Cawthorne Tom, Qualter Pamela, Bennett Sophie, Käll Anton, Andersson Gerhard, Shafran Roz
South London and Maudsley NHS Foundation Trust, London, UK.
Manchester Institute of Education, University of Manchester, Manchester, UK.
J Child Psychol Psychiatry. 2025 May;66(5):767-770. doi: 10.1111/jcpp.14097. Epub 2024 Dec 21.
Loneliness is an adaptive experience evolved to create motivation to engage in social relationships. However, for some young people, loneliness can become chronic which can have serious negative health consequences. Despite this, there is a relative lack of evidence for interventions. In this editorial perspective, we highlight four main barriers to the timely development and dissemination of evidence-based support for young people experiencing loneliness. We hypothesise that these challenges could be mitigated by (a) routinely assessing loneliness as part of routine outcome measures (ROMs), (b) utilising modular interventions incorporating intrapersonal, interpersonal and social strategies alongside system-level support and policy changes, (c) evaluating interventions through SCEDs prior to RCTs and (d) delivering interventions flexibly (e.g. via the internet or within non-clinical settings).
孤独是一种适应性体验,其进化目的是激发建立社会关系的动机。然而,对一些年轻人来说,孤独可能会变成慢性问题,从而对健康产生严重的负面后果。尽管如此,针对孤独的干预措施相对缺乏证据支持。在这篇社论观点中,我们强调了及时开发和传播针对孤独青年的循证支持的四个主要障碍。我们假设,通过以下方式可以缓解这些挑战:(a) 将孤独评估作为常规结果测量 (ROMs) 的一部分进行常规评估;(b) 采用模块化干预措施,将个人、人际和社会策略与系统层面的支持及政策变化相结合;(c) 在随机对照试验 (RCTs) 之前通过单病例实验设计 (SCEDs) 评估干预措施;(d) 灵活地实施干预措施(例如通过互联网或在非临床环境中)。