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The association of social support networks and loneliness with negative perceptions of ageing: evidence from the Irish Longitudinal Study on Ageing (TILDA)



It is well known that negative ageing perceptions have various detrimental effects on indicators of successful ageing, but less is known about the role of social support networks and loneliness in ageing perceptions. The objective of this study was therefore to assess the association of social networks, relationship quality and loneliness with negative ageing perceptions in late life. Cross-sectional data on 6,912 adults aged ⩾50 years from the first wave of the Irish Longitudinal Study on Ageing (TILDA) were analysed. Ageing perceptions were assessed with the Brief Ageing Perceptions Questionnaire. Information on social support networks, loneliness and socio-demographics were obtained using standard questions. Depressive symptoms were assessed with the Center for Epidemiologic Studies Depression scale. Multivariable linear regression was conducted to assess the associations. Social isolation, poor relationship quality (with spouse, children, other family members or friends) and loneliness were all significantly associated with negative ageing perceptions even after adjustment for all potential confounders including depressive symptoms. Our study indicates that targeting integration into social support networks and improving relationship quality may potentially reduce the extent to which older individuals adopt negative ageing perceptions. Future studies with prospective design are warranted to understand the temporal direction and causal association of social support networks and loneliness with negative ageing perceptions.


Corresponding author

Address for correspondence: Ziggi Santini, The Danish National Institute of Public Health, University of Southern Denmark, Oester Farimagsgade 5A, 1353 Copenhagen, Denmark E-mail:


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Alves, V. d. M., Maia, A. C. C. d. O. and Nardi, A. E. 2014. Suicide among elderly: a systematic review. MedicalExpress, 1, 1, 913.
Austin, B. A. 1983. Factorial structure of the UCLA Loneliness Scale. Psychological Reports, 53, 3, 883–89.
Barder, L., Slimmer, L. and LeSage, J. 1994. Depression and issues of control among elderly people in health care settings. Journal of Advanced Nursing, 20, 4, 597604.
Barrett, A., Savva, G., Timonen, V. and Kenny, R. A. (eds) 2011. Fifty Plus in Ireland 2011: First Results from The Irish Longitudinal Study on Ageing (TILDA). The Irish Longitudinal Study on Ageing, Dublin.
Bennett, T. and Gaines, J. 2010. Believing what you hear: the impact of aging stereotypes upon the old. Educational Gerontology, 36, 5, 435–45.
Berkman, L. F. and Breslow, L. 1983. Health and Ways of Living. Oxford University Press, New York.
Berkman, L. F. and Syme, S. L. 1979. Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. American Journal of Epidemiology, 109, 2, 186204.
Braithwaite, V. A. 1986. Old age stereotypes: reconciling contradictions. Journal of Gerontology, 41, 3, 353–60.
Broese van Groenou, M. and Van Tilburg, T. G. 2003. Network size and support in old age: differentials by socio-economic status in childhood and adulthood. Ageing & Society, 23, 5, 625–45.
Bryant, C., Bei, B., Gilson, K., Komiti, A., Jackson, H. and Judd, F. 2012. The relationship between attitudes to aging and physical and mental health in older adults. International Psychogeriatriatrics, 24, 10, 1674–83.
Bryant, C., Bei, B., Gilson, K. M., Komiti, A., Jackson, H. and Judd, F. 2014. Antecedents of attitudes to aging: a study of the roles of personality and well-being. Gerontologist, 56, 2, 256–65.
Byers, A. L., Yaffe, K., Covinsky, K. E., Friedman, M. B. and Bruce, M. L. 2010. High occurrence of mood and anxiety disorders among older adults: the National Comorbidity Survey Replication. Archives of General Psychiatry, 67, 5, 489–96.
Cattan, M., White, M., Bond, J. and Learmouth, A. 2005. Preventing social isolation and loneliness among older people: a systematic review of health promotion interventions. Ageing & Society, 25, 1, 4167.
Central Statistics Office 2010. Quarterly National Household Survey. Central Statistics Office, Cork, Republic of Ireland.
Chachamovich, E., Fleck, M., Laidlaw, K. and Power, M. 2008. Impact of major depression and subsyndromal symptoms on quality of life and attitudes toward aging in an international sample of older adults. Gerontologist, 48, 5, 593602.
Christensen, K., Doblhammer, G., Rau, R. and Vaupel, J. W. 2009. Ageing populations: the challenges ahead. Lancet, 374, 9696, 1196–208.
