Comorbid anxiety, loneliness, and chronic pain as predictors of intervention outcomes for subclinical depressive symptoms in older adults: evidence from a large community-based study in Hong Kong DOI Creative Commons
Stephanie Ming Yin Wong, Dara Kiu Yi Leung, Tianyin Liu

et al.

BMC Psychiatry, Journal Year: 2024, Volume and Issue: 24(1)

Published: Nov. 21, 2024

Abstract Background Depression is among the leading causes of global burden disease and associated with substantial morbidity in old age. The importance providing timely intervention, particularly those subclinical symptoms, has thus increasingly been emphasised. Despite their overall effectiveness, a small but notable subgroup tends to be less responsive interventions. Identifying predictors non-remission non-response critical inform future strategies for optimising intervention outcomes. Methods A total 4153 older adults aged 60 years above depressive symptoms (Patient Health Questionnaire-9 [PHQ-9] = 5–19) were recruited from JC JoyAge, large-scale collaborative stepped-care service across Hong Kong. wide range clinical modifiable risk protective factors at baseline assessed, including anxiety loneliness, suicidal ideation, cognitive capacity, multimorbidity, chronic pain, need informal care due mental health reasons, history abuse, sociodemographic characteristics. Separate multivariable logistic regression models applied identify (PHQ-9 ≥ 5) (< 50% reduction PHQ-9) following intervention. Results rates 18.9% ( n 784) 23.0% 956), respectively. Comorbid (adjusted odds ratio [aOR] 2.08, CI 1.72–2.51; 1.28, 1.05–1.57), loneliness (2.00, 1.66–2.42; 1.67, 1.38–2.01), (1.86, 1.49–2.33; 1.48, 1.18–1.85), lower capacity (0.95, 0.93–0.97; 0.94, 0.92–0.96), absence pain (0.59, 0.48–0.72; 0.76, 0.64–0.91) predicted both non-response. Meanwhile, moderate-to-severe higher (1.41, 1.18–1.69) (0.28, 0.23–0.34), Subgroup analyses conducted separately mild revealed that comorbid anxiety, care, consistent non-remission. Those showed more depression-related functional impairments poorer health-related quality life post-intervention. Conclusions Older showing may offered targeted interventions services. personalised risk-stratification approach helpful. Trial registration ClinicalTrials.gov identifiers: NCT03593889 (registered 29 May 2018), NCT04863300 23 April 2021).

Language: Английский

Risk factors for loneliness: A literature review DOI Creative Commons
Martina Barjaková,

Andrea Garnero,

Béatrice d’Hombres

et al.

Social Science & Medicine, Journal Year: 2023, Volume and Issue: 334, P. 116163 - 116163

Published: Aug. 9, 2023

Increasingly, loneliness is being recognised as a serious problem with detrimental effects on health, well social cohesion and community trust. To effectively tackle this complex issue, clear understanding of the phenomenon its main drivers needed. Over years scientific research loneliness, many potential risk factors have emerged been tested empirically.This narrative review 109 studies provides concise summary empirical evidence for presents an additional section dedicated to COVID-19 pandemic.Given very large number existing studies, emphasis placed recent meta-analyses systematic literature reviews longitudinal studies. Similarly, given possible which may differ based geographical cultural context, focuses from Europe North America.The results show that demographic often correlate but in cases link becomes negligible when controlling other factors. Often, physical mental health problems are found be associated so some psychological factors, such neuroticism or extroversion. Loneliness also depends environment one lives, possibly broader socio-economic socio-cultural contexts. Nevertheless, shows ultimately everything comes down quantity quality relationships. In particular, marital status, living arrangements characteristics one's personal network quite consistently among strongest predictors loneliness. These findings about remained valid during pandemic.The implications policy, who most vulnerable groups key designing targeted policy solutions

Language: Английский

Citations

82
All the Lonely People: An Integrated Review and Research Agenda on Work and Loneliness DOI Creative Commons
Julie M. McCarthy, Berrin Erdoğan, Talya N. Bauer

et al.

Journal of Management, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 14, 2025

Decades of studies spanning multiple disciplines have provided insight into the critical role loneliness in work contexts. In spite this extensive research, a comprehensive review and remains absent. To address gap, we conducted multidisciplinary relevant theory research identified 213 articles reporting on 233 empirical from management, organizational psychology, sociology, medicine, other domains to uncover why people feel lonely, how different features can contribute feelings loneliness, implications employee for settings. This enabled examination distinct conceptualizations operationalizations that been advanced theories underpinning scholarship. We developed conceptual model integrates cognitive discrepancy theory, affect social exchange, evolutionary theory. elucidates core antecedents, mediators, outcomes, moderators, interventions forming nomological network related including cross-level influences within teams among leaders. Our also identifies number promising areas future inquiry improve our understanding measurement process experiencing managing workplace, potential reduce it. Finally, provide tangible guidance organizations practitioners mitigate loneliness. Ultimately, underscores complex nature establishes foundation advancing both scholarly discourse practices domain.

Language: Английский

Citations

0
Prolonged loneliness and risk of incident cognitive decline and dementia: A two-cohort study DOI
Ziyang Ren,

Yanan Luo,

Yunduo Liu

et al.

