Exploring the Association Between Loneliness, Subjective Cognitive Decline, and Quality of Life Among Older Thai Adults: A Convergent Parallel Mixed-Method Study

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dc.contributor.authorPanawat Sanprakhon
dc.contributor.authorWachira Suriyawong
dc.contributor.authorOrranuch Chusri
dc.contributor.authorPeerayut Rattanaselanon
dc.contributor.correspondenceW. Suriyawong; Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand; email: suriyawo@msu.edu
dc.date.accessioned2025-03-10T07:34:21Z
dc.date.available2025-03-10T07:34:21Z
dc.date.issued2024
dc.description.abstractExamining the rising prevalence of subjective cognitive decline as an early indicator of dementia in adults, this study investigates its complex interaction with loneliness and quality of life in individuals with preclinical dementia. Using a convergent parallel mixed-method approach, we employed Structural Equation Modeling on a cohort of 149 older adults. Qualitative insights were derived from focused group discussions and in-depth semi-structured interviews with a cohort of 23 older adults. Loneliness emerges as a pivotal contributor, exerting a discernible partial indirect effect on quality of life through subjective cognitive decline (indirect effect = _0.145, p =.006). Noteworthy differentials surfaced, with the impact of subjective cognitive decline on quality of life heightened in those with chronic diseases (__2 = 6.139, p =.013). Loneliness, wielding a palpable impact, intricately interlaces with quality of life, the nexus of which is intricately mediated by subjective cognitive decline. © The Author(s) 2024.
dc.identifier.citationJournal of Applied Gerontology
dc.identifier.doi10.1177/07334648241253989
dc.identifier.issn7334648
dc.identifier.scopus2-s2.0-85193061920
dc.identifier.urihttps://repository.dusit.ac.th//handle/123456789/4489
dc.languageEnglish
dc.publisherSAGE Publications Inc.
dc.rights.holderScopus
dc.subjectloneliness
dc.subjectmediating effect
dc.subjectmix-method
dc.subjectquality of life
dc.subjectsubjective cognitive decline
dc.titleExploring the Association Between Loneliness, Subjective Cognitive Decline, and Quality of Life Among Older Thai Adults: A Convergent Parallel Mixed-Method Study
dc.typeArticle
mods.location.urlhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85193061920&doi=10.1177%2f07334648241253989&partnerID=40&md5=e48cdc9e859f59de5a47ca9e5361d85f
oaire.citation.endPage1807
oaire.citation.issue11
oaire.citation.startPage1795
oaire.citation.volume43
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