Current Psychology

, Volume 37, Issue 1, pp 295–301 | Cite as

Direct and Indirect Effects of Family Functioning on Loneliness of Elderly Chinese Individuals

  • Guangya Zhou
  • Yanhua Wang
  • Xiaobo YuEmail author


Loneliness has particularly significant effect on the quality of life of elderly individuals. In this study, we examined the direct and indirect effects of social support on loneliness in elderly respondents. A total of 388 people, aged 60–65 years with a mean of 62.44 (SD = 1.82), completed questionnaires measuring family functioning, social support, and loneliness. Structural equation modeling results showed that social support partially mediated the relationship between family functioning and loneliness, and bootstrap estimation procedure and subsequent analyses indicated that the indirect effect of social support on the relationship between family functioning and loneliness of elderly individuals is significant. In short, we found that family-functioning and social support play significant roles in helping older Chinese individuals overcome their high risk of loneliness.


Family functioning Loneliness Social support Elderly 


Compliance with Ethical Standards

Guangya Zhou declares that he has no conflict of interest.

Yanhua Wang declares that she has no conflict of interest.

Xiaobo Yu declares that he has no conflict of interest.


  1. Anderson, J. C., & Gerbing, D. W. (1988). Structural equation modeling in practice: a review and recommended two-step approach. Psychological Bulletin, 103(3), 411.CrossRefGoogle Scholar
  2. Andrade, F. B. D., Caldas Junior, A. D. F., Kitoko, P. M., & Zandonade, E. (2011). The relationship between nutrient intake, dental status and family cohesion among older Brazilians. Cadernos de Saúde Pública, 27(1), 113–122.CrossRefPubMedGoogle Scholar
  3. Antonucci, T. C., & Akiyama, H. (1987). Social networks in adult life and a preliminary examination of the convoy model. Journal of Gerontology, 42(5), 519–527.CrossRefPubMedGoogle Scholar
  4. Asher, S. R., & Weeks, M. S. (2014). Loneliness and belongingness in the college years. The Handbook of Solitude: Psychological Perspectives on Social Isolation, Social Withdrawal, and Being Alone, 283–301. doi: 10.1002/9781118427378.
  5. Aylaz, R., Aktürk, Ü., Erci, B., Öztürk, H., & Aslan, H. (2012). Relationship between depression and loneliness in elderly and examination of influential factors. Archives of Gerontology and Geriatrics, 55(3), 548–554.CrossRefPubMedGoogle Scholar
  6. Bandura, A., Caprara, G. V., Barbaranelli, C., Regalia, C., & Scabini, E. (2011). Impact of family efficacy beliefs on quality of family functioning and satisfaction with family life. Applied Psychology, 60(3), 421–448.CrossRefGoogle Scholar
  7. Biegel, D. E., Magaziner, J., & Baum, M. (1991). Social support networks of white and black elderly people at risk for institutionalization. Health & Social Work, 16(4), 245–257. doi: 10.1093/hsw/16.4.245.CrossRefGoogle Scholar
  8. Cao, X., Jiang, X., Li, X., Lo, M.-c. J. H., & Li, R. (2013). Family functioning and its predictors among disaster bereaved individuals in China: eighteen months after the Wenchuan earthquake. PloS One, 8(4), e60738.Google Scholar
  9. Chao, R. K. (2001). Extending research on the consequences of parenting style for Chinese Americans and European Americans. Child Development, 72(6), 1832–1843.CrossRefPubMedGoogle Scholar
  10. Chou, K.-L. (2000). Assessing Chinese adolescents’ social support: the multidimensional scale of perceived social support. Personality and Individual Differences, 28(2), 299–307.CrossRefGoogle Scholar
  11. Collins, P. Y., Patel, V., Joestl, S. S., March, D., Insel, T. R., Daar, A. S., & Fairburn, C. (2011). Grand challenges in global mental health. Nature, 475(7354), 27–30.CrossRefPubMedPubMedCentralGoogle Scholar
  12. Coyle, C. E., & Dugan, E. (2012). Social isolation, loneliness and health among older adults. Journal of Aging and Health, 24(8), 1346–1363.CrossRefPubMedGoogle Scholar
  13. Crea, T., Chan, K., & Barth, R. (2014). Family environment and attention-deficit/hyperactivity disorder in adopted children: associations with family cohesion and adaptability. Child: Care, Health and Development, 40(6), 853–862.Google Scholar
  14. Dong, X., Simon, M. A., Gorbien, M., Percak, J., & Golden, R. (2007). Loneliness in older Chinese adults: a risk factor for elder mistreatment. Journal of the American Geriatrics Society, 55(11), 1831–1835.CrossRefPubMedGoogle Scholar
