Would the Real Loneliness Please Stand Up? The Validity of Loneliness Scores and the Reliability of Single-Item Scores.

Several measures that assess loneliness have been developed for adults. Across three studies, we investigated psychometric features of scores of different versions of the Rasch-Type Loneliness Scale, the University of California Los Angeles Loneliness Scale, and three single-item measures. In Study 1 (N = 697 self-ratings, N = 282 informant-ratings of 160 targets) and Study 2 (N = 1,216 individuals from 608 couples), we investigated convergent validity, self-informant agreement, and nomological nets of the item scores using correlates related to demographic aspects, personality, satisfaction, and network characteristics. In Study 3 (N = 411), we estimated a reliability of rxx>.70 for scores of three single-item measures of loneliness. Overall, scores of all measures and their nomological nets were highly correlated within and across studies, indicating that the scores of the included measures are all reliable and valid. Recommendations for choosing a loneliness measure are discussed.

Examining socioeconomic disparities in changes in adolescent mental health before and during different phases of the coronavirus disease 2019 pandemic.

This study examined socioeconomic disparities in changes in adolescent mental health between fall 2019 (pre-COVID-19), spring 2020 (initial coronavirus disease 2019 (COVID-19) phase), and fall 2020 (prevailing COVID-19 phase). Using data from 1429 adolescents (Mage  = 17.9) from tertiary vocational schools in the Netherlands with n = 386 participating in all three waves, linear and latent basis growth curve models were assessed and multigroup analyses conducted. Results showed a small but significant decrease in life satisfaction and small but significant increases in emotional problems, peer relationship problems, conduct problems, and hyperactivity-inattention problems. For emotional problems and peer relationship problems, increases between pre-COVID-19 and the initial COVID-19 phase were more pronounced than increases between the initial and prevailing COVID-19 phase. In contrast, linear decreases were found for life satisfaction and linear increases for conduct problems and hyperactivity-inattention problems over the course of the study. Mental health patterns were largely comparable for adolescents from families with varying socioeconomic status.

How (Not) to Measure Loneliness: A Review of the Eight Most Commonly Used Scales.

Loneliness affects well-being and has long-term negative impacts on physical and mental health, educational outcomes, and employability. Because of those current and long-term impacts, loneliness is a significant issue for which we need reliable and appropriate measurement scales. In the current paper, psychometric properties of the eight most commonly used loneliness scales are reviewed both descriptively and meta-analytically. Results suggest that for many of the scales, the psychometric properties are promising. However, for some psychometric features, especially test-retest reliability and measurement invariance, evidence is rather scarce. Most striking, however, is the fact that all of the scales included items that do not measure loneliness. Surprisingly, for many (sub)scales, this was even the case for about half of the items. Because our measures are the foundation of our research work, it is crucial to improve the way loneliness is being measured.

The Association Between Child Maltreatment and Loneliness Across the Lifespan: A Systematic Review and Multilevel Meta-Analysis.

While there is evidence that child maltreatment is positively associated with loneliness, the strength of this association is not yet clear. It is also unclear whether the magnitude and statistical significance of this association varies across groups of individuals. Therefore, this meta-analysis examines whether there are differences in loneliness between individuals with and without maltreatment histories, and which factors may influence the association between child maltreatment and loneliness. A three-level meta-analysis was conducted on 52 studies reporting 116 effect sizes (N = 1,705,493; Mage = 30.93; 49.6% females). Results showed a medium overall effect (g = 0.45, p < .001, 95% CI [0.36, 0.53]), indicating that individuals with maltreatment histories, on average, feel lonelier than individuals without maltreatment histories. Moderator analyses showed that effect sizes were larger for emotional abuse and emotional neglect as compared to other types of child maltreatment and decreased when participants were older at the time of loneliness assessment. These findings suggest that individuals with maltreatment histories, especially those who have been emotionally abused and/or emotionally neglected, are vulnerable to experiencing loneliness across the lifespan. The results also suggest that feelings of loneliness warrant attention in prevention and intervention programs for individuals with maltreatment histories.

