title: Loneliness and quality of life in chronically ill rural older adults.
abstract: BACKGROUND
  Loneliness is a contributing factor to various health problems in older adults, including complex chronic illness, functional decline, and increased risk of mortality.
  
  
  OBJECTIVE
  A pilot study was conducted to learn more about the prevalence of loneliness in rural older adults with chronic illness and how it affects their quality of life. The purposes of the data analysis reported here were twofold: to describe loneliness, chronic illness diagnoses, chronic illness control measures, prescription medication use, and quality of life in a sample of rural older adults; and to examine the relationships among these elements.
  
  
  METHODS
  A convenience sample of 60 chronically ill older adults who were community dwelling and living in Appalachia was assessed during face-to-face interviews for loneliness and quality of life, using the University of California, Los Angeles (UCLA) Loneliness Scale (version 3) and the CASP-12 quality of life scale. Chronic illness diagnoses, chronic illness control measures, and medication use data were collected through review of participants' electronic medical records.
  
  
  RESULTS
  Overall mean loneliness scores indicated significant loneliness. Participants with a mood disorder such as anxiety or depression had the highest mean loneliness scores, followed by those with lung disease and those with heart disease. Furthermore, participants with mood disorders, lung disease, or heart disease had significantly higher loneliness scores than those without these conditions. Loneliness was significantly related to total number of chronic illnesses and use of benzodiazepines. Use of benzodiazepines, diuretics, nitrates, and bronchodilators were each associated with a lower quality of life.
  
  
  CONCLUSIONS
  Nurses should assess for loneliness as part of their comprehensive assessment of patients with chronic illness. Further research is needed to design and test interventions for loneliness.
authors: Morgantown Department, West Virginia University School of Nursing, Morgantown, USA. ltheeke@hsc.wvu.edu.
authors: Laurie A
authors: LA
authors: Theeke
authors: Jennifer
authors: J
authors: Mallow
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000451:nursing* / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008132:Loneliness / Q000523:psychology*; D008297:Male; D010865:Pilot Projects; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life / Q000523:psychology*; D012424:Rural Population / Q000706:statistics & numerical data*; D014903:West Virginia / Q000453:epidemiology
references: J Aging Health. 2012 Jun;24(4):696-710
references: 22422758
references: Pers Soc Psychol Rev. 2011 Aug;15(3):219-66
references: 20716644
references: J Adv Nurs. 2005 Jan;49(1):23-32
references: 15610378
references: J Nurs Scholarsh. 2000;32(4):385-90
references: 11140203
references: Health Psychol. 2011 Jul;30(4):377-85
references: 21534675
references: J Psychol. 2012 Jan-Apr;146(1-2):155-71
references: 22303618
references: Genome Biol. 2007;8(9):R189
references: 17854483
references: Psychosom Med. 2009 Oct;71(8):836-42
references: 19661189
references: Nihon Koshu Eisei Zasshi. 2007 Jul;54(7):427-33
references: 17763707
references: J Psychol. 2012 Jan-Apr;146(1-2):229-41
references: 22303622
references: J Card Fail. 2010 Oct;16(10):806-11
references: 20932462
references: Soc Sci Med. 2012 Mar;74(6):907-14
references: 22326307
references: Psychosom Med. 2002 May-Jun;64(3):407-17
references: 12021415
references: Arch Psychiatr Nurs. 2009 Oct;23(5):387-96
references: 19766930
references: Health Psychol. 2010 Sep;29(5):550-4
references: 20836610
references: Res Aging. 2004;26(6):655-672
references: 18504506
references: J Psychol. 2012 May-Jun;146(3):313-31
references: 22574423
references: Genet Soc Gen Psychol Monogr. 1996 Nov;122(4):453-73
references: 8976599
references: Psychol Aging. 2006 Mar;21(1):152-64
references: 16594800
references: Arch Gerontol Geriatr. 2011 May-Jun;52(3):290-4
references: 20494463
references: Res Gerontol Nurs. 2010 Apr;3(2):113-25
references: 20415360
references: J Pers Soc Psychol. 2003 Jul;85(1):105-20
references: 12872887
references: J Psychol. 2012 Jan-Apr;146(1-2):23-36
references: 22303610
references: J Pers Assess. 1978 Jun;42(3):290-4
references: 660402
references: Psychoneuroendocrinology. 2010 Apr;35(3):430-41
references: 19744794
references: Arch Intern Med. 2012 Jul 23;172(14):1078-83
references: 22710744
references: J Nurs Scholarsh. 2004;36(2):102-8
references: 15227755
references: J Pers Assess. 1996 Feb;66(1):20-40
references: 8576833
references: J Gerontol B Psychol Sci Soc Sci. 2006 Nov;61(6):S329-39
references: 17114313
references: Int J Eat Disord. 1999 Jan;25(1):55-64
references: 9924653
references: Arch Gerontol Geriatr. 2012 Nov-Dec;55(3):539-47
references: 22564362
references: Am J Nurs. 1955 Dec;55(12):1476-81
references: 13268491
references: J Pers Soc Psychol. 1996 Jun;70(6):1241-9
references: 8667164
references: J Am Geriatr Soc. 2010 Aug;58(8):1538-41
references: 20646104
references: Psychol Aging. 2010 Jun;25(2):453-63
references: 20545429
references: J Adv Nurs. 1996 Apr;23(4):657-64
references: 8675880
references: J Psychol. 2012 Jan-Apr;146(1-2):201-28
references: 22303621
references: J Pers Soc Psychol. 1980 Sep;39(3):472-80
references: 7431205
references: Gerontologist. 1994 Jun;34(3):340-6
references: 8076875