{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T20:01:12Z","timestamp":1791489672804,"version":"4.3.4"},"reference-count":57,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Introduction: Urinary and fecal incontinence, as well as the presence of an ostomy, are globally prevalent conditions with substantial implications for individuals\u2019 daily lives. Among the psychological consequences, social isolation is a frequently reported experience but remains poorly explored in the existing literature. The aim of this scoping review is to explore how social isolation has been conceptualized and operationalized in research on individuals with incontinence and to synthesize evidence on its antecedents and outcomes. Methods: This review was conducted in accordance with the Joanna Briggs Institute guidelines and reported following the PRISMA-ScR checklist. Data were thematically synthesized and interpreted according to the Middle Range Theory of Social Isolation in Chronic Illness. Results: Twenty-three studies met the inclusion criteria. Findings indicate that social isolation among individuals with incontinence is a complex, multifactorial phenomenon. Predisposing factors included individual needs for social interaction and desire for approval, psychological resilience, toilet accessibility, education, income, gender, and age. Precipitating factors were related to illness trajectory and adaptation processes, including ostomy acceptance, time since ostomy creation or oncological treatment, sense of belonging, perceived social support, stigma, self-esteem, clinical severity, illness-related conditions, and loss of autonomy. Reported outcomes were consistently adverse, encompassing depression, anxiety, and reduced quality of life. Conclusions: Social isolation represents a core dimension of the lived experience of incontinence and should be recognized as a key clinical outcome. Systematic screening and targeted interventions should be integrated into continence care pathways. Future research should adopt longitudinal and interventional designs to clarify causal mechanisms and evaluate strategies to prevent and mitigate isolation.<\/jats:p>","DOI":"10.3390\/nursrep15110375","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T02:23:28Z","timestamp":1761704608000},"page":"375","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Social Isolation Among Individuals with Incontinence: A Scoping Review"],"prefix":"10.3390","volume":"15","author":[{"given":"Valentina","family":"Stroppa","sequence":"first","affiliation":[{"name":"Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy"},{"name":"Department of Clinical Cardiology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale San Raffaele, 20132 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Iovino","sequence":"additional","affiliation":[{"name":"Health Sciences Department, University of Florence, 50139 Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8096-0199","authenticated-orcid":false,"given":"Ilaria","family":"Marcomini","sequence":"additional","affiliation":[{"name":"Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"D\u2019Errico","sequence":"additional","affiliation":[{"name":"Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy"},{"name":"Department of Internal Medicine, ASST Grande Ospedale Metropolitano Niguarda, 20158 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Poliani","sequence":"additional","affiliation":[{"name":"Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1440-3092","authenticated-orcid":false,"given":"Debora","family":"Rosa","sequence":"additional","affiliation":[{"name":"Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5182-6994","authenticated-orcid":false,"given":"Duilio Fiorenzo","family":"Manara","sequence":"additional","affiliation":[{"name":"Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7429-0504","authenticated-orcid":false,"given":"Giulia","family":"Villa","sequence":"additional","affiliation":[{"name":"Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s00192-009-0976-9","article-title":"An International Urogynecological Association (IUGA)\/International Continence Society (ICS) Joint Report on the Terminology for Female Pelvic Floor Dysfunction","volume":"21","author":"Haylen","year":"2010","journal-title":"Int. Urogynecol. J."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Dexter, E., Walshaw, J., Wynn, H., Dimashki, S., Leo, A., Lindsey, I., and Yiasemidou, M. (2024). Faecal Incontinence\u2014A Comprehensive Review. Front. Surg., 11.","DOI":"10.3389\/fsurg.2024.1340720"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"115","DOI":"10.5005\/jp-journals-10018-1404","article-title":"Intestinal Stomas\u2014Current Practice and Challenges: An Institutional Review","volume":"13","author":"Juma","year":"2023","journal-title":"Euroasian J. Hepato-Gastroenterol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2428","DOI":"10.1056\/NEJMcp1914037","article-title":"Stress Incontinence in Women","volume":"384","author":"Wu","year":"2021","journal-title":"N. Engl. J. