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Abstract
Social and demographic trends are placing an increasing number of adults at risk for loneliness, an established risk factor for physical and mental illness. The growing costs of loneliness have led to a number of loneliness reduction interventions. Qualitative reviews have identified four primary intervention strategies: (a) improving social skills, (b) enhancing social support, (c) increasing opportunities for social contact, and (d) addressing maladaptive social cognition. An integrative meta-analysis of loneliness reduction interventions was conducted to quantify the effects of each strategy and to examine the potential role of moderator variables. Results revealed that single-group pre-post and nonrandomized comparison studies yielded larger mean effect sizes relative to randomized comparison studies. Among studies that used the latter design, the most successful interventions addressed maladaptive social cognition. This is consistent with current theories regarding loneliness and its etiology. Theoretical and methodological issues associated with designing new loneliness reduction interventions are discussed.
| References marked with an asterisk indicate studies included in the meta-analysis. Google Scholar | |
|
Adam, E.K. , Hawkley, L.C. , Kudielka, B.M. , & Cacioppo, J.T. (2006). Day-to-day dynamics of experience-Cortisol associations in a population-based sample of older adults . Proceedings of the National Academy of Science USA, 103, 17058-17063. Google Scholar | Crossref | Medline | ISI | |
|
Administration on Aging. (2008). A statistical profile of older Americans Aged 65+. Washington, DC: Department of Health and Human Services. Google Scholar | |
| *Allen-Kosal, L.M. ( 2008). Cooperative learning and cooperative pre-training: An intervention for loneliness in elementary students (Unpublished doctoral dissertation) . Central Michigan University, Mount Pleasant. Google Scholar | |
|
Anderson, C.A. , & Arnoult, L.H. ( 1985). Attributional style and everyday problems in living: Depression, loneliness, and shyness. Social Cognition, 3(1), 16-35. Google Scholar | Crossref | ISI | |
|
Anderson, C.A. , Horowitz, L.M. , & French, R.D. ( 1983). Attributional style of lonely and depressed people. Journal of Personality and Social Psychology, 45, 127-136. Google Scholar | Crossref | Medline | ISI | |
|
Andersson, L. ( 1985). Intervention against loneliness in a group of elderly women: An impact evaluation. Social Science & Medicine , 20, 355-364. Google Scholar | Crossref | Medline | ISI | |
|
Andrews, G.J. , Gavin, N. , Begley, S. , & Brodie, D. ( 2003). Assisting friendships, combating loneliness: Users’ views on a "befriending" scheme. Ageing & Society, 23, 349-362. Google Scholar | Crossref | ISI | |
|
APA Publications and Communications Board Working Group on Journal Article Reporting Standards. (2008). Reporting standards for research in psychology: Why do we need them? What might they be? American Psychologist, 63, 839-851. Google Scholar | Crossref | Medline | ISI | |
|
Asher, S. , Hymel, S. , & Renshaw, P.D. ( 1984). Loneliness in children. Child Development , 55, 1456-1464. Google Scholar | Crossref | ISI | |
|
Asher, S.R. , & Wheeler, V.A. ( 1985). Children’s loneliness: A comparison of rejected and neglected peer status. Journal of Consulting and Clinical Psychology, 53, 500-505. Google Scholar | Crossref | Medline | ISI | |
| *Banks, M.R. , & Banks, W.A. ( 2002). The effects of animal-assisted therapy on loneliness in an elderly population in long-term care facilities. Journal of Gerontology, 57A, M428-M432. Google Scholar | |
| *Banks, M.R. , Willoughby, L.M. , & Banks, W.A. ( 2008). Animal-assisted therapy and loneliness in nursing homes: Use of robotic versus living dogs. Journal of American Medical Directors Association, 9, 173-177. Google Scholar | Crossref | Medline | ISI | |
|
Barrientos, R.M. , Sprunger, D.B. , Campeau, S. , Higgins, E.A. , Watkins, L.R. , Rudy, J.W. , & Maier, S.F. ( 2003). Brain-derived neurotrophic factor mRNA downregulation produced by social isolation is blocked by intrahippocampal interleukin-1 receptor antagonist. Neuroscience, 121, 847-853. Google Scholar | Crossref | Medline | ISI | |
| *Battles, H.B. , & Wiener, L.S. ( 2002). Starbright world: Effects of an electronic network on the social environment of children with life-threatening illnesses. Children’s Health Care, 31(1), 47-68. Google Scholar | Crossref | ISI | |
|
Baumeister, R.F. , DeWall, C.N. , Ciarocco, N.J. , & Twenge, J.M. ( 2005). Social exclusion impairs self-regulation. Journal of Personality and Social Psychology, 88, 589-604. Google Scholar | Crossref | Medline | ISI | |
|
Baumeister, R.F. , & Leary, M.R. ( 1995). The need to belong: desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin , 117, 497-529. Google Scholar | Crossref | Medline | ISI | |
| *Bauminger, N. ( 2007). Brief report: Individual social-multi-modal intervention for HFASD. Journal of Autism and Developmental Disorders, 27, 1593-1604. Google Scholar | Crossref | ISI | |
