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. 2016 Apr 18;6(4):e010799.
doi: 10.1136/bmjopen-2015-010799.

Loneliness, social isolation and social relationships: what are we measuring? A novel framework for classifying and comparing tools

Nicole K Valtorta  1 , Mona Kanaan  1 , Simon Gilbody  1 , Barbara Hanratty  2
Affiliations

Loneliness, social isolation and social relationships: what are we measuring? A novel framework for classifying and comparing tools

Nicole K Valtorta et al. BMJ Open. .

Abstract

Objectives: We present a novel way of classifying and comparing measures of social relationships to help readers interpret the growing literature on loneliness and social isolation and to provide researchers with a starting point to guide their choice of measuring tool.

Methods: Measures of social relationships used in epidemiological studies were identified from two systematic reviews-one review on the association between social relationships and health and social care service use, and a second review on the association between social relationships and health. Questions from each measure were retrieved and tabulated to derive a classification of social relationship measures.

Results: We present a classification of measures according to two dimensions: (1) whether instruments cover structural or functional aspects of social relationships and (2) the degree of subjectivity asked of respondents. We explain how this classification can be used to clarify the remit of the many questionnaires used in the literature and to compare them.

Conclusions: Different dimensions of social relationships are likely to have different implications for health. Our classification of social relationship measures transcends disciplinary and conceptual boundaries, allowing researchers to compare tools that developed from different theoretical perspectives. Careful choice of measures is essential to further our understanding of the links between social relationships and health, to identify people in need of help and to design appropriate prevention and intervention strategies.

Keywords: loneliness; social epidemiology; social relationships.

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Figures

Figure 1
Figure 1
Comparing multi-item questionnaires using a two-dimensional diagram.
See this image and copyright information in PMC

References

    1. Clark MS. Social relationships in adulthood. In: Baltes PB, Smelser NJ, eds. International encyclopedia of the social & behavioral sciences. Oxford: Pergamon, 2001:14423–9.
    1. Campaign to End Loneliness. Safeguarding the convoy: a call to action from the Campaign to End Loneliness. Age UK Oxfordshire, 2011.
    1. McPherson M, Smith-Lovin L. Social isolation in America: changes in core discussion Networks over two decades. Am Sociological Rev 2006;71:353–75. 10.1177/000312240607100301 - DOI
    1. Putnam RD. Bowling alone: the collapse and revival of American community. New York: Simon & Schuster, 2000.
    1. Holt-Lunstad J, Smith TB, Baker M et al. . Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspect Psychol Sci 2015;10:227–37. 10.1177/1745691614568352 - DOI - PubMed

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