The Influence of Loneliness, Social Support and Income on Mental Well-Being
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Participants’ Information
3.2. Mental Well-Being
3.3. Linear Regression
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
MOS-SSS | Medical Outcomes Study Social Support Survey |
SD | Standard Deviation |
UCLA | University of California, Los Angeles |
WEMWBS | Warwick–Edinburgh Mental Well-Being Scale |
References
- Barreto, M., Victor, C., Hammond, C., Eccles, A., Richins, M. T., & Qualter, P. (2021). Loneliness around the world: Age, gender, and cultural differences in loneliness. Personality and Individual Differences, 169, 110066. [Google Scholar] [CrossRef]
- Bruss, K. V., Seth, P., & Zhao, G. (2024). Loneliness, lack of social and emotional support, and mental health issues—United States, 2022. MMWR. Morbidity and Mortality Weekly Report, 73, 539–545. [Google Scholar] [CrossRef] [PubMed]
- Cacioppo, J. T., & Hawkley, L. C. (2009). Perceived social isolation and cognition. Trends in Cognitive Sciences, 13(10), 447–454. [Google Scholar] [CrossRef] [PubMed]
- Cacioppo, J. T., Hawkley, L. C., Crawford, L. E., Ernst, J. M., Burleson, M. H., Kowalewski, R. B., Malarkey, W. B., Van Cauter, E., & Berntson, G. G. (2002). Loneliness and health: Potential mechanisms. Psychosomatic Medicine, 64(3), 407–417. [Google Scholar] [CrossRef] [PubMed]
- Cacioppo, J. T., Hawkley, L. C., & Thisted, R. A. (2010). Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study. Psychology and Aging, 25(2), 453–463. [Google Scholar] [CrossRef]
- Cacioppo, J. T., & Patrick, W. (2008). Loneliness: Human nature and the need for social connection. W W Norton & Co. [Google Scholar]
- Castellví, P., Forero, C. G., Codony, M., Vilagut, G., Brugulat, P., Medina, A., Gabilondo, A., Mompart, A., Colom, J., Tresserras, R., Ferrer, M., Stewart-Brown, S., & Alonso, J. (2014). The Spanish version of the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) is valid for use in the general population. Quality of Life Research, 23(3), 857–868. [Google Scholar] [CrossRef]
- Chen-Xia, X. J., Betancor, V., Rodríguez-Gómez, L., & Rodríguez-Pérez, A. (2023). Cultural variations in perceptions and reactions to social norm transgressions: A comparative study. Frontiers in Psychology, 14, 1243955. [Google Scholar] [CrossRef]
- Clarke, P. J., Marshall, V. W., Ryff, C. D., & Rosenthal, C. J. (2000). Well being in Canadian seniors: Findings from the Canadian study of health and aging. Canadian Journal on Aging, 19(2), 139–159. [Google Scholar] [CrossRef]
- Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357. [Google Scholar] [CrossRef]
- Davies, R. M., Knoll, M. A., & Kyranides, M. N. (2024). A moderated mediation analysis on the influence of social support and cognitive flexibility in predicting mental wellbeing in elite sport. Psychology of Sport and Exercise, 70, 102560. [Google Scholar] [CrossRef]
- Diener, E., Oishi, S., & Ryan, K. L. (2013). Universals and cultural differences in the causes and structure of happiness: A multilevel review. In Mental well-being: International contributions to the study of positive mental health (pp. 153–176). Springer Science + Business Media. [Google Scholar] [CrossRef]
- Donovan, N. J., & Blazer, D. (2020). Social isolation and loneliness in older adults: Review and commentary of a national academies report. American Journal of Geriatric Psychiatry, 28(12), 1233–1244. [Google Scholar] [CrossRef] [PubMed]
- Fazia, T., Bubbico, F., Salvato, G., Berzuini, G., Bruno, S., Bottini, G., & Bernardinelli, L. (2020). Boosting psychological well-being through a social mindfulness-based intervention in the general population. International Journal of Environmental Research and Public Health, 17(22), 8404. [Google Scholar] [CrossRef] [PubMed]