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1016\/j.cgh.2023.09.004","article-title":"Global Prevalence of Fecal Incontinence in Community-Dwelling Adults: A Systematic Review and Meta-Analysis","volume":"22","author":"Mack","year":"2024","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"20","DOI":"10.25270\/wmp.2020.9.2030","article-title":"Ostomy Complications, Risk Factors, and Applied Nursing Care: A Retrospective, Descriptive Study","volume":"66","author":"Ayik","year":"2020","journal-title":"Wound Manag. Prev."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1097\/WON.0000000000001054","article-title":"The Prevalence of Incontinence and Its Association with Urinary Tract Infections, Dermatitis, Slips and Falls, and Behavioral Disturbances Among Older Adults in Medicare Fee-for-Service","volume":"51","author":"Duncan","year":"2024","journal-title":"J. Wound Ostomy Cont. Nurs."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Moon, S., Chung, H.S., Kim, Y.J., Kim, S.J., Kwon, O., Lee, Y.G., Yu, J.M., and Cho, S.T. (2021). The Impact of Urinary Incontinence on Falls: A Systematic Review and Meta-Analysis. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0251711"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"3121","DOI":"10.1007\/s11136-024-03756-3","article-title":"Living with Faecal Incontinence: A Qualitative Investigation of Patient Experiences and Preferred Outcomes Through Semi-Structured Interviews","volume":"33","author":"Assmann","year":"2024","journal-title":"Qual. Life Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1111\/spc3.12087","article-title":"Social Relationships and Health: The Toxic Effects of Perceived Social Isolation","volume":"8","author":"Cacioppo","year":"2014","journal-title":"Soc. Pers. Psychol. Compass"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1130","DOI":"10.1080\/13607863.2018.1481928","article-title":"Associations of Objective Versus Subjective Social Isolation with Sleep Disturbance, Depression, and Fatigue in Community-Dwelling Older Adults","volume":"23","author":"Cho","year":"2019","journal-title":"Aging Ment. Health"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1817","DOI":"10.1002\/nau.25557","article-title":"\u201cThere Is a Lot of Shame That Comes with This\u201d: A Qualitative Study of Patient Experiences of Isolation, Embarrassment, and Stigma Associated with Overactive Bladder","volume":"43","author":"Brodsky","year":"2024","journal-title":"Neurourol. Urodyn."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Lee, H., Rhee, Y., and Choi, K.S. (2021). Urinary Incontinence and the Association with Depression, Stress, and Self-Esteem in Older Korean Women. Sci. Rep., 11.","DOI":"10.1038\/s41598-021-88740-4"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Karahan, A., \u00c7\u0131tak, E.A., \u00c7evik, B., Abbaso\u011flu, A., and U\u011furlu, Z. (2025). Determining the Perception of Stigma of Individuals with Ostomies. BMC Psychol., 13.","DOI":"10.1186\/s40359-025-03112-1"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"699","DOI":"10.3233\/ADR-230011","article-title":"The Impact of Loneliness and Social Isolation on Cognitive Aging: A Narrative Review","volume":"7","author":"Guarnera","year":"2023","journal-title":"J. Alzheimer\u2019s Dis. Rep."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e2424519","DOI":"10.1001\/jamanetworkopen.2024.24519","article-title":"Social Isolation Changes and Long-Term Outcomes Among Older Adults","volume":"7","author":"Lyu","year":"2024","journal-title":"JAMA Netw. Open"},{"key":"ref_17","unstructured":"World Health Organization (2025). From Loneliness to Social Connection\u2014Charting a Path to Healthier Societies, World Health Organization."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Iovino, P., Vellone, E., Cedrone, N., and Riegel, B. (2023). A Middle-Range Theory of Social Isolation in Chronic Illness. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20064940"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1080\/1364557032000119616","article-title":"Scoping Studies: Towards a Methodological Framework","volume":"8","author":"Arksey","year":"2005","journal-title":"Int. J. Soc. Res. Methodol."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Aromataris, E., Lockwood, C., Porritt, K., Pilla, B., and Jordan, Z. (2024). Scoping Reviews. JBI Manual for Evidence Synthesis, JBI.","DOI":"10.46658\/JBIMES-24-01"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann. Intern. Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan\u2014A Web and Mobile App for Systematic Reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Syst. Rev."},{"key":"ref_24","first-page":"586","article-title":"Citation Tools and Reference Management Software for Academic Writing","volume":"14","author":"Vijai","year":"2019","journal-title":"SSRN Electron. J."