High Prevalence Of Loneliness Research Articles

The association of social capital and mental well‐being among older residents living in public housing in Macau Special Administrative Region (S.A.R.) – A qualitative case study of Seac Pai Van

AbstractMacau is a rapidly aging city, with 13.8% of the population aged over 65. Social capital has been identified as a crucial protective factor for negative mental health outcomes, yet its relationship with mental health among older adults in Macau remains unclear. This study thematically analyzed the narratives of 19 in‐depth face‐to‐face interviews of Cantonese‐speaking elderly aged 60 or above residing in the Seac Pai Van public housing project, the largest public housing project in Macau. This study aimed to collect information on how social networks and social participation impact their mental well‐being that may shed light on the promotion of resident mental health in future public housing developments. Results revealed shallow social capital in the community and a high prevalence of loneliness among senior residents who resided in the studied estate. The study also shed light on the participants' thoughts on death, including suicidal ideation, and how they are shaped by their mental health situation and environment. The findings highlight the need to revisit the current mental health policy in Macau and address the urban and architectural design and social organization in new communities, empowering communities to build a friendly environment.

EFFECT OF HEARING INTERVENTION ON LONELINESS AND SOCIAL ISOLATION IN THE ACHIEVE STUDY

Abstract Social health interventions in older adults typically have small effect and limited large-scale implementation. Treating hearing loss is a potential intervention, but efficacy is unknown. This study presents baseline associations between hearing loss, loneliness, and social isolation as well as the 3-year effect of a hearing intervention on social health. The Aging and Cognitive Health Evaluation in Elders Study (ACHIEVE) randomized controlled trial (n=977) tests the effect of hearing intervention (provision of hearing aids/related technologies, counseling/education) vs. successful aging health education control intervention on loneliness (UCLA Loneliness Scale) and social network characteristics (Cohen Social Network Index) (pre-specified exploratory outcomes) among older adults with untreated hearing loss. Hearing loss was quantified by better ear, speech-frequency pure tone average (PTA). Speech-in-noise recognition and hearing-related quality of life were also measured. Baseline associations between hearing loss and social health outcomes are assessed by robust Poisson regression adjusted for demographic and health characteristics. Three-year hearing intervention effects are assessed by generalized linear mixed effects models. Participants were 70-84 years, 54% female, and 87% White. At baseline, better speech-in-noise recognition was associated with greater social network characteristics (e.g., larger social network size [IRR: 1.04, 95% CI: 1.00, 1.07]). Worse hearing-related quality of life was associated with higher prevalence of loneliness (PR: 1.15, 95% CI: 1.11, 1.20) and smaller social network size (IRR: 0.96, 95% CI: 0.93, 1.00). Hearing intervention effect results will be available prior to the conference (data collection ends early 2023). Hearing treatment could be an effective social health intervention with greater scalability.

An Exploration of Racial Differences of Psychosocial Stressors and Their Association With Mental Health Between Asian and White Sexual Minority Men: The P18 Cohort Study.

There is growing concern that Asian sexual minority men (SMM), including gay, bisexual, and other men who have sex with men, may be at elevated risk of psychological distress and suicidal ideation, yet limited attention has focused on how psychosocial stressors may affect them. This study seeks to (a) explore differences in psychosocial stressors, anxiety, depression, and suicidal ideation between Asian and White SMM and (b) evaluate the potential moderation of associations between psychosocial stressors and mental health by race. Data were obtained from the P18 Cohort Study. We restricted the sample to only those who identified as non-Hispanic Asian or White and used regression analysis to assess the associations of psychosocial stressors and mental health outcomes in the overall sample by race. Of the 217 participants in our analytic sample, 23% self-identified as Asian. Compared with White SMM, Asian SMM had a higher prevalence of loneliness, internalized homophobia, and public gay-related stigma. In regression analyses, most psychosocial stressors were significantly associated with anxiety, depression, and suicidal ideation in the overall sample. Associations between each stressor and mental health outcome primarily did not differ between Asian and White SMM. However, White SMM experiencing higher levels of public gay-related stigma had greater odds of suicidal ideation, although this was not observed for Asian SMM. Overall, Asian SMM may be experiencing similar effects of psychosocial stressors on mental health to White SMM. Health professionals may want to consider how these stressors impact the mental health and well-being of their Asian SMM clients.

