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  1. Article ; Online: Emotional, Social, and Existential Loneliness Before and During the COVID-19 Pandemic: Prevalence and Risk Factors Among Dutch Older Adults.

    van Tilburg, Theo G

    The journals of gerontology. Series B, Psychological sciences and social sciences

    2021  Volume 77, Issue 7, Page(s) e179–e184

    Abstract: Objectives: The coronavirus disease 2019 pandemic, with its accompanying isolation measures, has led to increasing loneliness among older adults. In this study, we examine whether the increased level of loneliness observed in the Netherlands persisted ... ...

    Abstract Objectives: The coronavirus disease 2019 pandemic, with its accompanying isolation measures, has led to increasing loneliness among older adults. In this study, we examine whether the increased level of loneliness observed in the Netherlands persisted into the fall of 2020, whether there were differences in emotional, social, and existential loneliness, and whether the presence of well-known risk factors for loneliness also led to further increases in loneliness during the pandemic.
    Methods: Data were obtained from the Longitudinal Aging Study Amsterdam, with observations of 404 community-dwelling older adults aged 74-96 years from 2019 and fall 2020.
    Results: Loneliness increased between 2019 and 2020, and the increase was particularly high for emotional loneliness (partial η 2 = 0.19). Having a partner and a high mastery and good physical functioning before the pandemic provided some protection against an increase in loneliness.
    Discussion: Loneliness increased for almost all older people. Targeted policies can reduce the negative impact of vulnerabilities. Efforts to combat loneliness during the pandemic should focus not only on groups traditionally considered vulnerable, such as socially isolated people, but also on older adults with a partner and who have daily contact with others.
    MeSH term(s) Aged ; COVID-19/epidemiology ; Humans ; Loneliness/psychology ; Pandemics ; Prevalence ; Risk Factors ; Social Isolation/psychology
    Language English
    Publishing date 2021-10-29
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1223664-0
    ISSN 1758-5368 ; 1079-5014
    ISSN (online) 1758-5368
    ISSN 1079-5014
    DOI 10.1093/geronb/gbab101
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Social, Emotional, and Existential Loneliness: A Test of the Multidimensional Concept.

    van Tilburg, Theo G

    The Gerontologist

    2020  Volume 61, Issue 7, Page(s) e335–e344

    Abstract: Background and objectives: Since the 1980s, most researchers have agreed on the concept of social and emotional loneliness as an unacceptable and negatively experienced discrepancy between realized and desired interpersonal relationships. For other ... ...

    Abstract Background and objectives: Since the 1980s, most researchers have agreed on the concept of social and emotional loneliness as an unacceptable and negatively experienced discrepancy between realized and desired interpersonal relationships. For other researchers, existential loneliness stems from the realization that a human being is fundamentally alone, with the accompanying emptiness, sadness, and longing. This article examines whether instruments to measure these conceptualizations indicate a multidimensional concept.
    Research design and methods: The 2019 observation of the Longitudinal Aging Study Amsterdam (N = 1,316; aged 61-101 years; 52% women) included five direct questions about loneliness, the 11-item de Jong Gierveld social and emotional loneliness scale, and 14 items from the translated Existential Loneliness Questionnaire. Confirmatory factor analysis was conducted in Mplus.
    Results: Five factors were observed: direct questions, social and emotional loneliness, and loneliness in relationships and meaninglessness in life. The intercorrelations among all five factors were positive. Emotional loneliness correlated most strongly with direct questions.
    Discussion and implications: Loneliness is multifaceted and means that one is not embedded in a personal network, misses closeness and intimacy, and lacks meaning in life. The emotional loneliness items most closely represent what people mean when they report loneliness.
    MeSH term(s) Emotions ; Existentialism ; Factor Analysis, Statistical ; Female ; Humans ; Loneliness ; Male ; Surveys and Questionnaires
    Language English
    Publishing date 2020-06-30
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 216760-8
    ISSN 1758-5341 ; 0016-9013
    ISSN (online) 1758-5341
    ISSN 0016-9013
    DOI 10.1093/geront/gnaa082
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Gender Differences in Social Embeddedness Determinants of Loneliness Among Moroccan and Turkish Older Migrants.

