ArticlePsychoneuroendocrinology2017
The impact of daily and trait loneliness on diurnal cortisol and sleep among children affected by parental HIV/AIDS.
Article in Psychoneuroendocrinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- Loneliness, Chronic Conditions, and Healthcare Engagement in Japan: A Nationwide Cross-Sectional Study.JMA journal · 2026Article
- The interplay between loneliness, cortisol, and NK cell function: The role of cortisol in NK cell dysfunction.Psychoneuroendocrinology · 2026Article
- StepsConnect: A Real-Time Step-Sensing Ambient Display System to Support Connectedness for Family Members Living Apart.Sensors (Basel, Switzerland) · 2026Article
- Is informal practice associated with outcomes in loving-kindness and compassion training? Evidence from pre-post and daily diary assessments.Behaviour research and therapy · 2024Article
- Understanding the Development of Chronic Loneliness in Youth.Child development perspectives · 2024Article
- Does HIV-Related Stigma Depress Social Well-Being of Youths Affected by Parental HIV/AIDS?Frontiers in psychiatry · 2022Article
- Saliva Cortisol in Girls With Functional Abdominal Pain Disorders: A Randomized Controlled Dance and Yoga Intervention.Frontiers in pediatrics · 2022Article
- Insight into Potential Mechanisms Linking Loneliness and Cognitive Decline: Commentary on "Health Factors as Potential Mediator the Longitudinal Effect of Loneliness on General Cognitive Ability".The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2020Article
- Effects of Peer Victimization and Perceived Social Support on Daily Negative Affect and Sleep Outcomes.Journal of child and family studies · 2020Article
- Year of study as predictor of loneliness among students of University of Gondar.BMC research notes · 2019Article
- Family Dynamics in Sleep Health and Hypertension.Current hypertension reports · 2019Review
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
Abstract
Dysregulation of the Hypothalamic-Pituitary-Adrenal (HPA) axis and disruptions of restorative processes (e.g., sleep) have been proposed as two key mechanisms through which loneliness leads to medical morbidity in adults and late adolescents. Whether loneliness acts through these biological and behavioral intermediaries in children as well remains unexplored. In a sample of 645 children aged 8-15 affected by parental HIV/AIDS in rural China, trait and state (i.e., daily) loneliness were measured in a 3-day diary study, wherein participants also provided cortisol samples and sleep measures. Whereas high levels of trait loneliness were found to predict lower morning cortisol levels, longer time in bed, lower sleep quality, and a higher number of night awakenings, daily loneliness was associated with a flatter diurnal cortisol slope and shorter time in bed. Although the association between trait loneliness and daily loneliness with HPA activity remained significant after controlling for psychological constructs that overlap with loneliness (e.g., depression and daily negative affect), some of the associations between loneliness and sleep measures became non-significant after including these additional covariates. These findings provide the first empirical evidence to our knowledge of associations between trait and state loneliness and health-related outcomes among school-aged children and young adolescents.
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