{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T07:41:41Z","timestamp":1791272501840,"version":"4.1.0"},"reference-count":61,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Loneliness is a well-established risk factor for health problems, including chronic diseases; yet the mechanisms linking loneliness to morbidity remain unexplained, especially in later life.\n                    <jats:bold>Objective:<\/jats:bold>\n                    To test a pathway from loneliness to chronic disease via depression and self-perceived health, and to examine whether the pathway differs by age in Israeli adults aged 50+.\n                    <jats:bold>Methods:<\/jats:bold>\n                    Wave 9 cross-sectional data from the Survey of Health, Ageing and Retirement in Europe (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 744) were analyzed. Loneliness (Three-Item Loneliness Scale), depression (12-item scale), self-perceived health (single item), and chronic conditions entered a moderated mediation model.\n                    <jats:bold>Results:<\/jats:bold>\n                    Loneliness predicted more depressive symptoms, which worsened self-perceived health and, in turn, increased the number of chronic conditions. This indirect effect was stronger among the \u201cyounger-old\u201d (50\u201364\u00a0years).\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Loneliness may fuel chronic morbidity in older Israelis through its impact on mood and health perceptions; targeted interventions should address all three stages of this pathway.\n                  <\/jats:p>","DOI":"10.1177\/07334648251353283","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T15:47:00Z","timestamp":1750952820000},"page":"939-950","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["The Pathway From Loneliness to Chronic Diseases: Examining the Mediating Roles of Depression and Self-Perceived Health, and the Moderating Effect of Age Among Older Adults in Israel"],"prefix":"10.1177","volume":"45","author":[{"given":"Gizell","family":"Green","sequence":"first","affiliation":[{"name":"The Max Stern Yezreel Valley College"},{"name":"Ministry of Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7822-0204","authenticated-orcid":false,"given":"Alena","family":"Lochmannov\u00e1","sequence":"additional","affiliation":[{"name":"Charles University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4149-0227","authenticated-orcid":false,"given":"Tammy","family":"Porat-Packer","sequence":"additional","affiliation":[{"name":"Shoham Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.329"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000067946"},{"issue":"9","key":"e_1_3_5_4_1","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1037\/hea0000605","article-title":"Loneliness, social isolation, their synergistic interaction, and mortality","volume":"37","author":"Beller J.","year":"2018","unstructured":"Beller J., Wagner A. 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