Solitude can be good-If you see it as such: Reappraisal helps lonely people experience solitude more positively.

Solitude is a common experience that can elicit both positive (e.g., relaxation) and negative (e.g., loneliness) emotions. But can changing the way we think about solitude improve its emotional effects? In a previous study, our team found that positively reframing solitude buffers against a reduction in positive affect when alone. Yet, it is unknown whether people who are lonely-and thus more likely to experience solitude negatively-benefit from modifying their beliefs about being alone. Here, we test whether reframing solitude as a beneficial experience or de-stigmatizing loneliness helps people experiencing moderate-to-severe loneliness (N = 224) feel more positive emotion and less negative emotion during solitude. We randomly assigned participants to read about either the benefits of solitude, the high prevalence of loneliness, or a control topic. Then, participants spent 10 minalone in the laboratory. State affect was assessed before and after the solitude period. Across conditions, the solitude period reduced high-arousal positive (e.g., excited) and high-arousal negative (e.g., anxious) affect, and increased low-arousal positive affect (e.g., relaxed). Notably, people who read about the benefits of solitude experienced a significantly larger increase in low-arousal positive affect compared with the control condition. Our findings indicate that lonely individuals can more readily reap the emotional benefits of solitude when they reframe solitude as an experience that can enhance their well-being.

Connecting through music: A systematic review of the use of music to reduce loneliness during the COVID-19 pandemic

Social interactions were limited due to COVID-19 restrictions resulting in a high prevalence of loneliness and social isolation. The purpose of this systematic review is to investigate the impact of engaging in music on the experience of loneliness during the COVID-19 pandemic. We included nine articles with a total of 16,176 participants, all of which reported upon the impact of musical engagement in the form of music listening or music-related activities on loneliness. The average age of participants was 43 ± 15 years, and 37% were male. Eight studies (88.9%) reported that music engagement reduced loneliness. This systematic review demonstrates that music may have had a beneficial impact on loneliness during the COVID-19 pandemic. Our findings suggest that the use of music is an accessible method to cope with feelings of loneliness and improve overall wellbeing during times of social isolation.

The Role of Acceptance in Everyday Loneliness Among Adults with Serious Mental Illness.

There is a high prevalence of loneliness among adults with serious mental illness (SMI) with most research focusing on stable contributing factors. This study sought to identify the role of dispositional loneliness and internalized stigma, as well as the momentary feelings of acceptance on experiential loneliness among adults with SMI. Data were collected using ecological momentary assessment via smart phones, and 89 adults with a SMI were included. Hierarchical linear modeling was used to identify the role of dispositional and experience factors in experiential loneliness. Findings indicated that (a) dispositional internalized stigma, (b) being at home, (c) being alone and, (d) a cross-level interaction between dispositional loneliness and feelings of acceptance best fit the data. The relationship of acceptance to experiential loneliness was strongest among the most lonely. Supporting people with SMI to develop social connections contributing to their relational value may enhance feelings of acceptance and reduce loneliness.

Prevalence of loneliness and its correlates among patients with schizophrenia.

