Predictors of chronic loneliness during adolescence: a population-based cohort study
Abstract Background Adolescent loneliness is a growing public health issue owing to its adverse health impact. Although adolescent loneliness is common, its trajectories can show distinct patterns over time. However, there is limited knowledge regarding their determinants, particularly for chronic l...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | Child and Adolescent Psychiatry and Mental Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13034-022-00545-z |
| _version_ | 1797977581857800192 |
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| author | Mariko Hosozawa Noriko Cable Syudo Yamasaki Shuntaro Ando Kaori Endo Satoshi Usami Miharu Nakanishi Junko Niimura Naomi Nakajima Kaori Baba Nao Oikawa Daniel Stanyon Kazuhiro Suzuki Mitsuhiro Miyashita Hiroyasu Iso Mariko Hiraiwa-Hasegawa Kiyoto Kasai Atsushi Nishida |
| author_facet | Mariko Hosozawa Noriko Cable Syudo Yamasaki Shuntaro Ando Kaori Endo Satoshi Usami Miharu Nakanishi Junko Niimura Naomi Nakajima Kaori Baba Nao Oikawa Daniel Stanyon Kazuhiro Suzuki Mitsuhiro Miyashita Hiroyasu Iso Mariko Hiraiwa-Hasegawa Kiyoto Kasai Atsushi Nishida |
| author_sort | Mariko Hosozawa |
| collection | DOAJ |
| description | Abstract Background Adolescent loneliness is a growing public health issue owing to its adverse health impact. Although adolescent loneliness is common, its trajectories can show distinct patterns over time. However, there is limited knowledge regarding their determinants, particularly for chronic loneliness. We aimed to determine the predictors of loneliness trajectories across early-to-mid adolescence and examine their association with later suicidality. Methods Data were collected from 3165 participants from the population-based Tokyo Teen Cohort. Participants reported their loneliness at 10, 12, 14, and 16 years. Loneliness trajectories were identified using latent class growth analysis. We examined the predictive role of bullying victimization and parental psychological distress at age 10 via a multinomial logistic regression. Sociodemographic and child-related factors (i.e., chronic health conditions and cognitive delay) were included as covariates. The association between the trajectories, self-harm, and suicidal ideation by age 16 was investigated using Poisson regression. Results Four trajectories were identified: “consistently low” (2448, 77.3%), “moderate–decreasing” (185, 5.8%), “moderate–increasing” (508, 16.1%), and “consistently high” (24, 0.8%). Taking “consistently low” as a reference, experiences of bullying victimization predicted all the remaining trajectories [adjusted relative risk ratio 1.64, 95% confidence interval (CI) 1.18–2.28 for “moderate–decreasing,” 1.88, 1.52–2.33 for “moderate–increasing,” and 4.57, 1.97–10.59 for “consistently high”]. Parental psychological distress predicted the “moderate–increasing” (1.84, 1.25–2.71) and “consistently high” (5.07, 1.78–14.42) trajectories. The “consistently high” trajectory showed the greatest risk for self-harm and suicidal ideation (adjusted relative risk ratio 6.01, 95% CI 4.40–8.22; 2.48, 1.82–3.37, respectively); however, the “moderate–increasing” and “moderate–decreasing” trajectories were also at increased risk (moderate–increasing: 2.71, 2.23–3.30 for self-harm, 1.93, 1.69–2.19 for suicidal ideation; moderate–decreasing: 2.49, 1.91–3.26 for self-harm, 1.59, 1.33–1.91 for suicidal ideation). Conclusions Bullying victimization and parental psychological distress at age 10 were independent determinants of increased and chronic loneliness trajectories across early-to-mid adolescence. Compared with “consistently low,” all other loneliness trajectories were associated with an increased risk of adolescent suicidality. Interventions targeting adolescent loneliness should include approaches to mitigate bullying and parental psychological distress. These strategies may help prevent adolescent suicidality. |
| first_indexed | 2024-04-11T05:09:17Z |
| format | Article |
| id | doaj.art-0b6f80fad8c54329b5bc73d62f898b49 |
| institution | Directory Open Access Journal |
| issn | 1753-2000 |
| language | English |
| last_indexed | 2024-04-11T05:09:17Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Child and Adolescent Psychiatry and Mental Health |
| spelling | doaj.art-0b6f80fad8c54329b5bc73d62f898b492022-12-25T12:05:32ZengBMCChild and Adolescent Psychiatry and Mental Health1753-20002022-12-011611910.1186/s13034-022-00545-zPredictors of chronic loneliness during adolescence: a population-based cohort studyMariko Hosozawa0Noriko Cable1Syudo Yamasaki2Shuntaro Ando3Kaori Endo4Satoshi Usami5Miharu Nakanishi6Junko Niimura7Naomi Nakajima8Kaori Baba9Nao Oikawa10Daniel Stanyon11Kazuhiro Suzuki12Mitsuhiro Miyashita13Hiroyasu Iso14Mariko Hiraiwa-Hasegawa15Kiyoto Kasai16Atsushi Nishida17Institute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and MedicineDepartment of Epidemiology and Public Health, University College LondonResearch Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical ScienceDepartment of Neuropsychiatry, Graduate School of Medicine, The University of