Women During the Senescence Period: Examining the Relationship Between Perceived Loneliness and Sleep Quality

Authors

DOI:

https://doi.org/10.5281/zenodo.17019138

Keywords:

Elderly Women,, Senium Period,, Loneliness,, Insomnia,

Abstract

Objective: This study aimed to examine the relationship between loneliness and sleep quality in women in the senium period. Method: The sample of the descriptive and cross-sectional study consisted of 143 women in their senium period who applied to a State Hospital in Tunceli between November 2024 and January 2025. Data were collected through a face-to-face survey consisting of three parts: “Personal Information Form, UCLA-LS Loneliness Scale, Women's Health Initiative Insomnia Scale (WSIUÖ)”. Data were evaluated in the SPSS 22.0 statistical package program. Parametric methods were used in the analysis of the data. Number and percentage were used in descriptive statistics for categorical data, and mean and standard deviation were used in descriptive statistics for numerical variables. Independent groups t-test, one-way analysis of variance (Anova) and post hoc analyses were used to compare the mean in parametric data. Statistical significance level was accepted as p<0.05. Findings: In our study, it was determined that the participants' ULCA-LS Loneliness Scale mean score (40.252±7.943) and KSIUÖ mean score (8.797±4.321) showed that their loneliness levels were at a moderate level and their insomnia levels were below average. It was observed that there was a statistically significant positive relationship between the UCLA-LS Loneliness Scale and KSIUÖ mean scores (p=0.003) (r=0.245), and that the level of loneliness had a significant and positive effect on insomnia (B = 0.133; p = 0.003). Conclusions: In this study, it was concluded that there was a positive relationship between the feeling of loneliness and insomnia in women, and that loneliness increased the level of insomnia.

References

Akbaş, E., Yiğitoğlu, G. T., ve Çunkuş, N. (2020). Yaşlılıkta sosyal izolasyon ve yalnızlık. OPUS International Journal of Society Researches, 15(26), 4540-4562.

Azizi-Zeinalhajlou, A., Mirghafourvand, M., Nadrian, H., Samei Sis, S., ve Matlabi, H. (2022). The contribution of social isolation and loneliness to sleep disturbances among older adults: a systematic review. Sleep and biological rhythms, 20(2), 153–163. https://doi.org/10.1007/s41105-022-00380-x

Balcı, A. S., Kolaç, N., Köse, M., Safa, İ., ve Düzen, K. Ö. (2022). Effect of Group Reminiscence Therapy on the Loneliness, Depression and Life Satisfaction of the Elderly in the Nursing Homes. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 13(3), 394-399.

Baltacı, A. (2018). Nitel Araştırmalarda Örnekleme Yöntemleri ve Örnek Hacmi Sorunsalı Üzerine Kavramsal Bir İnceleme. Bitlis Eren Üniversitesi Sosyal Bilimler Dergisi, 7(1), 231-274.

Cacioppo, J. T., ve Hawkley, L. C. (2003). Social isolation and health, with an emphasis on underlying mechanisms. Perspectives in Biology and Medicine, 46(3), S39-S52.

Cacioppo, J. T., Hughes, M. E., Waite, L. J., Hawkley, L. C., ve Thisted, R. A. (2006). Loneliness as a specific risk factor for depressive symptoms: Cross-sectional and longitudinal analyses. Psychology and Aging, 21(1), 140-151. https://doi.org/10.1037/0882-7974.21.1.140

Chen J. H. (2019). Experience of Poverty and Problem Sleep in Later Life. Research on aging, 41(7), 697–722. https://doi.org/10.1177/0164027519834861

Chow, S. K. Y., Wong, F. M. F., ve Choi, E. K. Y. (2021). Loneliness in Old Age, the Related Factors, and Its Association with Demographics and Districts of Residence. International journal of environmental research and public health, 18(17), 9398. https://doi.org/10.3390/ijerph18179398

Christiansen, J., Lund, R., Qualter, P., Andersen, C. M., Pedersen, S. S., ve Lasgaard, M. (2021). Loneliness, social isolation, and chronic disease outcomes. Annals of Behavioral Medicine, 55(3), 203-215. https://doi.org/10.1093/abm/kaaa044

Demir, A. (1989). Reliability and validity of the UCLA loneliness scale. Journal of Psychology, 7(23), 14–18.

