Evidence map›Paper›PMID 40205345›Full record

ArticleBMC geriatrics2025

The relationship of self-esteem and mental health among older adults with the mediating role of loneliness.

Mehri Alaviani, Naser Parizad, Masumeh Hemmati Maslakpak, Vahid Alinejad

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mehri AlavianiPatient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran.ORCID http://orcid.org/0000-0002-7152-7358
Naser ParizadSchool of Nursing & Midwifery, Campus Nazlu, 11 KM Road Seru, Urmia, Urmia, West Azerbaijan, 575611-5111, Iran.ORCID http://orcid.org/0000-0001-7393-3010
Masumeh Hemmati MaslakpakSchool of Nursing & Midwifery, Campus Nazlu, 11 KM Road Seru, Urmia, Urmia, West Azerbaijan, 575611-5111, Iran.ORCID http://orcid.org/0000-0003-0563-1808
Vahid AlinejadDepartment of Biostatistics, Urmia University of Medical Sciences, Urmia, Iran. alinejad.v@umsu.ac.ir.ORCID http://orcid.org/0000-0003-4432-777X

Funding

Graduate Training at the Interface of Neuroscience, Optical Engineering and Data ScienceT32NS136080 · NINDS · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI David A Boas, Jerry L Chen · 2024 to 2026
$661k
NINDS NIH HHS T32 NS136080
6 · The paper itself

Abstract

backgroundMental health (MH) is one of the most important resources of human life, particularly during older adulthood. Self-esteem (SE) is related to mental health (MH), and loneliness may serve as a mediator in the relationship between SE and MH. However, the role of loneliness in this relationship is not well understood. This study aims to evaluate the association between SE and MH in older adults, specifically focusing on the mediating role of loneliness in this relationship.

methodsThis cross-sectional correlational study was conducted in 2023 using structural equation modeling. Participants were 357 older adults selected through quota sampling from comprehensive urban healthcare centers in Urmia, Iran. Data collection instruments included a demographic questionnaire, the University of California Los Angeles Loneliness Scale, the General Health Questionnaire, and the Rosenberg Self-Esteem Scale. Data were analyzed using the SPSS (v. 23.0) and the SmartPLS (v. 3.0) software.

resultsSE had a significantly weak positive association with MH (ß = 0.095; P < 0.001) and a significantly weak negative association with loneliness (ß = -0.288; P < 0.001). Additionally, loneliness had a significantly strong negative association with MH (ß = -0.632; P < 0.001). The study confirmed that loneliness acts as a mediator between SE and MH (β = -0.688, 95% CI: 0.1427, 1.2958; P < 0.001).

conclusionHealth assessments and loneliness screening programs are essential for older adults to identify symptoms early and prevent mental health issues. Governments should strengthen social connections among older adults through services and education. Urban healthcare centers can reduce loneliness by organizing community activities, encouraging pet ownership, and promoting participation in senior centers. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

LonelinessMental HealthSelf ConceptAgedAged, 80 and overCross-Sectional StudiesFemaleHumansIranMaleMiddle AgedSurveys and QuestionnairesLonelinessMental healthOlder adultSelf-esteemStructural equation modeling

Identifiers

PMID40205345
PMCPMC11983761

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.