Research Highlights
Research Highlights
The correlation between loneliness, psychological resilience and depression in older people receiving home-based community care in Hong Kong: A cross-sectional survey design study
Update as of 3 August 2026

Loneliness is a growing global concern, particularly among older adults. In Hong Kong, it is estimated that about 35% of community-dwelling older people experience significant levels of loneliness. Ageing often brings challenges such as the loss of loved ones, declining physical and mental health, reduced mobility, and increased dependence on others, all of which heighten the risk of social isolation.
Loneliness in later life is linked to serious health consequences, including increased risks of cardiovascular disease, cognitive decline, depression, and even suicide. Research suggests that psychological resilience plays a vital role in mitigating these negative outcomes. Older adults with higher resilience tend to experience lower levels of distress, while those with lower resilience are more vulnerable to depression. Engagement in social activities has been identified as a practical way to strengthen resilience and reduce loneliness.
Despite its high prevalence, the relationship between loneliness, resilience, and depression among older adults in Hong Kong remains underexplored. This survey study investigates these factors among older adults receiving home-based community care, using three brief self-reported questionnaires. The findings aim to inform the development of targeted interventions, including resilience-building strategies, to improve psychological well-being and enhance care provided by healthcare professionals in Hong Kong.
Team Members:
- PI: Prof. SMITH Graeme Drummond, S.K. Yee School of Health Sciences, Saint Francis University
- Dr. PAU Mei Lin Margaret, S.K. Yee School of Health Sciences, Saint Francis University
- Prof. WATSON Roger, S.K. Yee School of Health Sciences, Saint Francis University
- Ms. LAU Ka Yan, S.K. Yee School of Health Sciences, Saint Francis University
Publication:
- Smith, G. D (2026). Loneliness as an emerging global public health priority: Nursing perspectives. Journal of Advanced Nursing, Advance online publication. https://doi.org/10.1111/jan.70459
Conference Presentation:
- Smith G.D, Pau M, Lau Ka Yan, Watson R (2026) ‘Happiness and its relationship with loneliness, and psychological resilience amongst community based older adults in Hong Kong: A cross-sectional survey.ΚΌ 24 -28 Mar 2026 | COCHRANE 8th Pan Pacific international nursing conference, Hong Kong Chinese University, Hong Kong.
Research in Progress:
- Smith G.D, Pau M, Lau Ka Yan, Watson R (2025) The effect of resilience-based interventions for loneliness in community-based older people: A Scoping Review. Geriatric Nursing: Asia.
Reference no.: IDG240105