Abstract
The coming decades will see a substantial increase in the population of older adults, accompanied by significant demographic and family structure changes worldwide. As a result, the empty nest period—the postparental phase in parents’ lives when their children have left home and they are no longer engaged in childrearing—is becoming an increasingly common experience in Western and Asian cultures. The current theoretical review examines the psychological consequences of the empty nest period on loneliness and well-being across cultures, emphasizing the impact of cultural factors on these experiences. By synthesizing research from Western and Asian contexts, we explore two primary theoretical mechanisms—role loss and role strain relief—that shape the postparental phase’s psychological outcomes. Our review reveals that while some parents experience reduced well-being due to role loss, others benefit from role strain relief and increased social engagement. We highlight how cultural differences in familial roles, gender roles, social expectations regarding nest-leaving, and social participation patterns moderate these mechanisms. We propose a comprehensive cultural framework, along with a discussion of culturally sensitive interventions to enhance the well-being of empty nesters globally.
Subject terms: Human behaviour, Sociology
A review of literature from Asia and Western countries suggests that familial roles, gender roles, and social expectations—which in turn vary by cultural context—affect how parents experience the empty nest period when their children have left home.
Introduction
In the coming decades, the world will witness an unprecedented increase in the number of older adults. The number of people aged 65 years or older is projected to double within the next 20–30 years1, with global life expectancy expected to rise from 73.3 years in 2024 to 77.4 by 2054, coupled with a significant reduction in fertility rates2. Alongside this demographic shift, significant changes in family structures have emerged. Women’s childbearing years have been compressed since the 1970s3, with both a later onset of childbearing and a shorter span of years in which childbearing occurs, thereby extending the period parents live after their last child leaves home. Additionally, industrialization has led to a significant decrease in family size and an increase in geographic distance between nuclear family members from the 1970s to 20104,5. The evolving family structure, coupled with the demographic shifts, have led to the rise of the empty nest period—defined as the stage when parents no longer have dependent children in residence6—as a common life transition across the world. Although the empty nest is a relatively modern phenomenon that emerged in the 20th century, it has now become a normative event anticipated by older adult parents across many cultures7–9.
Recent demographic data further substantiate the widespread prevalence of the empty nest phenomenon. In Western societies, the phenomenon of the empty nest has been well-documented over the past several decades. For instance, the United States saw a 10.6% increase in the number of empty-nester households from 2010 to 2020, with 37% of householders aged 45–64 and 44% of those aged 65 and above living without children10. Similarly, in Canada, the proportion of couples living without children grew by 5.5% from 2016 to 2021, making up 25.7% of all households11. These trends reflect a growing prevalence of empty nesters in Western societies, driven by factors such as decreased family sizes and increased geographic distance between nuclear family members4,5.
In Asian societies, the empty nest phenomenon is also becoming more prevalent. Traditionally, many young adults remained in the parental home, creating multigenerational households due to cultural norms such as filial piety; even when they left, they did so at a later age12,13. However, modernization and urbanization have significantly altered family structures in Asia. Young adults are increasingly migrating to urban areas for employment, leaving their parents in rural regions. Data from recent studies conducted in China and South Korea, which show that urban migration of young adults has led to a significant increase in the number of elderly parents living alone, especially in rural areas14,15. In China, for example, there are ~150 million empty nesters, accounting for more than half of the elderly population14. This number is projected to rise significantly, with empty nesters expected to make up 90% of older adult households by 203016–18. Similar patterns are observed in other Asian countries, where declining fertility rates are compounding the trend. Major economies such as Japan, South Korea, India, Malaysia, and Singapore have all reported plummeting fertility rates, contributing to a growing population of empty nesters19–24.
Given the growing population of empty nesters worldwide, it is crucial to understand the impact of this postparental phase on loneliness and well-being of older adults, as well as its underlying mechanisms and boundary conditions. As with other life transitions, the empty nest period is associated with changes in well-being, which can be both positive and negative25–28. Research has indeed shown that parents’ emotional experiences during this phase are mixed8. For example, various studies have shown that the postparental period is associated with reduced well-being, with postparenthood perceived as stressful27,29,30, socially isolating26,31, and associated with loneliness and depressive symptoms32–36. Conversely, other studies indicate that parents may experience enhanced well-being or reduced ill-being during this period, particularly when they maintain regular contact with their children37–40. Some studies have also found null effects, suggesting no evidence for any significant changes in well-being during the postparental phase28,41,42. The inconsistency in these findings suggests the existence of multiple opposing mechanisms at play in determining the well-being of empty nesters43.
Over the last 50 years, a vast body of research has been accumulated on the empty nest period in Western society to shed light on these mechanisms (see Bouchard43 for a review). More recently, researchers in Asia have also turned their focus to this issue, likely in response to the region’s rapidly aging population28,32,44–47. The current paper aims to synthesize the research on the psychological consequences of the empty nest period on older adults’ loneliness and well-being across cultures and critically review its underlying mechanisms and boundary conditions through a cultural lens.
Theoretical mechanisms
The empty nest period is a significant milestone that typically involves transitioning from at least two decades of dedicated parenting to the abrupt withdrawal from such activities. As with any other important life transition, this can substantially influence the psychological experience and well-being of those involved. Several theories have been advanced to understand this phenomenon.
Role loss
According to the role loss model43, the transition to the empty nest period can hurt the well-being of older adults due to the loss of domestic or work roles that are associated with or contribute to shaping one’s identity48. Identity theories posit that having an identity is fundamental to one’s sense of self and serves as an important reference point to ascertain one’s purpose in life49,50. The roles individuals play contribute to a sense of identity, and these roles come with expectations and norms that guide behavior. Parenthood is often viewed as a central role that provides a sense of accomplishment and efficacy for both parents, especially so for mothers43. When the last child leaves home, parents face the abrupt end of their parental duties and sudden changes in their daily routines, disrupting their sense of normalcy and stability and leading to uncertainty about their new reality43,44. This loss can also create a void in parents’ identities, as they may not have other roles to fill the gap40. The resulting uncertainty, emptiness, and lack of purpose can contribute to decreased well-being and lead to significant emotional distress, including symptoms of depression and anxiety51–56. Moreover, the altered parent-child relationship can be particularly distressing. As children become independent adults, parents may feel unneeded and undervalued, which is emotionally challenging for those who derive much of their self-worth from caregiving57,58. Additionally, the loss of the parental role can strain marital relationships by bringing underlying issues to the forefront, requiring couples to renegotiate their dynamics8,59,60.
Role strain relief
On the other hand, the role strain relief model suggests that the empty nest period can improve well-being by relieving parents of the difficulties experienced while fulfilling multiple role obligations during parenting43. Most parents continue to hold a job while raising their children, doubling their daily demands and creating significant pressure on themselves61–65. Moreover, many parents set high standards for their involvement in their children’s lives66. This increased involvement means that parents are constantly juggling the demands of their careers and family life, leading to greater work-family conflict and heightened stress levels67–71. Furthermore, the presence of children, including adult children living at homes, exposes parents to numerous daily stressors, such as managing household chores, cooking meals, providing ongoing emotional support, and financial responsibilities72–74. These responsibilities can be overwhelming and leave parents with little time for themselves, contributing to chronic stress and fatigue75,76.
When children leave home, parents often experience significant relief from these childcare stressors, providing them with more time and energy to focus on their own needs and interests40. This newfound freedom allows parents to engage in activities they enjoy, pursue personal goals, and strengthen social connections that may have been neglected. Studies have shown that this reduction in role strain can lead to improvements in overall well-being, including better mental health, and increased life satisfaction77. Additionally, the empty nest period can provide an opportunity for parents to reconnect with their partners. Without the constant demands of parenting, couples can spend more quality time together, engage in shared activities, and communicate more effectively78,79.
Social engagement
Beyond the direct effects of role loss and role strain relief on well-being, these experiences during the empty nest period also differentially impact older adults by altering their levels of social engagement. Research consistently shows that social engagement is strongly linked to well-being in older adults80–82. Positive social interactions, especially face-to-face interactions, can buffer against loneliness and depression, increase life satisfaction, and enhance overall well-being83–86. Older adults involved in volunteer work, clubs, or community events often experience these benefits87,88. Importantly, interactions with familiar people, especially one’s children, significantly influence well-being more than formal or solitary activities89–92.
Role loss when children leave the nest may result in a substantial reduction in parents’ social interactions with their children, leading to feelings of loneliness and decreased well-being28,93. This reduction in daily social contact can exacerbate the emotional void left by the departure of children, making it more difficult for parents to adjust to their new reality94. The lack of regular contact with children means parents must seek alternative social networks and activities to fill the gap left by their children’s departure95. In contrast, role strain relief can foster increased social engagement. When the daily demands of parenting are lifted, older adults often find themselves with more time, energy, and resources to pursue new social opportunities77,96. This can include volunteering, joining clubs, participating in community events, or reconnecting with old friends. Engaging in these new roles and activities can help older adults build new social networks, fostering a sense of community and belonging97,98.
Understanding the co-occurring and opposing mechanisms of role loss and role strain relief on social engagement and well-being provides insight into the mixed findings on the psychological consequences of the empty nest period43. These mechanisms illustrate how some parents might experience increased well-being through newfound freedoms and social engagements, while others might struggle with isolation and a lack of purpose. Next, we propose that the moderating role of culture may further explain individual and intergroup differences in the psychological impact of the empty nest period.
