Loneliness and Social Isolation in Older Adults: The Effects of a Pandemic

ABSTRACT

Purpose: This clinical focus article examines the effect of social isolation and loneliness forced by the pandemic on the geriatric population. Since March 11, 2020, when a global pandemic was declared, a new concept of social distancing has swept the United States and the world. While these efforts have been challenging for the entire population, there has been a disproportionate effect on minority groups, low-income communities, and one especially vulnerable group that has emerged older adults. Method: A review of existing scientific research on social isolation and loneliness in the aging population was conducted. Current demographic data on the aging population were gathered to determine clinical applicability of research evidence. Principles of bioethics were considered within a risk/benefit assessment related to SARS-CoV-2 (COVID-19). Social determinants of health were examined within the context of the pandemic. Results: Research supports the link between social isolation, loneliness, and negative outcomes in older adults. The COVID-19 pandemic has increased the prevalence of these negative effects, including anxiety/depression, neuroinflammation, substance abuse, physical or nutritional deficits, and a decline in overall health. Conclusion: Strategies to mitigate the negative effects of social isolation may include technological intervention, attendance at virtual events, socially distanced outdoor activities, family connection, and cognitive stimulation or leisure tasks.