|
Berscheid, E. , & Reis, H.T. ( 1998). Attraction and close relationships. In D. T. Gilbert , S. T. Fiske , & G. Lindzey (Eds.), The handbook of social psychology (Vol. 2, pp. 193-281). New York, NY: McGraw-Hill. Google Scholar | |
|
Boomsma, D. , Willemsen, G. , Dolan, C. , Hawkley, L. , & Cacioppo, J. ( 2005). Genetic and environmental contributions to loneliness in adults: The Netherlands twin register Study. Behavior Genetics , 35, 745-752. Google Scholar | Crossref | Medline | ISI | |
|
Borenstein, M. , Hedges, L.V. , Higgins, J.P.T. , & Rothstein, H.R. (2009). Introduction to meta-analysis . West Sussex, UK: Wiley. Google Scholar | Crossref | |
|
Brennan, T. , & Auslander, N. ( 1979). Adolescent loneliness: An exploratory study of social and psychological predispositions and theory (Vol. 1). Washington, DC: National Institute of Mental Health, Juvenile Problems Division. Google Scholar | |
|
Brown, V.M. , Allen, A.C. , Dwozan, M. , Mercer, I. , & Warren, K. ( 2004). Indoor gardening older adults: Effects of socialization, activities of daily living, and loneliness. Journal of Gerontological Nursing, 30(10), 34-42. Google Scholar | Crossref | Medline | |
|
Cacioppo, J.T. , Fowler, J.H. , & Christakis, N.A. (2009). Alone in the crowd: The structure and spread of loneliness in a large social network. Journal of Personality and Social Psychology, 97, 977-991. Google Scholar | Crossref | Medline | ISI | |
|
Cacioppo, J.T. , & Hawkley, L.C. ( 2005). People thinking about people: The vicious cycle of being a social outcast in one’s own mind. In K. D. Williams , J. P. Forgas , & W. von Hippel (Eds.), The social outcast: Ostracism, social exclusion, rejection, and bullying (pp. 91-108). New York, NY: Psychology Press. Google Scholar | Crossref | |
|
Cacioppo, J.T. , & Hawkley, L.C. ( 2009). Perceived social isolation and cognition. Trends in Cognitive Sciences, 13, 447-454. Google Scholar | Crossref | Medline | ISI | |
|
Cacioppo, J.T. , Hawkley, L.C. , Berntson, G.G. , Ernst, J.M. , Gibbs, A.C. , Stickgold, R. , & Hobson, J.A. ( 2002). Do lonely days invade the nights? Potential social modulation of sleep efficiency. Psychological Sciences, 13, 384-387. Google Scholar | Crossref | Medline | ISI | |
|
Cacioppo, J.T. , Hawkley, L.C. , Crawford, L.E. , Ernst, J.M. , Burleson, M.H. , Kowalewski, R.B. , . . . Berntson, G.G. (2002). Loneliness and health: Potential mechanisms. Psychosomatic Medicine, 64, 407-417. Google Scholar | Crossref | Medline | ISI | |
|
Cacioppo, J.T. , Hawkley, L.C. , Ernst, J.M. , Burleson, M. , Berntson, G.G. , Nouriani, B. , & Spiegel, D. ( 2006). Loneliness within a nomological net: An evolutionary perspective. Journal of Research in Personality, 40, 1054-1085. Google Scholar | Crossref | ISI | |
|
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 | Medline | ISI | |
|
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. Google Scholar | Crossref | Medline | ISI | |
|
Cacioppo, J.T. , Norris, C.J. , Decety, J. , Monteleone, G. , & Nusbaum, H. ( 2009). In the eye of the beholder: Individual differences in perceived social isolation predict regional brain activation to social stimuli . Journal of Cognitive Neuroscience, 21, 1-10. Google Scholar | Crossref | Medline | ISI | |
|
Cacioppo, J.T. , & Patrick, W. ( 2008). Loneliness: Human nature and the need for social connection . New York, NY: Norton. Google Scholar | |
|
Caspi, A. , Harrington, H. , Moffitt, T.E. , Milne, B.J. , & Poulton, R. ( 2006). Socially isolated children 20 years later: Risk of cardiovascular disease. Archives of Pediatric and Adolescent Medicine, 160, 805-811. Google Scholar | Crossref | Medline | |
|
Cassidy, J. , & Asher, S.R. ( 1992). Loneliness and peer relations in young children. Child Development, 63, 350-365. Google Scholar | Crossref | Medline | ISI | |
|
Cattan, M. , & White, M. ( 1998). Developing evidence based health promotion for older people: A systematic review and survey of health promotion interventions targeting social isolation and loneliness among older people. Internet Journal of Health Promotion, 13, 1-9. Google Scholar | Medline | ISI | |
|
Cattan, M. , White, M. , Bond, J. , & Learmouth, A. ( 2005). Preventing social isolation and loneliness among older people: A systematic review of health promotion interventions. Ageing & Society, 25, 41-67. Google Scholar | Crossref | ISI | |
|
Celler, B.G. , Lovell, N.H. , & Basilakis, J. ( 2003). Using information technology to improve the management of chronic disease. Medical Journal of Australia, 179, 242-246. Google Scholar | Crossref | Medline | ISI | |
|
Chambless, D.L. , & Hollon, S.D. ( 1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7-18. Google Scholar | Crossref | Medline | ISI | |
|
Cheek, J.M. , & Busch, C.M. ( 1981). The influence of shyness on loneliness in a new situation . Personality and Social Psychology Bulletin, 7, 572-577. Google Scholar | SAGE Journals | ISI | |
