Indirect Effect Of Loneliness Research Articles

The mediating role of perceived social support on loneliness and depression in community-dwelling Nepalese older adults

BackgroundLoneliness has been identified as a significant independent predictor of depression among older adults. Social support has been reported to play a protective role against both loneliness and depression in older adults. However, few studies to date have investigated the three constructs concurrently and the mediating role of Perceived Social Support (PSS) on the relationship between loneliness and depression in this age group. The current study aimed to assess the relationship between loneliness and depression among community-dwelling Nepalese older adults based on the mediating role of PSS.MethodsThis descriptive cross-sectional research study included 367 community-dwelling older adults from a randomly selected ward in Kathmandu, Nepal. The University of California, Los Angeles Loneliness Scale, Geriatric Depression Scale, and Multidimensional Scale of Perceived Social Support were used. Correlation analysis, regression analysis, and the PROCESS 4.1 macro developed by Hayes with a bootstrapping procedure were used to test the mediating effect of the PSS on the relationship between loneliness and depression.ResultsLoneliness was negatively associated with the PSS (β = -0.405; 95% CI: −0.473, -0.337; P < 0.001), and the PSS was positively associated with depression (β = 0.057; 95% CI: 0.014, 0.099; P = 0.009). The direct effect of loneliness on depression was positive and significant (β = 0.151; 95% CI: 0.117, 0.184; P < 0.001), whereas the indirect effect of loneliness on depression through the PSS was negative (path c; β = -0.023, 95% CI: -0.041, -0.005). The results indicated that the PSS partially mediated the relationship between loneliness and depression.ConclusionThese findings suggest that interventions focusing on reducing loneliness and fostering social support may be able to lessen depressive symptoms in older adults. By addressing these factors, healthcare providers and carers can promote the mental health of older adults.

Pathways linking workplace violence and suicidal ideation/non-suicidal self-injury among nurse staff: the mediating role of loneliness and depressive symptoms

BackgroundNurses face disproportionately high rates of suicidal ideation and non-suicidal self-injury (NSSI). The role of workplace violence, loneliness, and depressive symptoms in exacerbating these issues is poorly understood. This study aims to explore these relationships to inform interventions for improving nurses’ mental health.MethodsA cross-sectional study involving 1,774 Chinese nurse staff selected through convenient sampling methods was conducted. Workplace violence, depressive symptoms, and loneliness were assessed using the Chinese versions of the Workplace Violence Scale (WVS), the 9-item Patient Health Questionnaire (PHQ-9), and a three-item loneliness scale, respectively. Participants completed self-report questionnaires anonymously to ensure adherence to ethical standards. Statistical analysis utilized structural equation modeling (SEM) to examine the intricate relationships among variables, thereby elucidating the impact of workplace violence, loneliness, and depressive symptoms on nurses’ suicidal ideation/NSSI outcomes.ResultsNurse staff 165 (7.8%) were reported different level of suicidal ideation and 139 (7.8%) participants were reported different level of NSSI. And the final model of workplace violence on suicidal ideation shown a good model fit index (CMIN/DF = 3.482 NFI = 0.969 CFI = 0.977 TLI = 0.955 RFI = 0.938, RMSEA = 0.037 SRMR = 0.035). The pathway of workplace violence to loneliness (β = 0.163, P < 0.001), the indirect effect of workplace violence on suicidal ideation via loneliness and depressive symptoms were 0.100 (95%CI = 0.085, 0.121), the indirect effect of loneliness on suicidal ideation via depressive symptoms were 0.128 (95%CI = 0.100, 0.158). Similarly, the final model of workplace violence on NSSI shown a good model fit index (CMIN/DF = 3.482 NFI = 0.967 CFI = 0.976 TLI = 0.953 RFI = 0.935, RMSEA = 0.037 SRMR = 0.034), the pathways of workplace violence to NSSI (β = 0.115, P < 0.001), the indirect effect of workplace violence on NSSI via loneliness and depressive symptoms were 0.075 (95%CI = 0.055, 0.096), the indirect effect of loneliness on NSSI via depressive symptoms were 0.102 (95%CI = 0.076, 0.130).ConclusionOur study unveils the role of workplace violence in nurses’ suicidal ideation and NSSI, mediated by loneliness and depressive symptoms. Interventions targeting workplace violence are crucial for nurses’ well-being, potentially reducing loneliness and depressive symptoms and lowering the risk of suicidal ideation and NSSI. However, further research is needed to explore additional mediators and pathways, employing longitudinal designs to establish causality and develop tailored interventions for nurses affected by workplace violence.

