The prevalence of loneliness across 113 countries: systematic review and meta-analysis

BMJ, Год журнала: 2022, Номер unknown, С. e067068 - e067068

Опубликована: Фев. 9, 2022

Abstract Objectives To identify data availability, gaps, and patterns for population level prevalence of loneliness globally, to summarise estimates within World Health Organization regions when feasible through meta-analysis, examine temporal trends in countries where exist. Design Systematic review meta-analysis. Data sources Embase, Medline, PsycINFO, Scopus peer reviewed literature, Google Scholar Open Grey grey supplemented by backward reference searching (to 1 September 2021) Eligibility criteria selecting studies Observational based on nationally representative samples (n≥292), validated instruments, 2000-19. Two researchers independently extracted assessed the risk bias using Joanna Briggs Institute checklist. Random effects meta-analysis was conducted subset with relatively homogeneous research methods measurement instrument, age group, WHO region. Results Prevalence were available 113 or territories, according official nomenclature regions, from 57 studies. adolescents (12-17 years) 77 young adults (18-29 30 countries, middle aged (30-59 32 older (≥60 40 countries. all groups except lacking outside Europe. Overall, 212 106 24 included meta-analyses. The pooled ranged 9.2% (95% confidence interval 6.8% 12.4%) South-East Asia 14.4% (12.2% 17.1%) Eastern Mediterranean For adults, European region only, a consistent geographical pattern shown adult groups. lowest consistently observed northern (2.9%, 1.8% 4.5% adults; 2.7%, 2.4% 3.0% 5.2%, 4.2% 6.5% adults) highest eastern (7.5%, 5.9% 9.4% 9.6%, 7.7% 12.0% 21.3%, 18.7% 24.2% adults). Conclusion Problematic levels are experienced substantial proportion many difference coverage between high income (particularly Europe) low raised an important equity issue. Evidence is insufficient. findings this limited scarcity methodological heterogeneity. Loneliness should be incorporated into general health surveillance broader coverage, standardised tools. registration PROSPERO CRD42019131448.

Язык: Английский

---

How the COVID-19 pandemic is focusing attention on loneliness and social isolation

Public Health Research & Practice, Год журнала: 2020, Номер 30(2)

Опубликована: Янв. 1, 2020

The effects of the coronavirus disease 2019 (COVID-19) pandemic upon human health, economic activity and social engagement have been swift far reaching. Emerging evidence shows that has had dramatic mental health impacts, bringing about increased anxiety greater isolation due to physical distancing policies introduced control disease. In this context, it is possible more deeply appreciate consequences loneliness isolation, which researchers argued are enduring experiences for many people under-recognised contributors public health. paper, we examine psychological COVID-19 pandemic, with a focus on what revealed need better understand respond as priorities. Social understood be distinct conditions, yet each found predict premature mortality, depression, cardiovascular cognitive decline. Estimates prevalence distribution vary, possibly ranging from one-in-six one-in-four people, lack knowledge extent these conditions indicates population monitoring using standardised methods validated measures. Reviews relating interventions befriending schemes, individual group therapies, various shared programs, prescription by healthcare providers, diverse strategies information communication technologies tried. There remains uncertainty effective different groups, particularly prevention addressing complex condition loneliness. Australia, national coalition - Ending Loneliness Together established bring together service providers facilitate gathering mobilisation into practice. Research-practice partnerships cross-disciplinary collaborations sort essential overcoming problems pre-existed will endure beyond pandemic.

Язык: Английский

---

Loneliness before and during the COVID-19 pandemic: A systematic review with meta-analysis.

American Psychologist, Год журнала: 2022, Номер 77(5), С. 660 - 677

Опубликована: Май 9, 2022

The COVID-19 pandemic and measures aimed at its mitigation, such as physical distancing, have been discussed risk factors for loneliness, which increases the of premature mortality mental health conditions. To ascertain whether loneliness has increased since start pandemic, this study to narratively statistically synthesize relevant high-quality primary studies. This systematic review with meta-analysis was registered PROSPERO (ID CRD42021246771). Searched databases were PubMed, PsycINFO, Cochrane Library/Central Register Controlled Trials/EMBASE/CINAHL, Web Science, World Health Organization (WHO) database, supplemented by Google Scholar citation searching (cutoff date search December 5, 2021). Summary data from prospective research including assessments before during extracted. Of 6,850 retrieved records, 34 studies (23 longitudinal, 9 pseudolongitudinal, 2 reporting both designs) on 215,026 participants included. Risk bias (RoB) estimated using in non-randomised studies-of interventions (ROBINS-I) tool. Standardized mean differences (SMD, Hedges' g) continuous values logOR prevalence rates calculated pooled effect size estimators random-effects meta-analyses. Pooling longitudinal designs only (overall N = 45,734), scores (19 studies, SMD 0.27 [95% confidence interval 0.14-0.40], Z 4.02, p < .001, I 98%) (8 0.33 [0.04-0.62], 2.25, .02, 96%) relative prepandemic times small sizes. Results robust respect studies' overall RoB, pseudolongitudinal designs, timing assessments, clinical populations. heterogeneity effects indicates a need further investigate protective progresses inform targeted interventions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Язык: Английский

---

Three months of loneliness during the COVID-19 lockdown

Psychiatry Research, Год журнала: 2020, Номер 293, С. 113392 - 113392

Опубликована: Авг. 17, 2020

Язык: Английский

---

Loneliness in the COVID-19 pandemic: Associations with age, gender and their interaction

