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Age Differences in Loneliness From Late Adolescence to Oldest Old Age

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Contrary to common stereotypes, loneliness is not restricted to old age but can occur at any life stage. In this study, we used data from a large, nationally representative German study (N = 16,132) to describe and explain age differences in loneliness from late adolescence to oldest old age. The age distribution of loneliness followed a complex nonlinear trajectory, with elevated loneliness levels among young adults and among the oldest old. The late-life increase in loneliness could be explained by lower income levels, higher prevalence of functional limitations, and higher proportion of singles in this age group. Consistent with an age-normative perspective, the association of income, relationship status, household size, and work status with loneliness differed between different age groups. In contrast, indicators of the quantity of social relationships (social engagement, number of friends, contact frequency) were universally associated with loneliness regardless of age. Overall, these findings show that sources of loneliness in older adults are well understood. Future research should focus on understanding the specific sources of loneliness in middle-aged adults.
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AGE DIFFERENCES IN LONELINESS 1
Age Differences in Loneliness from Late Adolescence to Oldest Old Age
Maike Luhmann1 & Louise C. Hawkley2
1 University of Cologne
2 NORC at the University of Chicago
In press at Developmental Psychology
Feb 23, 2016
AGE DIFFERENCES IN LONELINESS 2
Author note
Maike Luhmann, Department of Psychology, University of Cologne, Cologne,
Germany. Louise C. Hawkley, NORC at the University of Chicago, Chicago, IL, USA. Both
authors contributed equally to this paper. The data used in this publication were made
available to us by the German Socio-Economic Panel Study (SOEP) at the German Institute
for Economic Research (DIW), Berlin. Correspondence concerning this article should be
addressed to Maike Luhmann, Department of Psychology, University of Cologne, Herbert-
Lewin-Str. 2, 50931 Köln, Germany, maike.luhmann@uni-koeln.de.
AGE DIFFERENCES IN LONELINESS 3
Abstract
Contrary to common stereotypes, loneliness is not restricted to old age but can occur at
any life stage. In this study, we used data from a large, nationally representative German
study (N = 16,132) to examine and explain age differences in loneliness from late adolescence
to oldest old age. The age distribution of loneliness followed a complex non-linear trajectory,
with elevated loneliness levels among young adults and among the oldest old. The late-life
increase in loneliness could be explained by lower income levels, higher prevalence of
functional limitations, and higher proportion of singles in this age group. Consistent with an
age-normative perspective, the association of income, relationship status, household size, and
work status with loneliness differed between different age groups. In contrast, indicators of
the quantity of social relationships (social engagement, number of friends, contact frequency)
were universally associated with loneliness regardless of age. Overall, these findings show
that sources of loneliness in older adults are well understood. Future research should focus on
understanding the specific sources of loneliness in middle-aged adults.
Keywords: loneliness, perceived social isolation, age differences, life-span development
AGE DIFFERENCES IN LONELINESS 4
Age Differences in Loneliness from Late Adolescence to Oldest Old Age
Lonely people are often depicted as older adults relegated to a solitary existence. The
reality, however, is that loneliness is experienced by people of all ages and is not confined to
people who live solitary lives. To begin, loneliness is not synonymous with being alone.
Loneliness is commonly defined as a perceived discrepancy between desired and actual social
relationships (Peplau & Perlman, 1982), and therefore is also often called perceived social
isolation. Perceived social isolation is distinguishable from objective social isolation, living
alone, and solitude in that the latter circumstances may or may not be distressing, dependent
in large part on whether people have control over the frequency with which they socialize,
their living arrangements, and the amount of time they spend alone. Loneliness is
characterized by a perceived lack of control over the quantity and especially the quality of
one’s social activity (Newall et al., 2009; Schulz, 1976).
Furthermore, loneliness is not restricted to old age. Rather, extant data suggest that
loneliness levels tend to peak in young adulthood (defined here as < 30 years) and then
diminish through middle adulthood (30 65 years) and early old age (65 80 years) before
gradually increasing such that loneliness levels do not reach and surpass young adult levels
until oldest old age (> 80 years) (for meta-analyses and reviews, see Perlman, 1990; Pinquart
& Sörensen, 2003; Qualter et al., 2015).
Age differences in loneliness may arise from two distinct sources. First, the risk
factors associated with increased levels of loneliness may be more prevalent in one age group
than another. For instance, higher levels of loneliness among older adults are often attributed
to the smaller social networks, greater percentage of single households, and more prevalent
and/or severe functional limitations among this age group relative to younger adults (de Jong
Gierveld & van Tilburg, 1999; Green, Richardson, Lago, & Schatten-Jones, 2001; Luo,
Hawkley, Waite, & Cacioppo, 2012). Second, the relative impact of a specific risk factor may
AGE DIFFERENCES IN LONELINESS 5
vary across the life span. For instance, the number of friends may be more strongly correlated
with loneliness among adolescents and young adults, for whom friendships are their primary
social relationships, than among middle-aged and older adults (Green et al., 2001; Qualter et
al., 2015). In the present paper, we examine the age distribution of loneliness and these
different sources of age differences in loneliness in a large-scale, nationally representative
study from Germany.
Previous Studies on Age Differences in Loneliness
As noted above, previous studies suggest that the age distribution of loneliness is U-
shaped with elevated levels in both early and late adulthood and relatively lower levels during
mid-adulthood (for reviews, see Pinquart & Sörensen, 2003; Qualter et al., 2015). However,
many of these studies have focused on selected age groups rather than the entire adult age
range (e.g., Heinrich & Gullone, 2006; Victor & Yang, 2012), making it difficult to
distinguish age differences from the many other differences among surveys. This limitation
can be addressed by using data from large, age-heterogeneous surveys that incorporate
measures of loneliness. To date, such surveys have typically used single items that ask a direct
question about the frequency with which respondents experience loneliness (e.g., Victor &
Yang, 2012; Yang & Victor, 2011). Responses allow a direct assessment of the prevalence of
loneliness, but face-valid questions about loneliness may elicit biased responses, and certain
subgroups are more likely than others to underreport loneliness when asked directly (Borys &
Perlman, 1985; Nicolaisen & Thorsen, 2014). In the case of age, loneliness may be more
readily reported in older age when it is considered age-typical than in younger age. Indirect
measures reduce this bias by asking about deficits, and feelings about deficits, in social
relationships and by avoiding the use of terms like “lonely” and “loneliness.” Indirect
measures are also invariably multi-item measures that offer greater reliability than single-item
measures. Moreover, recent studies have shown that prevalence findings obtained with a
AGE DIFFERENCES IN LONELINESS 6
single direct item do not generalize to multi-item indirect loneliness questionnaires, and the
two types of loneliness measures do not produce equivalent correlations with age (Nicolaisen
& Thorsen, 2014; Shiovitz-Ezra & Ayalon, 2012).
Another limitation of many previous studies is that age is treated as a categorical
variable such that the respondents are grouped into different age groups (e.g., Victor & Yang,
2012). This approach is no doubt suitable to detect general age trends, but the use of broad
age groups may conceal subtle age differences and discontinuities in the age distribution.
In sum, prior findings on age differences in loneliness need to be replicated in samples
that represent the entire life span and in which loneliness is measured indirectly with multiple
items. In this study, we used the first panel-wide loneliness data collected as part of the
nationally representative German Socioeconomic Panel (SOEP; Wagner, Frick, & Schupp,
2007) to examine the age distribution of loneliness from late adolescence to oldest old age in
Germany and to explain these age differences. Loneliness was measured with a three-item
measure first validated in the Health and Retirement Study (HRS) (Hughes, Waite, Hawkley,
& Cacioppo, 2004) and translated to German for use in the SOEP (Hawkley, Duvoisin,
Ackva, Murdoch, & Luhmann, 2015).
Explaining Age Differences in Loneliness
Previous research has identified a host of risk factors for loneliness, ranging from
female gender and low income to health problems to low quantity and quality of social
relationships (Cohen-Mansfield, Hazan, Lerman, & Shalom, 2015; Hawkley et al., 2008;
Pinquart & Sörensen, 2003; Victor & Yang, 2012). These variables may also account for age
differences in loneliness in two ways. First, age differences in loneliness may be due to age
differences in the distribution of these risk factors. In this case, one would expect that the
impact of a specific variable on loneliness is similar in all age groups, but that higher
prevalence of a specific risk factor is sufficient to account for higher loneliness in that age
AGE DIFFERENCES IN LONELINESS 7
group. Second, age differences in loneliness may also be due to age differences in the impact
of a specific variable on loneliness. Certain factors may matter more in youth than in old age,
and vice versa, and other factors may operate similarly across age (Qualter et al., 2015).
Whether a certain life context is associated with loneliness is expected to depend, at least in
part, on whether an individual perceives that the context is normative at that age.
Sociocultural norms play a role in defining the desired and expected level of social
engagement, and loneliness may ensue when the actual quantity and/or quality of social
relationships do not meet normative expectations (Ayalon, Palgi, Avidor, & Bodner, 2015).
These norms change over the life course. For instance, a teenage girl may feel lonely if she
has only two good friends whereas an 80-year old woman may feel very connected because
she still has two good friends. Norms for social engagement also differ between different life
stages which are characterized by unique developmental goals (Heckhausen, Wrosch, &
Schulz, 2010). For instance, young adults are focused on building social networks, launching
careers, and establishing lifetime partnerships. Hence, having few friends, no job, and no
romantic partner may be particularly strong risk factors for loneliness among young adults.
The age-normative life stage perspective informs our review of the factors that are
likely to influence loneliness at each age. We review factors that have been associated with
loneliness at different ages and focus specifically on those factors that we were able to
examine using the SOEP data, beginning with the most distal causes and ending with the most
proximal causes of loneliness. According to Hawkley et al. (2008), distal factors are structural
variables that affect loneliness indirectly through their impact on more proximal, interpersonal
factors.
Sociodemographic factors
Empirical findings on gender differences in loneliness are inconsistent and seem to
vary as a function of how loneliness is measured. For example, in two studies, loneliness was
AGE DIFFERENCES IN LONELINESS 8
more prevalent in women when a single-item measure was used, but men were as lonely as or
even lonelier than women when multi-item measures of loneliness (i.e., the UCLA Loneliness
Scale and the De Jong Gierveld Scale) were used (Borys & Perlman, 1985; Nicolaisen &
Thorsen, 2014).
