The effect of loneliness on depression: The mediation role of resilience
Abstract
Resilience impacts the relationship between loneliness and depression, which is quite common among the elderly but has not been extensively studied in younger populations. This research will analyze the relationship between loneliness and depression and simultaneously verify the role of resilience. Using the linear structural model SEM through the survey data of 523 students in Hanoi city shows that resilience plays a moderate role, decreasing the negative influence between loneliness and depression. Based on the result, some recommendations are given to improve the loneliness situation and depression among young people, especially students in Hanoi city.
Tóm tắt
Khả năng phục hồi tác động đến mối quan hệ giữa cô đơn và trầm cảm khá phổ biến ở người già nhưng chưa được nghiên cứu rộng rãi ở người trẻ. Nghiên cứu này phân tích mối quan hệ giữa cô đơn và trầm cảm, đồng thời xác minh vai trò trung gian của khả năng phục hồi. Mô hình cấu trúc tuyến tính SEM được sử dụng để phân tích dữ liệu khảo sát 523 sinh viên trên địa bàn thành phố Hà Nội cho thấy khả năng phục hồi giữ vai trò trung gian, làm giảm tác động tiêu cực giữa cô đơn và trầm cảm. Dựa trên kết quả, một số khuyến nghị được đưa ra nhằm cải thiện tình trạng cô đơn, trầm cảm ở người trẻ, đặc biệt là sinh viên trên địa bàn thành phố Hà Nội.
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References
Achterbergh, L., Pitman, A., Birken, M., Pearce, E., Sno, H., & Johnson, S. (2020). The experience of loneliness among young people with depression: a qualitative meta-synthesis of the literature. BMC psychiatry, 20(1), 1-23. https://doi.org/10.1186/s12888-020-02818-3
Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment, 10(2), 176–181. https://doi.org/10.1037/1040-3590.10.2.176
Aroian, K. J., & Norris, A. E. (2000). Resilience, Stress, and Depression among Russian Immigrants to Israel. Western Journal of Nursing Research, 22(1), 54–67. https://doi.org/10.1177/01939450022044269
Arvidsdotter, T., Marklund, B., Kylén, S., Taft, C., & Ekman, I. (2016). Understanding persons with psychological distress in primary health care. Scandinavian Journal of Caring Sciences, 30(4), 687-694. https://doi.org/10.1111/scs.12289
Baek, E. C., Hyon, R., López, K., Du, M., Porter, M. A., & Parkinson, C. (2023). Lonely individuals process the world in idiosyncratic ways. Psychological Science, 34(6). https://doi.org/10.1177/09567976221145316
Baumgartner, H., & Homburg, C. (1996). Applications of structural equation modelling in marketing and consumer research: A review. International Journal of Research in Marketing, 13(2), 139-161. https://doi.org/10.1016/0167-8116(95)00038-0
Berscheid, E., & Reis, H. T. (1998). Attraction and close relationships. In D. T. Gilbert, S. T. Fiske, & G. Lindzey (Eds.), The Handbook of Social Psychology (4th ed., pp. 193–281). McGraw-Hill.
Block, J., & Kremen, A. M. (1996). IQ and ego-resiliency: Conceptual and empirical connections and separateness. Journal of Personality and Social Psychology, 70(2), 349–361. https://doi.org/10.1037/0022-3514.70.2.349
Cacioppo, J. T., Hawkley, L. C., Ernst, J. M., Burleson, M., Berntson, G. G., Nouriani, B., & Spiegel, D. (2006). Loneliness within a nomological net: An evolutionary perspective. Journal of Research in Personality, 40(6), 1054-1085. https://doi.org/10.1016/j.jrp.2005.11.007
Campbell‐Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the connor–davidson resilience scale (CD‐RISC): Validation of a 10‐item measure of resilience. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 20(6), 1019-1028. https://doi.org/10.1002/jts.20271
Cao, Q., & Liu, L. (2019). Loneliness and depression among Chinese drug users: mediating effect of resilience and moderating effect of gender. Journal of Community Psychology, 48(2), 414-425. https://doi.org/10.1002/jcop.22262
Courtney, A. L., & Meyer, M. L. (2020). Self-other representation in the social brain reflects social connection. Journal of Neuroscience, 40(29), 5616-5627.