- Fernández-Ballesteros, R. (2002). Social support and quality of life among older people in Spain. Journal of Social Issues, 58(4), 645–659. [Google Scholar] [CrossRef]
- Forero, C. G., Adroher, N. D., Stewart-Brown, S., Castellví, P., Codony, M., Vilagut, G., Mompart, A., Tresseres, R., Colom, J., Castro, J. I., & Alonso, J. (2014). Differential item and test functioning methodology indicated that item response bias was not a substantial cause of country differences in mental well-being. Journal of Clinical Epidemiology, 67(12), 1364–1374. [Google Scholar] [CrossRef]
- Gable, S. L., & Bedrov, A. (2022). Social isolation and social support in good times and bad times. Current Opinion in Psychology, 44, 89–93. [Google Scholar] [CrossRef]
- Garrett, J. K., Rowney, F. M., White, M. P., Lovell, R., Fry, R. J., Akbari, A., Geary, R., Lyons, R. A., Mizen, A., Nieuwenhuijsen, M., Parker, C., Song, J., Stratton, G., Thompson, D. A., Watkins, A., White, J., Williams, S. A., Rodgers, S. E., & Wheeler, B. W. (2023). Visiting nature is associated with lower socioeconomic inequalities in well-being in Wales. Scientific Reports, 13(1), 9684. [Google Scholar] [CrossRef]
- Gautam, S., Jain, A., Chaudhary, J., Gautam, M., Gaur, M., & Grover, S. (2024). Concept of mental health and mental well-being, it’s determinants and coping strategies. Indian Journal of Psychiatry, 66(Suppl. S2), S231–S244. [Google Scholar] [CrossRef]
- Ginja, S., Coad, J., Bailey, E., Kendall, S., Goodenough, T., Nightingale, S., Smiddy, J., Day, C., Deave, T., & Lingam, R. (2018). Associations between social support, mental wellbeing, self-efficacy and technology use in first-time antenatal women: Data from the BaBBLeS cohort study. BMC Pregnancy and Childbirth, 18(1), 441. [Google Scholar] [CrossRef]
- Goñi-Balentziaga, O., & Azkona, G. (2023). Perceived professional quality of life and mental well-being among animal facility personnel in Spain. Laboratory Animals, 58(1), 73–81. [Google Scholar] [CrossRef]
- Graham, C., Higuera, L., & Lora, E. (2011). Which health conditions cause the most unhappiness? Health Economics, 20(12), 1431–1447. [Google Scholar] [CrossRef]
- Grossmann, I., Karasawa, M., Kan, C., & Kitayama, S. (2014). A cultural perspective on emotional experiences across the life span. Emotion, 14(4), 679–692. [Google Scholar] [CrossRef] [PubMed]
- Hawkley, L. C., Hughes, M. E., Waite, L. J., Masi, C. M., Thisted, R. A., & Cacioppo, J. T. (2008). From social structural factors to perceptions of relationship quality and loneliness: The Chicago health, aging, and social relations study. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 63(6), S375–384. [Google Scholar] [CrossRef] [PubMed]
- Hawkley, L. C., Thisted, R. A., & Cacioppo, J. T. (2009). Loneliness predicts reduced physical activity: Cross-sectional & longitudinal analyses. Health Psychology, 28(3), 354–363. [Google Scholar] [CrossRef] [PubMed]
- Hombrados-Mendieta, I., Millán-Franco, M., Gómez-Jacinto, L., Gonzalez-Castro, F., Martos-Méndez, M. J., & García-Cid, A. (2019). Positive influences of social support on sense of community, life satisfaction and the health of immigrants in Spain. Frontiers in Psychology, 10, 2555. [Google Scholar] [CrossRef]
- Hutten, E., Jongen, E. M. M., Vos, A. E. C. C., van den Hout, A. J. H. C., & van Lankveld, J. J. D. M. (2021). Loneliness and mental health: The mediating effect of perceived social support. International Journal of Environmental Research and Public Health, 18(22), 11963. [Google Scholar] [CrossRef]
- INE. (2024). Encuesta de Estructura Salarial (EES). Año 2022. Datos definitivos. Available online: https://www.ine.es/dyngs/INEbase/es/operacion.htm?c=Estadistica_C&cid=1254736177025&menu=ultiDatos&idp=1254735976596#:~:text=%C3%9Altima%20Nota%20de%20prensa&text=El%20salario%20medio%20anual%20fue,que%20el%20del%20a%C3%B1o%20anterior (accessed on 13 February 2025).