There are limited data on loneliness and its correlates in patients with schizophrenia. To evaluate prevalence and correlates of loneliness in patients with schizophrenia, currently in clinical remission. A total of 160 patients of schizophrenia in clinical remission were assessed on UCLA Loneliness Scale, Positive and Negative syndrome scale, Calgary Depression Scale for Schizophrenia (CDSS), Internalized Stigma of Mental Illness Scale, Rosenberg Self-esteem Scale, Brief COPE, Beck's Hopelessness Scale, Brief Dyadic Scale of Expressed Emotions, and Self-report Quality of Life Measure. The mean age of the study sample was 34.99 (SD = 9.13) years. The prevalence of loneliness in the study sample was 80%, with mean total UCLA-loneliness scale score of 30.04 (16.9).Compared to participants without loneliness, those with loneliness had had higher CDSS score, had poor quality of life, lower self-esteem, experienced higher level of stigma, more often used maladaptive coping strategies such as self-blaming and reported a higher level of hopelessness. In the correlation analysis, higher level of loneliness was associated higher severity of depression, higher level of stigma (except for stigma resistance) and discrimination, poorer quality of life, lower self-esteem, perception of a higher level of expressed emotions, higher use of maladaptive coping in the domains of behavioral disengagement, and self-blaming, and a higher level of hopelessness. In regression analysis, the maximum variance of loneliness was explained by quality of life score (29%), followed by hopelessness score (8.8%) and discrimination score (2%). There is a high prevalence of loneliness in patients with schizophrenia, and there is a need to routinely evaluate the patients of schizophrenia for loneliness and address the same.

Income inequality and its relationship with loneliness prevalence: A cross-sectional study among older adults in the US and 16 European countries.

The prevalence of loneliness increases among older adults, varies across countries, and is related to within-country socioeconomic, psychosocial, and health factors. The 2000-2019 pooled prevalence of loneliness among adults 60 years and older went from 5.2% in Northern Europe to 24% in Eastern Europe, while in the US was 56% in 2012. The relationship between country-level factors and loneliness, however, has been underexplored. Because income inequality shapes material conditions and relative social deprivation and has been related to loneliness in 11 European countries, we expected a relationship between income inequality and loneliness in the US and 16 European countries. We used secondary cross-sectional data for 75,891 adults age 50+ from HRS (US 2014), ELSA (England, 2014), and SHARE (15 European countries, 2013). Loneliness was measured using the R-UCLA three-item scale. We employed hierarchical logistic regressions to analyse whether income inequality (GINI coefficient) was associated with loneliness prevalence. The prevalence of loneliness was 25.32% in the US (HRS), 17.55% in England (ELSA) and ranged from 5.12% to 20.15% in European countries (SHARE). Older adults living in countries with higher income inequality were more likely to report loneliness, even after adjusting for the sociodemographic composition of the countries and their Gross Domestic Products per capita (OR: 1.52; 95% CI: 1.17-1.97). Greater country-level income inequality was associated with higher prevalence of loneliness over and above individual-level sociodemographics. The present study is the first attempt to explore income inequality as a predictor of loneliness prevalence among older adults in the US and 16 European countries. Addressing income distribution and the underlying experience of relative deprivation might be an opportunity to improve older adults' life expectancy and wellbeing by reducing loneliness prevalence.

Thinking too much: How young people experience rumination in the context of loneliness

AbstractThe recent rise in the prevalence of loneliness, particularly among young adults, coupled with its deleterious effects on wellbeing, makes understanding the issue of pressing concern. As most research on loneliness has focused on older adults, this study explored how 48 young adults aged 18–24 subjectively experienced loneliness through free association‐based interviews. Participants were sampled from the four most deprived boroughs in London, as area deprivation has been associated with a higher prevalence of loneliness. This facilitates understanding of contributors and consequences of loneliness within this demographic group. In particular, the focus is on rumination arising from loneliness; while the link between the two is well‐established quantitively, research into rumination and the context of ruminative thoughts in the context of loneliness remains sparse. Thus, this study aimed to understand the subjective experience of rumination in young adults whilst they experienced loneliness. Thematic analysis of interviews using ATLAS.ti 9 revealed five themes capturing these experiences: ‘temporal experience of rumination’, ‘ruminating life and death’, ‘rumination related to others’, ‘outcomes of rumination’ and ‘coping with loneliness‐related rumination’. Based upon knowledge of the nature and content of rumination, further research could devise models of rumination and interventions targeted at rumination such as mindfulness meditation, journaling and engaging in prosocial behaviour, to mitigate the adverse effects loneliness can have on wellbeing.

Is There an Association Between Untreated Hearing Loss and Psychosocial Outcomes?