Loneliness and Relationship Well-Being: Investigating the Mediating Roles of Relationship Awareness and Distraction among Romantic Partners.

Loneliness arises when there is a discrepancy between one's desired and actual social connection with others. Studies examining the effects of loneliness in romantic relationships show that people who are lonely are less satisfied and committed to their romantic relationships. The present study explored the association between loneliness and romantic relationship well-being. Using a cross-sectional design, loneliness was correlated with relationship commitment, trust, and conflict. Relationship awareness, but not relationship distraction, statistically mediated the association between loneliness, relationship conflict, and relationship trust. The indirect effect of loneliness on relationship well-being was only present in people reporting low and medium levels of psychological inflexibility. Implications are discussed for acceptance- and mindfulness-based interventions for persons in romantic relationships.

Resilience, loneliness, and anxiety during COVID-19 pandemic in the U.S.

ABSTRACT This cross-sectional study uniquely examined the stressor and stress relationship between loneliness and anxiety during the COVID-19 pandemic in the U.S. The direct and indirect effects of loneliness on anxiety via resilience were studied to explore how the sense of resiliency protects individuals in coping with loneliness related to the COVID-19 pandemic. An online survey collected data from adult participants (N = 571) in the U.S. Path analysis with Amos 25 was employed to investigate the impact of loneliness on anxiety among adults in the U.S during COVID-19. We examined resilience as an intervening variable between loneliness and anxiety based on the stress process model. Loneliness had a significant direct effect on anxiety. Resilience had a negative direct effect on anxiety. Also, loneliness had an indirect effect on anxiety via resilience. Results from this study will help us to better understand risk and protective factors on individual’s mental health during COVID-19 pandemic. Furthermore, understanding individuals’ resiliency could lead to developing appropriate prevention and intervention programs to support individuals during and after a pandemic.

Mattering and Depressive Symptoms in Portuguese Postpartum Women: The Indirect Effect of Loneliness.

Background: Postpartum depression is described as the most prevalent clinical condition in the postpartum period, with several negative consequences. The current study aimed to understand the relationship between mattering, loneliness and depressive symptoms in Portuguese postpartum women and to examine the potential mediating role of loneliness in the relationship between mattering and depressive symptomatology among postpartum women. Methods: This cross-sectional study included a sample collected online composed of 530 Portuguese women in the postpartum period, who answered self-report questionnaires to assess depressive symptoms, mattering, and loneliness. Results: It was found that the relationships between mattering, loneliness, and depressive symptoms were significant, p < 0.001: (a) higher levels of mattering were associated with lower levels of loneliness and depressive symptomatology and (b) higher levels of loneliness were associated with higher levels of depressive symptomatology. The relationship between mattering and postpartum depressive symptoms occurred directly and indirectly through loneliness, 95% CI = [−0.75, −0.46]. Conclusions: These results highlight the importance of studying loneliness as a possible risk factor for postpartum depression and alert to the pertinence of considering mattering and loneliness in the assessment and intervention with women in the perinatal period.

Loneliness and Anxiety Among Chinese Medical Students: The Mediating Role of Mobile Phone Addiction and the Moderating Role of Gender

The purpose of this study was to explore the relationship between loneliness and anxiety, and the mediating role of mobile phone addiction in this relationship, and whether this mediating role was moderated by gender among Chinese medical students. A cross-sectional study was conducted on March and April 2021 in Shenyang city of China. In total, 595 medical students were surveyed to complete an online questionnaire including demographic variables, mobile phone usage information, loneliness, mobile phone addiction, and anxiety, and 553 samples were effective for the final analyses. SPSS macro PROCESS was performed to test the mediating effect of mobile phone addiction and the moderating effect of gender. Our findings showed that loneliness was positively associated with anxiety, and mobile phone addiction was a partial mediator in this relationship. In addition, gender was found to moderate the indirect effect of loneliness on anxiety through mobile phone addiction. The effect of mobile phone addiction on anxiety was greater for boys than girls. This study illustrated that students with a higher level of loneliness would be more likely to develop anxiety directly and indirectly. Educational professionals should pay special attention to medical students who felt lonely or addicted to mobile phones, particularly boys.