- Jackman, P. C., Slater, M. J., Carter, E. E., Sisson, K., & Bird, M. D. (2023). Social support, social identification, mental wellbeing, and psychological distress in doctoral students: A person-centred analysis. Journal of Further and Higher Education, 47(1), 45–58. [Google Scholar] [CrossRef]
- Keyes, C. L. M. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behavior, 43(2), 207–222. [Google Scholar] [CrossRef]
- Keyes, C. L. M., Shmotkin, D., & Ryff, C. D. (2002). Optimizing well-being: The empirical encounter of two traditions. Journal of Personality and Social Psychology, 82(6), 1007–1022. [Google Scholar] [CrossRef]
- Kiely, K. M., Brady, B., & Byles, J. (2019). Gender, mental health and ageing. Maturitas, 129, 76–84. [Google Scholar] [CrossRef]
- Kim, E. S., Tkatch, R., Martin, D., MacLeod, S., Sandy, L., & Yeh, C. (2021). Resilient aging: Psychological well-being and social well-being as targets for the promotion of healthy aging. Gerontology and Geriatric Medicine, 7, 23337214211002951. [Google Scholar] [CrossRef]
- Koushede, V., Lasgaard, M., Hinrichsen, C., Meilstrup, C., Nielsen, L., Rayce, S. B., Torres-Sahli, M., Gudmundsdottir, D. G., Stewart-Brown, S., & Santini, Z. I. (2019). Measuring mental well-being in Denmark: Validation of the original and short version of the Warwick-Edinburgh mental well-being scale (WEMWBS and SWEMWBS) and cross-cultural comparison across four European settings. Psychiatry Research, 271, 502–509. [Google Scholar] [CrossRef] [PubMed]
- Loayza-Rivas, J., & Fernández-Castro, J. (2020). Perceived stress and well-being: The role of social support as a protective factor among Peruvian immigrants in Spain. Ansiedad y Estrés, 26(2), 67–72. [Google Scholar] [CrossRef]
- López, M. A., Gabilondo, A., Codony, M., García-Forero, C., Vilagut, G., Castellví, P., Ferrer, M., & Alonso, J. (2013). Adaptation into Spanish of the Warwick-Edinburgh Mental Well-being Scale (WEMWBS) and preliminary validation in a student sample. Quality of Life Research, 22(5), 1099–1104. [Google Scholar] [CrossRef] [PubMed]
- Lyyra, N., Thorsteinsson, E. B., Eriksson, C., Madsen, K. R., Tolvanen, A., Löfstedt, P., & Välimaa, R. (2021). The association between loneliness, mental well-being, and self-esteem among Adolescents in Four Nordic Countries. International Journal of Environmental Research and Public Health, 18(14), 7405. [Google Scholar] [CrossRef]
- Macía, P., Goñi-Balentziaga, O., Vegas, O., & Azkona, G. (2022). Professional quality of life among Spanish veterinarians. Veterinary Record Open, 9(1), e250. [Google Scholar] [CrossRef]
- Mann, F., Wang, J., Pearce, E., Ma, R., Schlief, M., Lloyd-Evans, B., Ikhtabi, S., & Johnson, S. (2022). Loneliness and the onset of new mental health problems in the general population. Social Psychiatry and Psychiatric Epidemiology, 57(11), 2161–2178. [Google Scholar] [CrossRef]
- Mushtaq, R., Shoib, S., Shah, T., & Mushtaq, S. (2014). Relationship between loneliness, psychiatric disorders and physical health? A review on the psychological aspects of loneliness. Journal of Clinical and Diagnostic Research, 8(9), WE01–WE04. [Google Scholar] [CrossRef]
- Nolen-Hoeksema, S. (2012). Emotion regulation and psychopathology: The role of gender. Annual Review of Clinical Psychology, 8, 161–187. [Google Scholar] [CrossRef]
- Ryff, C. D. (2014). Psychological well-being revisited: Advances in the science and practice of eudaimonia. Psychotherapy and Psychosomatics, 83(1), 10–28. [Google Scholar] [CrossRef]
- Saadeh, M., Welmer, A. K., Dekhtyar, S., Fratiglioni, L., & Calderón-Larrañaga, A. (2020). The role of psychological and social well-being on physical function trajectories in older adults. The Journals of Gerontology: Series A, 75(8), 1579–1585. [Google Scholar] [CrossRef]