Socioeconomic status has been associated with loneliness in adults, whether measured
in terms of income or educational attainment. For instance, in a nationally representative
sample of over 24,000 17-65 year-olds in the Netherlands, the odds of severe loneliness were
three times higher in the lowest than the highest income group (Bosma, Jansen, Schefman,
Hajema, & Feron, 2015). Higher levels of education are consistently associated with lower
levels of loneliness even after adjusting for possible confounds such as income, health, and
marital status (Hawkley et al., 2008; Savikko, Routasalo, Tilvis, Strandberg, & Pitkälä, 2005).
It is unclear, however, whether income and education are more important predictors of
loneliness in some age groups than in others.
Loneliness appears to vary with employment status. For instance, employed young
adults have been observed to be less lonely than their unemployed counterparts (Creed &
Reynolds, 2001). Employment is expected to be associated with lower levels of loneliness
because of the “latent functions” of employment, which include time structure, social contact,
collective purpose, status, and activity (Paul & Batinic, 2010). However, employment may
also contribute to higher levels of loneliness because it restricts one’s available leisure time
and thereby may be associated with fewer interactions with friends and family. Across the life
span, work status may be a particularly strong predictor of loneliness during the period in
which having a job is the norm, that is, between 30 and 65 years.
Marital status and living arrangements
Being married is robustly associated with lower levels of loneliness (Stack, 1998).
Marriage appears to be more important for loneliness in older than in younger adults (Green et
AGE DIFFERENCES IN LONELINESS 9
al., 2001; Victor & Yang, 2012), a finding that likely reflects the increasing importance of the
marital relationship with age (Choi & Marks, 2008). Nevertheless, the formation of an
intimate relationship and partnership in young adults is a developmental accomplishment that
when thwarted could trigger feelings of loneliness (Qualter et al., 2015). Relationship status
may therefore be associated with loneliness in all age groups, but the strength of this
association may increase with increasing age.
Age differences in loneliness may also be due to age differences in living
arrangements. Among both younger and older German adults, the proportion of people living
alone is substantially higher than among middle-aged adults (Statistisches Bundesamt, 2011).
Living alone (versus living with others or versus living with a partner) is robustly associated
with loneliness (Sundström, Fransson, Malmberg, & Davey, 2009; Victor, Scambler, Bond, &
Bowling, 2000). For instance, in a random sample of over 800 Dutch older adults, living with
a spouse or partner was associated with lower levels of loneliness than living alone or living
with non-spousal others, even after adjusting for demographic factors, socioeconomic status,
health, and network size and support (de Jong Gierveld & van Tilburg, 1999). The size of the
household does not itself protect against loneliness or isolation (Victor et al., 2000). The link
between living alone and loneliness appears to be weakening over time, however (Victor et
al., 2002), possibly because the proportion of people living alone has been rising steadily over
the last decades in most Western nations (Klinenberg, 2012). Young adults in particular
choose to live alone for years longer than has been the norm in the past (Klinenberg, 2012).
Hence, the impact of household size on loneliness may be weaker for young adults than for
middle-aged or older adults.
The presence of children in the household is of particular interest for young and
middle-aged adults. Living with young children is associated with responsibilities that restrict
one’s social opportunities and may therefore be associated with higher levels of loneliness.
On the other hand, having no children in the household may also be associated with higher
AGE DIFFERENCES IN LONELINESS 10
levels of loneliness, for instance in middle-aged adults who are childless and thus socially
peripheralized, or who are experiencing the isolation of children having left the home (i.e.,
empty nest syndrome). In sum, living arrangements may be associated with loneliness across
age, but the direction of this association may differ between different age groups.
Physical functioning
Health issues are both precursors and consequences of loneliness. From youth to old
age, loneliness is prospectively associated with depressive symptoms, poor sleep quality, and
lower self-reported health (Hawkley & Capitanio, 2015). But health issues can also trigger
loneliness, particularly if they are associated with functional limitations that reduce people’s
opportunities for social participation in daily life. Functional limitations have been associated
with greater loneliness in, for example, adults with paraplegia from spinal cord injury
(Tzonichaki & Kleftaras, 2002), individuals with health-related reductions in the ability to
perform the activities of daily living (Cohen-Mansfield et al., 2013; Luo et al., 2012), and
older adults who lack both private and accessible public transport (Dahlberg, Andersson,
McKee, & Lennartsson, 2015). While these findings suggest that functional limitations may
increase loneliness in all age groups, a recent study in the United Kingdom found that
functional limitations were associated with loneliness only in young (15-29 years) and mid-
aged adults (30-59 years), but not in older adults (> 60 years) (Victor & Yang, 2012). Poor
health and functional limitations are rare in younger individuals, and this deviation from age-
typical norms may increase the size of the association with loneliness in younger relative to
older adults for whom health and mobility are expected to decline.
Social engagement
A greater degree of social engagement socializing with friends and relatives,
participating in social groups, attending church, and volunteering is consistently associated
with lower levels of loneliness from childhood through to old age (Croezen, Haveman-Nies,
AGE DIFFERENCES IN LONELINESS 11
Alvarado, Van't Veer, & De Groot, 2009; Rotenberg et al., 2010), and experimental studies
that increase social engagement have been shown to reduce loneliness in young adults (Lucas,
Knowles, Gardner, Molden, & Jefferis, 2010).
Social relationships
Young adults are motivated to develop and expand a social network of their own
choosing as they launch lives outside the family of origin and for them a large network was
seen to offer better protection against loneliness than it did in older adults (Green et al., 2001).
Consistent with this finding, age differences were observed among 235 13-67 year-old
refugees from the former German Democratic Republic (now East Germany) who migrated to
West Germany. New friendships increased and loneliness decreased overall, but younger
individuals formed larger networks than older adults over three annual assessments
(Jerusalem, Hahn, & Schwarzer, 1996).
Frequency of social contact has also been observed to correlate more highly with
loneliness in young and middle-aged adults than in older adults (Victor & Yang, 2012). For
older adults, on the other hand, the quality or closeness of network relationships has a larger
negative association with loneliness than it has in younger adults (Green et al., 2001; Victor &
Yang, 2012), a phenomenon that may be attributable to the greater emphasis on quality social
relationships with increasing age predicted by socioemotional selectivity theory (Carstensen,
Isaacowitz, & Charles, 1999). The shift in emphasis from quantity to quality may begin even
earlier than old age. A recent prospective study showed that the quantity (but not quality) of
social interactions at age 20, and the quality (but not quantity) of social interactions at age 30
predicted loneliness 30 years later, at age 50 (Carmichael, Reis, & Duberstein, 2015).
Research suggests that the importance of different types of social contacts for
loneliness changes over the life course. In a study of 325 19-85 year-olds, Segrin (2003)
found that the association between loneliness and contact with family members was largest in
AGE DIFFERENCES IN LONELINESS 12
the younger age group, suggesting that older adults are less dependent on family contact to
maintain a feeling of connectedness. Contact with friends, on the other hand, was equally
potent in protecting against loneliness in young and older participants. In a study of 3,589 24-
75-plus year-olds in the American’s Changing Lives Survey, no age differences were found in
associations between loneliness and numbers of friends, confidants, and children (Schnittker,
2007). Aging is associated with an increase in risk factors that limit social activity, such as
loss of a spouse and mobility limitations. Some research has shown that age is no longer
associated with loneliness when age-related risk factors are held constant (Jylhä, 2004;
Queen, Stawski, Ryan, & Smith, 2014; Tijhuis, De Jong-Gierveld, Feskens, & Kromhout,
1999; Wenger & Davies, 1996). In the American’s Changing Lives Survey, reports of
loneliness actually declined with age despite role losses (Schnittker, 2007). These divergent
findings do not permit hypotheses about age differences in the contributions of social contact
type and frequency to feelings of loneliness.
Research Objectives
In the present paper, we examined age differences in loneliness in a large, cross-
sectional, and nationally representative sample of Germans using an indirect, multi-item
measure of loneliness. To the best of our knowledge, this is the first study to use loneliness
data acquired in a single nationally representative sample across the entire adult age span. As
such, these data allow direct comparisons of loneliness levels across age. In addition, the
potency of various loneliness risk factors can be directly compared across age groups, because
the same set of explanatory variables was used at all ages. Our analyses were guided by three
main research questions. First, how is loneliness distributed across the life span? Second, to
what extent can the observed age differences in loneliness be explained by age differences in
sociodemographic factors, relationship status and living arrangements, functional limitations,
social engagement, and frequency of social contact? Finally, to what extent do these factors
AGE DIFFERENCES IN LONELINESS 13
vary in the strength of their association with loneliness across age? In particular, we expected
that the associations of work status, relationship status, living arrangements, functional
limitations, and number of friends with loneliness differ between different age groups. In
addition, we also explored age differences in the associations between loneliness and those
variables included in this study for which we had no clear hypotheses with respect to their
differential association with loneliness across age.
Methods
Sample
The Socioeconomic Panel (SOEP; Wagner et al., 2007) is a large-scale panel study of
German households first started in 1984. All household members aged 17 and above are
interviewed on an annual basis. Original households were sampled from the total German
population using a multi-stage stratified sampling procedure and are representative of the
German population in terms of sociodemographic characteristics such as gender, age,
sociodemographic status, and geographic region (for details, see Haisken-DeNew & Frick,
2005). All household members are retained in the SOEP even if they leave the original
household (e.g., children moving out). To compensate for sample mortality, refreshment
samples are added to the panel at regular intervals. In addition, specific groups such as
immigrants or high-income households are oversampled to ensure a sufficient sample size for
these groups.
For the present study, we used data collected in 2013, the latest available wave and the
first wave in which loneliness was measured. The total sample size in this wave was N =
19,406. We selected those participants who provided valid data on all variables analyzed in
this study (N = 16,132, 53.0% female, age range from 18 to 103 with Mage = 53.3, Mdage = 54,
and SDage = 17.2). These participants were nested within 10,256 households (corresponding to
an average of 1.6 participants per household). Of these households, 5078 households (49.5 %)
AGE DIFFERENCES IN LONELINESS 14
provided one participant, 4595 households (44.8 %) provided two participants, and the
remaining 583 households (5.7 %) provided three or more participants.
To ensure that our findings are generalizable to the total German population, we
applied cross-sectional sample weights in all analyses. By using sample weights, data from
groups of participants who are underrepresented in the sample relative to their representation
in the population gain more weight in the analyses than data from groups of participants who
are overrepresented in the sample relative to their representation in the population (e.g., high-
income households).
To evaluate the replicability of our findings and to reduce the risk of reporting false
positives, we randomly split the sample into two subsamples (Sample A with n = 7,962 and
Sample B with n = 8,170) and conducted our analyses separately in both subsamples. Due to
the large size of the total sample, both subsamples were still large enough to detect even small
effects with a statistical power of > .95. The two subsamples did not differ significantly on
any of the variables included in our analyses.