    Ten Kate, Rowan L F / Fokkema, Tineke / van Tilburg, Theo G

    The journals of gerontology. Series B, Psychological sciences and social sciences

    2023  Volume 79, Issue 3

    Abstract: Objectives: Moroccan and Turkish migrants residing in Northwestern Europe have high loneliness levels. This study examines gender differences in loneliness within this migrant population. The migrants have gender-segregated social roles at home and in ... ...

    Abstract Objectives: Moroccan and Turkish migrants residing in Northwestern Europe have high loneliness levels. This study examines gender differences in loneliness within this migrant population. The migrants have gender-segregated social roles at home and in public, which might lead to gender differences in what aspects of social relationships can explain variation in loneliness.
    Methods: Respondents are from the Longitudinal Aging Study Amsterdam with 446 first-generation Moroccan and Turkish migrants in the Netherlands, aged between 55 and 66 years. We use interaction effects to test for gender differences in determinants of loneliness.
    Results: Men and women have a similar, moderate level of loneliness. Having a spouse and receiving care from children are more strongly related with lower loneliness levels in men than in women. Coethnic ties play an equally important role for men and women. In men, frequent mosque attendance is related with greater loneliness, but not in women.
    Discussion: Family ties are more protective against loneliness for older men than for older women, possibly indicating that migrant women's expectations regarding family go above and beyond having a spouse, receiving intergenerational care, or having frequent contact with children. In addition, migrant older men's higher expectations regarding a public social life could make their social life in the Netherlands less fulfilling, resulting in greater loneliness.
    MeSH term(s) Male ; Humans ; Female ; Aged ; Loneliness ; Transients and Migrants ; Sex Factors ; Aging ; Interpersonal Relations
    Language English
    Publishing date 2023-12-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1223664-0
    ISSN 1758-5368 ; 1079-5014
    ISSN (online) 1758-5368
    ISSN 1079-5014
    DOI 10.1093/geronb/gbad177
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Een passende aanpak van eenzaamheid: een vertaalslag van empirische data naar de praktijk.

    de Jong Gierveld, Jenny / van Tilburg, Theo G

    Tijdschrift voor gerontologie en geriatrie

    2022  Volume 53, Issue 1

    Abstract: We describe three subgroups of older lonely people (Persona), and design different approaches to loneliness that directly address their specific needs and circumstances: the combination approach. The use of Persona is a middle ground between 'one ... ...

    Title translation An appropriate approach to loneliness: A translation of empirical data into practice.
    Abstract We describe three subgroups of older lonely people (Persona), and design different approaches to loneliness that directly address their specific needs and circumstances: the combination approach. The use of Persona is a middle ground between 'one approach appropriate for all' and 'each person's own approach'. A Persona is described using various risk factors for loneliness. These are advanced age, living alone, small network, low perceived control, and low income. Based on this, we explore the potential effect of improving some of these situations for reducing loneliness (Cohen's d ranges between -0.33 and -0.58). For two approaches we report what the realized effect was (d=-0.83 in both interventions). The three Persona and the approaches are examples that designers of a loneliness approach can use by analogy to elaborate and substantiate their approach.
    MeSH term(s) Humans ; Loneliness ; Risk Factors
    Language Dutch
    Publishing date 2022-02-28
    Publishing country Netherlands
    Document type English Abstract ; Journal Article
    ZDB-ID 604661-7
    ISSN 1875-6832 ; 0167-9228
    ISSN (online) 1875-6832
    ISSN 0167-9228
    DOI 10.36613/tgg.1875-6832/2022.01.03
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Health trajectories across the work exit transition in the 1990s, 2000s, and 2010s: the role of working conditions and policy.

    van der Noordt, Maaike / van Tilburg, Theo G / van der Pas, Suzan / Wouterse, Bram / Deeg, Dorly J H

    Archives of public health = Archives belges de sante publique

    2023  Volume 81, Issue 1, Page(s) 16

    Abstract: Purpose: We examined health trajectories of Dutch older workers across their exit from the workforce in the 1990s, 2000s, and 2010s, testing the hypothesis that pre-post-exit health trajectories of workers with favourable and unfavourable working ... ...

