Loneliness trajectories and predictors in Spain: Results from the Spanish longitudinal study on aging and health (Edad con Salud)


Por: Dolz-Del-Castellar B, de la Torre-Luque A, Castelletti C, Francia L, Rodriguez-Prada C, Maria Miret, Domènech J, Gabarrell A, Olaya B, Haro JM, Ayuso-Mateos JL and Lara E

Publicada: 1 jun 2025 Ahead of Print: 1 feb 2025
Resumen:
Background: In recent years, loneliness has been recognized as a public health problem, exacerbated by the COVID-19 pandemic. This study aims to identify groups of people with different trajectories of loneliness, and to explore potential determinants (sociodemographic, social, psychological, and health-related) associated with these trajectories. Methods: In this 12-year longitudinal study, we analyzed data on 4537 Spanish adults from a nationwide representative survey. A growth mixture modeling approach was used to identify different loneliness trajectories and logistic regressions to explore the determinants of these trajectories. Results: Two trajectory classes were identified: low-stable (87.86 %) and high-fluctuating (12.14 %). Marital status, living status, migration, social isolation, depression, suicidal ideation, and cognitive complaints were identified as significant determinants of belonging to the high-fluctuating trajectory. Conversely, social support, social trust, and life satisfaction were protective factors for this trajectory. Conclusion: This study revealed the presence of diverse courses of loneliness (each showing some distinctive characteristics from the other), outlining some relevant implications for the assessment, prevention, and management of loneliness.

Filiaciones:
Dolz-Del-Castellar B:
 Department of Psychiatry, Universidad Autónoma de Madrid, Spain

 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Spain

 Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain

de la Torre-Luque A:
 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Spain

 Department of Legal Medicine, Psychiatry and Pathology, Faculty of Medicine, Universidad Complutense de Madrid, Madrid, Spain

Castelletti C:
 Department of Psychiatry, Universidad Autónoma de Madrid, Spain

 Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain

Francia L:
 Department of Psychiatry, Universidad Autónoma de Madrid, Spain

 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Spain

 Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain

Rodriguez-Prada C:
 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Spain

 Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain

 Department of Social Psychology and Methodology, School of Psychology, Universidad Autónoma de Madrid, Spain

Maria Miret:
 Department of Psychiatry, Universidad Autónoma de Madrid, Spain

 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Spain

Domènech J:
 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Spain

 Sant Joan de Déu Research Institute, Barcelona, Spain

Gabarrell A:
 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Spain

 Sant Joan de Déu Research Institute, Barcelona, Spain

Olaya B:
 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Spain

 Sant Joan de Déu Research Institute, Barcelona, Spain

 Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain

Haro JM:
 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Spain

 Sant Joan de Déu Research Institute, Barcelona, Spain

Ayuso-Mateos JL:
 Department of Psychiatry, Universidad Autónoma de Madrid, Spain

 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Spain

 Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain

:
 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Spain

 Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain

 Department of Personality, Evaluation and Clinical Psychology, Universidad Complutense de Madrid, Spain
ISSN: 01650327





JOURNAL OF AFFECTIVE DISORDERS
Editorial
ELSEVIER, RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS, Países Bajos
Tipo de documento: Article
Volumen: 378 Número:
Páginas: 100-108
WOS Id: 001437497400001
ID de PubMed: 40015651
imagen Open Access

FULL TEXT

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