The Relationship between Loneliness and Academic Performance among Nursing Students: A Cross-sectional Study at Gonabad University of Medical Sciences

Document Type : Original Article

Authors

1 Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran.

2 Health & Medical Network, Shiraz University of Medical Sciences, Kazerun, Iran

3 Department of Epidemiology and Biostatistics, Faculty of Public Health, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran

4 Student Research Committe, Gonabad University of Medical Sciences, Gonabad, Iran

5 Department of Community Health Nursing and Management, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran

10.34172/jhad.1195

Abstract

Background: Loneliness is one of the common psychological challenges among medical students and can lead to issues such as class absenteeism and academic underperformance. This study aimed to examine the relationship between loneliness and academic performance among nursing students at Gonabad University of Medical Sciences.
Methods: This cross-sectional study was conducted in 2023 among 176 nursing students at Gonabad University of Medical Sciences, selected through stratified sampling based on academic term. The instruments used for data collection included a demographic questionnaire, students’ Grade Point Average (GPA) to assess academic performance, and the UCLA Loneliness Scale. The questionnaires were distributed after obtaining informed consent. Data were analyzed using R4.5.0 software.
Results: The mean age of the students was 21.36 ± 1.63 years. The relationship between loneliness and academic performance was statistically significant by gender (P value = 0.002), with a positive association in males (βloneliness = 0.007) and a negative association in females (βloneliness = -0.019). Furthermore, a significant relationship was observed between loneliness and academic performance by place of residence (P value = 0.001). Among non-dormitory students, the association was positive (βloneliness = 0.044), while among dormitory students, it was negative (βloneliness = -0.013).
Conclusion: This study revealed a nuanced relationship between loneliness and academic performance, varying by gender, academic term, and place of residence. Loneliness appears to influence men and women differently. Accordingly, men may exhibit resilience or even improved academic outcomes under loneliness, whereas women tend to experience decreased academic success. Moreover, loneliness among students in higher terms and those living in dormitories may contribute to poorer academic performance.