Lonely in Different Relationships: Bidirectional Effects between Parent- and Peer-Related Loneliness in Adolescence.

Although it is assumed that loneliness in one relationship might put one at risk of experiencing loneliness in another relationship, this association has rarely been examined as such. In this longitudinal study, we examined the associations between peer- and parent-related loneliness in a sample of 3391 adolescents across three waves (Mage Wave 1 = 14.53; 59.3% female). Using random intercept cross-lagged panel models, parent- and peer-related loneliness were found to be stable over time and were concurrently related to each other. Moreover, the state of peer-related loneliness predicted the state of parent-related loneliness one year later. Thereby, the current study provides limited evidence of a carry-over effect between relation-specific types of loneliness.

A meta-analysis of longitudinal peer influence effects in childhood and adolescence.

For decades, psychological research has examined the extent to which children's and adolescents' behavior is influenced by the behavior of their peers (i.e., peer influence effects). This review provides a comprehensive synthesis and meta-analysis of this vast field of psychological science, with a goal to quantify the magnitude of peer influence effects across a broad array of behaviors (externalizing, internalizing, academic). To provide a rigorous test of peer influence effects, only studies that employed longitudinal designs, controlled for youths' baseline behaviors, and used "external informants" (peers' own reports or other external reporters) were included. These criteria yielded a total of 233 effect sizes from 60 independent studies across four different continents. A multilevel meta-analytic approach, allowing the inclusion of multiple dependent effect sizes from the same study, was used to estimate an average cross-lagged regression coefficient, indicating the extent to which peers' behavior predicted changes in youths' own behavior over time. Results revealed a peer influence effect that was small in magnitude (߯ = .08) but significant and robust. Peer influence effects did not vary as a function of the behavioral outcome, age, or peer relationship type (one close friend vs. multiple friends). Time lag and peer context emerged as significant moderators, suggesting stronger peer influence effects over shorter time periods, and when the assessment of peer relationships was not limited to the classroom context. Results provide the most thorough and comprehensive synthesis of childhood and adolescent peer influence to date, indicating that peer influence occurs similarly across a broad range of behaviors and attitudes. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Tell Me about Loneliness: Interviews with Young People about What Loneliness Is and How to Cope with It.

BACKGROUND: loneliness is a common experience for adolescents, yet the voices of adolescents are missing from current conceptualisations of loneliness. That means, measures that have been created based on current conceptualisations may miss important contexts of adolescence, such as the roles of friendships, that determine the way loneliness is experienced. The current study aims to centre adolescent voices to identify how they conceptualise loneliness and what strategies they consider to be useful for adolescents to cope with loneliness. METHOD: thematic framework analysis (TFA) was conducted on qualitative interviews with young people aged 8-14 years in Belgium and Italy to identify salient themes in their conceptualisations of loneliness. RESULTS: Loneliness was conceptualised as a negative emotional state involving negative thinking patterns that occurs when an individual perceives they are missing out on a desired aspect in their social relationships. Coping strategies related to alleviating negative affect, and aiding social reconnection. CONCLUSIONS: friendships with peers were understood to be central to adolescent loneliness experiences. In line with that, loneliness was seen to be experienced at school. Age-related differences in friendship expectations were identified, highlighting how developmental needs relate to the loneliness experience.

Perceived Social Support from Different Sources and Adolescent Life Satisfaction Across 42 Countries/Regions: The Moderating Role of National-Level Generalized Trust.

