning.
- EL research has predominantly focused on Western cultures, with limited understanding of Eastern cultural experiences.
Purpose of the Study:
- To explore and describe the experience and coping mechanisms of existential loneliness (EL) in Hong Kong Chinese and Swedish older adults residing in LTCFs.
Main Methods:
- A qualitative interpretive description study was employed.
- Semi-structured interviews were conducted with 13 Chinese and 9 Swedish older adults in LTCFs.
- Thematic analysis was used to analyze interview data.
Main Results:
- A core theme of "overcoming EL" emerged, involving "Feeling EL" and "Self-Regulating."
- Both Chinese and Swedish participants reported similar experiences with EL.
- Coping involved reframing experiences and identifying new life meanings.
Conclusions:
- Early and clear counseling support to help older adults find new meaning is recommended.
- LTCFs should foster quality relationships and opportunities for reflection and enjoyable activities.
- Interventions should support older adults in defining new meaning and purpose within their care setting.
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