For some analyses (see below), the sample was additionally split into three age groups:
< 30 years (young adults, n = 1,903), 30 to 65 years (middle-aged adults, n = 9,881), and > 65
years (old age, n = 4,348). These specific age groups were chosen for several reasons. First,
they reflect major developmental stages. Second, these age groups have been used in and are
therefore more readily compared with results of other studies (e.g., Victor & Yang, 2012).
Third, preliminary analyses suggested that these age groups are distinct with respect to the
distribution of various predictor variables (see supplemental material). For instance, the
proportion of people living with their partner is less than 20% among young adults and above
60% throughout mid-adulthood into old age. After (but not before) age 65, the majority of the
participants did not work and had at least mild functional limitations due to health issues.
Although our sample size would have allowed us to define more narrow age groups, doing so
would have inflated the number of separate tests and increased the risk of Type I errors. Table
AGE DIFFERENCES IN LONELINESS 15
1 provides detailed descriptive statistics for the total sample and separately for the three age
groups.
Measures
Loneliness was measured with a three-item version of the UCLA Loneliness Scale
(Russell, 1996) developed specifically for large surveys (Hughes et al., 2004) and translated
to German for use in the SOEP (Hawkley et al., 2015). Participants indicated how often they
miss the company of other people, feel left out, and feel socially isolated on a 5-point scale
ranging from never (0) to very often (4). These three items were originally selected based on
their high factor loadings on the dominant first factor of the UCLA Loneliness Scale and have
been shown to correlate strongly with the full 20-item version of the UCLA Loneliness Scale
and as strongly as the full version with correlates of loneliness such as depression and
perceived stress (Hughes et al., 2004). In the present sample, the internal consistency was =
.78. The accuracy of the German translation was evaluated through a back-translation of the
German items to English by a native English speaker. The English version of this scale used
in the Health & Retirement Study and the National Social Life, Health, and Aging Project,
and the German version used in SOEP were found, in a series of multigroup factor analyses,
to exhibit measurement invariance and to correlate similarly with correlates of loneliness such
as self-rated health and frequency of social activity (Hawkley et al., 2015). Additional
analyses showed that in the present sample, the three items were measurement-invariant
across the three age groups.
1
1
Specifically, a series of multigroup factor analyses showed that a model assuming strict measurement
invariance (i.e., factor loadings, intercepts, and residual variances are constrained to be equal across groups) did
not fit significantly worse than a model assuming configural measurement invariance (i.e., no constraints placed
on factor loadings, intercepts, and residual variances), as indicated by a reduction of the CFI of less than -0.01
(G. W. Cheung & Rensvold, 2002).
AGE DIFFERENCES IN LONELINESS 16
Predictors were grouped in sets, where the sets were gender, socioeconomic status
(income, education), work status, living arrangements (household size, children living in the
household), relationship status, functional limitations, social engagement (political
engagement, volunteering, religious engagement), number of friends, and contact frequency
(face-to-face contact with friends, face-to-face-contact with relatives, contact with people
abroad, contact through social online networks).
Income and years of education were used as indicators of socioeconomic status.
Income was measured as net household income in Euro and log-transformed to account for its
skewed distribution. Years of education is a generated variable provided in the SOEP
reflecting the total number of years spent in primary (e.g., elementary school), secondary
(e.g., high school), and tertiary education (e.g., college). Both variables were centered on the
mean of the total sample.
Work status was assessed with a range of detailed categories (e.g., employed full-time,
employed part-time, voluntary military service, not employed). We recoded this variable into
a new variable with the following categories: not working at all (reference category), working
full-time, and all other types of occupation (including part-time employment and retirees who
work at least sometimes).
Living arrangements were measured in two ways. Household size was measured by
the number of persons living in the same household. This variable was recoded into a new
variable with the following categories: living alone, 2-person household (reference category),
three-or-more person household. In addition, we included information about whether children
aged 16 or younger lived in the household using a dummy variable with 0 = no children living
in the household (reference category) and 1 = children living in the household.
Several variables assessed marital and relationship status. Marital status refers to
one’s legal marital status (e.g., married and living together, married and living separately,
unmarried, divorced). All participants who were not married (or in a civil union in the case of
AGE DIFFERENCES IN LONELINESS 17
homosexual couples) were additionally asked whether they currently had a relationship and, if
yes, whether they currently lived with their partner. This information was used to create a new
variable indicating people’s relationship status with the following categories: in a relationship
and living with partner (reference category), in a relationship but not living with partner, and
single (i.e., persons who do not have a partner, regardless of their legal marital status).
Current physical functioning was assessed with the following item: “Do you have a
health problem that limits you in normal everyday life?” Response options were no, not at all;
yes, somewhat; and yes, severely. These responses were dummy-coded with no, not at all as
reference category.
Social engagement was measured by three separate variables. Frequency of political
engagement was assessed with the following item: “How often do you participate in political
parties, municipal politics, citizens’ initiatives?” Frequency of volunteering was assessed with
the following item: “How often do you do volunteer work in clubs, associations, or social
services?Frequency of engagement in religious groups was measured with the following
item: “How often do you go to church or attend religious events?” For these three items, the
response options were never (0), seldom (1), at least once per month (2), at least once per
week (3), and daily (4).
The following variables were used as quantitative indicators of social contact: number
of close friends (assessed with an open response format), frequency of face-to-face contact
with neighbors and friends, frequency of face-to-face contact with close family and other
relatives, frequency of contact (including telephone and online) with friends and relatives
living abroad, and frequency of use of online social networks. The response options for the
frequency variables were never (0), seldom (1), at least once per month (2), at least once per
week (3), and daily (4).
Descriptive statistics for all variables are provided in Table 1. For the analyses, all
continuous predictor variables were centered on the mean.
AGE DIFFERENCES IN LONELINESS 18
Data analysis
Age differences in the average loneliness distribution. The age distribution of
loneliness was visualized with a locally weighted scatterplot smoothing (LOESS, acronym
also used for LOcal regrESSion) curve fitted to the bivariate distribution of age and loneliness
(Cleveland, 1979). LOESS curves are non-parametric and can therefore be used to gauge the
complex non-linear shape of a bivariate association without having to impose a specific
statistical model (e.g., linear or quadratic). LOESS curves are estimated by splitting the
observed values of the predictor variable (here: age) into smaller subsets called smoothing
windows and by estimating the regression within each smoothing windows. The resulting
regression lines are then smoothed to form the LOESS curve.
To examine how the age distribution changes by adjusting for predictors of loneliness,
we regressed loneliness on these predictors and computed the residuals. As before, these
residuals were plotted against age and the distribution was visualized with a LOESS line.
Both LOESS lines were plotted with 95% confidence bands. In all analyses, loneliness was
standardized on the mean and standard deviation of the total sample. Differences in loneliness
can therefore be interpreted in terms of standard deviation units (Cohen’s d).
Explaining age differences in loneliness. The unique contribution of each set of
predictors was examined using separate regression models that included (1) all predictors (i.e.,
complete model) and (2) all predictors except the predictors of interest (incomplete model).
The difference in the proportion of explained variance (R²) between these models reflects the
proportion of the total variance explained by each set of predictors (utility), over and above all
other predictors included in the model. These regression models were fitted separately in the
two random subsamples to gauge the robustness of the observed associations.
To visualize the effect of each set of predictors on the age distribution of loneliness,
the residuals for the complete and incomplete models were estimated using the complete
sample, and the distributions of these residuals were plotted using LOESS curves. Here, for
AGE DIFFERENCES IN LONELINESS 19
illustrative purposes, we present figures in which the age distributions of the models differed
visibly from each other. All other figures are provided in the supplemental material.
Age differences in the relevance of predictors. We examined whether the strength of
the associations between these groups of predictors and loneliness differed across age by
testing interaction effects between age and different predictors. For these analyses, we did not
treat age as a continuous variable. A significant interaction between age and some predictor
would indicate that the effect of this predictor increases or decreases linearly with age.
However, it may also be possible that the importance of a predictor is greatest during middle
adulthood, that is, that the interaction is non-linear. To model such nonlinearities and
discontinuities in the effects of predictors of loneliness across age, it would be necessary to
additionally include the interaction effects between the predictors and polynomial terms such
as age², age³, and so on. This approach would not only increase the number of hypotheses
tests, but these kinds of non-linear interactions are also hard to interpret. To limit the total
number of hypothesis tests and to facilitate interpretation, we treated age as a categorical
variable and split the sample into three age groups (see sample description).
The interaction effects were tested separately for each group of predictors, controlling
for all other predictors. Although this approach is warranted because we had specific
hypotheses about most predictors, it nevertheless requires a large number of separate tests and
may therefore increase the probability of Type I error. To reduce the risk of reporting false
positives, we therefore conducted the analyses separately in Sample A and Sample B. Only
interaction effects that were significant in both subsamples were interpreted. Significant
interactions were followed up using Tukey-adjusted post hoc tests. These tests were
conducted on the total sample to maximize statistical power and the representativeness and
generalizability of the results.
Software. All analyses were conducted in R version 3.1.3 (R Development Core
Team, 2015). The LOESS curves and their confidence bands were estimated using the
AGE DIFFERENCES IN LONELINESS 20
function loess available in the basic R packages. Omnibus tests for the interaction effects were
conducted with the function Anova available in the package car (Fox & Weisberg, 2011). Post
hoc tests for significant interactions were conducted with the functions lsmeans (categorical
predictors) and lstrends (continuous predictors) available in the package lsmeans (Lenth &
Hervé, 2015). To account for the hierarchical structure of our data (individuals nested in
households), standard errors were adjusted for clustering using the robcov function available
in the package rms (Harrell, 2015).
Results
Age differences in average loneliness levels
The average level of loneliness in the total sample was 0.99 which corresponds to the
response option “rarely”. However, there were some significant differences across age. Figure
1 displays the observed distribution of loneliness across age for the entire sample (solid line).
From late adolescence until retirement age, the age distribution of observed loneliness levels
is characterized by two peaks (around age 30 and around age 60) and two dips (around age 40
and around age 75). Despite this markedly non-linear age distribution, there is a general
downward trend in loneliness across young and middle adulthood. The overall lowest levels
of loneliness are found around the age of 75 after which the levels rise continuously into old
age. As expected, loneliness levels were highest among the oldest old. However, as indicated
by the broad confidence band, the average loneliness levels were estimated with less precision
in this age group, suggesting that the interindividual variability in loneliness is greatest among
oldest adults.
