Reduced Emotional Awareness and Distress Concealment: A Pathway to Loneliness for Young Men Seeking Mental Health Care

Background: Loneliness, the painful affective state that reflects perceived deficits in social relationships, is a significant health issue requiring further understanding. Individual differences in awareness and disclosure of emotional concerns may contribute to loneliness, and may do so diversely...

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Main Authors: David Kealy, Zac E. Seidler, Simon M. Rice, Daniel W. Cox, John L. Oliffe, John S. Ogrodniczuk, Dan Kim
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-06-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2021.679639/full
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author David Kealy
Zac E. Seidler
Zac E. Seidler
Simon M. Rice
Simon M. Rice
Daniel W. Cox
John L. Oliffe
John S. Ogrodniczuk
Dan Kim
author_facet David Kealy
Zac E. Seidler
Zac E. Seidler
Simon M. Rice
Simon M. Rice
Daniel W. Cox
John L. Oliffe
John S. Ogrodniczuk
Dan Kim
author_sort David Kealy
collection DOAJ
description Background: Loneliness, the painful affective state that reflects perceived deficits in social relationships, is a significant health issue requiring further understanding. Individual differences in awareness and disclosure of emotional concerns may contribute to loneliness, and may do so diversely according to gender and age. The present study examined a hypothesized mediation pathway from emotional awareness abilities to loneliness through distress concealment, with moderation by gender and age, in a sample of adults attending outpatient mental health services.Methods: In a cross-sectional study design, 244 patients attending Canadian community mental health clinics completed study assessments at the commencement of care. Conditional process modeling examined interactions between gender and age and both emotional awareness and distress concealment in mediation models predicting loneliness.Results: A significant three-way interaction between gender, age, and distress concealment was observed, along with significant conditional moderated mediation. The indirect effect of emotional awareness on loneliness through the mediating effect of distress concealment was significant for young- and mid-adulthood men, but not for women or older men.Limitations: The study was limited by exclusive use of self-report assessment, and cross-sectional design precluding representation of causal sequencing over time.Conclusion: Findings suggest the pathway to loneliness from reduced emotional awareness through distress concealment to be particularly salient for younger men. Thus, intervention targeting restricted awareness and disclosure of emotional concerns should be considered in helping young men to address the pain of loneliness.
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spelling doaj.art-829ccd5822364e1e8b0c905ab71d43c82022-12-21T20:25:20ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-06-011210.3389/fpsyg.2021.679639679639Reduced Emotional Awareness and Distress Concealment: A Pathway to Loneliness for Young Men Seeking Mental Health CareDavid Kealy0Zac E. Seidler1Zac E. Seidler2Simon M. Rice3Simon M. Rice4Daniel W. Cox5John L. Oliffe6John S. Ogrodniczuk7Dan Kim8Department of Psychiatry, University of British Columbia, Vancouver, BC, CanadaOrygen, Melbourne, VIC, AustraliaCentre for Youth Mental Health, University of Melbourne, Melbourne, VIC, AustraliaOrygen, Melbourne, VIC, AustraliaCentre for Youth Mental Health, University of Melbourne, Melbourne, VIC, AustraliaCounselling Psychology Program, University of British Columbia, Vancouver, BC, CanadaSchool of Nursing, University of British Columbia, Vancouver, BC, CanadaDepartment of Psychiatry, University of British Columbia, Vancouver, BC, CanadaWhite Rock/South Surrey Mental Health & Substance Use Services, Fraser Health Authority, Surrey, BC, CanadaBackground: Loneliness, the painful affective state that reflects perceived deficits in social relationships, is a significant health issue requiring further understanding. Individual differences in awareness and disclosure of emotional concerns may contribute to loneliness, and may do so diversely according to gender and age. The present study examined a hypothesized mediation pathway from emotional awareness abilities to loneliness through distress concealment, with moderation by gender and age, in a sample of adults attending outpatient mental health services.Methods: In a cross-sectional study design, 244 patients attending Canadian community mental health clinics completed study assessments at the commencement of care. Conditional process modeling examined interactions between gender and age and both emotional awareness and distress concealment in mediation models predicting loneliness.Results: A significant three-way interaction between gender, age, and distress concealment was observed, along with significant conditional moderated mediation. The indirect effect of emotional awareness on loneliness through the mediating effect of distress concealment was significant for young- and mid-adulthood men, but not for women or older men.Limitations: The study was limited by exclusive use of self-report assessment, and cross-sectional design precluding representation of causal sequencing over time.Conclusion: Findings suggest the pathway to loneliness from reduced emotional awareness through distress concealment to be particularly salient for younger men. Thus, intervention targeting restricted awareness and disclosure of emotional concerns should be considered in helping young men to address the pain of loneliness.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.679639/fulllonelinessemotional awarenessdistress concealmentdisclosuregenderage
spellingShingle David Kealy
Zac E. Seidler
Zac E. Seidler
Simon M. Rice
Simon M. Rice
Daniel W. Cox
John L. Oliffe
John S. Ogrodniczuk
Dan Kim
Reduced Emotional Awareness and Distress Concealment: A Pathway to Loneliness for Young Men Seeking Mental Health Care
Frontiers in Psychology
loneliness
emotional awareness
distress concealment
disclosure
gender
age
title Reduced Emotional Awareness and Distress Concealment: A Pathway to Loneliness for Young Men Seeking Mental Health Care
title_full Reduced Emotional Awareness and Distress Concealment: A Pathway to Loneliness for Young Men Seeking Mental Health Care
title_fullStr Reduced Emotional Awareness and Distress Concealment: A Pathway to Loneliness for Young Men Seeking Mental Health Care
title_full_unstemmed Reduced Emotional Awareness and Distress Concealment: A Pathway to Loneliness for Young Men Seeking Mental Health Care
title_short Reduced Emotional Awareness and Distress Concealment: A Pathway to Loneliness for Young Men Seeking Mental Health Care
title_sort reduced emotional awareness and distress concealment a pathway to loneliness for young men seeking mental health care
topic loneliness
emotional awareness
distress concealment
disclosure
gender
age
url https://www.frontiersin.org/articles/10.3389/fpsyg.2021.679639/full
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