Social and emotional loneliness: an examination of Weiss's typology of loneliness

Factors associated with depression in navy recruits

The age of onset for depression is decreasing and seems to be linked with major life events. This study examined predisposing and concomitant factors related to Navy recruit basic training, and consisted of 443 recruits (200 with depressive symptoms and 243 matched comparison subjects). Two hypotheses were proposed, and both were supported by results of the study. Depressed recruits were more likely to be separated from the Navy and not complete training. They had significantly more predisposing factors than comparison recruits including family history of mental illness, family history of alcohol abuse, and history of psychiatric problems. They also had significantly more concomitant factors such as higher levels of stress, more loneliness, more life-change events, lower sense of belonging, more emotion-oriented coping, and less task-oriented coping. Although the study examined Navy recruits, the findings are applicable to depression in young people. This study adds to understanding the role of life stressors, interpersonal functioning, and development of depressive symptoms.

Mentoring college-age women: a relational approach

Despite the popularity of mentoring programs, the relational dimension of mentoring has not been elucidated. Traditional conceptions of mentoring may exclude factors that are particularly important for women and girls, thus limiting the efficacy of mentoring programs for female adolescents. We suggest that the presence of relational qualities in the mentoring relationship (e.g., empathy, engagement, authenticity, and empowerment) strongly influences the success of mentoring in the lives of young women. In this study, we use a promising new measure of mentoring, the Relational Health Index - Mentor, to explore the impact of relational aspects of mentoring in female college students. We found that mentoring relationships high in relational qualities were associated with higher self-esteem and less loneliness

Social support and avoidant coping: correlates of depressed mood during pregnancy in minority women

INTRODUCTION

The purpose of this study was to evaluate several psychosocial correlates of depressed mood during pregnancy. The psychosocial factors examined included background characteristics (socioeconomic status, planning of pregnancy), perceived social support, and coping styles.

METHODS

One hundred fifty pregnant lower income, minority women were recruited from an obstetrics clinic at an urban hospital. Patients completed a battery of psychosocial measures including measures of social support, coping style, and depressed mood.

RESULTS

Perceived social support and an avoidant coping style were the most salient psychosocial correlates of depressed mood during pregnancy, accounting for 34% of the variance in the model. More specifically, women who reported less social support satisfaction experienced greater avoidant coping strategies, which was then associated with higher levels of depressed mood.

CONCLUSIONS

This study suggests that women who perceive less social support satisfaction utilize more avoidant coping strategies and experience greater depression mood. Thus, although these associations are not indicative of a causal relationship, results raise the possibility that women at-risk for depressed mood during pregnancy can be identified by assessing perceived social support and coping styles. Future prospective studies are needed to test the causal relationships among these variables. Clinical interventions to target these psychosocial factors during pregnancy are discussed.

Loneliness and social dissatisfaction in Turkish adolescents

The present study is an investigation of the relationships of sociometric status, gender, and academic achievement to loneliness levels of Turkish adolescents. Participants were 370 secondary school students (186 girls and 184 boys). Data on loneliness and social dissatisfaction levels of students were collected with the Turkish version of S. R. Asher and V. A. Wheeler's (1985) Loneliness and Social Dissatisfaction Scale. Sociometric data were gathered by using a rating scale and a positive nomination measure devised by S. R. Asher and K. A. Dodge (1986) in which participants were classified into one of four groups (popular, rejected, neglected, and controversial). The scores obtained from these measures were treated by a method similar to that of J. D. Coie, K. A. Dodge, and H. Coppotelli's (1982) standard score approach. Results revealed that sociometric status was significantly related to loneliness and social dissatisfaction as a function of peer relations. Members of the rejected group reported significantly higher levels of loneliness and social dissatisfaction than did members of the controversial, popular, and neglected groups. The controversial group was also significantly different from the popular group in loneliness level. No significant gender differences were found. Results also revealed a significant negative relationship between achievement scores and loneliness, indicating that as the level of loneliness increased, academic achievement decreased.

