Evidence map›Paper›PMID 41406141›Full record

ArticlePloS one2025

Identifying daily-living features related to loneliness: A causal machine learning approach.

Yuning Wang, Jennifer Auxier, Mark Amayag, Iman Azimi, Amir M Rahmani, Pasi Liljeberg, Anna Axelin

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yuning WangUniversity of Turku, Department of Computing, Turku, Finland.ORCID https://orcid.org/0000-0001-7351-6866
Jennifer AuxierUniversity of British Columbia, Vancouver, British Columbia, Canada.
Mark AmayagUniversity of Turku, Department of Nursing Science, Turku, Finland.ORCID https://orcid.org/0009-0009-8490-3058
Iman AzimiUniversity of California, Department of Computer Science, Irvine, California, United States of America.
Amir M RahmaniUniversity of California, Department of Computer Science, Irvine, California, United States of America.
Pasi LiljebergUniversity of Turku, Department of Computing, Turku, Finland.ORCID https://orcid.org/0000-0002-9392-3589
Anna AxelinUniversity of Turku, Department of Nursing Science, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLoneliness is a distressing feeling that influences well-being. Immigrants' experience of acculturation to a new dominant culture places them at risk for maladaptive behaviors and daily rhythms leading to loneliness. Identifying daily-living features that causally influence loneliness is essential for developing effective preventive mental health screening.

objectiveTo identify the important daily living-features related to loneliness for the development of robust screening solutions using causal machine learning for health providers working with first-generation immigrants.

methodsWe monitored 39 immigrants in Finland for 28 days using mobile devices and wearables under free-living conditions. Data included ecological momentary assessments of loneliness, social interactions, physical activity, sleep, and cardiac features. We estimated the average treatment effect (ATE) of each daily-living feature (treatment variable) on loneliness scores (outcome) and validated the robustness of causal estimates using three refutation techniques.

resultsOur results reveal the ATE of various daily-living features on loneliness. Features such as longer outgoing call durations (ATE = 0.197, p < 0.001), higher LF/HF ratio (ATE = 0.129, p < 0.0001), higher respiratory rate (ATE = 0.144, p < 0.001), and increased inactivity (ATE = 0.130, p < 0.001) causally increased loneliness. Conversely, certain features exhibit negative ATEs, such as higher activity calories (ATE = -0.174, p < 0.001), sleep RMSSD (ATE = -0.128, p < 0.001), longer home duration (ATE = -0.107, p < 0.001), and more sleep time (ATE = -0.103, p < 0.001) mitigated loneliness.

conclusionsDaily-living features, including social interactions, activity, sleep, and cardiac features, causally influence loneliness. Our findings provide a basis for loneliness screening targeting immigrant populations. Future work should refine the measurement and incorporate contextual information to establish more reliable causal links in real life.

Indexed as

Activities of Daily LivingEmigrants and ImmigrantsLonelinessMachine LearningAdultExerciseFemaleFinlandHumansMaleMiddle AgedSleepSocial Interaction

Identifiers

PMID41406141
PMCPMC12711064

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.