https://doi.org/10.1101/856856
Dessauvagie, A. S., Dang, H. M., Nguyen, T. A. T., & Groen, G. (2022). Mental health of university students in southeastern Asia: a systematic review. Asia Pacific Journal of Public Health, 34(2-3), 172-181. https://doi.org/10.1177/10105395211055545
De Jong, G. J. (1998). A review of loneliness: concept and definitions, determinants and consequences. Reviews in clinical gerontology, 8(1), 73-80. https://doi.org/10.1017/S0959259898008090
Edward, K. (2005). Resilience: A Protector From Depression. Journal of the American Psychiatric Nurses Association, 11(4), 241–243.
https://doi.org/10.1177/1078390305281177
Edward, K., & Warelow, P. (2005). Resilience: When Coping Is Emotionally Intelligent. Journal of the American Psychiatric Nurses Association, 11(2), 101–102. https://doi.org/10.1177/1078390305277526
Erzen, E., Çikrikci Ö. (2018). The effect of loneliness on depression: A meta-analysis. International Journal of Social Psychiatry, 64(5), 427-435. doi:10.1177/0020764018776349
Horowitz, L. M., French, R. D. S., & Anderson, C. A. (1982). The prototype of a lonely person. Loneliness: A sourcebook of current theory, research, and therapy, 183-205.
Hjemdal, O., Vogel, P. A., Solem, S., Hagen, K., Stiles, T. C. (2010). The relationship between resilience and levels of anxiety, depression, and obsessive-compulsive symptoms in adolescents. Clinical Psychology & Psychotherapy, 18(4), 314-321. https://doi.org/10.1002/cpp.719
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55. https://doi.org/10.1080/10705519909540118
Hurst, C. S., Baranik, L. E., & Daniel, F. (2013). College student stressors: A review of the qualitative research. Stress and Health, 29(4), 275-285. https://doi.org/10.1002/smi.2465
Jaafar, M. H., Villiers‐Tuthill, A., Lim, M. A., Ragunathan, D., & Morgan, K. (2020). Validation of the Malay version of the De Jong Gierveld Loneliness Scale. Australasian Journal on Ageing, 39(1), e9–e15. https://doi.org/10.1111/ajag.12672
Jakobsen, I. S., Madsen, L. M. R., Mau, M., Hjemdal, O., Friborg, O. (2020). The relationship between resilience and loneliness elucidated by a Danish version of the resilience scale for adults. BMC Psychology, 8(131), 1-10. https://doi.org/10.1186/s40359-020-00493-3
Kalaitzaki, A., Tsouvelas, G., & Koukouli, S. (2020). Social capital, social support and perceived stress in college students: The role of resilience and life satisfaction. Stress and Health, 37(3), 454-465. https://doi.org/10.1002/smi.3008
Killeen, C. (1998). Loneliness: an epidemic in modern society. Journal of Advanced Nursing, 28(4), 762-770. https://doi.org/10.1046/j.1365-2648.1998.00703.x
Kılınç, G., Aylaz, R., Güneş, G., & Harmancı, P. (2020). The relationship between depression and loneliness levels of the students at the faculty of health sciences and the factors affecting them. Perspectives in Psychiatric Care, 56(2), 431-438.
https://doi.org/10.1111/ppc.12452
Klohnen, E. C. (1996). Conceptual analysis and measurement of the construct of ego-resiliency. Journal of Personality and Social Psychology, 70(5), 1067–1079.
https://doi.org/10.1037/0022-3514.70.5.1067
Kpolou, C. K., Jumageldinov, A., Park, S., Nieuviarts, N., Noorishad, N., & Cénat, J. M. (2020). Prevalence of Depressive Symptoms and Associated Psychosocial Risk Factors among French University Students: the Moderating and Mediating Effects of Resilience. Psychiatric Quarterly, 92, 443–457. https://doi.org/10.1007/s11126-020-09812-8
Lei, X. Y., Xiao, L. M., Liu, Y. N., & Li, Y. M. (2016). Prevalence of Depression among Chinese University Students: A Meta-Analysis. PLOS ONE, 11(4), e0153454. https://doi.org/10.1371/journal.pone.0153454
Li, J., Theng, Y. L., & Foo, S. (2015). Does psychological resilience mediate the impact of social support on geriatric depression? An exploratory study among Chinese older adults in Singapore. Asian Journal of Psychiatry, 14, 22–27.