Although previous research established a positive association between perceived social support and adolescent life satisfaction, little is known about the relative importance of different sources of support for adolescent life satisfaction and cross-country variations in this respect. Using large-scale representative samples from the 2017/18 Health Behaviour in School-aged Children (HBSC) study, this study examined to what extent the association between social support and life satisfaction in early adolescence varied across different social sources and countries. Also, it examined whether cross-country variations are explained by national-level generalized trust, a sociocultural factor that shapes adolescent socialization. National-level data were linked to data from 183,918 early adolescents (Mage = 13.56, SD = 1.63, 52% girls) from 42 European and North American countries/regions obtained from HBSC. Multilevel regression analyses yielded a positive association between support from different sources and life satisfaction. The strongest associations were found for support from families, followed by teachers and classmates, and weakest for support from friends. Associations varied across different countries/regions. National-level trust amplified the association between perceived classmate support and adolescent life satisfaction. The revealed cross-country differences open avenues for future cross-cultural research on explanations for cross-cultural differences in the association between social support from different sources and life satisfaction in early adolescence.

A Systematic Review of the Development and Psychometric Properties of Loneliness Measures for Children and Adolescents.

This paper reviews the three most commonly used measures of loneliness for children and adolescents (children: Loneliness and Aloneness Scale for Children and Adolescents [LACA] and Children's Loneliness and Social Dissatisfaction Scale [CLS]; adolescents: UCLA Loneliness Scale [UCLA] and LACA). Loneliness is a pertinent issue across populations and affects the mental health and academic achievement of children and adolescents. To date, there has been no thorough examination of the loneliness measures for this age group. We examine how each of the three measures was developed, and assess the psychometric properties of those measures, gaining insight into whether they are valid and reliable assessments of loneliness. Results suggest that the UCLA Loneliness Scale is the most popular measure of loneliness for use with adolescents, but it does not have robust psychometric properties for that group. For children, the CLS appears most suitable. Results of the review identify gaps in aspects of measure development, with no measure having been developed with children or adolescents. Implications for future loneliness measurement research are considered.

Spotting Loneliness at School: Associations between Self-Reports and Teacher and Peer Nominations.

In two independent studies, we aimed to examine the extent to which teacher and peer nominations of loneliness are associated with children's and adolescents' self-reported loneliness, respectively. Additionally, we examined whether loneliness nominations from teachers and peers were informative above and beyond peer status and social behaviors associated with loneliness. In Study 1 (N = 1594, Mage = 9.43 years), teacher nominations of loneliness showed a small to moderate correlation with children's self-reported loneliness as assessed using the Loneliness and Social Dissatisfaction Questionnaire (LSDQ). The results of a hierarchical regression analysis showed that teacher nominations of loneliness predicted children's self-reported loneliness above and beyond teacher nominations of peer status and social behaviors. In Study 2 (N = 350, Mage = 13.81 years), peer nominations of loneliness showed a small to moderate correlation with adolescents' self-reported loneliness as assessed using the peer-related loneliness subscale of the Loneliness and Aloneness Scale for Children and Adolescents (LACA). The results of a hierarchical regression analysis showed that peer nominations of loneliness predicted adolescents' self-reported loneliness above and beyond peer nominations of peer status and social behaviors. We conclude that loneliness nominations are valuable, but caution is needed when they are used exclusively to identify lonely children and adolescents.

Loneliness, Social Anxiety Symptoms, and Depressive Symptoms in Adolescence: Longitudinal Distinctiveness and Correlated Change.

