Evidence map›Paper›PMID 40488863›Full record

ArticleEuropean child & adolescent psychiatry2025

Two decades of loneliness among children and adolescents: longitudinal trends, risks and resources - Results from the German BELLA and COPSY studies.

F Zoellner, M Erhart, R Schütz, A-K Napp, J Devine, F Reiss, Ulrike Ravens-Sieberer, Anne Kaman

Abstract read
In one paragraph

Article in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

8 authors.

F ZoellnerDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg Eppendorf Center for Psychosocial Medicine, Research Division "Child Public Health", Martinistrasse 52, W 29, 20246, Hamburg, Germany.
M ErhartDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg Eppendorf Center for Psychosocial Medicine, Research Division "Child Public Health", Martinistrasse 52, W 29, 20246, Hamburg, Germany.
R SchützBrandenburg University of Technology Cottbus-Senftenberg, Cottbus, Germany.
A-K NappDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg Eppendorf Center for Psychosocial Medicine, Research Division "Child Public Health", Martinistrasse 52, W 29, 20246, Hamburg, Germany.
J DevineDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg Eppendorf Center for Psychosocial Medicine, Research Division "Child Public Health", Martinistrasse 52, W 29, 20246, Hamburg, Germany.
F ReissDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg Eppendorf Center for Psychosocial Medicine, Research Division "Child Public Health", Martinistrasse 52, W 29, 20246, Hamburg, Germany.
Ulrike Ravens-Sieberer *Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg Eppendorf Center for Psychosocial Medicine, Research Division "Child Public Health", Martinistrasse 52, W 29, 20246, Hamburg, Germany. ravens-sieberer@uke.de.
Anne Kaman *Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg Eppendorf Center for Psychosocial Medicine, Research Division "Child Public Health", Martinistrasse 52, W 29, 20246, Hamburg, Germany. a.kaman@uke.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Loneliness among young people is a significant public health concern, yet research on its prevalence, longitudinal trends, and associated risk and resource factors in Germany remains limited. This paper draws on two German longitudinal panel surveys with refreshment sampling – the BELLA study (2003–2017) and the subsequent COPSY study (2020–2024), and includes ten nationwide measurement points. The sample comprised N = 3,043 participants (49.9% female; age range 11–17 years) from the BELLA study, and N = 1,909 participants (51.0% female; age range 11–17 years) from the COPSY study. Our findings indicate that loneliness rates remained relatively stable between 2003 and 2017 (9.5–15.5%) but spiked dramatically in 2020 (34.6%) during the COVID-19 pandemic. By 2024, 20.5% of young people still reported feeling lonely at least sometimes during the past week. Consistently, girls were more likely to report loneliness than boys. Mixed model panel regression analyses identified key risk factors for loneliness, like female gender, screen time, parental mental illness, as well as mental and physical health complaints in children and adolescents. In contrast, personal, familial, and social resources were associated with lower levels of loneliness. While some degree of loneliness is a common experience in youth, persistent loneliness poses a risk to mental and physical health. Our findings underscore the need for targeted interventions, particularly in school, leisure, and family settings, where social and emotional skills can be fostered.

Indexed as

COVID-19LonelinessAdolescentChildFemaleGermanyHumansLongitudinal StudiesMalePrevalenceRisk FactorsSex FactorsCOVID-19LonelinessLongitudinalMental healthRisk factorsYouth

Identifiers

PMID40488863
PMCPMC12647284

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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.