Social and emotional loneliness among non-demented and demented elderly people

There is a lack of studies about loneliness and cognitive functioning among elderly people and, above all, among those with cognitive impairment. The aim of this study is to investigate loneliness, both social and emotional, in non-demented and demented elderly people. The study is based on 589 persons, who answered the question about social loneliness (often being lonely) in the Kungsholmen longitudinal project. All subjects were examined extensively to reach a diagnosis and to determine the dementia level. Data were collected through structured interviews on subjective social loneliness as well as emotional loneliness (feelings of loneliness, from often to never) and background variables (age, sex, housing and housing conditions). Non-demented elderly subjects reported themselves to be lonely significantly less often compared to demented subjects, but there were no differences in the emotional experience of loneliness. Social loneliness was more common in the different levels of dementia and increased with reduced cognitive functioning, while emotional loneliness decreased. Living together with someone and living in one's own apartment showed a positive influence on feelings of loneliness.

Terminal illness and coping with loneliness

Loneliness is a universal phenomenon, and its pain is intensified by a diagnosis of a terminal illness. The present study is an investigation of the coping strategies used by HIV/AIDS patients, by individuals diagnosed with cancer, and by the general population. Forty-three HIV/AIDS patients, 38 cancer patients, and 53 participants from the general population answered a 34-item questionnaire. Results indicated that with the exception of reflection and acceptance and religion and faith, those afflicted with HIV/AIDS cope with loneliness significantly differently from members of the other two groups. The findings of this exploratory study suggest that cancer patients and the general population do not differ in the ways they cope with loneliness.

The effects of sense of belonging, social support, conflict, and loneliness on depression

BACKGROUND

A number of interpersonal phenomena have been linked to depression, including sense of belonging, social support, conflict, and loneliness.

OBJECTIVES

To examine the effects of the interpersonal phenomena of sense of belonging, social support, loneliness, and conflict on depression, and to describe the predictive value of sense of belonging for depression in the context of other interpersonal phenomenon.

METHOD

A sample of clients with major depressive disorder and students in a midwestern community college participated in the study by completing questionnaires.

RESULTS

Path analysis showed significant direct paths as postulated, with 64% of the variance of depression explained by the variables in the model. Social support had only an indirect effect on depression, and this finding supported the buffer theory of social support. Sense of belonging was a better predictor of depression.

CONCLUSIONS

The study findings emphasize the importance of relationship-oriented experiences as part of assessment and intervention strategies for individuals with depression.

Depressive symptomatology and specificity of social support

Psychosocial interventions should be based on research which reflects the multidimensionality of psychosocial constructs. This study investigated six categories of social support which were associated with depressive symptomatology in a sample of 531 college students. The Social Provisions Scale was used to measure social support while the Center for Epidemiological Studies-Depression Scale was used to measure depressive symptomatology. Standard multiple regression analysis was used to analyze the variance contributed by each of the six categories of social support found on the Social Provisions Scale to depressive symptomatology. Specifically, the following categories of social support were significantly associated with depressive symptomatology: Reassurance of Worth (for male and female respondents) and Attachment (for females only). Implications for practice and research are discussed.

Sexual abuse, parental bonding, social support, and program retention for women in substance abuse treatment

Residential programs that provide safe environments and child care can attract perinatal women into treatment. Other factors, however, may prevent some women from benefiting from these programs. Attachment theory suggests that one's early history determines the effectiveness with which one can utilize available social supports. Lower levels of program retention were predicted for women who had been sexually abused and for those who had poor early bonding. Eighty-four women in residential substance abuse treatment programs were studied. Clients who reported sexual abuse also reported lower parental care. Parental care and overprotection were inversely related, and related, in predicted directions, to perceptions of social supports. Sexual abuse alone was associated with time in treatment and the likelihood of graduation. Implications for developing effective counseling programs for women in substance abuse treatment are discussed.

Changes in cognitive coping skills and social support during cognitive behavioral stress management intervention and distress outcomes in symptomatic human immunodeficiency virus (HIV)-seropositive gay men

OBJECTIVE

We have previously reported decreases in dysphoria, anxiety, and total mood disturbance in symptomatic HIV seropositive gay men after a 10-week cognitive behavioral stress management (CBSM) group intervention. This structured intervention was designed a) to increase cognitive and behavioral coping skills related to managing the distress of symptomatic HIV, and b) to increase social support among group members. Here we examine the relative contribution of changes in coping skills and social support during the intervention period to reductions in dysphoria, anxiety, and distress-related symptoms in this sample.

METHODS

Participants were randomized to a 10-week CBSM group intervention or to a wait-list control condition. Coping, social supports, and mood were measured before and after the intervention period.

