Characterizing the momentary association between loneliness, depression, and social interactions: Insights from an ecological momentary assessment study

J Affect Disord. 2024 Sep 1:360:376-386. doi: 10.1016/j.jad.2024.05.148. Epub 2024 May 31.

Abstract

Evidence suggests that loneliness causes people to feel more depressed. It is unknown, however, why this association occurs and whether momentary versus chronic experiences of loneliness are implicated. Theoretical accounts suggest that momentary feelings of loneliness produce two competing motivations: social reaffiliation and social withdrawal. Social affiliation is protective against depression; social withdrawal, in contrast, is a risk factor. Thus, engaging in frequent and high-quality interactions following experiences of loneliness may protect against subsequent depression. We tested this hypothesis using a random-interval experience sampling design (5x/day/day, 14 days; Nobs = 6568) with a racially/ethnically diverse sample of adults with elevated depression symptoms (N = 102). Momentary loneliness was associated with depressed mood at the same time point and ∼2.5h and ∼5h later. Frequency and quality of social interaction did not moderate these associations. Findings suggest that momentary feelings of loneliness may be an important target for clinical intervention.

Keywords: Affect dynamics; Depression; Ecological momentary assessment; Loneliness; Mixed effects location scale models.

MeSH terms

  • Adult
  • Depression* / psychology
  • Ecological Momentary Assessment*
  • Female
  • Humans
  • Loneliness* / psychology
  • Male
  • Middle Aged
  • Social Interaction*
  • Young Adult