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Munn, Z., Peters, M.D.J., Stern, C., Tufanaru, C., McArthur, A., and Aromataris, E. (2018). Systematic Review or Scoping Review? Guidance for Authors When Choosing Between a Systematic or Scoping Review Approach. BMC Med. Res. Methodol., 18.","DOI":"10.1186\/s12874-018-0611-x"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.apnr.2017.12.007","article-title":"Experiences of Women and Men Living with Urinary Incontinence: A Phenomenological Study","volume":"40","author":"Esparza","year":"2018","journal-title":"Appl. Nurs. Res."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"102088","DOI":"10.1016\/j.ejon.2021.102088","article-title":"The Trajectory of Hope and Loneliness in Rectal Cancer Survivors with Major Low Anterior Resection Syndrome: A Qualitative Study","volume":"56","author":"Pape","year":"2022","journal-title":"Eur. J. Oncol. Nurs."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Changole, J., Thorsen, V.C., and Kafulafula, U. (2017). \u201cI Am a Person but I Am not a Person\u201d: Experiences of Women Living with Obstetric Fistula in the Central Region of Malawi. BMC Pregnancy Childbirth, 17.","DOI":"10.1186\/s12884-017-1604-1"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1080\/13607863.2015.1065792","article-title":"Psychological Resilience and Active Social Participation Among Older Adults with Incontinence: A Qualitative Study","volume":"20","author":"Takahashi","year":"2016","journal-title":"Aging Ment. Health"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1080\/07399330500457887","article-title":"Female Urinary Incontinence in China: Experiences and Perspectives","volume":"27","author":"Komorowski","year":"2006","journal-title":"Health Care Women Int."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1093\/geront\/27.2.185","article-title":"The Management of Urinary Incontinence by Community-Living Elderly","volume":"27","author":"Mitteness","year":"1987","journal-title":"Gerontologist"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"954","DOI":"10.1111\/cch.12257","article-title":"A Qualitative Exploration of the Experiences of Children with Spina Bifida and Their Parents Around Incontinence and Social Participation","volume":"41","author":"Fischer","year":"2015","journal-title":"Child Care Health Dev."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"506","DOI":"10.2340\/16501977-0373","article-title":"Problematic Aspects of Faecal Incontinence According to the Experience of Adults with Spina Bifida","volume":"41","author":"Johnsen","year":"2009","journal-title":"J. Rehabil. Med."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Stickley, A., Santini, Z.I., and Koyanagi, A. (2017). Urinary Incontinence, Mental Health and Loneliness among Community-Dwelling Older Adults in Ireland. BMC Urol., 17.","DOI":"10.1186\/s12894-017-0214-6"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1112","DOI":"10.1111\/jocn.12729","article-title":"Effects of Stigma on C Hinese Women\u2019s Attitudes Towards Seeking Treatment for Urinary Incontinence","volume":"24","author":"Wang","year":"2015","journal-title":"J. Clin. Nurs."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.1093\/geronb\/gbab212","article-title":"Urinary Incontinence and Depressive Symptoms: The Mediating Role of Physical Activity and Social Engagement","volume":"77","author":"Park","year":"2022","journal-title":"J. Gerontol. Ser. B"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"2037","DOI":"10.1007\/s11764-024-01614-2","article-title":"Linking Stigma to Social Isolation Among Colorectal Cancer Survivors with Permanent Stomas: The Chain Mediating Roles of Stoma Acceptance and Valuable Actions","volume":"19","author":"Li","year":"2024","journal-title":"J. Cancer Surviv."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1111\/ggi.12353","article-title":"Sense of Coherence as a Key to Improve Homebound Status Among Older Adults with Urinary Incontinence","volume":"15","author":"Takahashi","year":"2015","journal-title":"Geriatr. Gerontol. Int."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1136\/jech.38.4.284","article-title":"Stigma in Patients with Rectal Cancer: A Community Study","volume":"38","author":"MacDonald","year":"1984","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1046\/j.1532-5415.2001.49179.x","article-title":"Self-Reported Social and Emotional Impact of Urinary Incontinence","volume":"49","author":"Fultz","year":"2001","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_41","first-page":"3","article-title":"Urinary Incontinence and Loneliness in Canadian Seniors","volume":"24","author":"Gilmour","year":"2013","journal-title":"Health Rep."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"146.e1","DOI":"10.1016\/j.ajog.2012.11.010","article-title":"The Association Between Urinary and Fecal Incontinence and Social Isolation in Older Women","volume":"208","author":"Yip","year":"2013","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1097\/WON.0b013e318202a804","article-title":"Social Connectivity in Those 24 Months or Less Postsurgery","volume":"38","author":"Nichols","year":"2011","journal-title":"J. Wound Ostomy Cont. Nurs."