RESULTS

Members of the CBSM group (N = 22) showed significant improvement in cognitive coping strategies involving positive reframing and acceptance, and in social supports involving attachment, alliances, and guidance at the end of the 10-week CBSM program compared with controls (N = 18) who showed decrements in these coping abilities and no changes in social support. Improved cognitive coping, specifically acceptance of the HIV infection, was strongly related to lower dysphoria, anxiety, and total mood disturbance in both conditions. Changes in social support and in cognitive coping skills seem to mediate the effects of the experimental condition on the changes in distress noted during the intervention.

CONCLUSIONS

These results suggest that cognitive coping and social support factors can be modified by psychosocial interventions and may be important determinants of the changes in psychological well-being and quality of life during symptomatic HIV infection that can be achieved through this form of intervention.

Sense of belonging and indicators of social and psychological functioning

Sense of belonging has recently been described and defined as one specific interpersonal process that influences health. The purpose of this study was to examine the relationships between sense of belonging and personal characteristics and selected indicators of social and psychological functioning in men and women. Using a sample of 379 community college students, sense of belonging was examined in relation to social support, conflict, involvement in community activities, attendance at religious services, loneliness, depression, anxiety, history of psychiatric treatment, and suicidality. Results indicated that sense of belonging is closely related to indicators of both social and psychological functioning. These relationships were generally stronger for women than for men. It appears that sense of belonging is a useful concept pertinent to exploration of social and psychological functioning.

Psychosocial modulation of cytokine-induced natural killer cell activity in older adults

The objective of this study was to address the cellular and psychological mechanisms underlying previously observed changes in natural killer (NK) cell cytotoxicity associated with chronic stress. We compared 28 current and former spousal caregivers of patients with Alzheimer's disease (AD) and 29 control subjects. NK cells were enriched (E-NK) using a 4-step procedure that resulted in a cell preparation consisting of 88.2% NK cells. These cells were then incubated with either recombinant interferon-gamma (rIFN-gamma) or recombinant interleukin-2 (rIL-2) for 65 hours. Although an average of over 3 years had elapsed since the death of the patient with AD for the former caregivers, current and former caregivers did not differ in the E-NK cell responses to rIFN-gamma and rIL-2. However, the E-NK cell response for the combined caregiver group was significantly suppressed compared with controls, which is consistent with a previous report from our laboratory. Higher E-NK cell responses to each cytokine were associated with heightened levels of positive emotional and tangible social support, independent of levels of depression. Preliminary data suggest that defects of NK cell function in response to rIFN-gamma and rIL-2 as a consequence of caregiver stress may be independent of non-NK cells. Finally, our data are consistent with other studies regarding the role of social support in immune modulation.

Loneliness among the oldest old, a comparison between residents living in nursing homes and residents living in the community

Two groups of individuals, eighty years of age or older, were compared with respect to the experience of loneliness and the influence of social relationships. One group was living in nursing homes. The other group was living alone in their own homes in the community. There were no significant differences in experienced loneliness between residence with close contacts with members of family and friends compared to residents without such contacts in either of the two groups, with one exception: institutional residents with existing contacts with former neighbors reported significantly lower levels of loneliness compared to institutional residents without such contacts. Frequency of contacts with family and neighbors did not influence significantly the degree of loneliness for residents in institutions. For residents in the community there were significant differences in experienced loneliness between those who had frequent contacts with family members and neighbors and those with infrequent contacts. Institutional residents, like residents in the community who desired more frequent contacts with family members and friends, reported higher levels of loneliness, compared to those who reported sufficient contacts.

Eensaamheid en intimiteit by getroude studente in vroeë volwassenheid

Die primêre doel met hierdie studie was om die verband tussen eensaamheid en intimiteit tydens die ontwik-kelingstadium van vroeë volwassenheid te ondersoek. Vraelyste is deur 'n ondersoekgroep van 526 getroude UOVS-studente tussen die ouderdomme van 18 en 36 jaar voltooi. Die resultate dui op 'n hoogs beduidende (negatiewe) verband tussen eensaamheid en intimiteit by getroude studente in vroeë volwassenheid. Dit blyk voorts dat geslag, ouderdom, huweliksduur en aantal kinders nie belangrike determinante in die ervaring van eensaamheid by hierdie studente in vroeë volwassenheid aan die UOVS is nie. Wat die ouerhuisbeskrywing betref, is 'n beduidende verband met die mate van eensaamheid wat ervaar word, aangetref: proefpersone wat hul ouerhuise as nóg gelukkig, nóg ongelukkig beskryf het, het die hoogste mate van eensaamheid ervaar. Die ooreenkomste en verskille met vorige navorsing bevestig die kompleksiteit van die konstruk van eensaamheid.