| *Chiang, K.J. , Chu, H. , Chang, H.J. , Chung, M.H. , Chen, C.H. , Chiou, H.Y. , & Chou, K.-R. ( 2009). The effects of reminiscence therapy on psychological well-being, depression, and loneliness among the institutionalized aged. International Journal of Geriatric Psychiatry, 25, 380-388. Google Scholar | Crossref | ISI | |
| *Christian, B.J. , & D’Auria, J.P. (2006). Building life skills for children with cystic fibrosis. Nursing Research, 55, 300-307. Google Scholar | Crossref | Medline | ISI | |
|
Clarke, M. , Clarke, S.J. , & Jagger, C. ( 1992). Social intervention and the elderly: A randomized controlled trial. American Journal of Epidemiology, 136, 1517-1523. Google Scholar | Crossref | Medline | ISI | |
| *Cohen, G.D. , Perlstein, S. , Chapline, J. , Kelly, J. , Firth, K.M. , & Simmens, S. ( 2006). The impact of professionally conducted cultural programs on the physical health, mental health, and social functioning of older adults . Gerontologist, 46, 726-734. Google Scholar | Crossref | Medline | ISI | |
|
Cole, S.W. ( 2008). Social regulation of leukocyte homeostasis: The role of glucocorticoid sensitivity. Brain, Behavior, and Immunity , 22, 1049-1055. Google Scholar | Crossref | Medline | ISI | |
|
Cole, S.W. , Hawkley, L.C. , Arevalo, J.M. , Sung, C.Y. , Rose, R.M. , & Cacioppo, J.T. (2007). Social regulation of gene expression in human leukocytes. Genome Biology, 8, R189.181-R189.113. Google Scholar | ISI | |
| *Coleman, E.A. , Tulman, L. , Samarel, N. , Chamberlain-Wilmoth, M. , Rickel, L. , Rickel, M. , & Stewart, C.B. ( 2005). The effect of telephone social support and education on adaptation to breast cancer during the year following diagnosis. Oncology Nursing Forum, 32, 822-829. Google Scholar | Crossref | Medline | ISI | |
| *Collins, C.C. , & Benedict, J. ( 2006). Evaluation of a community-based health promotion program for the elderly: Lessons from Seniors CAN. American Journal of Health Promotions, 21, 45-48. Google Scholar | Crossref | Medline | ISI | |
| *Conoley, C.W. , & Garber, R.A. ( 1985). Effects of reframing and self-control directives on loneliness, depression, and controllability. Journal of Counseling Psychology , 32, 139-142. Google Scholar | Crossref | ISI | |
|
Cox, A.D. ( 1993). Befriending young mothers. British Journal of Psychiatry, 163, 6-18. Google Scholar | Crossref | Medline | ISI | |
| *Cox, E.O. , Green, K.E. , Hobart, K. , Jang, L.J. , & Seo, H. ( 2007). Strengthening the later-life care process: Effects of two forms of a care-receiver efficacy intervention. Gerontologist , 47, 388-397. Google Scholar | Crossref | Medline | ISI | |
|
Cutrona, C.E. , & Peplau, L.A. ( 1979, August). Loneliness and the process of social adjustment . Paper presented at the meeting of the American Psychological Association, Toronto, Canada. Google Scholar | |
|
Danese, A. , Moffitt, T.E. , Harrington, H. , Milne, B.J. , Polanczyk, G. , Pariante, C.M. , . . . Caspi, A. (2009). Adverse childhood experiences and adult risk factors for age-related disease: Depression, inflammation, and clustering of metabolic risk markers. Archives of Pediatrics & Adolescent Medicine, 163, 1135-1143. Google Scholar | Medline | |
|
De Craen, A.J.M. , Gussekloo, J. , Blauw, G.J. , Willems, C.G. , & Westendorp, R.G.J. (2006). Randomised controlled trial of unsolicited occupational therapy in community-dwelling elderly people: The LOTIS trial. PLoS Clinical Trials, 1(1), 1-6. Google Scholar | |
|
De Jong Gierveld, J. , & van Tilburg, T. (1999). Living arrangements of older adults in the Netherlands and Italy: Coresidence values and behaviour and their consequences for loneliness. Journal of Cross-Cultural Gerontology, 14(1), 1-24. Google Scholar | Crossref | Medline | |
| *De Vries, M.J. , Schilder, J.N. , Mulder, C.L. , Vrancken, A.M.E. , Remie, M.E. , & Garssen, B. ( 1997). Phase II study of psychotherapeutic intervention in advanced cancer. Psycho-Oncology, 6, 129-137. Google Scholar | Crossref | Medline | ISI | |
|
DiTommaso, E. , Brannen, C. , & Best, L.A. ( 2004). Measurement and validity characteristics of the short version of the social and emotional loneliness scale for adults. Educational and Psychological Measurement, 64, 99-119. Google Scholar | SAGE Journals | ISI | |
|
Duck, S. , Pond, K. , & Leatham, G. ( 1994). Loneliness and the evaluation of relational events. Journal of Social and Personal Relationships, 11, 253-276. Google Scholar | SAGE Journals | ISI | |
|
Evans, R.L. , & Jaureguy, B.M. (1982). Phone therapy outreach for blind elderly. Gerontologist, 22, 32-35. Google Scholar | Crossref | Medline | ISI | |
|
Evans, R.L. , Smith, K.M. , Werkhoven, W.S. , Fox, H.R. , & Pritzl, D.O. ( 1986). Cognitive telephone group therapy with physically disabled elderly persons. Gerontological Society of America, 26(1), 8-11. Google Scholar | Medline | ISI | |
| *Evans, R.L. , Werkhoven, W. , & Fox, H.R. ( 1982). Treatment of social isolation and loneliness in a sample of visually impaired elderly persons. Psychological Reports , 51, 103-108. Google Scholar | SAGE Journals | ISI | |
|
Findlay, R.A. ( 2003). Interventions to reduce social isolation among older people: Where is the evidence? Ageing & Society, 23, 647-658. Google Scholar | Crossref | ISI | |
