Loneliness and Health: The Moderating Effect of Cross-Cultural Individualism/Collectivism
Abstract
Objectives: The adverse health effects of loneliness are well documented, but less is known about cultural moderators of this relationship. Contributing to the literature, we examined whether cross-cultural differences in individualism moderate the effect of loneliness on health. Methods: We used population-based longitudinal data of 14 countries (N = 40,797), as provided by the Survey of Health, Ageing, and Retirement in Europe data. Multilevel regression analyses were employed. Moderating effects were analyzed for multiple health outcomes: activities of daily living, instrumental activities of daily living, grip strength, life satisfaction, depression, memory performance, verbal fluency, and numeracy. Results: Cultural individualism significantly moderated the effect of loneliness on health regarding most health outcomes. In general, the effect of loneliness on health became stronger in less individualistic/more collectivistic countries. Discussion: Cultural individualism proved to be one important moderator of the loneliness–health relationship. As previous studies mostly used samples from highly individualistic countries, the current literature might severely underestimate the global public health burden of loneliness.
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References
Beller, J., & Wagner, A. (2017). Disentangling loneliness: Differential effects of subjective loneliness, network quality, network size, and living alone on physical, mental, and cognitive health. Journal of Aging and Health, 30(4), 521-539.
Beller, J., & Wagner, A. (2018). Loneliness, social isolation, their synergistic interaction, and mortality. Health Psychology, 37(9), 808-813.
Beller, J., Miething, A., Regidor, E., Lostao, L., Epping, J., & Geyer, S. (2019). Trends in grip strength: Age, period, and cohort effects on grip strength in older adults from Germany, Sweden, and Spain. SSM – Population Health, 9, 100456.
Beller, J., & Epping, J. (2020). Disability trends in Europe by age-period-cohort analysis: Increasing disability in younger cohorts. Disability and Health Journal, 100948.
Beller, J. (2020). Personal values and mortality: Power, benevolence and self-direction predict mortality risk. Psychology & Health, 1-13.
Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science & Medicine, 51, 843-857.
Börsch-Supan, A., Brandt, M., Hunkler, C., Kneip, T., Korbmacher, J., Malter, F., Schaan, B., Stuck, S., & Zuber, S. (2013). Data resource profile: the survey of health, ageing and retirement in Europe (SHARE). International Journal of Epidemiology, 42(4), 992-1001.
Börsch-Supan, A. (2017a). Survey of health, ageing and retirement in Europe (SHARE) wave 5. SHARE-ERIC.
Börsch-Supan, A. (2017b). Survey of health, ageing and retirement in Europe (SHARE) wave 6. SHARE-ERIC.
Cacioppo, J. T., & Cacioppo, S. (2014). Social relationships and health: The toxic effects of perceived social isolation. Social and Personality Psychology Compass, 8(2), 58-72.
Cacioppo, J. T., Hawkley, L. C., Crawford, L. E., Ernst, J. M., Burleson, M. H., Kowalewski, R. B., Malarkey, W. B., Cauter, E., & Berntson, G. G. (2002) Loneliness and health: Potential mechanisms. Psychosomatic Medicine, 64, 407-417.
Cacioppo, J. T., Hughes, M. E., Waite, L. J., Hawkley, L. C., & Thisted, R. A. (2006). Loneliness as a specific risk factor for depressive symptoms: Cross-sectional and longitudinal analyses. Psychology and Aging, 21, 140-151.
Choi, E., Kwon, Y., Lee, M., Choi, J. & Choi, I. (2018). Social relatedness and physical health are more strongly related in older than younger adults: Findings from the Korean adult longitudinal study. Frontiers in Psychology, 9, 3.
Chung, A., & Rimal, R. N. (2016). Social norms: A review. Review of Communication Research, 4, 1-28.
Fincher, C. L., Thornhill, R., Murray, D. R., & Schaller, M. (2008). Pathogen prevalence predicts human cross-cultural variability in individualism/collectivism. Proceedings of the Royal Society B: Biological Sciences, 275(1640), 1279–1285.
Fokkema, T., De Jong Gierveld, J. & Dykstra, P. A. (2012). Cross-national differences in older adult loneliness. The Journal of Psychology, 146(1-2), 201-228.
Hamamura, T. (2020). Cross-temporal changes in people’s ways of thinking, feeling, and behaving. Current Opinion in Psychology, 32, 17-21.
Hawkley, L. C., & Cacioppo, J. T. (2010). Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine, 40(2), 218-227.
Hawkley, L. C., Wroblewski, K., Kaiser, T., Luhmann, M., & Schumm, L. P. (2019). Are U.S. older adults getting lonelier? Age, period, and cohort differences. Psychology and Aging, 34(8), 1144-1157.
Hofstede, G. (1980). Culture’s consequences: International differences in work-related values. Sage.
Hofstede, G. (2011). Dimensionalizing cultures: The Hofstede model in context. Online Readings in Psychology and Culture, 2(1), 8.
Hofstede, G. H., Hofstede, G. J., & Minkov, M. (2010). Cultures and organizations: Software of the mind. McGraw-Hill.
Holt-Lunstad, J. (2018). Why social relationships are important for physical health: A systems approach to understanding and modifying risk and protection. The Annual Review of Psychology, 69(21), 21.1-21.22.
Holt-Lunstad, J., Smith, T. B., Baker, M., Harris, T. & Stephenson, D. (2015). Loneliness and social isolation as risk factors for mortality. Perspectives on Psychological Science, 10(2), 227–237.