TokyoResearch Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical ScienceGraduate School of Education, The University of TokyoResearch Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical ScienceResearch Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical ScienceResearch Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical ScienceGraduate School of Nursing Science, St. Luke’s International UniversityDepartment of Pediatrics and Adolescent Medicine, Juntendo UniversityResearch Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical ScienceDepartment of Community Mental Health, Shinshu University School of MedicineResearch Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical ScienceInstitute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and MedicineDepartment of Evolutionary Studies of Biosystems, The Graduate University for the Advanced StudiesDepartment of Neuropsychiatry, Graduate School of Medicine, The University of TokyoResearch Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical ScienceAbstract Background Adolescent loneliness is a growing public health issue owing to its adverse health impact. Although adolescent loneliness is common, its trajectories can show distinct patterns over time. However, there is limited knowledge regarding their determinants, particularly for chronic loneliness. We aimed to determine the predictors of loneliness trajectories across early-to-mid adolescence and examine their association with later suicidality. Methods Data were collected from 3165 participants from the population-based Tokyo Teen Cohort. Participants reported their loneliness at 10, 12, 14, and 16 years. Loneliness trajectories were identified using latent class growth analysis. We examined the predictive role of bullying victimization and parental psychological distress at age 10 via a multinomial logistic regression. Sociodemographic and child-related factors (i.e., chronic health conditions and cognitive delay) were included as covariates. The association between the trajectories, self-harm, and suicidal ideation by age 16 was investigated using Poisson regression. Results Four trajectories were identified: “consistently low” (2448, 77.3%), “moderate–decreasing” (185, 5.8%), “moderate–increasing” (508, 16.1%), and “consistently high” (24, 0.8%). Taking “consistently low” as a reference, experiences of bullying victimization predicted all the remaining trajectories [adjusted relative risk ratio 1.64, 95% confidence interval (CI) 1.18–2.28 for “moderate–decreasing,” 1.88, 1.52–2.33 for “moderate–increasing,” and 4.57, 1.97–10.59 for “consistently high”]. Parental psychological distress predicted the “moderate–increasing” (1.84, 1.25–2.71) and “consistently high” (5.07, 1.78–14.42) trajectories. The “consistently high” trajectory showed the greatest risk for self-harm and suicidal ideation (adjusted relative risk ratio 6.01, 95% CI 4.40–8.22; 2.48, 1.82–3.37, respectively); however, the “moderate–increasing” and “moderate–decreasing” trajectories were also at increased risk (moderate–increasing: 2.71, 2.23–3.30 for self-harm, 1.93, 1.69–2.19 for suicidal ideation; moderate–decreasing: 2.49, 1.91–3.26 for self-harm, 1.59, 1.33–1.91 for suicidal ideation). Conclusions Bullying victimization and parental psychological distress at age 10 were independent determinants of increased and chronic loneliness trajectories across early-to-mid adolescence. Compared with “consistently low,” all other loneliness trajectories were associated with an increased risk of adolescent suicidality. Interventions targeting adolescent loneliness should include approaches to mitigate bullying and parental psychological distress. These strategies may help prevent adolescent suicidality.https://doi.org/10.1186/s13034-022-00545-zLonelinessAdolescenceTrajectorySelf-harmSuicidal ideationBullying victimization |
| spellingShingle | Mariko Hosozawa Noriko Cable Syudo Yamasaki Shuntaro Ando Kaori Endo Satoshi Usami Miharu Nakanishi Junko Niimura Naomi Nakajima Kaori Baba Nao Oikawa Daniel Stanyon Kazuhiro Suzuki Mitsuhiro Miyashita Hiroyasu Iso Mariko Hiraiwa-Hasegawa Kiyoto Kasai Atsushi Nishida Predictors of chronic loneliness during adolescence: a population-based cohort study Child and Adolescent Psychiatry and Mental Health Loneliness Adolescence Trajectory Self-harm Suicidal ideation Bullying victimization |
| title | Predictors of chronic loneliness during adolescence: a population-based cohort study |
| title_full | Predictors of chronic loneliness during adolescence: a population-based cohort study |
| title_fullStr | Predictors of chronic loneliness during adolescence: a population-based cohort study |
| title_full_unstemmed | Predictors of chronic loneliness during adolescence: a population-based cohort study |
| title_short | Predictors of chronic loneliness during adolescence: a population-based cohort study |
| title_sort | predictors of chronic loneliness during adolescence a population based cohort study |
| topic | Loneliness Adolescence Trajectory Self-harm Suicidal ideation Bullying victimization |
| url | https://doi.org/10.1186/s13034-022-00545-z |
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