The Effects of Loneliness on Telemarketing Fraud Vulnerability Among Older Adults

ABSTRACT

Older adults are disproportionately affected by telemarketing fraud, especially those who are socially isolated. Twenty-eight older adult telemarketing fraud victims completed a questionnaire assessing loneliness and other variables related to telemarketing fraud vulnerability. Victims tended to be male, divorced/separated, and college-educated, between ages of 60 and 70. Age and marital status were significantly associated with loneliness. This study is an important first step for additional research in this area and may enhance the prevention and intervention efforts of social service providers who work with older adults who may be most vulnerable.     

Credulity rather than general trust may increase vulnerability to fraud in older adults: a moderated mediation model

The present study aimed to clarify whether it is credulity or general trust that specifically affects vulnerability to fraud, as well as investigating the mediating role of susceptibility to persuasion and the moderating role of greed in this relationship. 254 Chinese older adults completed measures of credulity, general trust, susceptibility to persuasion, greed, and vulnerability to fraud. The results showed that credulity, but not general trust, was positively correlated with vulnerability to fraud, after controlling for demographic covariates. Susceptibility to persuasion partially mediated the effect of credulity on vulnerability to fraud. In addition, this mediating effect of susceptibility to persuasion was only significant in older adults with higher levels of greed. Our findings suggest that credulity, rather than general trust, is a risk factor in vulnerability to fraud among older adults, and may inform the development of supportive interventions to reduce this population’s risk of falling victim to fraud.     

Marital Status and Problem Gambling Among Australian Older Adults: The Mediating Role of Loneliness

Problem gambling rates in older adults have risen dramatically in recent years and require further investigation. Limited available research has suggested that social needs may motivate gambling and hence problem gambling in older adults. Un-partnered older adults may be at greater risk of problem gambling than those with a partner. The current study explored whether loneliness mediated the marital status–problem gambling relationship, and whether gender moderated the mediation model. It was hypothesised that the relationship between being un-partnered and higher levels of loneliness would be stronger for older men than older women. A community sample of Australian men (n = 92) and women (n = 91) gamblers aged from 60 to 90 years (M = 69.75, SD = 7.28) completed the UCLA Loneliness Scale and the Problem Gambling Severity Index. The results supported the moderated mediation model, with loneliness mediating the relationship between marital status and problem gambling for older men but not for older women. It appears that felt loneliness is an important predictor of problem gambling in older adults, and that meeting the social and emotional needs of un-partnered men is important.     

From dinner table to digital tablet: technology's potential for reducing loneliness in older adults

Statistics estimate that close to 35% of our nation's older individuals experience loneliness. Feelings of loneliness have been associated with physical and psychological illness in several research studies. As technology advances and connectivity through tablet devices becomes increasingly user friendly, the potential for tablets to reduce loneliness among older adults is substantial. This article discusses the issue of loneliness among older adults and suggests tablet technology as a tool to improve connectivity and reduce loneliness in the older adult population. As nurses, we have the opportunity to help enhance the quality of life for our clients. Tablet technology offers a new option that should be fully explored.     

Portraits of loneliness: emerging themes among community-dwelling older adults

With aging comes a multitude of possible losses, including loss of health, spouse, friends, or independence. These losses can place older adults at risk for isolation and loneliness. Loneliness is of significant concern in older adults, as it can negatively affect their quality of life. An interpretive phenomenological study was conducted to explore the meaning of loneliness in 12 older adults living in the community. Selected excerpts from the participants reveal several themes, as well as the importance of maintaining meaningful connections and relationships with others to alleviate feelings of loneliness. Nurses can become more attuned to the problem of loneliness in older adults and the importance of helping their older clients maintain meaningful connections with others to reduce loneliness.     