The role of culture
Culture plays an important role in shaping people’s experiences during the empty nest period, influencing role loss, role strain relief, and subsequent social engagement. Research has established cultural differences in familial roles99,100, gender roles101,102, social expectancies related to nest-leaving103,104, and patterns of social participation105,106. These cultural differences can potentially explain variations in the psychological consequences of the empty nest period. The following sections illustrate the influence of several factors on empty nesters’ psychological experience through a comparison of Eastern and Western cultures.
Familial role
Cultural norms have been shown to affect how individuals perceive their familial roles99,100,107,108, which can influence their psychological adjustment to the empty nest phase. Cultural differences in familial roles can be understood through the lens of individualism–collectivism, a key cultural dimension that captures the importance of relationships with members of one’s ingroup (e.g., family, extended kin) in one’s conceptualization of the self109,110. Western societies are typically characterized as individualistic, where the self is viewed as an independent, bounded entity. In contrast, Asian societies are characterized as collectivistic, where the self is seen as part of a larger social unit, deeply intertwined with others. Consequently, the family unit holds greater significance for collectivists compared to individualists, leading to stronger family ties in collectivistic cultures111.
In collectivistic cultures, ascribed roles, duties, and obligations often take precedence over personal goals109,112,113. Familial roles are clearly and rigidly defined within a hierarchical (and often, but not always, patriarchal) family structure99,100. In many Asian societies, including those in East Asia, South Asia, and Southeast Asia, parents have a strong sense of interdependence with their children, influencing the degree of role strain experienced in parenthood114–117. Collectivists tend to view work as an integral part of their familial responsibilities, considering it a means to support and strengthen the family unit rather than a competing obligation, which could explain studies that have found less work-family conflict in these cultures due to the alignment of work and family goals118–122. However, in some collectivistic cultures, parents may experience greater parenting stress due to authoritarian parenting values and the emphasis on fostering children’s self-regulation and academic success123,124.
For example, in Confucian cultures, the teachings dictate that children demonstrate filial piety, showing care and respect for their parents throughout their lives100,125,126. This expectation extends well beyond the child’s marriage and formation of their own family. Consequently, the postparental period may relieve stress for collectivistic parents124 while allowing them to gain a sense of interdependence and well-being given that their children are obligated to maintain strong familial bonds and care for parents in return127,128. Additionally, Asians’ acceptance of age-graded roles and expectations may make them more accepting of the loss of the childrearing role in middle or old age compared to Westerners129. Thus, while the parent-child relationship is crucial for collectivists, role loss may not result in as significant a decrease in well-being as it does for individualists, for whom the parental role is central130.
In individualistic cultures, the parental role is often one of many personal roles an individual may hold109. Western parents tend to emphasize personal autonomy and the development of their children’s independence, leading to a different kind of parental satisfaction and stress131,132. When children leave the nest, individualistic parents may experience role loss as a natural progression toward their children’s self-sufficiency, which they value highly. However, this can also lead to a sense of redundancy and a need to rediscover their personal identity outside the parental role. The emphasis on personal goals and self-fulfillment may mean that individualists are more likely to seek new opportunities for self-development and social engagement postparenthood, potentially mitigating the negative effects of role loss.
Western societies, with their greater focus on individual achievement and self-actualization, often encourage parents to pursue personal and professional goals alongside parenting109,110,112. This can lead to significant role strain as parents juggle multiple responsibilities, but it also means that the relief from parenting duties during the empty nest period can provide substantial psychological benefits41,43. The transition can offer a chance to re-engage with personal interests and social activities that were previously limited by parenting responsibilities, thereby enhancing quality of life and well-being.
Gender roles
Traditional Western societies dictate that the mother-child relationship is categorically different from the father-child relationship. The feminine gender role prescribes that women should focus substantially on domestic affairs and devote their time to nurturing their children and family133. Men, on the other hand, are often seen as the leaders of the household, providing financially and making important decisions on behalf of the family. This socialization leads men and women to perceive their parental roles differently. Stay-at-home mothers, unlike their working husbands, experience parenthood as a central part of their self-identities101. Consequently, role loss tends to have a greater impact on women than men in traditional societies, which may explain why various studies have found that the empty nest period is associated with poorer well-being for women but not for men27,33. However, some men also report feeling a sense of loss during the empty nest period, often due to a perceived lack of opportunities for new accomplishments or experiences134. With their children gone, men may feel that their role as providers is diminished, and they may struggle to find new avenues for meaningful engagement and achievement. On the other hand, women’s greater burden of care means that working women experience greater work-family conflict compared to working men135,136. As a result, working women are likely to experience greater relief from role strain after their children have left the nest compared to men.
Interestingly, it is proposed that Western women may cope better with this significant role loss compared to men facing a similar life transition133,137. While men do not show significant changes in well-being in response to the empty nest, they are vulnerable to the loss of their work role. Since being a breadwinner is a key facet of the masculine gender role47,133, retirement can be experienced as a great loss. Men in retirement experience more depressive symptoms compared to those who engage in paid or volunteer work, while for women, there was no significant difference in levels of depression across work statuses137. Sugihara and colleagues137 speculated that this was because women had frequent informal social activities beyond their work spheres, which protected them from the loss of social engagement.
In Asian settings, traditional gender roles also increase the impact of role loss and role strain for women in postparenthood. For example, Japanese women do more than five times as much unpaid work at home as men137, including childrearing. Similar to Western women, Asian women typically experience some degree of role loss when their children leave home8. However, they may also experience positive feelings towards their new age-related role as empty nesters, compared to Westerners who may feel negatively about stepping back from parenting129. Additionally, Asian parents tend to view nest-leaving as an age-appropriate transition for daughters, provided that the child is leaving for socially acceptable reasons, and are thus more accepting of it8.
On top of having gendered parental roles, Asians’ gender roles extend to children’s caregiving responsibilities, which may reduce the likelihood of experiencing the empty nest period altogether. The eldest son of the family is expected to live with his parents and be responsible for their care and well-being138–141. This caregiving burden ultimately falls on the daughter-in-law, who is expected to be the primary caregiver for her husband’s elderly parents142–145. Because Asian women are expected to care for their parents-in-law, their caregiving role may extend beyond their children’s years of dependence, continuing to experience role strain postparenthood. Traditional Asian gender roles promote intergenerational co-residence, in which a significant proportion of aging parents are unlikely ever to have to face an empty nest. Indeed, the rate of intergenerational co-residence is much higher in Asia (e.g., 68.7% in China146) than it is in the West (e.g., 14% in the United States147). Furthermore, modern Asian parents now expect both daughters and sons to care for them in their old age148.
Social expectancies on nest-leaving
Cultures vary significantly in the social expectancies surrounding the empty nest period, such as the timing and meaning of a child’s departure. These social expectancies directly impact parents’ perceptions of their own parental and postparental roles. In Western societies, it is generally expected that children will leave home upon reaching adulthood, typically between the ages of 18 and 25, although the exact timing varies across countries7,149,150. Western parents tend to expect their children to establish themselves outside the home for socially acceptable reasons, such as expressing independence, pursuing education or a career, or getting married. However, variations exist depending on socio-economic factors, such as housing affordability and labor market conditions, which have led to delayed nest-leaving in many contexts150,151. Parents who anticipate this transition but experience delays may report difficulty coping8, a distress possibly stemming from parents’ role strain and their desire to be released from the parental role. When expectations are met, parents experience pride and satisfaction in seeing their children leave the nest43. For some, this act of nest-leaving is perceived as a sign of the child’s maturity; for others, their children’s success reflects their own success as parents58. An older adult’s ego integrity can be bolstered by the achievements of their offspring152, which can buffer against the impact of role loss.
Conversely, parents who did not expect their children to leave already tend to experience more anxiety during the empty nest period58,153. Parents typically expect children to leave home after developing emotional and financial independence and are prone to worry if they do not believe their child is prepared to live alone58,154. Some Western parents, particularly women, continue to expect a high degree of involvement in their children’s lives even after they have moved out. For example, some mothers report feeling obliged to continue caring for their children by doing household chores such as cooking and laundry58. These women may be attempting to prevent the loss of their parental role while simultaneously prolonging their experience of role strain.
In contrast, collectivistic societies have different expectations regarding when and why children should leave the nest. For instance, Chinese and Korean adult children in urban areas are often not expected to move out of the parental home even after marriage due to the high cost of housing155–157. In exchange for staying, children provide their parents with an allowance, creating mutual dependence that meets both parties’ expectations and avoids role loss or role strain. While Westerners approve of a variety of reasons for nest-leaving, including establishing independence, Asians tend to perceive marriage as the most legitimate reason for moving out and show significantly less approval for nest-leaving before marriage158. Nest-leaving for reasons other than what is socially sanctioned, such as seeking independence, can be distressing to Asian parents, who may perceive it as a threat to the family unit103,159. This type of nest-leaving could challenge the older adult’s parental role, indirectly producing a sense of role loss and resulting in anxiety and stress104. However, this is not true for all Asian countries. In Thailand, for example, parents show lower levels of depression when children live further from rather than closer to the parental home160 because their successful migration confers a sense of pride and higher social status for the parents, thus enhancing ego integrity152 and mitigating the impact of role loss. This example highlights the cultural specificity of norms and expectations surrounding nest-leaving.
Moreover, it is common in Asian cultures to expect grandparents to continue being heavily involved in caregiving for grandchildren161,162. As Asians’ standards of childcare have risen alongside their education levels66, grandparents may be held to higher expectations by their children or children-in-law, leading to more stressful intergenerational interactions163 and greater grandparental role strain.
