Social anxiety and loneliness among older adults: a moderated mediation model

Abstract Background Few studies have clarified the mechanisms linking social anxiety and loneliness in older populations. The study aimed to explore how social network mediate the relationship between social anxiety and loneliness in older adults, with perceived social support playing a moderating r...

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Main Authors: Shuting Sun, Yawen Wang, Lilu Wang, Jinjin Lu, Huihui Li, Jiahui Zhu, Suzhen Qian, Lianlian Zhu, Hongbo Xu
Format: Article
Language:English
Published: BMC 2024-02-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-024-17795-5
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author Shuting Sun
Yawen Wang
Lilu Wang
Jinjin Lu
Huihui Li
Jiahui Zhu
Suzhen Qian
Lianlian Zhu
Hongbo Xu
author_facet Shuting Sun
Yawen Wang
Lilu Wang
Jinjin Lu
Huihui Li
Jiahui Zhu
Suzhen Qian
Lianlian Zhu
Hongbo Xu
author_sort Shuting Sun
collection DOAJ
description Abstract Background Few studies have clarified the mechanisms linking social anxiety and loneliness in older populations. The study aimed to explore how social network mediate the relationship between social anxiety and loneliness in older adults, with perceived social support playing a moderating role. Methods A total of 454 older patients completed the Social Avoidance and Distress Scale, Lubben Social Network Scale-6, Chinese version of the Short Loneliness Scale and Perceived Social Support Scale. Bootstrap and simple slope methods were used to test the moderated mediation model. Results Social anxiety had a significant positive predictive effect on loneliness and social network partially mediated this relationship. The relationship between social anxiety and social network, as well as the relationship between social network and loneliness, was moderated by perceived social support. Specifically, perceived social support buffered the effects of social anxiety on social network, but the buffering effect diminished with increasing levels of social anxiety. On the social network and loneliness pathway, the social network of older persons with higher perceived social support has a stronger prediction of loneliness. Conclusions The study found that social anxiety can contribute to loneliness by narrowing older adults’ social network. High perceived social support can buffer this process, but do not overstate its protective effects. Thus, interventions to reduce social anxiety and improve social network and social support may help prevent and alleviate loneliness in older adults.
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spelling doaj.art-3e52c2ac20fe499facff4e4207e9a9852024-03-05T20:36:20ZengBMCBMC Public Health1471-24582024-02-0124111110.1186/s12889-024-17795-5Social anxiety and loneliness among older adults: a moderated mediation modelShuting Sun0Yawen Wang1Lilu Wang2Jinjin Lu3Huihui Li4Jiahui Zhu5Suzhen Qian6Lianlian Zhu7Hongbo Xu8School of Nursing, Wenzhou Medical University, University TownSchool of Nursing, Wenzhou Medical University, University TownSchool of Nursing, Wenzhou Medical University, University TownSchool of Nursing, Wenzhou Medical University, University TownSchool of Public Health and Management, Wenzhou Medical UniversitySchool of Nursing, Wenzhou Medical University, University TownSchool of Nursing, Wenzhou Medical University, University TownSchool of Nursing, Wenzhou Medical University, University TownSchool of Nursing, Wenzhou Medical University, University TownAbstract Background Few studies have clarified the mechanisms linking social anxiety and loneliness in older populations. The study aimed to explore how social network mediate the relationship between social anxiety and loneliness in older adults, with perceived social support playing a moderating role. Methods A total of 454 older patients completed the Social Avoidance and Distress Scale, Lubben Social Network Scale-6, Chinese version of the Short Loneliness Scale and Perceived Social Support Scale. Bootstrap and simple slope methods were used to test the moderated mediation model. Results Social anxiety had a significant positive predictive effect on loneliness and social network partially mediated this relationship. The relationship between social anxiety and social network, as well as the relationship between social network and loneliness, was moderated by perceived social support. Specifically, perceived social support buffered the effects of social anxiety on social network, but the buffering effect diminished with increasing levels of social anxiety. On the social network and loneliness pathway, the social network of older persons with higher perceived social support has a stronger prediction of loneliness. Conclusions The study found that social anxiety can contribute to loneliness by narrowing older adults’ social network. High perceived social support can buffer this process, but do not overstate its protective effects. Thus, interventions to reduce social anxiety and improve social network and social support may help prevent and alleviate loneliness in older adults.https://doi.org/10.1186/s12889-024-17795-5Social anxietySocial networkPerceived social supportLonelinessOlder adults
spellingShingle Shuting Sun
Yawen Wang
Lilu Wang
Jinjin Lu
Huihui Li
Jiahui Zhu
Suzhen Qian
Lianlian Zhu
Hongbo Xu
Social anxiety and loneliness among older adults: a moderated mediation model
BMC Public Health
Social anxiety
Social network
Perceived social support
Loneliness
Older adults
title Social anxiety and loneliness among older adults: a moderated mediation model
title_full Social anxiety and loneliness among older adults: a moderated mediation model
title_fullStr Social anxiety and loneliness among older adults: a moderated mediation model
title_full_unstemmed Social anxiety and loneliness among older adults: a moderated mediation model
title_short Social anxiety and loneliness among older adults: a moderated mediation model
title_sort social anxiety and loneliness among older adults a moderated mediation model
topic Social anxiety
Social network
Perceived social support
Loneliness
Older adults
url https://doi.org/10.1186/s12889-024-17795-5
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