Dergiler / Türk Psikolojik Danışma ve Rehberlik Dergisi / 2026 / Volume: 16 Issue: 80

Loneliness and Insomnia: Problematic Internet Use and Psychological Distress as Serial Mediators

Berkan Can Kara(YILDIZ TECHNICAL UNIVERSITY)0000-0001-7459-679X
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Yayın Tarihi
2026-03-27
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The findings of this study point to a multidimensional mechanism underlying the onset and maintenance of insomnia.

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Amaç & Hipotez:Insomnia is a significant problem that has detrimental effects on both mental and physical health.
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Temel Bulgular & Veri:The study sample consisted of 546 adults (69.41% female, Mage=29.99 years, SD=8.37) from various occupational backgrounds residing in Türkiye, aged between 18 and 55.
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Sonuç & Katkı:The findings of this study point to a multidimensional mechanism underlying the onset and maintenance of insomnia.
🔬Tür:Modelleme & Sayısal Simülasyon
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Loneliness · Problematic İnternet Use · Psychological distress

Abstract

Insomnia is a significant problem that has detrimental effects on both mental and physical health. Therefore, it is important to identify the factors associated with it. The present cross-sectional study investigates the mediating roles of problematic internet use (PIU) and psychological distress in the relationship between loneliness and insomnia. The study sample consisted of 546 adults (69.41% female, Mage=29.99 years, SD=8.37) from various occupational backgrounds residing in Türkiye, aged between 18 and 55. Participants completed a Demographic Information Form, the Kessler Psychological Distress Scale, the Problematic Internet Use Scale, and the UCLA Loneliness Scale. Pearson correlation analysis was conducted to examine the associations among the variables. The hypothesized mediation model was tested using a two-step structural equation modeling (SEM) approach. The results of the multiple serial mediation analysis showed that PIU and psychological distress fully mediated the relationship between loneliness and insomnia. In other words, loneliness is associated with higher levels of problematic internet use, which is linked to increased psychological distress, which in turn is linked to increased insomnia severity. Therefore, it is recommended that preventive and intervention efforts aimed at reducing insomnia focus on loneliness, PIU, and psychological distress. The findings of this study point to a multidimensional mechanism underlying the onset and maintenance of insomnia.

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Bu Makaleye Atıf Yap

Kara, B. C., *, B. C. K. (2026). Loneliness and Insomnia: Problematic Internet Use and Psychological Distress as Serial Mediators. Türk Psikolojik Danışma ve Rehberlik Dergisi, Volume: 16 Issue: 80. https://doi.org/10.17066/tpdrd.1746263

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Kaynakça (60)