https://doi.org/10.1016/j.ajp.2015.01.011
Lim, M. L., Lim, D., Gwee, X., Nyunt, M. S. Z., Kumar, R., & Ng, T. P. (2015). Resilience, stressful life events, and depressive symptomatology among older Chinese adults. Aging & Mental Health, 19(11), 1005–1014. https://doi.org/10.1080/13607863.2014.995591
Liu, J. C., Chang, L. Y., Wu, S. Y., & Tsai, P. S. (2015). Resilience mediates the relationship between depression and psychological health status in patients with heart failure: A cross-sectional study. International Journal of Nursing Studies, 52(12), 1846–1853. https://doi.org/10.1016/j.ijnurstu.2015.07.005
Loh, J. M. I., Schutte, N. S. & Thorsteinsson, E. B. (2014). Be Happy: The Role of Resilience Between Characteristic Affect and Symptoms of Depression. Journal of Happiness Studies, 15, 1125–1138.
https://doi.org/10.1007/s10902-013-9467-2
Patel, A. H., Mehta, R. Y., Chandra, N., Chaudhary, P., & Shah, R. H. (2017). Self-reported suicidality behavior and attitudes toward suicide among medical and paramedical students. Ann Indian Psychiatr, 1, 34-39. https://doi.org/10.4103/aip.aip_15_17
Perlman, D., & Peplau, L. A. (1998). Loneliness. In H. Friedman (Ed.), Encyclopedia of mental health (Vol. 2, pp. 571–581). San Diego, CA: Academic Press.
Perron, J. L., Cleverley, K., & Kidd, S. A. (2014). Resilience, Loneliness, and Psychological Distress Among Homeless Youth. Archives of Psychiatric Nursing, 28(4), 226–229. https://doi.org/10.1016/j.apnu.2014.05.004
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior research methods, instruments, & computers, 36, 717-731. https://doi.org/10.3758/BF03206553
Rutter, M. (1985). Resilience in the face of adversity: Protective factors and resistance to psychiatric disorder. The British Journal of Psychiatry, 147(6), 598-611. https://doi.org/10.1192/bjp.147.6.598
Solmi, M., Veronese, N., Galvano, D., Favaro, A., Ostinelli, E. G., Noventa, V., ... & Trabucchi, M. (2020). Factors associated with loneliness: an umbrella review of observational studies. Journal of Affective Disorders, 271, 131-138. https://doi.org/10.1016/j.jad.2020.03.075
Tiwari, S. C. (2013). Loneliness: A disease?. Indian Journal of Psychiatry, 55(4), 320. https://doi.org/10.4103%2F0019-5545.120536
Wang, J., Mann, F., Lloyd-Evans, B., Ma, R., & Johnson, S. (2018). Associations between loneliness and perceived social support and outcomes of mental health problems: a systematic review. BMC Psychiatry, 18(1), 1-16. https://doi.org/10.1186/s12888-018-1736-5
Weiss, R. (1975). Loneliness: The experience of emotional and social isolation. MIT press.
WHO. (2008). The global burden of disease: 2004 update.
World Health Organization. (2023). Depressive disorder (depression). https://www.who.int/news-room/fact-sheets/detail/depression#:~:text=An%20estimated%203.8%25%20of%20the,world%20have%20depression%20(1).
Yung, S. T., Chen, Y., & Zawadzki, M. J. (2023). Loneliness and psychological distress in everyday life among Latinx college students. Journal of American College Health, 71(5), 1407-1416. https://doi.org/10.1080/07448481.2021.1927051
Zhao, X., Zhang, D., Wu, M., Yang, Y., Xie, H., Li, Y., ... & Su, Y. (2018). Loneliness and depression symptoms among the elderly in nursing homes: A moderated mediation model of resilience and social support. Psychiatry Research, 268, 143-151. https://doi.org/10.1016/j.psychres.2018.07.011