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Journal ArticleDOI

Feelings of loneliness among adults with mental disorder.

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TLDR
Increasing social support and opportunities for social interaction may be less beneficial than other strategies emphasising the importance of addressing maladaptive social cognition as an intervention for loneliness.
Abstract
Loneliness can affect people at any time and for some it can be an overwhelming feeling leading to negative thoughts and feelings. The current study, based on the Adult Psychiatric Morbidity Survey in England, 2007, quantified the association of loneliness with a range of specific mental disorders and tested whether the relationship was influenced by formal and informal social participation and perceived social support. Using a random probability sample design, 7,461 adults were interviewed in a cross-sectional national survey in England in 2007. Common Mental Disorders were assessed using the revised Clinical Interview Schedule; the diagnosis of psychosis was based on the administration of the Schedules of the Clinical Assessment of Neuropsychiatry, while loneliness was derived from an item in the Social Functioning Questionnaire. Feelings of loneliness were more prevalent in women (OR = 1.34, 95 % CI 1.20–1.50, P < 0.001) as well as in those who were single (OR = 2.24, 95 % CI 1.96–2.55, P < 0.001), widowed, divorced or separated (OR = 2.78, 95 % CI 2.38–3.23, P < 0.001), economically inactive (OR = 1.24, 95 % CI 1.11–1.44, P = 0.007), living in rented accommodation (OR = 1.73, 95 % CI 1.53–1.95, P < 0.001) or in debt (OR = 2.47, 95 % CI 2.07–1.50, P < 0.001). Loneliness was associated with all mental disorders, especially depression (OR = 10.85, 95 % CI 7.41–15.94, P < 0.001), phobia (OR = 11.66, 95 % CI 7.01–19.39, P < 0.001) and OCD (OR = 9.78, 95 % CI 5.68–16.86, P < 0.001). Inserting measures of formal and informal social participation and perceived social support into the logistic regression models did significantly reduce these odds ratios. Increasing social support and opportunities for social interaction may be less beneficial than other strategies emphasising the importance of addressing maladaptive social cognition as an intervention for loneliness.

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Citations
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Journal ArticleDOI

Associations between loneliness and perceived social support and outcomes of mental health problems: a systematic review

TL;DR: Loneliness and quality of social support in depression are potential targets for development and testing of interventions, while for other conditions further evidence is needed regarding relationships with outcomes.
Journal ArticleDOI

Loneliness in the UK during the COVID-19 pandemic: Cross-sectional results from the COVID-19 Psychological Wellbeing Study

TL;DR: Supportive interventions to reduce loneliness should prioritise younger people and those with mental health symptoms, and improving emotion regulation and sleep quality, and increasing social support may be optimal initial targets to reduce the impact of COVID-19 regulations on mental health outcomes.
Journal ArticleDOI

Loneliness over time: the crucial role of social anxiety

TL;DR: It is suggested that loneliness may be a potential antecedent to emerging mental health symptoms and that identifying and treating co-occurring social anxiety symptoms may reduce the severity of loneliness.
Journal ArticleDOI

Loneliness, common mental disorders and suicidal behavior: Findings from a general population survey.

TL;DR: Loneliness is associated with suicidal behavior in the general adult population and highlights the importance of efforts to reduce loneliness in order to mitigate its harmful effects on health and well-being.
Journal ArticleDOI

A life less lonely: the state of the art in interventions to reduce loneliness in people with mental health problems

TL;DR: An overview of the current state of the art in loneliness interventions in people with mental health problems is presented, to identify relevant challenges, and highlight priorities for future research and implementation.
References
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Journal ArticleDOI

Social support as a moderator of life stress

TL;DR: It appears that social support can protect people in crisis from a wide variety of pathological states: from low birth weight to death, from arthritis through tuberculosis to depression, alcoholism, and the social breakdown syndrome.
Journal ArticleDOI

Loneliness as a specific risk factor for depressive symptoms: Cross-sectional and longitudinal analyses.

TL;DR: It is suggested that loneliness and depressive symptomatology can act in a synergistic effect to diminish well-being in middle-aged and older adults.
Journal ArticleDOI

The clinical significance of loneliness: a literature review.

TL;DR: This review focuses on loneliness as a crucial marker of social relationship deficits and contends that loneliness should command clinicians' attention in its own right--not just as an adjunct to the treatment of other problems such as depression.
Journal ArticleDOI

Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers.

TL;DR: Two reliability studies of the revised Clinical Interview Schedule (CIS-R) were conducted in primary health care clinics in London and Santiago, Chile and indicated that traditional measures of reliability are probably overestimates.
Journal ArticleDOI

Perceived social isolation and cognition

TL;DR: Differences in attention and cognition impact on emotions, decisions, behaviors and interpersonal interactions that can contribute to the association between loneliness and cognitive decline and betweenoneliness and morbidity more generally.
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