Coudin, G. and Alexopoulos, T. 2010. ‘Help me! I'm old!’ How negative aging stereotypes create dependency among older adults. Aging and Mental Health, 14, 5, 516–23.
Cronin, H., O'Regan, C., Finucane, C., Kearney, P. and Kenny, R. A. 2013. Health and aging: development of the Irish Longitudinal Study on Ageing health assessment. Journal of American Geriatrics Society, 61, supplement 2, S26978.
Doyle, Y., McKee, M., Rechel, B. and Grundy, E. 2009. Meeting the challenge of population ageing. BMJ, 339, b3926.
Doyle, Y. G., Mc Kee, M. and Sherriff, M. 2012. A model of successful ageing in British populations. European Journal of Public Health, 22, 1, 71–6.
Dykstra, P. A. and de Jong Gierveld, J. 2004. Gender and marital-history differences in emotional and social loneliness among Dutch older adults. Canadian Journal of Aging, 23, 2, 141–55.
Dykstra, P. A., van Tilburg, T. G. and de Jong Gierveld, J. 2005. Changes in older adult loneliness: results from a seven-year longitudinal study. Research on Aging, 27, 725–47.
English, T. and Carstensen, L. L. 2014. Selective narrowing of social networks across adulthood is associated with improved emotional experience in daily life. International Journal of Behavioral Development, 38, 2, 195202.
Gandjour, A. 2009. Aging diseases – do they prevent preventive health care from saving costs? Health Economics, 18, 3, 355–62.
Gandjour, A. and Lauterbach, K. W. 2005. Does prevention save costs? Considering deferral of the expensive last year of life. Journal of Health Economics, 24, 4, 715–24.
Ha, J. 2008. Changes in support from confidants, children, and friends following widowhood. Journal of Marriage and Family, 70, 306–18.
Heaney, C. A. and Israel, B. A. 2008. Social networks and social support. In Glanz, K., Rimer, B. K. and Viswanath, K. (eds), Health Behavior and Health Education: Theory, Research, and Practice, pp. 189–207. Jossey-Bass, San Francisco.
Hertzog, C., Van Alstine, J., Usala, P. D., Hultsch, D. F. and Dixon, R. 1990. Measurement properties of the Center for Epidemiological Studies Depression Scale (CES-D) in older populations. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 2, 1, 6472.
Holt-Lunstad, J., Smith, T. B. and Layton, J. B. 2010. Social relationships and mortality risk: a meta-analytic review. PLoS Medicine, 7, 7, 120.
Horton, S., Baker, J., Côté, J. and Deakin, J. M. 2008 a. Understanding seniors’ perceptions and stereotypes of aging. Educational Gerontology, 34, 11, 9971017.
Horton, S., Baker, J., Pearce, G. W. and Deakin, J. M. 2008 b. On the malleability of performance: implications for seniors. Journal of Applied Gerontology, 27, 4, 446–65.
Hughes, M. E., Waite, L. J., Hawkley, L. C. and Cacioppo, J. T. 2004. A short scale for measuring loneliness in large surveys: results from two population-based studies. Research on Aging, 26, 6, 665–72.
Karademas, E. C. 2006. Self-efficacy, social support and well-being: the mediating role of optimism. Personality and Individual Differences, 40, 6, 1281–90.
Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A. and Jaffe, M. W. 1963. Studies of illness in the aged. The Index of ADL: a standardized measure of biological and psychosocial function. Journal of the American Medical Association, 185, 914–9.
Kearney, P. M., Cronin, H., O'Regan, C., Kamiya, Y., Savva, G. M., Whelan, B. and Kenny, R. 2011. Cohort profile: the Irish Longitudinal Study on Ageing. International Journal of Epidemiology, 40, 4, 877–84.
Kleinspehn-Ammerlahn, A., Kotter-Gruhn, D. and Smith, J. 2008. Self-perceptions of aging: do subjective age and satisfaction with aging change during old age? Journals of Gerontology: Psychological Sciences and Social Sciences, 63B, 6, P37785.
Kruse, A. and Schmitt, E. 2006. A multidimensional scale for the measurement of agreement with age stereotypes and the salience of age in social interaction. Ageing & Society, 26, 393411.
Kuiper, J. S., Zuidersma, M., Oude Voshaar, R. C., Zuidema, S. U., van den Heuvel, E. R., Stolk, R. P. and Smidt, N. 2015. Social relationships and risk of dementia: a systematic review and meta-analysis of longitudinal cohort studies. Ageing Research Reviews, 22, 3957.