Loneliness, depression, stress, and social supports in neglectful families

Comparisons of neglectful with non-neglectful low-SES parents revealed that the neglectful parents reported more life stresses, greater depression and loneliness, and weaker informal social supports. In the neglectful families, loneliness was positively associated with life stresses and negatively associated with network supports, but not with caseworker-assessed social isolation.

Social isolation: unit-based activities for impaired elders

Loneliness can lead to illness and death, and is such a painful experience that a resident may not verbalize it directly. Quality nursing care requires that problems of social isolation are identified and a plan developed for adequate intervention. Impaired residents will be more successful socially when they can access a variety of interesting activities in small groups where familiar staff take initiative and establish a rapport. Institutional nurses are in a unique position to request the structural and personnel changes necessary to bring creative activities to the nursing units of impaired elders.

Reliability data for a Greek translation of the Revised UCLA Loneliness Scale: comparisons with data from the USA

A Greek translation of the Revised UCLA Loneliness Scale was internally reliable (alpha = .89), after eliminating Item 4, and significantly correlated with the English version (r = .94) for a sample of bilingual students. Weiss's distinction between social loneliness and emotional loneliness was also reliably identified in the Greek translation. Loneliness scores in Greece were significantly higher than in the USA. The translation seems to be sufficiently reliable to warrant further use with Greek individuals.

Sense of belonging: a vital mental health concept

Sense of belonging is a concept that has not been researched in psychiatric nursing practice. Using a concept-analysis strategy proposed by Walker and Avant, the authors present a detailed description of the concept that evolved from a series of inductive and deductive strategies. Sense of belonging is defined as the experience of personal involvement in a system or environment so that persons feel themselves to be an integral part of that system or environment. Sense of belonging has important applicability for clinical use as well as continued theory development in psychiatric nursing.

Loneliness and psychological distress

Research on relationships between loneliness and psychological symptoms has generally shown significant positive associations across a wide spectrum of psychopathologies. However, such results may be artificial, to some extent, given the high intercorrelations of typical psychopathology measures. In the current study, we examined associations between psychological symptoms, assessed by the Symptom Check List-90 (SCL-90; Derogatis, Lipman, & Covi, 1973) and loneliness, as measured by the UCLA-R Loneliness Scale (Russell, Peplau, & Cutrona, 1980), in college students. Using partial correlations to control for the confounding influence of generalized distress, relationships between loneliness and individual dimensions of distress were examined. Results indicate a significant association between loneliness and interpersonal sensitivity (low self-esteem) and depression. Other dimensions of distress were not significantly related to loneliness. In addition, no sex differences in patterns of association were observed. Results support the notion that self-blame and self-devaluation are strong correlates of loneliness.

The dimensionality of the UCLA Loneliness Scale in early adolescents

The dimensionality of the UCLA Loneliness Scale was assessed in 326 adolescents aged 12 to 14. Based on theoretical grounds, a one-factor solution was examined. The results lend limited support to the assertion that the instrument measures a single dimension of loneliness. Factor solutions ranging from three to five were unacceptable according to the methodological criteria used in this study. A two-factor solution met the methodological criteria but the results were suggestive of a method artifact. This possibility was explored using a procedure that follows the logic of construct validation. The findings suggested that the instrument has two substantive dimensions. Continued support of the bidimensionality of the instrument would have implications for theory development regarding the phenomenon of loneliness.

Sounds of silence--coping with hearing loss and loneliness

The vast majority of people will suffer presbycusis during the aging process. This hearing loss has potential social consequences, which place these individuals at risk for loneliness. Nurses need to encourage thorough audiological examination and follow through on recommendations to improve hearing. The use of hearing aids needs to be encouraged. A suggested model of interaction among variables influencing loneliness identifies areas amenable to nursing intervention. Frequency of significant interaction and motivation to engage in interactions represent two important variables that influence loneliness.