| *Fokkema, C.M. , & van Tilburg, T.G. (2007). Loneliness interventions among older adults: Sense or nonsense? Tijdschrift Voor Gerontologie en Geriatrie, 38, 185-203. Google Scholar | Medline | |
| *Fokkema, T. , & Knipscheer, K. (2007). Escape loneliness by going digital: A quantitative and qualitative evaluation of a Dutch experiment in using ECT to overcome loneliness among older adults. Aging & Mental Health, 11, 496-504. Google Scholar | Crossref | Medline | ISI | |
| *Fukui, S. , Koike, M. , Ooba, A. , & Uchitomi, Y. ( 2003). The effect of a psychosocial group intervention on loneliness and social support for Japanese women with primary breast cancer. Oncology Nursing Forum, 30, 823-830. Google Scholar | Crossref | Medline | |
|
Gaikwad, R. , & Warren, J. ( 2009). The role of home-based information and communications technology interventions in chronic disease management: A systematic literature review. Health Informatics, 15, 122-146. Google Scholar | SAGE Journals | ISI | |
|
Galanter, M. ( 1988). Zealous self-help groups as adjuncts to psychiatric treatment: A study of Recovery, Inc. American Journal of Psychiatry, 145, 1248-1253. Google Scholar | Crossref | Medline | ISI | |
|
Glass, C.R. , Gottman, J.M. , & Shmurak, S.H. ( 1976). Response acquisition and cognitive self-statements modification approaches to dating skills training. Journal of Counseling Psychology, 23, 520-526. Google Scholar | Crossref | ISI | |
|
Goldstein, J.R. , & Kenney, C.T. ( 2001). Marriage delayed or marriage forgone? New cohort forecasts of first marriage for U.S. women. American Sociological Review , 66, 506-519. Google Scholar | Crossref | ISI | |
|
Guevremont, D.C. , MacMillan, V.M. , Shawchuck, C.R. , & Hansen, D.J. ( 1989). A peer-mediated intervention with clinic-referred socially isolated girls. Behavior Modification, 13, 32-50. Google Scholar | SAGE Journals | ISI | |
| *Hartke, R.J. , & King, R.B. ( 2003). Telephone group intervention for older stroke caregivers . Topics in Stroke Rehabilitation, 9(4), 65-81. Google Scholar | Crossref | Medline | |
|
Hawkley, L.C. , Browne, M.W. , & Cacioppo, J.T. (2005). How can I connect with thee? Let me count the ways. Psychological Science, 16, 798-804. Google Scholar | SAGE Journals | ISI | |
|
Hawkley, L.C. , Burleson, M.H. , Berntson, G.G. , & Cacioppo, J.T. (2003). Loneliness in everyday life: Cardiovascular activity, psychosocial context, and health behaviors . Journal of Personality and Social Psychology, 85, 105-120. Google Scholar | Crossref | Medline | ISI | |
|
Hawkley, L.C. , & Cacioppo, J.T. (2007). Aging and loneliness: Downhill quickly? Current Directions in Psychological Science, 16, 187-191. Google Scholar | SAGE Journals | ISI | |
|
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. Journal of Gerontology: Social Sciences, 63B, S375-S384. Google Scholar | Crossref | ISI | |
|
Hawkley, L.C. , Masi, C.M. , Berry, J.D. , & Cacioppo, J.T. (2006). Loneliness is a unique predictor of age-related differences in systolic blood pressure. Psychology and Aging, 21, 152-164. Google Scholar | Crossref | Medline | ISI | |
|
Hawkley, L.C. , Preacher, K.J. , & Cacioppo, J.T. (2007). Multilevel modeling of social interactions and mood in lonely and socially connected individuals: The MacArthur Social Neuroscience Studies. In A. D. Ong & M. van Dulmen (Eds.), Oxford handbook of methods in positive psychology (pp. 559-575). New York, NY: Oxford University Press. Google Scholar | |
|
Hawkley, L.C. , Preacher, K.J. , & Cacioppo, J.T. (2010). Loneliness impairs daytime functioning but not sleep duration. Health Psychology, 29, 124-129. Google Scholar | Crossref | Medline | ISI | |
|
Hawkley, L.C. , Thisted, R.A. , Masi, C.M. , & Cacioppo, J.T. (2010). Loneliness predicts increased blood pressure: Five-year cross-lagged analyses in middle-aged and older adults . Psychology and Aging, 25, 132-141. Google Scholar | Crossref | Medline | ISI | |
| *Heckman, T.G. , & Barcikowski, R. (2006). A telephone-delivered coping improvement group intervention for middle aged and older adults living with HIV/AIDS. Annals of Behavioral Medicine, 32, 27-38. Google Scholar | Crossref | Medline | ISI | |
|
Hedberg, G.E. , Wikstrom-Frison, L. , & Janlert, U. ( 1998). Comparison between two programmes for reducing the levels of risk indicators for heart diseases among male professional drivers. Occupational and Environmental Medicine, 55, 554-561. Google Scholar | Crossref | Medline | ISI | |
|
Hedges, L.V. , & Olkin, I. ( 1985). Statistical methods for meta-analysis. Orlando, FL: Academic Press. Google Scholar | |
| *Heller, K. , Thompson, M.G. , Trueba, P.E. , Hogg, J.R. , & Vlachos-Weber, I. (1991). Peer support telephone dyads for elderly women: Was this the wrong intervention? American Journal of Community Psychology, 19(1), 53-74. Google Scholar | Crossref | Medline | ISI | |
|
Heller, T. , Roccoforte, J.A. , Hsieh, K. , Cook, J.A. , & Pickett, S.A. ( 1997). Benefits of support groups for families of adults with severe mental illness. American Journal of Orthopsychiatry , 67, 187-198. Google Scholar | Crossref | Medline | ISI | |
