Trend in loneliness among Swiss university students during the first year of the COVID-19 pandemic
Keywords:
social isolation, social distancing, emotional support, public health, young adulthoodAbstract
Background
The need to maintain physical and social distance between people and the stay-at-home recommendation/order to contain the spread of COVID-19 have raised concerns about the possible increase in loneliness. However, few studies have analyzed trends or changes in loneliness in samples of young adults. The present study aimed to explore the prevalence of loneliness and its change during the COVID-19 pandemic.
Participants and procedure
This is a repeated cross-sectional study analyzing data collected through six online surveys between April 2020 and March 2021 from 5,669 university students in Switzerland. Logistic regression models were used to examine trends in loneliness and associations between loneliness, well-being, life at home, COVID-19 symptoms and tests.
Results
Loneliness decreased between April 2020 and May-June 2020. In contrast, loneliness was higher in December 2020, January and March 2021 compared to April 2020. Loneliness was associated with younger age, studying architecture, design and civil engineering or engineering, enjoying time spent with family/partner, experiencing tensions and conflicts at home, boredom, feeling locked up and subjective well-being and current health.
Conclusions
Our findings highlight an increase in loneliness during the second wave of the COVID-19 pandemic, although a seasonality effect cannot be excluded. Public health systems and educational institutions need to monitor the effects of social distancing measures and reduced social contact on students’ loneliness and well-being.
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References
Alheneidi, H., AlSumait, L., AlSumait, D., & Smith, A. P. (2021). Loneliness and problematic internet use during COVID-19 lock-down. Behavioral Sciences, 11, 5. https://doi.org/10.3390/bs11010005.
Alsairafi, Z., Naser, A. Y., Alsaleh, F. M., Awad, A., & Jalal, Z. (2021). Mental health status of healthcare professionals and students of health sciences faculties in Kuwait during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18, 2203. https://doi.org/10.3390/ijerph18042203.
Arslan, G., Yıldırım, M., & Aytaç, M. (2022). Subjective vitality and loneliness explain how coronavirus anxiety increases rumination among college students. Death Studies, 46, 1042–1051. https://doi. org/10.1080/07481187.2020.1824204.
Bareket‐Bojmel, L., Shahar, G., Abu‐Kaf, S., & Margalit, M. (2021). Perceived social support, loneliness, and hope during the COVID‐19 pandemic: Testing a mediating model in the UK, USA, and Israel. British Journal of Clinical Psychology, 60, 133–148. https://doi.org/10.1111/bjc.12285.
Besser, A., Flett, G. L., Nepon, T., & Zeigler-Hill, V. (2022). Personality, cognition, and adaptability to the COVID-19 pandemic: Associations with loneliness, distress, and positive and negative mood states. International Journal of Mental Health and Addiction, 20, 971–995. https://doi.org/10.1007/s11469-020-00421-x.
Bu, F., Steptoe, A., & Fancourt, D. (2020). Loneliness during a strict lockdown: Trajectories and predictors during the COVID-19 pandemic in 38,217 United Kingdom adults. Social Science & Medicine, 265, 113521. https://doi.org/10.1016/j.socscimed. 2020.113521.
Chin, A., Markey, A., Bhargava, S., Kassam, K. S., & Loewenstein, G. (2017). Bored in the USA: Experience sampling and boredom in everyday life. Emotion, 17, 359–368. https://doi.org/10.1037/emo0000232.
Diehl, K., Jansen, C., Ishchanova, K., & Hilger-Kolb, J. (2018). Loneliness at universities: Determinants of emotional and social loneliness among students. International Journal of Environmental Research and Public Health, 15, 1865. https://doi.org/10.3390/ijerph15091865.
Dratva, J., Zysset, A., Schlatter, N., von Wyl, A., Huber, M., & Volken, T. (2020). Swiss university students’ risk perception and general anxiety during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 17, 7433. https://doi.org/10.3390/ijerph17207433.
