The effect of social interaction quantity and quality on depressed mood and loneliness: A daily diary study

Abstract

Background

Concerns about the possible effects of social distancing during the COVID-19 pandemic highlighted several gaps in our knowledge about the association between social interactions and mental health. The current study aimed to characterize the unique effect of social interaction quantity and quality on daily depressed mood and loneliness and to identify the degree to which these processes operate at the within-person and between-person levels of analysis.

Methods

A community sample of 515 adults was recruited to participate in 75 days of daily surveys. Participants reported on daily feelings of loneliness, depressed mood, social interaction frequency, engagement in vulnerable self-disclosure, and perceived responsiveness. Linear mixed models were used to identify the effect of daily social interaction quantity and quality on loneliness and depressed mood and to characterize the degree to which these effects varied across individuals.

Results

Social interaction quantity and perceived responsiveness were negatively associated with depressed mood and loneliness at the within-person level of analysis. Perceived responsiveness was also negatively associated with depressed mood and loneliness at both the within-person and between-person levels of analysis. Random slopes analysis revealed substantial heterogeneity in the within-person effects.

Limitations

The non-experimental design of this study precludes drawing causal conclusions. Furthermore, demographic and/or geographic differences in the observed effects may limit generalization.

Conclusions

Engaging in more frequent, high-quality interactions may protect against daily depressed mood and loneliness despite one’s average level of these variables. Future research is needed to establish causality and identify the degree to which these findings generalize across samples and time.

Keywords

Depression loneliness social interaction quantity perceived responsiveness vulnerable self-disclosure daily diary COVID-19

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References

Ashida

Heaney

C. A.

(2008). Differential associations of social support and social connectedness with structural features of social networks and the health status of older adults. Journal of Aging and Health, 20(7), 872-893. https://doi.org/10.1177/0898264308324626.

Baddeley

J. L.

Singer

J. A.

(2009). A social interactional model of bereavement narrative disclosure. Review of General Psychology, 13(3), 202-218. https://doi.org/10.1037/a0015655.

Bakdash

J. Z.

Marusich

L. R.

(2017). Repeated measures correlation. Frontiers in Psychology, 8, 456. https://doi.org/10.3389/fpsyg.2017.00456.

Bakdash

J. Z.

Marusich

L. R.

(2021). rmcorr: Repeated measures correlation. https://CRAN.R-project.org/package=rmcorr

Bangee

Harris

R. A.

Bridges

Rotenberg

K. J.

Qualter

(2014). Loneliness and attention to social threat in young adults: Findings from an eye tracker study. Personality and Individual Differences, 63, 16-23. https://doi.org/10.1016/j.paid.2014.01.039.

Beike

D. R.

Brandon

N. R.

Cole

H. E.

(2016). Is sharing specific autobiographical memories a distinct form of self-disclosure? Journal of Experimental Psychology: General, 145(4), 434-450. https://doi.org/10.1037/xge0000143.

Bolger

Zee

K. S.

Rossignac-Milon

Hassin

R. R.

(2019). Causal processes in psychology are heterogeneous. Journal of Experimental Psychology: General, 148(4), 601-618. https://doi.org/10.1037/xge0000558.

Brooks

S. K.

Webster

R. K.

Smith

L. E.

Woodland

Wessely

Greenberg

Rubin

G. J.

(2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet, 395(10227), 912-920. https://doi.org/10.1016/s0140-6736(20)30460-8.

Brown

L. H.

Strauman

Barrantes-Vidal

Silvia

P. J.

Kwapil

T. R.

(2011). An experience-sampling study of depressive symptoms and their social context. Journal of Nervous & Mental Disease, 199(6), 403-409. https://doi.org/10.1097/NMD.0b013e31821cd24b.

10.

Bugental

D. B.

(2000). Acquisition of the algorithms of social life: A domain-based approach. Psychological Bulletin, 126(2), 187-219. https://doi.org/10.1037/0033-2909.126.2.187.

11.

Cacioppo

Balogh

Cacioppo

J. T.

(2015). Implicit attention to negative social, in contrast to nonsocial, words in the Stroop task differs between individuals high and low in loneliness: Evidence from event-related brain microstates. Cortex, 70, 213-233. https://doi.org/10.1016/j.cortex.2015.05.032.

12.