Levy, B. R. 1996. Improving memory in old age through implicit self-stereotyping. Journal of Personality and Social Psychology, 71, 6, 1092–107.
Levy, B. R. 2003. Mind matters: cognitive and physical effects of aging self-stereotypes. Journals of Gerontology: Psychological Sciences and Social Sciences, 58B, 4, P20311.
Levy, B. 2009. Stereotype embodiment: a psychosocial approach to aging. Current Direction in Psychological Science, 18, 6, 332–6.
Levy, B. R., Chung, P. H., Bedford, T. and Navrazhina, K. 2014. Facebook as a site for negative age stereotypes. Gerontologist, 54, 2, 172–6.
Levy, B. R. and Myers, L. M. 2004. Preventive health behaviors influenced by self-perceptions of aging. Preventive Medicine, 39, 3, 625–9.
Levy, B. R., Slade, M. D. and Kasl, S. V. 2002. Longitudinal benefit of positive self-perceptions of aging on functional health. Journals of Gerontology: Psychological Sciences and Social Sciences, 57B, 5, P40917.
Levy, B. R., Slade, M. D., Kunkel, S. R. and Kasl, S. V. 2002. Longevity increased by positive self-perceptions of aging. Journal of Personality and Social Psychology, 83, 2, 261–70.
Levy, B. R., Slade, M. D., Murphy, T. E. and Gill, T. M. 2012. Association between positive age stereotypes and recovery from disability in older persons. Journal of the American Medical Association, 308, 19, 1972–3.
Levy, B. R., Zonderman, A. B., Slade, M. D. and Ferrucci, L. 2009. Age stereotypes held earlier in life predict cardiovascular events in later life. Psychological Science, 20, 3, 296–8.
Lewinsohn, P. M., Seeley, J. R., Roberts, R. E. and Allen, N. B. 1997. Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychology and Aging, 12, 2, 277–87.
Masi, C. M., Chen, H. Y., Hawkley, L. C. and Cacioppo, J. T. 2011. A meta-analysis of interventions to reduce loneliness. Personality and Social Psychology Review, 15, 3, 219–66.
Moor, C., Zimprich, D., Schmitt, M. and Kliegel, M. 2006. Personality, aging self-perceptions, and subjective health: a mediation model. International Journal of Aging & Human Development, 63, 3, 241–57.
Moser, C., Spagnoli, J. and Santos-Eggimann, B. 2011. Self-perception of aging and vulnerability to adverse outcomes at the age of 65–70 years. Journals of Gerontology: Psychological Sciences and Social Sciences, 66B, 6, 675–80.
Nolan, A., O'Regan, C., Dooley, C., Wallace, D., Hever, A., Cronin, H., Hudson, E. and Kenny, R. A. (eds), 2014. The Over 50s in a Changing Ireland: Economic Circumstances, Health, and Well-being. The Irish Longitudinal Study on Ageing, Dublin.
Nuessel, F. H. Jr. 1982. The language of ageism. Gerontologist, 22, 3, 273–6.
Ory, M., Kinney Hoffman, M., Hawkins, M., Sanner, B. and Mockenhaupt, R. 2003. Challenging aging stereotypes: strategies for creating a more active society. American Journal of Preventive Medicine, 25, 3 supplement 2, 164–71.
Ovseiko, P. 2007. Long-term care for older people. Aging Horizons Brief, 114. doi: 10.13140/RG.2.1.1018.0647.
Radloff, L. S. 1977. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385401.
Ranzijn, R., Keeves, J., Luszcz, M. and Feather, N. T. 1998. The role of self-perceived usefulness and competence in the self-esteem of elderly adults: confirmatory factor analyses of the Bachman revision of Rosenberg's Self-Esteem Scale. Journals of Gerontology: Psychological Sciences and Social Sciences, 53B, 2, P96104.
Rechel, B., Doyle, Y., Grundy, E. and McKee, M. 2009. How Can Health Systems Respond to Population Ageing? World Health Organization, Copenhagen.
Rechel, B., Grundy, E., Robine, J. M., Cylus, J., Mackenbach, J. P., Knai, C. and McKee, M. 2013. Ageing in the European Union. Lancet, 381, 9874, 1312–22.
Richardson, T. M., Friedman, B., Podgorski, C., Knox, K., Fisher, S., He, H. and Conwell, Y. 2012. Depression and its correlates among older adults accessing aging services. American Journal of Geriatric Psychiatry, 20, 4, 346–54.
Rodin, J. 1989. Sense of control: potentials for intervention. Annals of the American Academy of Political and Social Science, 503, 2942.