Explaining age differences in loneliness
Age differences in loneliness arise if the prevalence of important risk factors varies
across age. To explain the observed age differences, we therefore adjusted the loneliness
AGE DIFFERENCES IN LONELINESS 21
scores for a series of covariates that had been associated with loneliness in previous studies.
Table 2 shows the regression coefficients for this model separately for Sample A and Sample
B. Recall that these coefficients reflect the association between the predictor and loneliness
across the entire sample. A significant coefficient does not imply that this predictor
contributes to loneliness in every age group, and similarly a non-significant coefficient does
not imply that this predictor does not matter for any age group. These questions will be
addressed in a separate set of analyses in the next section.
The adjusted age distribution of loneliness is displayed in Figure 1 (dashed line). The
shape of the distribution during early and mid-adulthood was unchanged. As before,
loneliness peaked around age 35 and again around age 60, and these peaks (and intermittent
dips, for that matter) are not explained by known risk factors of loneliness included in the
analysis, such as contact frequency, number of friends, marital status, social engagement, and
functional limitations. However, the included predictors were able to explain the high levels
of loneliness during old age and the comparatively lower levels of loneliness during mid-
adulthood. In comparison to the unadjusted loneliness levels, the adjusted loneliness levels
were higher from about age 35 to 70 and lower after about age 80.
So which predictors in particular account for these age differences? To answer this
question, we examined specific groups of predictors in separate analyses. Table 2 provides the
predictive utility for each set of predictors separately for Sample A and Sample B, that is, the
proportion of variance (R²) explained by this set of predictors over and above all other
predictors included in the model. Together, these predictors explained 11.7 % and 12.1% of
the total variance in loneliness in Sample A and B, respectively. In the presentation of the
results, we begin with those predictors presumed to be the most distal causes of loneliness
(i.e., gender) and end with those presumed to be the most proximal causes of loneliness (i.e.,
social contact frequency). Unless stated explicitly, the effects were consistent across the two
subsamples.
AGE DIFFERENCES IN LONELINESS 22
Gender. Women were significantly lonelier than men (Table 1), even after controlling
for all other covariates (Table 2). The effect on the age distribution is provided in Figure S1.
Socioeconomic status. In general, a higher number of years of education was
associated with decreased levels of loneliness (Table 1), but after controlling for the other
covariates, this association flipped such that a higher number of years was associated with
increased levels of loneliness, all else being equal (Table 2). We revisit this negative
suppression effect below. The effect on the age distribution is provided in Figure S1.
Higher income was generally associated with lower levels of loneliness (Table 1), and
this association held after controlling for the other covariates (Table 2). Average income
levels were significantly lower among the very old than among other age groups (Table 1, see
also Figure S3 for a higher dissolution of age differences), and adjusting for income visibly
changed the distribution of loneliness among the very old (Figure 2A) such that loneliness
levels in this age group would be even lower if they were not adjusted for the fact that their
average income levels are also lower. Hence, relatively low income partly explains the higher
levels of loneliness in old age.
Work status. Overall, loneliness levels were highest among those who do not work at
all and lowest among those with full-time jobs, with those with other occupations in between
these two groups (Table 1). However, the association between work status and loneliness was
reversed after controlling for the other covariates. All else being equal, loneliness levels were
lowest among those not working at all and highest among those with full-time jobs (Table 2).
We revisit this negative suppression below. Adjusting for work status had little effect on the
age distribution; the most remarkable difference between the curves was visible among older
individuals in retirement age (Figure 2B). This effect indicates that work status can account
for some differences in loneliness between young and middle-aged adults on the one hand and
older adults on the other.
AGE DIFFERENCES IN LONELINESS 23
Living arrangements. We examined two indicators of living arrangements: the size
of the household (single vs. two-person household vs. multi-person household) and the
presence of children under 16 years in the household. Overall, people living alone were
lonelier than people living with others, with no significant differences between people living
with one other person and people living with multiple persons (Table 1). Again, however,
controlling for the other covariates revealed a negative suppression effect such that all else
being equal, loneliness levels were highest among those living in multi-persons households
(Table 2).
Although the percentage of people living alone was significantly lower in the young
than the old age group (Table 1), adjusting for household size decreased the average
loneliness levels among young adults (< 30 years) but did not change the loneliness
distribution among middle- and old-aged adults (Figure 2C). Together, these findings suggest
that living alone may be a particularly important risk factor for loneliness among young
adults.
The presence of children in the household is of particular interest in order to explain
age differences in loneliness between middle-aged adults on the one hand and young and old
adults on the other. Young and middle-aged adults were more likely than older adults to live
with children (Table 1). However, controlling for all other covariates, the effect of the
presence of children on loneliness was not robust across the two subsamples (Table 2) and
adjusting for the presence of children in the household did not visibly change the age
distribution (Figure S1).
Relationship status. In this study, we distinguished among singles, individuals with a
partner with whom they do not live, and individuals who live with their partners. The average
loneliness levels were highest among singles and lowest among those living with their
partners, both before (Table 1) and after (Table 2) adjusting for the other covariates.
AGE DIFFERENCES IN LONELINESS 24
The greatest percentage of singles could be found among young adults (< 25 years)
and old adults (> 75 years) (see supplemental material and Table 1). In all other age groups,
the percentage of singles was 20% or less. Adjusting for relationship status changed the age
distribution in precisely these age groups (Figure 2D). For both young adults (< 30 years) and
old adults (> 80 years), the average levels of loneliness were lower when relationship status
was statistically controlled than when it was not included in the model. Hence, the higher
loneliness levels among young and very old adults can partially be attributed to the greater
percentage of singles in these age groups.
Functional limitations. Functional limitations are rare among young adults, but their
prevalence increases almost linearly with age (see Figure S2). At about age 65, functional
limitations become the norm as more than 50% of adults aged 65 or older report having mild
or severe functional limitations (Table 1). These age differences make functional limitations a
good candidate to explain age differences in loneliness.
In general, functional limitations, particularly severe limitations, were associated with
increased loneliness, both before (Table 1) and after (Table 2) controlling for the other
covariates. Adjusting for functional limitations had visible effects on the age distribution
(Figure 2E). Among young adults (until about age 35), adjusting for functional limitations
increased the average levels of loneliness, indicating that low prevalence of physical
limitations protects this age group from loneliness. Among old adults (from about age 80),
adjusting for functional limitations decreased the average levels of loneliness. Hence, higher
prevalence of functional limitations in this age group partly explains the high levels of
loneliness among the oldest old.
Social engagement. Social engagement such as volunteering or being a member of a
religious community or a political organization affords people with additional opportunities to
forge social connections. Indeed, all three forms of social engagement were negatively
correlated with loneliness (Table 1), but after controlling for other covariates including
AGE DIFFERENCES IN LONELINESS 25
number of friends and contact frequency, none of these variables was robustly associated with
loneliness across the two subsamples (Table 2). Moreover, the distribution of adjusted
loneliness scores across age was nearly unaffected by adjusting for social engagement (Figure
S1).
Number of friends. The more friends people have, the less lonely they are, both
before (Table 1) and after (Table 2) controlling for all other covariates. Adjusting for the
number of friends had little impact on the age distribution, with the only visible deviation
appearing after the age of 90 (Figure 2F).
Frequency of social contact. Consistent with the assumption that frequency of social
contact is a proximal predictor of loneliness, frequency of contact was among the groups of
predictors that explained the largest proportion of the variance (2.1% in Sample A and 1.9%
in Sample B; Table 2). Interestingly, not all forms of social contact protect against loneliness.
Whereas frequent face-to-face contact with both friends and relatives was associated with
lower levels of loneliness, frequent contact online was associated with higher levels of
loneliness, controlling for all other covariates (Table 2). Contact with friends and relatives
abroad was not consistently associated with loneliness in the two subsamples. Adjusting for
these variables did not visibly change the age distribution (Figure S1).
Exploring the suppressor effects
For education, work status, and household size, we detected suppressor effects such
that the direction of the association of these variables with loneliness reversed after
controlling for the other covariates. For instance, more educated people were in general less
lonely (negative bivariate association; Table 1), but after controlling for all other variables,
more educated people were lonelier than less educated people (positive regression coefficient;
Table 2). These suppressor effects merit further exploration. Using the complete sample, we
inspected the regression coefficients in models in which one (set of) covariate(s) was
AGE DIFFERENCES IN LONELINESS 26
sequentially excluded, and found that the coefficients of all variables listed above changed
most dramatically if income was excluded (see Table S1 in the supplemental material). In this
model, education was marginally (p = .062) negatively associated with loneliness, and both
work status and household size were not significantly associated with loneliness. These
findings show that the supposedly protective effects of education, work status, and household
size are confounded with income. Once income is held constant, these factors are no longer
associated with loneliness, and once other variables are accounted for as well, their
associations with loneliness flip such that all else being equal, people with more years of
education, working full time, and living with others tend to have higher levels of loneliness
than people with fewer years of education, not working, and living alone, respectively.
Age differences in the relevance of loneliness predictors
Age differences in loneliness may arise not only from age differences in the
prevalence of risk factors, which were examined above, but also from age difference in the
relevance of loneliness predictors. In the final part of the analyses, we therefore tested
whether the association between the different loneliness predictors and loneliness is
moderated by age, adjusted for all other predictors. Table 3 presents the results for the
interaction effects in both random subsamples. Only interactions that were significant in both
subsamples will be interpreted. This applies to the interactions between age group and
income, work status, relationship status, and household size, respectively. These interactions
were further probed using post hoc comparison procedures with Tukey adjustment. Note that
our a priori age groups do not correspond perfectly to the age cut-points at which visible
differences were observed between the unadjusted and adjusted loneliness distributions. As a
robustness check, we tested whether the effects of our predictors on loneliness differed among
these age groups: < 35 years, 35-80 years, and > 80 years. These effects are reported in
AGE DIFFERENCES IN LONELINESS 27
supplementary material (Table S2) and demonstrate that not all age groups are equally
appropriate for all predictors. We return to this issue in the discussion.
Higher income was significantly associated with lower levels of loneliness among all
groups, but this association was significantly stronger among middle-aged adults ( = -0.33,
SE = 0.02) than among young adults ( = -0.17, SE = 0.04) and old adults ( = -0.18, SE =
0.03), p < .001 for both comparisons. The simple regression coefficients of young and old
adults did not differ significantly (p = .988). Despite the relatively greater relevance of
income for loneliness among middle-aged adults, adjusting for income had no effects on the
loneliness distribution in this age group (Figure 2A), indicating that changes in the age
distribution after adjusting for income are mainly due to age differences in the prevalence of
this variable. Specifically, even though income is more important in mid-adulthood, it does
not affect the loneliness distribution as much as in other age groups because of the relatively
high average income levels in this age group.