|
Higgins, J.P.T. , Thompson, S.G. , Deeks, J.J. , & Altman, D.G. ( 2003). Measuring inconsistency in meta-analyses. BMJ, 327, 557-560. Google Scholar | Crossref | Medline | |
| *Hill, W. , Weinert, C. , & Cudney, S. ( 2006). Influence of a computer intervention on the psychological status of chronically ill rural women: Preliminary results. Nursing Research, 55, 34-42. Google Scholar | Crossref | Medline | ISI | |
|
Hopman-Rock, M. , & Westhoff, M.H. (2002). Development and evaluation of "aging well and healthily": A health-education exercise program for community-living older adults. Journal of Aging and Physical Activity, 10, 364-381. Google Scholar | Crossref | ISI | |
| *Hopps, S.L. , Pepin, M. , & Boisvert, J.M. (2003). The effectiveness of cognitive-behavioral group therapy for loneliness via inter-relay-chat among people with physical disabilities. Psychotherapy: Theory, Research, Practice, Training , 40, 136-147. Google Scholar | Crossref | ISI | |
|
Horowitz, L.M. ( 1983). The toll of loneliness: Manifestations, mechanisms, and means of prevention. Washington, DC: National Institute of Mental Health, Office of Prevention . Google Scholar | |
|
Hu, M. ( 2009). Will online chat help alleviate mood loneliness. CyberPsychology and Behavior, 12, 219-223. Google Scholar | Crossref | Medline | |
|
Jacobson, N.S. , Roberts, L.J. , Berns, S.B. , & McGlinchey, J.B. (1999). Methods for defining and determining the clinical significance of treatment effects: Description, application, and alternatives. Journal of Consulting and Clinical Psychology , 67, 300-307. Google Scholar | Crossref | Medline | ISI | |
|
Jacobson, N.S. , & Truax, P. ( 1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19. Google Scholar | Crossref | Medline | ISI | |
|
Jerrome, D. ( 1983). Lonely women in a friendship club. British Journal of Guidance and Counseling, 11(1), 11-21. Google Scholar | Crossref | |
| *Jessen, J. , Cardiello, F. , & Baun, M.M. ( 1996). Avian companionship in alleviation of depression, loneliness, and low morale of older adults in skilled rehabilitation. Psychological Reports, 78, 339-348. Google Scholar | SAGE Journals | ISI | |
|
Jones, W. ( 1982). Loneliness and social behavior. In L. A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research and therapy (pp. 238-254). New York, NY: John Wiley. Google Scholar | |
|
Jones, W.H. , Freemon, J.R. , & Goswick, R.A. ( 1981). The persistence of loneliness: Self and other determinants . Journal of Personality, 49, 27-48. Google Scholar | Crossref | ISI | |
|
Jones, W.H. , Hobbs, S.A. , & Hockenbury, D. (1982). Loneliness and social skill deficits. Journal of Personality and Social Psychology, 42, 682-689. Google Scholar | Crossref | Medline | ISI | |
|
Karelina, D. , Norman, G.J. , Zhang, N. , Morris, J.S. , Peng, H. , & DeVries, A.C. ( 2009). Social isolation alters neuroinflammatory response to stroke. Proceedings of the National Academy of Sciences, 106, 5895-5900. Google Scholar | Crossref | Medline | ISI | |
|
Keil, C.P. ( 1988). Loneliness, stress, and human-animal attachment among older adults. In C. C. Wilson & D. C. Turner (Eds.), Companion animals in human health (pp. 123-134). Newbury Park, CA: Sage. Google Scholar | |
|
Kiecolt-Glaser, J.K. , Garner, W. , Speicher, C. , Penn, G.M. , Holliday, J. , & Glaser, R. ( 1984). Psychosocial modifiers of immunocompetence in medical students. Psychosomatic Medicine, 46, 7-14. Google Scholar | Crossref | Medline | ISI | |
|
Knight, R.G. , Chisholm, B.J. , Nigel, V.M. , & Godfrey, H.P.D. (1988). Some normative, reliability, and factor analytic data for the revised UCLA Loneliness Scale. Journal of Clinical Psychology, 44, 203-206. Google Scholar | Crossref | Medline | ISI | |
| *Kolko, D.J. , Loar, L.L. , & Sturnick, D. ( 1990). Inpatient social-cognitive skills training groups with conduct disordered and attention deficit disordered children. Journal of Child Psychology and Psychiatry, 31, 737-748. Google Scholar | Crossref | Medline | ISI | |
|
Kowalski, N.C. ( 1981). Institutional relocation: Current programs and applied approaches. Gerontologist, 21, 512-519. Google Scholar | Crossref | ISI | |
| *Kraut, R. , Patterson, M. , Lundmark, V. , Kiesler, S. , Mukopadhyay, T. , & Scherlis, W. ( 1998). Internet paradox: A social technology that reduces social involvement and psychological well-being? American Psychologist , 53, 1017-1031. Google Scholar | Crossref | Medline | ISI | |
| *Kremers, I.P. , Steverink, N. , Albersnagel, F.A. , & Slaets, J.P.J. (2006). Improved self-management ability and well-being in older women after a short group intervention. Aging & Mental Health, 10, 476-484. Google Scholar | Crossref | Medline | ISI | |
|
Lipsey, M.W. , & Wilson, D.B. ( 2001). Practical meta-analysis. Thousand Oaks, CA: Sage. Google Scholar | |
| *Marshall, W.L. , Bryce, P. , Hudson, S.M. , Ward, T. , & Moth, B. ( 1996). The enhancement of intimacy and the reduction of loneliness among child molesters. Journal of Family Violence, 11, 219-235. Google Scholar | Crossref | ISI | |
