Table 2.
Multilevel models predicting overall, emotional, and social loneliness as a function of cognitive impairment over time
Overall Loneliness |
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Model 1 | Model 2 | Model 3 | Model 4 | |
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Fixed effects | ||||
Intercept | 1.49 [1.48, 1.51], <.001 | 1.51 [1.49, 1.52], <.001 | 1.60 [1.58, 1.61], <.001 | 1.52 [1.51, 1.54], <.001 |
Time | 0.01 [0.01, 0.02], <.001 | 0.00 [0.00, 0.01], .135 | −0.01 [−0.01, 0.00], .004 | 0.00 [−0.01, 0.00], .387 |
Age | 0.00 [−0.01, 0.00], <.001 | −0.01 [−0.01, −0.01], <.001 | −0.01 [−0.01, −0.01], <.001 | −0.01 [−0.01, 0.00], <.001 |
Age2 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 |
Female | −0.04 [−0.06, −0.03], <.001 | −0.04 [−0.06, −0.03], <.001 | −0.03 [−0.05, −0.02], <.001 | −0.05 [−0.06, −0.03], <.001 |
Education | −0.02 [−0.02, −0.01], <.001 | −0.01 [−0.02, −0.01], <.001 | −0.01 [−0.01, −0.01], <.001 | 0.00 [−0.01, 0.00], <.001 |
Black | 0.01 [0.00, 0.03], .117 | 0.00 [−0.01, 0.02], .677 | −0.02 [−0.04, −0.01], .008 | −0.02 [−0.04, −0.01], .004 |
Other | 0.00 [−0.03, 0.03], .812 | 0.00 [−0.03, 0.03], .959 | −0.01 [−0.04, 0.02], .452 | −0.02 [−0.04, 0.01], .174 |
Latinx | −0.01 [−0.03, 0.02], .680 | 0.00 [−0.02, 0.02], .975 | 0.00 [−0.02, 0.03], .765 | −0.01 [−0.03, 0.01], .475 |
ever CIND | 0.08 [0.07, 0.10], <.001 | 0.07 [0.06, 0.09], <.001 | 0.06 [0.04, 0.08], <.001 | 0.04 [0.03, 0.06], <.001 |
ever dementia | 0.10 [0.08, 0.13], <.001 | 0.09 [0.06, 0.12], <.001 | 0.07 [0.04, 0.10], <.001 | 0.04 [0.01, 0.07], .002 |
Functional limitations | 0.03 [0.03, 0.03], <.001 | 0.03 [0.02, 0.03], <.001 | 0.02 [0.01, 0.02], <.001 | |
Disease burden | 0.05 [0.05, 0.06], <.001 | 0.02 [0.01, 0.02], <.001 | 0.02 [0.01, 0.02], <.001 | |
Married | −0.12 [−0.13, −0.11], <.001 | −0.10 [−0.11, −0.09], <.001 | ||
Social contact | −0.11 [−0.11, −0.10], <.001 | −0.10 [−0.11, −0.10], <.001 | ||
Depressive symptoms | 0.06 [0.06, 0.06], <.001 | |||
Age × Time | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 |
ever CIND × Time | 0.00 [−0.01, 0.01], .969 | 0.00 [−0.01, 0.01], .676 | 0.00 [−0.01, 0.01], .557 | 0.00 [−0.01, 0.01], .524 |
ever dementia × Time | −0.01 [−0.03, 0.01], .298 | −0.02 [−0.04, 0.00], .079 | −0.02 [−0.04, 0.00], .029 | −0.01 [−0.03, 0.00], .130 |
Random effects | ||||
Residual var. | 0.06 [0.06, 0.07], <.001 | 0.06 [0.06, 0.07], <.001 | 0.06 [0.06, 0.07], <.001 | 0.06 [0.06, 0.07], <.001 |
Intercept var. | 0.12 [0.11, 0.12], <.001 | 0.11 [0.11, 0.12], <.001 | 0.10 [0.09, 0.10], <.001 | 0.08 [0.08, 0.09], <.001 |
Time var. | 0.00 [−0.01, 0.00], <.001 | 0.00 [−0.01, 0.00], <.001 | 0.00 [−0.01, 0.00], <.001 | 0.00 [−0.01, 0.00], .001 |
Intercept and time covar. | 0.01 [0.00, 0.01], <.001 | 0.01 [0.00, 0.01], <.001 | 0.00 [0.00, 0.01], <.001 | 0.00 [0.00, 0.01], <.001 |
2 log-likelihood | 26581.318 | 26128.580 | 24270.106 | 22477.756 |
