Loneliness in cancer and multiple sclerosis patients

Loneliness is a universal social phenomenon often producing debilitating effects on many aspects of human functioning. The present study compared the qualitative aspects of loneliness in two terminally ill samples to that of a more healthy sample. 329 multiple sclerosis and 315 cancer patients, as well as 391 nonrandom healthy participants answered a 30-item questionnaire on loneliness. Analysis indicated the experience of loneliness which characterizes multiple sclerosis and cancer patients differs from that of the more healthy group.     

A longitudinal analysis of loneliness among older people in Great Britain

Longitudinal studies of loneliness among older people are comparatively rare. At 8 years after the initial survey in 1999-2000, we followed up on the 999 people aged 65+ years who were living in the community in the United Kingdom. We found that 583 participants were still alive, and 287 (58%) participated in the follow-up survey. The overall prevalence of loneliness at both time points was very similar, with 9% reporting severe loneliness; 30% reporting that they were sometimes lonely, and 61% reporting that they were never lonely. We developed a 12-category typology to describe changes in loneliness across the follow-up period and report that 60% of participants had a stable loneliness rating, with 40-50% rating themselves as never lonely, and 20-25% rating themselves as persistently lonely; 25% demonstrated decreased loneliness, and approximately 15% demonstrated worse loneliness. Changes in loneliness were linked with changes in marital status, living arrangements, social networks, and physical health. Importantly improvements in physical health and improved social relationships were linked to reduced levels of loneliness. This result suggests that strategies to combat loneliness are not confined to the arena of social interventions such as befriending services, which aim to build and support social embeddedness, but may also result from the treatment of chronic and long-term health conditions.     

A Longitudinal Analysis of Loneliness Among Older People in Great Britain

Longitudinal studies of loneliness among older people are comparatively rare. At 8 years after the initial survey in 1999–2000, we followed up on the 999 people aged 65+ years who were living in the community in the United Kingdom. We found that 583 participants were still alive, and 287 (58%) participated in the follow-up survey. The overall prevalence of loneliness at both time points was very similar, with 9% reporting severe loneliness; 30% reporting that they were sometimes lonely, and 61% reporting that they were never lonely. We developed a 12-category typology to describe changes in loneliness across the follow-up period and report that 60% of participants had a stable loneliness rating, with 40–50% rating themselves as never lonely, and 20–25% rating themselves as persistently lonely; 25% demonstrated decreased loneliness, and approximately 15% demonstrated worse loneliness. Changes in loneliness were linked with changes in marital status, living arrangements, social networks, and physical health. Importantly improvements in physical health and improved social relationships were linked to reduced levels of loneliness. This result suggests that strategies to combat loneliness are not confined to the arena of social interventions such as befriending services, which aim to build and support social embeddedness, but may also result from the treatment of chronic and long-term health conditions.     

Changes in loneliness and coping strategies during COVID-19

The social distancing measures implemented to slow the spread of COVID-19 impacted many aspects of people's lives. Previous research has reported negative consequences of these measures for people's psychological well-being, and that people differed in the impact on their psychological well-being. The present study aimed to describe the different coping strategies Dutch people used to deal with these measures and to link these strategies to loneliness. In addition, the study aimed to examine mean-level changes in loneliness and to explore individual differences in loneliness change. We used data from 2009 participants of a panel study of representative Dutch households. We assessed coping strategies used during the first wave of the COVID-19 pandemic in May 2020 and examined changes in loneliness between October 2019 (before COVID-19) and May 2020 (during the first wave of COVID-19). First, results showed that most people employed specific coping strategies. The most frequently used social strategies were chatting and (video)calling; the most frequently used non-social strategies were going outside, doing chores, watching TV, reading and self-care. Second, people who used more coping strategies reported lower levels of loneliness. Third, analyses revealed an average increase in loneliness between October 2019 and May 2020. Fourth, we observed two significant interaction effects, showing a stronger positive link between the number of social coping strategies and initial loneliness levels among those with a partner or living with others than for those who were single or lived alone. Yet, no moderating effects on changes in loneliness were found: people using more coping strategies did not differ in loneliness changes from people using fewer coping strategies. Together, findings suggest that loneliness increased in the Netherlands during the first phase of COVID-19 and that, while people's coping strategies were related to loneliness levels, they did not buffer against loneliness increases.     

Internet use and loneliness in older adults.

