Loneliness, Social Support, and Cognitive Reserve of Older Adults in the COVID-19 Pandemic
DOI:
https://doi.org/10.1590/1982-4327e3404Keywords:
social support, cognitive reserve, loneliness, COVID-19, agingAbstract
The COVID-19 pandemic significantly affected the quality of life of older Brazilian adults. This study aimed to investigate the level of loneliness and social support of older adults during the COVID-19 pandemic and its relation with cognitive reserve, sociodemographic data, daily habits, and perceived health. An online cross-sectional study was conducted. The final sample consisted of 116 Brazilians aged over 60 years. The following instruments were used: sociodemographic questionnaire, questionnaire on the everyday habits during the pandemic, CRIq, Revised UCLA Loneliness Scale and MOS-SSS. The results showed a significant association between loneliness and social support. The regression models demonstrate the influence of perceived health and different forms of social contact in predicting social support and loneliness. These results evince the importance of the evaluation of factors related to the quality of life of older Brazilian adults during and after the COVID-19 pandemic.
Downloads
References
Barroso, S. M., Andrade, V. S., & Oliveira, N. R. (2016). Escala Brasileira de Solidão: Análises de resposta ao item e definição dos pontos de corte [Brazilian Loneliness Scale: Analysis of item response and definition of cut-off points]. Jornal Brasileiro de Psiquiatria, 65(1), 76–81. https://doi.org/10.1590/0047-2085000000106
Barroso, S. M., Andrade, V. S., Midgett, A. H., & Carvalho, R. G. N. (2016). Evidências de validade da escala Brasileira de Solidão UCLA [Validity evidence of the UCLA Brazilian Loneliness Scale]. Jornal Brasileiro de Psiquiatria, 65(1), 68–75. https://doi.org/10.1590/0047-2085000000105
Benvenuti, M., Giovagnoli, S., Mazzoni, E., Cipresso, P., Pedroli, E., & Riva, G. (2020). The relevance of online social relationships among the elderly: How using the web could enhance quality of life? Frontiers in Psychology, 11, 1–10. https://doi.org/10.3389/fpsyg.2020.551862
Berg-Weger, M., & Morley, J. E. (2020). Loneliness and social isolation in older adults during the covid-19 pandemic: Implications for gerontological social work. Journal of Nutrition, Health and Aging, 24(5), 456–458. https://doi.org/10.1007/s12603-020-1366-8
Boss, L., Kang, D. H., & Branson, S. (2015). Loneliness and cognitive function in the older adult: A systematic review. International Psychogeriatrics, 27(4), 541–553. https://doi.org/10.1017/S1041610214002749
Choi, E., Han, K. M., Chang, J., Lee, Y. J., Choi, K. W., Han, C., & Ham, B. J. (2021). Social participation and depressive symptoms in community-dwelling older adults: Emotional social support as a mediator. Journal of Psychiatric Research, 137, 589–596. https://doi.org/10.1016/j.jpsychires.2020.10.043
Chor, D., Griep, R. H., Lopes, C. S., & Faerstein, E. (2001). Medidas de rede e apoio social no Estudo Pró-Saúde: pré-testes e estudo piloto [Social network and social support measures from the Pró-Saúde Study: Pre-tests and pilot study]. Cadernos de Saúde Pública, 17(4), 887–896. https://doi.org/10.1590/S0102-311X2001000400022
Dahlberg, L. (2021). Loneliness during the COVID-19 pandemic. Aging and Mental Health, 25(7), 1161–1164. https://doi.org/10.1080/13607863.2021.1875195
Dahlberg, L., McKee, K. J., Frank, A., & Naseer, M. (2022). A systematic review of longitudinal risk factors for loneliness in older adults. Aging and Mental Health, 26(2), 225–249. https://doi.org/10.1080/13607863.2021.1876638
Ellwardt, L., Aartsen, M., Deeg, D., & Steverink, N. (2013). Does loneliness mediate the relation between social support and cognitive functioning in later life? Social Science and Medicine, 98, 116–124. https://doi.org/10.1016/j.socscimed.2013.09.002
Gonçalves, A. R., Barcelos, J. L. M., Duarte, A. P., Lucchetti, G., Gonçalves, D. R., Silva e Dutra, F. C. M., & Gonçalves, J. R. L. (2022). Perceptions, feelings, and the routine of older adults during the isolation period caused by the COVID-19 pandemic: A qualitative study in four countries. Aging and Mental Health, 26(5), 911–918. https://doi.org/10.1080/13607863.2021.1891198
Harrison, S. L., Sajjad, A., Bramer, W. M., Ikram, M. A., Tiemeier, H., & Stephan, B. C. M. (2015). Exploring strategies to operationalize cognitive reserve: A systematic review of reviews. Journal of Clinical and Experimental Neuropsychology, 37(3), 253–264. https://doi.org/10.1080/13803395.2014.1002759
Hawkley, L. C., Finch, L. E., Kotwal, A. A., & Waite, L. J. (2021). Can remote social contact replace in-person contact to protect mental health among older adults? Journal of the American Geriatrics Society, 69(11), 3063–3065. https://doi.org/10.1111/jgs.17405