| *Martina, C.M.S. , & Stevens, N.L. ( 2006). Breaking the cycle of loneliness? Psychological effects of a friendship enrichment program for older women. Aging & Mental Health, 10, 467-475. Google Scholar | Crossref | Medline | ISI | |
| *McAuley, E. , Blissmer, B. , Marquez, D.X. , Jerome, G.J. , Kramer, A.F. , & Katula, J. ( 2000). Social relations, physical activity, and well-being in older adults. Preventive Medicine, 31, 608-617. Google Scholar | Crossref | Medline | ISI | |
|
McGuire, S. , & Clifford, J. ( 2000). Genetic and environmental contributions to loneliness in children. Psychological Science, 11, 487-491. Google Scholar | SAGE Journals | ISI | |
|
McLarnon, L.D. , & Kaloupek, D.G. (1988). Psychological investigation of genital herpes recurrence: Prospective assessment and cognitive-behavioral intervention for a chronic physical disorder. Health Psychology , 7, 231-249. Google Scholar | Crossref | Medline | ISI | |
|
McWhirter, B.T. ( 1990a). Factor analysis of the revised UCLA Loneliness Scale . Current Psychology: Research and Reviews, 9, 56-58. Google Scholar | Crossref | ISI | |
|
McWhirter, B.T. ( 1990b). Loneliness: A review of current literature, with implications for counseling and research. Journal of Counseling and Development , 68, 417-422. Google Scholar | Crossref | ISI | |
| *McWhirter, B.T. , & Horan, J.J. ( 1996). Construct validity of cognitive-behavioral treatments for intimate and social loneliness. Current Psychology, 15(1), 42-52. Google Scholar | Crossref | ISI | |
|
Moore, J.A. , & Sermat, V. ( 1974). Relationship between selfactualization and self-reported loneliness. Canadian Counsellor, 8, 194-196. Google Scholar | |
| *Morrow-Howell, N. , Becker-Kemppainen, S. , & Lee, J. ( 1998). Evaluating an intervention for the elderly at increased risk of suicide. Research on Social Work Practice, 8(1), 28-46. Google Scholar | SAGE Journals | ISI | |
|
Murray, P. ( 1996). Recovery, Inc. as an adjunct to treatment in an era of managed care. Psychiatric Services, 47, 1378-1381. Google Scholar | Crossref | Medline | ISI | |
|
Mynatt, S. , Wicks, M. , & Bolden, L. ( 2008). Pilot study of INSIGHT therapy in African American women. Archives of Psychiatric Nursing, 22, 364-374. Google Scholar | Crossref | Medline | ISI | |
| *Ollonqvist, K. , Palkeinen, H. , Aaltonen, T. , Pohjolainen, T. , Puukka, P. , Hinkka, K. , & Pöntinen, S. (2008). Alleviating loneliness among frail older people: Findings from a randomised controlled trial. International Journal of Mental Health Promotion, 10(2), 26-34. Google Scholar | Crossref | |
|
O’Luanaigh, C. , & Lawlor, B.A. ( 2008). Loneliness and the health of older people. International Journal of Geriatric Psychiatry, 23, 1213-1221. Google Scholar | Crossref | Medline | ISI | |
|
Orwin, R.G. ( 1983). A fail-safe N for effect size in meta-analysis. Educational Statistics, 8, 157-159. Google Scholar | Crossref | |
|
Paloutzian, R.F. & Ellison, C.W. ( 1982). Loneliness, spiritual well-being and quality of life . In L.A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research and therapy (pp. 224-227). New York: John Wiley. Google Scholar | |
|
Peplau, L.A. , Miceli, M. , & Morasch, B. ( 1982). Loneliness and self-evaluation. In L. A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research and therapy (pp. 135-151). New York, NY: John Wiley. Google Scholar | |
|
Peplau, L.A. , & Perlman, D. ( 1982). Loneliness: A sourcebook of current theory, research, and therapy. New York, NY: John Wiley. Google Scholar | |
|
Perese, E.F. , & Wolf, M. ( 2005). Combating loneliness among persons with severe mental illness: Social network interventions’ characteristics, effectiveness, and applicability. Issues in Mental Health Nursing, 26, 591-609. Google Scholar | Crossref | Medline | |
| *Petryshen, P.M. , Hawkins, J.D. , & Fronchak, T.A. (2001). An evolution of the social recreation component of a community mental health program. Psychiatric Rehabilitation Journal, 24, 293-298. Google Scholar | Crossref | Medline | ISI | |
|
Pilisuk, M. , & Minkler, M. ( 1980). Supportive networks: Life ties for the elderly. Journal of Social Issues, 36, 95-116. Google Scholar | Crossref | ISI | |
|
Pressman, S.D. , Cohen, S. , Miller, G.E. , Barkin, A. , Rabin, B.S. , & Treanor, J.J. ( 2005). Loneliness, social network size, and immune response to influenza vaccination in college freshman. Health Psychology , 24, 297-306. Google Scholar | Crossref | Medline | ISI | |
|
Ransom, D. , Heckman, T.G. , Anderson, T. , Garske, J. , Holroyd, K. , & Basta, T. ( 2008). Telephone-delivered, interpersonal psychotherapy for HIV-infected rural persons with depression: A pilot trial. Psychiatric Services, 59, 871-877. Google Scholar | Crossref | Medline | ISI | |
|
Rook, K.S. ( 1984). Promoting social bonds: Strategies for helping the lonely and socially isolated. American Psychologist, 39, 1389-1407. Google Scholar | Crossref | ISI | |
|
Rook, K.S. , & Peplau, L.A. ( 1982). Perspectives on helping the lonely. In L. A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research and therapy (pp. 351-378). New York, NY: John Wiley. Google Scholar | |