Work status did not account for any mean-level differences in loneliness among old
adults (Figure 3), which may be partially due to the low proportion of working individuals in
this age group. Work status did account for differences in loneliness in the other two age
groups, but the patterns looked different. Among young adults, loneliness levels were elevated
for both people without jobs and people working full-time, relative to people with other
occupations. Among middle-aged adults, in contrast, loneliness levels were highest among
those without jobs and lowest among those working full-time. These patterns support our
hypothesis that work has different meanings and different social consequences in different age
groups.
Recall that the effect of household size reversed after controlling for other covariates
such that the lowest levels of loneliness were found among those living alone. The post hoc
analyses showed that this effect is mainly driven by the young and old age groups. In both of
these age groups, people living alone were significantly less lonely than people living in two-
AGE DIFFERENCES IN LONELINESS 28
person households and, among young adults, people living in households with three or more
persons (Figure 4). Household size did not account for mean-level differences in loneliness
among middle-aged adults.
Finally, the association between relationship status and loneliness varied significantly
between the three age groups (Figure 5). In the youngest age group, the average loneliness
levels did not differ significantly as a function of relationship status. In the oldest age group,
loneliness levels were lower for people who had a partner than for singles; however, due to
the low number of people not living with their partner in this age group (Table 1), the
standard error for this specific mean was enlarged such that only the difference between
people living with their partner and singles was significant. Relationship status mattered most
for middle-aged adults. In this group, singles were significantly lonelier than people with
partners. People not living with their partners tended to be lonelier than people living with
their partner, but this difference was only marginally significant (p = .057). Even though
being single was a more important risk factor for loneliness during mid-adulthood that during
young or old adulthood, adjusting for relationship status had no effect on the loneliness
distribution among middle-aged adults (Figure 2D) because singles are relatively rare in this
age group (Table 1).
Discussion
Popular illustrations of loneliness often depict older adults spending their days in
solitude. Consistent with this image, loneliness levels in our data were highest among the
oldest old (> 80 years). However, the oldest old are not the only group at risk. Compared to
middle adulthood and early old age (< 75 years), loneliness levels were also elevated in young
adulthood. Across adulthood, the age distribution of loneliness followed a complex non-linear
trajectory which was characterized by two peaks (around 30 years and around 60 years) and
two dips (around 40 years and around 75 years).
AGE DIFFERENCES IN LONELINESS 29
To explain these age differences, we considered a range of variables that have been
associated with loneliness in prior research, ranging from distal variables such as
sociodemographic characteristics to proximal variables such as number of friends and
frequency of social contact. These results were generally consistent with prior research
showing that when age-related risk factors are held constant, old age per se is no longer
associated with loneliness (Queen et al., 2014; Tijhuis et al., 1999; Wenger & Davies, 1996).
In particular, the absence of a significant attachment figure (spouse, partner) and the presence
of functional limitations, both prevalent circumstances in older age, explained a substantial
proportion of variance in loneliness in elders over age 80 such that loneliness levels appeared
to be as low as or lower than levels at about age 35 (the first peak in the age distribution) after
adjusting for these variables. Thus, old age in itself is not a risk factor for loneliness.
However, even after adjusting for many of the known loneliness factors, the loneliness
distribution was far from flat, indicating that substantive age differences in loneliness remain
unaccounted for, particularly among young and middle-aged adults. This result may be due to
the fact that most previous studies on predictors of loneliness have focused on older adults.
We now have a reasonably good understanding of which factors facilitate or protect against
loneliness in old age, but these factors do not generalize to all age groups. More research
should be devoted to identifying the age-specific risk factors of loneliness in young and
middle-aged adults.
Age-specific predictors of loneliness
Our findings give some insight into which factors may be particularly relevant for
young and middle-aged adults. Income is often thought of as a distal predictor of loneliness
which affects loneliness indirectly because of its association with work status, or through its
effects on the quantity and quality of social relationships (e.g., Hawkley et al., 2008).
However, in our data, income was significantly associated with loneliness in all age groups
AGE DIFFERENCES IN LONELINESS 30
even after controlling for covariates such as work status, social engagement, number of
friends, and contact frequency. This finding suggests that income may affect loneliness
indirectly through other variables that have not yet been considered in past research (e.g.,
spending behaviors) and that income may even have direct effects on loneliness that are not
mediated by any other variables. Our data also suggest that these effects may be age-graded
because the association between income and loneliness was strongest among middle-aged
adults. Mid-adulthood is also the period in life when making, investing, and saving money are
more important life goals than during early or late adulthood. This finding is therefore
consistent with the age-normative perspective according to which people are less lonely if
they meet their age-normative expectations (here: financial expectations) (see F. Cheung &
Lucas, 2015, for a similar finding on the effect of income on life satisfaction). Alternatively, it
may also be the case that both young and old adults are better at fostering their social
relationships in ways that do not depend on money (e.g., meeting friends privately at
somebody’s home vs. going out for dinner). In sum, the findings on income suggest that
income protects against loneliness through multiple, possibly age-graded pathways that need
to be further examined in future research.
Another important predictor of loneliness among young and middle-aged adults was
work status. As discussed above, working may have protective as well as detrimental
consequences. Consistent with the view that working has protective functions (e.g., Paul &
Batinic, 2010), people who did not work at all were on average lonelier than people who had
some occupation among both young and middle-aged adults, controlling for income and other
covariates. However, the strength of the potential detrimental effects of working full-time
seem to differ between these two age groups. Middle-aged adults who worked full-time were
significantly less lonely than middle-aged adults who did not work at all. In contrast, young
adults who worked full-time did not differ significantly from young adults who did not work
at all with respect to their average loneliness levels, and both groups were significantly
AGE DIFFERENCES IN LONELINESS 31
lonelier than those with other occupations (e.g., college students working part-time). As
diverse as these findings may seem, they are actually consistent with the age-normative
perspective. Among middle-aged adults, working full-time is the norm (with more than 50%
working full-time, see Table 1), and building a career is a central developmental goal in this
life stage (Heckhausen et al., 2010). Indeed, those who work full-time are the least lonely in
this age group. Among young adults, in contrast, the majority do not (yet) work full-time
(Table 1). For young adults who work full-time, the detrimental effects of full-time jobs may
be stronger than for their older counterparts. For instance, they may struggle to build large and
strong social networks because they have less flexibility in their daily lives than their peers
who work part-time jobs and/or go to college.
Household size emerged as a loneliness factor specific to young and old adulthood, but
in an unexpected direction. Overall, living alone was associated with higher levels of
loneliness, but after controlling for all other covariates (particularly income), young and old
adults living alone were significantly less lonely than young and old adults living with others,
respectively. These findings suggest that it is not living alone per se, but rather the
unfavorable combination of other risk factors such as low income and being single that
explains the higher levels of loneliness among people living alone. In fact, the finding that
young and old people living alone are less lonely than others after controlling for all
covariates suggests that living alone may even have beneficial effects on the quality of one’s
social relationships. Future research should examine more closely for whom and under which
circumstances living alone is detrimental or beneficial for loneliness and other psychological
outcomes.
Finally, another factor that varied between different age groups was relationship
status. Previous research suggested that the importance of relationship status for loneliness
may increase with increasing age (e.g., Green et al., 2001; Victor & Yang, 2012). Our results
were partly consistent with this hypothesis. Relationship status accounted for significant
AGE DIFFERENCES IN LONELINESS 32
differences in loneliness among middle-aged and older adults, but not among younger adults.
However, contrary to our hypothesis, these differences were most pronounced among middle-
aged adults and not, as expected, among older adults. Again, however, these findings fit well
into the age-normative perspective because living with a partner is most common among
middle-aged adults (see Table 1), and finding a partner and starting a family are among the
central developmental goals in this age group (Heckhausen et al., 2010). Both young and old
age groups are characterized by a relatively high proportion of singles, which contributes to
the elevated loneliness levels in these age groups. So why does relationship status account for
fewer individual differences in loneliness among the very young than among the very old?
One reason may be that having a partner is even less normative among young adults than
among old adults. Another reason may be that younger people can compensate for the absence
of a romantic partner through a larger social network in both private and professional life,
whereas older people may have less opportunities for such compensatory social relationships.
Finally, many older adults without a partner are in that circumstance because they have lost a
partner with whom they have shared most of their life. Widowhood in older age may be more
consequential for feelings of loneliness than the lack of a partner in young adults who foresee
a longer future in which to find a life partner.
Universal predictors of loneliness
The findings discussed so far were consistent with the age-normative perspective. In
contrast, functional limitations, social engagement, number of friends, and the frequency of
various forms of social contact appear to be universal predictors of loneliness that do not
differ in their impact among different age groups. Adjusting for functional limitations
explained a significant part of the late-life increase in loneliness, but this effect was due to a
higher prevalence of functional limitations among the oldest old, not to a relatively stronger
AGE DIFFERENCES IN LONELINESS 33
effect of functional limitations on loneliness in this age group. Similarly, the impact of the
quantity of social relationships on loneliness does not differ across age.
Interestingly, all of these variables are rather proximal predictors of loneliness,
meaning that they are assumed to have direct rather than indirect effects on loneliness
(Hawkley et al., 2008). The fact that the proximal predictors assessed in this study have
equivalent effects across age groups suggests that these factors social engagement, number
of friends, and frequency of social contact may represent what is universal about the human
need for social connectedness and belonging. As the definition of loneliness (Peplau &
Perlman, 1982) implies, sufficient (and satisfying) relationships, however they are defined by
the individual, are the final common pathway linking external circumstances with the
internal (intrapersonal) processes that give rise to feelings of connectedness. What remains to
be examined in future research are whether comparable effects of social contact frequency
and quality are explained by comparable intrapersonal processes across age. For instance,
disengagement theory (Cumming & Henry, 1961) and socioemotional selectivity theory
(Carstensen et al., 1999) suggest that older adults limit their social contacts to their closest and
most important relationships and thus may be just as satisfied, and feel just as connected, as
younger adults who might require a greater number of relationships to achieve the same
degree of satisfaction. Alternatively, older adults might shift their standards and be satisfied
with fewer relationships and contacts as an adaptive response to the belief that social
deprivation is inevitable with aging, and that they might as well make the best of it. In sum,
similar circumstances may lead to loneliness through different pathways, and these
intrapersonal processes may differ systematically across age.