  15. Du, N., Ran, M.-S., Liang, S.-g., SiTu, M.-j., Huang, Y., Mansfield, A. K., & Keitner, G. (2014). Comparison of family functioning in families of depressed patients and nonclinical control families in China using the family assessment device and the family adaptability and cohesion evaluation scales II. Annals of Clinical Psychiatry, 26(1), 47–56.PubMedGoogle Scholar
  16. Engstrom, I. (1999). Inflammatory bowel disease in children and adolescents: mental health and family functioning. Journal of Pediatric Gastroenterology and Nutrition, 28(4), S28–S33.CrossRefPubMedGoogle Scholar
  17. Fokkema, T., De Jong Gierveld, J., & Dykstra, P. A. (2012). Cross-national differences in older adult loneliness. The Journal of Psychology, 146(1–2), 201–228.CrossRefPubMedGoogle Scholar
  18. Herring, S., Gray, K., Taffe, J., Tonge, B., Sweeney, D., & Einfeld, S. (2006). Behaviour and emotional problems in toddlers with pervasive developmental disorders and developmental delay: associations with parental mental health and family functioning. Journal of Intellectual Disability Research, 50(12), 874–882.CrossRefPubMedGoogle Scholar
  19. Holmén, K., & Furukawa, H. (2002). Loneliness, health and social network among elderly people—a follow-up study. Archives of Gerontology and Geriatrics, 35(3), 261–274.CrossRefPubMedGoogle Scholar
  20. Holtom-Viesel, A., & Allan, S. (2014). A systematic review of the literature on family functioning across all eating disorder diagnoses in comparison to control families. Clinical Psychology Review, 34(1), 29–43.CrossRefPubMedGoogle Scholar
  21. Holwerda, T. J., Deeg, D. J., Beekman, A. T., van Tilburg, T. G., Stek, M. L., Jonker, C., & Schoevers, R. A. (2014). Feelings of loneliness, but not social isolation, predict dementia onset: results from the Amsterdam study of the elderly (AMSTEL). Journal of Neurology, Neurosurgery & Psychiatry, 85(2), 135–142.CrossRefGoogle Scholar
  22. Hombrados-Mendieta, I., García-Martín, M. A., & Gómez-Jacinto, L. (2013). The relationship between social support, loneliness, and subjective well-being in a Spanish sample from a multidimensional perspective. Social Indicators Research, 114(3), 1013–1034.CrossRefGoogle Scholar
  23. Hu, L. t., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.CrossRefGoogle Scholar
  24. Knutson, K., & Woszidlo, A. (2014). The associations between family disengagement, support, loneliness, and stress in young adults attending college. Family Science, 5(1), 20–29.CrossRefGoogle Scholar
  25. Kong, F., & You, X. (2013). Loneliness and self-esteem as mediators between social support and life satisfaction in late adolescence. Social Indicators Research, 110(1), 271–279.CrossRefGoogle Scholar
  26. Lou, V. W., & Ng, J. W. (2012). Chinese older adults’ resilience to the loneliness of living alone: a qualitative study. Aging & Mental Health, 16(8), 1039–1046.CrossRefGoogle Scholar
  27. Luo, Y., Hawkley, L. C., Waite, L. J., & Cacioppo, J. T. (2012). Loneliness, health, and mortality in old age: a national longitudinal study. Social Science & Medicine, 74(6), 907–914.CrossRefGoogle Scholar
  28. MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004). Confidence limits for the indirect effect: distribution of the product and resampling methods. Multivariate Behavioral Research, 39(1), 99–128.CrossRefPubMedPubMedCentralGoogle Scholar
  29. Olson, D. H., Sprenkle, D. H., & Russell, C. S. (1979). Circumplex model of marital and family systems: I. Cohesion and adaptability dimensions, family types, and clinical applications. Family Process, 18(1), 3–28.CrossRefPubMedGoogle Scholar
  30. Pehlivan, S., Ovayolu, O., Ovayolu, N., Sevinc, A., & Camci, C. (2012). Relationship between hopelessness, loneliness, and perceived social support from family in Turkish patients with cancer. Supportive Care in Cancer, 20(4), 733–739.CrossRefPubMedGoogle Scholar
  31. Peng, J., He, F., Zhang, Y., Liu, Q., Miao, D., & Xiao, W. (2013a). Differences in simulated doctor and patient medical decision making: a construal level perspective. PloS One, 8(11), e79181.Google Scholar
  32. Peng, J., Jiang, X., Zhang, J., Xiao, R., Song, Y., Feng, X., & Miao, D. (2013b). The impact of psychological capital on job burnout of Chinese nurses: the mediator role of organizational commitment. PloS One, 8(12), e84193.CrossRefPubMedPubMedCentralGoogle Scholar
  33. Perissinotto, C. M., Cenzer, I. S., & Covinsky, K. E. (2012). Loneliness in older persons: a predictor of functional decline and death. Archives of Internal Medicine, 172(14), 1078–1084.CrossRefPubMedPubMedCentralGoogle Scholar
