Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 3/2018

30-11-2017

Prospective associations of social isolation and loneliness with poor sleep quality in older adults

Auteurs: Bin Yu, Andrew Steptoe, Kaijun Niu, Po-Wen Ku, Li-Jung Chen

Gepubliceerd in: Quality of Life Research | Uitgave 3/2018

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

There is evidence for negative associations between social isolation and loneliness and sleep quality in older adults. However, it is unclear to what extent these two factors independently affect sleep quality. This study examined the simultaneous associations of social isolation and loneliness with sleep quality in a longitudinal study of older adults.

Methods

Data were analyzed from the Social Environment and Biomarkers of Aging Study in Taiwan collected in 2000 and 2006, involving a cohort of 639 participants (mean age = 66.14, SD 7.26). Poisson regression models were conducted to examine the association of social isolation and/or loneliness with sleep quality at follow-up after adjusting for multiple confounding variables.

Results

Univariate analysis showed that sleep quality was inversely associated with both social isolation and loneliness. After demographic, health, cognitive factors, and depressive symptoms were controlled in multivariable analysis, social isolation at the baseline still predicted poor sleep quality 6 years later (incident rate ratio, IRR 1.14; 95% CI 1.04–1.24; p < 0.01), while the association between loneliness and sleep quality was no longer significant (IRR 1.08; 95% CI 0.94–1.23; p = 0.27). The results were unchanged when participants who had poor sleep quality at the baseline were excluded from the analysis.

