Search Results (197)

Background: Schizophrenia affects patients’ organizational thinking, as well as their ability to identify problems. The main objective of this study was to explore healthcare consultants’ application of AI mind maps to educate patients with schizophrenia regarding their perceptions of family function, social support, quality of life, and loneliness, and to help these patients think more organizationally and understand problems more effectively. Methods: The study used a survey research design and purposive sampling method to recruit 66 participants with schizophrenia who attended the psychiatric outpatient clinic of a hospital in central Taiwan. They needed to be literate, able to respond to the topic, and over 18 years old (inclusive), and they attended individual and group health education using AI mind maps over a 3-month period during regular outpatient clinic visits. Results: The study results show that patients’ family function directly affects their quality of life (p < 0.05) and loneliness (p < 0.05), satisfaction with social support affects quality of life and loneliness directly (p < 0.05), and satisfaction with social support is a mediating factor between family function and quality of life (p < 0.05), as well as a mediating factor between family function and loneliness (p < 0.05). Conclusions: Therefore, this study confirms the need to provide holistic, integrated mental health social care support for patients with schizophrenia, showing that healthcare consultants can apply AI mind maps to empower patients with schizophrenia to think more effectively about how to mobilize their social supports. Full article

This study assessed the effects of a family function (FF) program on excessive digital behaviors—smartphone overuse (SO) and phubbing—and psychological needs—anxiety, loneliness, and fear of missing out (FoMO)—among 28 Thai female Muslim adolescents randomly assigned to the experimental (M_age = 15.7) and control (M_age = 15.2) groups. The experimental group received two 1.5 h morning sessions of the FF program weekly over four weeks (eight sessions in total). Baseline assessments confirmed group homogeneity. Using repeated-measures ANOVA with Bonferroni correction (p < 0.008), the results indicated a significant improvement in family function for the intervention group (F (1,26) = 11.91, p = 0.002, η²_p = 0.31), with a strong time-by-group interaction (F (1,26) = 19.51, p < 0.001, η²_p = 0.43). While the program did not significantly reduce SO overall, a notable interaction effect suggested group differences (F (1,26) = 10.31, p = 0.004, η²_p = 0.28). Phubbing remained unaffected. For psychological outcomes, interaction effects were found for the FoMO (F = 10.00, p = 0.004) and loneliness (F = 8.67, p = 0.007), though no main effects emerged. Anxiety levels did not significantly change after correction. These findings suggest that the program effectively enhances family functioning and partially alleviates psychosocial risks, but further refinements are needed to address digital overuse and anxiety more effectively. Full article

Background/Objectives: Loneliness is the sensation of feeling alone or emotionally isolated, even when one is surrounded by other people. It is associated with conditions such as depression, anxiety, harmful habits, and cardiovascular problems. The main objective of the present study was to develop and determine the psychometric properties of the Multidimensional Loneliness Scale (MLS), which is a self-report instrument. Methods: The present study is instrumental in nature, as it aims to analyze the psychometric properties of a new assessment instrument. A total of 484 adults, both men and women, aged between 18 and 55 years, participated in this research. Results: Exploratory factor analysis revealed the presence of four dimensions: social disconnection, family estrangement, loss of attachment figure, and intrapersonal emptiness. Confirmatory factor analysis demonstrated that the four-dimensional model exhibited a good fit (CFI = 0.91; RMSEA = 0.07; SRMR = 0.07; AIC = 737.87). The concurrent validity was evidenced by significant correlations with the De Jong Gierveld scale and the Revised UCLA Loneliness Scale. The reliability analysis demonstrated satisfactory internal consistency, with omega coefficients ranging from 0.84 to 0.92 and alpha coefficients from 0.84 to 0.93. Conclusions: The MLS is a self-report instrument designed to assess loneliness, and it has satisfactory psychometric properties. Full article

The COVID-19 pandemic significantly disrupted higher education worldwide, imposing strict isolation measures, transitioning learning online, and exacerbating existing social and economic inequalities. This literature review examines the pandemic’s impact on the mental health of college students, with a focus on those belonging to minority groups, including racial, ethnic, migrant, gender, sexuality-based, and low-income populations. While elevated levels of anxiety, depression, and loneliness were observed across all students, findings indicate that LGBTQ+ and low-income students faced the highest levels of psychological distress, due to compounded stressors such as family rejection, unsafe home environments, and financial insecurity. Racial and ethnic minority students reported increased experiences of discrimination and reduced access to culturally competent mental healthcare. International and migrant students were disproportionately affected by travel restrictions, legal uncertainties, and social disconnection. These disparities underscore the need for higher education institutions to implement targeted, inclusive mental health policies that account for the unique needs of at-risk student populations during health crises. Full article