Loneliness Mediates the Effect of HIV-related Stigma on Depressive Symptoms among Older Persons Living with HIV.

Studies have shown associations among stigma, loneliness, and depressive symptoms in older persons living with HIV (PWH) but research assessing the mediating pathway among these variables is sparse. Building on this prior work, the aim of this study was to test the mediating effects of loneliness. A sample of 146 older PWH (≥50 years old) from an outpatient HIV clinic in Atlanta, GA, completed a cross-sectional survey. Mediation analysis, guided by Baron and Kenny's criteria, was conducted using Stata v14.2 to assess the direct and indirect effects of loneliness on the association between stigma and depressive symptoms while controlling for covariates (sex; income; self-rated health; past unstable housing). Loneliness mediated the association between stigma and depressive symptoms. Stigma predicted higher loneliness, which in turn predicted more depressive symptoms. Findings suggest that addressing depressive symptoms in older PWH may require multifaceted interventions targeting psychosocial and interpersonal factors including stigma and loneliness.

The role of cognitive flexibility and hope in the relationship between loneliness and psychological adjustment: a moderated mediation model

ABSTRACT Objectives The COVID-19 pandemic caused people to suffer from secondary problems such as social isolation and loneliness as well as experiencing anxiety about catching and spreading the virus. Existing research emphasizes the roles of cognitive flexibility and hope for psychological adjustment but the mediating and moderating mechanisms have not yet been researched widely. Therefore, this study examined whether hope mediated the relationship between loneliness and psychological adjustment problems and whether cognitive flexibility moderated this mediation effect of hope in the relationship between loneliness and psychological adjustment problems during the COVID-19 pandemic curfew in Turkey. Methods A total of 512 Turkish students and young adults completed UCLA Loneliness Scale, Brief Psychological Adjustment Scale, Dispositional Hope Scale, and Cognitive Flexibility Inventory for this cross-sectional study. Results The results indicated that loneliness had a significant and positive predictive effect on the psychological adjustment problems and that this relationship was partially mediated by hope. Further, psychological flexibility moderated the relationship between loneliness and hope. Conclusions The current study contributes a better understanding of the influence of loneliness on psychological adjustment, especially during the COVID-19 curfew period. KEY POINTS What is already known about this topic: (1) Loneliness is positively associated with psychological adjustment problems. (2) Hope proved to play an important role in psychological adjustment during the COVID-19 pandemic. (3) Cognitive flexibility is positively related to hope. What this topic adds: (1) Hope mediates the relationship between loneliness and psychological adjustment problems during the COVID-19 curfew. (2) The association between loneliness and hope is moderated by cognitive flexibility, such that the association becomes weaker for those who report higher levels of cognitive flexibility. (3) The indirect effect of loneliness on psychological adjustment problems via hope is conditional on the levels of cognitive flexibility.

The Impact of Cycling Specialization on Successful Aging and the Mediating Role of Loneliness

Recent studies have provided some evidence supporting that cycling specialization (CS) may be positively related to successful aging (SA) among elderly adults. However, there is a gap regarding the examination of the role of loneliness in the relationship between CS and SA. A hypothetical model was proposed to test the relationship between CS, SA, and loneliness. For this purpose, this study randomly conducted a questionnaire survey among 395 cycling participants over the age of 60 in China. The results showed that behavior, cognition, and affect had negative effects on loneliness. Behavior, cognition, and affect were positively associated with SA. Loneliness was negatively related to SA. Furthermore, behavior, cognition, and affect had positive and indirect effects on SA through loneliness. These results offered some new insights for understanding the relationship between CS and SA, especially considering the indirect effect of loneliness. The limitations and implications of the findings were discussed.