Cacioppo

Bangee

Balogh

Cardenas-Iniguez

Qualter

Cacioppo

J. T.

(2015). Loneliness and implicit attention to social threat: A high-performance electrical neuroimaging study. Cognitive Neuroscience, 7(1–4), 138-159. https://doi.org/10.1080/17588928.2015.1070136.

13.

Cacioppo

J. T.

Cacioppo

(2018). Loneliness in the modern age: An Evolutionary Theory of Loneliness (ETL). Advances in Experimental Social Psychology, 58, 127-197. https://doi.org/10.1016/bs.aesp.2018.03.003.

14.

Cacioppo

J. T.

Hawkley

L. C.

Thisted

R. A.

(2010). Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study. Psychology and Aging, 25(2), 453-463. https://doi.org/10.1037/a0017216.

15.

Calati

Ferrari

Brittner

Oasi

Olié

Carvalho

A. F.

Courtet

(2019). Suicidal thoughts and behaviors and social isolation: A narrative review of the literature. Journal of Affective Disorders, 245, 653-667. https://doi.org/10.1016/j.jad.2018.11.022.

16.

Canevello

Crocker

(2010). Creating good relationships: Responsiveness, relationship quality, and interpersonal goals. Journal of Personality and Social Psychology, 99(1), 78-106. https://doi.org/10.1037/a0018186.

17.

Carmichael

C. L.

Reis

H. T.

Duberstein

P. R.

(2015). In your 20s it’s quantity, in your 30s it’s quality: The prognostic value of social activity across 30 years of adulthood. Psychology and Aging, 30(1), 95-105. https://doi.org/10.1037/pag0000014.

18.

Castro-Schilo

Grimm

K. J.

(2018). Using residualized change versus difference scores for longitudinal research. Journal of Social and Personal Relationships, 35(1), 32-58. https://doi.org/10.1177/0265407517718387.

19.

Cole

S. W.

Hawkley

L. C.

Arevalo

J. M. G.

Cacioppo

J. T.

(2011). Transcript origin analysis identifies antigen-presenting cells as primary targets of socially regulated gene expression in leukocytes. Proceedings of the National Academy of Sciences, 108(7), 3080-3085. https://doi.org/10.1073/pnas.1014218108.

20.

Coyne

J. C.

(1976). Toward an interactional description of depression. Psychiatry, 39(1), 28-40. https://doi.org/10.1080/00332747.1976.11023874.

21.

Cuijpers

Smit

(2004). Subthreshold depression as a risk indicator for major depressive disorder: A systematic review of prospective studies. Acta Psychiatrica Scandinavica, 109(5), 325-331. https://doi.org/10.1111/j.1600-0447.2004.00301.x.

22.

Enders

C. K.

Tofighi

(2007). Centering predictor variables in cross-sectional multilevel models: A new look at an old issue. Psychological Methods, 12(2), 121-138. https://doi.org/10.1037/1082-989X.12.2.121.

23.

Galea

Merchant

R. M.

Lurie

(2020). The mental health consequences of COVID-19 and physical distancing: The need for prevention and early intervention. JAMA Internal Medicine, 180(6), 817-818. https://doi.org/10.1001/jamainternmed.2020.1562.

24.

Geldhof

G. J.

Preacher

K. J.

Zyphur

M. J.

(2014). Reliability estimation in a multilevel confirmatory factor analysis framework. Psychological Methods, 19(1), 72-91. https://doi.org/10.1037/a0032138.

25.

Hamaker

E. L.

(2012). Why researchers should think “within-person”: A paradigmatic rationale. In Mehl

M. R.

Conner

T. S.

(Eds.), Handbook of research methods for studying daily life (pp. 43–61). London: Guilford Publications.

26.

Hammen

(1991). Generation of stress in the course of unipolar depression. Journal of Abnormal Psychology, 100(4), 555-561. https://doi.org/10.1037/0021-843X.100.4.555.

27.

Hammen

(2005). Stress and depression. Annual Review of Clinical Psychology, 1(1), 293-319. https://doi.org/10.1146/annurev.clinpsy.1.102803.143938.

28.

Hawkley

L. C.

Buecker

Kaiser

Luhmann

(2020). Loneliness from young adulthood to old age: Explaining age differences in loneliness. International Journal of Behavioral Development, 14, 1-11. https://doi.org/10.1177/0165025420971048.

29.