Loneliness, social anxiety symptoms, and depressive symptoms are internalizing problems that are highly intertwined and often co-occur during adolescence. This overlap and co-occurrence raises the question whether three different labels are used for the same underlying phenomenon. The present study adopts a comprehensive approach to this issue by investigating the development of the three phenomena simultaneously. Specifically, this study aimed to investigate (1) the developmental trend for all three internalizing problems separately, (2) whether they are best described by a single developmental trend, (3) how they co-develop across adolescence, and (4) gender differences in this co-development. The analyses were run in three three-wave longitudinal samples of adolescents with one-year intervals in order to verify the robustness of the findings. Sample 1 (roughly ages 15, 16, and 17) comprised 549 adolescents (63% girls), and Samples 2 and 3 (roughly ages 13, 14, and 15) comprised 811 adolescents (46% girls) and 1101 adolescents (52% girls), respectively. Latent growth curve modeling for the three phenomena separately showed either small increases or stable patterns. A comparison of a Multiple Indicator Latent Growth Model (MILGM) with a Parallel Process Latent Growth Curve Modeling (PPLGCM) showed that the three internalizing problems followed unique, but related, developmental trends across adolescence. The intercepts of the three phenomena were positively correlated with one another in all samples and increases in loneliness were associated consistently with increases in social anxiety symptoms. Only in Sample 3 evidence was found for a similar association between loneliness and depressive symptoms and between social anxiety symptoms and depressive symptoms. Except for differences in initial levels, gender differences in the development of the three problems were limited. Overall, the results of the present study clearly indicate that the three internalizing problems are longitudinally distinct from one another, but co-develop across adolescence.

Loneliness and social anxiety across childhood and adolescence: Multilevel meta-analyses of cross-sectional and longitudinal associations.

Social relationships are of vital importance for children's and adolescents' development, and disruptions in these relationships can have serious implications. Such disruptions play a central role in both loneliness and social anxiety. Although both phenomena are closely related, they have largely been studied separately, and important questions have remained unanswered concerning how both go together within and across time. Multilevel meta-analyses were performed on 102 cross-sectional studies, published between 1981 and 2016, including 41,776 participants (39% males) with a mean age of 15.59 years. Longitudinal associations were examined in 10 studies, including 3,995 participants (46% males), using a novel technique that enables the examination of such associations even when these were not reported in the original empirical studies. Results indicated a strong, positive cross-sectional association between loneliness and social anxiety symptoms. This associations did not systematically differ in strength across childhood and adolescence. Moreover, results showed that loneliness and social anxiety symptoms were reciprocally associated over time. To conclude, loneliness and social anxiety symptoms are positively associated both within and across time, and across childhood and adolescence. Breaking this vicious cycle is of great importance, as both phenomena may be associated with profound problems in multiple domains of youth development. Moreover, failing to pay attention to both loneliness and social anxiety symptoms might substantially reduce the effectiveness of intervention programs focusing on either of the two. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

A demonstration and evaluation of the use of cross-classified random-effects models for meta-analysis.

It is common for the primary studies in meta-analyses to report multiple effect sizes, generating dependence among them. Hierarchical three-level models have been proposed as a means to deal with this dependency. Sometimes, however, dependency may be due to multiple random factors, and random factors are not necessarily nested, but rather may be crossed. For instance, effect sizes may belong to different studies, and, at the same time, effect sizes might represent the effects on different outcomes. Cross-classified random-effects models (CCREMs) can be used to model this nonhierarchical dependent structure. In this article, we explore by means of a simulation study the performance of CCREMs in comparison with the use of other meta-analytic models and estimation procedures, including the use of three- and two-level models and robust variance estimation. We also evaluated the performance of CCREMs when the underlying data were generated using a multivariate model. The results indicated that, whereas the quality of fixed-effect estimates is unaffected by any misspecification in the model, the standard error estimates of the mean effect size and of the moderator variables' effects, as well as the variance component estimates, are biased under some conditions. Applying CCREMs led to unbiased fixed-effect and variance component estimates, outperforming the other models. Even when a CCREM was not used to generate the data, applying the CCREM yielded sound parameter estimates and inferences.

Socio-emotional adjustment of adolescents with cochlear implants: Loneliness, emotional autonomy, self-concept, and emotional experience at the hospital.