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Emotional loneliness |
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Model 1 | Model 2 | Model 3 | Model 4 | |
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Fixed effects | ||||
Intercept | 1.39 [1.38, 1.41], <.001 | 1.41 [1.39, 1.43], <.001 | 1.63 [1.61, 1.65], <.001 | 1.53 [1.51, 1.55], <.001 |
Time | 0.00 [0.00, 0.01], .238 | −0.01 [−0.02, 0.00], .005 | −0.03 [−0.03, −0.02], <.001 | −0.02 [−0.03, −0.01], <.001 |
Age | −0.01 [−0.01, −0.01], <.001 | −0.01 [−0.01, −0.01], <.001 | −0.01 [−0.01, −0.01], <.001 | −0.01 [−0.01, −0.01], <.001 |
Age2 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 |
Female | 0.07 [0.05, 0.09], <.001 | 0.07 [0.05, 0.08], <.001 | 0.03 [0.02, 0.05], <.001 | 0.01 [0.00, 0.03], .047 |
Education | −0.01 [−0.01, −0.01], <.001 | −0.01 [−0.01, 0.00], <.001 | 0.00 [−0.01, 0.00], .048 | 0.00 [0.00, 0.00], .085 |
Black | 0.03 [0.00, 0.05], .025 | 0.01 [−0.01, 0.03], .352 | −0.05 [−0.07, −0.03], <.001 | −0.05 [−0.07, −0.03], <.001 |
Other | −0.01 [−0.05, 0.03], .603 | −0.02 [−0.05, 0.02], .380 | −0.03 [−0.06, 0.00], .089 | −0.04 [−0.07, −0.01], .013 |
Latinx | −0.07 [−0.10, −0.04], <.001 | −0.06 [−0.09, −0.03], <.001 | −0.06 [−0.09, −0.03], <.001 | −0.07 [−0.10, −0.05], <.001 |
ever CIND | 0.09 [0.07, 0.11], <.001 | 0.08 [0.06, 0.10], <.001 | 0.06 [0.04, 0.08], <.001 | 0.04 [0.02, 0.06], <.001 |
ever dementia | 0.13 [0.10, 0.17], <.001 | 0.11 [0.08, 0.15], <.001 | 0.09 [0.06, 0.12], <.001 | 0.05 [0.01, 0.08], .004 |
Functional limitations | 0.04 [0.04, 0.05], <.001 | 0.04 [0.03, 0.04], <.001 | 0.02 [0.02, 0.02], <.001 | |
Disease burden | 0.08 [0.07, 0.09], <.001 | 0.07 [0.06, 0.08], <.001 | 0.03 [0.02, 0.04], <.001 | |
Married | −0.26 [−0.28, −0.25], <.001 | −0.24 [−0.25, −0.22], <.001 | ||
Social contact | −0.07 [−0.08, −0.07], <.001 | −0.07 [−0.07, −0.06], <.001 | ||
Depressive symptoms | 0.09 [0.08, 0.09], <.001 | |||
Age × Time | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 |
ever CIND × Time | 0.00 [−0.01, 0.01], .807 | 0.00 [−0.02, 0.01], .499 | −0.01 [−0.02, 0.01], .345 | −0.01 [−0.02, 0.01], .312 |
ever dementia × Time | 0.00 [−0.03, 0.02], .791 | −0.01 [−0.04, 0.01], .253 | −0.02 [−0.04, 0.01], .166 | −0.01 [−0.03, 0.02], .511 |
Random effects | ||||
Residual var. | 0.10 [0.10, 0.10], <.001 | 0.10 [0.10, 0.10], <.001 | 0.10 [0.10, 0.10], <.001 | 0.10 [0.10, 0.10], <.001 |
Intercept var. | 0.18 [0.18, 0.19], <.001 | 0.17 [0.17, 0.18], <.001 | 0.15 [0.15, 0.16], <.001 | 0.12 [0.12, 0.13], <.001 |
Time var. | −0.01 [−0.01, −0.01], <.001 | −0.01 [−0.02, −0.01], <.001 | −0.01 [−0.01, −0.01], <.001 | −0.01 [−0.01, −0.01], <.001 |
Intercept and time covar. | 0.01 [0.01, 0.02], <.001 | 0.01 [0.01, 0.02], <.001 | 0.01 [0.01, 0.01], <.001 | 0.01 [0.01, 0.01], <.001 |
2 log-likelihood | 40680.98 | 40077.19 | 38307.94 | 35893.25 |
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Social loneliness |