Why are older adults victims of fraud? Current knowledge and prospects regarding older adults’ vulnerability to fraud

Older adults are disproportionately targeted by various kinds of fraud, which result in irreversible economic losses and great psychological distress. Over the past years, researchers have conducted systematic research on the prevalence, under-reporting, and research methods of fraud victimization in older adults. Research paradigms regarding fraud victimization among older adults have mainly included cognitive, emotion regulation and motivation, and comprehensive paradigms. Factors shown to influence fraud victimization among older adults include cognitive decline, emotional regulation and motivational changes, their overly trusting nature, psychological vulnerability, social isolation, risk-taking, and a lack of knowledge and information regarding fraud prevention. Based on a review of the literature, future research can benefit from constructing a comprehensive fraud victimization theory, improving research methods, extending existing research, exploring physiological mechanisms of elderly fraud, and strengthening prevention and intervention efforts.     

Adoption and feasibility of a communication app to enhance social connectedness amongst frail institutionalized oldest old: an embedded case study

The risks of social isolation and loneliness are becoming emergent issues for older adults (aged 65+) in industrialized countries, particularly for oldest old people (80+) who are frail and institutionalized. Socially isolated and lonely older people are more likely to experience depression, social disengagement, cognitive and physical decline, morbidity, and early mortality. In response to these significant negative health and socioeconomic costs, research suggests using new technologies to enhance opportunities for social connectedness as a strategy to help alleviate both social isolation and loneliness. In this context, following a participatory design method, we developed an accessible communication app with and for frail institutionalized older adults. To test the adoption of this innovative technology and its feasibility to address social isolation and loneliness, we conducted a two-month deployment of the app in a long-term care home with five oldest old and their relatives. Due to access, recruitment, and ethical challenges, the oldest old are a specially understudied group. Using an embedded case study (based on interviews, psychometric scales, field observations, and usability and accessibility testing) and a recursive approach to technology studies, our findings show that technology adoption is based on a complex set of interrelated factors: social, attitudinal, physical, digital literacy, and usability. We also discuss the feasibility of the app to enhance perceived social connectedness amongst our target population, provided that at least one strong tie is involved and communication norms and expectations across generations are considered.     

Relocation stress syndrome in older adults transitioning from home to a long-term care facility: myth or reality?

Relocation stress syndrome is a nursing diagnosis characterized by symptoms such as anxiety, confusion, hopelessness, and loneliness. It usually occurs in older adults shortly after moving from a private residence to a nursing home or assisted-living facility. The primary purpose of this study was to validate the symptoms of relocation stress syndrome. Eight nursing home residents and 8 assisted-living facility residents were interviewed 2 to 10 weeks after admission, when symptoms of relocation stress syndrome are most likely to appear. Results of this study indicate that the incidence of relocation stress syndrome may be overestimated. More accurate diagnosis and treatment of depression in older adults is needed.     

Social Support Networks and Loneliness Among Elderly Jews in Russia and Ukraine

The collapse of the Soviet Union had devastating consequences for the lives of its population, especially for older adults, many of whom became impoverished and were left with no social support. Using data from a survey of 2,579 elderly Jews in two of the largest countries of the former Soviet Union, Russia and Ukraine, we examine variables that affect their feeling of loneliness. Unmarried and childless elderly persons reported the highest feelings of loneliness. Married elderly persons who maintained frequent contact with their children felt least lonely. Moreover, married and unmarried elderly persons who did not maintain frequent contact with relatives or friends were lonelier than those who maintained such contact. The characteristics of social networks were significantly correlated with loneliness. The findings also showed that Jews in Ukraine had fewer social networks and felt lonelier compared to Jews in Russia.     