Conclusions

These findings confirm an adverse effect of social isolation on the sleep quality of older adults, but indicate that this effect is independent of loneliness. Social isolation and loneliness seem to have distinct pathways in affecting the sleep quality of older adults.
Literatuur
1.
go back to reference Ancoli-Israel, S., & Ayalon, L. (2006). Diagnosis and treatment of sleep disorders in older adults. American Journal of Geriatric Psychiatry, 14(2), 95–103. CrossRefPubMed Ancoli-Israel, S., & Ayalon, L. (2006). Diagnosis and treatment of sleep disorders in older adults. American Journal of Geriatric Psychiatry, 14(2), 95–103. CrossRefPubMed
2.
go back to reference Crowley, K. (2011). Sleep and sleep disorders in older adults. Neuropsychology Review, 21(1), 41–53. CrossRefPubMed Crowley, K. (2011). Sleep and sleep disorders in older adults. Neuropsychology Review, 21(1), 41–53. CrossRefPubMed
3.
go back to reference Roth, T. (2007). Insomnia: Definition, prevalence, etiology, and consequences. Journal of Clinical Sleep Medicine, 3(5 Suppl), S7–S10. PubMedPubMedCentral Roth, T. (2007). Insomnia: Definition, prevalence, etiology, and consequences. Journal of Clinical Sleep Medicine, 3(5 Suppl), S7–S10. PubMedPubMedCentral
4.
go back to reference Leng, Y., Cappuccio, F. P., Wainwright, N. W., Surtees, P. G., Luben, R., Brayne, C., & Khaw, K. T. (2015). Sleep duration and risk of fatal and nonfatal stroke: A prospective study and meta-analysis. Neurology, 84(11), 1072–1079. CrossRefPubMedPubMedCentral Leng, Y., Cappuccio, F. P., Wainwright, N. W., Surtees, P. G., Luben, R., Brayne, C., & Khaw, K. T. (2015). Sleep duration and risk of fatal and nonfatal stroke: A prospective study and meta-analysis. Neurology, 84(11), 1072–1079. CrossRefPubMedPubMedCentral
5.
go back to reference Cappuccio, F. P., Cooper, D., D’Elia, L., Strazzullo, P., & Miller, M. A. (2011). Sleep duration predicts cardiovascular outcomes: A systematic review and meta-analysis of prospective studies. European Heart Journal, 32(12), 1484–1492. CrossRefPubMed Cappuccio, F. P., Cooper, D., D’Elia, L., Strazzullo, P., & Miller, M. A. (2011). Sleep duration predicts cardiovascular outcomes: A systematic review and meta-analysis of prospective studies. European Heart Journal, 32(12), 1484–1492. CrossRefPubMed
6.
go back to reference Chen, J. H., Waite, L. J., & Lauderdale, D. S. (2015). Marriage, relationship quality, and sleep among U.S. older adults. Journal of Health and Social Behavior, 56(3), 356–377. CrossRefPubMedPubMedCentral Chen, J. H., Waite, L. J., & Lauderdale, D. S. (2015). Marriage, relationship quality, and sleep among U.S. older adults. Journal of Health and Social Behavior, 56(3), 356–377. CrossRefPubMedPubMedCentral
7.
go back to reference Chen, J. H., Lauderdale, D. S., & Waite, L. J. (2016). Social participation and older adults’ sleep. Social Science & Medicine, 149, 164–173. CrossRef Chen, J. H., Lauderdale, D. S., & Waite, L. J. (2016). Social participation and older adults’ sleep. Social Science & Medicine, 149, 164–173. CrossRef
8.
go back to reference Gu, D., Sautter, J., Pipkin, R., & Zeng, Y. (2010). Sociodemographic and health correlates of sleep quality and duration among very old Chinese. Sleep, 33(5), 601–610. CrossRefPubMedPubMedCentral Gu, D., Sautter, J., Pipkin, R., & Zeng, Y. (2010). Sociodemographic and health correlates of sleep quality and duration among very old Chinese. Sleep, 33(5), 601–610. CrossRefPubMedPubMedCentral
9.
go back to reference Cacioppo, J. T., & Patrick, W. (2008). Loneliness : Human nature and the need for social connection 1. New York: Norton. Cacioppo, J. T., & Patrick, W. (2008). Loneliness : Human nature and the need for social connection 1. New York: Norton.
10.
go back to reference Jacobs, J. M., Cohen, A., Hammerman-Rozenberg, R., & Stessman, J. (2006). Global sleep satisfaction of older people: The Jerusalem Cohort Study. Journal of the American Geriatrics Society, 54(2), 325–329. CrossRefPubMed Jacobs, J. M., Cohen, A., Hammerman-Rozenberg, R., & Stessman, J. (2006). Global sleep satisfaction of older people: The Jerusalem Cohort Study. Journal of the American Geriatrics Society, 54(2), 325–329. CrossRefPubMed