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Model 1 | Model 2 | Model 3 | Model 4 | |
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Fixed effects | ||||
Intercept | 1.49 [1.48, 1.51], <.001 | 1.50 [1.49, 1.52], <.001 | 1.52 [1.50, 1.54], <.001 | 1.46 [1.44, 1.48], <.001 |
Time | 0.02 [0.01, 0.03], <.001 | 0.01 [0.00, 0.02], .001 | 0.00 [0.00, 0.01], .415 | 0.01 [0.00, 0.01], .026 |
Age | 0.00 [−0.01, 0.00], <.001 | −0.01 [−0.01, 0.00], <.001 | −0.01 [−0.01, −0.01], <.001 | 0.00 [−0.01, 0.00], <.001 |
Age2 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 |
Female | −0.11 [−0.12, −0.09], <.001 | −0.11 [−0.12, −0.09], <.001 | −0.07 [−0.08, −0.05], <.001 | −0.08 [−0.09, −0.06], <.001 |
Education | −0.02 [−0.02, −0.01], <.001 | −0.01 [−0.02, −0.01], <.001 | −0.01 [−0.01, −0.01], <.001 | −0.01 [−0.01, 0.00], <.001 |
Black | 0.01 [−0.01, 0.03], .332 | 0.00 [−0.02, 0.02], .897 | −0.01 [−0.03, 0.01], .336 | −0.01 [−0.03, 0.01], .309 |
Other | 0.00 [−0.03, 0.03], .965 | 0.00 [−0.04, 0.03], .864 | −0.01 [−0.04, 0.02], .472 | −0.02 [−0.05, 0.01], .272 |
Latinx | 0.04 [0.01, 0.07], .006 | 0.04 [0.02, 0.07], .002 | 0.05 [0.02, 0.07], .001 | 0.04 [0.01, 0.06], .004 |
ever CIND | 0.09 [0.07, 0.11], <.001 | 0.08 [0.06, 0.10], <.001 | 0.07 [0.05, 0.09], <.001 | 0.06 [0.04, 0.07], <.001 |
ever dementia | 0.10 [0.07, 0.13], <.001 | 0.09 [0.06, 0.12], <.001 | 0.07 [0.04, 0.10], <.001 | 0.05 [0.01, 0.08], .004 |
Functional limitations | 0.03 [0.02, 0.03], <.001 | 0.02 [0.02, 0.03], <.001 | 0.01 [0.01, 0.02], <.001 | |
Disease burden | 0.04 [0.03, 0.05], <.001 | 0.03 [0.02, 0.04], <.001 | 0.00 [−0.01, 0.01], .424 | |
Married | −0.04 [−0.06, −0.03], <.001 | −0.03 [−0.04, −0.01], <.001 | ||
Social contact | −0.14 [−0.15, −0.14], <.001 | −0.14 [−0.15, −0.13], <.001 | ||
Depressive symptoms | 0.05 [0.04, 0.05], <.001 | |||
Age × Time | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], <.001 | 0.00 [0.00, 0.00], .002 |
ever CIND × Time | 0.00 [−0.02, 0.01], .732 | 0.00 [−0.02, 0.01], .568 | 0.00 [−0.02, 0.01], .555 | 0.00 [−0.02, 0.01], .525 |
ever dementia × Time | −0.02 [−0.04, 0.01], .192 | −0.02 [−0.05, 0.00], .083 | −0.03 [−0.05, 0.00], .036 | −0.02 [−0.05, 0.00], .095 |
Random effects | ||||
Residual var. | 0.13 [0.12, 0.13], <.001 | 0.13 [0.12, 0.13], <.001 | 0.13 [0.13, 0.13], <.001 | 0.13 [0.13, 0.13], <.001 |
Intercept var. | 0.13 [0.12, 0.13], <.001 | 0.12 [0.12, 0.13], <.001 | 0.10 [0.10, 0.11], <.001 | 0.09 [0.09, 0.10], <.001 |
Time var. | 0.00 [0.00, 0.00], .737 | 0.00 [0.00, 0.00], .675 | 0.00 [0.00, 0.00], .572 | 0.00 [0.00, 0.00], .570 |
Intercept and time covar. | 0.00 [0.00, 0.01], .006 | 0.00 [0.00, 0.01], .006 | 0.00 [0.00, 0.01], .013 | 0.00 [0.00, 0.01], .013 |
2 log-likelihood | 41271.87 | 41072.12 | 39380.56 | 38673.66 |
Note. Values represent unstandardized regression coefficients [95% confidence interval], p-value. CIND = Cognitive impairment not dementia.