Recent studies have reported contrasting results in the socio-emotional adjustment of Italian adolescents with cochlear implants (CIs). The aim of the present study is to explore the relationship between the socio-emotional adjustment of adolescents with CIs, the quality of their hospital stay, and their age at CI activation. The participants were 29 adolescents with CIs (CI group) and 29 typically developing adolescents (TD group). The Emotional Autonomy Scale, the Loneliness and Aloneness Scale for Children and Adolescents, and the Multidimensional Self-Concept Scale were administered to each participant. The emotional experience reported during the hospital stay was considered for each participant in the CI group. The adolescents with CIs displayed significantly higher levels of loneliness and lower levels of aversion toward aloneness than the TD group participants. Adolescents who had received the CI in preschool displayed a higher level of physical self-concept than adolescents who had received it later. The adolescents' emotional experiences at the hospital were reported to be quite complex and related to their relationships with parents. In summary, the findings point to a specific type of fragility in socio-emotional adjustment-focused on loneliness/aloneness-rather than a general one.

Developmental Change in Loneliness and Attitudes Toward Aloneness in Adolescence.

Adolescents are particularly vulnerable to experiencing feelings of loneliness. Changes in different social contexts and the inability to cope with these changes can result in different types of loneliness. According to the multidimensional view on loneliness, loneliness can be experienced in relationships with peers and parents and can be placed in a broader perspective by taking into account attitudes toward aloneness (i.e., positive and negative). However, we do not yet know how loneliness and attitudes toward aloneness develop across adolescence. These developmental trends were examined in two samples of Flemish adolescents consisting of 834 adolescents (61.9% girls, M age = 14.84; Sample 1), and 968 adolescents (58.6% girls, M age = 14.82; Sample 2), respectively. Adolescents filled out the Loneliness and Aloneness Scale for Children and Adolescents (LACA) during regular school hours on three (Sample 1) and four (Sample 2) measurement occasions with a 1-year interval. Latent growth curve modeling (LGCM) was applied. In line with theoretical notions, adolescents' parent-related loneliness and positive attitude toward aloneness were expected to increase, and adolescents' peer-related loneliness and negative attitude toward aloneness were expected to decrease. Clear evidence was found for the hypotheses regarding attitudes toward aloneness. The results regarding peer-related loneliness were inconsistent across samples and parent-related loneliness decreased, which was in contrast with theoretical expectations. In general, the two types of loneliness and attitudes toward aloneness changed in different directions during adolescence, suggesting the added value of a multidimensional view on loneliness.

Loneliness in Children and Adolescents With Chronic Physical Conditions: A Meta-Analysis.

Objective: This meta-analysis examines loneliness in children and adolescents with chronic physical conditions as compared with their peers. Multilevel meta-analyses were performed on 43 studies (69 samples), published between 1987 and 2015. A total of 2,518 individuals with chronic physical conditions and 1,463 control peers were included in the analyses. Children and adolescents with chronic conditions are, on average, somewhat lonelier than their peers without such conditions. Moreover, the link between chronic conditions and loneliness varied according to the recruitment procedure used for participant selection. Stronger links were found for studies that recruited from patient organizations as compared with clinical registers. Findings support the link between loneliness and chronic conditions. To take into account the heterogeneity within patient groups, we advocate an alternative approach that cuts across diagnostic boundaries and focuses on illness-related variables such as illness duration and visibility of the condition.

The Children's Loneliness Scale.

The present study examined the factor structure and construct validity of the Children's Loneliness Scale (CLS), a popular measure of childhood loneliness, in Belgian children. Analyses were conducted on two samples of fifth and sixth graders in Belgium, for a total of 1,069 children. A single-factor structure proved superior to alternative solutions proposed in the literature, when taking item wording into account. Construct validity was shown by substantial associations with related constructs, based on both self-reported (e.g., depressive symptoms and low social self-esteem), and peer-reported variables (e.g., victimization). Furthermore, a significant association was found between the CLS and a peer-reported measure of loneliness. Collectively, these findings provide a solid foundation for the continuing use of the CLS as a measure of childhood loneliness.