| *Rosen, C.E. , & Rosen, S. ( 1982). Evaluating an intervention program for the elderly. Community Mental Health Journal, 18(1), 21-33. Google Scholar | Crossref | Medline | ISI | |
|
Routasalo, P.E. , Tilvis, R.S. , Kautiainen, H. , & Pitkala, K.H. ( 2009). Effects of psychosocial group rehabilitation on social functioning, loneliness and well-being of lonely, older people: Randomized controlled trial. Journal of Advanced Nursing, 65, 297-305. Google Scholar | Crossref | Medline | ISI | |
|
Rudatsikira, E. , Muula, A.S. , Siziya, S. , & Twa-Twa, J. (2007). Suicidal ideation and associated factors among school-going adolescents in rural Uganda. BMC Psychiatry, 67, 1-6. Google Scholar | |
|
Russell, D. ( 1996). UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20-40. Google Scholar | Crossref | Medline | ISI | |
|
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, 472-480. Google Scholar | Crossref | Medline | ISI | |
| *Samarel, N. , Tulman, L. , & Fawcett, J. ( 2002). Effects of two types of social support and education on adaptation to early-stage breast cancer. Research in Nursing and Health, 25, 459-470. Google Scholar | Crossref | Medline | ISI | |
| *Savelkoul, M. , de Witte, L. , Candel, M.J.J.M. , Van Der Tempel, H. , & Van Den Borne, B. (2001). Effects of a coping intervention on patients with rheumatic diseases: Results of a randomized controlled trial . Arthritis Care & Research, 45, 69-76. Google Scholar | Crossref | ISI | |
|
Schneider, B. , & Waite, L.J. ( 2005). Being together, working apart. Cambridge , UK: Cambridge University Press. Google Scholar | |
| *Seepersad, S.S. ( 2005). Understanding and helping the lonely: An evaluation of the Luv Program (Unpublished doctoral dissertation). University of Illinois at Urbana-Champaign. Google Scholar | |
| *Shapira, N. , Barak, A. , & Gal, I. ( 2007). Promoting older adults’ well-being through Internet training and use. Aging & Mental Health, 11, 477-484. Google Scholar | Crossref | Medline | ISI | |
|
Shaver, P. , Furman, W. , & Buhrmester, D. (1985). Transition to college: Network changes, social skills, and loneliness. In S. Duck & P. D. (Eds.), Understanding personal relationships: An interdisciplinary approach (pp. 193-219). London, UK: Sage. Google Scholar | |
|
Silva-Gomez, A.B. , Rojas, D. , Juarez, I. , & Flores, G. ( 2003). Decreased dendritic spine density on prefrontal cortical and hippocampal pyramidal neurons in postweaning social isolation rats. Brain Research, 983, 128-136. Google Scholar | Crossref | Medline | ISI | |
|
Soholt Lupton, B.S. , Fonnebo, V. , Sogaard, A.J. , & Fylkesnes, K. ( 2005). The Finnmark Intervention Study: Do community-based intervention programmes threaten self-rated health and well-being? Experiences from Batsfjord, a fishing village in North Norway. European Journal of Public Health, 15(1), 91-96. Google Scholar | Crossref | Medline | ISI | |
| *Sorenson, D.S. ( 2003). Healing traumatizing provider interactions among women through short-term group therapy. Archives of Psychiatric Nursing, 17, 259-269. Google Scholar | Crossref | Medline | ISI | |
|
Steffick, D.E. ( 2000). Documentation on affective functioning measures in the Health and Retirement Study (No. DR-005). Ann Arbor: University of Michigan, Survey Research Center. Google Scholar | Crossref | |
|
Stevens, N. ( 2001). Combating loneliness: A friendship enrichment programme for older women. Ageing & Society, 21, 183-202. Google Scholar | Crossref | ISI | |
|
Stevens, N.L. , Martina, C.M.S. , & Westerhof, G.J. (2006). Meeting the need to belong: Predicting effects of a friendship enrichment program for older women. Gerontologist, 46, 495-502. Google Scholar | Crossref | Medline | ISI | |
| *Stewart, M. , Craig, D. , MacPherson, K. , & Alexander, S. ( 2001). Promoting positive affect and diminishing loneliness of widowed seniors through support intervention. Public Health Nursing, 18, 54-63. Google Scholar | Crossref | Medline | ISI | |
| *Stewart, M. , Reutter, L. , Letourneau, N. , & Makawarimba, E. (2009). A support intervention to promote health and coping among homeless youths. Canadian Journal of Nursing Research, 41(2), 55-77. Google Scholar | Medline | |
|
Taylor, P. , Kochhar, R. , Livingston, G. , Cohn, D. , Wang, W. , & Dockterman, D. (2010). U.S. Birth rate decline linked to recession. Washington, DC: Pew Research Center. Google Scholar | |
|
Theeke, L.A. ( 2009). Predictors of loneliness in U.S. adults over age sixty-five . Archives of Psychiatric Nursing, 23, 387-396. Google Scholar | Crossref | Medline | ISI | |
|
Tilvis, R.S. , Kahonen-Vare, M.H. , Jolkkonen, J. , Valvanne, J. , Pitkala, K.H. , & Strandberg, T.E. (2004). Predictors of cognitive decline and mortality of aged people over a 10-year period. Journals of Gerontology Series A: Biological Sciences and Medical Sciences , 59, M268-M274. Google Scholar | Crossref | Medline | ISI | |
|