Social participation patterns
The transition into the empty nest period engenders a dramatic change in the parent-child relationship among both Asians and Westerners29. Parents not only relinquish their caregiving role but also lose the opportunity for daily social interactions with their children. Consequently, one key challenge elderly people face is loneliness, stemming from a lack of social interactions164,165. While social participation and support benefit empty nesters166–169, the means through which older adults achieve social integration and obtain social support may differ across cultures106,170. According to socioemotional selectivity theory171, older adults in Western societies tend to prioritize close social relationships over more distant acquaintances as they age, increasing emotional closeness and thereby enhancing their well-being. For Westerners, having the autonomy to choose who to socially engage with is a significant predictor of well-being172. Consequently, interactions with friends and close confidantes are strongly associated with a reduction in loneliness, while interactions with family members, which are often seen as obligatory, are not as strongly linked to reduced loneliness. Among Americans, the size of one’s non-familial social network tends to increase with age173. Conversely, East Asians with their higher levels of interdependence are more likely to maintain a diverse social network, particularly as they age174. As age increases, East Asians tend to retain or increase the number of close contacts and are less likely to reduce the number of peripheral social partners. Only Asians with low interdependence resemble Westerners by maintaining a small group of close others175.
Despite these differences, empty nesters from Asian cultures are more prone to social isolation than those in Western cultures172. In Asia, age-graded social norms often encourage older adults to reduce their social network involvement129. A recent study in China found that empty nesters were more likely to be excluded from social relationships, experience feelings of exclusion, and participate less in social activities compared to non-empty nesters26. This social isolation correlates with higher reports of depression among empty nesters, and those living without a spouse were the most likely to suffer from loneliness and social isolation176,177. Comparing empty nesters to older adults with residential children in China revealed no significant differences in subjective well-being; instead, living alone predicted lower well-being177. Similarly, elderly Japanese individuals living in single-person households had significantly greater social isolation and loneliness scores than those in multi-person households178.
Diversity in family structures
Cultures vary significantly in societal norms that create distinct family arrangements, many of which are more widely accepted in the West than in Asia (e.g., divorced, single-parent, stepparent families). Recent shifts in Western societal norms have also profoundly transformed family dynamics, giving rise to newer family structures that implicate the empty nest (e.g., boomerang children, crowded nests, etc.)75,179. While some of these diverse family structures are beginning to emerge in certain Asian societies, traditional cultural norms continue to define what constitutes a typical family unit; deviations from more traditional structures (i.e., marriage) remain taboo. These contrasting attitudes towards family structures affect how patterns of early departure and potential returns may unfold, shaping the empty nest experience in different ways.
Divorced, single-parent, and stepparent families represent some of the diverse family arrangements seen in contemporary societies. In Western societies, young adults (particularly daughters) from divorced, single-parent, and stepparent families are more likely to leave their parents’ homes earlier than their counterparts from traditional two-biological parent families13,180,181. This early departure accelerates the empty nest experience for parents. Some reasons for this trend include the parental home becoming a less comfortable and divestment of limited parental resources shared amongst a larger number of children13,182. Notably for divorced and single-parent families, early nest leaving can lead to a loss in practical and financial support from adult children, and contribute negatively to a heightened sense of loneliness and role displacement for older adult parents, as their absence of a partner can intensify the emotional vacuum left by children. In contrast, research on divorced, single-parent, as well as stepfamilies remains less common in Asia due to strong cultural norms that emphasize traditional family units183,184. The limited scholarship suggests that while divorce rates and non-traditional family structures are increasing in some Asian countries, these trends have not yet significantly altered the patterns of adult children leaving the family home. In fact, children in Asia from similar family structures may stay longer due to cultural expectations surrounding family duty and support12,13. For adult children that do leave the nest, there is often a sense of loss, which can create further stress and hardship for the parents left behind, both emotionally and practically, as older parents have to navigate aging, psychological, and potential health challenges alone185.
Tangentially, a significant pattern that gained research traction is the rise of the “boomerang generation”— adult children, often those without adequate emotional and financial stability, who return to live with their older parents after initially leaving home due to factors such as unemployment, and high housing costs153,186,187. This pattern of intergenerational coresidence can re-introduce conflict and strain to the parent-child relationship, while simultaneously, conferring new opportunities for quality interactions to develop between child and adult parents13,180. A related issue arises when some older siblings return to the family home while younger adult siblings are still living there188. Older parents in the “crowded nests” might face elevated levels of chronic stress, fatigue, and compromised well-being as a result of managing ongoing childrearing demands, with the addition of household responsibilities and chores75. Tension between parents and their adult children increases, and heightened role strain might dampen well-being. Research on boomerang children has gained more attention in recent years in Asia, including Taiwan, China, and Thailand189,190. As in the West, many adult children return home primarily due to economic reasons. Yet in Asia, it is not uncommon for the boomerang phenomenon to occur. In fact, adult children are likely to return to the parental home after having their own children to save resources and money on childcare due to a shortage of public childcare facilities and the high cost of private childcare in their respective countries190. In all, evolving social norms are slowly reshaping family structures and arrangements in Asia that could eventually lead to changes in the timing and reasons for adult children leaving home. Although the extent of this shift remains less pronounced compared to Western societies, they have significant consequences on the empty nest and adult parents’ well-being.
A culturally sensitive framework for empty nesters
As the empty nest period becomes an increasingly common experience in both Western and Asian societies, there is a growing need to understand the psychological well-being of empty nesters and the conditions under which this phase can be a positive experience for older adults. Studies have shown that parents’ emotional experiences during the empty nest period are mixed8. Some research indicates that the postparental phase can be detrimental to parents’ well-being, with postparenthood perceived as a stressful and depressive experience27,30,36 and associated with increased loneliness and social isolation26,31,33,34. Conversely, other studies suggest that parents may experience enhanced well-being or reduced ill-being during this period38–40. Given these mixed findings, there is a need for an integrative framework of the postparental phase to reconcile the existing heterogeneity in the literature.
Having reviewed the existing literature from a cultural perspective, we propose a comprehensive framework to understand the psychological mechanisms underlying the empty nest period and identify boundary conditions that account for the observed variability in psychological experiences. Our theoretical framework posits that cultural factors play a significant role in shaping the psychological experience of the postparental phase during the empty nest period. Specifically, cultural differences in familial roles, gender roles, social expectancies on nest-leaving, and social participation patterns result in different outcomes in role loss and role strain relief. These differences subsequently influence social engagement, thereby impacting parents’ loneliness and well-being. Figure 1 provides a summary of the theoretical framework of the empty nest period through a cultural lens.
Fig. 1.
Cultural framework of the empty nest period.
A crucial implication of this theoretical framework is the need for culturally sensitive interventions to support the well-being of empty nesters. Given the significant role of culture in shaping the experience of the empty nest period, interventions that are effective in one cultural setting may not necessarily be effective in another. For instance, happiness interventions such as practicing gratitude and performing acts of kindness were less effective in improving South Koreans’ well-being as compared to that of Americans191. Instead, in collectivistic cultures, interventions that facilitate more frequent family interactions, such as Singapore’s incentive policies for intergenerational housing or tax relief for caregiving24, may be more beneficial given their higher levels of familism100,126,192.
In contrast, the stronger emphasis on individual autonomy might drive Western societies to focus more on helping parents find new personal goals and social engagements outside the family unit. Programs such as Switzerland’s KISS, which matches older adults with people in need and allows them to earn credits for volunteering, have been shown to enhance regular social contact for participants193. Similarly, Finland’s Circle of Friends program, an occupational therapy-based intervention, has successfully increased feelings of connectedness among older adults194. These initiatives highlight how different cultural contexts necessitate tailored approaches to effectively support empty nesters.
Relatedly, when discussing family structures, including the empty nest phenomenon, it is essential to recognize the profound diversity within Asian societies. While many discussions (and empirical research) on socially accepted timelines for departures from the parental homes in Asia often anchor on Confucian values, especially filial piety, which are prevalent in East Asian countries like China, Japan, and South Korea, these values do not uniformly define family norms across the entire continent195,196. For instance, in Southeast Asia, extended family support and co-residence are common, but the motivations for these living arrangements and expectations for adult children are rooted more on cultural and religious beliefs (e.g., Islam, Buddhism, and Hinduism), than in East Asia197. Similarly, South Asian countries such as India, Pakistan, and Bangladesh maintain strong traditions of multigenerational households, where there is often an expectation that the nest never empties: at least one child—often a son and his wife— remains at home to establish an extended household to care for aging parents197; violations to these cultural expectations can result in stress and anxiety for parents104. These patterns are reinforced by religious and cultural norms that vary widely from East Asian Confucian ideals.
Even within Asian countries, there are significant differences in family practices between urban and rural areas, as well as between socioeconomic classes. Urbanization and modernization are reshaping family dynamics in countries like China and India, but this shift is not uniform, even within those countries. Rural areas are more likely to continue to hold onto traditional family structures, whereas urban families may adopt more “Westernized” living arrangements, such as nuclear families or young adults leaving home earlier146. Given this complexity, it is essential for researchers to avoid overgeneralizing when examining the empty nest phenomenon in Asia given the rich tapestry of family forms, norms, and transitions that differ not only between countries but within them. As such, we suggest researchers should engage in more nuanced and localized research to cast spotlight on the uniqueness for how empty nest plays out within different Asian cultural contexts. Culturally sensitive interventions also need to address these variations, and fit contemporary cultural norms, the state of economic development, and urbanization to better address the empty nest experiences of older parents and their adult children across the diverse societies of Asia.
