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. 2025 Apr 7;60(9):2223–2235. doi: 10.1007/s00127-025-02888-2

Table 2.

The association of loneliness in adolescence with anxiety and depression in young adulthood

Loneliness Total N (%) Model I
OR (95% CI)
Model II
OR (95% CI)
Model III
OR (95% CI)
Anxiety (HADS-A)
No 906 182 (20) Ref Ref Ref
Sometimes 325 111 (34.2) 2.0 (1.5–2.65) 1.54 (1.14–2.1) 1.51 (1.11–2.06)
Often 68 32 (47) 3.53 (2.13–5.86) 2.52 (1.47–4.34) 2.38 (1.37–4.13)
Very often 56 28 (50) 3.71 (2.13–6.47) 2.42 (1.32–4.45) 2.28 (1.23–4.23)
Depression (HADS-D)
No 905 63 (7) Ref Ref Ref
Sometimes 325 41 (12.6) 1.99 (1.31–3.04) 1.34 (0.84–2.14) 1.26 (0.78–2.01)
Often 68 15 (22) 4.18 (2.21–7.92) 2.45 (1.2–4.99) 2.08 (1.01–4.29)
Very often 57 12 (21) 3.61 (1.8–7.25) 1.45 (0.64–3.3) 1.25 (0.54–2.87)
Anxiety and Depression (HADS T)
No 911 48 (5.3) Ref Ref Ref
Sometimes 329 37 (11.2) 2.24 (1.42–3.53) 1.5 (0.9–2.49) 1.43 (0.86–2.38)
Often 68 11 (16.2) 3.71 (1.81–7.59) 2.39 (1.08–5.26) 2.08 (0.93–4.64)
Very often 57 12 (21.1) 4.44 (2.18–9.05) 2.25 (0.99–5.12) 1.98 (0.86–4.56)

Note CI, confidence interval; HADS-T, Total Hospital Anxiety and Depression scale; OR, odds ratio

HADS-A scale ≥ 8

HADS-D scale ≥ 8

HADS-T scale ≥ 19

Model I adjusted for age, gender

Model II adjusted for age, gender, relationship with family, SES, school satisfaction, and self-esteem at baseline. Model III additionally adjusted for resilience as a continuous variable