痴呆症患者孤独和社会孤立的预测因素和相关值:来自IDEAL计划的纵向发现
Isla Rippon1, Christina R Victor1, Laura D Gamble2,3,4
1Department of Health Sciences, College of Health, Medicine and Life Sciences, Brunel University of London, Uxbridge, UK.
International journal of geriatric psychiatry
|January 19, 2026
概括
孤独和社会孤立在痴呆症患者中很普遍. 邻居的信任和文化参与是随着时间的推移减少这些问题的关键因素.
科学领域:
- 老年学和痴呆症护理
- 公共卫生和社会科学
背景情况:
- 孤独和社会隔离是痴呆症患者的重大问题,影响他们的生活质量.
- 了解这些经验的预测因素对于开发有效的干预措施至关重要.
研究的目的:
- 在轻度至中度痴呆症患者中确定孤独和社会隔离的预测因素.
- 为了检查这些预测因素在24个月内如何变化.
主要方法:
- 利用了1547名参与者在改善痴呆和增强活跃生活 (IDEAL) 队列研究中的数据.
- 采用了通用线性混合效应模型来分析24个月的孤独和社会隔离预测因素.
- 通过De Jong Gierveld尺度评估孤独感,使用Lubben社交网络尺度评估社会孤立感.
主要成果:
- 在24个月内,孤独的发病率从35.4%增加到39.3%,社会隔离率从28.8%增加到32.0%.
- 在基线,抑郁症状,独自生活,较小的社交网络和较低的邻居信任预测了更大的孤独感.
- 较高的邻居信任是唯一与孤独感的降低相关的预测因素;文化参与和进入绿色/蓝色空间与较低的社会隔离有截面的联系.
结论:
- 当地环境,包括邻居的信任和绿色/蓝色空间的访问,在减轻痴呆症患者的孤独和社会隔离方面发挥着至关重要的作用.
- 文化参与对于减少社会孤立也很重要.
- 像痴呆症友好社区这样的倡议可以增强邻里互动,并可能减少孤独和社会隔离.
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