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Five-year changes in loneliness and mental health among adults 41–85 years

The Doetinchem Cohort Study

Bibliographic Data

ID11174391
AuthorsTijmen Maas (Centre for Nutrition, Prevention and Health Services, National Institute of Public Health and the Environment, Bilthoven, Netherlands), Gerrie-Cor Herber (Centre for Nutrition, Prevention and Health Services, National Institute of Public Health and the Environment, Bilthoven, Netherlands), W M Monique Verschuren (0000-0003-2134-4227, National Institute for Public Health and the Environment, Bilthoven, Netherlands), H Susan J Picavet (0000-0002-6895-165X, Centre for Nutrition, Prevention and Health Services, National Institute of Public Health and the Environment, Bilthoven, Netherlands, corresponding author)
Year2025
Volume79
Issue8
Pages625-630
Publication date2025-08-01
Open AccessYes
TypeARTICLE
VenueJournal of Epidemiology and Community Health (JOURNAL)
Journal identifiersISSN: 0143-005X • E-ISSN: 1470-2738
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/jech-2024-222099
PMID40169238
OpenAlexW4409049440
LanguageEN
References cited34

BACKGROUND: Both loneliness and mental health represent important public health themes with stable or even worsening population figures. The association between loneliness and mental health is cross-sectionally well-established, but longitudinal studies are scarce. The aim of this study is to explore the individual changes in loneliness and mental health and the relation between these changes. METHODS: We used data from wave 5 (years: 2007-2012, n: 4016) and wave 6 (years: 2013-2017, n: 3437) of the Doetinchem Cohort Study, consisting of participants aged 41-86 years. Loneliness was measured using the De Jong-Gierveld 6-item Loneliness Scale and mental health was measured with the 5-item Mental Health Inventory. We assessed changes in loneliness and mental health over a 5-year period. Generalised estimating equations and linear regression were performed to determine the longitudinal association. Associations were adjusted for various sociodemographic, lifestyle and health factors. RESULTS: Over a 5-year period, 23.4% experienced a change in loneliness and 9.7% in mental health.Higher levels of loneliness were significantly associated with poor mental health both cross-sectionally and over time (β:-3.56, 95% CI: -3.79 to -3.32). Increasing feelings of loneliness were associated with worsening mental health, and decreasing feelings of loneliness were associated with improving mental health (β:-2.35, 95% CI: -2.61 to -2.08). CONCLUSION: The high rate of individual changes in loneliness, combined with the association between changes in loneliness and changes in mental health, shows a possible potential in improving poor mental health by designing public health interventions aimed at reducing feelings of loneliness

Cohort · Environmental health · Feeling · Loneliness · Longitudinal study · Mental health · Population · Psychiatry · Public health · UCLA Loneliness Scale · Clinical Psychology · Health disparities and outcomes · Health, psychology, and well-being · Medicine · Psychology · Resilience and Mental Health · Social Psychology · Gerontology

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