Temporal patterns of loneliness and their associations with mental health outcomes: Observations from a longitudinal study

Abstract Background Loneliness is a global public health concern. Investigating loneliness in the general population offers a greater generalizability across various levels of health-related impairments, the identification of at-risk individuals, the detection of different loneliness severity levels...

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Main Authors: Błażej Misiak, Paweł Liśkiewicz, Jerzy Samochowiec
Format: Article
Language:English
Published: Cambridge University Press 2025-01-01
Series:European Psychiatry
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Online Access:https://www.cambridge.org/core/product/identifier/S0924933825100552/type/journal_article
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author Błażej Misiak
Paweł Liśkiewicz
Jerzy Samochowiec
author_facet Błażej Misiak
Paweł Liśkiewicz
Jerzy Samochowiec
author_sort Błażej Misiak
collection DOAJ
description Abstract Background Loneliness is a global public health concern. Investigating loneliness in the general population offers a greater generalizability across various levels of health-related impairments, the identification of at-risk individuals, the detection of different loneliness severity levels, and broader insights into social determinants. Previous studies have shown that loneliness might be a transient or chronic experience, depending on how consistently it is reported across at least two timepoints. This study aimed to assess differential associations of chronic and transient with various domains of psychopathology. Methods Participants were enrolled from the general population and assessed at two timepoints spanning 6–7 months. Depressive symptoms, generalized anxiety, social anxiety, and paranoid thoughts were measured using self-reports. The data were analyzed using binary logistic regressions. Results Altogether, 3,275 participants completed both assessments with a retention rate of 64.2%. Chronic loneliness was associated with higher baseline and follow-up scores across all symptom domains. The strongest association was observed for social anxiety. Transient loneliness was not robustly associated with symptom scores. It was not significantly associated with depressive symptoms (at either of timepoints) and paranoid ideation (at baseline). The strongest association was observed for generalized anxiety. Chronic loneliness, compared to transient loneliness, was associated with significantly higher odds of social anxiety, depressive symptoms, and paranoid ideation, but not generalized anxiety. Conclusions Both transient and chronic loneliness are associated with mental health outcomes, with the latter one showing generally stronger associations. Risk stratification and early intervention among individuals experiencing loneliness might be needed to prevent the development of more severe psychopathology.
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spelling doaj-art-1e81cc5f50dc40a787d6fe40e05729a12025-07-11T07:49:34ZengCambridge University PressEuropean Psychiatry0924-93381778-35852025-01-016810.1192/j.eurpsy.2025.10055Temporal patterns of loneliness and their associations with mental health outcomes: Observations from a longitudinal studyBłażej Misiak0Paweł Liśkiewicz1https://orcid.org/0000-0003-3375-4856Jerzy Samochowiec2https://orcid.org/0000-0003-1438-583XDepartment of Psychiatry, https://ror.org/01qpw1b93 Wroclaw Medical University , Wroclaw, PolandDepartment of Psychiatry, https://ror.org/01v1rak05 Pomeranian Medical University , Szczecin, PolandDepartment of Psychiatry, https://ror.org/01v1rak05 Pomeranian Medical University , Szczecin, PolandAbstract Background Loneliness is a global public health concern. Investigating loneliness in the general population offers a greater generalizability across various levels of health-related impairments, the identification of at-risk individuals, the detection of different loneliness severity levels, and broader insights into social determinants. Previous studies have shown that loneliness might be a transient or chronic experience, depending on how consistently it is reported across at least two timepoints. This study aimed to assess differential associations of chronic and transient with various domains of psychopathology. Methods Participants were enrolled from the general population and assessed at two timepoints spanning 6–7 months. Depressive symptoms, generalized anxiety, social anxiety, and paranoid thoughts were measured using self-reports. The data were analyzed using binary logistic regressions. Results Altogether, 3,275 participants completed both assessments with a retention rate of 64.2%. Chronic loneliness was associated with higher baseline and follow-up scores across all symptom domains. The strongest association was observed for social anxiety. Transient loneliness was not robustly associated with symptom scores. It was not significantly associated with depressive symptoms (at either of timepoints) and paranoid ideation (at baseline). The strongest association was observed for generalized anxiety. Chronic loneliness, compared to transient loneliness, was associated with significantly higher odds of social anxiety, depressive symptoms, and paranoid ideation, but not generalized anxiety. Conclusions Both transient and chronic loneliness are associated with mental health outcomes, with the latter one showing generally stronger associations. Risk stratification and early intervention among individuals experiencing loneliness might be needed to prevent the development of more severe psychopathology. https://www.cambridge.org/core/product/identifier/S0924933825100552/type/journal_articleanxiety disorderdepressionparanoiaperceived social isolationsocial disconnection
spellingShingle Błażej Misiak
Paweł Liśkiewicz
Jerzy Samochowiec
Temporal patterns of loneliness and their associations with mental health outcomes: Observations from a longitudinal study
European Psychiatry
anxiety disorder
depression
paranoia
perceived social isolation
social disconnection
title Temporal patterns of loneliness and their associations with mental health outcomes: Observations from a longitudinal study
title_full Temporal patterns of loneliness and their associations with mental health outcomes: Observations from a longitudinal study
title_fullStr Temporal patterns of loneliness and their associations with mental health outcomes: Observations from a longitudinal study
title_full_unstemmed Temporal patterns of loneliness and their associations with mental health outcomes: Observations from a longitudinal study
title_short Temporal patterns of loneliness and their associations with mental health outcomes: Observations from a longitudinal study
title_sort temporal patterns of loneliness and their associations with mental health outcomes observations from a longitudinal study
topic anxiety disorder
depression
paranoia
perceived social isolation
social disconnection
url https://www.cambridge.org/core/product/identifier/S0924933825100552/type/journal_article
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AT pawełliskiewicz temporalpatternsoflonelinessandtheirassociationswithmentalhealthoutcomesobservationsfromalongitudinalstudy
AT jerzysamochowiec temporalpatternsoflonelinessandtheirassociationswithmentalhealthoutcomesobservationsfromalongitudinalstudy