ObjectiveAge-related hearing loss is one of the leading causes of disability in older adults. This cross-sectional study investigated the association between untreated hearing loss, social (perception of quality and quantity of social network) and emotional loneliness (perception of limited emotional support), social isolation (size of the social network), social support (actual or perceived availability of resources from the social network) and psychological discomfort (depression, anxiety, and stress) in older adults.Study DesignCross-sectional study design.MethodsA total of 202 community derived sample of volunteers, age range 40–89 years, mean age (M) = 65.3 ± 11.0 years were recruited. Of these 115 were females (M = 63.2 ± 12.0 years) and 87 were males (M = 68.2 ± 8.9 years). All participants completed a hearing assessment, social interaction and support questionnaire and a social and emotional loneliness questionnaire.ResultsHearing loss significantly contributed to both moderate [P < 0.001, B (95% CI): 0.01 (0.99–1.02)] and intense levels [P < 0.001, 0.02 (1.00–1.04)] of emotional loneliness. Depression was significantly associated with satisfaction with social support [P < 0.001; −0.17 (−0.23 to −0.11), social interaction [P = 0.01; −0.07 (−0.12 to −0.01)], and moderate [P < 0.001; 0.31 (1.22–1.53)] and intense [P < 0.001; 0.29 (1.20–1.50)] levels of emotional loneliness and intense levels of social loneliness [P = 0.01; 0.12 (1.05–1.21)].ConclusionUntreated hearing loss significantly increases the odds of being emotionally lonely. Depression significantly contributes to social and emotional loneliness, satisfaction with social support and social loneliness. Given the higher prevalence of loneliness and psychological discomfort and their associations with untreated hearing loss, hearing-impaired older adults are at significant risk of developing loneliness and psychological discomfort. Therefore, hearing health professionals should be aware of the psychosocial burden that may accompany hearing loss, in order to provide appropriate advice and support.

Do Global Adolescents With Food Insecurity Feel Lonely?

As a proxy measure of socioeconomic status, food insecurity is understudied in mental health-related research. This study aimed to explore the association between food insecurity and loneliness in adolescents. Using cross-sectional data from the Global Student Health Survey (GSHS), 164,993 adolescent participants were included in this study. Food insecurity, loneliness, and other covariates were assessed by self-reported questionnaire. Multivariable logistics regression considering complex survey was used to explore the association between food insecurity and loneliness. The prevalence of loneliness was 10.8% in adolescents. With higher levels of food insecurity, the prevalence of loneliness in general increased, but “most of the time” was the most frequently reported item in terms of food insecurity. Adolescents who reported severe food insecurity had significantly greater odds for loneliness: (1) being most of the time [odd ratio (OR) = 2.54, 95% CI = 2.13–3.02]; (2) always hungry (OR = 1.97, 95% CI = 1.55–2.51). Of all the 53 countries, adolescents from 39 countries reported significantly higher prevalence of loneliness when exposed to food insecurity. The pooled OR was 1.74 (1.60–1.89) with a negligible heterogeneity (higher I-squared was 34.2%). Adolescents with food insecurity were more likely to be exposed to be lonely. Eliminating socioeconomic disparities in adolescents might be a good approach to promote mental health in adolescents. Future studies are encouraged to utilize longitudinal studies to confirm or negate our study findings.

Loneliness in older adult mental health services during the COVID-19 pandemic and before: Associations with disability, functioning and pharmacotherapy.