  1. Ahadi, B., & Hassani, B. (2021). Loneliness and quality of life in older adults: The mediating role of depression. Ageing International, 46(3), 337-350. https://doi.org/10.1007/s12126-021-09408-y
  2. Alattar, M., Harrington, J. J., Mitchell, C. M., & Sloane, P. (2007). Sleep problems in primary care: a North Carolina family practice research network study. The Journal of the American Board of Family Medicine, 20(4), 365-374. https://doi.org/10.3122/jabfm.2007.04.060153
  3. Alfano, C. A., Reynolds, K., Scott, N., Dahl, R. E., & Mellman, T. A. (2013). Polysomnographic sleep patterns of non-depressed, non-medicated children with generalized anxiety disorder. Journal of Affective Disorders, 147(1-3), 379-384. https://doi.org/10.1016/j.jad.2012.08.015
  4. Altun, Y., Özen, M., & Kuloğlu, M. M. (2019). Psikolojik Sıkıntı Ölçeğinin Türkçe uyarlaması: Geçerlilik ve güvenilirlik çalışması. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi, 20. https://doi.org/10.5455/apd.12801
  5. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
  6. Baglioni, C., Battagliese, G., Feige, B., Spiegelhalder, K., Nissen, C., Voderholzer, U.,. & Riemann, D. (2011). Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. Journal of Affective Disorders, 135(1-3), 10-19. https://doi.org/10.1016/j.jad.2011.01.011
  7. Bastien, C. H., Vallières, A., & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297-307. https://doi.org/10.1016/S1389-9457(00)00065-4
  8. Block, J. J. (2008). Issues for DSM-V: Internet addiction. American Journal of Psychiatry, 165(3), 306-307. https://doi.org/10.1176/appi.ajp.2007.07101556
  9. Boysan, M., Güleç, M., Beşiroğlu, L. ve Kalafat, T. (2010). Uykusuzluk Şiddeti İndeksi’nin Türk örneklemindeki psikometrik özellikleri. Anadolu Psikiyatri Dergisi, 11, 248-252.
  10. Cacioppo, J. T., & Hawkley, L. C. (2003). Social isolation and health, with an emphasis on underlying mechanisms. Perspectives in Biology and Medicine, 46(3), S39-S52. https://doi.org/10.1353/pbm.2003.0049
  11. Cacioppo, J. T., Hawkley, L. C., Berntson, G. G., Ernst, J. M., Gibbs, A. C., Stickgold, R., & Hobson, J. A. (2002). Do lonely days invade the nights? Potential social modulation of sleep efficiency. Psychological Science, 13(4), 384-387. https://doi.org/10.1111/1467-9280.0046
  12. Cacioppo, S., Capitanio, J. P., & Cacioppo, J. T. (2014). Toward a neurology of loneliness. Psychological Bulletin, 140(6), 1464.
  13. Caplan, S. E. (2005). A social skill account of problematic Internet use. Journal of Communication, 55(4), 721-736. https://doi.org/10.1111/j.1460-2466.2005.tb03019.x
  14. Chang, A. M., Aeschbach, D., Duffy, J. F., & Czeisler, C. A. (2015). Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness. Proceedings of the National Academy of Sciences, 112(4), 1232-1237. https://doi.org/10.1073/pnas.1418490112
  15. Cortina, J. M. (1993). What is coefficient alpha? An examination of theory and applications. Journal of Applied Psychology, 78(1), 98. https://doi.org/10.1037/0021-9010.78.1.98
  16. Demetrovics, Z., Király, O., Koronczai, B., Griffiths, M. D., Nagygyörgy, K., Elekes, Z.,. & Urbán, R. (2016). Psychometric properties of the Problematic Internet Use Questionnaire Short-Form (PIUQ-SF-6) in a nationally representative sample of adolescents. PloS One, 11(8), e0159409. https://doi.org/10.1371/journal.pone.0159409
  17. Doğan, T., Çötok, N. A. ve Tekin, E. G. (2011). Reliability and validity of the Turkish version of the UCLA Loneliness Scale (ULS-8) among university students. Procedia - Social and Behavioral Sciences, 15, 2058-2062. https://doi.org/10.1016/j.sbspro.2011.04.053
  18. Drapeau, A., Marchand, A., & Beaulieu-Prévost, D. (2012). Epidemiology of psychological distress. Mental Illnesses-Understanding, Prediction and Control, 69(2), 105-106.
  19. Fan, Z., Chen, M., & Lin, Y. (2022). Self-control and problematic internet use in college students: the chain mediating effect of rejection sensitivity and loneliness. Psychology Research and Behavior Management, 459-470. https://doi.org/10.2147/PRBM.S352060
  20. Fu, C., Li, C., Zheng, X., Wei, Z., Zhang, S., Wei, Z.,. & Hu, J. (2024). Relationship between personality and adolescent depression: the mediating role of loneliness and problematic internet use. BMC Psychiatry, 24(1), 683. https://doi.org/10.1186/s12888-024-06131-1
  21. George, D., & Mallery, P. (2024). IBM SPSS statistics 29 step by step: A simple guide and reference. Routledge.