Prevalence and correlates of elder mistreatment in Singapore

The current study attempts to identify the prevalence rate of and risk factors associated with elder mistreatment in Singapore, a multi-ethnic nation in South-East Asia. Information on elder mistreatment was collected from 400 non-randomly selected cognitively intact older adults in a residential area of Singapore. Items on mistreatment were adopted from the Hwalek-Sengstock Elder Abuse Screening Test and the Vulnerability to Abuse Screening Scale. Standardized scales on activities of daily living, loneliness, and items on violence between family members were administered. The prevalence rate of mistreatment was 8.3%. A family environment characterized by psychological and physical abuse between family members and a social environment characterized by loneliness increased the vulnerability of older adults to mistreatment. Older adults who were mistreated reported more depression symptoms than those who were not.     

The gatekeeper model: implications for social policy

One of the most important needs of an aging population is to insure that older adults are able to live as independently and safely as possible. The question for social policymakers is how to meet this goal in an era of shrinking resources and growing numbers of older adults. The Gatekeeper Model is highlighted as a method to insure that older adults at risk of problems that impact their ability to live independently can be helped by existing systems of care. The model trains employees of community businesses and corporations who work with the public to serve as community gatekeepers by identifying and referring community-dwelling older adults who may be in need of help. A research project was conducted at Spokane Mental Health, Elder Services Division, where the model was developed. The results indicate that community-based gatekeepers found 40% of clients. Gatekeepers find a distinct population of community-dwelling older adults who are not found by more traditional referral sources. The social policy implications of the Gatekeeper Model are discussed.     

Schizophrenia in older adults

Although the number of people older than 55 with schizophrenia is expected to double during the next 20 years, the research data on older adults with schizophrenia are limited. This appears to be because until the middle of the 20th century, it was assumed that mental illness in older adults was a part of the aging process and because older adults are often excluded from research investigations. Nursing research is needed to explore how people with schizophrenia learn to manage their problems as they age, as well as how those who are first diagnosed with schizophrenia in later life adapt to their illness. Mental health nurses need to be cautious in assigning premature labels to older adults with mental illness that may lead to unsubstantiated assumptions about levels of disability. Instead, nurses should realize individual potential regarding undiscovered strengths and should attempt to create interventions that recognize and foster personal development for older adults with schizophrenia.     

Beyond Parental Status: Psychological Well‐Being in Middle and Old Age

Surveys show little evidence of psychosocial disadvantage among childless middle‐aged and older adults, but less is known about the diverse experiences that influence subjective well‐being among parents and childless adults. In this article, the author uses the National Survey of Families and Households to test a parental‐status typology on the basis of attitudes among childless adults and parent‐child relationship quality and the connection of these factors with loneliness and depression. Poorer parent‐child relationships are linked to worse outcomes for both mothers and fathers, net of other factors. For childless adults, negative attitudes about childlessness are associated with greater distress for women than for men.     

Assessing capacity in the setting of self-neglect: development of a novel screening tool for decision-making capacity

Compared with older adults with disabilities and those who autonomously choose to live in squalor, self-neglect syndrome arises from a predicate state of vulnerability in frail older adults. This state of vulnerability is characteristically associated with a decline in decision-making capacity regarding the ability to care for and protect oneself. We developed the COMP Screen to evaluate vulnerable older adults to identify potential gaps in decision-making capacity using a screening tool. A total of 182 older adults were evaluated and consistent declines in cognitive ability and decision-making processes were present in this population. However, there were no significant differences between elders referred for self-neglect and matched older adults. These findings suggest that declines in decision-making processes are not uncommon in vulnerable older adults but traditional conceptualizations of decision-making capacity may be inadequate for differentiating the capacity for self-care and protection in elders who self-neglect.     

Assessing Capacity in the Setting of Self-Neglect: Development of a Novel Screening Tool for Decision-Making Capacity

ABSTRACT

Compared with older adults with disabilities and those who autonomously choose to live in squalor, self-neglect syndrome arises from a predicate state of vulnerability in frail older adults. This state of vulnerability is characteristically associated with a decline in decision-making capacity regarding the ability to care for and protect oneself. We developed the COMP Screen to evaluate vulnerable older adults to identify potential gaps in decision-making capacity using a screening tool. A total of 182 older adults were evaluated and consistent declines in cognitive ability and decision-making processes were present in this population. However, there were no significant differences between elders referred for self-neglect and matched older adults. These findings suggest that declines in decision-making processes are not uncommon in vulnerable older adults but traditional conceptualizations of decision-making capacity may be inadequate for differentiating the capacity for self-care and protection in elders who self-neglect.     