    Abstract Purpose: We examined health trajectories of Dutch older workers across their exit from the workforce in the 1990s, 2000s, and 2010s, testing the hypothesis that pre-post-exit health trajectories of workers with favourable and unfavourable working conditions increasingly diverged over time due to policy measures to extend working life.
    Methods: The Longitudinal Aging Study Amsterdam includes baseline samples in 1992/1993, 2002/2003 and 2012/2013 with two 3-year follow-up waves each. Selected respondents were aged 55 years and over who exited from a paid job within the first or second 3-year interval, up to and including the statutory retirement age (N = 522). Pre-post-exit trajectories were modelled using Generalized Estimating Equations with outcomes self-rated health and physical limitations and determinants physical demands, psychosocial demands, and psychosocial resources.
    Results: Average work exit age rose from 60.7 in the 1990s to 62.9 in the 2010s. On average, self-rated health decreased somewhat over successive periods and did not show pre-post-exit change; average physical limitations increased substantially both over successive periods and from pre- to post-exit. No support is found for our hypothesis. However, regardless of work exposures, we found sharp pre-post-exit increases in physical limitations in the 2010s.
    Conclusion: Although these findings provide no support for our hypothesis of diverging health trajectories over time based on work exposure, they show that exiting at a higher age is linked to poorer pre- and post-exit health and to pre-post-exit increases in physical limitations, suggesting greater health care costs in the near future.
    Language English
    Publishing date 2023-02-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 1117688-x
    ISSN 2049-3258 ; 0778-7367 ; 0003-9578
    ISSN (online) 2049-3258
    ISSN 0778-7367 ; 0003-9578
    DOI 10.1186/s13690-022-01008-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Why do spouses provide personal care? A study among care-receiving Dutch community-dwelling older adults.

    Swinkels, Joukje C / van Tilburg, Theo G / Broese van Groenou, Marjolein

    Health & social care in the community

    2021  Volume 30, Issue 4, Page(s) e953–e961

    Abstract: This study investigates under what conditions older spouses receive personal care from their spouse. Whether spousal care is provided is determined by individual and societal factors related to informal and formal care provision. Individual factors ... ...

    Abstract This study investigates under what conditions older spouses receive personal care from their spouse. Whether spousal care is provided is determined by individual and societal factors related to informal and formal care provision. Individual factors concern the need for care (the care recipient's health status), the spouse's ability to provide care (the spouse's health status) and the quality of the marital bond. Societal factors reflect changing policies on long-term care (indicated by the year in which care started) and gender role socialisation (gender). From the Longitudinal Aging Study Amsterdam, which completed eight observations between 1996 and 2016, we selected 221 independently living married respondents, aged 59-93, who received personal care for the first time and had at least one previous measurement without care use. The results show that if an older adult received personal care, the likelihood of receiving that care from the spouse decreased over the years: from 80% in 1996 to 50% in 2016. A husband or wife was less likely to receive spousal care when the spouse was unable to provide care or the quality of the relationship was low. No gender differences were found in either the prevalence of spousal care use or in the factors associated with that use. Thus, individual factors and the societal context seem to determine whether one receives personal care from their spouse. The decline in the likelihood of personal care provision from a spouse over the years may indicate a crumbling of family solidarity, an unmeasured and growing inability of the older spouse to provide care or an increasing complexity of care needs that requires the use of formal care. As care-giving can be a chronic stressor and most spouses provide care without assistance from others, attention from policy makers is needed to sustain the well-being of older couples.
    MeSH term(s) Aged ; Health Status ; Humans ; Independent Living ; Marriage ; Self Care ; Spouses
    Language English
    Publishing date 2021-07-10
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1155902-0
    ISSN 1365-2524 ; 0966-0410
    ISSN (online) 1365-2524
    ISSN 0966-0410
    DOI 10.1111/hsc.13497
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Social position of older immigrants in the Netherlands: where do immigrants perceive themselves on the societal ladder?