  22. Göktaş, S., Aygar, H., Zencirci, S. A., Önsüz, M. F., Alaiye, M., & Metintaş, S. (2018). Problematic internet use questionaire-short form-6 (PIUQ-SF 6): a validity and reliability study in Turkey. International Journal of Research in Medical Sciences, 6(7), 2354-2360. https://doi.org/10.18203/2320-6012.ijrms20182816
  23. Griffin, S. C., Williams, A. B., Ravyts, S. G., Mladen, S. N., & Rybarczyk, B. D. (2020). Loneliness and sleep: A systematic review and meta-analysis. Health Psychology Open, 7(1), 2055102920913235. https://doi.org/10.1177/2055102920913235
  24. Hawkley, L. C., & Cacioppo, J. T. (2010). Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine, 40(2), 218-227. https://doi.org/10.1007/s12160-010-9210-8
  25. Hertenstein, E., Feige, B., Gmeiner, T., Kienzler, C., Spiegelhalder, K., Johann, A.,. & Baglioni, C. (2019). Insomnia as a predictor of mental disorders: a systematic review and meta-analysis. Sleep Medicine Reviews, 43, 96-105. https://doi.org/10.1016/j.smrv.2018.10.006
  26. 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. https://doi.org/10.1080/10705519909540118
  27. Huang, Y., Yang, L., Liu, Y., & Zhang, S. (2024). Effects of perceived stress on college students’ sleep quality: a moderated chain mediation model. BMC Psychology, 12(1), 476. https://doi.org/10.1186/s40359-024-01976-3
  28. Kelly, W. E. (2002). Worry and sleep length revisited: Worry, sleep length, and sleep disturbance ascribed to worry. The Journal of Genetic Psychology, 163(3), 296-304. https://doi.org/10.1080/00221320209598685
  29. Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L.,. & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959-976. https://doi.org/10.1017/S0033291702006074
  30. Kurina, L. M., Knutson, K. L., Hawkley, L. C., Cacioppo, J. T., Lauderdale, D. S., & Ober, C. (2011). Loneliness is associated with sleep fragmentation in a communal society. Sleep, 34(11), 1519-1526. https://doi.org/10.5665/sleep.1390
  31. Labrague, L. J. (2023). Problematic internet use and psychological distress among student nurses: The mediating role of coping skills. Archives of Psychiatric Nursing, 46, 76-82. https://doi.org/10.1016/j.apnu.2023.08.009
  32. Lin, C. Y., Cheung, P., Imani, V., Griffiths, M. D., & Pakpour, A. H. (2020). The mediating effects of eating disorder, food addiction, and insomnia in the association between psychological distress and being overweight among Iranian adolescents. Nutrients, 12(5), 1371. https://doi.org/10.3390/nu12051371
  33. Liu, S., Haucke, M. N., Heinzel, S., & Heinz, A. (2021). Long-term impact of economic downturn and loneliness on psychological distress: Triple crises of COVID-19 pandemic. Journal of Clinical Medicine, 10(19), 4596. https://doi.org/10.3390/jcm10194596
  34. Liu, S., Zou, S., Zhang, D., Wang, X., & Wu, X. (2022). Problematic Internet use and academic engagement during the COVID-19 lockdown: The indirect effects of depression, anxiety, and insomnia in early, middle, and late adolescence. Journal of Affective Disorders, 309, 9-18. https://doi.org/10.1016/j.jad.2022.04.043
  35. MacCallum, R. C., Browne, M. W., & Sugawara, H. M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1(2), 130–149. https://doi.org/10.1037/1082-989X.1.2.130
  36. McDonald, R. P. (2013). Test theory: A unified treatment. Psychology Press. https://doi.org/10.4324/9781410601087
  37. Medic, G., Wille, M., & Hemels, M. E. (2017). Short-and long-term health consequences of sleep disruption. Nature and Science of Sleep, 151-161. https://doi.org/10.2147/NSS.S134864
  38. Morin, C. M., Drake, C. L., Harvey, A. G., Krystal, A. D., Manber, R., Riemann, D., & Spiegelhalder, K. (2015). Insomnia disorder. Nature Reviews Disease Primers, 1(1), 1-18. https://doi.org/10.1038/nrdp.2015.26
  39. Nasser-Abu Alhija, F., & Wisenbaker, J. (2006). A Monte Carlo study investigating the impact of item parceling strategies on parameter estimates and their standard errors in CFA. Structural Equation Modeling, 13(2), 204- 228. https://doi.org/10.1207/s15328007sem1302_3
  40. Newby, J. M., O’Moore, K., Tang, S., Christensen, H., & Faasse, K. (2020). Acute mental health responses during the COVID-19 pandemic in Australia. PloS One, 15(7), e0236562. https://doi.org/10.1371/journal.pone.0236562
  41. Olfson, M., Wall, M., Liu, S. M., Morin, C. M., & Blanco, C. (2018). Insomnia and impaired quality of life in the United States. The Journal of Clinical Psychiatry, 79(5), 9151.