Use of the Internet by seniors as a communication technology may lead to changes in older adult social relationships. This study used an online questionnaire to survey 222 Australians over 55 years of age on Internet use. Respondents primarily used the Internet for communication, seeking information, and commercial purposes. The results showed negative correlations between loneliness and well-being. Multiple regression analyses revealed that greater use of the Internet as a communication tool was associated with a lower level of social loneliness. In contrast, greater use of the Internet to find new people was associated with a higher level of emotional loneliness.     

社会支持与成年早期孤独感：有调节的中介模型

为探讨社会支持与成年早期孤独的关系,调查了556名大学生,运用SEM法、Bootstrap法、多组分析法考察社交自我效能与负性情绪在其中的影响机制及留守经历的调节。结果表明：社交自我效能、负性情绪在社会支持和孤独感之间的中介效应显著;社交自我效能和负性情绪在社会支持对孤独感的影响中起链式中介作用;留守经历对社会支持和孤独感关系存在调节作用。研究结果证实了社会支持影响孤独感及社交自我效能和负性情绪在其中的内在机制。     

Sport Participation and Loneliness in Adolescents: The Mediating Role of Perceived Social Competence

Young people perceive loneliness as a distressing emotional experience associated with sadness and boredom. Also, feelings of loneliness may be associated with psychosocial and emotional problems during adolescence. The aim of this study was to investigate whether perceived social competence mediated the cross-sectional relationship between sport participation and loneliness in young people when controlling for age, sex, shyness, and non-organized physical activity. This cross-sectional study consisted of 2,055 pupils (995 boys and 1,060 girls) from 38 schools in Norway, with a mean age of 15.3 years. In addition to normal theory regression procedures, bootstrapping techniques were used to test the hypothesized indirect effect. Findings revealed that sport participation was inversely associated with loneliness mediated by perceived social competence. This indirect effect was evident when controlling for age, sex, non-organized physical activity and shyness. Findings suggest that sport participation during adolescence is indirectly associated with lower level of loneliness through higher level of perceived social competence. One may argue that sport participation during adolescence can contain important social components that help meet young peoples’ social needs and expectations, which in turn may prevent feelings of loneliness.     

Social and demographic correlates of loneliness in late life

Although loneliness is often viewed as a serious problem of old age, few studies have addressed either its measurement or prevalence among older populations. The present study analyzed survey data from newspaper questionnaires circulated in three North American cities (N = 2,026) in order to examine the prevalence of loneliness across the life-span and some of its correlates in late life. Loneliness decreased across the adult life-span, with respondents age 65 and older the least lonely; elders were also more satisfied with their social relationships. Neither gender nor living alone was related to loneliness for older people. The data also partially confirm the desolation hypothesis, suggesting that desolation, or the loss of an intimate attachment, rather than isolation per se is a major correlate of loneliness in late life. Further, recency of loss was strongly related to increased loneliness. Directions for future research and intervention are discussed.     

Social and Emotional Loneliness Among Divorced and Married Men and Women: Comparing the Deficit and Cognitive Perspectives

Data from the 1998 survey “Divorce in the Netherlands” (N = 2,223) are used to analyze differences in loneliness among divorced and married men and women. The results indicate that it makes sense to distinguish social from emotional loneliness. This is consistent with the deficit perspective, which posits that the absence of specific types of relationships is associated with specific forms of loneliness. Whereas social loneliness is largely attributable to support network deficits, emotional loneliness is associated with the absence of a partner. In line with the cognitive perspective, the results show that greater insight into loneliness is obtained when discrepancies in relationships are considered. Divorcees who attach great importance to having a partner and people whose marriages are conflict ridden tend to have the highest levels of emotional loneliness. Our study shows that to explain loneliness, one should take not only characteristics of people's relationships into consideration, but also their relationship preferences. The investment hypothesis, which also follows from the cognitive perspective, is not supported by the data. There is no indication that those who attach greater importance to having a partner invest less in relationships with friends, relatives, and colleagues and therefore show high levels of social loneliness. Consistent gender differences are observed: Men, regardless of partner status, tend to attach greater importance to having a partner than do women, and they tend to have smaller support networks and higher levels of social loneliness. Among the divorced, men are more apt to suffer from emotional loneliness than are women.     

Quality of Life and Multiple Sclerosis: Comparison Between People with Multiple Sclerosis and People from the General Population

This paper evaluated the quality of life (QOL) of people with multiple sclerosis (MS) and people from the general population. Gender differences between the 2 groups of respondents and the influence of coping style on adjustment were also evaluated. The participants were 381 (144 males, 237 females) people with MS, and 291 (101 males, 190 females) people from the general population. The results demonstrated that people with MS experienced lower levels of QOL than people from the general population for both the objective and subjective dimensions of all domains (physical health, psychological adjustment, social relationships, environmental adjustment). All coping strategies (problem-focused, focusing on the positive, detachment, wishful thinking, seeking social support) were important predictors of QOL for both males and females with MS, with wishful thinking being the strongest predictor of poor QOL. These results are discussed in terms of the various factors that impact on QOL among people with MS, and the types of coping strategies that are most adaptive in improving the QOL of people with this illness.     