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"2170","DOI":"10.1111\/jocn.12482","article-title":"Disease Stigma and Its Mediating Effect on the Relationship Between Symptom Severity and Quality of Life Among Community-Dwelling Women with Stress Urinary Incontinence: A Study from a C Hinese City","volume":"23","author":"Wan","year":"2014","journal-title":"J. Clin. Nurs."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"109863","DOI":"10.1016\/j.jpsychores.2019.109863","article-title":"Incontinence and Loneliness Among Chinese Older Adults with Multimorbidity in Primary Care: A Cross-Sectional Study","volume":"127","author":"Zhang","year":"2019","journal-title":"J. Psychosom. Res."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1177\/1049732318820933","article-title":"Living with an Intestinal Stoma: A Qualitative Systematic Review","volume":"29","year":"2019","journal-title":"Qual. Health Res."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1574","DOI":"10.1111\/jan.15183","article-title":"Perceptions and Help-Seeking Behaviours Among Community-Dwelling Older People with Urinary Incontinence: A Systematic Integrative Review","volume":"78","author":"Yan","year":"2022","journal-title":"J. Adv. Nurs."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"6240","DOI":"10.3748\/wjg.v18.i43.6240","article-title":"Understanding the Health and Social Care Needs of People Living with IBD: A Meta-Synthesis of the Evidence","volume":"18","author":"Kemp","year":"2012","journal-title":"World J. Gastroenterol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40814-023-01440-w","article-title":"Comparative Effectiveness of Pelvic Floor Muscle Training, Mirabegron, and Trospium among Older Women with Urgency Urinary Incontinence and High Fall Risk: A Feasibility Randomized Clinical Study","volume":"10","author":"Fisher","year":"2024","journal-title":"Pilot Feasibility Stud."},{"key":"ref_50","unstructured":"National Academies of Sciences, Engineering, and Medicine, Division of Behavioral and Social Sciences and Education, Health and Medicine Division, Board on Behavioral, Cognitive, and Sensory Sciences, Board on Health Sciences Policy, and Committee on the Health and Medical Dimensions of Social Isolation and Loneliness in Older Adults (2020). Social Isolation and Loneliness in Older Adults: Opportunities for the Health Care System, National Academies Press (US)."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1111\/hsc.12311","article-title":"Social Isolation, Loneliness and Health in Old Age: A Scoping Review","volume":"25","author":"Courtin","year":"2017","journal-title":"Health Soc. Care Community"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"e70027","DOI":"10.1111\/ijun.70027","article-title":"Prevalence, Risk Factors and Costs of Female Urinary Incontinence: A Multicentre Cross-Sectional Study","volume":"19","author":"Trapani","year":"2025","journal-title":"Int. J. Urol. Nurs."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1111\/bjhp.12534","article-title":"Stigma Is Associated with Illness Self-Concept in Individuals with Concealable Chronic Illnesses","volume":"27","author":"Habenicht","year":"2022","journal-title":"Br. J. Health Psychol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1111\/1346-8138.13841","article-title":"Internalized Stigma in Psoriasis: A Multicenter Study","volume":"44","author":"Alpsoy","year":"2017","journal-title":"J. Dermatol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"28","DOI":"10.4314\/ahs.v14i1.6","article-title":"Quality of Life in Rectal Cancer Patients with Permanent Colostomy in Xi\u2019an","volume":"14","author":"Yang","year":"2014","journal-title":"Afr. Health Sci."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Beridze, G., Ayala, A., Ribeiro, O., Fern\u00e1ndez-Mayoralas, G., Rodr\u00edguez-Bl\u00e1zquez, C., Rodr\u00edguez-Rodr\u00edguez, V., Rojo-P\u00e9rez, F., Forjaz, M.J., and Calder\u00f3n-Larra\u00f1aga, A. (2020). Are Loneliness and Social Isolation Associated with Quality of Life in Older Adults? Insights from Northern and Southern Europe. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17228637"},{"key":"ref_57","unstructured":"(2025, September 11). Social Isolation and Loneliness. Available online: https:\/\/www.who.int\/teams\/social-determinants-of-health\/demographic-change-and-healthy-ageing\/social-isolation-and-loneliness."}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/15\/11\/375\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:35:33Z","timestamp":1761708933000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/15\/11\/375"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,24]]},"references-count":57,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,11]]}},"alternative-id":["nursrep15110375"],"URL":"https:\/\/doi.org\/10.3390\/nursrep15110375","relation":{},"ISSN":["2039-4403"],"issn-type":[{"value":"2039-4403","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,24]]}}}