Prevalence and factors associated with maternal loneliness during the postpartum period in Gondar city

Kebede, Azmeraw Ambachew; Gessesse, Dereje Nibret; Tsega, Nuhamin Tesfa; Aklil, Mastewal Belayneh; Temesgan, Wubedle Zelalem; Abegaz, Marta Yimam; Anteneh, Tazeb Alemu; Tibebu, Nebiyu Solomon; Alemu, Haymanot Nigatu; Haile, Tsion Tadesse; Seyoum, Asmra Tesfahun; Tiguh, Agumas Eskezia; Yismaw, Ayenew Engida; Mihret, Muhabaw Shumye; Nenko, Goshu; Wondie, Kindu Yinges; Taye, Birhan Tsegaw

doi:10.1016/j.heliyon.2022.e09891

Cited by 4 publications

(2 citation statements)

References 32 publications

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“…However, the prevalence of loneliness in our non-clinical group was comparable to the prevalence of loneliness in postpartum Ethiopian women (40.9%), as described by a study conducted in Gondar city 44 . These ndings suggest that loneliness is a relevant burden in the general population, especially in people suffering from mental illness in Ethiopia -despite a high social network size.…”

Section: Discussionsupporting

confidence: 86%

Loneliness is associated with retrospective self-reports of adverse childhood experiences – A replication study in Ethiopia

Gerbig,

Reinhard,

Ababu

et al. 2023

Preprint

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Loneliness and adverse childhood experiences constitute major risk factors for mental disorders, and current research highlights the role of loneliness in the interaction between early life adversities and current psychopathology. However, most studies have been conducted in high-income and highly individualistic countries. Therefore, this study investigates the interplay between adverse childhood experiences, loneliness, social network size, and mental health problems in the low-income and collectivistic country of Ethiopia. The study sample consists of 125 psychiatric outpatients at Jimma University Medical Center, South-West of Ethiopia, suffering from major depressive disorder, bipolar disorder, or psychotic disorders, and 131 non-clinical study participants. Led by an interviewer, participants completed the UCLA Loneliness Scale, the Childhood Trauma Questionnaire, the Social Network Index, and the WHO-5 Well-Being Index. We used Mann-Whitney U Tests, partial correlation, and mediation analysis for data analysis. We found mild to moderate correlations between loneliness and adverse childhood experiences, and loneliness fully mediated the association between adverse childhood experiences and depressive symptoms in both groups. In contrast, social network size was neither correlated with adverse childhood experiences nor did it mediate the association between adverse childhood experiences and depressive symptoms in either group. This study replicates previous findings that loneliness, rather than social network size, is associated with adverse childhood experiences and mediates the pathway to depressive symptoms. This replication supports the transcultural and transdiagnostic generalizability of these findings, even in more collectivistic and low-income settings.

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Section: Discussionsupporting

confidence: 86%

Loneliness is associated with retrospective self-reports of adverse childhood experiences – A replication study in Ethiopia

Gerbig,

Reinhard,

Ababu

et al. 2023

Preprint

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“…Moreover, research among older persons in the United Kingdom revealed that lower social support during the pandemic increased the risk of experiencing loneliness [ 15 ]. Meanwhile, a study among women during the postpartum period also showed that poorer social support would generally indicate a higher potential risk of loneliness [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

The Migrant-Local Difference in the Relationship Between Social Support, Sleep Disturbance, and Loneliness Among Older Adults in China: Cross-Sectional Study