Russell, D. W. 1996. UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure. Journal of Personality Assessment, 66, 1, 2040.
Russell, D., Peplau, L. A. and Cutrona, C. E. 1980. The revised UCLA Loneliness Scale: concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39, 3, 472–80.
Sanchez Palacios, C., Trianes Torres, M. V. and Blanca Mena, M. J. 2009. Negative aging stereotypes and their relation with psychosocial variables in the elderly population. Archives of Gerontology and Geriatrics, 48, 3, 385–90.
Santini, Z. I., Koyanagi, A., Tyrovolas, S. and Haro, J. M. 2015 a. The association of relationship quality and social networks with depression, anxiety, and suicidal ideation among older married adults: findings from a cross-sectional analysis of the Irish Longitudinal Study on Ageing (TILDA). Journal of Affective Disorders, 179, 134–41.
Santini, Z. I., Koyanagi, A., Tyrovolas, S., Mason, C. and Haro, J. M. 2015 b. The association between social relationships and depression: a systematic review. Journal of Affective Disorders, 175, 5365.
Scholl, J. M. and Sabat, S. R. 2008. Stereotypes, stereotype threat and ageing: implications for the understanding and treatment of people with Alzheimer's disease. Ageing & Society, 28, 103–30.
Schuster, T. L., Kessler, R. C. and Aseltine, R. H. Jr. 1990. Supportive interactions, negative interactions, and depressed mood. American Journal of Community Psychology, 18, 3, 423–38.
Sexton, E., King-Kallimanis, B. L., Morgan, K. and McGee, H. 2014. Development of the brief ageing perceptions questionnaire (B-APQ): a confirmatory factor analysis approach to item reduction. BMC Geriatrics, 14, 44.
Shumaker, S. A. and Hill, D. R. 1991. Gender differences in social support and physical health. Health Psychology, 10, 2, 102–11.
Smith, K. P. and Christakis, N. A. 2008. Social networks and health. Annual Review of Sociology, 34, 405–29.
StataCorp. 2013. Stata Statistical Software: Release 13. StataCorp LP College Station, Texas.
Stevens, E. S. 1993. Making sense of utility: an avenue towards satisfaction in later life. International Journal of Aging and Human Development, 37, 313–25.
Uchino, B. N. 2006. Social support and health: a review of physiological processes potentially underlying links to disease outcomes. Journal of Behavioral Medicine, 29, 4, 377–87.
Uchino, B. N. 2009. Understanding the links between social support and physical health: a life-span perspective with emphasis on the separability of perceived and received support. Perspectives on Psychological Science, 4, 236–55.
United Nations 2015. World Population Ageing 2015. Department of Economics and Social Affairs, Population Division, United Nations, New York.
Utz, R. L., Carr, D., Nesse, R. and Wortman, C. B. 2002. The effect of widowhood on older adults’ social participation: an evaluation of activity, disengagement, and continuity theories. Gerontologist, 42, 4, 522–33.
VanderZee, K. I., Buunk, B. R. and Sanderman, R. 1997. Social support, locus of control, and psychological well-being. Journal of Applied Social Psychology, 27, 20, 1842–59.
Weiss, D., Sassenberg, K. and Freund, A. M. 2013. When feeling different pays off: how older adults can counteract negative age-related information. Psychology and Aging, 28, 4, 1140–6.
Westerhof, G. J. and Barrett, A. E. 2005. Age identity and subjective well-being: a comparison of the United States and Germany. Journals of Gerontology: Psychological Sciences and Social Sciences, 60B, 3, S12936.
Whelan, B. J. and Savva, G. M. 2013. Design and methodology of the Irish Longitudinal Study on Ageing. Journal of the American Geriatric Society, 61, supplement 2, S2658.
World Health Organization 2011. Global Health and Aging. World Health Organization, Geneva.
Wurm, S. and Benyamini, Y. 2014. Optimism buffers the detrimental effect of negative self-perceptions of ageing on physical and mental health. Psychology & Health, 29, 7, 832–48.
Wurm, S., Warner, L. M., Ziegelmann, J. P., Wolff, J. K. and Schuz, B. 2013. How do negative self-perceptions of aging become a self-fulfilling prophecy? Psychology and Aging, 28, 4, 1088–97.
Zickuhr, K. and Madden, M. 2012. Older Adults and Internet Use. Pew Research Center, Washington DC.


The association of social support networks and loneliness with negative perceptions of ageing: evidence from the Irish Longitudinal Study on Ageing (TILDA)



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