Department of Clinical Psychology, Open Universiteit, 6401 DL Heerlen, The Netherlands.
Department of Clinical and Medical Psychology, Zuyderland Medical Center, 6419 PC Heerlen, The Netherlands.
Int J Environ Res Public Health. 2021 Nov 14;18(22):11963. doi: 10.3390/ijerph182211963.
Social connectedness is a fundamental human need. The Evolutionary Theory of Loneliness (ETL) predicts that a lack of social connectedness has long-term mental and physical health consequences. Social support is a potential mechanism through which loneliness influences health. The present cross-sectional study examined the relationship between loneliness and mental health, and the mediating effects of social support in a Dutch adult sample (N = 187, age 20 to 70). The health variables included in the study are anxiety, depression, somatic symptoms as measured by the SCL-90, and the DSM-5 diagnosis somatic symptom disorder. The results indicated that social support partially mediated the relationship between loneliness and anxiety, depression, and somatic symptoms. These results indicate that social support partially explains the relationship between loneliness and physical and mental health issues. The relationship between loneliness and being diagnosed with somatic symptom disorder was not mediated by social support. This suggests that the mechanisms through which loneliness relates to either somatic symptoms or somatic symptom disorder are different.
社交联系是人类的基本需求。孤独的进化理论(ETL)预测,缺乏社交联系会对身心健康产生长期影响。社会支持是孤独影响健康的潜在机制。本横断面研究在荷兰成年样本(N=187,年龄 20 至 70 岁)中考察了孤独感与心理健康之间的关系,以及社会支持的中介作用。研究中包含的健康变量包括焦虑、抑郁、SCL-90 测量的躯体症状,以及 DSM-5 躯体症状障碍诊断。结果表明,社会支持部分中介了孤独感与焦虑、抑郁和躯体症状之间的关系。这些结果表明,社会支持部分解释了孤独感与身心健康问题之间的关系。孤独感与躯体症状障碍诊断之间的关系不受社会支持的中介。这表明孤独感与躯体症状或躯体症状障碍相关的机制不同。