Browsing by Subject "Loneliness"
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PublicationOpen AccessDATA SET HELPeN Project Effects Clinical Simulation(2026-03-10) Hernández López, María Jesús; Ruzafa Martínez, María; Leal Costa, César; Ramos Morcillo, Antonio Jesús; Díaz García, Isidora; López Pérez, María Verónica; Hernández Méndez, Solanger; García González, Jessica; Enfermería; Facultad de Enfermería- PublicationOpen AccessDATA SET HELPeN Project Prevalence Unwanted Loneliness(2026-03-10) Hernández López, María Jesús; Hernández Méndez, Solanger; Leal Costa, César; Ramos Morcillo, Antonio Jesús; Díaz García, Isidora; López Pérez, María Verónica; García González, Jessica; Ruzafa Martínez, María; Enfermería; Facultad de Enfermería
- PublicationOpen AccessDATA SET HELPeN Project Reducing Loneliness(2026-03-10) Hernández López, María Jesús; García González, Jessica; Leal Costa, César; Ramos Morcillo, Antonio Jesús; Díaz García, Isidora; López Pérez, María Verónica; Hernández Méndez, Solanger; Ruzafa Martínez, María; Enfermería; Facultad de Enfermería
- PublicationOpen AccessEffects of a clinical simulation-based training program for nursing students to address social isolation and loneliness in the elderly: a quasi-experimental study(MDPI, 2023-09-19) Hernández López, María Jesús; Ruzafa Martínez, María; Leal Costa, César; Ramos Morcillo, Antonio Jesús; Díaz García, Isidora; López Pérez, María Verónica; Hernández Méndez, Solanger; García González, Jessica; EnfermeríaIntroduction: The population of older adults is rapidly increasing worldwide, presentingboth prospects and complexities for society and healthcare professionals to maximize the functionalcapacity of this age group. Social isolation and loneliness significantly affect this population. Theobjective was to determine the effectiveness, satisfaction, and perceptions of the simulation-basededucation practices of a training program for nursing students, which was created to palliate thesocial isolation and loneliness of older adults. Method: A quasi-experimental study was conductedwith nursing students who participated in an online training program using teleservice based on high-fidelity clinical simulation. The program included asynchronous theoretical training and synchronouspractical training using an online platform. Five scenarios were designed using simulated phonecalls to address the social isolation and loneliness of older adults. Results: Twenty-five nursingstudents participated in the program, and they had a mean age of 27.44, with 76% of them beingwomen. After the training program, the participants showed statistically significant improvements(p< 0.05) with respect to their knowledge and attitudes towards older adults, and the programwas adapted to the best educational practices in simulations. Conclusions: Simulation-based onlinetraining efficiently improved the knowledge and attitudes of nursing students towards older adults,improving their ability to address social isolation and loneliness. The high satisfaction and adhesion tothe best educational practices underline the usefulness of high-fidelity online simulations, especiallyin situations in which face-to-face training is not feasible, and accessibility and equilibrium could beguaranteed between work and personal life.
- PublicationOpen AccessEnfermedades asociadas a la soledad en la persona mayor: un reto social(Universidad de Murcia. Servicio de publicaciones, 2023) Valencia Contrera, Miguel; Sanhueza Alvarado, OliviaObjetivo: Identificar las patologías en la persona mayor asociadas a la soledad. Metodología: Investigación secundaria, de tipo revisión integrativa, estructurada según consenso de Crossetti. Resultados: Se identificaron tras la aplicación de descriptores y estrategias de búsqueda un total de 4.011 artículos, posterior a la aplicación de filtros, criterios de inclusión y criterios de exclusión quedaron seleccionados 27 artículos, de los cuales 17 corresponden a WOS, 9 a BVS y 1 a PUBMED. Conclusiones: Se destaca la asociación entre soledad y el deterioro cognitivo, disminución del estado físico, enfermedad de Alzheimer y eventos cardiovasculares. Se hace necesario establecer políticas públicas de preparación a las personas para su futuro proceso de envejecimiento.