Journal of Psychiatric Research, Год журнала: 2021, Номер 136, С. 103 - 108

Опубликована: Янв. 31, 2021

Язык: Английский

---

COVID-19 and loneliness: A rapid systematic review

Australian & New Zealand Journal of Psychiatry, Год журнала: 2021, Номер 55(12), С. 1144 - 1156

Опубликована: Июль 13, 2021

Loneliness is known to be associated with both poorer physical and mental health, being increased mortality. Responses throughout the world current COVID-19 pandemic all incorporate varying degrees of social distancing isolation. There an imperative provide a timely review synthesis impact on loneliness in general population.PubMed was searched using key terms 'COVID-19', 'coronavirus', 'SARS-COV2' 'loneliness'. Fifty-four articles were identified screened against inclusion criteria. The criteria stipulated that study needed measure participants drawn from adult population. Twenty-four studies met criteria.The data extracted 24 reviewed are presented summarised focus demographics participants, research designs utilised, measures employed other variables assessed studies. Overall, findings indicate has been significant issue during positively health symptoms. However, there inconsistencies results evident across studies.To our knowledge, this first systematic investigating Despite some studies, it clearly apparent having wellbeing Furthermore, had population significantly illness symptomatology. Thus, address through public policy interventions. limitations noted directions given for future research.

Язык: Английский

---

Social identity makes group-based social connection possible: Implications for loneliness and mental health

Current Opinion in Psychology, Год журнала: 2021, Номер 43, С. 161 - 165

Опубликована: Июль 24, 2021

Язык: Английский

---

The relationships between social support and loneliness: A meta-analysis and review

Acta Psychologica, Год журнала: 2022, Номер 227, С. 103616 - 103616

Опубликована: Май 13, 2022

The loneliness of modern people is becoming more and prominent, has brought profoundly negative effects on mental health. Social support an important predictor loneliness. However, the size correlation reported by studies relation between social varies greatly. aim this meta-analysis to determine One hundred seventy-seven articles (N = 113,427) were identified, robust variance estimation with random used. As expected, higher levels negatively correlated (r -0.39). association also moderated several variables. Specifically, relationship among rural populations stronger than that urban in Chinese samples, effect perceived -0.45) greater other supports -0.36), friend -0.48) played a role reducing two (family support: r -0.34; significant -0.40). current results links loneliness, emphasizing may have some implications for future research treatments.

Язык: Английский

---

Clinical guidelines for the use of lifestyle-based mental health care in major depressive disorder: World Federation of Societies for Biological Psychiatry (WFSBP) and Australasian Society of Lifestyle Medicine (ASLM) taskforce

The World Journal of Biological Psychiatry, Год журнала: 2022, Номер 24(5), С. 333 - 386

Опубликована: Окт. 6, 2022

Objectives The primary objectives of these international guidelines were to provide a global audience clinicians with (a) series evidence-based recommendations for the provision lifestyle-based mental health care in clinical practice adults Major Depressive Disorder (MDD) and (b) implementation considerations that may be applicable across range settings.Methods Recommendations associated gradings based on systematic literature searches published research as well expertise taskforce members. focus was eight lifestyle domains: physical activity exercise, smoking cessation, work-directed interventions, mindfulness-based stress management therapies, diet, sleep, loneliness social support, green space interaction. following electronic bibliographic databases searched articles prior June 2020: PubMed, EMBASE, Cochrane Library (Cochrane Database Systematic Reviews, Central Register Controlled Trials (CENTRAL), Methodology Register), CINAHL, PsycINFO. Evidence grading level evidence specific MDD risk bias, accordance World Federation Societies Biological Psychiatry criteria.Results Nine formed. highest ratings improve use relaxation techniques, therapies (Grade 2). Interventions related diet recommended, but lower strength 3). regarding cessation support expert opinion. Key included need input from allied professionals networks implement this type approach, importance partnering such behaviour change deliver interventions using biopsychosocial-cultural framework.Conclusions Lifestyle-based are recommended foundational component Disorder, where other can added or used combination. findings further address existing gaps efficacy research, especially emerging approaches (e.g. space, interventions) data limited. Further work is also needed develop innovative delivery models care, training care.

Язык: Английский

---

Social connection as a critical factor for mental and physical health: evidence, trends, challenges, and future implications

World Psychiatry, Год журнала: 2024, Номер 23(3), С. 312 - 332

Опубликована: Сен. 16, 2024

Rising concerns about social isolation and loneliness globally have highlighted the need for a greater understanding of their mental physical health implications. Robust evidence documents connection factors as independent predictors health, with some strongest on mortality. Although most data are observational, points to directionality effects, plausible pathways, in cases causal link between later outcomes. Societal trends across several indicators reveal increasing rates those who lack connection, significant portion population reporting loneliness. The scientific study has substantially extended over past two decades, particularly since 2020; however, its relevance mortality remains underappreciated by public. Despite breadth evidence, challenges remain, including common language reconcile diverse relevant terms disciplines, consistent multi‐factorial measurement assess risk, effective solutions prevent mitigate risk. urgency future is underscored potentially longer‐term consequences COVID‐19 pandemic, role digital technologies societal shifts, that could contribute further declines social, health. To reverse these meet challenges, recommendations offered more comprehensively address gaps our understanding, foster

Язык: Английский

---