11.
go back to reference McHugh, J. E., & Lawlor, B. A. (2013). Perceived stress mediates the relationship between emotional loneliness and sleep quality over time in older adults. British Journal of Health Psychology, 18(3), 546–555. CrossRefPubMed McHugh, J. E., & Lawlor, B. A. (2013). Perceived stress mediates the relationship between emotional loneliness and sleep quality over time in older adults. British Journal of Health Psychology, 18(3), 546–555. CrossRefPubMed
12.
go back to reference Hawkley, L. C., Preacher, K. J., & Cacioppo, J. T. (2010). Loneliness impairs daytime functioning but not sleep duration. Health Psychology, 29(2), 124–129. CrossRefPubMedPubMedCentral Hawkley, L. C., Preacher, K. J., & Cacioppo, J. T. (2010). Loneliness impairs daytime functioning but not sleep duration. Health Psychology, 29(2), 124–129. CrossRefPubMedPubMedCentral
13.
go back to reference Shankar, A., Hamer, M., McMunn, A., & Steptoe, A. (2013). Social isolation and loneliness: Relationships with cognitive function during 4 years of follow-up in the English Longitudinal Study of Ageing. Psychosomatic Medicine, 75(2), 161–170. CrossRefPubMed Shankar, A., Hamer, M., McMunn, A., & Steptoe, A. (2013). Social isolation and loneliness: Relationships with cognitive function during 4 years of follow-up in the English Longitudinal Study of Ageing. Psychosomatic Medicine, 75(2), 161–170. CrossRefPubMed
14.
go back to reference Holwerda, T. J., Deeg, D. J., Beekman, A. T., van Tilburg, T. G., Stek, M. L., Jonker, C., & Schoevers, R. A. (2014). Feelings of loneliness, but not social isolation, predict dementia onset: Results from the Amsterdam Study of the Elderly (AMSTEL). Journal of Neurology, Neurosurgery, and Psychiatry, 85(2), 135–142. CrossRefPubMed Holwerda, T. J., Deeg, D. J., Beekman, A. T., van Tilburg, T. G., Stek, M. L., Jonker, C., & Schoevers, R. A. (2014). Feelings of loneliness, but not social isolation, predict dementia onset: Results from the Amsterdam Study of the Elderly (AMSTEL). Journal of Neurology, Neurosurgery, and Psychiatry, 85(2), 135–142. CrossRefPubMed
15.
go back to reference Steptoe, A., Shankar, A., Demakakos, P., & Wardle, J. (2013). Social isolation, loneliness, and all-cause mortality in older men and women. Proceedings of the National Academy of Sciences of the United States of America, 110(15), 5797–5801. CrossRef Steptoe, A., Shankar, A., Demakakos, P., & Wardle, J. (2013). Social isolation, loneliness, and all-cause mortality in older men and women. Proceedings of the National Academy of Sciences of the United States of America, 110(15), 5797–5801. CrossRef
17.
go back to reference Vasunilashorn, S., Glei, D. A., Lin, Y.-H., & Goldman, N. (2013). Apolipoprotein E and measured physical and pulmonary function in older Taiwanese adults. Biodemography and Social Biology, 59(1), 57–67. CrossRefPubMedPubMedCentral Vasunilashorn, S., Glei, D. A., Lin, Y.-H., & Goldman, N. (2013). Apolipoprotein E and measured physical and pulmonary function in older Taiwanese adults. Biodemography and Social Biology, 59(1), 57–67. CrossRefPubMedPubMedCentral
18.
go back to reference Carney, C. E., & Edinger, J. D. (2010). Insomnia and anxiety. New York: Springer. CrossRef Carney, C. E., & Edinger, J. D. (2010). Insomnia and anxiety. New York: Springer. CrossRef
19.
go back to reference Smith, M. T., & Wegener, S. T. (2003). Measures of sleep. Rheumatoid Arthritis, 49(5S), S184–S196. CrossRef Smith, M. T., & Wegener, S. T. (2003). Measures of sleep. Rheumatoid Arthritis, 49(5S), S184–S196. CrossRef
20.
go back to reference Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. CrossRefPubMed Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. CrossRefPubMed
21.
go back to reference Lin, C.-L., Su, T.-P., & Chang, M. (2003). Quality of sleep and its associated factors in the institutionalized elderly. Journal of the Formosan Medical Association, 7(2), 174–184. Lin, C.-L., Su, T.-P., & Chang, M. (2003). Quality of sleep and its associated factors in the institutionalized elderly. Journal of the Formosan Medical Association, 7(2), 174–184.