Kamin, S. T., Beyer, A., & Lang, F. R. (2020). Social support is associated with technology use in old age. Zeitschrift Fur Gerontologie Und Geriatrie, 53, 256–262. https://doi.org/10.1007/s00391-019-01529-z
Krueger, K. R., Wilson, R. S., Kamenetsky, J. M., Barnes, L. L., Bienias, J. L., & Bennett, D. A. (2009). Social engagement and cognitive function in old age. Experimental Aging Research, 35(1), 45–60. https://doi.org/10.1080/03610730802545028
Miller, E. A. (2021). Shining a spotlight: The ramifications of the COVID-19 pandemic for older adults. Journal of Aging and Social Policy, 33(4–5), 305–319. https://doi.org/10.1080/08959420.2021.1973343
Mukaka, M. M. (2012). Statistics corner: A guide to appropriate use of correlation coefficient in medical research. Malawi Medical Journal, 24(3), 69–71. https://pubmed.ncbi.nlm.nih.gov/23638278/
Murata, C., Saito, T., Saito, M., & Kondo, K. (2019). The association between social support and incident dementia: A 10-year follow-up study in Japan. International Journal of Environmental Research and Public Health, 16(2), 1-10. https://doi.org/10.3390/ijerph16020239
Nucci, M., Mapelli, D., & Mondini, S. (2012). Cognitive Reserve Index questionnaire (CRIq): A new instrument for measuring cognitive reserve. Aging Clinical and Experimental Research, 24(3), 218–226. https://doi.org/10.3275/7800
Oremus, M., Tyas, S. L., Maxwell, C. J., Konnert, C., O’Connell, M. E., & Law, J. (2020). Social support availability is positively associated with memory in persons aged 45–85 years: A cross-sectional analysis of the Canadian Longitudinal Study on Aging. Archives of Gerontology and Geriatrics, 86, 103962. https://doi.org/10.1016/j.archger.2019.103962
Pandey, K., Thurman, M., Johnson, S. D., Acharya, A., Johnston, M., Klug, E. A., Olwenyi, O. A., Rajaiah, R., & Byrareddy, S. N. (2021). Mental health issues during and after COVID-19 vaccine era. Brain Research Bulletin, 176, 161–173. https://doi.org/10.1016/j.brainresbull.2021.08.012
Ren, Y., Savadlou, A., Park, S., Siska, P., Epp, J. R., & Sargin, D. (2023). The impact of loneliness and social isolation on the development of cognitive decline and Alzheimer’s Disease. Frontiers in Neuroendocrinology, 69, 101061. https://doi.org/10.1016/j.yfrne.2023.101061
Russel, D., Cutrona, C. E., Rose, J., & Yurko, K. (1984). Social and emotional loneliness: A reexamination of weiss’ typology of loneliness. Journal of Personality and Social Psychology, 46(6), 1313–1321. https://doi.org/10.1037//0022-3514.46.6.1313
Russell, D., Peplau, L. A., & Cutrona, C. E. (1980). The revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39(3), 472–480. https://doi.org/10.1037//0022-3514.39.3.472
Santangelo, G., Baldassarre, I., Barbaro, A., Cavallo, N. D., Cropano, M., Maggi, G., Nappo, R., Trojano, L., & Raimo, S. (2021). Subjective cognitive failures and their psychological correlates in a large Italian sample during quarantine/self-isolation for COVID-19. Neurological Sciences, 42(7), 2625–2635. https://doi.org/10.1007/s10072-021-05268-1
Stern, Y. (2012). Cognitive reserve in ageing and Alzheimer´s disease. The Lancet Neurology, London, 11(11), 1006–1012. https://doi.org/10.1016/S1474-4422(12)70191-6
Stern, Y. (2002). What is cognitive reserve? Theory and research application of the reserve concept. Journal of the International Neuropsychological Society, 8(3), 448–460. https://doi.org/10.1017/S1355617702813248
Su, Y., Rao, W., Li, M., Caron, G., D’Arcy, C., & Meng, X. (2023). Prevalence of loneliness and social isolation among older adults during the COVID-19 pandemic: A systematic review and meta-analysis. International Psychogeriatrics, 35(5), 229–241. https://doi.org/10.1017/S1041610222000199
Templeton, J. M., Poellabauer, C., & Schneider, S. (2021). Negative effects of COVID-19 stay-at-home mandates on physical intervention outcomes: A preliminary study. Journal of Parkinson’s Disease, 11(3), 1067–1077. https://doi.org/10.3233/JPD-212553
Published
Issue
Section
License
Copyright (c) 2025 Paidéia (Ribeirão Preto)

This work is licensed under a Creative Commons Attribution 4.0 International License.
Regarding the availability of contents, Paideia adopts the Creative Commons License, CC-BY. With this licence anyone is allowed to copy and redistribute the material in any medium or format, as well as to remix, transform, and create from the material for any purpose, even commercial, giving the proper copyright credits to the journal, providing a link to the licence and indicating if changes have been made.
Partial reproduction of other publications
Quotations of more than 500 words, reproductions of one or more figures, tables or other illustrations must have written permission from the copyright holder of the original work for the reproduction specified in the Paidéia journal. Permission should be addressed to the author of the submitted manuscript. Secondarily obtained rights will not be transferred under any circumstance.