- PublicationOpen AccessFunctionality and loneliness in older people: Model of mediation by positive affect(Universidad de Murcia. Servicio de Publicaciones, 2024) Espirito-Santo, Helena; Crúzio-Grilo, Leana; Lemos, Laura; Grasina, Alexandra; Andrade, Diogo; Daniel, FernandaObjective:Research has shown that loneliness is associated with functional disability in the older population. However, little is known about the role of affectivity in this relationship. The present study explored a mediation model in which affectivity was hypothesized to mediate the relationship between functionality and loneliness, controlling for the effect of relevant variables.Methods:The University of California Loneliness Scale-16 items, Geriatric Functionality Scale, Positive and Negative AffectSchedule-14, and Geriatric Depression Scale-8 were administered to 489 old adults (65–100 years old), 428 from social care homes (SCH), and 61 from the community.Results:Those from SCH, women, widowed, withlow education, more functional disability, more negative affect, less positive affect, and more depressive symptoms reported more loneliness. Controlling for the effect of depressive symptoms, gender, residential status, marital status, and education, only positive affect mediated, partially, the relationship between functionality and loneliness. Conclusion:We suggest implementing interventions that increase older adults' insights in personalized patterns of positive affect and, consequently, ease feelings of loneliness in older people suffering from functional limitations (especially women, with depressive symptoms, widowed, residing in an institution, and with low educational level)
- PublicationOpen AccessEl futuro y la angustia(Universidad de Murcia, 2010) Bueno Gómez, NoeliaSe estudia la angustia como fenómeno subjetivo vinculado a la soledad y el desamparo. Teniendo en cuenta los estudios de Kierkegaard, Heidegger y Sartre, se entiende la angustia como un sentimiento desencadenado ante la libertad y las posibilidades del futuro. Sin embargo, no es la infinitud de la libertad la que está detrás de la angustia (Sartre) sino la infinitud de posibilidades e impotencias abierta por dos características de las acciones humanas: su carácter imprevisto y su irreversibilidad (Arendt). Para concluir, se propone que construir el relato de las propias angustias permite escapar de ellas por momentos, aunque no definitivamente, pues mientras se posee un horizonte de posibilidad (un futuro), se actúa y se está sólo, éstas son inevitables.
- PublicationOpen AccessInternet Addiction and Social Self-Efficacy: The Mediator Role of Loneliness(Universidad de Murcia, 2020) Bakioğlu, FuadEl propósito de este estudio fue examinar si la soledad es un mediador entre la adicción a internet y la autoeficacia social. Los participantes fueron 325 estudiantes universitarios (mujeres: 57.8%; hombres: 42.2%). La edad de los participantes osciló entre 17 y 30 años (M = 20.54, DT = 1.99). Los datos del estudio se obtuvieron mediante el Formulario Corto de Adicción a Internet de Young, la Escala de Eficacia Social y Expectativas de Resultados Sociales y la Escala de Soledad de UCLA. Los datos se analizaron utilizando el método de modelado de ecuaciones estructurales y bootstrapping. El modelo de ecuaciones estructurales mostró que había un efecto indirecto sobre la autoeficacia social, mediado por la soledad. Los resultados del procedimiento de arranque indicaron que el efecto indirecto de la soledad fue significativo. Se discutieron las posibles explicaciones, la implicación de la investigación, las limitaciones y las direcciones futuras
- PublicationOpen AccessJean Giono, un écrivain cassé: histoire d’une “crise morale”.(Universidad de Murcia, Servicio de Publicaciones., 2025) Bonnet, Dominique; Sin departamento asociadoA inicios de los años 30, Jean Giono atraviesa lo que él llama una “crisis moral”, que puede entenderse fácilmente como una depresión. Su traumática experiencia en las trincheras de la Primera Guerra Mundial no le abandona. Entonces su relación al mundo cambia, y su escritura se altera tanto en la forma como en las temáticas. En primer lugar, trataremos de analizar las causas de esta crisis anímica, luego buscaremos sus huellas en la obra de Giono y, por último, mostraremos cómo treinta años más tarde, la melancolía de Juan Ramón Jiménez, en la que Giono se sumergió cuando leyó Platero y yo, en el marco del proyecto de adaptación cinematográfica que se le propuso en 1958, hizo resurgir su trauma de la guerra y parte de su crisis anímica. Al tratar de comprender y definir el alcance de esta crisis moral, buscamos identificar sus causas y consecuencias, así como determinar su importancia en el conjunto de la obra de Giono.
- PublicationOpen AccessPower decreases loneliness through enhanced social support: the moderating role of social exclusion(Universidad de Murcia. Servicio de Publicaciones, 2021) Sun, Gong; Wang, Wangshuai; Han, Jianyi; Yu, Zucheng; Li, JieEn los últimos años, el poder y la soledad son dos temas importantes de investigación en psicología social. Sin embargo, están en ramas separadas de literatura a pesar de la relación potencial. Para llenar este vacío, esta investigación investiga sistemáticamente cómo, por qué y cuándo el sentido de poder afecta la soledad examinando el efecto principal, el papel mediador del apoyo social percibido y el papel moderador de la exclusión social. En el Estudio 1, 539 participantes en China participaron en un estudio de encuesta, que incluyó la Escala de Sentido de Poder, la Escala de Apoyo Social Percibido y la Escala de Soledad de UCLA. En el Estudio 2, probamos casualmente los efectos principales y moderadores en un experimento controlado utilizando una muestra de los Estados Unidos. Tomados en conjunto, los resultados muestran que: (1) El sentido de poder reduce la soledad. (2) El apoyo social percibido media esta relación, de modo que el poder fortalece el apoyo social percibido y, por lo tanto, disminuye la soledad. (3) La exclusión social modera esta relación, de modo que la función de amortiguamiento del poder es efectiva sólo cuando la exclusión social está ausente.