Hughes, M. E., Waite, L. J., Hawkley, L. C., & Cacioppo, J. T. (2004). A short scale for measuring loneliness in large surveys: Results from two population-based studies. Research on Aging, 26(6), 655-672.
Hyde, M., Wiggins, R. D., Higgs, P., & Blane, D. B. (2003). A measure of quality of life in early old age: The theory, development and properties of a needs satisfaction model (CASP-19). Aging & Mental Health, 7(3), 186-194.
Jylhä, M. & Jokela, J. (1990). Individual experiences as cultural - a cross-cultural study on loneliness among the elderly. Ageing and Society, 10(03), 295-315.
Liu, L., Gou, Z., & Zuo, J. (2016). Social support mediates loneliness and depression in elderly people. Journal of Health Psychology, 21(5), 750-758.
Lin, H-H., Chew, Y-G., & Wilkinson, R. B. (2017). Young adults’ attachment orientations and psychological health across cultures: The moderating role of individualism and collectivism. Journal of Relationships Research, 8(e17), 1-14.
Luo, Y., Hawkley, L. C., Waite, L. J., & Cacioppo, J. T. (2012). Loneliness, health, and mortality in old age: A national longitudinal study. Social Science & Medicine, 74, 907-914.
Lykes, V. A. & Kemmelmeier, M. (2014). What predicts loneliness? Cultural difference between individualistic and collectivistic societies in Europe. Journal of Cross-Cultural Psychology, 45(3), 468-490.
Miyamoto, Y., Boylan, J. M., Coe, C. L., Curhan, K. B., Levine, C. S., Markus, H. R., Park, J., Kitayama, S., Kawakami, N., Karasawa, M., Love, G. D., & Ryff, C. D. (2013). Negative emotions predict elevated interleukin-6 in the United States but not in Japan. Brain, Behavior, and Immunity, 34, 79-85.
National Academies of Sciences, Engineering, and Medicine. (2020). Social isolation and loneliness in older adults: Opportunities for the health care system. The National Academies Press.
Oyserman, D., Coon, H. M., & Kemmelmeier, M. (2002). Rethinking individualism and collectivism: Evaluation of theoretical assumptions and meta-analyses. Psychological Bulletin, 128(1), 3–72.
Peplau, L. A., & Perlman, D. (1982). Loneliness: A sourcebook of current research and therapy. John Wiley & Sons.
Prince, M. J., Reischies, F., Beekman, A. T. F., Fuhrer, R., Jonker, C., Kivela, S.-L., Lawlor, B. A., Lobo, A., Magnusson, H., Fichter M., Van Oyen H., Roelands M., Skoog I., Turrina C., & Copeland J. R. M. (1999). Development of the EURO-D scale – a European Union initiative to compare symptoms of depression in 14 European centres. British Journal of Psychiatry, 174(4), 330-338.
R Core Team. (2013). R: A language and environment for statistical computing. R Foundation for Statistical Computing.
Rico-Uribe, L. A., Caballero, F. F., Martín-María, N., Cabello, M., Ayuso-Mateos, J. L., & Miret, M. (2018). Association of loneliness with all-cause mortality: A meta-analysis. Plos One, 13, e0190033.
Rokach, A., Bacanli, H., & Ramberan, G. (2000). Coping with loneliness: A cross-cultural comparison. European Psychologist, 4(5), 302-311.
Russell, D., Peplau, L. A., & Cutrona, C. E. (1980). The revised UCLA loneliness scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39(3), 472-480.
Russell, D., Peplau, L. A., & Ferguson, M. L. (1978). Developing a measure of loneliness. Journal of Personality Assessment, 42(3), 290-294.
Santos, H. C., Varnum, M. E. W., & Grossmann, I. (2017). Global increases in individualism. Psychological Science, 28(9), 1228-1239.
Schimmack, U., Oishi, S., & Diener, E. (2005). Individualism: A valid and important dimension of cultural differences between nations. Personality and Social Psychology Review, 9(1), 17-31.
Singelis, T. M. (1994). The measurement of independent and interdependent self-construals. Personality and Social Psychology Bulletin, 20(5), 580-591.
Sorkin, D., Rook, K. S., & Lu, J. L. (2002). Loneliness, lack of emotional support, lack of companionship, and the likelihood of having a heart condition in an elderly sample. Annals of Behavioral Medicine, 24, 290-298.
Swader, C. S. (2019). Loneliness in Europe: Personal and societal individualism-collectivism and their connection to social isolation. Social Forces, 97(3), 1307-1336.
Valtorta, N. K., Kanaan, M., Gilbody, S., & Hanratty, B. (2016). Loneliness, social isolation and social relationships: What are we measuring? A novel framework for classifying and comparing tools. BMJ Open, 6(4), e010799.
Weiss, R. (Ed.). (1973). Loneliness. In The experience of emotional and social isolation. The MIT Press.
Wilson, R. S., Krueger, K. R., Arnold, S. E., Schneider, J. A., Kelly, J. F., Barnes, L. L., Tang, Y., & Bennett, D. A. (2007). Loneliness and risk of Alzheimer disease. Archives of General Psychiatry, 64, 234-240.
Yang, K., & Victor, C. (2011). Age and loneliness in 25 European nations. Ageing and Society, 31(08), 1368-1388.
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Article first published online: July 29, 2020
Issue published: December 2020
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PubMed: 32723203
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