Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-20T07:37:03.294Z Has data issue: false hasContentIssue false

Experiences of loneliness among older people living alone. A qualitative study in Quebec (Canada)

Published online by Cambridge University Press:  26 March 2021

Michèle Charpentier*
Affiliation:
School of Social Work, Université du Québec à Montréal, Montreal, Canada
Laurie Kirouac
Affiliation:
Department of Industrial Relations, Université Laval, Quebec, Canada
*
*Corresponding author. Email: [email protected]

Abstract

In this article, we analyse experiences of loneliness among older people living alone. Current knowledge suggests that loneliness is a significant social issue that can compromise health and wellbeing, and that seniors living alone are at a higher risk of loneliness. Based on a qualitative methodological approach and semi-structured interviews conducted with 43 people aged 65 or over living alone in Montreal (Quebec, Canada), this study sought to understand how they perceive, reflect on and react to loneliness. The results show that these seniors perceive loneliness as a dynamic, and rarely static, experience, which has a very different significance, depending on whether it is chosen or circumstantially imposed. The experience of loneliness recounted by the seniors we met is characterised by its heterogeneity, and involves, to varying degrees, their relationship to themselves (solitude), to others (family (and friends) loneliness and loneliness in love) and/or to the world (existential loneliness and aloneness). Lastly, our analyses highlight how social factors, such as age, gender, marital status, social network and socio-economic conditions, shape the experience of loneliness among seniors. These factors also influence the strategies that seniors develop to prevent or alleviate loneliness, strategies that yield very mixed results.

Type
Article
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aartsen, MJ and Jylhä, M (2011) Onset of loneliness in older adults: results of a 28 year prospective study. European Journal of Ageing 8, 3138.CrossRefGoogle ScholarPubMed
Ajrouch, K, Blandon, AY and Antonucci, TC (2005) Social networks among men and women: the effects of age and socioeconomic status. Journals of Gerontology: Psychological Sciences and Social Sciences 60B, S311S317.CrossRefGoogle Scholar
Beaumont, J (2013) Measuring National Well-being ‒ Older People and Loneliness. London: Office for National Statistics.Google Scholar
Bekhet, AK and Zauszniewski, JA (2012) Mental health of elders in retirement communities: is loneliness a key factor? Archives of Psychiatric Nursing 26, 214224.CrossRefGoogle ScholarPubMed
Blau, ZS (1981) Aging in a Changing Society. New York, NY: Franklin Watts.Google Scholar
Boldy, D, Iredell, H and Grenade, L (2005) Bien vieillir: s'adapter à la solitude et à l'isolement social. Vie et vieillissement 4, 2730.Google Scholar
Bowling, A (1997) Measuring Health: A Review of Quality of Life Measurement Scales. Buckingham, UK: Open University Press.Google Scholar
Bowling, A and Browne, PD (1991) Social networks, health, and emotional well-being among the oldest old in London. Journal of Gerontology 46, S20S32.CrossRefGoogle Scholar
British Columbia Ministry of Health (2004) Social Isolation Among Seniors: An Emerging Issue. An Investigation by the Children's, Women's and Seniors Health Branch. Victoria, Canada: British Columbia Ministry of Health. Available at https://www.health.gov.bc.ca/library/publications/year/2004/Social_Isolation_Among_Seniors.pdf.Google Scholar
Campéon, A (2011) Vieillesses ordinaires en solitude. Gérontologie et société 34, 217229.CrossRefGoogle Scholar
Caradec, V (2007) L’épreuve du grand âge. Retraite et société 52, 1137.CrossRefGoogle Scholar
Carstensen, LL (1995) Evidence for a life-span theory of socioemotional selectivity. Current Directions in Psychological Science 4, 151156.CrossRefGoogle Scholar