Mediating Role of Loneliness on Stigma and Depressive Symptoms Among Older Persons Living With HIV

Studies have shown associations among stigma, loneliness, and depressive symptoms in older persons living with HIV (OPLWH) but research assessing the mediating pathway among these variables is lacking. As such, the aims of this study were to assess the association between stigma and depressive symptoms and to test the mediating effects of loneliness. A sample of 146 OPLWH (50 years of age and older) recruited from an outpatient HIV clinic in Atlanta, GA, completed a cross-sectional survey. Mediation analysis, guided by Baron and Kenny’s (1986) criteria, was conducted using Stata v14.2 to assess the direct and indirect effects of loneliness on the association between stigma and depressive symptoms while controlling for covariates (self-rated health [0=poor to fair, 1=good to excellent]; past unstable housing [0=No, 1=Yes]; and HIV disclosure status [0=to none; 1=to someone]). Loneliness mediated the association between stigma and depressive symptoms (β=0.79, SE=0.23, p < .001). The model reflected a very good fit (χ2=0.09, p=.765; CFI=1.00, TLI=1.09, RMSEA < 0.001) and explained 27% of the variance in loneliness and 33% of the variance in depressive symptoms. Stigma predicted higher loneliness, which in turn predicted more depressive symptoms. Findings suggest that addressing depressive symptoms in OPLWH may require multifaceted interventions targeting psychosocial and interpersonal factors including stigma and loneliness.

Loneliness as a mediator of social relationships and health-related quality of life among refugees living in North Rhine-Westphalia, Germany

BackgroundSince 2015, more than one million people fled to Germany – mainly from war-affected countries. Nevertheless, little is known about social determinants in refugees located in Germany. This study aims to test the mediation effect of loneliness between social relationships, comprising social integration and social support, and health-related quality of life among refugees living in North Rhine-Westphalia, Germany.MethodsThe investigation utilizes data from the FlueGe Health Study (N=326), a cross-sectional study conducted by Bielefeld University. The data was collected between February and November 2018 and included interviews and examinations. Participants were recruited from shared and private accommodation in several cities in North Rhine-Westphalia, Germany. We first analyzed correlations between social integration, social support, loneliness, and physical and mental component of health-related quality of life. We then conducted mediation analyses using structural equation modeling.ResultsThe majority of respondents were socially isolated, perceiving a moderate degree of loneliness and social support. In addition, the physical and mental components of health-related quality of life indicate that participants predominantly experienced mental rather than physical impairments. Results from mediation analyses showed indirect effects of loneliness on the association between social integration and mental health (ß = 0.495, 95% bias-corrected and accelerated confidence interval (BCa CI) = [0.018, 0.972]), and between social support and both physical (ß = 0.022, 95% BCa CI = [0.004, 0.040]) and mental health (ß = 0.067, 95% BCa CI = [0.037, 0.097]).ConclusionsLoneliness played a mediating role in the association between social relationships and health-related quality of life among refugees living in North Rhine-Westphalia, Germany. The results provide implications for both, health policy and the host society.

Factors affecting the intentions of youngsters in switching to a virtual third place amidst the COVID-19 pandemic: the place attachment and push-pull mooring theory

PurposeThis study aims to propose a theoretical model to investigate factors affecting the intentions of youngsters in switching to a virtual third place during the COVID-19 pandemic.Design/methodology/approachThis study obtained 221 responses from Indonesian youngsters, which was used to validate the proposed model using structural equation modeling analysis.FindingsThe direct effect indicated that perceived behavior and social distance attitude were the most significant predictors of intention followed by boredom and place attachment (PA), and the indirect effect of loneliness and social presence. In addition, moderating impact contributed significantly by providing profound knowledge toward the result.Originality/valueThe combination of PA and personal traits based on the push–pull–mooring framework relating to the virtual third place adoption during the COVID-19 pandemic offered a comprehensive model that has not been explored extensively by previous studies.

Loneliness, Sense of Control, and Risk of Dementia in Healthy Older Adults: A Moderated Mediation Analysis