Given the increasing use of information and communication technology (ICT) for video chatting, gaming, and social networking198–200, there is also a pressing need for more cross-cultural research to assess the efficacy of ICT-related interventions to reduce social isolation and loneliness among empty nesters and older adults living alone201,202. Social networking sites can provide a means to stay in frequent contact with non-residential children as well as to maintain some involvement in their lives by viewing or commenting on their posts94,203,204. Additionally, innovative solutions such as virtual reality avatars and companion robots are being developed to support older adults205,206. However, acceptance and effectiveness of these technologies can vary across cultures. Asian empty nesters, who may value interdependent relationships, might be less open to using new technologies such as robots for companionship207, due to their preference for close, personal connections which these technologies cannot yet easily replicate. At the same time, much of the research pertaining to ICT-related interventions targeting social participation and loneliness has been conducted in Western countries208. Thus, more cross-cultural research is necessary to determine whether ICT can enhance Asian empty nesters’ well-being and to guide the design of more culturally sensitive ICT interventions.
Conclusion
In conclusion, the empty nest period is a complex transition influenced by a multitude of factors, including cultural norms, gender roles, social expectations, and individual family dynamics. By adopting a culturally sensitive framework, we can better understand the diverse experiences of empty nesters and develop targeted interventions to support their psychological well-being. As the global population ages, addressing the needs of empty nesters will become increasingly important in promoting healthy aging and ensuring a high quality of life for older adults.
Supplementary information
Acknowledgements
This research was supported by grants awarded to Andree Hartanto by Singapore Management University through research grants from the Ministry of Education Academy Research Fund Tier 1 (22-SOSS-SMU-041). The funders had no role in the preparation of the manuscript or the decision to publish.
Author contributions
A.H. and D.L. conceptualized the paper and drafted the manuscript. A.H., L.S., D.L., N.M.M., and J.C.Y. contributed to the critical revision of the manuscript. All authors contributed to the article and approved the submitted version.
Peer review
Peer review information
Communications psychology thanks Deborah Morgan and the other, anonymous, reviewer(s) for their contribution to the peer review of this work. Primary Handling Editor: Marike Schiffer. A peer review file is available.
Competing interests
The authors declare no competing interests.
Footnotes
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary information
The online version contains supplementary material available at 10.1038/s44271-024-00156-8.
References
- 1.United Nations. World Social Report 2023: Leaving No One Behind In An Ageing World | DESA Publications. https://desapublications.un.org/publications/world-social-report-2023-leaving-no-one-behind-ageing-world (2023).
- 2.United Nations. World Population Prospects 2024 | Population Division. https://www.un.org/development/desa/pd/world-population-prospects-2024.
- 3.Beaujouan, E. Latest-late fertility? decline and resurgence of late parenthood across the low-fertility countries. Popul. Dev. Rev.46, 219–247 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Cherlin, A. J. Demographic trends in the United States: a review of research in the 2000s. J. Marriage Fam.72, 403–419 (2010). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Fischer, C. S. Still Connected: Family and Friends in America Since 1970 by Claude S. Fischer. (Russell Sage Foundation, New York, 2011).
- 6.Mitchell, B. A. Empty Nest. in Encyclopedia of Gerontology and Population Aging (eds. Gu, D. & Dupre, M. E.) 1–6 (Springer International Publishing, Cham, 2019). 10.1007/978-3-319-69892-2_317-1.
- 7.Billari, F. C. & Liefbroer, A. C. Towards a new pattern of transition to adulthood? Adv. Life Course Res.15, 59–75 (2010). [Google Scholar]
- 8.Mitchell, B. A. & Lovegreen, L. D. The empty nest syndrome in midlife families: a multimethod exploration of parental gender differences and cultural dynamics. J. Fam. Issues30, 1651–1670 (2009). [Google Scholar]
- 9.Moustafa, A. A. et al. Depression following major life transitions in women: a review and theory. Psychol. Rep.123, 1501–1517 (2020). [DOI] [PubMed] [Google Scholar]
- 10.US Census Bureau. America’s families and living arrangements: 2020. Census.govhttps://www.census.gov/data/tables/2020/demo/families/cps-2020.html (2020).
- 11.Statistics Canada. 2021 Census Topic: Families, households, and marital status. https://www12.statcan.gc.ca/census-recensement/2021/rt-td/families-familles-eng.cfm (2022).
- 12.Kim, K., Cheng, Y.-P., Zarit, S. H. & Fingerman, K. L. Relationships Between Adults and Parents in Asia. in Successful Aging (eds. Cheng, S.-T., Chi, I., Fung, H. H., Li, L. W. & Woo, J.) 101–122 (Springer Netherlands, Dordrecht, 2015). 10.1007/978-94-017-9331-5_7.
- 13.Li, W. D. & Hung, C.-Y. Parental support and living arrangements among young adults in Taiwan. J. Hous. Built Environ.34, 219–233 (2019). [Google Scholar]
- 14.Tao, T., Jin, G. Z. & Guo, Y. L. Empty-nest elderly households in China: trends and patterns. Popul. Res. 47, 58–71 (2023).
- 15.Statistics Korea. Household composition percentage 2019. https://kosis.kr/publication/publicationThema.do (2022).
- 16.Chang, Y. et al. Comprehensive comparison between empty nest and non-empty nest elderly: a cross-sectional study among rural populations in Northeast China. Int. J. Environ. Res. Public. Health13, 857 (2016). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Li, D. M., Chen, T. Y. & Li, G. Y. The problem of mental health in the elderly in empty-nest family. Chin. J. Gerontol.23, 405–407 (2003). [Google Scholar]
- 18.Su, D. et al. Depression and social support between China’ rural and urban empty-nest elderly. Arch. Gerontol. Geriatr.55, 564–569 (2012). [DOI] [PubMed] [Google Scholar]
- 19.Park, E. H. Ultra-low fertility and policy response in South Korea: lessons from the case of Japan. Ageing Int.45, 191–205 (2020). [Google Scholar]
- 20.Radkar, A. Indian fertility transition. J. Health Manag.22, 413–423 (2020). [Google Scholar]
- 21.Rizkianti, A. et al. Understanding the association between family planning and fertility reduction in Southeast Asia: a scoping review. BMJ Open14, e083241 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Yang, S., Jiang, Q. & Sánchez-Barricarte, J. J. China’s fertility change: an analysis with multiple measures. Popul. Health Metr.20, 12 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Yong, V., Minagawa, Y. & Saito, Y. Policy and program measures for successful aging in Japan. in Successful Aging (eds. Cheng, S.-T., Chi, I., Fung, H. H., Li, L. W. & Woo, J.) 81–97 (Springer Netherlands, Dordrecht, 2015). 10.1007/978-94-017-9331-5_6.
- 24.Zhan, S. & Huang, L. State familism in action: aging policy and intergenerational support in Singapore. China Popul. Dev. Stud.7, 111–129 (2023). [Google Scholar]
- 25.Dare, J. S. Transitions in midlife women’s lives: contemporary experiences. Health Care Women Int.32, 111–133 (2011). [DOI] [PubMed] [Google Scholar]
- 26.Feng, Z. & Phillips, D. R. Social exclusion and health outcomes among empty nest and non-empty nest older people in China. Ageing Soc.44, 429–456 (2024). [Google Scholar]
- 27.Hobdy, J. et al. The role of attachment style in coping with job loss and the empty nest in adulthood. Int. J. Aging Hum. Dev.65, 335–371 (2007). [DOI] [PubMed] [Google Scholar]
- 28.Xu, S. et al. Health and wellbeing among the empty nest and non-empty nest elderly in China—Results from a national cross-sectional study. PLOS One18, e0291231 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Bougea, A., Despoti, A. & Vasilopoulos, E. Empty-nest-related psychosocial stress: conceptual issues, future directions in economic crisis. Psychiatriki30, 329–338 (2019). [DOI] [PubMed] [Google Scholar]
- 30.Liu, L.-J. & Guo, Q. Loneliness and health-related quality of life for the empty nest elderly in the rural area of a mountainous county in China. Qual. Life Res.16, 1275–1280 (2007). [DOI] [PubMed] [Google Scholar]
- 31.Yuan, R. & Ngai, S. S. Social exclusion and neighborhood support: a case study of empty-nest elderly in urban Shanghai. J. Gerontol. Soc. Work55, 587–608 (2012). [DOI] [PubMed] [Google Scholar]
- 32.Nayak, I., Siddhanta, A. & Panda, B. K. Does empty nest elderly experience more depressive symptoms than non-empty nest elderly? Evidence from longitudinal aging study in India. Hosp. Top.102, 96–109 (2024). [DOI] [PubMed] [Google Scholar]
- 33.Nomaguchi, K. M. & Milkie, M. A. Costs and rewards of children: the effects of becoming a parent on adults’ lives. J. Marriage Fam.65, 356–374 (2003). [Google Scholar]
- 34.Singh, L. K., Srivastava, K. & Maxton, A. S. Loneliness and life satisfaction among empty nest employed and unemployed mothers. J. Reatt. Ther. Dev. Divers. (2023) 10.53555/jrtdd.v6i6s.2283.
