A meta-analysis of interventions to reduce loneliness

Personality and Social Psychology Review

Volumn 15, Issue 3, 2011, Pages 219-266

  Masi, Christopher M ^a   Chen, Hsi Yuan ^a   Hawkley, Louise C ^a   Cacioppo, John T ^a  

^a UNIVERSITY OF CHICAGO   (United States)

Author keywords

intervention; loneliness; meta analysis; social cognition

Indexed keywords

EID: 79957767614     PISSN: 10888683     EISSN: None     Source Type: Journal    
DOI: 10.1177/1088868310377394     Document Type: Review

References (175)

1. References marked with an asterisk indicate studies included in the meta-analysis.
2. 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.
3. Administration on Aging. (2008). A statistical profile of older Americans Aged 65+. Washington, DC: Department of Health and Human Services.
4. *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 Cooperative learning and cooperative pre-training: An intervention for loneliness in elementary students (Unpublished doctoral dissertation).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.
5. Anderson, C.A., & Arnoult, L.H. (1985). Attributional style and everyday problems in living: Depression, loneliness, and shyness. Social Cognition, 3(1), 16-35.
6. 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.
7. Andersson, L. (1985). Intervention against loneliness in a group of elderly women: An impact evaluation. Social Science & Medicine, 20, 355-364.
8. 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.
9. 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.
10. Asher, S., Hymel, S., & Renshaw, P.D. (1984). Loneliness in children. Child Development, 55, 1456-1464.
11. 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.
12. *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.
13. *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.
14. 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.
15. *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.
16. 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.
17. 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.
18. *Bauminger, N. (2007). Brief report: Individual social-multi-modal intervention for HFASD. Journal of Autism and Developmental Disorders, 27, 1593-1604.
19. 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.
20. 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.
21. Borenstein, M., Hedges, L.V., Higgins, J.P.T., & Rothstein, H.R. (2009). Introduction to meta-analysis. West Sussex, UK: Wiley.
22. 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.
23. 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.
24. 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.
25. 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.
26. Cacioppo, J.T., & Hawkley, L.C. (2009). Perceived social isolation and cognition. Trends in Cognitive Sciences, 13, 447-454.
27. 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.
28. 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.
29. 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.
30. 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.
31. 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.
32. 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.
33. Cacioppo, J.T., & Patrick, W. (2008). Loneliness: Human nature and the need for social connection. New York, NY: Norton.
34. 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.
35. Cassidy, J., & Asher, S.R. (1992). Loneliness and peer relations in young children. Child Development, 63, 350-365.
36. 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.
37. 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.
38. 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.
39. Chambless, D.L., & Hollon, S.D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7-18.
40. 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.
41. *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.
42. *Christian, B.J., & D'Auria, J.P. (2006). Building life skills for children with cystic fibrosis. Nursing Research, 55, 300-307.
43. Clarke, M., Clarke, S.J., & Jagger, C. (1992). Social intervention and the elderly: A randomized controlled trial. American Journal of Epidemiology, 136, 1517-1523.
44. *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.
45. Cole, S.W. (2008). Social regulation of leukocyte homeostasis: The role of glucocorticoid sensitivity. Brain, Behavior, and Immunity, 22, 1049-1055.
46. 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.
47. *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.
48. *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.
49. *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.
50. Cox, A.D. (1993). Befriending young mothers. British Journal of Psychiatry, 163, 6-18.
51. *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.
52. 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.
53. 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.
54. 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.
55. 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.
56. *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.
57. 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.
58. Duck, S., Pond, K., & Leatham, G. (1994). Loneliness and the evaluation of relational events. Journal of Social and Personal Relationships, 11, 253-276.
59. Evans, R.L., & Jaureguy, B.M. (1982). Phone therapy outreach for blind elderly. Gerontologist, 22, 32-35.
60. 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.
61. *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.
62. Findlay, R.A. (2003). Interventions to reduce social isolation among older people: Where is the evidence? Ageing & Society, 23, 647-658.
63. *Fokkema, C.M., & van Tilburg, T.G. (2007). Loneliness interventions among older adults: Sense or nonsense? Tijdschrift Voor Gerontologie en Geriatrie, 38, 185-203.
64. *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.
65. *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.
66. 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.
67. Galanter, M. (1988). Zealous self-help groups as adjuncts to psychiatric treatment: A study of Recovery, Inc. American Journal of Psychiatry, 145, 1248-1253.
68. 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.
69. 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.
70. 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.
71. *Hartke, R.J., & King, R.B. (2003). Telephone group intervention for older stroke caregivers. Topics in Stroke Rehabilitation, 9(4), 65-81.
72. 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.
73. 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.
74. Hawkley, L.C., & Cacioppo, J.T. (2007). Aging and loneliness: Downhill quickly? Current Directions in Psychological Science, 16, 187-191.
75. 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.
76. 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.
77. 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.
78. Hawkley, L.C., Preacher, K.J., & Cacioppo, J.T. (2010). Loneliness impairs daytime functioning but not sleep duration. Health Psychology, 29, 124-129.
79. 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.
80. *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.
81. 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.
82. Hedges, L.V., & Olkin, I. (1985). Statistical methods for meta-analysis. Orlando, FL: Academic Press.
83. *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.
84. 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.
85. Higgins, J.P.T., Thompson, S.G., Deeks, J.J., & Altman, D.G. (2003). Measuring inconsistency in meta-analyses. BMJ, 327, 557-560.
86. *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.