    Klokgieters, Silvia S / van Tilburg, Theo G / Deeg, Dorly J H / Huisman, Martijn

    Journal of cross-cultural gerontology

    2022  Volume 37, Issue 2, Page(s) 141–160

    Abstract: Older Turkish and Moroccan immigrants are often ascribed a low social position based on their relatively unfavourable educational level, occupational status and income. Yet immigrants emigrated to improve their social position and came from contexts ... ...

    Abstract Older Turkish and Moroccan immigrants are often ascribed a low social position based on their relatively unfavourable educational level, occupational status and income. Yet immigrants emigrated to improve their social position and came from contexts where determinants of social position might be based on different socio-cultural circumstances than those used in the country of settlement. In order to understand immigrants' own perception of their social position, we interviewed 23 60-68 year old immigrants from Turkish and Moroccan origin in the Netherlands. Using a ten rung ladder, participants were asked to position themselves in the societal hierarchy before migration, after settlement and currently. Most participants positioned themselves at a middle or high position on the societal ladder. Circumstances used for positioning were related to socioeconomic indicators, but also to social affirmation, family, social integration, physical, mental health, happiness and complying to religious prescriptions. When these circumstances were deemed favourable, participants tended to position themselves higher. Our findings also show that the circumstances that participants used for positioning themselves varied across the life course. These findings complement the picture of the often low objective low socioeconomic position of older immigrants and show that immigrants' perception of their subjective social position reflects a broader set of circumstances than just socioeconomic ones.
    MeSH term(s) Educational Status ; Emigrants and Immigrants ; Employment ; Humans ; Netherlands ; Socioeconomic Factors
    Language English
    Publishing date 2022-04-20
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 644348-5
    ISSN 1573-0719 ; 0169-3816
    ISSN (online) 1573-0719
    ISSN 0169-3816
    DOI 10.1007/s10823-022-09453-3
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  8. Article: Stronger feelings of loneliness among Moroccan and Turkish older adults in the Netherlands: in search for an explanation.

    van Tilburg, Theo G / Fokkema, Tineke

    European journal of ageing

    2020  Volume 18, Issue 3, Page(s) 311–322

    Abstract: The prevalence of loneliness among Turkish-Dutch and Moroccan-Dutch older adults is higher than among Dutch older adults of non-migrant origin. Three explanations may account for this difference: (1) differential item functioning might result in scores ... ...

    Abstract The prevalence of loneliness among Turkish-Dutch and Moroccan-Dutch older adults is higher than among Dutch older adults of non-migrant origin. Three explanations may account for this difference: (1) differential item functioning might result in scores that vary in intensity and in meaning across categories; (2) the position of migrants is much more vulnerable than that of non-migrants; (3) the lack of protective factors has more severe consequences for older migrants. The Longitudinal Aging Study Amsterdam interviewed 176 persons born in Morocco and 235 born in Turkey, aged 55-66 and living in urban areas. They are compared with a matched sample of 292 Dutch persons. The psychometric properties of the loneliness scale are satisfying, although there is some differential item functioning. Older migrants have more frequent social contacts but are at a disadvantage in other domains. Taking into account differences in social participation, satisfaction with income, mastery and depressive symptoms, the difference between older migrants' and non-migrants' loneliness is reduced by more than half. Protective factors are equally important for older migrants and non-migrants. Exceptions are marriage (less protective for Moroccans), frequent contact with children/children-in-law (mostly for Turks), a higher educational level (protects Moroccans and Turks) and better physical functioning (less for Turks). Being an older migrant and belonging to a minority might further contribute to feelings of loneliness. Interventions can be directed at stimulating social contact, but also at aspects like enhancing the appreciation of their social status and avoiding negative interpretations of a situation.
    Language English
    Publishing date 2020-02-22
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2190233-1
    ISSN 1613-9372
    ISSN 1613-9372
    DOI 10.1007/s10433-020-00562-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Naar een gerichtere aanpak van eenzaamheid: Zeven werkzame elementen in eenzaamheidsinterventies.

