Evidence map›Paper›PMID 38499400›Full record

ArticleThe Gerontologist2024

"Relationships, Very Quickly, Turn to Nothing": Loneliness, Social Isolation, and Adaptation to Changing Social Lives Among Persons Living With Dementia and Care Partners.

Ashwin A Kotwal, Theresa A Allison, Madina Halim, Sarah B Garrett, Carla M Perissinotto, Christine S Ritchie, Alexander K Smith, Krista L Harrison

Abstract read
In one paragraph

Article in The Gerontologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Exploring the experiences and needs in everyday life of spouse carers of persons with dementia.International journal of qualitative studies on health and well-being · 2026
    Article
  3. Article
  4. A Feasibility Study of a Community-Based Program for Individuals Living With Dementia.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Friendship and momentary loneliness in dementia caregiving: daily experiences of caregivers with high and low burden.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  13. Article
  14. Social Isolation, Loneliness, and Cognitive Health.Clinics in geriatric medicine · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ashwin A KotwalDivision of Geriatrics, University of California, San Francisco, California, USA.ORCID 0000-0002-6137-8512
Theresa A AllisonDivision of Geriatrics, University of California, San Francisco, California, USA.ORCID 0000-0003-4745-8468
Madina HalimDivision of Geriatrics, University of California, San Francisco, California, USA.
Sarah B GarrettPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, California, USA.ORCID 0000-0002-3238-5692
Carla M PerissinottoDivision of Geriatrics, University of California, San Francisco, California, USA.
Christine S RitchieDivision of Palliative Care and Geriatric Medicine, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-4881-9416
Alexander K SmithDivision of Geriatrics, University of California, San Francisco, California, USA.
Krista L HarrisonDivision of Geriatrics, University of California, San Francisco, California, USA.

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Louise C. Walter · 2013 to 2026
$19.9M
Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
The impact of music on well-being after diagnosis with Alzheimer's disease or its related dementiasRF1AG082292 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI ALLISON, THERESA ANNE · 2023 to 2023
$2.2M
Prognostic calculators for patients with Alzheimers disease and related dementiasR01AG057751 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI LEE, SEI, SMITH, ALEXANDER KELIIMOEANU · 2018 to 2021
$1.5M
Mentoring Researchers in Prognosis Research in Alzheimer’s Disease and Related DementiasK24AG068312 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 2020 to 2026
$1.2M
The Potential for Music to Improve Quality of Life in Dementia Caregiving RelationshipsK23AG062613 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ALLISON, THERESA ANNE · 2019 to 2023
$993k
Loneliness and Social Isolation Among Older Adults with and without Alzheimer's Disease and Related Dementia in the Last Years of LifeK23AG065438 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KOTWAL, ASHWIN AJIT · 2020 to 2024
$809k
Palliative Care for People Living at Home with Advancing Dementia and Their CaregiversK01AG059831 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HARRISON, KRISTA LYN · 2019 to 2023
$720k
NCATS NIH HHS KL2 TR001870NIA NIH HHS K01 AG059831NIA NIH HHS K01AG059831NIA NIH HHS K23 AG062613NIA NIH HHS K23 AG065438NIA NIH HHS K24 AG068312NIA NIH HHS P30 AG044281NIA NIH HHS R01 AG057751NIH HHS KL2TR001870
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPersons with dementia and their care partners have known risks for loneliness and social isolation throughout the disease trajectory, yet little is described about social lives in a population heterogeneous for disease stage, syndrome type, and setting. RESEARCH DESIGN AND

methodsWe conducted a secondary analysis of qualitative interviews from multiple studies to triangulate responses from a cohort of persons with dementia (n = 24), and active (n = 33) or bereaved (n = 15) care partners diverse in setting, dementia type and stage, and life experience. Interviews explored challenges related to social lives and were analyzed thematically.

resultsPersons with dementia were on average 80 years old (range: 67-94), 38% female, and 78% diagnosed with Alzheimer's dementia; care partners were on average 67 years old (range: 40-87) and 69% female. We identified 3 primary themes. First, dyads lost external social networks due to complex factors, including discomfort of surrounding social networks, caregiving responsibilities, and progressive cognitive deficits. Second, care partners described disruptions of meaningful dyadic relationships due to progressive cognitive and functional deficits, leading to loneliness and anticipatory grief. Third, adaptive strategies centered on care partners facilitating shared social activities and programs addressing caregiver burden. An overarching theme of disease-course accumulation of barriers to social interactions and constant adaptations was present in all themes. DISCUSSION AND IMPLICATIONS: Isolation and loneliness are a shared experience and source of distress for persons with dementia and care partners. Results can inform interventions tailored to individual needs and disease stages of dyads that enhance social connectedness.

Indexed as

Alzheimer DiseaseDementiaAgedAged, 80 and overCaregiversFemaleHumansLonelinessMaleSocial IsolationCaregiversCognitive impairmentSocial health

Identifiers

PMID38499400
PMCPMC10948338

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.