Charpentier, M, Quéniart, A and Lebreton, C (2014) Regards féministes sur les vieillissements au féminin. In Hummel, C, Mallon, I and Caradec, V (eds), Vieillesses et vieillissements. Regards sociologiques. Rennes, France: Presses Universitaires de Rennes, pp. 147158.Google Scholar
Charpentier, M, Soulières, M and Kirouac, L (2019) Vieillir et vivre seul. Comprendre la diversité des expériences pour mieux intervenir. Rapport final de recherche soumis au Ministère de la famille et des aînés du Québec. Montreal: Chaire de recherche sur le vieillissement et la diversité citoyenne, Université du Québec à Montréal.Google Scholar
Dahlberg, K (2007) The enigmatic phenomenon of loneliness. International Journal of Qualitative Studies on Health and Wellbeing 2, 195207.CrossRefGoogle Scholar
De Jong Gierveld, J and van Tilburg, T (2010) The De Jong Gierveld short scales for emotional and social loneliness: tested on data from seven countries in the UN Generations and Gender surveys. European Journal of Ageing 7, 121130.CrossRefGoogle Scholar
De Jong Gierveld, J, Fokkema, T and van Tilburg, T (2011) Alleviating loneliness among older adults: possibilities and constraints of interventions. In Safeguarding the Convoy: A Call to Action from the Campaign to End Loneliness. Oxon: Age UK Oxfordshire, pp. 4045.Google Scholar
De Jong Gierveld, J, Keating, N and Fast, JE (2015) Determinants of loneliness among older adults in Canada. Canadian Journal on Aging/La Revue canadienne du vieillissement 34, 125136.CrossRefGoogle ScholarPubMed
Denzin, NK (1978) The research act : A theoretical introduction to sociological methods. New York: McGraw-Hill.Google Scholar
Department of Health (2012) Caring for Our Future: Reforming Care and Support. London: Department of Health. Available at https://www.gov.uk/.Google Scholar
Drageset, J, Espehaug, B and Kirkevold, M (2012) The impact of depression and sense of coherence on emotional and social loneliness among nursing home residents without cognitive impairment – a questionnaire survey. Journal of Clinical Nursing 21, 965974.CrossRefGoogle ScholarPubMed
Dubet, F (1994) Sociologie de l'expérience. Paris: Seuil.Google Scholar
Dykstra, PA (1995) Loneliness among the never and formerly married: the importance of supportive friendships and a desire for independence. Journals of Gerontology: Psychological Sciences and Social Sciences 50B, S321S329.CrossRefGoogle Scholar
Fokkema, T and Dykstra, PA (2002) Differences in depression between married and divorced women in the Netherlands: in search of an explanation. The Netherlands Journal of Social Sciences 38, 2447.Google Scholar
Foxall, MJ, Barron, CR, Von Dollen, K, Shull, KA and Jones, PA (1993) Living arrangements, loneliness and social support of low-vision older clients. Journal of Ophthalmic Nursing and Technology 12, 6774.Google ScholarPubMed
Gerstel, N, Riessman, CK and Rosenfield, S (1985) Explaining the symptomatology of separated and divorced women and men: the role of material conditions and social networks. Social Forces 64, 84101.CrossRefGoogle Scholar
Grenade, L and Boldy, D (2008) Social isolation and loneliness among older people: issues and future challenges in community and residential settings. Australian Health Review 32, 468478.CrossRefGoogle ScholarPubMed
Hall, M, Havens, B and Sylvestre, G (2003) The Experience of Social Isolation and Loneliness Among Older Men in Manitoba. Aging in Manitoba Study. Winnipeg, Canada: Department of Community Health Sciences, University of Manitoba. Available at https://veterans.gc.ca/pdf/about-us/research-directorate/social-isol-loneliness-vac-report.pdf.Google Scholar
Hauge, S and Kirkevold, M (2010) Older Norwegians’ understanding of loneliness. International Journal of Qualitative Studies on Health and Well-being 5, 4654.CrossRefGoogle ScholarPubMed