Freak-Poli, R., Ryan, J., Tran, T., Owen, A., McHugh Power, J., Berk, M., Stocks, N., Gonzalez-Chica, D., Lowthian, J. A., Fisher, J., & Byles, J. (2022). Social isolation, social support and loneliness as independent concepts, and their relationship with healthrelated quality of life among older women. Aging & Mental Health, 26, 1335–1344. https://doi.org/ 10.1080/13607863.2021.1940097.
Groarke, J. M., Berry, E., Graham-Wisener, L., Mc Kenna-Plumley, P. E., McGlinchey, E., & Armour, C. (2020). Loneliness in the UK during the COVID-19 pandemic: Cross-sectional results from the COVID-19 Psychological Wellbeing Study. PLoS One, 15, e0239698. https://doi.org/10.1371/journal.pone.0239698.
Grossman, E. S., Hoffman, Y. S. G., Palgi, Y., & Shrira, A. (2021). COVID-19 related loneliness and sleep problems in older adults: Worries and resilience as potential moderators. Personality and Individual Differences, 168, 110371. https://doi.org/10.1016/j.paid.2020.110371.
Hale, T., Webster, S., Petherick, A., Phillips, T., & Kira, B. (2020). Oxford COVID-19 Government Response Tracker. Blavatnik School of Government, Oxford University. Retrieved from https://covidtracker.bsg. ox.ac.uk/.
Horigian, V. E., Schmidt, R. D., & Feaster, D. J. (2021). Loneliness, mental health, and substance use among US young adults during COVID-19. Journal of Psychoactive Drugs, 53, 1–9. https://doi.org/ 10.1080/02791072.2020.1836435.
Hu, Y., & Gutman, L. M. (2021). The trajectory of loneliness in UK young adults during the summer to winter months of COVID-19. Psychiatry Research, 303, 114064. https://doi.org/10.1016/j.psychres.2021.114064.
Killeen, C. (1998). Loneliness: an epidemic in modern society. Journal of Advanced Nursing, 28, 762–770. https://doi.org/10.1046/j.1365-2648.1998.00703.x.
Killgore, W. D. S., Cloonan, S. A., Taylor, E. C., Lucas, D. A., & Dailey, N. S. (2020). Loneliness during the first half-year of COVID-19 lockdowns. Psychiatry Research, 294, 113551. https://doi.org/10.1016/j.psychres.2020.113551.
Kongsomboon, K. (2010). Psychological problems and overweight in medical students compared to students from Faculty of Humanities, Srinakharinwirot University, Thailand. Journal of the Medical Association of Thailand, 93, S106–S113.
Lee, C. M., Cadigan, J. M., & Rhew, I. C. (2020). Increases in loneliness among young adults during the COVID-19 pandemic and association with increases in mental health problems. Journal of Adolescent Health, 67, 714–717. https://doi.org/10.1016/j.jadohealth.2020.08.009.
Lippke, S., Fischer, M. A., & Ratz, T. (2021). Physical activity, loneliness, and meaning of friendship in young individuals – a mixed-methods investigation prior to and during the COVID-19 pandemic with three cross-sectional studies. Frontiers in Psychology, 12, 617267. https://doi.org/10.3389/fpsyg. 2021.617267.
Loades, M. E., Chatburn, E., Higson-Sweeney, N., Reynolds, S., Shafran, R., Brigden, A., Linney, C., McManus, M. N., Borwick, C., & Crawley, E. (2020). Rapid systematic review: The impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. Journal of the American Academy of Child & Adolescent Psychiatry, 59, 1218–1239.e3. https://doi.org/10.1016/j.jaac.2020.05.009.
Loda, T., Löffler, T., Erschens, R., Zipfel, S., & Herrmann-Werner, A. (2020). Medical education in times of COVID-19: German students’ expectations – a cross-sectional study. PLoS One, 15, e0241660. https://doi.org/10.1371/journal.pone.0241660.