22.
go back to reference Wu, C.-Y., Su, T.-P., Fang, C.-L., & Chang, M. Y. (2012). Sleep quality among community-dwelling elderly people and its demographic, mental, and physical correlates. Journal of the Chinese Medical Association, 75(2), 75–80. CrossRefPubMed Wu, C.-Y., Su, T.-P., Fang, C.-L., & Chang, M. Y. (2012). Sleep quality among community-dwelling elderly people and its demographic, mental, and physical correlates. Journal of the Chinese Medical Association, 75(2), 75–80. CrossRefPubMed
23.
go back to reference Dowd, J. B., Goldman, N., & Weinstein, M. (2011). Sleep duration, sleep quality, and biomarkers of inflammation in a Taiwanese population. Ann Epidemiol, 21(11), 799–806. CrossRefPubMedPubMedCentral Dowd, J. B., Goldman, N., & Weinstein, M. (2011). Sleep duration, sleep quality, and biomarkers of inflammation in a Taiwanese population. Ann Epidemiol, 21(11), 799–806. CrossRefPubMedPubMedCentral
24.
go back to reference Cornwell, E. Y., & Waite, L. J. (2009). Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior, 50(1), 31–48. CrossRefPubMedPubMedCentral Cornwell, E. Y., & Waite, L. J. (2009). Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior, 50(1), 31–48. CrossRefPubMedPubMedCentral
25.
go back to reference Gersten, O. (2008). Neuroendocrine biomarkers, social relations, and the cumulative costs of stress in Taiwan. Social Science & Medicine, 66(3), 507–519. CrossRef Gersten, O. (2008). Neuroendocrine biomarkers, social relations, and the cumulative costs of stress in Taiwan. Social Science & Medicine, 66(3), 507–519. CrossRef
26.
go back to reference Glei, D. A., Goldman, N., Ryff, C. D., Lin, Y. H., & Weinstein, M. (2012). Social relationships and inflammatory markers: An analysis of Taiwan and the U.S. Social Science & Medicine, 74(12), 1891–1899. CrossRef Glei, D. A., Goldman, N., Ryff, C. D., Lin, Y. H., & Weinstein, M. (2012). Social relationships and inflammatory markers: An analysis of Taiwan and the U.S. Social Science & Medicine, 74(12), 1891–1899. CrossRef
27.
go back to reference Luo, Y., & Waite, L. J. (2014). Loneliness and mortality among older adults in China. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 69(4), 633–645. CrossRefPubMedCentral Luo, Y., & Waite, L. J. (2014). Loneliness and mortality among older adults in China. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 69(4), 633–645. CrossRefPubMedCentral
28.
go back to reference Nummela, O., Seppanen, M., & Uutela, A. (2011). The effect of loneliness and change in loneliness on self-rated health (SRH): A longitudinal study among aging people. Archives of Gerontology and Geriatrics, 53(2), 163–167. CrossRefPubMed Nummela, O., Seppanen, M., & Uutela, A. (2011). The effect of loneliness and change in loneliness on self-rated health (SRH): A longitudinal study among aging people. Archives of Gerontology and Geriatrics, 53(2), 163–167. CrossRefPubMed
29.
go back to reference Tilvis, R. S., Pitkala, K. H., Jolkkonen, J., & Strandberg, T. E. (2000). Social networks and dementia. Lancet, 356(9223), 77–78. CrossRefPubMed Tilvis, R. S., Pitkala, K. H., Jolkkonen, J., & Strandberg, T. E. (2000). Social networks and dementia. Lancet, 356(9223), 77–78. CrossRefPubMed
31.
go back to reference Department of Health. (2003). Identification, evaluation, and treatment of overweight and obesity in adults in Taiwan. Taiwan: Department of Health. Department of Health. (2003). Identification, evaluation, and treatment of overweight and obesity in adults in Taiwan. Taiwan: Department of Health.
32.
go back to reference Chien, K. L., Chen, P. C., Hsu, H. C., Su, T. C., Sung, F. C., Chen, M. F., & Lee, Y. T. (2010). Habitual sleep duration and insomnia and the risk of cardiovascular events and all-cause death: Report from a community-based cohort. Sleep, 33(2), 177–184. CrossRefPubMedPubMedCentral Chien, K. L., Chen, P. C., Hsu, H. C., Su, T. C., Sung, F. C., Chen, M. F., & Lee, Y. T. (2010). Habitual sleep duration and insomnia and the risk of cardiovascular events and all-cause death: Report from a community-based cohort. Sleep, 33(2), 177–184. CrossRefPubMedPubMedCentral
