Stroke survivors experience elevated levels of loneliness: a multi-year analysis of the national survey for Wales

Christopher Byrne, Christopher W. N. Saville, Rudi Coetzer, Richard Ramsey*

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    9 Citations (Scopus)
    16 Downloads (Pure)


    Objective: Despite clinical observation that stroke survivors frequently experience loneliness, there is no large-scale empirical evidence to support this observation. Therefore, the primary objective of this research was to provide the first large-scale and comprehensive estimate of loneliness in the stroke survivor population.

    Method: To address this issue, we completed two preregistered analyses of a nationally representative annual survey (N > 21,000). A two-phase approach was adopted combining both exploratory (Study 1) and confirmatory (Study 2) phases. The benefit of such an approach is that replication is built into the design, which considerably strengthens the inferences that can be made.

    Results: Across two separate cohorts, the results consistently showed that human stroke survivors report higher levels of loneliness compared with healthy individuals, and this relationship could not be accounted for by demographic factors (e.g., age, sex) or objective measures of social isolation (e.g., marital status, number of household members).

    Conclusions: These findings demonstrate that elevated levels of loneliness poststroke are robust in that they replicate in large nationally representative samples and cannot be reduced to objective measures of social isolation. The work has clinical and societal relevance by suggesting that loneliness poststroke is unlikely to be adequately "treated" if only the quantity and not the quality of social experiences are considered.

    Original languageEnglish
    Pages (from-to)390–407
    Number of pages18
    JournalArchives of Clinical Neuropsychology
    Issue number2
    Early online date29 Jun 2021
    Publication statusPublished - Mar 2022

    Bibliographical note

    Copyright the Author(s) 2021. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


    • loneliness
    • stroke
    • acquired brain injury
    • National Survey for Wales
    • rehabilitation


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