- PublicationOpen AccessPrevalence of unwanted loneliness and associated factors in people over 65 years of age in a health area of the Region of Murcia, Spain: HELPeN Project(MDPI, 2024-09-21) Hernández López, María Jesús; Hernández Méndez, Solanger; Leal Costa, César; Ramos Morcillo, Antonio Jesús; Díaz García, Isidora; López Pérez, María Verónica; García González, Jessica; Ruzafa Martínez, María; Enfermería; Facultades de la UMU::Facultad de EnfermeríaBackground/Objectives: Population aging poses many challenges to public health, highlighting loneliness and social isolation as severe problems that affect the physical and mental health of older adults. During the COVID-19 pandemic, these became aggravated. The objective of the present study was to assess the prevalence of loneliness and its relationship with social isolation, depression, cognitive deterioration, sleep quality, and the level of physical mobility and functioning of older adults in Health Area 3 of the Region of Murcia. Methods: A descriptive, observational, and cross-sectional study was performed. The inclusion criteria were age ≥ 65, living in Health Area 3 of the Region of Murcia, and not being institutionalized. The following variables were evaluated: sociodemographic variables, loneliness (UCLA scale), social isolation (DUFSS), depression (GDS), cognitive deterioration (Pfeiffer), sleep quality (PSQI), and mobility (Barthel index). A univariate and multivariate regression model was created to examine how the dependent variable was related to the independent variables. Results: A total of 102 older adults participated in the study. Of these, 31.4% perceived unwanted loneliness and 14.7% low social support. The multivariate regression analysis showed that social isolation, geriatric depression, and cognitive deterioration were significant predictors of loneliness. Conclusions: The findings highlight the importance of developing multifaceted interventions that address not only social isolation but also other interrelated factors such as depression, cognitive deterioration, and sleep quality. The strategies should be centered on community programs and support networks. It is fundamental to perform longitudinal studies to better understand the causal relationships between these variables.
- PublicationOpen AccessReducing loneliness and social isolation through the HELPeN telephone-call program: results from a randomized controlled trial in older adults living in the community(MDPI, 2026) Hernández López, María Jesús; García González, Jessica; Leal Costa, César; Ramos Morcillo, Antonio Jesús; Díaz García, Isidora; López Pérez, María Verónica; Hernández Méndez, Solanger; Ruzafa Martínez, María; Enfermería; Facultades de la UMU::Facultad de EnfermeríaBackground/Objectives: Loneliness is a significant public health issue among older adults, especially in rural and socioeconomically vulnerable groups. Telephone-based interventions have become a scalable, cost-effective way to reduce social isolation, although evidence of their long-term effects on various health outcomes remains limited. This study aimed to assess how effective HELPeN, a structured telephone program delivered by trained nursing students, is in decreasing loneliness and enhancing psychosocial and cognitive health in community-living older adults. Methods: A randomized controlled trial was conducted with 119 older adults (≥65 years) residing in the community. Participants were allocated to either an intervention group (n = 65), which received weekly structured telephone calls over 9 months, or a control group (n = 54), which received standard care. Outcomes were evaluated at baseline (M0), mid-intervention (M1–M3), and 3 months after the intervention (M4). The primary outcomes measured included loneliness and perceived social support. Secondary outcomes comprised functional status, comorbidities, depressive symptoms, quality of life, sleep quality, and cognitive function. The data were analyzed using repeated-measures ANOVA with Greenhouse–Geisser correction. Results: Significant group interactions over time were identified for loneliness (F = 5.92, p = 0.001, η2 = 0.067), social support (F = 3.39, p = 0.023, η2 = 0.043), depressive symptoms (F = 3.87, p = 0.019, η2 = 0.046), and cognitive status (F = 5.35, p = 0.002, η2 = 0.063). No significant differences were found for functional status, comorbidity, sleep quality, or quality of life. Conclusions: The HELPeN program demonstrated significant effectiveness in reducing loneliness and social isolation, and in improving emotional, cognitive, and sleep-related outcomes in older adults. As a low-cost and scalable model, this intervention strengthens the role of nursing students in addressing social determinants of health and may be integrated into community and public health strategies targeting vulnerable aging populations.