Luhmann, M., & Hawkley, L. C. (2016). Age differences in loneliness from late adolescence to oldest old age. Developmental Psychology, 52, 943–959. https://doi.org/10.1037/dev0000117.
Marchini, S., Zaurino, E., Bouziotis, J., Brondino, N., Delvenne, V., & Delhaye, M. (2021). Study of resilience and loneliness in youth (18-25 years old) during the COVID‐19 pandemic lockdown measures. Journal of Community Psychology, 49, 468– 480. https://doi.org/10.1002/jcop.22473.
Mirza, A. A., Milaat, W. A., Ramadan, I. K., Baig, M., Elmorsy, S. A., Beyari, G. M., Halawani, M. A., Azab, R. A., Zahrani, M. T., & Khayat, N. K. (2021). Depression, anxiety and stress among medical and non-medical students in Saudi Arabia: an epidemiological comparative cross-sectional study. Neurosciences, 26, 141–151. https://doi.org/10.17712/nsj. 2021.2.20200127.
Mosanya, M. (2021). Buffering academic stress during the COVID-19 pandemic related social isolation: grit and growth mindset as protective factors against the impact of loneliness. International Journal of Applied Positive Psychology, 6, 159–174. https://doi.org/10.1007/s41042-020-00043-7.
Naseem, S., & Munaf, S. (2017). Suicidal ideation, depression, anxiety, stress, and life satisfaction of medical, engineering, and social sciences students. Journal of Ayub Medical College Abbottabad, 29, 422–427.
Okruszek, Ł., Aniszewska-Stańczuk, A., Piejka, A., Wiśniewska, M., & Żurek, K. (2020). Safe but lonely? Loneliness, anxiety, and depression symptoms and COVID-19. Frontiers in Psychology, 11, 579181. https://doi.org/10.3389/fpsyg.2020.579181.
Panda, P. K., Gupta, J., Chowdhury, S. R., Kumar, R., Meena, A. K., Madaan, P., Sharawat, I. K., & Gulati, S. (2021). Psychological and behavioral impact of lockdown and quarantine measures for COVID-19 pandemic on children, adolescents and caregivers: a systematic review and meta-analysis. Journal of Tropical Pediatrics, 67, fmaa122. https://doi.org/10.1093/tropej/fmaa122.
Park, C., Majeed, A., Gill, H., Tamura, J., Ho, R. C., Mansur, R. B., Nasri, F., Lee, Y., Rosenblat, J. D., Wong, E., & McIntyre, R. S. (2020). The effect of loneliness on distinct health outcomes: a comprehensive review and meta-analysis. Psychiatry Research, 294, 113514. https://doi.org/10.1016/j.psychres.2020.113514.
Rana, T., Hackett, C., Quezada, T., Chaturvedi, A., Bakalov, V., Leonardo, J., & Rana, S. (2020). Medicine and surgery residents’ perspectives on the impact of COVID-19 on graduate medical education. Medical Education Online, 25, 1818439. https://doi.org/10.1080/10872981.2020.1818439.
Richard, A., Rohrmann, S., Vandeleur, C. L., Schmid, M., Barth, J., & Eichholzer, M. (2017). Loneliness is adversely associated with physical and mental health and lifestyle factors: Results from a Swiss national survey. PLoS One, 12, e0181442. https:// doi.org/10.1371/journal.pone.0181442.
Rico-Uribe, L. A., Caballero, F. F., Martín-María, N., Cabello, M., Ayuso-Mateos, J. L., & Miret, M. (2018). Association of loneliness with all-cause mortality: a meta-analysis. PLoS One, 13, e0190033. https://doi.org/10.1371/journal.pone.0190033.
Rosenberg, M., Luetke, M., Hensel, D., Kianersi, S., Fu, T., & Herbenick, D. (2021). Depression and loneliness during April 2020 COVID-19 restrictions in the United States, and their associations with frequency of social and sexual connections. Social Psychiatry and Psychiatric Epidemiology, 56, 1221– 1232. https://doi.org/10.1007/s00127-020-02002-8.