Ekström, H., Svensson, M., Elmståhl, S., ve Wranker, L. S. (2024). The association between loneliness, social isolation, and sleep disturbances in older adults: A follow-up study from the Swedish good aging in Skåne project. SAGE open medicine, 12, 20503121231222823. https://doi.org/10.1177/20503121231222823

Friedman, E. M., Love, G. D., Rosenkranz, M. A., Urry, H. L., Davidson, R. J., Singer, B. H., ve Ryff, C. D. (2007). Socioeconomic status predicts objective and subjective sleep quality in aging women. Psychosomatic Medicine, 69(7), 682-691. https://doi.org/10.1097/PSY.0b013e31814ceada

Golaszewski, NM., LaCroix , AZ., Godino, JG., Allison, MA., Manson , JE., King, J. J., Weitlauf, J. C., Bea, J. W., Garcia, L., Kroenke, C. H., Saquib, N., Cannell, B., Nguyen, S., ve Bellettiere, J. (2022). Evaluation of social ısolation, loneliness, and cardiovascular disease among older women in the US. AMA Netw Open. 1;5(2):e2146461. https://doi.org/10.1001/jamanetworkopen.2021.46461

Golden, J., Conroy, R. M., Bruce, I., Denihan, A., Greene, E., Kirby, M., ve Lawlor, B. A. (2009). Loneliness, social support networks, mood and wellbeing in community‐dwelling elderly. International Journal of Geriatric Psychiatry, 24(7), 694-700. https://doi.org/10.1002/gps.2181

Hajek, A., ve König, H. H. (2022). Loneliness, perceived isolation and sleep quality in later life. Longitudinal evidence from a population-based German study. Archives of gerontology and geriatrics, 103, 104795. https://doi.org/10.1016/j.archger.2022.104795

Hawkley, L. C., ve Cacioppo, J. T. (2010). Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine, 40(2), 218-227. https://doi.org/10.1007/s12160-010-9210-8

Ilgaz, A., ve Gözüm, S. (2020). Kentsel alanda yaşayan yaşlı kadınlarda yalnızlık sıklığı ve etkileyen faktörler. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 13(2), 67-73. https://dergipark.org.tr/en/download/article-file/1130823.

Jamieson, H. A., Gibson, H. M., Abey-Nesbit, R., Ahuriri-Driscoll, A., Keeling, S., ve Schluter, P. J. (2018). Profile of ethnicity, living arrangements and loneliness amongst older adults in Aotearoa New Zealand: A national cross-sectional study. Australasian journal on ageing, 37(1), 68–73. https://doi.org/10.1111/ajag.12496

Jia, G., ve Yuan, P. (2020). The association between sleep quality and loneliness in rural elderly individuals: a cross-sectional study in Shandong Province China. BMC Geriatr. 2020 doi: 10.1186/s12877-020-01554-3.

Jiang, C. H., Zhu, F., ve Qin, T. T. (2020). Relationships between chronic diseases and depression among middle-aged and elderly people in China: a prospective study from CHARLS. Current medical science, 40(5), 858-870. https://doi.org/10.1007/s11596-020-2270-5

Kurina, L. M., Knutson, K. L., Hawkley, L. C., Cacioppo, J. T., Lauderdale, D. S., ve Ober, C. (2011). Loneliness and sleep: A longitudinal study on the role of depressive symptoms. Health Psychology, 30(4), 377-385.

Levine, D. W., Kripke, D. F., Kaplan, R. M., Lewis, M. A., Naughton, M. J., Bowen, D. J., ve Shumaker, S. A. (2003). Reliability and validity of the Women's Health Initiative Insomnia Rating Scale. Psychological assessment, 15(2), 137–148. https://doi.org/10.1037/1040-3590.15.2.137

Li, Z., Gu, J., Li, P., Hu, J., Wang, S., Wang, P., Zhou, L., Yun, Y., Shi, Y., ve Wang, P. (2024). The relationship between social frailty and loneliness in community-dwelling older adults: a cross-sectional study. BMC geriatrics, 24(1), 73. https://doi.org/10.1186/s12877-024-04666-2

McHugh, J. E., ve Lawlor, B. A. (2013). Perceived stress mediates the relationship between emotional loneliness and sleep quality over time in older adults. British journal of health psychology, 18(3), 546–555. https://doi.org/10.1111/j.2044-8287.2012.02101.x