Another variable that affected all age groups similarly was education. Overall, more
years of education were associated with lower levels of loneliness. However, education is
confounded with income, and once income (and other covariates) was accounted for, more
years of education were associated with higher levels of loneliness. Recall that loneliness is
AGE DIFFERENCES IN LONELINESS 34
defined as a perceived discrepancy between desired and actual social relationships. Education
may therefore affect loneliness through two different pathways that should be examined in
future studies: Higher-educated individuals may be lonelier than lower-educated individuals
with the same income because they have higher standards for evaluating their social
relationships or because they actually have fewer high-quality relationships.
Limitations
In the interpretation of our data, it is important to keep in mind that the age
distribution is estimated from cross-sectional data which means that age and cohort effects are
confounded. That is, we do not know whether the observed differences in loneliness are due
to actual age effects or to generational differences in loneliness. Age and cohort effects can
only be disentangled in cohort-sequential longitudinal designs. Fortunately, the loneliness
measure will be administered in the SOEP repeatedly in the future, and the SOEP is regularly
updated with refreshment samples, so such a study will be available in a few years.
A related concern is that cross-sectional data do not permit detecting evidence for
selective mortality. Chronic loneliness is associated with an increased mortality risk (Holt-
Lunstad, Smith, Baker, Harris, & Stephenson, 2015). Individuals with a greater disposition to
experience loneliness may be underrepresented among the older age groups because they have
already died. It is therefore possible that we underestimated the true loneliness levels among
the very old.
Another limitation of our study, and large-scale panel studies in general, is that
important predictors are not included. For instance, relationship quality (e.g., marital quality)
is one of the most proximal predictors of loneliness (Hawkley et al., 2008), but no measures
of relationship quality were available in the SOEP. In addition, it may be a promising route
for future research to explain age differences in loneliness by directly assessing both the
AGE DIFFERENCES IN LONELINESS 35
actual level of social relationships and the norms and expectations for these social
relationships.
One aim of this study was to investigate age differences in the predictors of loneliness.
For statistical and practical reasons, we compared the associations of various predictors with
loneliness among different age groups which were defined a priori. It is important to be aware
that our conclusions about the age-specificity versus universality of predictors of loneliness
only apply to these broad age groups. In future research, age differences in predictors of
loneliness should be examined in more detail by using more narrow age groups or by treating
age as a continuous variable. Because these approaches require a large number of statistical
tests, we advise that such a study focuses on a few selected predictors rather than considering
all known risk factors of loneliness simultaneously as we have done here.
In addition, we caution that our findings should not be generalized beyond the age
range examined here. In particular, our sample did not include children and adolescents.
Nevertheless, our data give an accurate and representative picture of the distribution of
loneliness among adults in Germany in the year 2013, and this distribution can be used as a
baseline with which the loneliness distributions found in future waves of data collection can
be compared. Related to this point, our findings do not necessarily generalize to other
countries. Indeed, as shown by Yang and Victor (2011), the age distribution of loneliness
varies significantly among European countries. It may also be the case that these age
differences in loneliness are explained by different predictors in different countries. A recent
study found that the lack of social interactions with family members is a stronger predictor of
loneliness in collectivist countries whereas a lack of social interactions with friends is a
stronger predictor of loneliness in individualistic countries (Lykes & Kemmelmeier, 2014).
Luckily for this field of research, loneliness measures are increasingly incorporated in large-
scale panel studies, so replications of our findings in other countries will soon be possible.
AGE DIFFERENCES IN LONELINESS 36
Conclusion
Loneliness is unevenly distributed across the age range. Previous research helped us
identify the factors that contribute to loneliness among older adults: Older adults are lonelier
than young and middle-aged adults because of their relatively lower incomes, higher
prevalence of functional limitations, and higher proportion of singles (Cohen-Mansfield et al.,
2015). Indeed, the overall longitudinal trend that can be cautiously inferred from our cross-
sectional data is that loneliness increases with age. This trend is consistent with lay
conceptions of loneliness, but loneliness is more than simply the result of age-related losses.
An age-normative perspective allows for loneliness to be experienced at all stages of the life
course, albeit for different reasons at different ages. Such a perspective has been used to good
effect to describe developmental changes in the sources of loneliness in children and
adolescence (Parkhurst & Hopmeyer, 1999), and could be extended to include the adult life
span. To date, most loneliness studies have focused on explanations for loneliness in children,
adolescents, and older adults (for overviews, see Asher & Paquette, 2003; Cohen-Mansfield et
al., 2015; Heinrich & Gullone, 2006; Qualter et al., 2015). In the future, we should turn our
attention to the sources of loneliness among middle-aged adults. In addition, greater research
attention needs to be paid to the intrapersonal processes through which external circumstances
lead to feelings of loneliness, and how these processes differ across the lifespan. In sum, our
data indicate that a more comprehensive lifespan approach is necessary to understand the
form and sources of loneliness at every age.
AGE DIFFERENCES IN LONELINESS 37
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AGE DIFFERENCES IN LONELINESS 45
Tables
Table 1. Descriptive statistics for all variables for the total sample and by age group and their bivariate associations with loneliness.
Variable
< 30 years
30-65 years
> 65 years
Association with loneliness
% or M
SD
% or M
SD
% or M
SD
% or M
SD
r
M
SD
Loneliness
0.99
0.75
1.05
0.72
1.01
0.74
0.94
0.76
Age
53.29
17.16
24.73
3.44
49.42
9.52
74.57
6.12
-.04***
Gender
female
53.0%
51.9%
53.9%
51.5%
1.03a
0.77
male
47.0%
48.1%
46.1%
48.5%
0.95b
0.71
Log-Income
7.84
0.59
7.78
0.66
7.94
0.59
7.65
0.52
-.20***
Years of education
12.40
2.72
12.32
2.39
12.65
2.73
11.87
2.75
-.08***
Work status
not working
42.1%
29.4%
21.7%
94.2%
1.05a
0.81
working full-time
37.2%
38.3%
53.0%
1.1%
0.94b
0.68
other work status
20.6%
32.3%
25.4%
4.8%
0.99c
0.72
Living arrangements
Household size
1 person
18.6%
19.2%
14.4%
27.7%
1.17a
0.84
2 persons
45.6%
28.4%
39.1%
67.9%
0.94b
0.72
3 or more persons
35.9%
52.4%
46.5%
4.4%
0.96b
0.71
Children in household
Yes
22.5%
23.6%
32.0%
0.5%
0.98a
0.72
AGE DIFFERENCES IN LONELINESS 46
No
77.5%
76.4%
68.0%
99.5%
1.00a
0.75
Relationship status
Single
21.9%
38.4%
16.3%
27.2%
1.20a
0.86
Not living with partner
7.8%
27.2%
6.4%
2.6%
1.01b
0.75
Living with partner
70.3%
34.4%
77.3%
70.2%
0.93c
0.69
Functional limitations
not at all
63.7%
88.3%
68.6%
42.0%
0.90a
0.68
somewhat
25.5%
10.0%
22.9%
38.3%
1.06b
0.76
severely
10.7%
1.7%
8.5%
19.8%
1.37c
0.95
Social engagement
Volunteering in clubs etc.
0.64
1.09
0.58
1.02
0.66
1.10
0.62
1.10
-.06***
Religious engagement
0.70
0.95
0.50
0.81
0.66
0.90
0.88
1.06
-.06***
Political engagement
0.17
0.52
0.13
0.44
0.17
0.53
0.18
0.52
-.02**
No of friends
4.27
3.69
4.92
3.53
4.13
3.50
4.30
4.15
-.13***
Contact frequency
Face-to-face contact with friends
2.11
0.92
2.61
0.84
2.10
0.87
1.92
0.99
-.13***
Face-to-face contact with relatives
2.25
0.96
2.28
0.93
2.25
0.95
2.25
1.01
-.10***
Contact with friends/relatives abroad
1.10
1.31
1.36
1.46
1.13
1.31
0.91
1.21
.003
Use of social online networks
1.35
1.71
3.12
1.45
1.40
1.68
0.46
1.13
.05***
N
16,132
1,903
9,881
4,348
Notes. Loneliness was measured on a scale from 0 to 4. The bivariate associations with loneliness are provided in terms of bivariate correlations for continuous variables and in
terms of group means for categorical variables. For categorical variables, loneliness group means that share a letter do not differ significantly from each other, as determined with
Tukey post hoc tests. *** p < .001, ** p <. 01, * p < .05.
AGE DIFFERENCES IN LONELINESS 47
Table 2. Regression coefficients and utility for sets of predictors.
Regression coefficients Sample A
Regression coefficients Sample B
Utility Sample A
Utility Sample B
Variable
B
SE
B
SE
R²
R²
(Intercept)
-0.32***
0.030
-0.32***
0.032
Female
0.072***
0.022
0.088***
0.023
.0011**
.0016***
Socioeconomic status
Log-Income
-0.32***
0.029
-0.28***
0.028
.0185***
.0129***
Years of education
0.015**
0.005
0.010*
0.005
.0012***
.0005*
Work status
.0020***
.0006
Working full-time
0.116***
0.028
0.067*
0.029
Other work status
0.075*
0.032
0.034
0.034
Living arrangements
.0043***
.0048**
Household size
1 person
-0.110*
0.054
-0.074
0.052
3 or more persons
0.097**
0.040
0.084*
0.039
Living with children
0.054
0.044
0.101*
0.041
Relationship status
.0027***
.0088***
Not living with a partner
0.10*
0.051
0.10
0.055
Single
0.20***
0.051
0.33***
0.046
AGE DIFFERENCES IN LONELINESS 48
Regression coefficients Sample A
Regression coefficients Sample B
Utility Sample A
Utility Sample B
Variable
B
SE
B
SE
R²
R²
Functional limitations
.0299***
.0233***
somewhat
0.22***
0.026
0.21***
0.028
severe
0.58***
0.044
0.52***
0.044
Social engagement
.0006
.0016**
Volunteering
-0.008
0.010
-0.021
0.011
Political engagement
-0.032
0.023
0.012
0.023
Religious engagement
-0.014
0.012
-0.033*
0.013
No. of friends
-0.028***
0.003
-0.021***
0.003
.0101***
.0047***
Contact frequency
.0214***
.0198***
Face-to-face contact with friends
-0.111***
0.014
-0.118***
0.015
Face-to-face contact with relatives
-0.051***
0.012
-0.069***
0.013
Contact with friends and relatives abroad
0.038***
0.009
0.016
0.009
Use of social online networks
0.051***
0.007
0.039***
0.007
Notes. All continuous predictors were centered on the mean of the total sample. Standard errors are adjusted for clustering. Categorical predictors were dummy-coded with the
following reference groups: gender: male; work status: not working; household size: 2 persons; relationship status: living with partner; functional limitations: not at all. The utility
R² corresponds to the difference in R² between the full model reported here and a reduced model that did not include the predictors for which the utility was computed. *** p <
.001, ** p <. 01, * p < .05.
AGE DIFFERENCES IN LONELINESS 49
Table 3. Tests of interactions between age and different predictors in two random subsamples.
Sample A
Sample B
Variable
F
df1
df2
p
Significance
F
df1
df2
p
Significance
Gender
0.63
2
7937
.534
6.96
2
8145
.001
***
Income
10.24
2
7937
< .001
***
4.47
2
8145
.012
*
Education
1.88
2
7937
.152
0.40
2
8145
.671
Work status
3.91
4
7935
.004
**
7.06
4
8143
< .001
***
Relationship status
6.21
4
7935
< .001
***
7.03
4
8143
< .001
***
Household size
2.91
4
7935
.020
*
4.77
4
8143
.001
***
Children in household
2.79
2
7937
.061
0.27
2
8145
.764
Functional limitations
1.68
4
7935
.151
0.23
4
8143
.921
Volunteering
0.15
2
7933
.860
2.56
2
8141
.077
Political engagement
4.26
2
7933
.014
*
1.36
2
8141
.256
Religious engagement
4.37
2
7933
.013
*
0.25
2
8141
.781
No. of friends
1.28
2
7937
.278
0.72
2
8145
.488
Contact with friends
4.07
2
7931
.017
*
0.50
2
8139
.609
Contact with relatives
0.89
2
7931
.410
7.43
2
8139
.001
***
Contact abroad
0.67
2
7931
.510
1.55
2
8139
.212
Contact online
3.12
2
7931
.044
*
1.40
2
8139
.248
Notes. *** p < .001, ** p <. 01, * p < .05.
AGE DIFFERENCES IN LONELINESS 50
Figures
Figure 1. Distribution of observed and adjusted loneliness from adolescence to old age. The
confidence bands reflect the 95% confidence interval of the LOESS line.
AGE DIFFERENCES IN LONELINESS 51
Figure 2. Age distribution of adjusted loneliness scores adjusting for all covariates (dashed
lines) and adjusting for all but a (set of) specific covariate(s) (solid lines). The confidence
bands reflect 95% confidence intervals of the LOESS lines.
AGE DIFFERENCES IN LONELINESS 52
Figure 2, cont’d. Age distribution of adjusted loneliness scores adjusting for all covariates
(dashed lines) and adjusting for all but a (set of) specific covariate(s) (solid lines). The
confidence bands reflect 95% confidence intervals of the LOESS lines.
AGE DIFFERENCES IN LONELINESS 53
Figure 3. Average loneliness levels by age group and work status, adjusted for all other
covariates listed in Table 2. The error bars reflect 95% confidence intervals.
< 30 years 30-65 years > 65 years
Not working at all
Other occupations
Working full-time
Loneliness (standardized)
-0.2 0.0 0.2 0.4 0.6 0.8
*
* *
AGE DIFFERENCES IN LONELINESS 54
Figure 4. Average loneliness levels by age group and household (HH) size, adjusted for all
other covariates listed in Table 2. The error bars reflect 95% confidence intervals.
< 30 years 30-65 years > 65 years
Single
2-person HH
3 or more-person HH
Loneliness (standardized)
-0.2 0.0 0.2 0.4 0.6 0.8
**
*
AGE DIFFERENCES IN LONELINESS 55
Figure 5. Average loneliness levels by age group and relationship status, adjusted for all other
covariates listed in Table 2. The error bars reflect 95% confidence intervals.
< 30 years 30-65 years > 65 years
Living with partner
Not living with partner
Single
Loneliness (standardized)
-0.2 0.0 0.2 0.4 0.6 0.8
**
*
... For example, Hawkley et al. [16] identi ed a non-linear pattern in a representative U.S. sample of 2,477 individuals aged 18 to 89 years, with heightened loneliness levels in the oldest old (over 70 years), middle aged (50-60 years), and young adults ( under 30 years). Similarly, Luhmann and Hawkley [17], using a representative German sample (n = 16,132), found a complex non-linear trajectory with two peaks (around ages 30 and 60) and two dips (around ages 40 and 75). Furthermore, a meta-analysis, which included 75 longitudinal studies from Europe, North American, and Asia with a total of 83, 679 participants, suggested an inverted U-shaped relationships between age and loneliness [18]. ...
... The age distribution of loneliness was visualized using a locally weighted scatterplot smoothing (LOESS) curve tted to the bivariate distribution of age and loneliness [17]. We generated LOESS lines using both the observed scores of loneliness and the residual scores of loneliness adjusted for predictors. ...
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Background This study translated the 5-item ALONE scale into Chinese and psychometrically validated the translated scale among Chinese adults, and determined the association between age and loneliness. Methods An online cross-sectional survey was conducted using the Wenjuanxing platform in mainland China in 2022. A total of 2,019 Chinese adults (≥ 18 years) participated in this study. Results The translated ALONE scale demonstranted an acceptable internal consistency (Cronbach’s α = 0.600) and a moderate association with the ULS-8 ( r =0.606). Scores of the translated scale showed a stronger association with self-rated health than with other related variables. Receiver Operating Characteristic (ROC) curve analysis identified scores of 10 or greater as optimal for loneliness screening (sensitivity=0.88, specificity=0.74, and Area Under the Curve=0.899). Results from a locally weighted scatterplot smoothing (LOESS) curve found a non-linear age distribution of loneliness, marked by two minor peaks after adjustment (at ages 25 and age 50 for the total sample). The loneliness levels were lowest among older adults (≥ 60 years). Females reached peak loneliness approximately 10 years later than males. Logistic regression identified an inverse association between age and loneliess levels. Conclusions This study confirms the reliability and validity of the Chinese ALONE Scale for loneliness screening. Additionally, our findings offer valuable insights into vulnerability to loneliness across the lifespan within the Chinese context, supporting the development of age-specific interventions to address loneliness effectively.
... For example, in New Zealand, young rural labourers make up a large proportion of rural suicides (Beautrais, 2018). One cause is loneliness (Hawkley and Cacioppo, 2010;Perlman and Peplau, 1981), which may peak in early adulthood (Luhmann and Hawkley, 2016) and be associated with a lack of close relationships and meaningful interactions (Green et al., 2021). Being socially connected to others may act as a buffer against the many causes of stress experienced by young farmers, such as that caused by the varying pressures exerted at that critical juncture of their lives (e.g. starting a family or taking over/starting a business) or from multigenerational working arrangements. ...
... Across several studies using traditional statistical methods, couple satisfaction was a powerful factor protecting individuals from reporting loneliness (Luhmann & Hawkley, 2016). We support that finding using more sophisticated ML. ...
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Loneliness—an important indicator of social health—is increasingly recognized to derive from factors operating at multiple levels. However, simultaneously examining the role of factors at multiple levels implies using large samples and testing multiple factors at the same time, which traditional statistical methods cannot accommodate. We used machine learning techniques to address this problem. We identify the most important out of 32 correlates of loneliness frequency in a large sample of people ages 16+ years, residing all over the world, who took part in the British Broadcasting Corporation Loneliness Experiment. Factors spanned individual, relational, sociocultural, and demographical areas. The most statistically important associate of loneliness was daily experiences with prejudice (or stigma), followed by couple satisfaction, neuroticism (emotional stability), personal self-esteem, average hours spent alone daily, extraversion, social capital, and relational mobility. Interaction effects were also evident, showing that experiences with prejudice were most negatively associated with loneliness when individuals spent a lot of time alone and the least when individuals were emotionally stable, had high personal self-esteem, or had high levels of couple satisfaction. This research highlights what factors need to be considered when developing effective interventions to mitigate loneliness.
... One explanation is that reappraisal use may increase with age throughout young and middle adulthood (John & Eng, 2014), the life periods that are represented in most of the samples included in the present analyses. Considering that loneliness decreases throughout this period of life (Luhmann & Hawkley, 2016;Victor & Yang, 2012), this raises the question of whether this is connected to the synchronous increase in putatively adaptive forms of ER (e.g., reappraisal). ...
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Chronic loneliness has been associated with increased risk for multiple mental disorders. Multiple lines of evidence suggest that problems with emotion regulation (ER) may underlie the course and costs of loneliness, but evidence on the associations between loneliness and ER has not been systematically analyzed until now. The present meta-analysis examined the relations between loneliness and multiple dimensions of ER including the habitual use of common strategies (i.e., rumination, cognitive reappraisal, expressive suppression, distraction), ER difficulties, and ER abilities. A systematic search across four databases returned 4,454 articles, out of which 61 articles (total N = 40,641) were eligible for inclusion. The analyses indicated that there were consistent positive relations between loneliness and rumination (r = 0.38), suppression (r = 0.31), and ER difficulties (r = 0.49). Loneliness was also negatively associated with reappraisal (r = −0.23), distraction (r = −0.21), and ER abilities (r = −0.28). The latter two effects were significantly larger in studies on adults compared to adolescents, as indicated by subgroup analyses, and corroborated by metaregressions. Furthermore, the percentage of women in the sample was a negative predictor of the association between loneliness and ER difficulties, and the country cultural individualism was a positive predictor of the association between loneliness and suppression. There was evidence of publication bias in all analyses, but the effect sizes remained significant after imputing for missing studies. Overall, the present results support consistent associations between loneliness and ER and highlight potential targets for future interventions.
... Role loss when children leave the nest may result in a substantial reduction in parents' social interactions with their children, leading to feelings of loneliness and decreased well-being 28,93 . This reduction in daily social contact can exacerbate the emotional void left by the departure of children, making it more difficult for parents to adjust to their new reality 94 . ...
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The coming decades will see a substantial increase in the population of older adults, accompanied by significant demographic and family structure changes worldwide. As a result, the empty nest period—the postparental phase in parents’ lives when their children have left home and they are no longer engaged in childrearing—is becoming an increasingly common experience in Western and Asian cultures. The current theoretical review examines the psychological consequences of the empty nest period on loneliness and well-being across cultures, emphasizing the impact of cultural factors on these experiences. By synthesizing research from Western and Asian contexts, we explore two primary theoretical mechanisms—role loss and role strain relief—that shape the postparental phase’s psychological outcomes. Our review reveals that while some parents experience reduced well-being due to role loss, others benefit from role strain relief and increased social engagement. We highlight how cultural differences in familial roles, gender roles, social expectations regarding nest-leaving, and social participation patterns moderate these mechanisms. We propose a comprehensive cultural framework, along with a discussion of culturally sensitive interventions to enhance the well-being of empty nesters globally.
