Abstract
This article presents an in-depth qualitative study using a phenomenological approach to understand loneliness among elderly individuals in Malaysia. The objective of the study was to understand how the Malaysian elderly perceive and understand social isolation as well as loneliness, with the aim of identifying the factors that cause emotional loneliness among the elderly in nursing homes. In addition, this study also explored their coping strategies when dealing with loneliness. Semi-structured interviews were conducted with ten elderly participants from two different nursing homes in Kuala Lumpur and Selangor with representatives from the three major ethnic groups of Malaysia. Based on the results, there are several factors that cause the elderly to feel lonely – health factors, lack of family ties, and the lack of communication and cognitive factors, such as memory and perception. It was also found that internal (expectations and optimism) and external (work and activities) coping strategies play major roles in overcoming loneliness. In conclusion, some recommendations are made to respective party families and the government to consider when developing plans to help the elderly overcome loneliness, which could strengthen the family and social support system in Malaysia.
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Baumeister, R., & Leary, M. (1995). The need to belong: desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117(3), 497–529.
Bishop, A. (2006). Age and gender differences in adaptation and subjective well-being of older adults residing in monastic religious communities. Pastoral Psychology, 55(2), 131–143.
Bretherton, I. (1992). Origins of attachment theory : john Bowlby and Mary Ainsworth. Developmental Psychology, 28(5), 759–775.
Cacioppo, J. T & Cacioppo, S. (2013). Older adults reporting social isolation or loneliness show poorer cognitive function 4 years later. Evidence-Based Nursing Online. doi:10.1136/eb-2013-101379. Retrieved from www.health.gov.bc.ca/library/.../Social_Isolation_Among_Seniors.pd
Cacioppo, J. T., & Hawkley, L. C. (2009). Loneliness. In M. Leary, & R. Hoyle (Eds.), Handbook of Individual differences in Social Behavior. New York: Guilford Press.
Caraher, K. (2003). Malaysia: approaches to income security in old age. Social Policy and Society, 2(4), 295–304.
Chan, A. (2005). Aging in southeast and east Asia: issues and policy directions. Journal of Cross-Cultural Gerontology, 20(4), 269–284.
Chapman, A. (2010). Maslow’s hierarchy of needs. Retrieved November 13, 2011, from businessballs.com: http://www.businessballs.com/maslow.htm
Chen, A., & Jones, G. (1989). Ageing in ASEAN: Its socio-economic consequences. Singapore: Institute of Asian Studies.
Choi, N., Ransom, S., & Wyllie, R. (2008). Depression in older nursing home residents: the influence of nursing home environmental stressors, coping, and acceptance of group and individual therapy. Aging and Mental Health, 12(5), 536–547.
Choudhry, U. (2001). Uprooting and resettlement experiences of south Asian immigrant women. Western Journal of Nursing Research, 23(4), 376–393.
Department of Statistics,Malaysia. (2010). Demographic Indicators Malaysia 2010. Retrieved October 25, 2011, from Department of Statistics Malaysia Website: http://www.statistics.gov.my/portal/download_Population/files/BPD/ind_2010.pdf
Dong, X., Chang, E., Wong, E., & Simon, M. (2011). Perception and negative effect of loneliness in a Chicago Chinese population of older adults. Archives of Gerontology and Geriatrics, 54(1), 151–159.
Drennan, J., Treacy, M., Butler, M., Byrne, A., Fealy, G., Frazer, K., et al. (2008). Experience of social and emotional loneliness among older people in Ireland. Ageing and Society, 28(8), 113–1132.
Gow, A. J., Pattie, A., Whiteman, M. C., Whalley, L. J., & Deary, I. J. (2007). Social support and successful aging: investigating the relationships between lifetime cognitive change and life satisfaction. Journal of Individual Differences, 28(3), 103–115.
Haines, D., Scalise, J., & Ginter, E. (1993). Relationship of loneliness and its affective elements to self-esteem. Louisiana: Jefferson Parish School System.
Hawkley, L., & Cacioppo, J. (2010). Loneliness matters: a theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine, 40(2), 218–227.
Hazer, O., & Boylu, A. (2010). The examination of the factors affecting the feeling of loneliness of the elderly. Procedia Social and Behavioral Sciences, 9, 2083–2089. doi:10.1016/j.sbspro.2010.12.450.
Hortulanus, R., Machielse, A., & Meeuwesen, L. (2006). Social isolation in modern society. Routledge.
Latiffah, A., Nor Afiah, M., & Shashikala, S. (2005). Psychological well-being of the elderly people in peninsular Malaysia. The International Medical Journal, 4(2), 38–43.
O Luanaigh, C., & Lawlor, B. (2008). Loneliness and the health of older people. International Journal of Geriatric Psychiatry,23 (12), 1213–1221.
Majerscik, E. (2005). Hierarchy of needs of geriatric patients. Gerontology, 51(3), 170–173.
Ong, F. S. (2002). Ageing in Malaysia: A Review of National Policies and Programmes. In D. Phillips, & A. Chan, AGEING AND LONG-TERM CARE National Policies in the Asia-Pacific. Hong Kong: IDRC Books.
Perlman, D., & Peplau, L. (1981). Toward a social psychology of loneliness. In S. Duck, & R. Gilmour (Eds.), Personal relationships in disorder (pp. 31–56). London: Academic Press.
Pettigrew, S., & Roberts, M. (2008). Addressing loneliness in later life. Aging and Mental Health, 12(3), 302–309.
Rashid, A., Azizah, A., & Rohana, S. (2011). Depression among the elderly Malays living in rural Malaysia. The Internet Journal of Public Health, 1(2), 128–136.
Raue, P., Meyers, B., Rowe, J., Heo, M., & Bruce, M. (2007). Suicidal ideation among elderly homecare patients. International Journal of Geriatric Psychiatry,22 (1), 32–37.
Scocco, P., Rapattoni, M., & Fantoni, G. (2006). Nursing home institutionalization: a source of eustress or distress for the elderly. International Journal of Geriatric Psychiatry, 21(3), 281–287.
Sorkin, D., Rook, K., & Lu, J. (2002). Loneliness, lack of emotional support, lack of companionship and the likelihood of having a heart condition in elderly sample. Annals of Behavioural Medicine, 24(4), 290–298.
Teh, J. K. L., Tey, N. P., & Ng, S. T. (2014). Family support and loneliness among older persons in multiethnic Malaysia. The scientific world journal, 654382, 1–11. doi:10.1155/2014/654382.
The Star (2011). Concern over elders. The star newspaper. Kuala Lumpur, Malaysia: The Star Publications..
Velkoff, V. (2000). Living Arrangements and Well-being of the Older Population : Future research directions. Retrieved October 25, 2011, from United Nations : http://www.un.org/esa/population/publications/bulletin42_43/velkoff.pdf.
Wenger, G., Davies, R., Shahtahmasebi, S., & Scott, A. (1996). Social isolation and loneliness in old age : review and model refinement. Ageing and Society, 16(3), 333–358.
Wilson, R. S., Krueger, K. R., & Arnold, S. E. (2007). Loneliness and risk of Alzheimer disease. Archives of General Psychiatry, 64(2), 234–240.
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Amzat, I.H., Jayawardena, P. Emotional Loneliness and Coping Strategies: A Reference to Older Malaysians at Nursing Homes. Population Ageing 9, 227–247 (2016). https://doi.org/10.1007/s12062-015-9135-x
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DOI: https://doi.org/10.1007/s12062-015-9135-x