Chronic and Transient Loneliness in Western Countries: Risk Factors and Association With Depression. A 2-Year Follow-Up Study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Introduction
Our aim was to test risk factors for chronic and transient loneliness as well as cross-sectional and longitudinal associations of courses of loneliness with depression.

Methods
Responses from participants in Wave 5 (T1, 2013) and Wave 6 (T2, 2015) of The Survey of Health, Ageing and Retirement in Europe (SHARE) (N = 45,490) were analyzed. The existence of clinically significant symptoms of depression was defined as reporting a value greater than or equal to 4 on the Euro-D scale. Loneliness was measured through the 3-item UCLA loneliness scale and a single question. Both measures were tested in separate regression models to identify risk factors for transient (loneliness at T1) and chronic (loneliness at T1 and T2) loneliness as well as their associations with depression.

Results
Chronic loneliness was observed in 47%–40% of the cases of loneliness, according to the UCLA scale and the single question, respectively. Risk factors for chronic loneliness in both models were being female, not being married, having a low educational level, having poor mental and physical health, being limited in activities, having a poor social network, and living in a culturally individualistic country. Risk factors for transient loneliness were less robust and no significant effects were found for variables such as sex and physical health in both models, education level in the UCLA measure model, and social network size in the single question model. Chronic loneliness also showed a strong association with depression in the cross-sectional model and a marked one in the longitudinal model.

Conclusion
The courses of loneliness are relevant in the study of its risk factors and association with depression.
OriginalsprogEngelsk
TidsskriftAmerican Journal of Geriatric Psychiatry
Vol/bind32
Udgave nummer4
Sider (fra-til)412-423
Antal sider12
ISSN1064-7481
DOI
StatusUdgivet - 2024

Bibliografisk note

Funding Information:
This paper used data from SHARE Waves 5 and 6 (DOIs: 10.6103/SHARE.w5.611, 10.6103/SHARE.w6.611); see Börsch-Supan et al.1 for methodological details. The SHARE data collection has been funded primarily by the European Commission through FP5 (QLK6-CT-2001-00360), FP6 (SHARE-I3: RII-CT-2006-062193, COMPARE: CIT5-CT-2005-028857, SHARELIFE: CIT4-CT-2006-028812), and FP7 (SHARE-PREP: N°211,909, SHARE-LEAP: N°227,822, SHARE M4: N°261,982). Additional funding from the German Ministry of Education and Research, the Max Planck Society for the Advancement of Science, the U.S. National Institute on Aging (U01_AG09740-13S2, P01_AG005842, P01_AG08291, P30_AG12815, R21_AG025169, Y1-AG-4553-01, IAG_BSR06–11, OGHA_04–064, HHSN271201300071C), and various national funding sources is gratefully acknowledged (see www.share-project.org). This study was also supported by the Instituto de Salud Carlos III Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM). Aina Gabarrell-Pascuet's work is supported by the Secretariat of Universities and Research of the Generalitat de Catalunya and the European Social Fund (2021 FI_B 00839). Joan Domènech-Abella has a “Juan de la Cierva” research contract awarded by the Spanish Ministry of Science and Innovation (MCIU: FJC2019-038955-I).

Publisher Copyright:
© 2023 American Association for Geriatric Psychiatry

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