ABSTRACT Objectives: Despite the rising prevalence of dementia, little research has been conducted to identify modifiable psychological factors that alleviate the risk of dementia in older adults and the underlying mechanisms. Given that loneliness is, in part, concomitant with a weakened sense of control, we examined whether sense of control would mediate the relation between loneliness and dementia risk. Further, considering that working -memory capacity is a critical cognitive resource that serves as a buffer against age-related cognitive decline, we examined a second-order moderated mediational model whereby working-memory capacity moderates the relation between control beliefs and dementia risk in older adults. Methods We administered a series of measures to older community-dwelling adults (ages 60–93; N = 69), including the participant-rated AD8 to assess the risk of dementia. Using the PROCESS macro, we examined the moderated mediation model for the relation between loneliness, sense of control, and dementia risk. Results We found that sense of control significantly mediated the relation between loneliness and risk of dementia. Moreover, the indirect effect of loneliness on dementia risk via lowered sense of control was significant only in individuals with poorer working-memory capacity. Notably, these findings held true when important covariates were controlled for. Conclusions Our findings underscore the critical role of control beliefs and working memory in protecting against dementia risk. Clinical implications Our findings have implications for intervention programs that target alleviating dementia risk and promoting healthy aging in older adults by improving socioemotional health and cognitive functioning.

Authenticity and rumination mediate the relationship between loneliness and well-being

In recent years, plentiful data has emerged indicating the detrimental effects of loneliness on well-being. One of the challenges for researchers dealing with this issue is to find the mechanism underlying the relationship. The present study investigated 293 adults, aged 19-40, and examined whether authenticity and rumination functioned as mediators in the relationship between loneliness and well-being (and its three domains – pleasure, engagement, and meaning). The results of the study confirmed the loneliness-well-being link and, additionally, revealed potential mechanisms explaining this relationship, which were of different character in the cases of the particular domains of well-being. As it turned out, authenticity was the sole significant mediator in the relationship between loneliness and meaning, and rumination played the role of key mediator between loneliness and pleasure. Both these mediators had their share in the indirect effects of loneliness on engagement and overall well-being. The relations revealed between loneliness and authenticity are, in turn, congruent with recent conceptualizations of authenticity, which emphasize the interpersonal sources of this variable.

Effect of Depressive Symptoms and Sex on the Relationship Between Loneliness and Cigarette Dependence: A Moderated Mediation

Loneliness is a subjective and emotionally unpleasant experience of perceiving insufficient social relationships. Previous research has revealed that loneliness constitutes a psychosocial risk factor for depression, and is also related to unhealthy behaviors such as smoking. This study aims to examine the relation between loneliness, depression, and cigarette dependence, and to explore the role of sex in this relationship. A total sample of 275 adult treatment-seeking daily smokers (Mage = 45.3; 61.5% females) was used. Our results showed a significant correlation between higher scores of loneliness, depressive symptoms, and cigarette dependence. In addition, mediation analysis showed a significant indirect effect of loneliness on cigarette dependence, via depressive symptoms. Regarding the effect of sex, we found that this variable significantly moderated the relationship between depressive symptoms and cigarette dependence. Results of this study extend previous literature by showing that, in treatment seeking smokers, loneliness is a significant predictor of depressive symptoms, and through this relation, it predicts cigarette dependence. Additionally, sex was a significant moderator of this relation. These findings have several clinical implications, and also contribute to the understanding of cigarette dependence, which is a well-known barrier for smoking cessation.

Relationship Between Loneliness and Frailty Among Older Adults in Nursing Homes: The Mediating Role of Activity Engagement

ObjectivesPrevious literature has reported that loneliness is the strongest predictor of frailty, which is also closely associated with activity engagement. Yet, to date, the path from loneliness to frailty has not been investigated. In this study, we evaluated whether activity engagement mediates the relationship between loneliness and frailty among older adults living in nursing homes. DesignWe employed the use of a cross-sectional descriptive survey. Setting and participantsResidents (N = 370; aged ≥60 years; 220 female, 150 male) were from 33 nursing homes in China. MeasuresInformation was collected regarding loneliness, activity engagement, frailty, sociodemographic characteristics, nursing home characteristics, self-rated health, insomnia, and depression. The mediation analyses, comprising regression and bootstrap analyses, were performed to test both direct and indirect effects of loneliness on frailty (ie, the mediating role of activity engagement). ResultsThe prevalence of frailty was 29.2% among Chinese older adults living in nursing homes. Activity engagement mediated the association between loneliness and frailty [95% confidence interval (CI) = 0.011, 0.070]; however, loneliness was not significantly related to frailty when covarying for activity engagement (95% CI = 0.028, 0.190). Conclusion and implicationsResults suggest that it is not loneliness in general that affects frailty but actively engaging in activities. Therefore, preventing frailty by employing interventions that promote older adults' activity engagement may improve nursing home residents' quality of life. The main implication is that activity engagement should be an effective indicator for care planning and quality evaluation in nursing homes.