Holt-Lunstad

Smith

T. B.

Layton

J. B.

(2010). Social relationships and mortality risk: A meta-analytic review. Plos Medicine, 7(7), e1000316. https://doi.org/10.1371/journal.pmed.1000316.

30.

Imami

Stanton

S. C. E.

Zilioli

Tobin

E. T.

Farrell

A. K.

Luca

Slatcher

R. B.

(2019). Self-disclosure and perceived responsiveness among youth with asthma: Links to affect and anti-inflammatory gene expression. Personality & Social Psychology Bulletin, 45(8), 1155-1169. https://doi.org/10.1177/0146167218808497.

31.

Kanter

J. W.

Kuczynski

A. M.

Manbeck

K. E.

Corey

M. D.

Wallace

E. C.

(2020). An integrative contextual behavioral model of intimate relations. Journal of Contextual Behavioral Science, 18, 75-91. https://doi.org/10.1016/j.jcbs.2020.09.001.

32.

Kashdan

T. B.

Yarbro

McKnight

P. E.

Nezlek

J. B.

(2014). Laughter with someone else leads to future social rewards: Temporal change using experience sampling methodology. Personality and Individual Differences, 58, 15-19. https://doi.org/10.1016/j.paid.2013.09.025.

33.

Kendler

K. S.

Gardner

C. O.

(1998). Boundaries of major depression: An evaluation of DSM-IV criteria. American Journal of Psychiatry, 155(2), 172–177.

34.

Kessler

R. C.

Bromet

E. J.

(2013). The epidemiology of depression across cultures. Annual Review of Public Health, 34(1), 119-138. https://doi.org/10.1146/annurev-publhealth-031912-114409.

35.

Kroenke

Spitzer

R. L.

Williams

J. B. W.

(2001). Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x.

36.

Kushlev

Heintzelman

S. J.

Oishi

Diener

(2018). The declining marginal utility of social time for subjective well-being. Journal of Research in Personality, 74, 124-140. https://doi.org/10.1016/j.jrp.2018.04.004.

37.

Laurenceau

J.-P.

Barrett

L. F.

Pietromonaco

P. R.

(1998). Intimacy as an interpersonal process: The importance of self-disclosure, partner disclosure, and perceived partner responsiveness in interpersonal exchanges. Journal of Personality and Social Psychology, 74(5), 1238. https://doi.org/10.1037/0022-3514.74.5.1238.

38.

Laurenceau

J.-P.

Rivera

L. M.

Schaffer

A. R.

Pietromonaco

P. R.

(2004). Intimacy as an interpersonal process: Current status and future directions. In Handbook of closeness and intimacy (pp. 61–78). NJ: Erlbaum Mahwah.

39.

Leigh-Hunt

Bagguley

Bash

Turner

Turnbull

Valtorta

Caan

(2017). An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health, 152, 157-171. https://doi.org/10.1016/j.puhe.2017.07.035.

40.

LeRoy

A. S.

Murdock

K. W.

Jaremka

L. M.

Loya

Fagundes

C. P.

(2017). Loneliness predicts self-reported cold symptoms after a viral challenge. Health Psychology, 36(5), 512-520. https://doi.org/10.1037/hea0000467.

41.

Levis

Sun

Krishnan

Bhandari

P. M.

Neupane

Imran

Brehaut

Negeri

Fischer

F. H.

Benedetti

Thombs

B. D.

, & for the Depression Screening Data (DEPRESSD) PHQ Collaboration. (2020). Accuracy of the PHQ-2 alone and in combination with the PHQ-9 for screening to detect major depression: Systematic review and meta-analysis. JAMA, 323(22), 2290. https://doi.org/10.1001/jama.2020.6504.

42.

Lewinsohn

P. M.

Solomon

Seeley

J. R.

Zeiss

(2000). Clinical implications of “subthreshold” depressive symptoms. Journal of Abnormal Psychology, 109(2), 345-351. https://doi.org/10.1037//0021-843X.109.2.345.

43.

Lim

M. H.

Rodebaugh

T. L.

Zyphur

M. J.

Gleeson

J. F. M.

(2016). Loneliness over time: The crucial role of social anxiety. Journal of Abnormal Psychology, 125(5), 620-630. https://doi.org/10.1037/abn0000162.

44.

Löwe

Kroenke

Gräfe

(2005). Detecting and monitoring depression with a two-item questionnaire (PHQ-2). Journal of Psychosomatic Research, 58(2), 163-171. https://doi.org/10.1016/j.jpsychores.2004.09.006.