Havens, B, Hall, M, Sylvestre, G and Jivan, T (2004) Social isolation and loneliness: differences between older rural and urban Manitobans. Canadian Journal on Aging/La Revue canadienne du vieillissement 23, 129140.CrossRefGoogle ScholarPubMed
Hawkley, LC, Thisted, RA, Masi, CM and Cacioppo, JT (2010) Loneliness predicts increased blood pressure: 5-year cross-lagged analyses in middle-aged and older adults. Psychology and Aging 25, 132141.CrossRefGoogle ScholarPubMed
Holwerda, TJ, Deeg, DJ, Beekman, AT, Tilburg, TG, Stek, MLM, Jonker, C and Schoevers, RA (2012) Feelings of loneliness, but not social isolation, predict dementia onset: results from the Amsterdam Study of the Elderly (AMSTEL). Journal of Neurology, Neurosurgery and Psychiatry 85, 135142.CrossRefGoogle Scholar
Hovaguimian, T, Grab, B and Stuckelberger, A (1988) Psychosocial problems and the health of the elderly with special reference to social isolation. Danish Medical Bulletin, Journal of Health and Sciences: Gerontology 6, 27.Google Scholar
Jylhä, M (2004) Old age and loneliness: cross-sectional and longitudinal analyses in the Tampere Longitudinal Study on Aging. Canadian Journal on Aging/La Revue canadienne du vieillissement 23, 157168.CrossRefGoogle ScholarPubMed
Karicha, K, Manthorpe, J, Iliffe, S, Davies, N and Walters, K (2018) Strategies employed by older people to manage loneliness: systematic review of qualitative studies and model development. International Psychogeriatrics 30, 17671781.CrossRefGoogle Scholar
Keefe, J, Andrew, M, Fancey, P and Hall, M (2006) Final Report: A Profile of Social Isolation in Canada. Halifax, Canada: Nova Scotia Centre on Aging and Department of Family Studies and Gerontology, Mount Saint Vincent University. Available at https://www.health.gov.bc.ca/library/publications/year/2006/keefe_social_isolation_final_report_may_2006.pdf.Google Scholar
Krekula, C (2007) The intersection of age and gender: reworking gender theory and social gerontology. Current Sociology 55, 155171.CrossRefGoogle Scholar
McInnis, GJ and White, JH (2001) A phenomenological exploration of loneliness in the older adult. Archives of Psychiatric Nursing 15, 128139.CrossRefGoogle ScholarPubMed
Nicholson, NJ (2009) Social isolation in older adults: an evolutionary concept analysis. Journal of Advanced Nursing 65, 13421352.CrossRefGoogle ScholarPubMed
Paillé, P (1994) L'analyse par théorisation ancrée. Cahiers de recherche sociologique 23, 147181.Google Scholar
Paillé, P and Mucchielli, A (2003) L'analyse qualitative en sciences humaines et sociales. Paris: Armand Colin.Google Scholar
Pan Ké Shon, J-L and Duthé, G (2013) Trente ans de solitude … et de dépression. Revue française de sociologie 54, 225261.CrossRefGoogle Scholar
Paré, I (2018) La solitude touche la santé psychologique et physique. Le Devoir, Cahier Santé, January 26.Google Scholar
Pennec, S (2010) Les solidiarités de voisinage au féminin, des rôles entre proximité et distance. In Pitaud, P (ed). Solitude et isolement des personnes âgées. Toulouse: ERES, Pratiques du champ social, pp. 151169.Google Scholar
Penning, MJ, Liu, G and Chou, PHB (2014) Measuring loneliness among middle-aged and older adults: the UCLA and de Jong Gierveld loneliness scales. Social Indicators Research 118, 11471166.CrossRefGoogle Scholar
Peplau, LA and Perlman, D (1982) Loneliness: A Sourcebook of Current Theory, Research and Therapy. New York, NY: Wiley-Interscience.Google Scholar
Pettigrew, S and Roberts, M (2008) Addressing loneliness in later life. Aging & Mental Health 12, 302309.CrossRefGoogle ScholarPubMed
Pinquart, M (2003) Loneliness in married, widowed, divorced, and never-married older adults. Journal of Social and Personal Relationships 20, 3153.CrossRefGoogle Scholar
Rook, KS (1984) Research on social support, loneliness and social isolation: toward an integration. Review of Personality & Social Psychology 5, 239264.Google Scholar