An examination of the relation of individual difference variables to loneliness

This study investigated the relation of five individual difference variables (extroversion, depression, self-esteem, neuroticism, and attitude toward others) to loneliness. The relative contributions of two different models that might explain these relations were examined. One model suggests that individual difference variables are related to loneliness through the mediation of social network variables; that is, individual difference variables may reduce people's motivation and/or ability to build and maintain social relationships, which in turn leads to loneliness. The second model, the cognitive bias model, states that both the individual difference variables and loneliness are influenced by the same intrapersonal, cognitive processes. Some people are prone to negative affect and tend to evaluate themselves and their relationships negatively. The relations of self-esteem, neuroticism, and depression to loneliness were hypothesized to reflect the cognitive bias model, while extroversion and attitudes toward others were hypothesized to be related to loneliness through the mediation of social network variables. Eighty-two female and 42 male adults completed measures of loneliness and the five individual difference variables, as well as an instrument assessing their social networks. The results indicated partial support for both models for each of the individual difference variables. Together, the two models did a good job of explaining the correlations of the individual difference variables and loneliness. The implications of these findings, as well as their relation to previous research, are discussed.     

童年中期同伴关系的变化对孤独感的影响

在一年期间追踪调查了412名3、4、5年级儿童,探讨了同伴关系变化对孤独感的影响。结果表明:对于男孩而言,友谊质量上升,1年后测得的孤独感显著降低;友谊质量下降,1年后测得的孤独感显著增强。对于女孩而言,社交自我知觉下降,其1年后的孤独感显著增强;社交自我知觉稳定组的孤独感显著降低,社交自我知觉上升组的孤独感最低。同伴关系的变化对孤独感的影响因性别而异。     

Postural Control Complexity and Fatigue in Minimally Affected Individuals with Multiple Sclerosis

This study investigated changes in postural control complexity in people with multiple sclerosis (PwMS) before and after a fatigue protocol. Thirteen minimally affected PwMS (1.53 ± 1.03- Expanded Disability Status Scale) and 12 non-MS controls. Postural test included quiet stance on a force platform under two visual conditions (saccades and fixation) before and after a fatigue protocol. Postural complexity was assessed through the multiscale entropy. A three-way ANOVA showed a main effect of fatigue in the medial-lateral direction (p <0.007), with fatigue protocol reducing postural complexity in both groups. No differences were found between groups or visual conditions. Minimally affected PwMS demonstrated similar postural complexity compared with non-MS controls under both visual tasks and showed similar decrements in postural complexity as a result of fatigue.     

Religiosity and coping with loneliness

Loneliness is a universal experience which transcends age, sex, geography, and culture. Religion, and often one's religiosity, are known to affect one's approach to life, behaviour, and social involvement. The present, preliminary study aimed to explore whether coping with loneliness is influenced by one's religious observance. The present study focused on Israeli Jews. 250 participants identified themselves as Secular, Conservative, or Orthodox, by answering a 34-item yes/no questionnaire on loneliness. The three groups statistically significantly differed in their manner of coping with loneliness only on the Religion and Faith subscale, as hypothesized. Similar studies with people of other religious denominations could further highlight that issue.     

An exploratory study of psychodynamic therapists’ working with people with multiple sclerosis

There is little published on working psychodynamically with chronic illness and even less on the clinical insights of therapists working with people with multiple sclerosis. The objective of this study was to consider therapists’ reflections on the impact of multiple sclerosis on the internal worlds of clients with multiple sclerosis. I would also like to think about the challenges multiple sclerosis presents and how these challenges are worked with therapeutically. Finally, the impact of my multiple sclerosis diagnosis upon the research interviews was considered. Twelve counsellors / psychotherapists who had experience of working with clients with multiple sclerosis were interviewed. Data was analysed thematically and the findings revealed a number of significant themes. Denial appeared significant both for those with multiple sclerosis and those therapists working with them. Therapists also identified that people with multiple sclerosis hold a range of conscious and unconscious feelings in relation to their multiple sclerosis. Also, the meanings and impact of multiple sclerosis are broad and idiosyncratic. Therapists also faced a number of challenges in their work with people with multiple sclerosis: powerful countertransference feelings which could disable the therapy, embodied countertransference, the tendency to make generalisations, the physical reality of multiple sclerosis and its impact upon continuity, therapists’ unconscious phantasy and associations which if unaddressed could impact their ability to work with illness and the pressure multiple sclerosis placed on therapeutic boundaries. Therapists within the study recognised the need to work with both the physical reality of multiple sclerosis, as well as its psychological impact while at the same time keeping themselves open to powerful countertransference feelings and using them in the service of the therapy. The study has implications for theory, practice and future research.     