    Bouwman, Tamara E / van Tilburg, Theo G

    Tijdschrift voor gerontologie en geriatrie

    2020  Volume 51, Issue 1

    Abstract: Over the years, a wide range of loneliness interventions for older adults have been developed. The majority of these interventions are not effective in reducing loneliness. In order to gain more insight into why many interventions do not achieve the ... ...

    Title translation Towards a more focused approach to loneliness: Seven active elements in loneliness interventions.
    Abstract Over the years, a wide range of loneliness interventions for older adults have been developed. The majority of these interventions are not effective in reducing loneliness. In order to gain more insight into why many interventions do not achieve the desired goal, we examine active elements that are used in interventions into reduce loneliness. In order to achieve this goal, intermediate goals are needed: to have a social network, a sense of belonging, to experience intimacy, to experience meaning. In order to arrive at a division into active elements, a qualitative analysis was carried out of 119 loneliness interventions, described in 22 reviews of interventions. The result is a division into seven active elements: 'activities', 'meeting others', practical support', 'meaningful contact', 'interpersonal skills', 'realistic expectations' and 'meaningful role'. Most interventions combine several active elements. Some combinations of active elements are common. By mapping out the individual components of interventions, the effectiveness of each element can be evaluated. The use of a combination of active elements, and of general active elements such as good execution, may increase the effectiveness of interventions.
    MeSH term(s) Aged ; Aging/psychology ; Geriatric Psychiatry ; Humans ; Interpersonal Relations ; Loneliness
    Language Dutch
    Publishing date 2020-02-24
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 604661-7
    ISSN 1875-6832 ; 0167-9228
    ISSN (online) 1875-6832
    ISSN 0167-9228
    DOI 10.36613/tgg.1875-6832/2020.01.01
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Loneliness declines across birth cohorts: The impact of mastery and self-efficacy.

    Suanet, Bianca / van Tilburg, Theo G

    Psychology and aging

    2019  Volume 34, Issue 8, Page(s) 1134–1143

    Abstract: In the public debate and media, it has been suggested that there currently is a "loneliness epidemic" in Western societies. To shed light on this pressing issue we investigated whether age-related changes in loneliness found in early studies also pertain ...

    Abstract In the public debate and media, it has been suggested that there currently is a "loneliness epidemic" in Western societies. To shed light on this pressing issue we investigated whether age-related changes in loneliness found in early studies also pertain to later-born cohorts, and whether mastery and self-efficacy have become increasingly important for explaining differences in loneliness. We used data from the Longitudinal Aging Study Amsterdam. Observations were of 4,880 Dutch people aged 55 and older between 1992 and 2016. We employed multilevel regression analyses incorporating birth cohort while controlling for age. Older adults were less lonely in later-born cohorts, although the effect size was small (
    MeSH term(s) Aged ; Aged, 80 and over ; Cohort Studies ; Female ; Humans ; Loneliness/psychology ; Longitudinal Studies ; Male ; Middle Aged ; Self Efficacy
    Language English
    Publishing date 2019-12-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 635596-1
    ISSN 1939-1498 ; 0882-7974
    ISSN (online) 1939-1498
    ISSN 0882-7974
    DOI 10.1037/pag0000357
    Database MEDical Literature Analysis and Retrieval System OnLINE

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