Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts 02115, USA.
Am J Epidemiol. 2012 Nov 1;176(9):777-84. doi: 10.1093/aje/kws173. Epub 2012 Oct 16.
Loneliness has been shown to longitudinally predict subjective well-being. The authors used data from a longitudinal population-based study (2002-2006) of non-Hispanic white, African-American, and nonblack Latino-American persons born between 1935 and 1952 and living in Cook County, Illinois. They applied marginal structural models for time-varying exposures to examine the magnitude and persistence of the effects of loneliness on subjective well-being and of subjective well-being on loneliness. Their results indicate that, if interventions on loneliness were made 1 and 2 years prior to assessing final subjective well-being, then only the intervention 1 year prior would have an effect (standardized effect = -0.29). In contrast, increases in subjective well-being 1 year prior (standardized effect = -0.26) and 2 years prior (standardized effect = -0.13) to assessing final loneliness would both have an effect on an individual's final loneliness. These effects persist even after control is made for depressive symptoms, social support, and psychiatric conditions and medications as time-varying confounders. Results from this study indicate an asymmetrical and persistent feedback of fairly substantial magnitude between loneliness and subjective well-being. Mechanisms responsible for the asymmetry are discussed. Developing interventions for loneliness and subjective well-being could have substantial psychological and health benefits.
孤独感已被证明与主观幸福感呈纵向相关。作者利用了一项基于人群的纵向研究(2002-2006 年)的数据,该研究对象为非西班牙裔白人、非裔美国人和非裔拉丁裔美国人,他们出生于 1935 年至 1952 年之间,居住在伊利诺伊州库克县。作者采用了边缘结构模型来分析随时间变化的暴露因素对孤独感和主观幸福感的影响程度和持续性。研究结果表明,如果在评估最终主观幸福感之前 1 年和 2 年进行孤独感干预,那么只有 1 年前的干预才会产生影响(标准化效应=-0.29)。相比之下,1 年前(标准化效应=-0.26)和 2 年前(标准化效应=-0.13)的主观幸福感增加都会对个体最终的孤独感产生影响。即使在控制了随时间变化的混杂因素,如抑郁症状、社会支持和精神疾病及药物之后,这些影响仍然存在。本研究的结果表明,孤独感和主观幸福感之间存在着相当大的、不对称且持续的反馈关系。讨论了导致这种不对称的机制。针对孤独感和主观幸福感的干预措施可能会带来显著的心理和健康益处。