- 35.Wang, G., Hu, M., Xiao, S. & Zhou, L. Loneliness and depression among rural empty-nest elderly adults in Liuyang, China: a cross-sectional study. BMJ Open7, e016091 (2017). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Zhai, Y. et al. Association of empty nest with depressive symptom in a Chinese elderly population: a cross-sectional study. J. Affect. Disord.187, 218–223 (2015). [DOI] [PubMed] [Google Scholar]
- 37.Bouchard, G. & McNair, J. L. Dyadic examination of the influence of family relationships on life satisfaction at the empty-nest stage. J. Adult Dev.23, 174–182 (2016). [Google Scholar]
- 38.Dennerstein, L., Dudley, E. & Guthrie, J. Empty nest or revolving door? A prospective study of women’s quality of life in midlife during the phase of children leaving and re-entering the home. Psychol. Med.32, 545–550 (2002). [DOI] [PubMed] [Google Scholar]
- 39.Hansen, T., Slagsvold, B. & Moum, T. Childlessness and psychological well-being in midlife and old age: an examination of parental status effects across a range of outcomes. Soc. Indic. Res.94, 343–362 (2009). [Google Scholar]
- 40.White, L. & Edwards, J. N. Emptying the nest and parental well-being: an analysis of national panel data. Am. Sociol. Rev.55, 235 (1990). [Google Scholar]
- 41.Kristensen, K., König, H.-H. & Hajek, A. The empty nest, depressive symptoms and loneliness of older parents: prospective findings from the German Ageing Survey. Arch. Gerontol. Geriatr.95, 104425 (2021). [DOI] [PubMed] [Google Scholar]
- 42.Mansoor, A. & Hasan, S. S. Empty nest syndrome and psychological wellbeing among middle aged adults. Pak. J. Soc. Clin. Psychol.17, 55–60 (2019). [Google Scholar]
- 43.Bouchard, G. How do parents react when their children leave home? an integrative review. J. Adult Dev.21, 69–79 (2014). [Google Scholar]
- 44.He, W. et al. Quality of life of empty-nest elderly in China: a systematic review and meta-analysis. Psychol. Health Med.25, 131–147 (2020). [DOI] [PubMed] [Google Scholar]
- 45.Kaur, K. J. & Sinha, A. K. Empty Nests: A study on the left-behind parents of emigrated children from Punjab (India). Fam. J. 10664807231157028 (2023) 10.1177/10664807231157028.
- 46.Qian, Y. et al. Utilisation willingness for institutional care by the elderly: a comparative study of empty nesters and non-empty nesters in Shandong, China. BMJ Open8, e022324 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Yong, J. C., Lim, A. J. & Li, N. P. When social status gets in the way of reproduction in modern settings: An evolutionary mismatch perspective. Cult. Evol.20, 59–76 (2024). [Google Scholar]
- 48.Ribeiro, L., Ho, B. Q. & Senoo, D. How does a family caregiver’s sense of role loss impact the caregiving experience? Healthcare9, 1337 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Stryker, S. Identity salience and role performance: the relevance of symbolic interaction theory for family research. J. Marriage Fam.30, 558 (1968). [Google Scholar]
- 50.Tajfel, H. & Turner, J. C. An integrative theory of intergroup conflict. in The Social Psychology of Intergroup Relations 33–48 (Brooks/Cole, Monterey, CA, 1979).
- 51.Bauer, J. J., McAdams, D. P. & Pals, J. L. Narrative identity and eudaimonic well-being. J. Happiness Stud.9, 81–104 (2008). [Google Scholar]
- 52.Chia, J. L. & Hartanto, A. Older adult employment status and well-being: a longitudinal bidirectional analysis. Int. J. Environ. Res. Public. Health18, 12533 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 53.Manzi, C., Vignoles, V. L. & Regalia, C. Accommodating a new identity: possible selves, identity change and well‐being across two life‐transitions. Eur. J. Soc. Psychol.40, 970–984 (2010). [Google Scholar]
- 54.Praharso, N. F., Tear, M. J. & Cruwys, T. Stressful life transitions and wellbeing: a comparison of the stress buffering hypothesis and the social identity model of identity change. Psychiatry Res.247, 265–275 (2017). [DOI] [PubMed] [Google Scholar]
- 55.Taylor, D. M. & Usborne, E. When i know who “We” Are, I Can Be “Me”: the primary role of cultural identity clarity for psychological well-being. Transcult. Psychiatry47, 93–111 (2010). [DOI] [PubMed] [Google Scholar]
- 56.Hartanto, A., Yong, J. C., Lee, S. T. H., Ng, W. Q. & Tong, E. M. W. Putting adversity in perspective: purpose in life moderates the link between childhood emotional abuse and neglect and adulthood depressive symptoms. J. Ment. Health29, 473–482 (2020). [DOI] [PubMed] [Google Scholar]
- 57.Khatir, M. A., Modanloo, M., Dadgari, A., Yeganeh, L. T. & Khoddam, H. Empty nest syndrome: a concept analysis. J. Educ. Health Promot. 13, 269 (2024). [DOI] [PMC free article] [PubMed]
- 58.Kloep, Marion & Hendry, L. B. Letting go or holding on? Parents’ perceptions of their relationships with their children during emerging adulthood. Br. J. Dev. Psychol.28, 817–834 (2010). [DOI] [PubMed] [Google Scholar]
- 59.Davis, E. M., Kim, K. & Fingerman, K. L. Is an empty nest best?: coresidence with adult children and parental marital quality before and after the great recession. J. Gerontol. B. Psychol. Sci. Soc. Sci. gbw022 (2016) 10.1093/geronb/gbw022. [DOI] [PMC free article] [PubMed]
- 60.Jensen, J. F. & Rauer, A. J. Marriage work in older couples: disclosure of marital problems to spouses and friends over time. J. Fam. Psychol.29, 732–743 (2015). [DOI] [PubMed] [Google Scholar]
- 61.Borre, A. & Kliewer, W. Parental strain, mental health problems, and parenting practices: a longitudinal study. Personal. Individ. Differ.68, 93–97 (2014). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 62.Goode, W. J. A theory of role strain. Am. Sociol. Rev.25, 483 (1960). [Google Scholar]
- 63.Mauerer, G. Both parents working: challenges and strains in managing the reconciliation of career and family life in dual-career families. empirical evidence from Austria. Soc. Sci.7, 269 (2018). [Google Scholar]
- 64.Perry‐Jenkins, M., Goldberg, A. E., Pierce, C. P. & Sayer, A. G. Shift work, role overload, and the transition to parenthood. J. Marriage Fam.69, 123–138 (2007). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 65.Scharlach, A. E. Role strain among working parents: implications for workplace and community. Community Work Fam.4, 215–230 (2001). [Google Scholar]
- 66.Nomaguchi, K. M. Change in work‐family conflict among employed parents between 1977 and 1997. J. Marriage Fam.71, 15–32 (2009). [Google Scholar]
- 67.Goodman, W. B., Crouter, A. C. & The Family Life Project Key Investigators. Longitudinal associations between maternal work stress, negative work‐family spillover, and depressive symptoms. Fam. Relat.58, 245–258 (2009). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 68.Grzywacz, J. G., Almeida, D. M. & McDonald, D. A. Work–family spillover and daily reports of work and family stress in the adult labor force;. Fam. Relat.51, 28–36 (2002). [Google Scholar]
- 69.Hartanto, A., Kasturiratna, K. T. A. S., Hu, M., Diong, S. F. & Lua, V. Y. Q. Negative work-to-family spillover stress and heightened cardiovascular risk biomarkers in midlife and older adults. J. Psychosom. Res.178, 111594 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 70.Matias, M. & Recharte, J. Links between work–family conflict, enrichment, and adolescent well‐being: parents’ and children’s perspectives. Fam. Relat.70, 840–858 (2021). [Google Scholar]
- 71.Vercruyssen, A. & Van De Putte, B. Work–family conflict and stress: indications of the distinctiveness of role combination stress for Belgian working mothers. Community Work Fam.16, 351–371 (2013). [Google Scholar]
- 72.Miller, B. C. & Sollie, D. L. Normal stresses during the transition to parenthood. in Coping with Life Crises (ed. Moos, R. H.) 129–138 (Springer US, Boston, MA, 1980). 10.1007/978-1-4684-7021-5_9.
- 73.Tosi, M. Boomerang kids and parents’ well-being: adaptation, stressors, and social norms. Eur. Sociol. Rev. jcz068 (2020) 10.1093/esr/jcz068.