Twenge, J.M. , Baumeister, R.F. , Tice, D.M. , & Stucke, T.S. ( 2001). If you can’t join them, beat them: Effects of social exclusion on aggressive behavior. Journal of Personality and Social Psychology, 81, 1058-1069. Google Scholar | Crossref | Medline | ISI | |
|
Twentyman, C.T. , & Zimering, R.T. (1979). Behavioral training of social skills: A critical review. In M. Hersen , R. M. Eisler , & P. M. Miller (Eds.), Progress in behavior modification (Vol. 7, pp. 319-400). New York, NY: Academic Press. Google Scholar | |
|
U.S. Bureau of Labor Statistics. (2003). Families and work in 12 countries 1980-2001. Washington, DC: Author. Google Scholar | |
|
Vachon, M.L. , Lyall, W. , Rogers, J. , Freedman-Letofsky, K. , & Freeman, S. ( 1980). A controlled study of a self-help intervention for widows . American Journal of Psychiatry, 137, 1380-1384. Google Scholar | Crossref | Medline | ISI | |
| *Van den Elzen, A.J. , & Fokkema, C.M. ( 2006). Home visits to the elderly in Leiden: An investigation into the effect of loneliness. Tijdschrift Voor Gerontologie en Geriatrie, 37, 142-146. Google Scholar | Medline | |
|
Van Kordelaar, K.A.C.M. , Stevens, N.L. , & Pleiter, A. ( 2004). Good company in a big home described in loneliness interventions among older adults: Sense or nonsense? by Fokkema, C. M., & van Tilburg , T. G. Tijdschrift Voor Gerontologie en Geriatrie, 38, 185-203. Google Scholar | |
|
Van Rossum, E. , Frederiks, C.M.A. , Philipsen, H. , Portengen, K. , Wiskerke, J. , & Knipschild, P. (1993). Effects of preventive home visits to elderly people. BMJ, 307, 27-32. Google Scholar | Crossref | Medline | |
|
Victor, C.D. , Scambler, S.J. , Bowling, A. , & Bondt, J. ( 2005). The prevalence of and risk factors for loneliness in later life: A survey of older people in Great Britain. Ageing & Society, 25, 357-375. Google Scholar | Crossref | ISI | |
|
Vinconzi, H. & Grabosky F. ( 1987). Measuring the emotional/ social aspects of loneliness and isolation. In M. Hojat & R. Crandall (Eds.), Loneliness: Theory, research and application (special issue). Journal of Social Behaviour and Personality, 2(2Part2), 257-270. Google Scholar | |
|
Wallerstein, J.S. , & Kelly, J.B. ( 1977). Divorce counseling: A community service for families in the midst of a divorce. American Journal of Orthopsychiatry , 47, 4-22. Google Scholar | Crossref | Medline | ISI | |
|
Weeks, D.L. ( 2007). The regression effect as a neglected source of bias in nonrandomized intervention trials and systematic reviews of observational studies. Evaluation & the Health Professions, 30, 254-265. Google Scholar | SAGE Journals | ISI | |
|
Weiss, R.S. ( 1973). Loneliness: The experience of emotional and social isolation . Cambridge, MA: MIT Press. Google Scholar | |
|
Wheeler, L. , Reis, H. , & Nezlek, J. ( 1983). Loneliness, social interaction, and sex roles. Journal of Personality and Social Psychology, 45, 943-953. Google Scholar | Crossref | Medline | ISI | |
| *White, H. , McConnell, E. , Clipp, E. , Branch, L.G. , Sloane, R. , Pieper, C. , & Box, T.L. ( 2002). A randomized controlled trial of the psychosocial impact of providing internet training and access to older adults. Aging & Mental Health, 6, 213-221. Google Scholar | Crossref | Medline | ISI | |
| *White, H. , McConnell, E. , Clipp, E. , Bynum, L. , Teague, C. , Navas, L. , . . . Halbrecht, H. ( 1999). Surfing the net in later life: A review of the literature and pilot study of computer use and quality of life. Journal of Applied Gerontology, 18, 358-378. Google Scholar | SAGE Journals | ISI | |
|
Whitehouse, W.G. , Dinges, D.F. , Orne, E.C. , Keller, S.E. , Bates, B.L. , Bauer, N.K. , . . . Orne, M.T. ( 1996). Psychological and immune effects of self-hypnosis training for stress management throughout the first semester of medical school. Psychosomatic Medicine, 58, 249-263. Google Scholar | Crossref | Medline | ISI | |
| *Williams, R.A. , Hagerty, B.M. , Yousha, S.M. , Horrocks, J. , Hoyle, K.S. , & Liu, D. ( 2004). Psychosocial effects of the boot strap intervention in Navy recruits. Military Medicine, 169, 814-820. Google Scholar | Crossref | Medline | ISI | |
|
Wilson, D.B. ( 2002). ES calculation xls. Retrievedfromhttp://mason.gmu.edu/~dwilsonb/ma.html Google Scholar | |
|
Wilson, R.S. , Krueger, K.R. , Arnold, S.E. , Schneider, J.A. , Kelly, J.F. , Barnes, L.L. , . . . Bennett, D.A. ( 2007). Loneliness and risk of Alzheimer disease. Archives of General Psychiatry, 62, 234-240. Google Scholar | Crossref | |
| *Winningham, R.G. , & Pike, N.L. ( 2007). A cognitive intervention to enhance institutionalized older adults’ social support networks and decrease loneliness. Aging & Mental Health, 11, 716-721. Google Scholar | Crossref | Medline | ISI | |
| *Yarnoz, S. , Plazaola, M. , & Etxeberria, J. (2008). Adaptation to divorce: An attachment-based intervention with long-term divorced parents. Journal of Divorce & Remarriage, 49, 291-307. Google Scholar | Crossref | |
|
Young, J.E. ( 1982). Loneliness, depression and cognitive therapy: Theory and application. In L. A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research and therapy (pp. 379-406). New York, NY : John Wiley. Google Scholar |
