Loneliness in adolescence and prescription of psychotropic drugs in adulthood: 23-year longitudinal population-based and registry study.

Journal: BJPsych open

Volume: 10

Issue: 2

Year of Publication: 

Affiliated Institutions:  Department of Psychology, Norwegian University of Science and Technology (NTNU), Norway; and PROMENTA Research Center, Department of Psychology, University of Oslo, Norway. Institute for Clinical Medicine, UiT - The Arctic University of Norway, Norway. PROMENTA Research Center, Department of Psychology, University of Oslo, Norway; and Norwegian Social Research (NOVA), OsloMet - Oslo Metropolitan University, Norway. Section for Clinical Addiction Research, Division of Mental Health and Addiction, Oslo University Hospital, Norway. Institute for Clinical Medicine, UiT - The Arctic University of Norway, Norway; Department of Alcohol, Tobacco and Drugs, Norwegian Institute of Public Health, Trondheim, Norway; and Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Hamar, Norway.

Abstract summary 

The role of adolescent loneliness in adult mental health and prescriptions of psychotropic drugs remains underexplored.We aim to determine whether (a) experiencing loneliness in adolescence and (b) changes in loneliness from adolescence to adulthood are prospectively associated with prescriptions for a variety of psychotropic drugs in adulthood.We used data from a Norwegian population-based sample with 2602 participants, collected across four waves between 1992 and 2006. Loneliness was assessed at each wave, with survey data linked to medicinal drug prescription records from the Norwegian Prescription Database. We identified prescription histories of antipsychotics, mood stabilisers, antidepressants and benzodiazepines from 2007 to 2015, for each participant. We use latent growth curve analyses to model the relationship of adolescent loneliness and loneliness change from adolescence to adulthood, with subsequent psychotropic drugs prescription.Adolescents with heightened loneliness, and adolescents whose loneliness increased into young adulthood, had a greater likelihood of being prescribed antipsychotics, mood stabilisers and antidepressants in adulthood. These associations remained significant after adjustment for confounders such as sociodemographic characteristics, conduct problems, substance use and mental health problems.Loneliness in adolescence and its adverse development over a span of 15 years was linked to higher risk of receiving prescriptions for antipsychotics, mood stabilisers and antidepressants later in life. The findings may indicate that loneliness increases the risk for developing psychotic disorders, bipolar disorders and major depression.

Authors & Co-authors:  Rodríguez-Cano Lotre von Soest Rognli Bramness

Study Outcome 

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Statistics
Citations :  Peplau LA, Perlman D. Perspectives on loneliness. In Loneliness: A Sourcebook of Current Theory, Research and Therapy (eds Peplau LA, Perlman D): 1–18. Wiley, 1982.
Authors :  5
Identifiers
Doi : e61
SSN : 2056-4724
Study Population
Male,Female
Mesh Terms
Other Terms
Loneliness trajectories;bipolar disorder;drug prescriptions;mental disorders;psychotic disorders
Study Design
Study Approach
Country of Study
Publication Country
England