McLay, L., Jamieson, H. A., France, K. G., ve Schluter, P. J. (2021). Loneliness and social isolation is associated with sleep problems among older community dwelling women and men with complex needs. Scientific reports, 11(1), 4877. https://doi.org/10.1038/s41598-021-83778-w

Medic, G., Wille, M., ve Hemels, M. E. (2017). Short- and long-term health consequences of sleep disruption. Nature and science of sleep, 9, 151–161. https://doi.org/10.2147/NSS.S134864

Ohayon, M. M. (2002). Epidemiology of insomnia: What we know and what we still need to learn. Sleep Medicine Reviews, 6(2), 97-111. https://doi.org/10.1053/smrv.2002.0186

Ok, E., ve Sayılan, S. (2022). Kronik Hastalığı Olan Yaşlı Bireylerde Depresyon ve Tedavi Uyumu. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 11(2), 610-616. https://doi.org/10.37989/gumussagbil.975649

Peplau, L. A. ve Perlman, D. (1982). Perspectives on loneliness. İçinde, L. A. Peplau ve D. Perlman (Ed.), Loneliness: A Sourcebook of Current Theory, Research And Therapy. New York: WileyInterscience.

Polat, F., ve Geçici, F. (2020). Yaşlı bireylerin algıladığı yalnızlık düzeyi ile depresyon arasındaki ilişki. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 8(1), 72-82.

Russell, D., Peplau, L. A., ve Cutrona, C. E. (1980). The revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39(3), 472–480.

Shankar A. (2020). Loneliness and sleep in older adults. Social psychiatry and psychiatric epidemiology, 55(2), 269–272. https://doi.org/10.1007/s00127-019-01805-8

Sundström, G., Fransson, E., Malmberg, B., ve Davey, A. (2009). Loneliness among older Europeans. European Journal of Ageing, 6(4), 267-275. https://doi.org/10.1007/s10433-009-0134-8

Timur, S., ve Şahin, N,H. 2009Effects of sleep disturbance on the quality of life of Turkish menopausal women: A population-based study. Maturitas. 64(3), 177-181. https://doi.org/10.1016/j.maturitas.2009.08.016

Türkiye İstatistik Kurumu (2024). İstatistiklerle Yaşlılar, 2023 (Sayı: 53710). https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2023-53710.

Türkiye İstatistik Kurumu (2024). Türkiye Yaşlı Profili Araştırması, 2023 (Sayı: 53809). https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Yasli-Profili-Arastirmasi-2023-53809

United Nations Population Fund (2024). Ageing. https://www.unfpa.org/ageing. adresinden 14 Kasım 2024 tarihinde alınmıştır.

Valtorta, N.K., Kanaan, M., Gilbody, S., ve Hanratty, B. (2018). Loneliness, social isolation and risk of cardiovascular disease in the English longitudinal study of ageing. European Journal of Preventive Cardiology. 25(13):1387–1396. https://doi.org/10.1177/2047487318792696

Victor, C. R., ve Bowling, A. (2012). A longitudinal analysis of loneliness among older people in Great Britain. The Journal of Psychology, 146(3), 313-331. https://doi.org/10.1080/00223980.2011.609572

Wang, P., Song, L., Wang, K., Han, X., Cong, L., Wang, Y., ve Du, Y. (2020). Prevalence and associated factors of poor sleep quality among Chinese older adults living in a rural area: a population-based study. Aging clinical and experimental research, 32, 125-131. https://doi.org/10.1007/s40520-019-01171-0

Yu, B., Steptoe, A., Niu, K., Ku, P. W., ve Chen, L. J. (2018). Prospective associations of social isolation and loneliness with poor sleep quality in older adults. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 27(3), 683–691. https://doi.org/10.1007/s11136-017-1752-9

Published

2025-06-30

How to Cite

ORHAN, İlksen, ŞİMŞEK KÜÇÜKKELEPÇE, D., & Gökgöz, N. (2025). Women During the Senescence Period: Examining the Relationship Between Perceived Loneliness and Sleep Quality. Mediterian Journal of Health Sciences Current Research, 3(1), 48–61. https://doi.org/10.5281/zenodo.17019138