Loneliness Makes Consumers Avoid Unsafe Food

Sustainable food consumption is an essential component of sustainable development. Previous literature mainly focused on consumers’ environmentally friendly consumption, and paid less attention to their avoidance of unsafe consumption. This article investigated the effect of loneliness—an important psychological and social trend—on consumers’ avoidance of unsafe food and the associated mechanisms. Based on a survey with 120 student participants and an experimental study with 315 non-student participants, we found that loneliness made consumers avoid unsafe food, but not safe food. We further verified that consumers’ perceived immune status and concern for negative impression worked as two mechanisms between the relationship of loneliness and food avoidance. Moreover, we revealed a moderating mediation effect of food safety risk, where the indirect effect of loneliness on food avoidance via both perceived immune status and concern for negative impression only existed for unsafe food. This article extended the research setting of sustainable consumption from increasing positive consumptions to decreasing negative ones, and identified the influential factors from the interaction of consumer characteristics and food features.

Loneliness and depression symptoms among the elderly in nursing homes: A moderated mediation model of resilience and social support

Loneliness has been identified as a risk factor for depressive symptoms. Resilience and social support have been regarded as underlying protective factors. Little is known about the complex relations among these factors in the nursing home elderly. This study aimed to assess the prevalence of depressive symptoms, explore whether resilience mediated the association between loneliness and depressive symptoms, and investigate whether social support moderated the indirect or direct effect of mediation model. A total of 323 nursing home elderly were recruited in Jinan City, China. Loneliness, resilience, social support and depressive symptoms were measured. Results shown the association between loneliness and depressive symptoms was partially mediated by resilience. Besides, the indirect effect of the mediation model was moderated by social support. When the level of social support was higher, the indirect effect of loneliness on depressive symptoms through resilience was weaker. The incidence of depressive symptoms among the nursing home elderly could not be neglected. The findings suggest that interventions, such as improving resilience and social support, may help break the link between loneliness and depressive symptoms among the elderly in nursing homes.

The direct and indirect effect of loneliness on the development of adolescent alcohol use in the United Kingdom

Alcohol use among adolescents in the United Kingdom (UK) remains relatively high compared to those in other European countries. The present study sought to examine both the direct and indirect effect of loneliness on drinking behavior. Participants were school children (mean age 13.5years at Time 1) participating in a Randomized Controlled Trial in the UK, who completed a battery of questionnaires examining alcohol-use indicators, loneliness, self-efficacy and sensation seeking at Time 1 and at +12months. Loneliness at Time 1 had a substantive, though largely indirect (i.e., via self-efficacy and sensation seeking covariates), impact on alcohol-related harm at +12months. Furthermore, Loneliness interacted with gender in the prediction of context of alcohol use, where being female and experiencing loneliness put an individual at a greater risk of unsupervised drinking. Females experiencing loneliness were also 2.9 times as likely to have had a drink in the past 30days, and around 2.5 times as likely to have ever consumed a full drink, when compared to their male peers. The current results indicate that loneliness is an important but complex factor in adolescent drinking. There are important implications for the development of interventions to prevent underage drinking, not least that it is not appropriate to consider all underage drinkers as socially marginalised. However, for those that are, the self-medication hypothesis is potentially relevant through emotional self-efficacy.

Indirect Effects of Loneliness on Substance Use through Stress

ABSTRACTLoneliness is associated with a range of physical health problems, and health behaviors (e.g., alcohol use) have been specified as one factor that explains the compromised health of lonely people. Accordingly, in this investigation, we sought to test direct and indirect (through stress) effects of loneliness on substance use (i.e., alcohol consumption, drinking problems, and prescription medication use) over the course of 1 year in a 2-wave longitudinal study. These effects were tested in a sample of 210 young adults who completed self-report measures of loneliness and substance use at time 1 and then completed measures of stress and substance use at time 2. The results showed that loneliness did not have prospective direct effects on substance use, but that it did have significant indirect effects, through increased stress, on all indicators of substance use. These findings highlight the important role of stress in potentially compromising the health of lonely people by increasing their propensity to engage in health risk behaviors.