45.

Lucas

R. E.

Diener

(2001). Understanding extraverts’ enjoyment of social situations: The importance of pleasantness. Journal of Personality and Social Psychology, 81(2), 343-356. https://doi.org/10.1037/0022-3514.81.2.343.

46.

Lucas

R. E.

Dyrenforth

P. S.

(2008). Explaining the extraversion/positive affect relation: Sociability cannot account for extraverts’ greater happiness. Journal of Personality, 76(3), 385-414. https://doi.org/10.1111/j.1467-6494.2008.00490.x.

47.

Maisel

N. C.

Gable

S. L.

Strachman

(2008). Responsive behaviors in good times and in bad. Personal Relationships, 15(3), 317-338. https://doi.org/10.1111/j.1475-6811.2008.00201.x.

48.

Marroquín

(2011). Interpersonal emotion regulation as a mechanism of social support in depression. Clinical Psychology Review, 31(8), 1276-1290. https://doi.org/10.1016/j.cpr.2011.09.005.

49.

Masi

C. M.

Chen

H.-Y.

Hawkley

L. C.

Cacioppo

J. T.

(2011). A meta-analysis of interventions to reduce loneliness. Personality and Social Psychology Review, 15(3), 219-266. https://doi.org/10.1177/1088868310377394.

50.

Matrajt

Leung

(2020). Evaluating the effectiveness of social distancing interventions to delay or flatten the epidemic curve of coronavirus disease. Emerging Infectious Diseases, 26(8), 1740-1748. https://doi.org/10.3201/eid2608.201093.

51.

McClelland

(2020). Loneliness as a predictor of suicidal ideation and behaviour: A systematic review and meta-analysis of prospective studies. Journal of Affective Disorders, 274, 880-896. https://doi.org/10.1016/j.jad.2020.05.004.

52.

Miller

(2020). Social distancing prevents infections, but it can have unintended consequences. Science, 13, 121. https://doi.org/10.1126/science.abb7506.

53.

Nelson

McGorry

P. D.

Wichers

Wigman

J. T. W.

Hartmann

J. A.

(2017). Moving from static to dynamic models of the onset of mental disorder: A review. JAMA Psychiatry, 74(5), 528. https://doi.org/10.1001/jamapsychiatry.2017.0001.

54.

Nezlek

J. B.

Richardson

D. S.

Green

L. R.

Schatten‐Jones

E. C.

(2002). Psychological well‐being and day‐to‐day social interaction among older adults. Personal Relationships, 9(1), 57-71. https://doi.org/10.1111/1475-6811.00004.

55.

Nolen-Hoeksema

(2001). Gender differences in depression. Current Directions in Psychological Science, 10(5), 173-176. https://doi.org/10.1111/1467-8721.00142.

56.

Parker

Cheah

Y.-C.

Roy

(2001). Do the Chinese somatize depression? A cross-cultural study. Social Psychiatry and Psychiatric Epidemiology, 36(6), 287-293. https://doi.org/10.1007/s001270170046.

57.

Pfefferbaum

North

C. S.

(2020). Mental health and the Covid-19 pandemic. The New England Journal of Medicine, 383(6), 510-512. https://doi.org/10.1056/NEJMp2008017.

58.

Pinheiro

Bates

DebRoy

Sarkar

& R Core Team . (2020). nlme: Linear and nonlinear mixed effects models. https://CRAN.R-project.org/package=nlme

59.

Pressman

S. D.

Cohen

Miller

G. E.

Barkin

Rabin

B. S.

Treanor

J. J.

(2005). Loneliness, social network size, and immune response to influenza vaccination in college freshmen. Health Psychology, 24(3), 297-306. https://doi.org/10.1037/0278-6133.24.3.297.

60.

R Core Team . (2021). R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing. https://www.R-project.org/

61.

Reis

H. T.

(2007). Steps toward the ripening of relationship science. Personal Relationships, 14(1), 1-23. https://doi.org/10.1111/j.1475-6811.2006.00139.x.

62.

Reis

H. T.

Shaver

P. R.

(1988). Intimacy as an interpersonal process. In Duck

(Ed.), Handbook of personal relationships: Theory, research and interventions (Vol. 24, pp. 367–389). Hoboken: John Wiley & Sons.

63.