33.
go back to reference Grandner, M. A., Patel, N. P., Perlis, M. L., Gehrman, P. R., Xie, D., Sha, D., Pigeon, W. R., Teff, K., Weaver, T., & Gooneratne, N. S. (2011). Obesity, diabetes, and exercise associated with sleep-related complaints in the American population. Z Gesundh Wiss, 19(5), 463–474. CrossRefPubMedPubMedCentral Grandner, M. A., Patel, N. P., Perlis, M. L., Gehrman, P. R., Xie, D., Sha, D., Pigeon, W. R., Teff, K., Weaver, T., & Gooneratne, N. S. (2011). Obesity, diabetes, and exercise associated with sleep-related complaints in the American population. Z Gesundh Wiss, 19(5), 463–474. CrossRefPubMedPubMedCentral
34.
go back to reference Leng, Y., Wainwright, N. W., Cappuccio, F. P., Surtees, P. G., Hayat, S., Luben, R., Brayne, C., & Khaw, K. T. (2016). Daytime napping and increased risk of incident respiratory diseases: Symptom, marker, or risk factor? Sleep Med, 23, 12–15. CrossRefPubMedPubMedCentral Leng, Y., Wainwright, N. W., Cappuccio, F. P., Surtees, P. G., Hayat, S., Luben, R., Brayne, C., & Khaw, K. T. (2016). Daytime napping and increased risk of incident respiratory diseases: Symptom, marker, or risk factor? Sleep Med, 23, 12–15. CrossRefPubMedPubMedCentral
35.
go back to reference Katz, S., & Akpom, C. A. (1976). A measure of primary sociobiological functions. International Journal of Health Services, 6(3), 493–508. CrossRefPubMed Katz, S., & Akpom, C. A. (1976). A measure of primary sociobiological functions. International Journal of Health Services, 6(3), 493–508. CrossRefPubMed
36.
go back to reference Spector, W. D., & Fleishman, J. A. (1998). Combining activities of daily living with instrumental activities of daily living to measure functional disability. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 53(1), S46–S57. CrossRef Spector, W. D., & Fleishman, J. A. (1998). Combining activities of daily living with instrumental activities of daily living to measure functional disability. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 53(1), S46–S57. CrossRef
37.
go back to reference Ku, P. W., Fox, K. R., Gardiner, P. A., & Chen, L. J. (2016). Late-life exercise and difficulty with activities of daily living: An 8-year nationwide follow-up study in Taiwan. Annals of Behavioral Medicine, 50(2), 237–246. CrossRefPubMed Ku, P. W., Fox, K. R., Gardiner, P. A., & Chen, L. J. (2016). Late-life exercise and difficulty with activities of daily living: An 8-year nationwide follow-up study in Taiwan. Annals of Behavioral Medicine, 50(2), 237–246. CrossRefPubMed
38.
go back to reference Chu, D.-C., Fox, K. R., Chen, L.-J., & Ku, P.-W. (2015). Components of late-life exercise and cognitive function: An 8-year longitudinal study. Prevention Science, 16(4), 568–577. CrossRefPubMed Chu, D.-C., Fox, K. R., Chen, L.-J., & Ku, P.-W. (2015). Components of late-life exercise and cognitive function: An 8-year longitudinal study. Prevention Science, 16(4), 568–577. CrossRefPubMed
39.
go back to reference Boey, K. W. (1999). Cross-validation of a short form of the CES-D in Chinese elderly. International Journal of Geriatric Psychiatry, 14(8), 608–617. CrossRefPubMed Boey, K. W. (1999). Cross-validation of a short form of the CES-D in Chinese elderly. International Journal of Geriatric Psychiatry, 14(8), 608–617. CrossRefPubMed
41.
go back to reference Chou, K. L. (2010). Moderating effect of apolipoprotein genotype on loneliness leading to depressive symptoms in Chinese older adults. American Journal of Geriatric Psychiatry, 18(4), 313–322. CrossRefPubMed Chou, K. L. (2010). Moderating effect of apolipoprotein genotype on loneliness leading to depressive symptoms in Chinese older adults. American Journal of Geriatric Psychiatry, 18(4), 313–322. CrossRefPubMed
42.
go back to reference Hosmer, D. W., & Lemeshow, S. (2000). Applied logistic regression (2). New York: Wiley. CrossRef Hosmer, D. W., & Lemeshow, S. (2000). Applied logistic regression (2). New York: Wiley. CrossRef
43.