Loneliness: A Review of Current Literature,With Implications for Counseling and Research

This article is a review of the current literature on loneliness. The relationship of loneliness to other variables, the major characteristics of the experience of loneliness, and a definition of loneliness for counseling are described. The unidimensional and multidimensional perspectives of the loneliness experience are illustrated, with special focus on how they relate to loneliness measurement. The incidence of loneliness among various populations is also discussed. Finally, treatment strategies for loneliness, which highlight cognitivebehavioral therapy, social skills training, and social support are provided, followed by suggestions and implications for counseling practice and research.     

孤独感对青少年问题性移动社交网络使用的影响：人际困扰和积极自我呈现的作用

摘 要：为探讨孤独感与青少年问题性移动社交网络使用的关系,以及人际困扰和积极自我呈现在孤独感与问题性移动社交网络使用行为间的作用机制。采用孤独感量表、人际关系综合诊断量表、社交网站自我呈现量表和青少年问题性移动社交网络使用行为评估问卷,按照年级整群分层取样方式选取2872名青少年为研究对象,采用SPSS18.0、Amos以及偏差校对非参数百分位Bootstrap置信区间法进行统计分析。结果发现,孤独感、人际困扰、积极自我呈现和问题性移动社交网络使用两两间均存在显著正向相关,孤独感、人际困扰和积极自我呈现对问题性移动社交网络使用行为均具有显著正向预测作用,人际困扰和积极自我呈现在孤独感与问题性移动社交网络使用关系间分别起中介作用,同时孤独感对问题性移动社交网络使用的影响通过人际困扰→积极自我呈现的链式关系发生作用。     

Loneliness and the Effects of Life Changes

In this study, factor analysis was used to examine whether men and women experience loneliness differently and how marital status affects the experience of loneliness (especially if the marriage is terminated). The experiences of chronic and situational or event-related loneliness are also compared. Finally, the study is also an investigation of the social stigma that causes people to refuse to admit their loneliness. As a result of this stigma, when questioned for research purposes, individuals usually report a recall of past loneliness rather than a current or ongoing experience. In the present study, the difference between loneliness recalled and loneliness experienced at the time of questioning is investigated.     

The Role of the Quality of College‐Based Relationship on Social Media in College‐to‐Work Transition of Korean College Students: The Longitudinal Examination of Intimacy on Social Media,Social Capital,and Loneliness

This study investigated the mediation effects of social capital on the associations between the quality of relationship, intimacy in particular, with college friends on social media and loneliness during college‐to‐work transition of Korean college students. Longitudinal data were collected from three surveys with a 6‐month interval. The first wave of the survey was completed by 521 participants; 110 graduates participated in the second wave, and 175 in the third wave. Latent growth modeling analysis revealed that the linear growth function produced a better fit than the no‐growth models for intimacy on social media, social capital, and loneliness. While intimacy on social media and bonding capital increased during the three‐time interval, bridging capital and loneliness decreased. In addition, the slope of intimacy on social media was positively related to the slopes of bridging and bonding capital, both of which, in turn, had a negative association with the slope of loneliness. These findings indicate the beneficial role of the quality of relationship on social media in college‐to‐work transition.     

Family of Origin Environment and Adolescent Bullying Predict Young Adult Loneliness

ABSTRACT

This study tested parental loneliness, family of origin environment, and a history of being bullied as predictors of loneliness in young adults. The role of social skills in young adults’ loneliness was also examined. Participants were 111 young-adult–parent dyads who completed measures of loneliness and the family communication environment. In addition, young adults completed measures of social skills and history of being bullied. Predictions were tested with structural equation modeling, path analysis, and multiple regression analysis. Results showed that parental loneliness and a history of being bullied were each significant predictors of young adult loneliness. A family environment that supported open communication was negatively associated with young adults’ loneliness. Parental loneliness and a history of being bullied each had direct effects on young adults’ loneliness as well as indirect effects through reduced social skills.