Loneliness and Self-Esteem in Children and Adolescents Affected by Parental HIV: A 3-Year Longitudinal Study

Appl Psychol Health Well Being. 2019 Mar;11(1):3-19. doi: 10.1111/aphw.12139. Epub 2018 Sep 9.

Abstract

Background: Sociometer theory posits that self-esteem is a subjective monitor of the quality of one's interpersonal relationships. When people feel excluded by others, they may have negative relational evaluation about themselves-low self-esteem. In the present study, we hypothesised and tested that feelings of loneliness among children and adolescents affected by parental HIV would decrease their self-esteem over time; moreover, low self-esteem would intensify feelings of loneliness.

Methods: We utilised longitudinal data from a sample of children and adolescents affected by parental HIV to estimate the reciprocal effects between self-esteem and loneliness over time. The sample included 195 children and early adolescents affected by parental HIV (age range 7-15, Mage = 10.62, 82 females) who served as a control group in a large intervention study on psychological well-being. Seven waves of longitudinal panel data were collected from participants in three years.

Results: In cross-lagged panel models that tested the reciprocal effects of loneliness and self-esteem, loneliness predicted decreased levels of self-esteem over time; in addition, low self-esteem predicted increased levels of loneliness over time.

Conclusions: These findings support sociometer theory and suggest that loneliness is a risk factor for children's and adolescents' self-esteem. The implications for improving vulnerable children's and adolescents' psychological well-being are discussed.

Keywords: HIV; adolescents; children; loneliness; self-esteem; sociometer theory.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child of Impaired Parents / psychology*
  • Female
  • HIV Infections / psychology*
  • Humans
  • Loneliness / psychology*
  • Longitudinal Studies
  • Male
  • Psychological Theory
  • Self Concept*