- Salinero-Fort, M., del Otero-Sanz, L., Martín-Madrazo, C., de Burgos-Lunar, C., Chico-Moraleja, R. M., Rodés-Soldevila, B., Jiménez-García, R., Gómez-Campelo, P., & HEALTH & MIGRATION Group. (2011). The relationship between social support and self-reported health status in immigrants: An adjusted analysis in the Madrid Cross Sectional Study. BMC Family Practice, 12, 46. [Google Scholar] [CrossRef] [PubMed]
- Schönfeld, P., Brailovskaia, J., & Margraf, J. (2017). Positive and negative mental health across the lifespan: A cross-cultural comparison. International Journal of Clinical and Health Psychology, 17(3), 197–206. [Google Scholar] [CrossRef] [PubMed]
- Soldevila-Domenech, N., Forero, C. G., Alayo, I., Capella, J., Colom, J., Malmusi, D., Mompart, A., Mortier, P., Puértolas, B., Sánchez, N., Schiaffino, A., Vilagut, G., & Alonso, J. (2021). Mental well-being of the general population: Direct and indirect effects of socioeconomic, relational and health factors. Quality of Life Research, 30(8), 2171–2185. [Google Scholar] [CrossRef] [PubMed]
- Steptoe, A., Deaton, A., & Stone, A. A. (2015). Subjective wellbeing, health, and ageing. Lancet, 385(9968), 640–648. [Google Scholar] [CrossRef]
- Thoits, P. A. (1995). Stress, coping, and social support processes: Where are we? What next? Journal of Health and Social Behavior, 53–79. [Google Scholar] [CrossRef]
- Thomson, R. M., Igelström, E., Purba, A. K., Shimonovich, M., Thomson, H., McCartney, G., Reeves, A., Leyland, A., Pearce, A., & Katikireddi, S. V. (2022). How do income changes impact on mental health and wellbeing for working-age adults? A systematic review and meta-analysis. The Lancet Public Health, 7(6), e515–e528. [Google Scholar] [CrossRef]
- Toribio Caballero, S., Cardenal Hernáez, V., Ávila Espada, A., & Ovejero Bruna, M. M. (2022). Gender roles and women’s mental health: Their influence on the demand for psychological care. Annals of Psychology, 38(1), 7–16. [Google Scholar] [CrossRef]
- Trousselard, M., Steiler, D., Dutheil, F., Claverie, D., Canini, F., Fenouillet, F., Naughton, G., Stewart-Brown, S., & Franck, N. (2016). Validation of the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) in French psychiatric and general populations. Psychiatry Research, 245, 282–290. [Google Scholar] [CrossRef]
- Uchino, B. N. (2006). Social support and health: A review of physiological processes potentially underlying links to disease outcomes. Journal of Behavioral Medicine, 29(4), 377–387. [Google Scholar] [CrossRef]
- Veenhoven, R. (2015). Social conditions for human happiness: A review of research. International Journal of Psychology, 50(5), 379–391. [Google Scholar] [CrossRef]
- Velarde-Mayol, C., Fragua-Gil, S., & García-de-Cecilia, J. M. (2016). Validación de la escala de soledad de UCLA y perfil social en la población anciana que vive sola. Medicina de Familia. SEMERGEN, 42(3), 177–183. [Google Scholar] [CrossRef] [PubMed]
- Wang, J., Mann, F., Lloyd-Evans, B., Ma, R., & Johnson, S. (2018). Associations between loneliness and perceived social support and outcomes of mental health problems: A systematic review. BMC Psychiatry, 18(1), 156. [Google Scholar] [CrossRef] [PubMed]
- Zhang, X., & Dong, S. (2022). The relationships between social support and loneliness: A meta-analysis and review. Acta Psychologica, 227, 103616. [Google Scholar] [CrossRef] [PubMed]
n (%) | |
---|---|
Gender | |
Female | 362 (71.5%) |
Male | 140 (27.7%) |
Non-binary | 1 (0.2%) |
Prefer not to say | 3 (0.6%) |
Sexual orientation | |
Asexual | 1 (0.2%) |
Bisexual | 47 (9.3%) |
Heterosexual | 400 (79.1%) |
Homosexual | 43 (8.5%) |
Pansexual | 2 (0.4%) |
Prefer not to say | 13 (2.6%) |
Age | |
18–32 | 193 (38.1%) |
33–45 | 139 (26.9%) |
46–60 | 128 (25.3%) |
Over 60 | 49 (9.7%) |
Sentimental relationship | |