- 74.Tosi, M. & Grundy, E. Returns home by children and changes in parents’ well-being in Europe. Soc. Sci. Med.200, 99–106 (2018). [DOI] [PubMed] [Google Scholar]
- 75.Cooklin, A. R., Giallo, R. & Rose, N. Parental fatigue and parenting practices during early childhood: an Australian community survey. Child Care Health Dev.38, 654–664 (2012). [DOI] [PubMed] [Google Scholar]
- 76.Perren, S., Von Wyl, A., Bürgin, D., Simoni, H. & Von Klitzing, K. Depressive symptoms and psychosocial stress across the transition to parenthood: associations with parental psychopathology and child difficulty. J. Psychosom. Obstet. Gynecol.26, 173–183 (2005). [DOI] [PubMed] [Google Scholar]
- 77.Gorchoff, S. M., John, O. P. & Helson, R. Contextualizing change in marital satisfaction during middle age: an 18-year longitudinal study. Psychol. Sci.19, 1194–1200 (2008). [DOI] [PubMed] [Google Scholar]
- 78.Kumar, P. S. Psychological well-being and marital adjustment: a study on elderly couples in the post-parental stage of life. Indian J. Gerontol.29, 77–90 (2015). [Google Scholar]
- 79.Tracy, E. L., Putney, J. M. & Papp, L. M. Empty nest status, marital closeness, and perceived health: testing couples’ direct and moderated associations with an actor–partner interdependence model. Fam. J.30, 30–35 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 80.Bild, E. & Pachana, N. A. Social prescribing: a narrative review of how community engagement can improve wellbeing in later life. J. Community Appl. Soc. Psychol.32, 1148–1215 (2022). [Google Scholar]
- 81.Chia, J. L., Hartanto, A. & Tov, W. Profiles of activity engagement and depression trajectories as COVID-19 restrictions were relaxed. Psychol. Aging (2023) 10.1037/pag0000785. [DOI] [PubMed]
- 82.Gilbart, E. E. & Hirdes, J. P. Stress, social engagement and psychological well-being in institutional settings: evidence based on the minimum data set 2.0. Can. J. Aging Rev. Can. Vieil.19, 50–66 (2000). [Google Scholar]
- 83.Grünjes, C. E., Macdonald, B. & Hülür, G. The role of social interaction modality for well-being in older adults. Psychol. Aging39, 364–377 (2024). [DOI] [PubMed] [Google Scholar]
- 84.Kim, Y.-R. & Jung, H.-S. Effects of social interaction and depression on homeboundness in community-dwelling older adults living alone. Int. J. Environ. Res. Public. Health19, 3608 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 85.Macdonald, B., Luo, M. & Hülür, G. Daily social interactions and well-being in older adults: the role of interaction modality. J. Soc. Pers. Relatsh.38, 3566–3589 (2021). [Google Scholar]
- 86.Tsang, V. H. L. et al. The mediating role of loneliness on relations between face-to-face and virtual interactions and psychological well-being across age: a 21-day diary study. Int. J. Behav. Dev.46, 500–509 (2022). [Google Scholar]
- 87.Morrow-Howell, N., Hinterlong, J., Rozario, P. A. & Tang, F. Effects of volunteering on the well-being of older adults. J. Gerontol. Ser. B58, S137–S145 (2003). [DOI] [PubMed] [Google Scholar]
- 88.Pettigrew, S., Jongenelis, M. I., Jackson, B., Warburton, J. & Newton, R. U. A randomized controlled trial and pragmatic analysis of the effects of volunteering on the health and well-being of older people. Aging Clin. Exp. Res.32, 711–721 (2020). [DOI] [PubMed] [Google Scholar]
- 89.Adams, K. B., Leibbrandt, S. & Moon, H. A critical review of the literature on social and leisure activity and wellbeing in later life. Ageing Soc.31, 683–712 (2011). [Google Scholar]
- 90.Li, X., Ma, Z., Zhang, X., Ma, X. & Pi, Z. Do daily interaction patterns differ between empty nesters and non‐empty nesters? The role of different interaction partners in a Chinese sample. PsyCh. J.12, 572–583 (2023). [DOI] [PubMed] [Google Scholar]
- 91.Skałacka, K. & Pajestka, G. Digital or in-person: the relationship between mode of interpersonal communication during the COVID-19 pandemic and mental health in older adults from 27 countries. J. Fam. Nurs.27, 275–284 (2021). [DOI] [PubMed] [Google Scholar]
- 92.Teo, A. R. et al. Does mode of contact with different types of social relationships predict depression in older adults? evidence from a nationally representative survey. J. Am. Geriatr. Soc.63, 2014–2022 (2015). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 93.Luhmann, M. & Hawkley, L. C. Age differences in loneliness from late adolescence to oldest old age. Dev. Psychol.52, 943–959 (2016). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 94.Tanis, M., Van Der Louw, M. & Buijzen, M. From empty nest to social networking site: what happens in cyberspace when children are launched from the parental home? Comput. Hum. Behav.68, 56–63 (2017). [Google Scholar]
- 95.Silva, M., Figueiredo, C. I., Costa, M. S. & Camarneiro, A. P. Conjugalidades e interações familiares de casais em “ninho vazio”. Millenium J. Educ. Technol.2, 21–31 (2022).
- 96.Umberson, D., Williams, K., Powers, D. A., Chen, M. D. & Campbell, A. M. As good as it gets? A life course perspective on marital quality. Soc. Forces84, 493–511 (2005). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 97.Same, A., McBride, H., Liddelow, C., Mullan, B. & Harris, C. Motivations for volunteering time with older adults: a qualitative study. PLOS One15, e0232718 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 98.Zhou, Z., Zhang, S., Kim, Y. K., Birditt, K. S. & Fingerman, K. L. Need to belong, daily social engagement, and transient loneliness in late life. J. Soc. Pers. Relatsh.41, 115–136 (2024). [Google Scholar]
- 99.Chan, S. & Lee, E. Families with Asian roots. in Developing cross-cultural competence 219–298 (Paul H. Brookes., Baltimore, MD, 2004).
- 100.Oak, S. & Martin, V. American/Korean Contrasts: Patterns and Expectations in the U.S. and Korea. (Hollym International Corp., Elizabeth, NJ, 2004).
- 101.Gaunt, R. & Scott, J. Gender differences in identities and their sociostructural correlates: how gendered lives shape parental and work identities. J. Fam. Issues38, 1852–1877 (2017). [Google Scholar]
- 102.Van De Vijver, F. J. R. Cultural and gender differences in gender-role beliefs, sharing household task and child-care responsibilities, and well-being among immigrants and majority members in the Netherlands. Sex. Roles57, 813–824 (2007). [Google Scholar]
- 103.Mitchell, B. A. Making the move: cultural and parental influences on Canadian young adults’ homeleaving decisions. J. Comp. Fam. Stud.35, 423–441 (2004). [Google Scholar]
- 104.Mitchell, B. A. & Wister, A. V. Midlife challenge or welcome departure? cultural and family-related expectations of empty nest transitions. Int. J. Aging Hum. Dev.81, 260–280 (2015). [DOI] [PubMed] [Google Scholar]
- 105.Fiori, K. L., Antonucci, T. C. & Akiyama, H. Profiles of social relations among older adults: a cross-cultural approach. Ageing Soc.28, 203–231 (2008). [Google Scholar]
- 106.Kim, H. S., Sherman, D. K. & Taylor, S. E. Culture and social support. Am. Psychol.63, 518–526 (2008). [DOI] [PubMed] [Google Scholar]
- 107.Arends-Tóth, J. & Van de Vijver, F. J. R. Cultural differences in family, marital, and gender-role values among immigrants and majority members in the Netherlands. Int. J. Psychol.44, 161–169 (2009). [DOI] [PubMed] [Google Scholar]
- 108.Williams-Johnson, M. & Gonzalez-DeHass, A. R. Parental role construction leading to parental involvement in culturally distinct communities. Educ. Psychol.57, 231–237 (2022). [Google Scholar]
- 109.Markus, H. R. & Kitayama, S. Cultures and selves: a cycle of mutual constitution. Perspect. Psychol. Sci.5, 420–430 (2010). [DOI] [PubMed] [Google Scholar]
- 110.Triandis, H. C. Individualism and Collectivism: Past, Present, and Future. in The handbook of culture and psychology 35–50 (Oxford University Press, New York, NY, US, 2001).
- 111.Davis, L. S. & Williamson, C. R. Cultural roots of family ties. J. Inst. Econ.16, 785–808 (2020). [Google Scholar]
- 112.Hartanto, A., Yee-Man Lau, I. & Yong, J. C. Culture moderates the link between perceived obligation and biological health risk: Evidence of culturally distinct pathways for positive health outcomes. Soc. Sci. Med.244, 112644 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 113.Kitayama, S., Karasawa, M., Curhan, K. B., Ryff, C. D. & Markus, H. R. Independence and interdependence predict health and wellbeing: divergent patterns in the United States and Japan. Front. Psychol. 1, 163 (2010). [DOI] [PMC free article] [PubMed]
- 114.Mayer, B., Trommsdorff, G., Kagitcibasi, C. & Mishra, R. C. Family models of independence/interdependence and their intergenerational similarity in Germany, Turkey, and India. Fam. Sci.3, 64–74 (2012). [Google Scholar]
- 115.Riany, Y. E., Meredith, P. & Cuskelly, M. Understanding the influence of traditional cultural values on Indonesian parenting. Marriage Fam. Rev.53, 207–226 (2017). [Google Scholar]
- 116.Sondhi, R. Parenting Adolescents in India: A Cultural Perspective. in Child and Adolescent Mental Health (ed. Maurer, M. H.) (InTech, 2017). 10.5772/66451.
- 117.Wang, Q. & Hsueh, Y. Parent–Child Interdependence in Chinese Families: Change and Continuity. in The Changing Family and Child Development (eds. Violato, C., Oddone-Paolucci, E. & Genuis, M.) 60–69 (Routledge, 2017). 10.4324/9781315201702-5.
