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Loneliness and depression in the elderly: the role of social network

  • Joan Domènech-AbellaEmail author
  • Elvira Lara
  • Maria Rubio-Valera
  • Beatriz Olaya
  • Maria Victoria Moneta
  • Laura Alejandra Rico-Uribe
  • Jose Luis Ayuso-Mateos
  • Jordi Mundó
  • Josep Maria Haro
Original Paper

Abstract

Purpose

Loneliness and depression are associated, in particular in older adults. Less is known about the role of social networks in this relationship. The present study analyzes the influence of social networks in the relationship between loneliness and depression in the older adult population in Spain.

Methods

A population-representative sample of 3535 adults aged 50 years and over from Spain was analyzed. Loneliness was assessed by means of the three-item UCLA Loneliness Scale. Social network characteristics were measured using the Berkman–Syme Social Network Index. Major depression in the previous 12 months was assessed with the Composite International Diagnostic Interview (CIDI). Logistic regression models were used to analyze the survey data.

Results

Feelings of loneliness were more prevalent in women, those who were younger (50–65), single, separated, divorced or widowed, living in a rural setting, with a lower frequency of social interactions and smaller social network, and with major depression. Among people feeling lonely, those with depression were more frequently married and had a small social network. Among those not feeling lonely, depression was associated with being previously married. In depressed people, feelings of loneliness were associated with having a small social network; while among those without depression, feelings of loneliness were associated with being married.

Conclusion

The type and size of social networks have a role in the relationship between loneliness and depression. Increasing social interaction may be more beneficial than strategies based on improving maladaptive social cognition in loneliness to reduce the prevalence of depression among Spanish older adults.

Keywords

Social Network Marital Status High Odds Depressive Symptomatology Composite International Diagnostic Interview 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with ethical standards

Conflict of interest

Dr. Josep Maria Haro is a consultant of Eli Lilly and Co, Roche, Lundbeck and Otsuka. None of these activities are related to the current project. For the remaining authors, none were declared.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Joan Domènech-Abella
    • 1
    • 2
    • 3
    Email author
  • Elvira Lara
    • 1
    • 2
    • 4
  • Maria Rubio-Valera
    • 6
    • 7
    • 8
  • Beatriz Olaya
    • 1
    • 2
    • 7
  • Maria Victoria Moneta
    • 1
    • 2
    • 7
  • Laura Alejandra Rico-Uribe
    • 2
    • 5
  • Jose Luis Ayuso-Mateos
    • 2
    • 5
    • 9
  • Jordi Mundó
    • 3
  • Josep Maria Haro
    • 1
    • 2
    • 9
  1. 1.Research, Innovation and Teaching UnitParc Sanitari Sant Joan de DéuBarcelonaSpain
  2. 2.Instituto de Salud Carlos IIICentro de Investigación Biomédica en Red de Salud Mental, CIBERSAMMadridSpain
  3. 3.Department of SociologyUniversitat de BarcelonaBarcelonaSpain
  4. 4.Faculty of MedicineUniversitat de BarcelonaBarcelonaSpain
  5. 5.Department of PsychiatryUniversidad Autónoma de MadridMadridSpain
  6. 6.Spanish Network of Research on Preventive Activities and Health Promotion in Primary CareBarcelonaSpain
  7. 7.Sant Joan de Déu FoundationBarcelonaSpain
  8. 8.Faculty of PharmacyUniversitat de BarcelonaBarcelonaSpain
  9. 9.Department of Psychiatry, Instituto de Investigación Sanitaria Princesa (IP)Hospital Universitario de La PrincesaMadridSpain

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