ObjectivesLoneliness is associated with psychiatric morbidity. Restrictions placed on the population during the first COVID‐19 lockdown may have disproportionately affected older adults, possibly through increasing loneliness. We sought to investigate this by examining loneliness in referrals to mental health of older adults (MHOA) services during the first UK COVID‐19 lockdown.MethodsReferrals to MHOA services from a large South London catchment area were identified for the 16‐week period of the UK lockdown starting in March 2020 and for the corresponding period in 2019. A natural language processing algorithm identified loneliness in the patients' records. We applied logistic regression models adjusted for age, gender, ethnicity and diagnosis, to examine associations of loneliness in the study population.Results1991 referrals were identified, 56.9% of whom were female, with a mean age of 77.9 years. Only 26.9% occurred during the 2020 lockdown, but with a higher prevalence of loneliness (22.0 vs. 17.7%, p = 0.028). In the whole sample, loneliness was associated with non‐accidental self‐injury (Odds ratio [OR]: 1.65), depressed mood (OR: 1.73), psychotic symptoms (OR: 1.65), relationship problems (OR: 1.49), problems with daytime activities (OR: 1.36), and antidepressant use (OR: 2.11). During lockdown, loneliness was associated with non‐accidental self‐injury (OR: 2.52), problem drinking or drug‐taking (OR 2.33), and antidepressant use (OR 2.10).ConclusionsLoneliness is associated with more severe symptoms of affective illness, worse functional problems and increased use of antidepressant medication in older adults. During lockdown, loneliness in referrals to MHOA services increased and was associated with increased risk‐taking behaviour. Loneliness is a potential modifiable risk factor for mental illness, and efforts to minimise it in older adults should be prioritised as we emerge from the pandemic.

Lonely societies: low trust societies? Further explanations for national variations in loneliness among older Europeans

Cross-national studies in Europe reveal sharp regional differences in the prevalence of loneliness among older adults, with the highest prevalence of loneliness in Eastern European countries. In this study, we investigate an alternative explanation for differences in loneliness prevalence based on differences in trust. Many of the Eastern European countries were ruled by totalitarian regimes that undermined people’s trust in other people and in the system, potentially leading to higher loneliness prevalence. Data are derived from the sixth round of the European Social Survey conducted in 2012, based on 12,042 respondents, of which 4827 live in post-totalitarian countries and 7215 in other European countries and Israel. We estimate a path model with trust in people, trust in the system, and social engagement included as latent variables and one dichotomous outcome (lonely or not). We control for age, gender, health limitations, marital status, income adequacy, and education. The results reveal that loneliness is partly constructed by the social–cultural and historical–political characteristics of the countries in which people live. The higher prevalence of loneliness in the Eastern-European post-totalitarian countries can be linked to a low level of trust in other people through social disengagement. Considering the role of trust in the creation of individuals feelings of loneliness contributes to the understanding of country variations in loneliness and opens a new perspective in loneliness research and the development of policies aimed at reducing loneliness.

Association of COVID-19 Risk Misperceptions With Household Isolation in the United States: Survey Study.

BackgroundAdverse mental and emotional health outcomes are increasingly recognized as a public health challenge associated with the COVID-19 pandemic.ObjectiveThe goal of this study was to examine the association of COVID-19 risk misperceptions with self-reported household isolation, a potential risk factor for social isolation and loneliness.MethodsWe analyzed data from the Franklin Templeton-Gallup Economics of Recovery Study (July to December 2020) of 24,649 US adults. We also analyzed data from the Gallup Panel (March 2020 to February 2021), which included 123,516 observations about loneliness. The primary outcome was self-reported household isolation, which we defined as a respondent having no contact or very little contact with people outside their household, analogous to quarantining.ResultsFrom July to December 2020, 53% to 57% of respondents reported living in household isolation. Most participants reported beliefs about COVID-19 health risks that were inaccurate, and overestimation of health risk was most common. For example, while deaths in persons younger than 55 years old accounted for 7% of total US deaths, respondents estimated that this population represented 43% of deaths. Overestimating COVID-19 health risks was associated with increased self-reported household isolation, with percentage differences ranging from 5.6 to 11.8 (P<.001 at each time point). Characteristics associated with self-reported household isolation from the July and August 2020 surveys and persisting in the December 2020 survey included younger age (18 to 39 years), having a serious medical condition, having a household member with a serious medical condition, and identifying as a Democrat. In the Gallup Panel, self-reported household isolation was associated with a higher prevalence of loneliness.ConclusionsPandemic-related harms to emotional and mental well-being may be attenuated by reducing risk overestimation and household isolation preferences that exceed public health guidelines.