- 118.Bu, N. & McKeen, C. A. Work and family expectations of the future managers and professionals of Canada and China. J. Manag. Psychol.15, 771–794 (2000). [Google Scholar]
- 119.Fackrell, T., Galovan, A. M., Hill, E. J. & Holmes, E. K. Work–family interface for married women: a Singapore and United States cross‐cultural comparison. Asia Pac. J. Hum. Resour.51, 347–363 (2013). [Google Scholar]
- 120.Hassan, Z., Dollard, M. F. & Winefield, A. H. Work‐family conflict in East vs Western countries. Cross Cult. Manag. Int. J.17, 30–49 (2010). [Google Scholar]
- 121.Shenkar, O. & Ronen, S. Structure and importance of work goals among managers in the People’s Republic of China. Acad. Manag. J.30, 564–576 (1987). [Google Scholar]
- 122.Spector, P. E. et al. A cross-national comparative study of work-family stressors, working hours, and well-being: China and Latin American vs. the Anglo World. Pers. Psychol.57, 119–142 (2004). [Google Scholar]
- 123.Garg, R., Levin, E., Urajnik, D. & Kauppi, C. Parenting style and academic achievement for East Indian and Canadian adolescents. J. Comp. Fam. Stud.36, 653–661 (2005). [Google Scholar]
- 124.Nomaguchi, K. & House, A. N. Racial-ethnic disparities in maternal parenting stress: the role of structural disadvantages and parenting values. J. Health Soc. Behav.54, 386–404 (2013). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 125.Dong, X. & Xu, Y. Filial piety among global Chinese adult children: a systematic review. Res. Rev. J. Soc. Sci.2, 46–55 (2016). [Google Scholar]
- 126.Shek, D. T. L., Yu, L. & Fu, X. Confucian virtues and Chinese adolescent development: a conceptual review. Int. J. Adolesc. Med. Health25, 335–344 (2013). [DOI] [PubMed] [Google Scholar]
- 127.Hitokoto, H. & Uchida, Y. Interdependent happiness: theoretical importance and measurement validity. J. Happiness Stud.16, 211–239 (2015). [Google Scholar]
- 128.Kitayama, S. & Uchida, Y. Interdependent Agency: An Alternative System for Action. in Cultural and social behavior: The Ontario Symposium, Vol 10. 137–164 (Lawrence Erlbaum Associates Publishers, Mahwah, NJ, US, 2005).
- 129.Kitayama, S., Berg, M. K. & Chopik, W. J. Culture and well-being in late adulthood: theory and evidence. Am. Psychol.75, 567–576 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 130.Oyserman, D., Coon, H. M. & Kemmelmeier, M. Rethinking individualism and collectivism: evaluation of theoretical assumptions and meta-analyses. Psychol. Bull.128, 3–72 (2002). [PubMed] [Google Scholar]
- 131.Fu, A. S. & Markus, H. R. My mother and me: why tiger mothers motivate Asian Americans but not European Americans. Pers. Soc. Psychol. Bull.40, 739–749 (2014). [DOI] [PubMed] [Google Scholar]
- 132.He, H., Usami, S., Rikimaru, Y. & Jiang, L. Cultural roots of parenting: mothers’ parental social cognitions and practices from Western US and Shanghai/China. Front. Psychol.12, 565040 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 133.Blackstone, A. Gender roles and society. In Human Ecology: An Encyclopedia of Children, Families, Communities, and Environments (eds Miller, J. R., Lerner, R. M. & Schiamberg, L. B.) 335–338 (ABC-CLIO, 2003).
- 134.Kossakowski, R., Kosakowska-Berezecka, N. & David–Goretta, S. Struggling with Limitations, Creating New Possibilities: Perspective of Men Experiencing the Empty Nest. in Reconfiguring Relations in the Empty Nest (eds. Żadkowska, M., Skowrońska, M., Giraud, C. & Schmidt, F.) 309–325 (Springer Nature Switzerland, Cham, 2024). 10.1007/978-3-031-50403-7_14.
- 135.Grönlund, A. & Öun, I. In search of family-friendly careers? Professional strategies, work conditions and gender differences in work–family conflict. Community Work Fam.21, 87–105 (2018). [Google Scholar]
- 136.Trzebiatowski, T. & Triana, M. D. C. Family responsibility discrimination, power distance, and emotional exhaustion: when and why are there gender differences in work–life conflict? J. Bus. Ethics162, 15–29 (2020). [Google Scholar]
- 137.Sugihara, Y., Sugisawa, H., Shibata, H. & Harada, K. Productive roles, gender, and depressive symptoms: evidence from a national longitudinal study of late-middle-aged japanese. J. Gerontol. B. Psychol. Sci. Soc. Sci.63, P227–P234 (2008). [DOI] [PubMed] [Google Scholar]
- 138.Das Gupta, M. et al. Why is Son preference so persistent in East and South Asia? a cross-country study of China, India and the Republic of Korea. J. Dev. Stud.40, 153–187 (2003). [Google Scholar]
- 139.Schultz Lee, K. Gender, care work, and the complexity of family membership in Japan. Gend. Soc.24, 647–671 (2010). [Google Scholar]
- 140.Yasuda, T., Iwai, N., Chin-chun, Y. & Guihua, X. Intergenerational coresidence in China, Japan, South Korea and Taiwan: comparative analyses based on the East Asian Social Survey 2006. J. Comp. Fam. Stud.42, 703–722 (2011). [Google Scholar]
- 141.Wakabayashi, M. & Horioka, C. Y. Is the eldest son different? The residential choice of siblings in Japan. Jpn. World Econ.21, 337–348 (2009). [Google Scholar]
- 142.Hashizume, Y. Gender issues and Japanese family‐centered caregiving for frail elderly parents or parents‐in‐law in modern Japan: from the sociocultural and historical perspectives. Public Health Nurs.17, 25–31 (2000). [DOI] [PubMed] [Google Scholar]
- 143.Kim, J. Daughters‐in‐law in Korean caregiving families. J. Adv. Nurs.36, 399–408 (2001). [DOI] [PubMed] [Google Scholar]
- 144.Lowenstein, A. & Katz, R. Rural arab families coping with caregiving. Marriage Fam. Rev.30, 179–197 (2000). [Google Scholar]
- 145.Ugargol, A. P. & Bailey, A. Family caregiving for older adults: gendered roles and caregiver burden in emigrant households of Kerala, India. Asian Popul. Stud.14, 194–210 (2018). [Google Scholar]
- 146.Yi, Z. & Wang, Z. Dynamics of family and elderly living arrangements in China: new lessons learned from the 2000 census. China Rev.2, 95–119 (2003). [Google Scholar]
- 147.Ruggles, S. The decline of intergenerational coresidence in the United States, 1850 to 2000. Am. Sociol. Rev.72, 964–989 (2007). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 148.Croll, E. J. The intergenerational contract in the changing Asian family. Oxf. Dev. Stud.34, 473–491 (2006). [Google Scholar]
- 149.Tanner, J. L. & Arnett, J. J. The emergence of emerging adulthood: the new life stage between adolescence and young adulthood. in Routledge Handbook of Youth and Young Adulthood (Routledge, 2016).
- 150.Van Den Berg, L., Kalmijn, M. & Leopold, T. Explaining cross‐national differences in leaving home. Popul. Space Place27, e2476 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 151.Srinivas, V. Explaining the increase in young adults living with parents. J. Econ. Issues53, 1017–1028 (2019). [Google Scholar]
- 152.Chang, S. O. et al. Exploring ego-integrity in old adults: a Q-methodology study. Int. J. Nurs. Stud.45, 246–256 (2008). [DOI] [PubMed] [Google Scholar]
- 153.Mitchell, B. A. The Boomerang AGE: Transitions to Adulthood in Families. (Routledge, 2017). 10.4324/9781315131085.
- 154.Kins, E., Soenens, B. & Beyers, W. Why do they have to grow up so fast?” Parental separation anxiety and emerging adults’ pathology of separation‐individuation. J. Clin. Psychol.67, 647–664 (2011). [DOI] [PubMed] [Google Scholar]
- 155.Li, L. & Wu, X. Housing price and intergenerational co-residence in urban China. J. Hous. Econ.45, 101596 (2019). [Google Scholar]
- 156.Yi, D., Deng, X., Fan, G.-Z. & Ong, S. E. House price and co-residence with older parents: evidence from China. J. Real. Estate Financ. Econ.57, 502–533 (2018). [Google Scholar]
- 157.Yoon, S.-Y. & Lian, B. Living with parents or attaining residential independence? A comparative study of young adults’ living arrangements in China and South Korea. Chin. Sociol. Rev. 1–28 (2024) 10.1080/21620555.2024.2383617.
- 158.Lou, E., Lalonde, R. N. & Giguère, B. Making the decision to move out: bicultural young adults and the negotiation of cultural demands and family relationships. J. Cross-Cult. Psychol.43, 663–670 (2012). [Google Scholar]
- 159.Nauck, B., Gröpler, N. & Yi, C.-C. How kinship systems and welfare regimes shape leaving home: a comparative study of the United States, Germany, Taiwan, and China. Demogr. Res.36, 1109–1148 (2017). [Google Scholar]
- 160.Abas, M. et al. Migration of children and impact on depression in older parents in Rural Thailand, Southeast Asia. JAMA Psychiatry70, 226–233 (2013). [DOI] [PubMed] [Google Scholar]
- 161.Lou, V. W. Q. & Chi, I. Grandparenting Roles and Functions. in Experiencing Grandparenthood (eds. Mehta, K. K. & Thang, L. L.) vol. 47 47–59 (Springer Netherlands, Dordrecht, 2012).
- 162.Teo, P., Mehta, K., Thang, L. L. & Chan, A. Ageing in Singapore. (Routledge, 2006). 10.4324/9780203966921.
- 163.Ko, L. S. F. Solidarity, ambivalence and multigenerational co-residence in Hong Kong. in Contemporary grandparenting (eds. Arber, S. & Timonen, V.) 91–112 (Policy Press, 2012). 10.1332/policypress/9781847429681.003.0005.