(1) Background: Older people ageing in place alone with functional limitations experience several difficulties in daily life, potentially hampering their social participation. This in turn could impact their perceived loneliness. This paper aims to investigate these issues based on findings from the IN-AGE (“Inclusive ageing in place”) study carried out in 2019 in Italy. (2) Methods: The focus of this paper is on the Marche region (Central Italy), where 40 qualitative/semi-structured interviews with seniors were administered in both urban and rural sites. A content analysis was carried out, in addition to some quantification of statements. (3) Results: Older people are mainly involved in receiving/making visits, lunches/dinners with family members and friends, religious functions, walking, and watching television (TV). Overall, the more active seniors are those living in rural sites, with lower physical impairments, and with lower perceived loneliness, even though in some cases, a reverse pattern emerged. The results also indicate some different nuances regarding urban and rural sites. (4) Conclusions: Despite the fact that this exploratory study did not have a representative sample of the target population, and that only general considerations can be drawn from results, these findings can offer some insights to policymakers who aim to develop adequate interventions supporting the social participation of older people with functional limitations ageing in place alone. This can also potentially reduce the perceived loneliness, while taking into consideration the urban–rural context. Full article

The COVID-19 pandemic disproportionately impacted youth with chronic physical illness (CPI) and their caregivers. Emerging research aimed at understanding the impacts of the pandemic on this population is predominantly quantitative, lacking qualitative insights. This study used a qualitative approach to examine the experiences of COVID-19 among youth with CPI and their families, exploring how the pandemic impacted their mental health and use of mental health services. Using a constructivist paradigm and a phenomenological approach, semi-structured interviews were conducted with youth with CPI (n = 8) and their primary caregiver (n = 13) between March 2021 and May 2021. Thematic analysis was used to identify three key themes: (1) mental health impact on youth, (2) caregiver mental health declines, and (3) variability in the experiences of mental healthcare. The findings highlight the heightened depression, anxiety, and stress among youth with CPI and their caregivers, exacerbated by loneliness, uncertainty, and social restrictions, while also revealing that virtual mental healthcare was perceived as less effective than in-person care, which was valued for its human connection, privacy, and comfort. These results emphasize the need for improved, comprehensive mental healthcare and the adoption of family-centred care models to strengthen caregiver–youth relationships and better integrate physical and mental healthcare to improve health outcomes for this population. Full article

Background and Objectives: This study explores gender variations in the associations between lifestyle choices, mental health, and social behaviors among adolescents in the Transylvania region of Romania. The analysis is based on data obtained through the Global School-Based Student Health Survey (GSHS). Materials and Methods: Data on 900 Romanian adolescents aged 11–18 years were obtained via the GSHS. This study evaluated nutritional statuses through BMI Z-scores, employing World Health Organization (WHO) cut-offs applied to self-reported height and weight; furthermore, it assessed well-being and perceived health; worries and sleep anxiety; social connections through having friends, loneliness, peer support, and emotional support; parental bonding relations; experiences of being bullied; safety and protection factors, including distance learning during the COVID-19 pandemic and testing or vaccinations for COVID-19; and social behaviors, including the use of social networks. A multiple logistic regression was used to predict sleep disturbance anxiety, depending on sex, bullying, cyberbullying, loneliness, social network use, and peer support. Results: Results showed that the majority of the adolescents reported having one or more friends (96.8%), with no significant difference between girls and boys (p = 0.071). There were no statistically significant differences in bullying and cyberbullying experiences between sexes (p = 0.063). Notably, gender disparities exist in both health perceptions and risk behaviors, with girls experiencing higher rates of negative health perceptions, sleep anxiety (p < 0.001), and loneliness (p = 0.011) and boys exhibiting more overweight/obesity (p < 0.001) and school truancy (p = 0.027). According to the results, loneliness is significantly associated with a higher likelihood of sleep-disturbing anxiety (p < 0.001). Students who have experienced cyberbullying are more likely to also experience traditional bullying. Students who feel lonely are more likely to be victims of bullying. Conclusions: This study reveals significant gender disparities in adolescent health, particularly in mental health, risk behaviors, and social support. It highlights the need for gender-specific interventions to address these challenges and promote healthy development. Furthermore, this study emphasizes the importance of social connections, family support, and parental involvement in adolescent well-being. Addressing bullying, promoting mental health awareness, and providing accessible support services are crucial for improving adolescent health in Romania. Full article