  34. Popp, J. M., Robinson, J. L., Britner, P. A., & Blank, T. O. (2014). Parent adaptation and family functioning in relation to narratives of children with chronic illness. Journal of Pediatric Nursing, 29(1), 58–64.CrossRefPubMedGoogle Scholar
  35. Prince, M. J., Harwood, R. H., Blizard, R., Thomas, A., & Mann, A. H. (1997). Social support deficits, loneliness and life events as risk factors for depression in old age. The gospel oak project VI. Psychological Medicine, 27(02), 323–332.CrossRefPubMedGoogle Scholar
  36. Rodick, J. D., Henggeler, S. W., & Hanson, C. L. (1986). An evaluation of the family adaptability and cohesion evaluation scales and the circumplex model. Journal of Abnormal Child Psychology, 14(1), 77–87.CrossRefPubMedGoogle Scholar
  37. Rook, K. S. (1984). Research on social support, loneliness, and social isolation: toward an integration. Review of Personality & Social Psychology, 5, 239–264.Google Scholar
  38. Schirmer, W., & Michailakis, D. (2015). The lost Gemeinschaft: how people working with the elderly explain loneliness. Journal of Aging Studies, 33, 1–10.CrossRefPubMedGoogle Scholar
  39. Segrin, C., & Domschke, T. (2011). Social support, loneliness, recuperative processes, and their direct and indirect effects on health. Health Communication, 26(3), 221–232.CrossRefPubMedGoogle Scholar
  40. Shankar, A., McMunn, A., Banks, J., & Steptoe, A. (2011). Loneliness, social isolation, and behavioral and biological health indicators in older adults. Health Psychology, 30(4), 377–385.CrossRefPubMedGoogle Scholar
  41. Sharabi, A., Levi, U., & Margalit, M. (2012). Children's loneliness, sense of coherence, family climate, and hope: developmental risk and protective factors. The Journal of Psychology, 146(1–2), 61–83.CrossRefPubMedGoogle Scholar
  42. Shaver, P. R., & Brennan, K. A. (1991). Measures of depression and loneliness. Measures of Personality and Social Psychological Attitudes, 1, 195–290.CrossRefGoogle Scholar
  43. Steptoe, A., Shankar, A., Demakakos, P., & Wardle, J. (2013). Social isolation, loneliness, and all-cause mortality in older men and women. Proceedings of the National Academy of Sciences, 110(15), 5797–5801.CrossRefGoogle Scholar
  44. Tian, Q. (2014). Intergeneration social support affects the subjective well-being of the elderly: mediator roles of self-esteem and loneliness. Journal of Health Psychology, 1359105314547245. doi: 10.1177/1359105314547245.
  45. Tilvis, R., Routasalo, P., Karppinen, H., Strandberg, T., Kautiainen, H., & Pitkala, K. (2012). Social isolation, social activity and loneliness as survival indicators in old age; a nationwide survey with a 7-year follow-up. European Geriatric Medicine, 3(1), 18–22.CrossRefGoogle Scholar
  46. Wang, D. (2006). China's urban and rural old age security system: challenges and options. China & World Economy, 14(1), 102–116.CrossRefGoogle Scholar
  47. Wang, X. (2014). Subjective well-being associated with size of social network and social support of elderly. Journal of Health Psychology, 1359105314544136. doi: 10.1177/1359105314544136.
  48. Wang, J., & Zhao, X. (2012). Family functioning and social support for older patients with depression in an urban area of shanghai, China. Archives of Gerontology and Geriatrics, 55(3), 574–579.CrossRefPubMedGoogle Scholar
  49. Wang, X., Cai, L., Qian, J., & Peng, J. (2014). Social support moderates stress effects on depression. International Journal of Mental Health Systems, 8(1), 1–5.Google Scholar
  50. Wittenberg, M. T., & Reis, H. T. (1986). Loneliness, social skills, and social perception. Personality and Social Psychology Bulletin, 12(1), 121–130. doi: 10.1177/0146167286121012.CrossRefGoogle Scholar
  51. Yu, J., Li, J., Cuijpers, P., Wu, S., & Wu, Z. (2012). Prevalence and correlates of depressive symptoms in Chinese older adults: a population-based study. International Journal of Geriatric Psychiatry, 27(3), 305–312.CrossRefPubMedGoogle Scholar
  52. Yu, X., Zhou, Z., Fan, G., Yu, Y., & Peng, J. (2016). Collective and individual self-esteem mediate the effect of self-Construals on subjective well-being of undergraduate students in China. Applied Research in Quality of Life, 11(1), 209–219.Google Scholar
  53. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30–41.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.School of EducationAnyang Normal UniversityAnyangChina
  2. 2.School of EducationHenan UniversityKaifengChina

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