Other Titles

The Association Between Loneliness, Sleep Quality, Depression, and Psychological Well-being in Underserved Communities [Poster Title]

Other Titles

Rising Star Poster/Presentation

Abstract

Background: Loneliness is a distressing emotional state that arises when an individual's actual social relationships do not align with their desired social connections. As loneliness becomes increasingly prevalent among adults, its adverse effects on mental health have grown more evident. Research links loneliness to poor sleep quality, suicidal ideation, severe depressive symptoms, and heightened stress. These effects are particularly pronounced in underserved communities, where social determinants of health disproportionately impact African Americans, contributing to poorer health outcomes. However, limited research explores the relationship between loneliness, sleep, and depression specifically within African American populations.

Purpose: This study aims to determine whether loneliness predicts sleep quality, depression, and psychological well-being in underserved communities.

Methods: A cross-sectional design was employed to analyze baseline data from a randomized controlled trial conducted in underserved communities in Western New York. Participants completed a series of questionnaires via REDCap. Four key variables including sleep quality, depression, loneliness, and psychological well-being were examined. Regression analysis was conducted to assess associations between these variables.

Results: The study included 250 participants, the majority of whom were African American (71%) and female (84%). Regression analysis revealed that loneliness significantly predicted sleep quality and depression (p < 0.05), with the strongest association observed between loneliness and psychological well-being (p < 0.001). Participants with higher loneliness scores reported poorer sleep quality, more severe depressive symptoms, and lower psychological well-being.

Conclusion: Loneliness is a significant predictor of mental health outcomes in underserved communities. Addressing loneliness may improve sleep quality, alleviate depressive symptoms, and enhance psychological well-being. Future research should explore these associations in a more demographically representative sample and consider longitudinal designs for a deeper understanding of long-term effects of loneliness. Additionally, cost-effective and accessible interventions should be developed to mitigate loneliness and its associated mental health consequences.

Notes

References:

Fisher FD, Reitzel LR, Nguyen N, Savoy EJ, Advani PS, Cuevas AG, Vidrine JI, Wetter DW, McNeill LH. Loneliness and self-rated health among church-attending African Americans. Am J Health Behav. 2014 Jul;38(4):481-91. doi: 10.5993/AJHB.38.4.1.

Komada, Y. Effects of loneliness and social isolation on sleep health. Sleep Biol. Rhythms 20, 149 (2022). https://doi.org/10.1007/s41105-022-00378-5

New APA Poll: One in Three Americans Feel Lonely Every Week. American Psychiatric Association. (2024). https://www.psychiatry.org/news-room/news-releases/new-apa-poll-one-in-three-americans-feels-lonely-e

Park C, Majeed A, Gill H, et al. The Effect of Loneliness on Distinct Health Outcomes: A Comprehensive Review and Meta-Analysis. Psychiatry Res. 2020;294:113514. doi:10.1016/j.psychres.2020.113514

Description

This study examines the impact of loneliness on sleep quality, depression, and psychological well-being in underserved communities. Using a cross-sectional design with data from 250 participants. regression analysis revealed that loneliness significantly predicts poor sleep, increased depressive symptoms, and lower psychological well-being. The findings highlight the need for targeted interventions to address loneliness and its mental health consequences.

Author Details

Ameemah Khan, BSN Student; Mentor: Yu-Ping Chang, PhD, RN, FGSA, FAAN, FIAAN

Sigma Membership

Non-member

Type

Poster

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Mixed/Multi Method Research

Keywords:

Cultural Context and Care, Loneliness, Loneliness Side Effects, Quality of Sleep, Depression, Well-being, Underserved Communities, Underserved Populations

Conference Name

48th Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Invited Presentation

Acquisition

Proxy-submission

Date of Issue

2025-12-09

Funder(s)

Patient Centered Outcome Research Institute (PCORI)

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The Association Between Loneliness and Mental Health in Underserved Communities

Indianapolis, Indiana, USA

Background: Loneliness is a distressing emotional state that arises when an individual's actual social relationships do not align with their desired social connections. As loneliness becomes increasingly prevalent among adults, its adverse effects on mental health have grown more evident. Research links loneliness to poor sleep quality, suicidal ideation, severe depressive symptoms, and heightened stress. These effects are particularly pronounced in underserved communities, where social determinants of health disproportionately impact African Americans, contributing to poorer health outcomes. However, limited research explores the relationship between loneliness, sleep, and depression specifically within African American populations.

Purpose: This study aims to determine whether loneliness predicts sleep quality, depression, and psychological well-being in underserved communities.

Methods: A cross-sectional design was employed to analyze baseline data from a randomized controlled trial conducted in underserved communities in Western New York. Participants completed a series of questionnaires via REDCap. Four key variables including sleep quality, depression, loneliness, and psychological well-being were examined. Regression analysis was conducted to assess associations between these variables.

Results: The study included 250 participants, the majority of whom were African American (71%) and female (84%). Regression analysis revealed that loneliness significantly predicted sleep quality and depression (p < 0.05), with the strongest association observed between loneliness and psychological well-being (p < 0.001). Participants with higher loneliness scores reported poorer sleep quality, more severe depressive symptoms, and lower psychological well-being.

Conclusion: Loneliness is a significant predictor of mental health outcomes in underserved communities. Addressing loneliness may improve sleep quality, alleviate depressive symptoms, and enhance psychological well-being. Future research should explore these associations in a more demographically representative sample and consider longitudinal designs for a deeper understanding of long-term effects of loneliness. Additionally, cost-effective and accessible interventions should be developed to mitigate loneliness and its associated mental health consequences.