87. 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.
88. *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.
89. Horowitz, L.M. (1983). The toll of loneliness: Manifestations, mechanisms, and means of prevention. Washington, DC: National Institute of Mental Health, Office of Prevention.
90. Hu, M. (2009). Will online chat help alleviate mood loneliness. CyberPsychology and Behavior, 12, 219-223.
91. 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.
92. 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.
93. Jerrome, D. (1983). Lonely women in a friendship club. British Journal of Guidance and Counseling, 11(1), 11-21.
94. *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.
95. 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.
96. Jones, W.H., Freemon, J.R., & Goswick, R.A. (1981). The persistence of loneliness: Self and other determinants. Journal of Personality, 49, 27-48.
97. Jones, W.H., Hobbs, S.A., & Hockenbury, D. (1982). Loneliness and social skill deficits. Journal of Personality and Social Psychology, 42, 682-689.
98. 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.
99. 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.
100. 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.
101. 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.
102. *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.
103. Kowalski, N.C. (1981). Institutional relocation: Current programs and applied approaches. Gerontologist, 21, 512-519.
104. *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.
105. *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.
106. Lipsey, M.W., & Wilson, D.B. (2001). Practical meta-analysis. Thousand Oaks, CA: Sage.
107. *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.
108. *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.
109. *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.
110. McGuire, S., & Clifford, J. (2000). Genetic and environmental contributions to loneliness in children. Psychological Science, 11, 487-491.
111. 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.
112. McWhirter, B.T. (1990a). Factor analysis of the revised UCLA Loneliness Scale. Current Psychology: Research and Reviews, 9, 56-58.
113. McWhirter, B.T. (1990b). Loneliness: A review of current literature, with implications for counseling and research. Journal of Counseling and Development, 68, 417-422.
114. *McWhirter, B.T., & Horan, J.J. (1996). Construct validity of cognitive-behavioral treatments for intimate and social loneliness. Current Psychology, 15(1), 42-52.
115. Moore, J.A., & Sermat, V. (1974). Relationship between selfactualization and self-reported loneliness. Canadian Counsellor, 8, 194-196.
116. *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.
117. Murray, P. (1996). Recovery, Inc. as an adjunct to treatment in an era of managed care. Psychiatric Services, 47, 1378-1381.
118. Mynatt, S., Wicks, M., & Bolden, L. (2008). Pilot study of INSIGHT therapy in African American women. Archives of Psychiatric Nursing, 22, 364-374.
119. *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.
120. O'Luanaigh, C., & Lawlor, B.A. (2008). Loneliness and the health of older people. International Journal of Geriatric Psychiatry, 23, 1213-1221.
121. Orwin, R.G. (1983). A fail-safe N for effect size in meta-analysis. Educational Statistics, 8, 157-159.
122. 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.
123. 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.
124. Peplau, L.A., & Perlman, D. (1982). Loneliness: A sourcebook of current theory, research, and therapy. New York, NY: John Wiley.
125. 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.
126. *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.
127. Pilisuk, M., & Minkler, M. (1980). Supportive networks: Life ties for the elderly. Journal of Social Issues, 36, 95-116.
128. 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.
129. 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.
130. Rook, K.S. (1984). Promoting social bonds: Strategies for helping the lonely and socially isolated. American Psychologist, 39, 1389-1407.
131. 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.
132. *Rosen, C.E., & Rosen, S. (1982). Evaluating an intervention program for the elderly. Community Mental Health Journal, 18(1), 21-33.
133. 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.
134. 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.
135. Russell, D. (1996). UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20-40.
136. 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.
137. *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.
138. *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.
139. Schneider, B., & Waite, L.J. (2005). Being together, working apart. Cambridge, UK: Cambridge University Press.
140. *Seepersad, S.S. (2005). Understanding and helping the lonely: An evaluation of the Luv Program (Unpublished doctoral dissertation). University of Illinois at Urbana-Champaign.
141. *Shapira, N., Barak, A., & Gal, I. (2007). Promoting older adults' well-being through Internet training and use. Aging & Mental Health, 11, 477-484.
142. 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.
143. 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.
144. 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.
145. *Sorenson, D.S. (2003). Healing traumatizing provider interactions among women through short-term group therapy. Archives of Psychiatric Nursing, 17, 259-269.
146. 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.
147. Stevens, N. (2001). Combating loneliness: A friendship enrichment programme for older women. Ageing & Society, 21, 183-202.
148. 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.
149. *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.
150. *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.
151. 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.
152. Theeke, L.A. (2009). Predictors of loneliness in U.S. adults over age sixty-five. Archives of Psychiatric Nursing, 23, 387-396.
153. 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.
154. 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.
155. 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.
156. U.S. Bureau of Labor Statistics. (2003). Families and work in 12 countries 1980-2001. Washington, DC: Author.
157. 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.
158. *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.
159. 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.
160. 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.
161. 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.
162. 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.
163. 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.
164. 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.
165. Weiss, R.S. (1973). Loneliness: The experience of emotional and social isolation. Cambridge, MA: MIT Press.
166. Wheeler, L., Reis, H., & Nezlek, J. (1983). Loneliness, social interaction, and sex roles. Journal of Personality and Social Psychology, 45, 943-953.
167. *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.
168. *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.
169. 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.
170. *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.
171. Wilson, D.B. (2002). ES calculation xls. Retrievedfromhttp://mason.gmu.edu/~dwilsonb/ma.html.
172. 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.
173. *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.
174. *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.
175. 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.