Loneliness Among Adult with Visual Impairment

Loneliness is a multifaceted experience which can be understood through the lens of the biopsychosocial model which is an interdisciplinary approach that looks at the interconnection between biology, psychology, and socio-environmental factors in affecting health, illness, psychological experiences and disturbances. This study compared the qualitative dimensions of loneliness between blind and visually impaired persons and the general population, rather than the frequency or intensity of their loneliness. To the best of our knowledge, no studies have specifically evaluated depression in young and middle-aged people with visual impairment (VI). Discrimination may exacerbate these difficulties. High prevalence of loneliness among the visually impaired elderly persons, that reports a prevalence of 54% in the visually impaired elderly aged ≥55 years. In addition, the risk of loneliness was higher for those who were aged 36 to 50 years, exposed to bullying or physical or sexual abuse, had blindness, other impairments, or were unemployed. The mean score for loneliness was 4.83 (SD 1.82), 4.88 for women and 4.78 for men (p = 0.46). The majority of participants reported missing somebody to be with sometimes (39.0%) or often (21.1%). The aim of this study to estimate the prevalence of loneliness and associated factors in adults with visual impairment.

Association between Age Related Macular Degeneration and Anxiety Disorder

Anxiety disorders has been termed a social epidemic especially by people with disabilities, one of them is visual impairment because age related macular degenaration. The present study compared the qualitative dimensions of loneliness of the blind and visually impaired with the generall population not on the frequency or intensity of their loneliness. This study compared the qualitative dimensions of loneliness between blind and visually impaired persons and the general population, rather than the frequency or intensity of their loneliness., no studies have specifically evaluated anxiety disorder in young and middle-aged people with visual impairment (VI). High prevalence of loneliness among the visually impaired elderly persons, that reports a prevalence of 54% in the visually impaired elderly aged ≥55 years. In addition, the risk of loneliness was higher for those who were aged 36 to 50 years, exposed to bullying or physical or sexual abuse, had blindness, other impairments, or were unemployed. The mean score for loneliness was 4.83 (SD 1.82), 4.88 for women and 4.78 for men (p = 0.46). The majority of participants reported missing somebody to be with sometimes (39.0%) or often (21.1%). The prevalence of anxiety among older adults with AMD is also higher than among both general populations of older adults and those with other common age-related medical conditions. The aim of this study to estimate the prevalence of loneliness and associated factors in adults with age related macular degeneration.

Loneliness and Mental Health Amongst Indians Working in Abu Dhabi, UAE

The high prevalence of loneliness has been evidenced to be directly associated with the risk of acquiring mental health disorders such as anxiety, depression and even susceptibility to suicide ideation if not address with long term mitigation practices. The risk of loneliness and mental health disorders have been evidenced to be higher across individuals living away from their native homelands. The Indian population has been estimated to comprise of one of the largest communities of expatriates residing in the UAE. It has been postulated that expatriates, though living a seemingly prosperous life, often encounter a range of adverse circumstances such as, loneliness, occupational distress, and concerns on occupational security which in turn, pave the way for increase prevalence of mental illnesses such as depression, stress and anxiety. Thus, the followed research aimed to evaluate the prevalence of loneliness, state of mental health and the subsequent risk of mental health disorders across Indians working in Abu Dhabi, UAE. To address the same, a quantitative cross-sectional design, coupled with data collection on demographics, mental health and social functioning were collected, using self-reported questions such as the General Health Functioning-28 and Social Functioning Questionnaire. Based on such findings, the sample was found to be equally distributed with respect to their risk of mental health illnesses and high level of social functioning, possibly due to equal inclusion of both participants who were living alone as well as not living alone. Additionally, the equal distribution of such risk as well as high levels of social functioning may also be attributed to demographic factors like age, education and occupational levels. There is thus a need to conduct further research on the role of specific demographic factors in influencing mental health status and social functioning across Indian expatriates residing in the UAE.