Loneliness of chronically ill adults and their spouses

This comparative descriptive study was designed to determine if there was a significant difference in loneliness between 80 chronically ill adults and their spouses [N = 160] and to determine whether a significant relationship existed between loneliness and selected characteristics in the two groups. Chronically ill adults were purposively selected from several sources and represented a variety of illnesses. Loneliness of both groups was assessed using a single dichotomous item from the Oars Multidimensional Functional Assessment Questionnaire (1975). Data on selected characteristics were collected through four instruments: subscales from the Oars, Disability Classification Index, Social Role Rating Scale, and Life Satisfaction Index-Z Scale. Wilcoxon 2-Sample Test revealed no significant difference in loneliness between groups. For both groups, women were more lonely than men and this difference was significant for the ill group (p less than .001). The highest correlation between loneliness and sociodemographic characteristics was need for financial assistance for ill respondents and inability to afford luxuries for spouses; between lonely and disease-related characteristics, it was the number of chronic illnesses for ill and disability of the ill partner for spouses; between lonely and sociological characteristics, it was decrease in the homemaker role for ill and decrease in the leisure role for spouses. For both groups, loneliness was significantly related to lower life satisfaction and unrelated to mental health. Findings indicate that chronically ill adults and spouses are similar in frequency of self-reported loneliness. Differences in characteristics associated with loneliness found between the two groups suggest a need for different approaches in nursing interventions for ill adults and spouses.

Cultural and emotional components of loneliness and depression

The relation between loneliness and depression and the distinction between emotional and social loneliness were examined by administering the University of California, Los Angeles (UCLA) Loneliness Scale, the Belcher Extended Loneliness Scale (BELS), the Beck Depression Inventory, and self-report questions about social and emotional loneliness to the following four groups: foreign (Chinese-descent) students in American universities, Chinese students in Taiwanese universities, American students in American universities, and depressed American clients. Depressed clients reported not only more depression but also more overall loneliness than did any of the other groups; they also were more likely to report emotional loneliness or both emotional and social loneliness than were the other three groups. Foreign students, in contrast, reported more social loneliness than did Taiwanese students. Results substantiate the view that loneliness is not a unitary concept and suggest that the UCLA Loneliness Scale and the BELS emphasize emotional rather than social loneliness and that emotional loneliness is a greater component of depression than is social loneliness.

A model of estrangement--including a theoretical understanding of loneliness

A model for the understanding of the concept of loneliness is presented. Loneliness is said to have three parts: emotional estrangement or the experienced lack of intimacy, social estrangement or the experienced lack of relatedness to social environment, and existential loneliness which is the inevitable consequence of the human finiteness and ultimate aloneness. In addition, the concepts of self-estrangement, structural estrangement, and meaninglessness are also included in the model.

Marital context and post-infarction quality of life: is it social support or something more?

The development of a theory of quality of life following serious illness is currently an important field of endeavour in rehabilitation research. The interpersonal relationships of people and elements of the self-concept appear to be salient factors in causal models of subjective well-being. One such model developed to explain characteristic levels of well-being was used in a longitudinal study of adaptation to a first myocardial infarction. Data were collected from a national sample of male cardiac patients and their spouses on the illness and marital situation as predictors of long-term well-being or ill-being. Analyses of data from the first three waves of the study, which is to extend over 5 years after the onset of illness, are to be discussed in the paper. Marital status, the emotional quality of the spouse relationship and long-standing marital stressors were found to have direct and indirect effects on the two dimensions of the Bradburn Affect Balance Scale. The same is true of continuing problems associated with the heart attack relative to perceptions of having coped effectively with the after effects of illness. Differences in self-esteem and personal competence were suggested as mediators of socio-environmental and illness-related influences. The two-factor conception of well-being developed was found to be a useful framework for investigating positive and negative aspects of psychosocial rehabilitation. The same factors that explain differences between happy and unhappy people in social indicators research also appeared to be determinants of different trajectories of adaptation in the wake of a life-threatening illness. Previous research using theoretical models from stress research has overemphasized psychosocial morbidity and stress management and neglected positive processes of adaptation. The identification of love resources related to positive feeling states and life satisfaction has, therefore, not received the attention it deserves. This is especially the case regarding an overemphasis of the concept of social support as a buffer of stress. Instruments were developed to measure high and low marital intimacy, as well as chronic marital role strains, and these measures appeared to explain different trajectories of adjustment to cardiac disease. The two-factor model appears to be useful for future work on quality of life with chronic illness. The same is true of four marital contexts of rehabilitation that were identified in the study.