title: Social relationships, loneliness, and mental health among older men and women in Ireland: A prospective community-based study.
abstract: Data is lacking on the association of interpersonal stressors and social isolation with mental disorders and the mediating role of loneliness. Thus, we examined this association prospectively using community-based data.
  
  
  
  Data on 6105 adults aged ≥50 years from the Irish Longitudinal Study on Ageing (TILDA) was analyzed. Mental health outcomes were assessed 2 years after baseline. Depressive and anxiety symptoms were evaluated with validated scales. Multivariable linear regression and mediation analyses were conducted.
  
  
  
  Higher levels of spousal support, less strain from spouse and better social network integration were protective against depressive symptoms in men. Social support from friends and children was protective against depressive symptoms in both genders. Higher levels of social strain from children were positively associated with depressive symptoms in women. Loneliness was a significant mediator in the majority of these associations.
  
  
  
  Interventions aimed at increasing relationship quality and strengthening existing social network structures, with a specific focus on reducing feelings of loneliness, may be beneficial in the prevention of depressive symptoms among older adults.
authors.affiliation: Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, CIBERSAM, Sant Boi de Llobregat, Barcelona, Spain. Electronic address: z.santini@pssjd.org.
authors.forename: Ziggi Ivan
authors.initials: ZI
authors.lastname: Santini
authors.affiliation: Gordon F. Derner Institute of Advanced Psychological Studies, Adelphi University, Garden City, NY, USA.
authors.forename: Katherine Leigh
authors.initials: KL
authors.lastname: Fiori
authors.affiliation: Centre for Public Health, Queen's University Belfast, United Kingdom; The Irish Longitudinal Study on Ageing, Department of Medical Gerontology, Trinity College, Dublin, Ireland.
authors.forename: Joanne
authors.initials: J
authors.lastname: Feeney
authors.affiliation: Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, CIBERSAM, Sant Boi de Llobregat, Barcelona, Spain.
authors.forename: Stefanos
authors.initials: S
authors.lastname: Tyrovolas
authors.affiliation: Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, CIBERSAM, Sant Boi de Llobregat, Barcelona, Spain.
authors.forename: Josep Maria
authors.initials: JM
authors.lastname: Haro
authors.affiliation: Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, CIBERSAM, Sant Boi de Llobregat, Barcelona, Spain.
authors.forename: Ai
authors.initials: A
authors.lastname: Koyanagi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology*; D001007:Anxiety / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology; D005260:Female; D006306:Health Surveys; D006801:Humans; D007398:Interpersonal Relations; D007494:Ireland / Q000453:epidemiology; D008132:Loneliness / Q000523:psychology*; D008137:Longitudinal Studies; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data*; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D012931:Social Environment; D013315:Stress, Psychological / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D044465:White People
keywords: Anxiety; Depression; Loneliness; Older adults; Social isolation; Social networks; Social support