Journal of Affective Disorders, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

Citations

0
Correlates of Loneliness and Social Isolation Among Korean Adults DOI Open Access
Inmyung Song

Healthcare, Journal Year: 2025, Volume and Issue: 13(7), P. 806 - 806

Published: April 3, 2025

Background: Loneliness is a public health concern. Despite the increasing attention paid to loneliness globally, knowledge regarding condition in Korea scarce. This study aims examine correlates of and social isolation among Korean adults. Methods: cross-sectional used nationally representative sample adults aged 30 years older from 2021 National Mental Health Survey (N = 4696). The survey six-item scale (LSIS-6) assess between June August, 2021. Two ordinary least squares regression models were conducted. Model 1 included socio-demographic variables as isolation. 2 added range mental conditions, such depressive disorder, anxiety alcohol-use nicotine-use disorders, physical inactivity. was measured relation whether participant had experienced each disorder his/her lifetime. Results: A total 34.4% participants reported that they felt lonely at occasionally. After all adjustments, experience conditions associated with an increase LSIS-6 score (B 2.32 for B 0.59 0.36 both disorder; p < 0.01). In addition, greater male gender, age, lower educational level, non-married status, household income, having smaller number children, chronic taking less frequent walks per week. Conclusions: conclusion, prevalent correlated significantly characteristics conditions.

Language: Английский

Citations

0
Improvement in quality of life and loneliness after the community connections program: a community-based pilot intervention in South Australia DOI Creative Commons

Bryony Jardine,

Pei Jie Tan,

Ashleigh Powell

et al.

BMC Psychology, Journal Year: 2025, Volume and Issue: 13(1)

Published: April 7, 2025

Reducing loneliness and enhancing quality of life (QoL) are key public health priorities. However, limited empirical research examines the impact community-based interventions on both QoL. This study employed a single-group pre-post design to evaluate South Australian pilot intervention, Community Connections Program (CCP), assessing its effects participants' self-reported QoL loneliness. Individuals referred CCP completed an interviewer-led survey at intervention intake completion. was assessed with Assessment Quality Life - 6 dimensions tool (AQoL-6D). Loneliness Campaign End Tool 3-item measure (CtELT). Data were analyzed using descriptive statistics paired sample t-tests. from 195 adults who data collection points evaluated. AQoL-6D improved (M = 57; SD 16) completion 66; 13) (t(194) -9.73, p <.05; d 0.62). All six AQoL improved, greatest increase in scores occurring for mental health, relationships coping (results statistically significant <.05). The largest within-group effect size found dimension (d 0.8). Participants' overall feelings significantly decreased between pre- 6.7; 2.99) post- 4.4; 2.00) measurement (t(186) 10.50, 0.90). Participants reported reduced program shows promise ability reduce improve individuals disconnected their communities local support care services. These findings have implications development programs that facilitate place-based, person-centered connections as important drivers wellbeing.

Language: Английский

Citations

0
Between Rhetoric and Reality: Real-world Barriers to Uptake and Early Engagement in Digital Mental Health Interventions DOI Creative Commons
Jacinta Jardine, Camille Nadal, Sarah Robinson

et al.

ACM Transactions on Computer-Human Interaction, Journal Year: 2023, Volume and Issue: 31(2), P. 1 - 59

Published: Dec. 13, 2023

Digital mental health interventions (DMHIs) have potential to provide effective and accessible care entire populations, but low client uptake engagement are significant problems. Few prior studies explore the lived experiences of non-engagers, because reaching this population is inherently difficult. We present an observational inquiry into barriers sign-up early use a DMHI, along with reasons for initial interest in DMHI. collected 205 online questionnaire responses 20 interviews from self-referring participants across four healthcare ecosystems UK US. Questionnaire results revealed that uncertainty about DMHI usefulness usability were main uptake, whereas forgetting it, not finding time it useful engagement. Participants reported multiple considering reflecting contextual, subjective nature health. Our thematic analysis generated themes around (1) need human connection, (2) impact self-stigma on help-seeking, (3) lack knowledge DMHIs psychological therapy, (4) desire personally relevant care, (5) fluctuating, perennial discuss implications design, implementation future research, as well transdisciplinary opportunities.

Language: Английский

Citations

10
Loneliness corresponds with neural representations and language use that deviate from shared cultural perceptions DOI Creative Commons
Timothy W. Broom, Siddhant Iyer, Andrea L. Courtney

et al.

Communications Psychology, Journal Year: 2024, Volume and Issue: 2(1)

Published: May 6, 2024

The word zeitgeist refers to common perceptions shared in a given culture. Meanwhile, defining feature of loneliness is feeling that one's views are not with others. Does correspond deviating from the zeitgeist? Across two independent brain imaging datasets, lonely participants' neural representations well-known celebrities strayed group-consensus medial prefrontal cortex-a region encodes and retrieves social knowledge (Studies 1 A/1B:

Language: Английский

Citations

3
Bidirectional associations between loneliness and problematic internet use: A meta-analytic review of longitudinal studies DOI
Yijing Zhang, Jun Li, Mengmeng Zhang

et al.

Addictive Behaviors, Journal Year: 2023, Volume and Issue: 150, P. 107916 - 107916

Published: Nov. 20, 2023

Language: Английский

Citations

8
Self-criticism and romantic relationship satisfaction as serial mediators of links between childhood psychological maltreatment and loneliness DOI
Gaye Bırni, Seydi Ahmet Satıcı, M. Engin Deniz

et al.

Child Abuse & Neglect, Journal Year: 2023, Volume and Issue: 139, P. 106112 - 106112

Published: Feb. 24, 2023

Language: Английский

Citations

7
COVID-19 and indigenous youth wellbeing: A review DOI Open Access
Meghan Mollons, Kailey Penner,

Anthony L. Elsom

et al.

Current Opinion in Psychology, Journal Year: 2023, Volume and Issue: 53, P. 101659 - 101659

Published: Aug. 17, 2023

Language: Английский

Citations

4