No | 226 (44.7%) |
Yes | 280 (55.3%) |
Household composition | |
Living accompanied | 424 (83.8%) |
Living alone | 82 (16.2%) |
Living area | |
Rural | 91 (18%) |
Urban | 415 (82%) |
Education | |
Primary school | 12 (2.4%) |
Secondary school | 58 (11.5%) |
Vocational training | 62 (12.3%) |
Undergraduate degree | 318 (62.8%) |
PhD | 56 (11.1%) |
Employment status | |
Employed | 347 (68.6%) |
Retired | 25 (4.9%) |
Unemployed | 17 (3.4%) |
University student | 78 (15.4%) |
Working and studying at the University | 38 (7.7%) |
Salary range (EUR/year) | |
Prefer not to say | 18 (3.6%) |
Students not working | 81 (16%) |
<28,000 | 212 (41.9%) |
28,000–<52,000 | 165 (32.6%) |
≥52,000 | 30 (5.9%) |
Loneliness | |
Low | 256 (50.6%) |
Average | 222 (43.9%) |
High | 28 (5.5%) |
Social support | |
Low | 9 (1.8%) |
Average | 44 (8.7%) |
High | 453 (89.5%) |
β | 95% CI | t | p | |
---|---|---|---|---|
Loneliness | ||||
Average | −0.686 | −0.84–−0.52 | −8.38 | <0.001 *** |
High | −1.424 | −1.78–−1.06 | −7.75 | <0.001 *** |
Social support | ||||
Average | 0.097 | −0.52–0.70 | 0.31 | 0.754 |
High | 0.589 | 0.02–1.15 | 2.04 | 0.025 * |
Income | ||||
Students not working | 0.085 | −0.16–0.33 | 0.68 | 0.495 |
€28,000–€52,000 | 0.368 | 0.17–0.56 | 3.72 | <0.001 *** |
€52,000 | 0.680 | 0.33–1.02 | 3.88 | <0.001 *** |
Gender | −0.054 | −0.23–0.12 | −0.61 | 0.542 |
Age | ||||
33–45 | −0.071 | −0.29–0.15 | −0.63 | 0.527 |
46–60 | −0.047 | −0.28–0.18 | −0.40 | 0.689 |
Over 60 | −0.248 | −0.55–0.05 | −1.60 | 0.109 |
Education | ||||
Secondary school | −0.17 | −0.71–0.38 | −0.61 | 0.540 |
Vocational training | −0.11 | −0.64–0.42 | −0.42 | 0.670 |
Undergraduate degree | −0.10 | −0.60–0.40 | −0.40 | 0.683 |
PhD | −0.07 | −0.62–0.47 | −0.28 | 0.779 |
Employment status | ||||
Retired | 0.39 | −0.06–0.85 | 1.70 | 0.088 |
Unemployed | 0.03 | −0.44–0.51 | 0.14 | 0.889 |
University student | 0.17 | −0.38–0.73 | 0.62 | 0.532 |
Working and studying at the University | −0.06 | −0.38–0.26 | −0.39 | 0.695 |
Loneliness * Social Support | 0.047 | −0.01–0.02- | 0.60 | 0.545 |
Loneliness * Income | −0.004 | −0.82–0.75 | −0.08 | 0.932 |
Social Support * Income | −0.046 | −0.25–0.17 | −0.39 | 0.691 |
Loneliness * Social Support * Income | 0.002 | −0.009–0.009 | 0.06 | 0.947 |
Pathway | β | 95% CI | z | p |
---|---|---|---|---|
Direct effect | ||||
Loneliness → Mental Well-being | −0.386 | −0.77–−0.49 | −9.07 | <0.001 *** |
Indirect effects | ||||
Loneliness → Social Support → Mental Well-being | −0.173 | −0.36–−0.20 | −6.68 | <0.001 *** |
Loneliness → Income → Mental Well-being | −0.024 | −0.07–−0.02 | −2.70 | 0.007 ** |
Total | −0.582 | −1.06–0.83 | −16.09 | <0.001 *** |
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Egaña-Marcos, E.; Collantes, E.; Diez-Solinska, A.; Azkona, G. The Influence of Loneliness, Social Support and Income on Mental Well-Being. Eur. J. Investig. Health Psychol. Educ. 2025, 15, 70. https://doi.org/10.3390/ejihpe15050070
Egaña-Marcos E, Collantes E, Diez-Solinska A, Azkona G. The Influence of Loneliness, Social Support and Income on Mental Well-Being. European Journal of Investigation in Health, Psychology and Education. 2025; 15(5):70. https://doi.org/10.3390/ejihpe15050070
Chicago/Turabian StyleEgaña-Marcos, Eider, Ezequiel Collantes, Alina Diez-Solinska, and Garikoiz Azkona. 2025. "The Influence of Loneliness, Social Support and Income on Mental Well-Being" European Journal of Investigation in Health, Psychology and Education 15, no. 5: 70. https://doi.org/10.3390/ejihpe15050070
APA StyleEgaña-Marcos, E., Collantes, E., Diez-Solinska, A., & Azkona, G. (2025). The Influence of Loneliness, Social Support and Income on Mental Well-Being. European Journal of Investigation in Health, Psychology and Education, 15(5), 70. https://doi.org/10.3390/ejihpe15050070