  42. Orsolini, L., Longo, G., & Volpe, U. (2023). The mediatory role of the boredom and loneliness dimensions in the development of problematic internet use. International Journal of Environmental Research and Public Health, 20(5), 4446. https://doi.org/10.3390/ijerph20054446
  43. Peplau, L. A., & Perlman, D. (1982). Perspectives on loneliness. Loneliness: A sourcebook of current theory, Research and Therapy, 1-18.
  44. Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. https://doi.org/10.3758/BRM.40.3.879
  45. Riemann, D., Baglioni, C., Bassetti, C., Bjorvatn, B., Dolenc Groselj, L., Ellis, J. G.,. & Spiegelhalder, K. (2017). European guideline for the diagnosis and treatment of insomnia. Journal of Sleep Research, 26(6), 675-700. https://doi.org/10.1111/jsr.12594
  46. Roth, T., Coulouvrat, C., Hajak, G., Lakoma, M. D., Sampson, N. A., Shahly, V.,. & Kessler, R. C. (2011). Prevalence and perceived health associated with insomnia based on DSM-IV-TR; international statistical classification of diseases and related health problems, tenth revision; and research diagnostic criteria/international classification of sleep disorders, criteria: results from the America insomnia survey. Biological Psychiatry, 69(6), 592-600. https://doi.org/10.1016/j.biopsych.2010.10.023
  47. Russel, D., Peplau, L. A., & Cutrona, C. E. (1980). The Revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39(3), 472-480
  48. Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8(2), 23-74.
  49. Seo, J. H., Kim, J. H., Yang, K. I., & Hong, S. B. (2017). Late use of electronic media and its association with sleep, depression, and suicidality among Korean adolescents. Sleep Medicine, 29, 76-80. https://doi.org/10.1016/j.sleep.2016.06.022
  50. Seo, S., Reilly, S., You, W., Williams, I., & Mattos, M. K. (2024). The relationship between social relationships and sleep quality in older adults: Loneliness as a mediator and cognitive status as a moderator. Geriatric Nursing, 60, 628-635. https://doi.org/10.1016/j.gerinurse.2024.10.036
  51. Starr, L. R., & Davila, J. (2012). Responding to anxiety with rumination and hopelessness: mechanism of anxiety-depression symptom co-occurrence?. Cognitive Therapy and Research, 36(4), 321-337.https://doi.org/10.1007/s10608-011-9363-1
  52. Taylor, D. J., Mallory, L. J., Lichstein, K. L., Durrence, H. H., Riedel, B. W., & Bush, A. J. (2007). Comorbidity of chronic insomnia with medical problems. Sleep, 30(2), 213-218. https://doi.org/10.1093/sleep/30.2.213
  53. Theodoratou, M., Varvitsioti, M., Kougioumtzis, G. A., Tsitsas, G., Kaltsouda, A., Flora, K., & Papathanasiou, C. (2024). The Relationship Between Problematic Internet Use (PIU) and Psychological Distress: A cross-sectional study. European Psychiatry, 67(S1), S404-S405. https://doi.org/10.1192/j.eurpsy.2024.832
  54. Van Mill, J. G., Hoogendijk, W. J., Vogelzangs, N., Van Dyck, R., & Penninx, B. W. (2010). Insomnia and sleep duration in a large cohort of patients with major depressive disorder and anxiety disorders. Journal of Clinical Psychiatry, 71(3), 239.
  55. VanderWeele, T. J., Hawkley, L. C., Thisted, R. A., & Cacioppo, J. T. (2011). A marginal structural model analysis for loneliness: implications for intervention trials and clinical practice. Journal of Consulting and Clinical Psychology, 79(2), 225. https://doi.org/10.1037/a0022610
  56. Wang, Q., Mati, K., & Cai, Y. (2021). The link between problematic internet use, problematic gaming, and psychological distress: does sleep quality matter?. BMC Psychiatry, 21, 1-11. https://doi.org/10.1186/s12888-021-03105-5
  57. Wickwire, E. M., Shaya, F. T., & Scharf, S. M. (2016). Health economics of insomnia treatments: the return on investment for a good night's sleep. Sleep Medicine Reviews, 30, 72-82. https://doi.org/10.1016/j.smrv.2015.11.004
  58. Wongpakaran, N., Wongpakaran, T., Pinyopornpanish, M., Simcharoen, S., & Kuntawong, P. (2021). Loneliness and problematic internet use: testing the role of interpersonal problems and motivation for internet use. BMC Psychiatry, 21, 1-11. https://doi.org/10.1186/s12888-021-03457-y
  59. Zawadzki, M. J., Graham, J. E., & Gerin, W. (2013). Rumination and anxiety mediate the effect of loneliness on depressed mood and sleep quality in college students. Health Psychology, 32(2), 212. https://doi.org/10.1037/a0029007
  60. Zhang, Y., Wang, D., Ma, Z., Liu, W., Su, Y., Wang, W.,. & Fan, F. (2024). Problematic internet use and suicide ideation among Chinese adolescents: the indirect effects of insomnia, nightmares, and social jetlag. Journal of Affective Disorders, 344, 347-355. https://doi.org/10.1016/j.jad.2023.10.081