Depression is prevalent and may be transmitted within the family. However, whether and how gender influences the interaction of depressive symptoms between parents and adolescents remains largely unclear. The current study used a cross-lagged panel network (CLPN) analysis to examine the gender-specific transmission of depressive symptoms in representative Chinese families from the China Family Panel Studies. The participants included 1469 adolescents (48.3% girls) and their parents, with depressive symptoms assessed by the epidemiological studies depression scale in 2020 (T1; M_age = 13.80) and 2022 (T2; M_age = 15.62), respectively. The gender-specific CLPNs (i.e., boy–father, boy–mother, girl–father, and girl–mother CLPNs) showed that the “loneliness” at T1 repeatedly exhibited higher impacts on the other symptoms at T2 across networks. Furthermore, the symptoms of girls at T1 were more likely to influence their parents at T2, while the symptoms of boys at T2, especially the “sleep restlessness”, were susceptible to parental influence at T1. These findings provide deeper insights into the development of mental health policies, and future studies are needed to explore the mediating mechanisms of such transmission. Full article

The institutionalisation of older adults is often associated with negative perceptions from the past, influenced by asylums and hospices that were seen as marginalising older people. These views have contributed to a dominant social representation of residential care as undesirable, being associated with the ideas of social death, isolation and confinement. However, changes in family structures and longer life expectancies have increased the need for residential care. It is thus essential to rethink these institutions as integral parts of the community rather than isolating and marginalising them. Bridging the generation gap and integrating care institutions can help to combat negative perceptions, such as ageism, and promote a more inclusive view of elderly care. One way of involving older adults and recognising their rights and contributions is through community initiatives such as choirs. Community choirs can enhance social cohesion and music learning, offering older adults personal fulfilment, community involvement and resilience. These initiatives underscore respect for autonomy and emphasise their continuing value to society. This study explores the potential impact of community music on relieving feelings of loneliness among older adults in formal care settings. The project engaged 216 participants in singing classes held twice a week over six months. Utilising ethnographic observations and collective interviews with the participants, institutional staff, and family members, in this paper, the changes in participants’ self-perception of loneliness and perspectives from family members and staff are analysed. The findings indicate positive effects on the participants, especially in the psychological, educational and social dimensions, including increased autonomy, active participation, learning and social integration. The project engendered trust, empathy, mutual support and a sense of belonging and community, suggesting that community music contributes to mitigating loneliness and enhancing overall well-being. Full article

This study investigates the impact of family environments on the psychological well-being of children and adolescents in rural China, focusing on loneliness, depression, and internet addiction. Using a cross-sectional design, data were collected from 652 families in rural Hunan province to examine the role of family communication, caregiver psychological states, and parenting styles. Structural equation modeling revealed that family economic conditions influenced children’s mental health through primary caregivers’ emotional well-being, hostile parenting styles, and family communication. Notably, hostile parenting and poor family communication were the strongest mediators across all three psychological outcomes, consistently exhibiting significant associations with loneliness, depression, and internet addiction. The findings highlight the crucial role of parenting styles and poor family communication in shaping children’s psychological health, emphasizing the need for interventions that enhance family communication and promote supportive parenting. Addressing caregiver emotional well-being and adjusting parental expectations may serve as effective strategies for improving mental health outcomes among rural youth. Full article

Telepresence robots can enhance social connection and support person-centered care in long-term care (LTC) homes. This study evaluates their impact in facilitating virtual visits between family caregivers and older residents in Canadian LTC homes. Telepresence robots were placed in residents’ rooms, allowing virtual visits at mutual convenience. A total of 18 residents and 17 family caregivers participated. Quantitative assessments included the Zarit Burden Interview, the De Jong Gierveld Loneliness Scale, and the Quality of Life in Alzheimer’s Disease scale, while qualitative data were collected through interviews, field notes, and observations. Repeated ANOVA showed that using telepresence robots significantly reduced caregiver burden (p = 0.008), improved residents’ quality of life (p = 0.028), and decreased resident loneliness (p = 0.038). Older caregivers experienced the greatest burden reduction, with scores dropping from a mean of 25.0 at baseline to 16.1 at two months. Qualitative findings provided further context, revealing that residents felt more connected, close, and engaged, while families found the robots facilitated continuity of care, complemented in-person visits, reduced stress and guilt, and provided reassurance. These findings suggest that telepresence robots can enhance the well-being of both residents and caregivers in LTC homes, though future research should explore their long-term impact and technological limitations. Full article

