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).
Social Science & Medicine,
Год журнала:
2023,
Номер
334, С. 116163 - 116163
Опубликована: Авг. 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
Journal of Management,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 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.
Healthcare,
Год журнала:
2025,
Номер
13(7), С. 806 - 806
Опубликована: Апрель 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.
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.
ACM Transactions on Computer-Human Interaction,
Год журнала:
2023,
Номер
31(2), С. 1 - 59
Опубликована: Дек. 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.
Communications Psychology,
Год журнала:
2024,
Номер
2(1)
Опубликована: Май 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:
