Loneliness: Its correlates and associations with health risk behaviours among university students in 25 countries

Loneliness is associated with unhealthful dietary behaviors and physical inactivity among US college students

Objective: To evaluate dietary and physical activity behavior in relation to loneliness among college students. Participants: Three-hundred forty-six incoming first-year students in Fall 2019 at a large state University in the US. Methods: Students completed online surveys in Fall 2019. Multivariable regression analyses were used to model associations of health behaviors with loneliness, adjusting for gender and body mass index (BMI). Results: Two-hundred sixty-four students were included in this analysis. Students in loneliness score ranges of 4-6 and 7-9 have higher fat diet than students in score range of 10-12 (p = .007). Sedentary (19.2%) and low active (53.8%) behaviors were more frequent in students reporting high loneliness than those reporting low loneliness (13.8%, 36.7%, respectively) (p = .006). Conclusions: In this sample of college students, loneliness was related to altered diet quality and physical inactivity. Interventions to reduce loneliness may have a positive effect on health promotion in this population.

Association of perceived inequality, relative deprivation and loneliness with the trajectory of anger in university students

OBJECTIVE

To examine the trajectory of anger and its psychosocial predictors (i.e., perceived social inequality, relative deprivation, and loneliness) as well as its association with anxiety and depression.

PARTICIPANTS/METHOD

Students (N = 365) completed an online survey three times over a one-year period.

RESULTS

Three trajectories of anger were identified by growth mixture modeling: low/stable (i.e., a low and stable anger over time; 88.0%), low/increasing (i.e., a low level of anger with an increasing trend; 6.7%), and moderate/decreasing class (i.e., a moderate level of anger with a decreasing trend; 5.3%). A greater perception of relative deprivation, but not of perceived social inequality, was associated with the low/increasing class. A greater level of loneliness was associated with the moderate/decreasing class. Symptoms of depression and anxiety were higher in the moderate/decreasing and low/increasing class than in the low/stable class.

CONCLUSIONS

These results suggest that interventions targeted at anger may benefit from addressing perceptions of relative deprivation and loneliness.

Exploring fear of happiness among university students: The role of perfectionism, academic burnout, loneliness, and hopelessness

Due to its impact on mental health and well-being, fear of happiness is beginning to receive more attention in research. This study, conducted in Hungary, explored the relationship between fear of happiness, perfectionism, loneliness, hopelessness, and academic burnout. Participants aged between 18 and 35 years (N = 1,148, M = 22 years, SD = 4.5) completed an online questionnaire that included self-report measures of these constructs. In the present study, males showed higher levels of fear of happiness and perfectionism than did females. Analyses also revealed that both adaptive and maladaptive perfectionism, academic burnout, loneliness, and hopelessness were positively related to fear of happiness. In multiple regression analysis, gender had a positive and age had a negative role in the levels of fear of happiness. Maladaptive perfectionism, academic burnout, loneliness, and hopelessness were positive predictors, while adaptive perfectionism almost reached statistical significance. These findings highlight the predictive role of previously unexplored variables in fear of happiness.

Online Video-Mediated Compassion Training Program for Mental Health and Well-Being of University Students

College students experiencing psychological distress have significantly greater negative emotions than students who practice compassionate thinking. We have developed Eight Steps to Great Compassion (ESGC), an innovative brief and no-cost online video training program about how to increase compassion among busy and young adult university students. To examine the effectiveness and benefits of the ESGC, a single-group pre-test-post-test quantitative design with undergraduate university students (N = 92; Mage = 20.39) evaluated its effects. The results from the post-test showed that the ESGC had a significant positive impact on increased feelings of compassion towards oneself, compassion for others, and the sense of personal well-being from the pre-test. The analysis of the PERMA-Profiler subscales also reflected a statistically significant increase in overall well-being and health and a decrease in negative emotions and loneliness. From the Post-Survey Lesson Feedback, 88% of the participants reported significant positive changes in themselves and the way that they live due to the program. These findings appear to show important implications for improving healthy minds and reducing negative emotions among university students.

Loneliness and its associated factors among university students during late stage of COVID-19 pandemic: An online cross-sectional study

BACKGROUND

The COVID-19 pandemic resulted in a number of psychosocial and emotional catastrophes, including loneliness. The associated lockdowns, reduced social support, and insufficiently perceived interactions are expected to heighten the level of loneliness during the pandemic. However, there is a dearth of evidence regarding the level of loneliness and what correlates with loneliness among university students in Africa, particularly in Ethiopia.

OBJECTIVES

The general objective of this study was to assess the prevalence and associated factors of loneliness among university students during the COVID-19 pandemic in Ethiopia.

METHODS

A cross-sectional study was undertaken. An online data collection tool was distributed to voluntary undergraduate university students. The sampling technique used was snowball sampling. Students were requested to pass the online data collection tool to at least one of their friends to ease data collection. SPSS version 26.0 was used for data analysis. Both descriptive and inferential statistics were used to report the results. Binary logistic regression was used to identify factors associated with loneliness. A P-value less than 0.2 was used to screen variables for the multivariable analysis, and a P-value less than 0.05 was used to declare significance in the final multivariable logistic regression.

RESULT

A total of 426 study participants responded. Out of the total, 62.9% were males, and 37.1% attended fields related to health. Over three-fourths (76.5%) of the study participants encountered loneliness. Females (adjusted odds ratio (AOR): 1.75; 95% confidence interval (CI): 1.01, 3.04), non-health-related departments (AOR: 1.94; 95% CI: 1.17, 3.35), ever encountering sexual harassment (AOR: 3.32; 95% CI: 1.46, 7.53), sleeping problems (AOR: 2.13; 95% CI: 1.06, 4.30), perceived stress (AOR: 6.40; 95% CI: 1.85, 22.19) and poor social support (AOR: 3.13; 95% CI: 1.10, 8.87) were significantly associated with loneliness.

CONCLUSION AND RECOMMENDATION

A significant proportion of students were victims of loneliness during the COVID-19 pandemic. Being female, working in non-health-related fields, having sleeping problems, encountering sexual harassment, perceived stress, and poor social support were significantly associated with loneliness. Interventions to reduce loneliness should focus on related psychosocial support to reduce stress, sleeping disturbances, and poor social support. A special focus should also be given to female students.

Moderation effects of loneliness between fatalism and wellbeing during the COVID-19 pandemic

The COVID-19 pandemic has put more than just our physical health at risk. Due to containment measures, people have become increasingly isolated and have drastically reduced their daily social interactions. Many studies have already shown the negative effects of these measures, including fatalism. However, research linking fatalism during COVID-19 to well-being indicators is still limited. The goal of this study is to examine the relationship between COVID-19-related fatalism and well-being indicators, as well as the role of loneliness in moderating this relationship. Data was collected from 1,036 adults in Peru through an online survey that included the Quality-of-Life Index, the Fatalism Facing COVID-19 Scale, the Loneliness Scale, and the Mood Assessment Scale. Three models were tested using linear regression and ordinary least squares with bias-corrected bootstrapping. The results indicate that fatalism has a negative impact on quality of life and a positive effect on negative affect, and loneliness moderates both relationships, supporting the conclusion that fatalism exacerbates the effect of well-being indicators and negative affect.

The development of Cognitive Behavioural Therapy (CBT) for chronic loneliness in children and young people: Protocol for a single-case experimental design

Loneliness is a significant problem for young people and is associated with a range of physical and mental health difficulties. Meta-analyses have identified that interventions aimed at young people who report loneliness as their primary problem are lacking within the literature. In adults, the most effective interventions for loneliness are those which target the underlying maladaptive social cognitions. Therefore, we have developed a modular Cognitive Behavioural Therapy (CBT) intervention for children and young people. The aim of this study is to conduct a multiple baseline single-case experimental design (SCED) to assess the efficacy, feasibility and acceptability of this intervention. In total 6-8 11-18-year-olds and their families will be recruited. The design consists of AB+ post-intervention, where A is the baseline phase, B is the intervention phase and then a post-intervention phase. Participants will complete a baseline assessment, before being randomised to one of four different baseline lengths (12 days, 19 days, 26 days or 33 days). Participants will then complete an average of 12 sessions of CBT, with the aim being to reduce their feelings of loneliness. Participants will then complete a 12-day post-intervention phase. Participant loneliness will be repeatedly assessed throughout the three phases of the intervention using the Three-item Loneliness Scale, which will be the primary outcome. Secondary outcomes will be reliable and clinically meaningful change on the UCLA Loneliness Scale, Revised Child Anxiety and Depression Scale (RCADS) and Strengths and Difficulties Questionnaire (SDQ). Feasibility and participant satisfaction will also be assessed and reported. Trial registration: ClinicalTrails.gov trial registration number: NCT05149963 (Date registered: 07.12.2021). https://www.clinicaltrials.gov/ct2/show/NCT05149963?term=cbt&cond=loneliness&draw=2&rank=1.

Prevalence and factors associated with loneliness among Indonesian female adolescents: a cross-sectional study

Background

Loneliness, or the perception of social disconnectedness, is a public health concern and is reported to be a frequent experience during adolescence (10–19 years). This study investigates the prevalence of loneliness and associated health-risk behaviors among Indonesian female adolescents.

Methods

This was a cross-sectional study, data for which were extracted from the WHO’s Global School-based Student Health Survey (GSHS), which uses a globally standardized cross-sectional methodology to provide accurate data on behaviors and protective factors among students. Data from 4993 female students aged 13–17 years old from 74 schools were extracted from the 2015 survey in Indonesia and analyzed. Loneliness was used as a single measure, as happens in other studies using GSHS data. Descriptive analysis was done for age, socioemotional issues, health-risk behaviors, and contextual factors. This was followed by multiple logistic regression analysis to identify loneliness-associated factors.

Results

Approximately 6.5% of Indonesian female adolescents experience loneliness most of the time or always. Adolescents experiencing loneliness had a higher rate of sleep disturbance (37.6%), suicide ideation (21%), suicide plan (20.8%), smoking behavior (15%), and alcohol use (15.7%) than the general population. Multiple regression analysis confirms that adolescents who have no close friends, have been bullied during the past month, experience sleep disturbance, have had suicide ideation and suicide plans, are always feeling hungry, are exposed to passive smoking, and are engaged in a sedentary lifestyle are at a higher likelihood of suffering from loneliness (p < 0.05). On the other hand, having kind and helpful classmates served as a useful protection against loneliness (p < 0.05).

Conclusions

The rate of loneliness in Indonesian female adolescents is relatively lower than previously reported elsewhere. Several health-risk behaviors and contextual factors are associated with loneliness. It is important to gain insight into the exact interplay between factors and loneliness since that could inform future intervention development and lead to better well-being among female adolescents.

Changes in College Students Mental Health and Lifestyle During the COVID-19 Pandemic: A Systematic Review of Longitudinal Studies

College students have poorer mental health than their peers. Their poorer health conditions seem to be caused by the greater number of stressors to which they are exposed, which can increase the risk of the onset of mental disorders. The pandemic has been an additional stressor that may have further compromised the mental health of college students and changed their lifestyles with important consequences for their well-being. Although research has recognized the impact of COVID-19 on college students, only longitudinal studies can improve knowledge on this topic. This review summarizes the data from 17 longitudinal studies examining changes in mental health and lifestyle among college students during the COVID-19 pandemic, in order to improve understanding of the effects of the outbreak on this population. Following PRISMA statements, the following databases were searched PubMed, EBSCO, SCOPUS and Web of Science. The overall sample included 20,108 students. The results show an increase in anxiety, mood disorders, alcohol use, sedentary behavior, and Internet use and a decrease in physical activity. Female students and sexual and gender minority youth reported poorer mental health conditions. Further research is needed to clarify the impact of the COVID-19 pandemic on vulnerable subgroups of college students.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40894-022-00192-7.

Early and Dynamic Socio-Academic Variables Related to Dropout Intention: A Predictive Model Made during the Pandemic

Social and academic integration variables have been shown to be relevant for the understanding of university dropout. However, there is less evidence regarding the influence of these variables on dropout intention, as well as the predictive models that explain their relationships. Improvements in this topic become relevant considering that dropout intention stands as a useful measure to anticipate and intervene this phenomenon. The objective of the present study was to evaluate a predictive model for university dropout intention that considers the relationships between social and academic variables during the first university semester of 2020. The research was conducted using a cross-sectional associative-predictive design, with a convenience sampling (n = 711) due to the restrictions of the pandemic period. The results showed a good fit of the proposed hypothetical model that explained 38.7% of dropout intention. Both social support and perceived social isolation predicted the sense of belonging and, through it, engagement. Previous academic performance predicted early academic performance and, through it, engagement. The set of variables predicted the intention to quit through engagement. These results are a contribution both to the understanding of the phenomenon and to guide potential interventions in the early stages of the university experience.

Loneliness and multiple health domains: associations among emerging adults

Emerging adults (18–25 years), particularly racially/ethnically diverse and sexual and gender minority populations, may experience loneliness following major life transitions. How loneliness relates to health and health disparities during this developmental period is not well understood. We examine associations of loneliness with physical (self-rated health), behavioral (alcohol/marijuana consequences; nicotine dependence), and health behavior outcomes (weekday and weekend sleep; trouble sleeping), and investigate moderating effects by sex, race/ethnicity, and sexual/gender minority (SGM) status. Adjusted models using cross-sectional data from 2,534 emerging adults, predominantly in California, examined associations between loneliness and each outcome and tested interactions of loneliness with sex, race/ethnicity, and SGM status. Higher loneliness was significantly associated with worse self-rated health, higher marijuana consequences, less weekday sleep, and greater odds of feeling bothered by trouble sleeping. None of the interactions were significant. Findings suggest that interventions to reduce loneliness may help promote healthy development among emerging adults across subgroups.

Loneliness unlocked: Associations with smartphone use and personality

Communication and relationships have been dramatically altered among emerging adults thanks to the rapid adoption of the smartphone in just over a decade. Studying the effects of evolving personal technology helps researchers understand both the detriments of widespread adoption and the benefits that accompany the technology. One such area of concern is the relationship of technology with loneliness. Emerging adulthood is described as the period of transition from adolescence to adulthood, taking place from age 18-25. This period is characterized by change, exploration, but also a vulnerability to psychological distress. Young adults are not only at greater risk of loneliness compared to other developmental stages, but report greater distress about being lonely (Rokach, 2000). Previous research has found support for the hypothesis that use of social communication on the Internet has a bidirectional relationship with loneliness (Nowland et al., 2018); use of the Internet can support relationships and decrease loneliness, but if used as a compensation for social skill deficits, the Internet can also displace quality time spent in relationships, and thereby increase loneliness. This study examines loneliness and its relationship with smartphone use, while also accounting for individual differences in facets of neuroticism, communication apprehension, emotional support, and nomophobia for emerging adults. Participants (N = 302; M_AGE = 18.85) completed self-report measures of loneliness and the individual differences variables. They also reported average daily smartphone data of screen time, pickups, and application (app) use, which was measured by their personal devices. Correlations indicated loneliness was positively associated with screen time, social media app use, neuroticism, social recognition, communication anxiety, and nomophobia. Loneliness was negatively associated with smartphone pickups, communication application use, need for affiliation, and emotional support. A regression analysis revealed that neuroticism, need for affiliation, social recognition, emotional support, and smartphone pickups were significant predictors of loneliness, when taking into account all the individual difference and smartphone use variables. Neuroticism and loneliness have a strong relationship, but a hierarchical regression showed that over and above neuroticism and its facets, smartphone screen time and pickups predict loneliness. Overall, the results for this sample of emerging adults supported the hypotheses by Nowland et al. (2018) about social use of the Internet, but applied to smartphone use. More time spent on one's smartphone and on social media apps is related to increased loneliness, and is discussed in context of identity development. More frequent use (pickups) and use of communication apps is related to decreased loneliness and is discussed with respect to development of relationship intimacy. These results suggest that loneliness in young adults is related to different types of smartphone use, even when accounting for stable characteristics such as personality. Finally, neuroticism remains a significant variable in understanding loneliness, and further examination of lower-order facets help define a more nuanced profile in individual differences.

Bidirectional Relations Between Sleep and Emotional Distress in College Students: Loneliness as a Moderator

Mental health symptoms are of increasing concern among college students in the United States and are often associated with insufficient sleep. However, the predictive relations between sleep and mental health are not well understood. The present study examined the daily, bidirectional associations between multiple sleep variables (subjective rating of morning restedness, objective measurement of nighttime sleep minutes) and college students' feelings of emotional distress. Self-reported loneliness was assessed as a moderator of these bidirectional relations. Participants were 101 undergraduate students (80% women) attending a liberal arts college in the northeastern United States. Students wore an actigraph to monitor nighttime sleep minutes across four weeknights (Monday-Thursday). They self-reported loneliness on the first day of the study and completed daily electronic assessments regarding restedness and emotional distress (worry, stress) each day for the remainder of the week. Multilevel modeling analyses demonstrated that greater restedness was predictive of less worry and stress that day. Further, the associations between better sleep (more rested, more nighttime sleep minutes) and less distress were stronger for less lonely students. In contrast, none of the distress indices were directly predictive of next-day restedness or nighttime sleep minutes, though one significant interaction demonstrated that the association between less worry and feeling more rested the next day was stronger for students who reported low compared to high loneliness. Together, the results point to sleep as a stronger influence on emotional distress than the reverse pathway and may suggest that social connection facilitates the positive influence of good sleep on student mental health.

Predicting Loneliness from Where and What People Do

The many devastating mental health outcomes associated with chronic loneliness is the motivation behind research into examining personal and demographic characteristics of the lonely. The present study sought to examine the connection of where people live (degree of urbanization) and what people do (leisure activities) with self-report of loneliness in a large sample (N = 8356) of unrelated Dutch adults. Information regarding where people live and what they do in their leisure time was entered into a regression analysis for self-reported loneliness. The overall regression was significant and accounted for 2.8% of the loneliness scale scores. Significant independent predictors for loneliness were living in heavily urbanized areas and engaging in fewer social activities. People who went sightseeing or to amusement parks/zoos or who participated in clubs reported being less lonely. Spending time using a computer predicted higher self-report loneliness scores. Consistent with previous research, after controlling for other variables, gender was not a significant predictor of loneliness but both a younger age and a curvilinear or U-shaped curve of age predicted loneliness (the younger and the much older). The results suggest that meaningful interpersonal interactions may result in lower feelings of loneliness.

Remembrances of parental rejection are associated with loneliness as mediated by psychological maladjustment in young Bangladeshi men but not women

Loneliness is a significant public health issue that affects young adults. This investigation drew from interpersonal acceptance-rejection theory to understand how remembrances of parental rejection contributed to psychological maladjustment and loneliness in Bangladeshi college students (N = 300; 50% female). Students reported their remembrances of mothers' and fathers' acceptance-rejection, their current psychological maladjustment, and loneliness. Remembrances of rejection by parents in childhood were associated with psychological maladjustment (hostility/aggression, negative self-esteem, negative self-adequacy, emotional unresponsiveness, emotional instability, and negative worldview) for young adult men and women. Psychological maladjustment, in turn, was associated with feelings of loneliness in young adulthood for young men, but not women. Remembrances of parental rejection were also associated with greater hostility and aggression over and above general psychological functioning among both men and women. Findings are discussed in the context of different social and structural features of young adulthood for women and men in Bangladesh.

Year of study as predictor of loneliness among students of University of Gondar

Objectives

Loneliness is individual's subjective sense of lacking familial or social contact to the degree that they wanted. It is responsible for reduced quality of life. The aim of this study was to determine loneliness and its association with year of study among University of Gondar students, 2018/19. Cross-sectional study design was used on 404 Medical and Health Sciences students selected by systematic random sampling. UCLA-R loneliness score was used. A person with a mean value of 42 and above was considered as lonely. After data were collected by self-administered questionnaire, Epi-Data was used for data entry and exported to SPSS version 20.1 for analysis. Variables with p-value of 0.05 and lower were treated as significant factors in multivariable logistic regression.