Loneliness and Attitudes Toward Aloneness in Adolescence: A Person-Centered Approach.

In adolescence, feeling lonely and dealing with time spent alone become particularly salient. The present study examined the co-occurrence of parent- and peer-related loneliness, and positive and negative attitudes toward aloneness, using cluster analysis. In three independent samples, covering about 1800 adolescents (61 % female), six meaningful groups were identified. These groups showed different associations with adolescents' self-esteem and personality, parental responsiveness and psychological control, and peer group functioning and friendships. An adaptive pattern of correlates was found for adolescents in three of the six groups, that is, the Indifference group (with rather low scores on the four constructs), the Moderate group (with moderate scores on the four constructs), and the Negative Attitude Toward Aloneness group. A rather maladaptive pattern of correlates was found for adolescents in the three other groups, that is, the Peer-Related Loneliness group, the Positive Attitude Toward Aloneness group, and the Parent-Related Loneliness group. More specifically, adolescents in the Peer-Related Loneliness and Positive Attitude Toward Aloneness groups may need assistance regarding their relations with their peers, whereas adolescents in the Parent-Related Loneliness group may need assistance regarding their relations with their parents. Implications of these findings for current understanding and optimal measurement of adolescents' loneliness and aloneness are discussed.

An Internationally Comparative Study of Immigration and Adolescent Emotional and Behavioral Problems: Effects of Generation and Gender.

PURPOSE: Although the potential consequences of immigration for adolescent problem behaviors have been addressed in many former studies, internationally comparative research is scarce. This study investigated the impact of immigration on four indicators of adolescents' emotional and behavioral problems in 10 countries, taking into account gender and immigrant generation as moderating factors. METHODS: Analyses were based on data from 11-, 13-, and 15-year-old adolescents participating in the Health Behavior in School-aged Children study in Denmark, Germany, Greece, Iceland, Ireland, Italy, the Netherlands, Spain, the United States, and Wales (total N = 53,218). RESULTS: Both first- and second-generation immigrant adolescents reported higher levels of physical fighting and bullying and a lower life satisfaction than native adolescents, whereas second-generation immigrant adolescents reported more psychosomatic symptoms than native adolescents. Effect sizes varied considerable for the different outcomes, and similar effects were found for first- and second-generation immigrant adolescents. Differences in these indicators of emotional and behavioral problems between immigrant and native adolescents did not vary significantly with the receiving country. With two exceptions, effects of immigrant status were similar for boys and girls. Although no differences in psychosomatic symptoms were found between first-generation immigrant and native girls, first-generation immigrant boys reported less psychosomatic symptoms than native boys. Furthermore, both second-generation immigrant boys and girls reported higher levels of physical fighting than their native peers, but differences were more pronounced for boys than for girls. CONCLUSIONS: Overall, the results of this study support a risk perspective on the impact of immigration on adolescent problem behaviors.

The genetics of loneliness: linking evolutionary theory to genome-wide genetics, epigenetics, and social science.

As a complex trait, loneliness is likely to be influenced by the interplay of numerous genetic and environmental factors. Studies in behavioral genetics indicate that loneliness has a sizable degree of heritability. Candidate-gene and gene-expression studies have pointed to several genes related to neurotransmitters and the immune system. The notion that these genes are related to loneliness is compatible with the basic tenets of the evolutionary theory of loneliness. Research on gene-environment interactions indicates that social-environmental factors (e.g., low social support) may have a more pronounced effect and lead to higher levels of loneliness if individuals carry the sensitive variant of these candidate genes. Currently, there is no extant research on loneliness based on genome-wide association studies, gene-environment-interaction studies, or studies in epigenetics. Such studies would allow researchers to identify networks of genes that contribute to loneliness. The contribution of genetics to loneliness research will become stronger when genome-wide genetics and epigenetics are integrated and used along with well-established methods in psychology to analyze the complex process of gene-environment interplay.