- 164.Surkalim, D. L. et al. The prevalence of loneliness across 113 countries: systematic review and meta-analysis. BMJ e067068 (2022) 10.1136/bmj-2021-067068. [DOI] [PMC free article] [PubMed]
- 165.Schroyen, S. et al. Prevalence of loneliness in older adults: a scoping review. Health Soc. Care Community2023, 1–12 (2023). [Google Scholar]
- 166.Cao, Q. & Lu, B. Mediating and moderating effects of loneliness between social support and life satisfaction among empty nesters in China. Curr. Psychol.40, 973–982 (2021). [Google Scholar]
- 167.Golden, J. et al. Loneliness, social support networks, mood and wellbeing in community‐dwelling elderly. Int. J. Geriatr. Psychiatry24, 694–700 (2009). [DOI] [PubMed] [Google Scholar]
- 168.Rabiee, E., Salehzadeh, M. & Asadi, S. The role of marital satisfaction and perceived social support on depression of empty and full nest elderly. Soc. Behav. Res. Health (2020) 10.18502/sbrh.v4i1.2825.
- 169.Su, D. et al. Effect of social participation on the physical functioning and depression of empty-nest elderly in China: evidence from the China Health and Retirement Longitudinal Survey (CHARLS). Int. J. Environ. Res. Public. Health17, 9438 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 170.Lua, V. Y. Q., Majeed, N. M., Hartanto, A. & Leung, A. K. Help-seeking tendencies and subjective well-being: a cross-cultural comparison of the United States and Japan. Soc. Psychol. Q.85, 164–186 (2022). [Google Scholar]
- 171.Carstensen, L. L. Socioemotional selectivity theory: the role of perceived endings in human motivation. Gerontologist61, 1188–1196 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 172.Lykes, V. A. & Kemmelmeier, M. What predicts loneliness? Cultural difference between individualistic and collectivistic societies in Europe. J. Cross-Cult. Psychol.45, 468–490 (2014). [Google Scholar]
- 173.York Cornwell, E. & Goldman, A. W. Local ties in the social networks of older adults. J. Gerontol. Ser. B76, 790–800 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 174.Yeung, D. Y., Fung, H. H. & Lang, F. R. Self-construal moderates age differences in social network characteristics. Psychol. Aging23, 222–226 (2008). [DOI] [PubMed] [Google Scholar]
- 175.Fung, H. H. Aging in culture. Gerontologist53, 369–377 (2013). [DOI] [PubMed] [Google Scholar]
- 176.Huang, G., Duan, Y., Guo, F. & Chen, G. Prevalence and related influencing factors of depression symptoms among empty-nest older adults in China. Arch. Gerontol. Geriatr.91, 104183 (2020). [DOI] [PubMed] [Google Scholar]
- 177.Zhang, Y. Are empty-nest elders unhappy? Re-examining Chinese empty-nest elders’ subjective well-being considering social changes. Front. Psychol.11, 885 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 178.Oe, N. & Tadaka, E. Differences in loneliness and social isolation among community-dwelling older adults by household type: a nationwide survey in Japan. Healthcare11, 1647 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 179.Fingerman, K. L., Huo, M., Kim, K. & Birditt, K. S. Coresident and noncoresident emerging adults’ daily experiences with parents. Emerg. Adulthood5, 337–350 (2017). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 180.Bayrakdar, S. & Coulter, R. Parents, local house prices, and leaving home in Britain. Popul. Space Place24, e2087 (2018). [Google Scholar]
- 181.Tomaszewski, W. et al. Young, anchored and free? Examining the dynamics of early housing pathways in Australia. J. Youth Stud.20, 904–926 (2017). [Google Scholar]
- 182.A. Dykstra, P. Living arrangements in later life. in Research Handbook on the Sociology of the Family (eds. Schneider, N. F. & Kreyenfeld, M.) (Edward Elgar Publishing, 2021). 10.4337/9781788975544.00021.
- 183.Nozawa, S. Similarities and variations in stepfamily dynamics among selected Asian societies. J. Fam. Issues41, 913–936 (2020). [Google Scholar]
- 184.Jean Yeung, W.-J. & Park, H. Growing up in one-parent families in Asia. Marriage Fam. Rev.52, 1–14 (2016). [Google Scholar]
- 185.Thapa, D. K., Visentin, D., Kornhaber, R. & Cleary, M. Migration of adult children and mental health of older parents ‘left behind’: an integrative review. PLOS ONE13, e0205665 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 186.Nauck, B. & Ren, Q. Coresidence in the transition to adulthood: the case of the United States, Germany, Taiwan, and Mainland China. Chin. Sociol. Rev.50, 443–473 (2018). [Google Scholar]
- 187.Olofsson, J., Sandow, E., Findlay, A. & Malmberg, G. Boomerang behaviour and emerging adulthood: moving back to the parental home and the parental neighbourhood in Sweden. Eur. J. Popul.36, 919–945 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 188.Burn, K. & Szoeke, C. Boomerang families and failure-to-launch: commentary on adult children living at home. Maturitas83, 9–12 (2016). [DOI] [PubMed] [Google Scholar]
- 189.Chen, Y.-J., Matsuoka, R. H. & Wang, H.-C. Intergenerational coresidence living arrangements of young adults with their parents in Taiwan: the role of filial Piety. J. Urban Manag.11, 437–449 (2022). [Google Scholar]
- 190.Liao, L. & Paweenawat, S. W. Alternative boomerang kids, intergenerational co-residence, and maternal labor supply. Rev. Econ. Househ.20, 609–634 (2022). [Google Scholar]
- 191.Layous, K., Lee, H., Choi, I. & Lyubomirsky, S. Culture matters when designing a successful happiness-increasing activity: a comparison of the United States and South Korea. J. Cross-Cult. Psychol.44, 1294–1303 (2013). [Google Scholar]
- 192.Schwartz, S. J. et al. Communalism, familism, and filial piety: are they birds of a collectivist feather? Cultur. Divers. Ethn. Minor. Psychol.16, 548–560 (2010). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 193.Künzi, K., Oesch, T. & Jäggi, J. Quantifizierung des Nutzens der Zeitvorsorge KISS. (2016).
- 194.Jansson, A., Karisto, A. & Pitkälä, K. Loneliness in assisted living facilities: an exploration of the group process. Scand. J. Occup. Ther.28, 354–365 (2021). [DOI] [PubMed] [Google Scholar]
- 195.Maurer-Fazio, M., Connelly, R., Chen, L. & Tang, L. Childcare, eldercare, and labor force participation of married women in Urban China, 1982–2000. J. Hum. Resour.46, 261–294 (2011). [Google Scholar]
- 196.Posadas, J. & Vidal-Fernandez, M. Grandparents’ childcare and female labor force participation. IZA J. Labor Policy2, 14 (2013). [Google Scholar]
- 197.Yeung, W.-J. J., Desai, S. & Jones, G. W. Families in Southeast and South Asia. Annu. Rev. Sociol.44, 469–495 (2018). [Google Scholar]
- 198.Hartanto, A., Lua, V. Y. Q., Quek, F. Y. X., Yong, J. C. & Ng, M. H. S. A critical review on the moderating role of contextual factors in the associations between video gaming and well-being. Comput. Hum. Behav. Rep.4, 100135 (2021). [Google Scholar]
- 199.Chen, Y.-R. R. & Schulz, P. J. The effect of information communication technology interventions on reducing social isolation in the elderly: a systematic review. J. Med. Internet Res.18, e18 (2016). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 200.Vriens, E. & Van Ingen, E. Does the rise of the Internet bring erosion of strong ties? Analyses of social media use and changes in core discussion networks. N. Media Soc.20, 2432–2449 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 201.Hartanto, A. et al. Cognitive, social, emotional, and subjective health benefits of computer use in adults: a 9-year longitudinal study from the Midlife in the United States (MIDUS). Comput. Hum. Behav.104, 106179 (2020). [Google Scholar]
- 202.Chopik, W. J. The benefits of social technology use among older adults are mediated by reduced loneliness. Cyberpsychol. Behav. Soc. Netw.19, 551–556 (2016). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 203.Murugan, Y., Nagarajan, P., Subrahmanyam, D. & Kattimani, S. Severity of loneliness, depression and perceived social support in adults in the empty nest stage of the family life cycle and the influence of using digital technology. Asian J. Psychiatry76, 103245 (2022). [DOI] [PubMed] [Google Scholar]
- 204.Tammisalo, K., Danielsbacka, M., Tanskanen, A. O. & Arpino, B. Social media contact with family members and happiness in younger and older adults. Comput. Hum. Behav.153, 108103 (2024). [Google Scholar]
- 205.Dai, R. & Pan, Z. A Virtual Companion Empty-Nest Elderly Dining System Based on Virtual Avatars. in 2021 IEEE 7th International Conference on Virtual Reality (ICVR) 446–451 (IEEE, Foshan, China, 2021). 10.1109/ICVR51878.2021.9483852.
- 206.Wang, Q. & Lan, Z. The primary research of control system on companion robot for the elderly. in 2016 International Conference on Advanced Robotics and Mechatronics (ICARM) 38–41 (IEEE, Macau, China, 2016). 10.1109/ICARM.2016.7606891.
- 207.Huang, T. What affects the acceptance and use of hotel service robots by elderly customers? Sustainability14, 16102 (2022). [Google Scholar]
- 208.Thangavel, G., Memedi, M. & Hedström, K. Customized information and communication technology for reducing social isolation and loneliness among older adults: scoping review. JMIR Ment. Health9, e34221 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.