Article
Purpose The present study aimed to examine the mediation role of loneliness in the relationship between perceived social support and depressive symptoms among university students in Portugal. The study also investigated the moderation role of age on the mediation model. Design/methodology/approach Survey data sample consisted of 755 participants (aged 18–55 years) attending university in Lisbon, Portugal, from February through May 2023. Participants completed the UCLA Loneliness Scale, Multidimensional Scale of Perceived Social Support (MSPSS), Depression, Anxiety, Stress Scale. The SPSS Program with PROCESS macro (Model 4 and Model 8) was used to test the hypotheses regarding the mediation and the moderated mediation effects. Findings The bootstrap result for indirect effect loneliness (β = −0.083, p < 0.0001) was significant, indicating that loneliness mediated the relationship between perceived social support and depressive symptoms. Moreover, the interaction term (perceived social support x age) had a significant positive effect on the direct negative association between perceived social support and depressive symptoms (B = 0.0312; p < 0.05), showing that age moderated the direct relationship between the aforementioned variables. Importantly, the results showed that age moderated the indirect association (via loneliness) between perceived social support and depressive symptoms. Originality/value This research advances our understanding of loneliness among university students of different age ranges while providing empirical data on the effect of loneliness in the relation of social support and depressive symptoms. Moreover, the study delves on possible strategies to combat the expression of loneliness and further depressive symptoms.
Book
This book offers a comprehensive examination of trust and its relationship with mental illness and wellbeing. Engaging with a broad range of mental health research, theory, and practice through various transdisciplinary theoretical models of trust, this book highlights the social and family contexts surrounding the making and breaking of trust and mental health. It examines various sociological conceptual and theoretical frameworks of risk and trust while also engaging with evolutionary perspectives on the human need for cooperation and trust. The author describes how, in a world of constant connectivity, the drawing of boundaries assigns some people as strangers, using stigma as a form of power. The book concludes by considering the future of mental health and where trust-building may be possible. Each chapter is interspersed with observations and insights from the author’s personal research covering many populations, communities, and issues over several decades. Drawing on a wide range of interdisciplinary literature, the book will be of interest to mental health practitioners, researchers, and scholars interested in the psychosocial aspects of mental illness and stigma. ‘Professor Leavey’s book throws light on a far too long neglected factor with a powerful impact on structures of society and the management of problems ranging from care for people with diseases to the continuation of war or the maintenance of peace’. – Professor Norman Sartorius (MD, PhD, FRCPsych) is a leading international expert in psychiatry. He has been the President of the World Psychiatric Association and of the European Psychiatric Association, and Director of the Mental health Division of the World Health Organization ‘This remarkable book takes the concepts of trust and mental health and moves them around each other as if they were reciprocal moons of our planetary existence. Trust is a concept perfectly central to individuals, families, communities and society. For almost a thousand years the idea of ‘trust’ has grown from the ancient roots of meaning that include: integrity, alliance, faithful, steadfast, shelter, safety, hope, and consolation. This book is a fascinating tour-de-force which gazes at trust and hope, and their inversions, from multiple perspectives, and asks how we can strengthen trust and hope and mental health in the future’. – Sir Graham Thornicroft is Emeritus Professor of Community Psychiatry at King’s College London. He was Knighted in 2017 for services to mental health; Graham has authored over 30 books and written over 670 peer-reviewed scientific papers, shaping global mental health policies.
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This pre‐registered secondary analysis aimed to examine distinct longitudinal loneliness trajectories in youth and whether these trajectories were associated with psychological distress at final follow‐up in the UK Household Longitudinal Study. Participants ( N = 827, 55.1% female, Time 1: M ± SD = 16.50 ± 0.50 years) provided data during Waves 9, 10 and 11. K‐means longitudinal clustering analysis was used to identify clusters of participants with distinct loneliness trajectories across measurement waves. We identified four clusters demonstrating distinct trajectories of loneliness: stable low (40.7%), stable high (20.6%), moderate decreasing (19.6%) and low increasing (19.1%). Compared to ‘stable low loneliness’, ‘stable high’ and ‘low increasing’ loneliness clusters were significantly associated with psychological distress at Wave 11 following adjustment for sex, ethnicity, parent's highest educational achievement and Wave 9 psychological distress. The current study offers an important contribution to the literature on patterns of youth loneliness and mental health consequences.
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Background Loneliness and social isolation are significant concerns of public health globally. Although employment was one of the social participants, there is a dearth of literature examining the relationship between employment status and loneliness or social isolation. This study reviewed the relationship between employment status and loneliness/social isolation of adults. Methods For this systematic review, a computerized search was performed using PubMed, CINAHL, and PsycINFO for prospective studies published until May 2021. The observational studies were extracted according to study participants, indicators, follow-up period, statistical approach, and main results. The quality of the studies was assessed using the Newcastle-Ottawa Scale. Results Of the 3,214 records identified, nine studies were included in the systematic review based on the inclusion and exclusion criteria. Seven articles investigated loneliness, while the remaining two examined social isolation. Of the nine articles, two were from Israel, two from the US, and one each from Australia, Germany, Croatia, the Netherlands, and England. Approximately half the articles were published in the past decade. Only one of the nine articles used a longitudinal design. Four articles, whose samples covered all age groups, reported that being employed was associated with a lower sense of loneliness. The other three articles, whose samples consisted predominantly of people aged 30–64 years, reported a strong association between being employed and having a lower sense of loneliness. Only one of the seven studies reported an association between employment and loneliness among people aged 65 years or older. Two studies found no such association among that age group. The two studies that used social isolation as the outcome reported that employed people were significantly less isolated compared with unemployed people. Conclusions The review revealed that employed people are less likely to feel lonely or socially isolated. This study suggests that recommendations can be made for creating age-dependent employment conditions to avoid loneliness or social isolation.
Article
This study aimed to examine the interactive effects of attachment styles and gender on loneliness. In total, 487 Japanese adults with a mean age of 40.92 years completed the adult attachment style scales for “the generalized others” (ECR-GO), and the Japanese Version of the UCLA Loneliness Scale Version 3. Multiple regression analyses revealed a significant interaction between attachment anxiety and gender. Since the interaction was significant, a simple slope test indicated that the association between attachment anxiety and loneliness tended to be greater for women, while the association between attachment anxiety and loneliness was lesser for men.
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Socioemotional selectivity theory claims that the perception of time plays a fundamental role in the selection and pursuit of social goals. According to the theory, social motives fall into 1 of 2 general categories—those related to the acquisition of knowledge and those related to the regulation of emotion. When time is perceived as open-ended, knowledge-related goals are prioritized. In contrast, when time is perceived as limited, emotional goals assume primacy. The inextricable association between time left in life and chronological age ensures age-related differences in social goals. Nonetheless, the authors show that the perception of time is malleable, and social goals change in both younger and older people when time constraints are imposed. The authors argue that time perception is integral to human motivation and suggest potential implications for multiple subdisciplines and research interests in social, developmental, cultural, cognitive, and clinical psychology.
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Loneliness is experienced by children, adolescents and adults across varied cultures. In the early 1960s and 1970s, some authorities in the field of psychology did not believe that children experienced loneliness. This book ushers in a new wave of theory and research into examining the phenomena of loneliness during childhood and adolescence. The book represents a thorough examination of the topic: the chapters range over the role of attachment in children's loneliness, differences between being alone and loneliness, the significance of divided self and identity achievement in adolescents' loneliness, and the link between loneliness and maladjustment during adolescence.
Article
With advances in health care sciences, people with spinal cord injuries can now live to old age. Rehabilitation of the disabled is a dynamic process and should include not only attaining maximum function, but also receiving satisfaction with life in one's environment. Life satisfaction is thought to be the subjective part of quality of life, i.e., the feelings of the persons concerned about their functioning and circumstances. However, these feelings are influenced by self-esteem, the positive or negative attitude toward oneself, as well as life satisfaction and the effect of loneliness on self-esteem. Forty community-living adults with paraplegia from spinal cord injury from the metropolitan area of Athens responded to the Rosenberg's Self-Esteem Scale, the Revised UCLA Loneliness Scale, and the Life Satisfaction Index. As expected, statistically significant correlations were obtained among self-esteem, life satisfaction, and loneliness. More specifically, the higher an individual's self-esteem: a) the higher the life satisfaction and b) the lower the feelings of loneliness experienced. Furthermore, there was a statistically negative relationship between loneliness and life satisfaction. Community mobility, architectural adaptations, and social support, as it is reflected through marital status and frequency of received visits, proved to be important factors in understanding loneliness, self-esteem, and life satisfaction. Implications for rehabilitation of individuals with spinal cord injuries are discussed.
Article
Background: Older persons are particularly vulnerable to loneliness because of common age-related changes and losses. This paper reviews predictors of loneliness in the older population as described in the current literature and a small qualitative study. Methods: Peer-reviewed journal articles were identified from psycINFO, MEDLINE, and Google Scholar from 2000–2012. Overall, 38 articles were reviewed. Two focus groups were conducted asking older participants about the causes of loneliness. Results: Variables significantly associated with loneliness in older adults were: female gender, non-married status, older age, poor income, lower educational level, living alone, low quality of social relationships, poor self-reported health, and poor functional status. Psychological attributes associated with loneliness included poor mental health, low self-efficacy beliefs, negative life events, and cognitive deficits. These associations were mainly studied in cross-sectional studies. In the focus groups, participants mentioned environmental barriers, unsafe neighborhoods, migration patterns, inaccessible housing, and inadequate resources for socializing. Other issues raised in the focus groups were the relationship between loneliness and boredom and inactivity, the role of recent losses of family and friends, as well as mental health issues, such as shame and fear. Conclusions: Future quantitative studies are needed to examine the impact of physical and social environments on loneliness in this population. It is important to better map the multiple factors and ways by which they impact loneliness to develop better solutions for public policy, city, and environmental planning, and individually based interventions. This effort should be viewed as a public health priority.
Article
Aim: to investigate (i) whether loneliness increases in old age, and if so, whether it relates to ageing itself, to time trends or to cohort effects and (ii) the relationship between changes in institutionalization, partner status and health and loneliness. Methods: 939 men born between 1900 and 1920 completed the De Jong-Gierveld Loneliness Scale, and answered questions about their partner status, health and institutionalization in 1985, 1990 and 1995. Results: for the oldest group (born between 1900 and 1910) loneliness scores increased, but not for the younger groups. The increase in loneliness was attributable to ageing. No birth cohort or time effects were found. Loneliness was related to changes in institutionalization, partner status and subjective health but not to limitations in activities of daily living or cognitive function. Conclusions: the increased loneliness experienced by very old men is influenced by loss of a partner, moving into a care home or not feeling healthy.