Trajectories of loneliness during COVID-19 pandemic and associations with mental health and substance use

We examined patterns of longitudinal trajectories of loneliness during the COVID-19 pandemic using six time points (January 2020 [pre-pandemic] to March/April 2021) and whether trajectories were associated with psychological distress (depression/anxiety) and substance use (alcohol/cannabis) outcomes in Spring 2021. Participants were 644 young adults who completed online assessments. Outcomes were regressed on most-likely loneliness trajectory adjusting for pre-pandemic measures. Three loneliness trajectories varied from consistently lower to consistently higher. Pre-pandemic social support was associated with lower odds of a higher loneliness trajectory. Higher loneliness trajectories were associated with greater odds of past-month cannabis use compared to Low trajectories, but not significantly associated with depression, anxiety, or alcohol use in Spring 2021. Interventions addressing co-occurring loneliness and cannabis use are needed.     

The social context of disablement among older adults: does marital quality matter for loneliness?

Prior research has not adequately considered that disablement occurs within a web of relationships that provides socioemotional resources to and/or places demands on older adults. Drawing on the stress process and life course perspectives, we considered the social context of disablement by examining the influence of marital quality on the association between disability and loneliness among married older adults. Using data from the National Social Life, Health, and Aging Project, we found (1) functional limitations were associated with higher levels of loneliness; (2) neither positive nor negative marital quality mediated this association, contrary to the stress-deterioration hypothesis; and (3) positive (but not negative) marital quality moderated this association, consistent with the stress-buffering hypothesis. These associations were similar for women and men. Our findings indicate the importance of the social context of disablement, as interpersonal resources offer protection from the deleterious socioemotional consequences of disability.     

Geographic distance and intergenerational relationships in Chinese migrant families

ABSTRACT

This study examines the effect of adult Chinese migrants’ geographic distance from home on their intergenerational relationships with parents who remain behind. We compared monetary and family care support as well as emotional relationships among four parent-child groups: older adults and international migrant children, older adults and internal migrant children (who migrated to other cities in China), older adults and coresiding children, and older adults and local children (living in the same city as their parents). Data were derived from 332 older adults in Beijing, China, with at least one child who migrated to another country or city. Results from chi-square tests, anaylsis of variance (ANOVA) tests, and regression analyses indicate that international and internal migrant children maintain similar intergenerational relationships with their parents, and that both of those groups are less likely than coresiding and local children to have family care exchanges and emotionally close relationships with their parents. The results may help professionals develop supportive services and policies for older adults in migrant families.     

Should I Stay or Should I Go?

Abstract

Data from a longitudinal study of older adults in an upstate New York county (N = 333) show that poor housing “fit” increases the likelihood that older adults are currently considering a move, as does lower residential satisfaction. Those adults who said only that they “might consider moving” focused on health transitions that might signal a need for a new housing situation. Residential satisfaction predicts actual moves even when controlling for moving plans. Older adults may be “pushed” to make a move by a crisis, but those older adults planning moves tend to be “pulled” into housing arrangements with desirable features.     

Helping family members manage medication administration hassles

Managing the medication regimens of dependent older adults in the home is a complex issue for family caregivers. The tasks involved can include helping the older adults manage their own medications or may require involvement in the purchasing, scheduling, and administering of multiple medications for serious conditions. The hassles associated with this responsibility are now known to be associated with increased caregiver strain. In this article, we provide an overview of the body of research on medication administration hassles and offer a tool to assess family caregivers who are involved in this important aspect of care.