Results

Prevalence of loneliness was 49.5% (95% CI 44.6–54.4%). Year of study was significantly associated with loneliness [AOR = 2.47, 95% CI (1.65–3.70)]. First-year students were having 2.47 odds of loneliness as compared to second year and above students. Loneliness prevalence was higher in the current study. This must get the attention of higher education institutions, the government and all concerned stakeholders in the education sector to design strategy on preventing and treating loneliness.

Loneliness correlates and associations with health variables in the general population in Indonesia

Background

Loneliness has been commonly reported in high-income countries, while less is known about loneliness in Association of the Southeast Asian Nations (ASEAN) member states, in particular in Indonesia.

Objective

The aim of the study was to estimate the prevalence of loneliness, its correlates and associations with health variables in a national survey in the general population in Indonesia.

Methods

In the Indonesia Family Life Survey (IFLS-5) in 2014–2015, 31,447 participants 15 years and older (median age 35.0 years, interquartile range = 22.0) were interviewed and examined in a national population-based cross-sectional study. The self-reported prevalence of loneliness, blood pressure, body height and weight, physical and mental health, health behaviour and psychosocial variables were measured. Multinomial logistic regression analyses were used to estimate determinants of loneliness and logistic and linear regression analyses were applied to estimate the associations of loneliness with physical, mental and health risk behaviour variables.

Results

The self-reported prevalence of loneliness (occasionally or all of the time or 3–7 days per week) was 10.6% (11.0% for females and 10.1% for males), and 8.0% reported sometimes (1–2 days/week) to be lonely. Loneliness was distributed in a slight U-shaped form, with adolescents and the oldest old having the highest prevalence of loneliness. In adjusted multinomial logistic regression analysis, lower education, lower economic status, adverse childhood experiences, having one or more chronic conditions, functional disability and low neighbourhood trust were associated with loneliness. Loneliness was significantly associated with most health variables, including self-reported unhealthy health status (AOR 1.70, CI 1.57, 1.84), cognitive functioning (Beta: − 0.72, CI − 0.90 to − 0.54), having one or more chronic medical conditions (AOR 1.25, CI 1.16, 1.35), having had a stroke (AOR 1.58, CI 1.08, 2.29), depression symptoms (Beta: 5.19, CI 4.98–5.39), sleep disturbance (Beta: 0.34, CI 0.31–0.37), sleep related impairment (Beta: 0.69, CI 0.64–0.73), low life satisfaction (AOR 1.78, CI 1.64, 1.93), out-patient health care utilization in the past 4 weeks (AOR 1.11, CI 1.01, 1.21), current tobacco use (AOR 1.42, CI 1.28, 1.58), and one or more days in the past week soft drink consumption (AOR 1.20, CI 1.10, 1.31).

Conclusion

Loneliness was found to be prevalent across the life span and was associated with a number of poorer health variables. Several factors associated with loneliness were identified, which warrant further research in Indonesia.

Loneliness at Universities: Determinants of Emotional and Social Loneliness among Students

The transition from school to university is associated with social, structural, and behavioral changes. These changes may be related to feelings of loneliness, which are in turn related to morbidity. The authors’ aim was to quantify loneliness among students and to identify its determinants and its relation to transition-related variables (e.g., changes in weight, diet, or physical activity since the transition from high school to university). Coming from across Germany, 689 students participated in the Nutrition and Physical Activity in Adolescence (NuPhA) survey (16–29 years; 69.5% female). Associations of loneliness with the above-mentioned aspects were analyzed using descriptive statistics and linear regressions. Altogether, 32.4% felt moderately lonely and 3.2%, severely lonely. Emotional loneliness was more common than social loneliness (severe loneliness: 7.7% vs. 3.2%). Both were positively associated with feelings of depression and anxiety. Being married or in a committed relationship seemed to be protective factors for emotional loneliness. Physical inactivity, an immigrant background, and studying social sciences were related to higher social loneliness. Transition-related variables produced mixed results. In conclusion, this study’s findings indicated that loneliness seemed to be prevalent in university students. The authors identified important starting points for interventions to prevent loneliness. Such interventions may help reduce the disease burden in the students’ future professional life.