Keywords

Main Subjects


Elhageen AA. Effect of Interaction Between Parental Treatment Styles and Peer Relations in Classroom on the Feelings of Loneliness Among Deaf Children in Egyptian Schools [dissertation]. Egypt: Universität Tübingen; 2004.
Laali A. The power of predicting perceived parenting styles and demographic variables on girl student’s loneliness feeling. Fundamentals of Mental Health. 2008;10(37):71-8. doi: 10.22038/jfmh.2008.1778
Moridi M, Boroumandnasab M. The relationship between perfectionism and alexithymia with loneliness among nursing and midwifery Dezful Azad University students. Educ Dev Judishapur. 2018;8(4):436-44.
DiTommaso E, Brannen C, Best LA. Measurement and validity characteristics of the short version of the social and emotional loneliness scale for adults. Educ Psychol Meas. 2004;64(1):99-119. doi: 10.1177/0013164403258450
Alaviani M, Parvan R, Karimi F, Safiri S, Mahdavi N. Prevalence of loneliness and associated factors among Iranian college students during 2015. J Arch Mil Med. 2017;5(1):e42356. doi: 10.5812/jamm.42356
Diehl K, Jansen C, Ishchanova K, Hilger-Kolb J. Loneliness at universities: determinants of emotional and social loneliness among students. Int J Environ Res Public Health. 2018;15(9):1865. doi: 10.3390/ijerph15091865
Abbasi A. The examination of students mental health in Yassoj University of Medical Sciences and health services. Medicine and Spiritual Cultivation. 2001;10(43):34-8.
Heidari S, Maktabi G. The comparison of cultural intelligence, Angeles loneliness, academic burnout and mental health in master of art Ahwaz female native and non-native students. Journal of Woman Cultural Psychology. 2011;3(9):45-57.
Sadeghi Bahmani D, Faraji P, Faraji R, Lang UE, Holsboer-Trachsler E, Brand S. Is emotional functioning related to academic achievement among university students? Results from a cross-sectional Iranian sample. Braz J Psychiatry. 2018;40(3):290-5. doi: 10.1590/1516-4446-2017-2434
Zarei E, Heydari H, Adli M. The relationship between loneliness and social acceptance and the academic performance of students. J Life Sci Biomed. 2013;3(2):171-5.
Jefferson R, Barreto M, Jones F, Conway J, Chohan A, Madsen KR, et al. Adolescent loneliness across the world and its relation to school climate, national culture and academic performance. Br J Educ Psychol. 2023;93(4):997-1016. doi: 10.1111/bjep.12616
So ES, Park BM. Health behaviors and academic performance among Korean adolescents. Asian Nurs Res (Korean Soc Nurs Sci). 2016;10(2):123-7. doi: 10.1016/j.anr.2016.01.004
Emamipur S, Seif A. Examinated students thinking style change and its relationship with creativity and achievement. Journal of Educational Innovations. 2003;2(3):35-57.
Ghadampour E, Farhadi A, Naghibeiranvand F. The relationship among academic burnout, academic engagement and performance of students of Lorestan University of Medical Sciences. Res Med Educ. 2016;8(2):60-8. doi: 10.18869/acadpub.rme.8.2.60
Dube MB, Mlotshwa PR. Factors influencing enrolled nursing students’ academic performance at a selected private nursing education institution in KwaZulu-Natal. Curationis. 2018;41(1):e1-7. doi: 10.4102/curationis.v41i1.1850
Abbasi M, Dargahi S, Mohammad Alipor Z, Mehrabi A. The role of student stressors in predicting procrastination and academic burnout among nursing students. Iran J Med Educ. 2015;15:293-303.
Eghbalian M, Akbari H, Norozi M, Nasab H, Karamali M, Imani M, et al. Investigation of factors related to body mass index among military personnel using the GLMMtree model in Tehran. J Mil Med. 2024;26(4):2430-8. doi: 10.30491/jmm.2024.1006680.1185
Parizad N, Radfar M, Yarmohammadi M, Alinejad V. Smartphone addiction and its relationship with loneliness, fear of missing out, and academic performance among students of Urmia University of Medical Sciences. Nurs Midwifery J. 2022;20(1):43-54. doi: 10.52547/unmf.20.1.43
Russell D, Peplau LA, Cutrona CE. The revised UCLA Loneliness Scale: concurrent and discriminant validity evidence. J Pers Soc Psychol. 1980;39(3):472-80. doi: 10.1037//0022-3514.39.3.472
Davarpanah F. Normalization of the Revised UCLA Loneliness Scale for Girls Aged 12-18 in Tehran [dissertation]. Tehran: Allameh Tabataba’i University; 1993. [Persian].
Voyer D, Voyer SD. Gender differences in scholastic achievement: a meta-analysis. Psychol Bull. 2014;140(4):1174-204. doi: 10.1037/a0036620
Duckworth AL, Seligman ME. Self-discipline gives girls the edge: gender in self-discipline, grades, and achievement test scores. J Educ Psychol. 2006;98(1):198-208. doi: 10.1037/0022-0663.98.1.198
Abbaspour S, Abbasi Asfjir AA, Rahmani Firoozjah A. Meta-analysis of studies on dormitory life in Iran. Iran J Educ Sociol. 2021;4(3):148-58.
de Araujo P, Murray J. Effects of Dormitory Living on Student Performance. 2010. Available from: https://ssrn.com/abstract = 1569532.
McCartney S, Rosenvasser X. Not your parents’ dorm room: changes in universities’ residential housing privacy levels and impacts on student success. Sage Open. 2023;13(2):21582440231178540. doi: 10.1177/21582440231178540
Bek H. Understanding the effect of loneliness on academic participation and success among international university students. J Educ Pract. 2017;8(14):46-50.
Anam MK, Hitipeuw I. The correlation between loneliness and academic procrastination among psychology students at State University of Malang. In: International Conference of Psychology 2021 (ICoPsy 2021). KnE Social Sciences; 2021. p. 323-32. doi: 10.18502/kss.v7i1.10221
Mizani H, Cahyadi A, Hendryadi H, Salamah S, Retno Sari S. Loneliness, student engagement, and academic achievement during emergency remote teaching during COVID-19: the role of the God locus of control. Humanit Soc Sci Commun. 2022;9(1):305. doi: 10.1057/s41599-022-01328-9
Zahedi H, Sahebihagh MH, Sarbakhsh P. The magnitude of loneliness and associated risk factors among university students: a cross-sectional study. Iran J Psychiatry. 2022;17(4):411-7. doi: 10.18502/ijps.v17i4.10690
Liu H, Zhang M, Yang Q, Yu B. Gender differences in the influence of social isolation and loneliness on depressive symptoms in college students: a longitudinal study. Soc Psychiatry Psychiatr Epidemiol. 2020;55(2):251-7. doi: 10.1007/s00127-019-01726-6
Karimkhodjaeva SK, Mardonova FI, Yuldasheva FU. Negative impact of living conditions in a hostel on students. British Journal of Global Ecology and Sustainable Development. 2025;37:13-7.
Nadhilah A, Jati SN, Visyastuti V. A comparative study of loneliness from psychological well-being as predictor of mental health students living in dormitories: a cross cultural study. Jurnal Psikologi Tabularasa. 2024;19(2):113-24. doi: 10.26905/jpt.v19.i2.13248