go back to reference Locher, J. L., Ritchie, C. S., Roth, D. L., Baker, P. S., Bodner, E. V., & Allman, R. M. (2005). Social isolation, support, and capital and nutritional risk in an older sample: Ethnic and gender differences. Social Science & Medicine, 60(4), 747–761. CrossRef Locher, J. L., Ritchie, C. S., Roth, D. L., Baker, P. S., Bodner, E. V., & Allman, R. M. (2005). Social isolation, support, and capital and nutritional risk in an older sample: Ethnic and gender differences. Social Science & Medicine, 60(4), 747–761. CrossRef
44.
go back to reference Vandervoort, D. (2000). Social isolation and gender. Current Psychology, 19(3), 229–236. CrossRef Vandervoort, D. (2000). Social isolation and gender. Current Psychology, 19(3), 229–236. CrossRef
45.
go back to reference Tanskanen, J., & Anttila, T. (2016). A prospective study of social isolation, loneliness, and mortality in Finland. American Journal of Public Health, 106, e1–e7. CrossRef Tanskanen, J., & Anttila, T. (2016). A prospective study of social isolation, loneliness, and mortality in Finland. American Journal of Public Health, 106, e1–e7. CrossRef
46.
go back to reference Kent, R. G., Uchino, B. N., Cribbet, M. R., Bowen, K., & Smith, T. W. (2015). Social relationships and sleep quality. Annals of Behavioral Medicine, 49(6), 912–917. CrossRefPubMedPubMedCentral Kent, R. G., Uchino, B. N., Cribbet, M. R., Bowen, K., & Smith, T. W. (2015). Social relationships and sleep quality. Annals of Behavioral Medicine, 49(6), 912–917. CrossRefPubMedPubMedCentral
47.
go back to reference Worthman, C. M., & Melby, M. K. (2002). Toward a comparative developmental ecology of human sleep. Cambridge: Cambridge University Press CrossRef Worthman, C. M., & Melby, M. K. (2002). Toward a comparative developmental ecology of human sleep. Cambridge: Cambridge University Press CrossRef
48.
go back to reference Kurina, L. M., Knutson, K. L., Hawkley, L. C., Cacioppo, J. T., Lauderdale, D. S., & Ober, C. (2011). Loneliness is associated with sleep fragmentation in a communal society. Sleep, 34(11), 1519–1526. CrossRefPubMedPubMedCentral Kurina, L. M., Knutson, K. L., Hawkley, L. C., Cacioppo, J. T., Lauderdale, D. S., & Ober, C. (2011). Loneliness is associated with sleep fragmentation in a communal society. Sleep, 34(11), 1519–1526. CrossRefPubMedPubMedCentral
49.
go back to reference Petersen, J., Kaye, J., Jacobs, P. G., Quinones, A., Dodge, H., Arnold, A., & Thielke, S. (2016). Longitudinal relationship between loneliness and social isolation in older adults: Results from the cardiovascular health study. Journal of Aging and Health, 28(5), 775–795. CrossRefPubMed Petersen, J., Kaye, J., Jacobs, P. G., Quinones, A., Dodge, H., Arnold, A., & Thielke, S. (2016). Longitudinal relationship between loneliness and social isolation in older adults: Results from the cardiovascular health study. Journal of Aging and Health, 28(5), 775–795. CrossRefPubMed
50.
go back to reference Victor, C., Grenade, L., & Boldy, D. (2005). Measuring loneliness in later life: A comparison of differing measures. Reviews in Clinical Gerontology, 15(01), 63–70. CrossRef Victor, C., Grenade, L., & Boldy, D. (2005). Measuring loneliness in later life: A comparison of differing measures. Reviews in Clinical Gerontology, 15(01), 63–70. CrossRef
51.
go back to reference Dickens, A. P., Richards, S. H., Greaves, C. J., & Campbell, J. L. (2011). Interventions targeting social isolation in older people: A systematic review. BMC Public Health, 11, 647. CrossRefPubMedPubMedCentral Dickens, A. P., Richards, S. H., Greaves, C. J., & Campbell, J. L. (2011). Interventions targeting social isolation in older people: A systematic review. BMC Public Health, 11, 647. CrossRefPubMedPubMedCentral
Metagegevens
Titel
Prospective associations of social isolation and loneliness with poor sleep quality in older adults
Auteurs
Bin Yu
Andrew Steptoe
Kaijun Niu
Po-Wen Ku
Li-Jung Chen
Publicatiedatum
30-11-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 3/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1752-9

Andere artikelen Uitgave 3/2018

Quality of Life Research 3/2018 Naar de uitgave