Are parental monitoring and support related with loneliness and problems to sleep in adolescents? Results from the Brazilian School-based Health Survey

• About 30% and 20% reported lack of parental support and monitoring, respectively. • Loneliness and sleep problems due to worries were more prevalent among girls. • Loneliness was more prevalent among students from private schools. • Lack of parental monitoring/support were associated with higher prevalence of outcomes. Early identification of adolescent’s mental health issues, may help to plan effective strategies to prevent severe psychological diseases. The aim of this study was to verify the association between parental monitoring/support and loneliness and sleep problems due to worries in adolescents from a representative Brazilian school-based survey (PeNSE). This study presented cross-sectional design and was carried out in 2015 with Brazilian students from 9th grade. Information were assessed through self-administered questionnaire. The outcomes were loneliness and sleep problems due to worries. The exposures were missing class without permission, parents’ knowledge about free time and parental understanding about concerns. Poisson regression was used for association analyses, stratified by sex and school type (public; private). Girls were more likely to presented both outcomes (p < 0.001). Loneliness was more prevalent among private schools’ students (17.2% 95%CI: 16.2%; 18.2%) than among public school’ students (15.8% 95%CI:15.3%; 16.3%). While, the prevalence of sleep problems due to worries was not different according school type. A dose-response gradient was observed, where the higher the lack of parental monitoring/support the higher the prevalence of outcomes in the adolescents. Lack of parental monitoring and support were associated with higher prevalence of loneliness and sleep problems due to worries in adolescents from Brazil. A good adolescent-parent relationship may be helpful in early identification of possible problems of adolescents’ behavior.

The experience of loneliness among young people with depression: a qualitative meta-synthesis of the literature

BackgroundYoung people have a higher prevalence of loneliness than other age groups, and they are also at risk of depression. Quantitative studies describe a bidirectional association between loneliness and depression, but there is limited understanding of how these influence each other. Little is known about the experience of loneliness among young people with depression. Qualitative approaches may help understand the relationship between loneliness and depression among young people, and how to intervene to improve outcomes. We aimed to conduct a meta-synthesis to understand the complex inter-relationship between loneliness and depression among young depressed people by synthesising evidence from a systematic review of qualitative studies.MethodsWe conducted a meta-synthesis of qualitative studies capturing experiences of loneliness among young people with depression. We systematically searched six electronic databases for selected search terms, critically appraised eligible studies, and analysed the data from included studies using the approach of thematic synthesis. We used feedback from an inter-disciplinary research workshop to improve reflexivity.ResultsOur inclusion criteria identified fourteen studies. Our analysis identified four themes: (1) social withdrawal due to poor mental health, (2) non-disclosure of depression contributing to social distance, (3) the desire to connect, and (4) paradoxes of loneliness and depression. These themes illustrated a range of pathways between depression and loneliness, and a sense of how these might be mutually reinforcing. Our findings suggest that where depressed individuals engage in certain behaviours (withdrawing; not confiding) for a range of reasons, this can lead to feelings of loneliness, an awareness of which worsens their mood, thus perpetuating their depression.ConclusionsYoung people with depression experience loneliness as an insurmountable distance between themselves and others. Our findings identified non-disclosure of depression, and the debilitating nature of the depressive symptomatology, as factors perpetuating a vicious cycle of loneliness and depression. They suggest that approaches to tackling the problem might include helping young people communicate about their depression to trusted friends and educating their social networks in how to support them. The wider research literature suggests that cognitive interventions may have a role in shifting maladaptive cognitions about their social world.

LONELINESS AND HEALTH AMONG OLDER ADULTS: RESULTS FROM THE UNIVERSITY OF MICHIGAN NATIONAL POLL ON HEALTHY AGING

In October 2018, the University of Michigan National Poll on Healthy Aging conducted an online survey using a nationally representative household sample of adults age 50 to 80. One in three respondents (34%) reported feeling a lack of companionship and 27% reported feeling isolated from others some of the time or often during the past year. Those with fair or poor self-reported physical health, mental health, or hearing were more likely to report feeling a lack of companionship or feel isolated as were those who reported less frequently engaging in healthy behaviors. More than one in four (28%) reported social contact with people outside of their household once a week or less. Given the high prevalence of loneliness and its connection to poor health and health behaviors, research on this important issue and efforts to increase social engagement among older adults deserve increased attention.