Roberts

K. E.

Hart

T. A.

Eastwood

J. D.

(2010). Attentional biases to social and health threat words in individuals with and without high social anxiety or depression. Cognitive Therapy and Research, 34(4), 388-399. https://doi.org/10.1007/s10608-009-9245-y.

64.

Russell

D. W.

(1996). UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20-40. https://doi.org/10.1207/s15327752jpa6601_2.

65.

Sandstrom

G. M.

Dunn

E. W.

(2014). Social interactions and well-being: The surprising power of weak ties. Personality & Social Psychology Bulletin, 40(7), 910-922. https://doi.org/10.1177/0146167214529799.

66.

Santini

Z. I.

Koyanagi

Tyrovolas

Mason

Haro

J. M.

(2015). The association between social relationships and depression: A systematic review. Journal of Affective Disorders, 175, 53-65. https://doi.org/10.1016/j.jad.2014.12.049.

67.

Schwarzer

Leppin

(1989). Social support and health: A meta-analysis. Psychology & Health, 3(1), 1-15. https://doi.org/10.1080/08870448908400361.

68.

Sherman

L. E.

Michikyan

Greenfield

P. M.

(2013). The effects of text, audio, video, and in-person communication on bonding between friends. Cyberpsychology: Journal of Psychosocial Research on Cyberspace, 7(2), 134. https://doi.org/10.5817/CP2013-2-3.

69.

Slade

(2007). Taxometric investigation of depression: Evidence of consistent latent structure across clinical and community samples. Australian and New Zealand Journal of Psychiatry, 41(5), 403-410. https://doi.org/10.1080/00048670701261194.

70.

Srivastava

Angelo

K. M.

Vallereux

S. R.

(2008). Extraversion and positive affect: A day reconstruction study of person–environment transactions. Journal of Research in Personality, 42(6), 1613-1618. https://doi.org/10.1016/j.jrp.2008.05.002.

71.

Starr

L. R.

Davila

(2008). Excessive reassurance seeking, depression, and interpersonal rejection: A meta-analytic review. Journal of Abnormal Psychology, 117(4), 762-775. https://doi.org/10.1037/a0013866.

72.

Sun

Harris

Vazire

(2020). Is well-being associated with the quantity and quality of social interactions? Journal of Personality and Social Psychology, 119(6), 1478-1496. https://doi.org/10.1037/pspp0000272.

73.

Thorsteinsson

E. B.

James

J. E.

(1999). A Meta-analysis of the effects of experimental manipulations of social support during laboratory stress. Psychology & Health, 14(5), 869-886. https://doi.org/10.1080/08870449908407353.

74.

Uchino

B. N.

Garvey

T. S.

(1997). The availability of social support reduces cardiovascular reactivity to acute psychological stress. Journal of Behavioral Medicine, 20(1), 15-27. https://doi.org/10.1023/a:1025583012283.

75.

van Roekel

Verhagen

Engels

R. C. M. E.

Scholte

R. H. J.

Cacioppo

J. T.

(2018). Trait and state levels of loneliness in early and late adolescents: Examining the differential reactivity hypothesis. Journal of Clinical Child & Adolescent Psychology, 47(6), 888-899. https://doi.org/10.1080/15374416.2016.1146993.

76.

van Winkel

Wichers

Collip

Jacobs

Derom

Thiery

Myin-Germeys

Peeters

(2017). Unraveling the role of loneliness in depression: The relationship between daily life experience and behavior. Psychiatry, 80(2), 104-117. https://doi.org/10.1080/00332747.2016.1256143.

77.

Wang

L. (Peggy)

Maxwell

S. E.

(2015). On disaggregating between-person and within-person effects with longitudinal data using multilevel models. Psychological Methods, 20(1), 63-83. https://doi.org/10.1037/met0000030.

78.

Weijters

Geuens

Schillewaert

(2009). The proximity effect: The role of inter-item distance on reverse-item bias. International Journal of Research in Marketing, 26(1), 2-12. https://doi.org/10.1016/j.ijresmar.2008.09.003.

79.

Wichers

(2014). The dynamic nature of depression: A new micro-level perspective of mental disorder that meets current challenges. Psychological Medicine, 44(7), 1349-1360. https://doi.org/10.1017/S0033291713001979.

80.

World Health Organization . (2008). The global burden of disease: 2004 update. (2008). London: World Health Organization.

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