The role of perceived loneliness and sociodemographic factors in association with subjective mental and physical health and well-being in Norwegian adolescents

Aims: Adolescence is a particularly salient period for understanding the role of perceived loneliness for subjective health and well-being. This study investigated sociodemographic differences (sex, age, self-reported socio-economic status (SES)) in loneliness and associations between sociodemographic factors, loneliness and self-rated health (SRH), subjective health symptoms, symptoms of depression/anxiety and mental well-being (MWB) in a sample of Norwegian adolescents. Methods: The study was based on a cross-sectional sample of 1816 adolescents aged 15–21 years. The participants reported scores on an 11-item scale assessing subjective health complaints (SHC), one item each assessing SRH and loneliness, the 10-item version of the Hopkins Symptom Checklist and the seven-item version of the Warwick–Edinburgh Mental Well-Being Scale. SES was assessed using perceived family economy and parents’ education. Data were analysed with descriptive, comparative and multiple linear regression analyses. Results: The multivariate results showed that boys scored significantly higher on MWB than girls did, whereas girls scored significantly higher on loneliness, depression/anxiety and SHC. Perceptions of poorer family finances were significantly associated with higher levels of SHC and depression/anxiety, lower levels of MWB and more negative SRH. Loneliness showed significant positive associations with depression/anxiety and SHC, and significant negative associations with MWB and SRH. A significant moderation effect of sex by loneliness was found in association with depression/anxiety, with stronger associations for girls. Conclusions: The findings in this study support the significant roles of sex, perceptions of family finances and loneliness in association with adolescent’s subjective mental and physical health and well-being, especially mental health.

[1]  J. Holt-Lunstad,et al.  Loneliness and Social Isolation as Risk Factors for Mortality: A Loneliness and Social Isolation as Risk Factors for Mortality: A Meta-Analytic Review Meta-Analytic Review , 2021 .

[2]  B. Sivertsen,et al.  Only the Lonely: A Study of Loneliness Among University Students in Norway , 2020, Clinical psychology in Europe.

[3]  P. Qualter,et al.  Loneliness in the lives of Danish adolescents: Associations with health and sleep , 2020, Scandinavian journal of public health.

[4]  F. J. Neyer,et al.  The Stability and Change of Loneliness Across the Life Span: A Meta-Analysis of Longitudinal Studies , 2019, Personality and social psychology review : an official journal of the Society for Personality and Social Psychology, Inc.

[5]  S. Stewart-Brown,et al.  Measuring mental well-being in Denmark: Validation of the original and short version of the Warwick-Edinburgh mental well-being scale (WEMWBS and SWEMWBS) and cross-cultural comparison across four European settings , 2019, Psychiatry Research.

[6]  U. K. Moksnes,et al.  Validation of two versions of the Warwick-Edinburgh Mental Well-Being Scale among Norwegian adolescents , 2018, Scandinavian journal of public health.

[7]  M. T. Damsgaard,et al.  Trends in social inequality in loneliness among adolescents 1991-2014. , 2018, Journal of public health.

[8]  A. Sourander,et al.  Loneliness and friendships among eight‐year‐old children: time‐trends over a 24‐year period , 2018, Journal of child psychology and psychiatry, and allied disciplines.

[9]  A. Koyanagi,et al.  Physical multimorbidity and loneliness: A population-based study , 2018, PloS one.

[10]  L. Goossens,et al.  Intimate and Relational Loneliness in Adolescence , 2017 .

[11]  Eva M. Klein,et al.  Loneliness in the general population: prevalence, determinants and relations to mental health , 2017, BMC Psychiatry.

[12]  S. Øverland,et al.  Social and emotional loneliness and self-reported difficulty initiating and maintaining sleep (DIMS) in a sample of Norwegian university students. , 2017, Scandinavian journal of psychology.

[13]  C. Hagquist,et al.  The psychometric properties of the Hopkins Symptom Checklist-10: a Rasch analysis based on adolescent data from Norway. , 2016, Family practice.

[14]  Maike Luhmann,et al.  Age differences in loneliness from late adolescence to oldest old age. , 2016, Developmental psychology.

[15]  Diana Adler,et al.  Using Multivariate Statistics , 2016 .

[16]  R. Välimaa,et al.  Trends in self-rated health in European and North-American adolescents from 2002 to 2010 in 32 countries. , 2015, European journal of public health.

[17]  A. Dean,et al.  Are child and adolescent mental health problems increasing in the 21st century? A systematic review , 2014, The Australian and New Zealand journal of psychiatry.

[18]  M. Koiranen,et al.  Experience of loneliness among adolescent girls and boys: Northern Finland Birth Cohort 1986 study , 2014 .

[19]  M. Swahn,et al.  Psychosocial predictors and outcomes of loneliness trajectories from childhood to early adolescence. , 2013, Journal of adolescence.

[20]  Jacob E. Cheadle,et al.  Adolescent Loneliness and Health in Early Adulthood. , 2013, Sociological inquiry.

[21]  F. Reiss,et al.  Socioeconomic inequalities and mental health problems in children and adolescents: a systematic review. , 2013, Social science & medicine.

[22]  E. Bergström,et al.  Subjective health complaints in older adolescents are related to perceived stress, anxiety and gender – a cross-sectional school study in Northern Sweden , 2012, BMC Public Health.

[23]  Michael Marmot,et al.  Adolescence and the social determinants of health , 2012, The Lancet.

[24]  L. Goossens,et al.  Loneliness, Depressive Symptomatology, and Suicide Ideation in Adolescence: Cross-Sectional and Longitudinal Analyses , 2011, Journal of abnormal child psychology.

[25]  L. Hawkley,et al.  Loneliness Matters: A Theoretical and Empirical Review of Consequences and Mechanisms , 2010, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[26]  P. Alex Linley,et al.  Youth Life Satisfaction: A Review of the Literature , 2009 .

[27]  S. Lydersen,et al.  Self-rated health in adolescence: A multifactorial composite , 2008, Scandinavian journal of public health.

[28]  Letitia Anne Peplau,et al.  Toward a Social Psychology of Loneliness , 2008 .

[29]  L. Hiller,et al.  The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): development and UK validation , 2007, Health and quality of life outcomes.