Rubin, K. H., Coplan, R. J., & Bowker, J. C. (2009). Social withdrawal in childhood. Annual Review of Psychology, 60, 141–171. https://doi.org/10.1146/ annurev.psych.60.110707.163642.
Salazar de Pablo, G., Vaquerizo-Serrano, J., Catalan, A., Arango, C., Moreno, C., Ferre, F., Shin, J. I., Sullivan, S., Brondino, N., Solmi, M., & Fusar-Poli, P. (2020). Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. Journalof Affective Disorders, 275, 48–57. https://doi.org/10.1016/j.jad.2020.06.022.
Saris, W., Revilla, M., Krosnick, J. A., & Shaeffer, E. M. (2010). Comparing questions with agree/disagree response options to questions with item-specific response options. Survey Research Methods, 4, 61– 79. https://doi.org/10.18148/srm/2010.v4i1.2682.
Sønderskov, K. M., Dinesen, P. T., Vistisen, H. T., & Østergaard, S. D. (2021). Variation in psychological well-being and symptoms of anxiety and depression during the COVID-19 pandemic: Results from a three-wave panel survey. Acta Neuropsychiatrica, 33, 156–159. https://doi.org/10.1017/neu.2020.47.
Sutin, A. R., Luchetti, M., & Terracciano, A. (2020). Has loneliness increased during COVID-19? Comment on “Loneliness: a signature mental health concern in the era of COVID-19”. Psychiatry Research, 291, 113295. https://doi.org/10.1016/j.psychres.2020.113295.
Tanaka, T., & Okamoto, S. (2021). Increase in suicide following an initial decline during the COVID-19 pandemic in Japan. Nature Human Behaviour, 5, 229–238. https://doi.org/10.1038/s41562-020-01042-z.
The Federal Council (2021). Coronavirus: Bundesrat plant ersten, vorsichtigen Öffnungsschritt ab 1. März [Coronavirus: Federal Council plans first, cautious opening step from March 1st]. Retrieved from https://www.bag.admin.ch/bag/de/home/das-bag/ aktuell/medienmitteilungen.msg-id-82371.html.
Toubasi, A. A., AbuAnzeh, R. B., Tawileh, H. B. A., Aldebei, R. H., & Alryalat, S. A. S. (2021). A metaanalysis: The mortality and severity of COVID-19 among patients with mental disorders. Psychiatry Research, 299, 113856. https://doi.org/10.1016/j.psychres.2021.113856.
van Dyck, L. I., Wilkins, K. M., Ouellet, J., Ouellet, G. M., & Conroy, M. L. (2020). Combating heightened social isolation of nursing home elders: The telephone outreach in the COVID-19 outbreak program. The American Journal of Geriatric Psychiatry, 28, 989–992. https://doi.org/10.1016/j.jagp.2020.05.026.
Vanderbruggen, N., Matthys, F., Van Laere, S., Zeeuws, D., Santermans, L., Van den Ameele, S., & Crunelle, C. L. (2020). Self-reported alcohol, tobacco, and cannabis use during COVID-19 lockdown measures: Results from a Web-based survey. European Addiction Research, 26, 309–315. https:// doi.org/10.1159/000510822.
Vedel, A. (2016). Big Five personality group differences across academic majors: a systematic review. Personality and Individual Differences, 92, 1–10. https://doi.org/10.1016/j.paid.2015.12.011.
Victor, C., Sullivan, M. P., Woodbridge, R., & Thomas, M. (2015). Dancing with loneliness in later life: a pilot study mapping seasonal variations. Open Psychology Journal, 8, 97–104. https://doi.org/ 10.2174/1874350101508010097.
Wenz, F. V. (1977). Seasonal suicide attempts and forms of loneliness. Psychological Reports, 40, 807– 810. https://doi.org/10.2466/pr0.1977.40.3.807.