Pang,

Wang,

Zhao

et al. 2024

JMIR Public Health Surveill

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Background Driven by the accelerated aging of the population of China, the number of older adults has increased rapidly in the country. Meanwhile, following children, migrant older adults (MOA) have emerged as a vulnerable group in the process of fast urbanization. Existed studies have illustrated the association between social support and loneliness and the relationship between sleep disturbance and loneliness; however, the underlying mechanisms and the migrant-local difference in the association between social support, sleep disturbance, and loneliness have not been identified. Objective This study aimed to clarify the migrant-local difference in the relationship between social support, sleep disturbance, and loneliness in older adults in China. Methods Multistage cluster random sampling was used to select participants: 1205 older adults (n=613, 50.9%, MOA and n=592, 49.1%, local older adults [LOA]) were selected in Weifang City, China, in August 2021. Loneliness was assessed with the 6-item short-form University of California, Los Angeles Loneliness Scale, social support was evaluated with the Social Support Rating Scale, and sleep disturbance was measured with the Pittsburgh Sleep Quality Index. The chi-square test, t test, and structural equation modeling (SEM) were adopted to explore the migrant-local difference between social support, sleep disturbance, and loneliness among the MOA and LOA. Results The mean score of loneliness was 8.58 (SD 3.03) for the MOA and 8.00 (SD 2.79) for the LOA. SEM analysis showed that social support exerts a direct negative effect on both sleep disturbance (standardized coefficient=–0.24 in the MOA and –0.20 in the LOA) and loneliness (standardized coefficient=–0.44 in the MOA and –0.40 in the LOA), while sleep disturbance generates a direct positive effect on loneliness (standardized coefficient=0.13 in the MOA and 0.22 in the LOA). Conclusions Both MOA and LOA have a low level of loneliness, but the MOA show higher loneliness than the LOA. There is a negative correlation between social support and loneliness as well as between social support and sleep disturbance among the MOA and LOA (MOA>LOA), while loneliness is positively associated with sleep disturbance in both populations (MOA<LOA). Measures should be taken by the government, society, and families to increase social support, decrease sleep disturbance, and further reduce the loneliness among older adults, especially the MOA.

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The Migrant-Local Difference in the Relationship Between Social Support, Sleep Disturbance, and Loneliness Among Older Adults in China: Cross-Sectional Study (Preprint)

Pang,

Wang,

Zhao

et al. 2023

Preprint

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BACKGROUND Driven by the accelerated aging of the population of China, the number of older adults has increased rapidly in the country. Meanwhile, following children, migrant older adults (MOA) have emerged as a vulnerable group in the process of fast urbanization. Existed studies have illustrated the association between social support and loneliness and the relationship between sleep disturbance and loneliness; however, the underlying mechanisms and the migrant-local difference in the association between social support, sleep disturbance, and loneliness have not been identified. OBJECTIVE This study aimed to clarify the migrant-local difference in the relationship between social support, sleep disturbance, and loneliness in older adults in China. METHODS Multistage cluster random sampling was used to select participants: 1205 older adults (n=613, 50.9%, MOA and n=592, 49.1%, local older adults [LOA]) were selected in Weifang City, China, in August 2021. Loneliness was assessed with the 6-item short-form University of California, Los Angeles Loneliness Scale, social support was evaluated with the Social Support Rating Scale, and sleep disturbance was measured with the Pittsburgh Sleep Quality Index. The chi-square test, t test, and structural equation modeling (SEM) were adopted to explore the migrant-local difference between social support, sleep disturbance, and loneliness among the MOA and LOA. RESULTS The mean score of loneliness was 8.58 (SD 3.03) for the MOA and 8.00 (SD 2.79) for the LOA. SEM analysis showed that social support exerts a direct negative effect on both sleep disturbance (standardized coefficient=–0.24 in the MOA and –0.20 in the LOA) and loneliness (standardized coefficient=–0.44 in the MOA and –0.40 in the LOA), while sleep disturbance generates a direct positive effect on loneliness (standardized coefficient=0.13 in the MOA and 0.22 in the LOA). CONCLUSIONS Both MOA and LOA have a low level of loneliness, but the MOA show higher loneliness than the LOA. There is a negative correlation between social support and loneliness as well as between social support and sleep disturbance among the MOA and LOA (MOA>LOA), while loneliness is positively associated with sleep disturbance in both populations (MOA<LOA). Measures should be taken by the government, society, and families to increase social support, decrease sleep disturbance, and further reduce the loneliness among older adults, especially the MOA.

show abstract

Prevalence and factors associated with maternal loneliness during the postpartum period in Gondar city

Cited by 4 publications

References 32 publications

Loneliness is associated with retrospective self-reports of adverse childhood experiences – A replication study in Ethiopia

Loneliness is associated with retrospective self-reports of adverse childhood experiences – A replication study in Ethiopia

The Migrant-Local Difference in the Relationship Between Social Support, Sleep Disturbance, and Loneliness Among Older Adults in China: Cross-Sectional Study

The Migrant-Local Difference in the Relationship Between Social Support, Sleep Disturbance, and Loneliness Among Older Adults in China: Cross-Sectional Study (Preprint)

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