Rose, R (2019) Portrait statistique des personnes âgées au Québec. Montreal: Chaire de recherche sur le vieillissement et la diversité citoyenne, Université du Québec à Montréal.Google Scholar
Russell, DW, Cutrona, CE, de la Mora, A and Wallace, RB (1997) Loneliness and nursing home admission among rural older adults. Psychology and Aging 12, 574589.CrossRefGoogle ScholarPubMed
Sand, L and Strang, P (2006) Existential loneliness in a palliative home care setting. Journal of Palliative Medicine 9, 13761387.CrossRefGoogle Scholar
Schurmans, M-N (2003) Les solitudes. Paris: Presses Universitaires de France.CrossRefGoogle Scholar
Statistics Canada (2012) Canadian Community Health Survey – Annual Component. Ottawa: Statistics Canada.Google Scholar
Statistics Canada (2016) Data Tables, 2016 Census. Ottawa: Statistics Canada.Google Scholar
Steed, L, Boldy, D, Grenade, L and Iredell, H (2006) The demographics of loneliness among older people in Perth, Western Australia. Australasian Journal of Ageing 26, 8186.CrossRefGoogle Scholar
Sullivan, MP, Victor, CR and Thomas, M (2016) Understanding and alleviating loneliness in later life: perspectives of older people. Quality in Ageing and Older Adults 17, 168178.CrossRefGoogle Scholar
Umberson, D, Wortman, CB and Kessler, RC (1992) Widowhood and depression: explaining long-term gender differences in vulnerability. Journal of Health and Social Behavior 33, 1024.CrossRefGoogle Scholar
Valtorta, N (2016) Solitude et isolement: le ‘problème’ tel qu'il est appréhendé au Royaume-Uni. Gérontologie et société 38, 4153.CrossRefGoogle Scholar
Van de Velde, C (2011) La fabrique des solitudes. In Rosanvallon, P (ed.), Refaire société. Paris: Le Seuil, pp. 2737.Google Scholar
Victor, CR (2011) Loneliness in old age: the UK perspective. In Safeguarding the Convoy: A Call to Action from the Campaign to End Loneliness. Oxon: Age UK Oxfordshire, pp. 2330.Google Scholar
Victor, CR (2012) Loneliness in care homes: a neglected area of research? Aging Health 8, 637646.CrossRefGoogle Scholar
Victor, C, Scambler, S, Bond, J and Bowling, A (2000) Being alone in later life: loneliness, social isolation and living alone. Reviews in Clinical Gerontology 10, 407417.CrossRefGoogle Scholar
Victor, C, Grenade, L and Boldy, D (2005) Measuring loneliness in later life: a comparison of different measures. Reviews in Clinical Gerontology 15, 6370.CrossRefGoogle Scholar
Victor, C, Sullivan, MP, Woodbridge, R and Thomas, M (2015) Dancing with loneliness in later life: a pilot study mapping seasonal variations. The Open Psychology Journal 8, 97104.CrossRefGoogle Scholar
Walker, D and Beauchene, RE (1991) The relationship of loneliness, social isolation, and physical health to dietary adequacy of independently living elderly. Journal of the American Dietetic Association 91, 300304.CrossRefGoogle ScholarPubMed
Weiss, RS (1982) Issues in the study of loneliness. In Peplau, L and Perlman, D (eds). Loneliness: A Source Book of Current Theory, Research and Therapy. New York, NY: John Wiley and Sons, pp. 7180.Google Scholar
Weiss, RS (1989) Reflections on the present state of loneliness research. In Hojat, M and Crandell, R (eds). Loneliness: Theory, Research and Applications. Newbury Park, CA: Sage, pp. 116.Google Scholar
Wenger, GC and Burholt, V (2004) Changes in levels of social isolation and loneliness among older people in a rural area: a twenty-year longitudinal study. Canadian Journal on Aging/La Revue canadienne du vieillissement 23, 115127.CrossRefGoogle Scholar
Wenger, GC, Davies, R, Shahtahmasebi, S and Scott, A (1996) Social isolation and loneliness in old age: review and model refinement. Ageing & Society 16, 333358.CrossRefGoogle Scholar
Wilson, RS, Krueger, KR, Arnold, SE, Schneider, JA, Kelly, JF, Barnes, LL, Tang, Y and Bennett, DA (2007) Loneliness and risk of Alzheimer disease. Archives of General Psychiatry 64, 234240.CrossRefGoogle ScholarPubMed