Background: Women carry out an array of demanding tasks due to their multiple roles as mothers, workers, spouses, and caregivers. Their responsibilities to the family and society are essential throughout life, but they become even more important at times of crisis and unanticipated events. All these obligations may have a detrimental effect on their mental health and general well-being. According to the social model of health, through personal development groups, women improve their health because they can transform their personalities, enhance their social and personal abilities, and strengthen their resilience to unforeseen occurrences, health crises, and adversity. Aim of the study: This follow-up study examined the viewpoints of women regarding the durability and efficacy of group therapy’s positive impact on their resilience and mental health, especially through unforeseen circumstances and crises. This group of women had taken part in group therapy six years ago to strengthen their resilience and improve their mental health. Methods: Data collection was implemented through semi-structured in-person interviews conducted from December 2020 to March 2021. Five topics emerged from the framework analysis: (a) personal development and mental health; (b) reinforcement of their resilience; (c) group therapy and women’s health during the COVID-19 pandemic; (d) an assessment of group therapy on women’s health through imagery; (e) future recommendations. Results: Most of the women stated that group treatment had a beneficial impact in terms of improving their individual abilities. The group experience was described as a bridge that allowed them to recognize and accept their emotions. Since COVID-19, women have developed helpful coping strategies to deal with daily tension, loneliness, and work-related stress. Conclusions: Our research results indicate that group therapy is a useful tool for women’s empowerment and mental health in times of crises and adversity. Social policy should take it into account in order to meet women’s highly demanding roles and personal needs. Full article

Background/Objectives: The aim of our study was to examine the influence of family structure and the number of siblings on psychological problems and illness-related emotions in children and adolescents with inflammatory bowel disease (IBD) and the relationship between emotional coping in children and parents. Methods: CEDNA is a nationwide German online and paper-based questionnaire administered between October 2021 and April 2022. Adolescents with IBD, aged 12 to 17 years, and parents of children aged 0 to 17 years with diagnosed IBD, were included. SAS was used for descriptive statistics and logistic regression analysis was performed using R Studio (PBC; 2023.06.0 + 421). Results: 1158 participants (450 adolescents and 708 parents) were included in the study. A two-parent household could not be associated with mental illness as a comorbidity in pediatric IBD patients (p = 0.06) but was shown to decrease the risk of sadness (p < 0.001), helplessness (p < 0.01), feeling left alone and lonely (p < 0.05). A single-parent household increased the risk of sadness (p = 0.001), helplessness (p = 0.002), and loneliness (p = 0.006). Having one to two siblings was associated with a lower risk of mental health problems (p = 0.03) and reduced anxiety (p = 0.005). An association was also found between parents and children’s emotional coping skills. Conclusions: Further research on family structure and siblings in pediatric IBD is needed, given the potential impact on children’s psychological well-being. Full article

Loneliness is one of the most prevalent problems faced by older nursing homes (NHs) residents. Technical Directors (TDs) of NHs can play an important role in combating loneliness, so it is important to understand how they perceive this phenomenon. This study aimed to describe the perceptions of TDs about factors associated with loneliness and relevant areas of training and intervention. A total of 163 TDs (mean age = 42 years; 90% female) filled an online survey. The main NHs factors related to loneliness were residents’ mental and physical health problems; mistreatment in care provision; poor relationships between residents, with staff and family/friends; loss of loved ones; and family members’ work schedules and their geographical distance. Intervention domains that need to be improved were the policy of greater proximity to families and community, partnerships with the outside world, civic participation by residents, technical team diversity, and increase of staff/resident ratio. Dementia care, stress management, crisis intervention, person-centered care, and coping with death/bereavement were identified as relevant themes in professional training. This study appears as a relevant contribution to the deepening of knowledge not only about the phenomenon of loneliness among older residents in NHs, but also about the perceptions of TDs regarding this problem. Full article

The experience of loneliness in old age has gained relevance for social gerontology due to its association with the adverse biopsychosocial health status of the elderly, significantly impacting quality of life in old age. Therefore, the objective of this study was to understand the experiences of loneliness, analysing the perception of its risk and protective factors, as well as the coping strategies used by older people in Chile and Spain, through a transnational qualitative approach, with a view to identifying the influence of cultural variables in the presence of this problem. This research was a descriptive study which used qualitative methodologies for data collection and analysis. The research participants were 30 older people of both sexes who participated in a semi-structured interview about their experiences of loneliness. The main results showed that loneliness in old age was experienced as an emotional disconnection and lack of intimacy and company, mainly in family relationships. Among the most prominent risk factors were old age, gender roles, widowhood, economic limitations, and loss of autonomy. Protective factors included active social participation, religious practice, and participation in meaningful social activities. As for coping strategies, these ranged from strengthening relationships to using digital tools and accepting loneliness as part of life. The findings of this study underline the importance of designing interventions focused on social inclusion and subjective well-being in old age, which contribute to preventing the experience of loneliness at this stage of the life cycle. Full article