Abstract
Loneliness affects 55% of healthcare workers, putting them at risk for health problems. These include mental health issues (e.g., depression and anxiety) and physical ailments (e.g., inflammation, heart disease, and increased substance abuse). Despite the well-established link between loneliness and health, research on healthcare workers’ experiences of loneliness remains limited. To address this gap, we conducted a 22-day daily diary study to test whether daily awe predicts reduced loneliness in healthcare workers. Our within-person analyses showed that participants who experienced more awe than usual reported less loneliness on the same day. Notably, this association remained significant after controlling for other positive emotions known to benefit well-being and was replicated in a community sample. Further analysis showed that the sense of connectedness, central to awe, explained the link between awe and loneliness in both samples. These findings suggest that moments of awe can be an antidote to loneliness and its health costs.
Data availability
All original data are publicly available online on the Open Science Framework (https:/osf.io/k9aby/?view_only=df1da4799a6a45b4b5aca8d6258b6df4) site. All statistical analyses were performed using RStudio96 in the R programming environment. The code necessary to reproduce all analyses is publicly available online on the Open Science Framework (https:/osf.io/k9aby/?view_only=df1da4799a6a45b4b5aca8d6258b6df4) site.
References
Chigwedere, O. C., Sadath, A., Kabir, Z. & Arensman, E. The impact of epidemics and pandemics on the mental health of healthcare workers: A systematic review. Int. J. Environ. Res. Public. Health. 18, 6695. https://doi.org/10.3390/ijerph18136695 (2021).
Hill, J. E. et al. The prevalence of mental health conditions in healthcare workers during and after a pandemic: Systematic review and meta-analysis. J. Adv. Nurs. 78, 1551–1573. https://doi.org/10.1111/jan.15175 (2022).
De Kock et al. A rapid review of the impact of COVID-19 on the mental health of healthcare workers: Implications for supporting psychological well-being. BMC Public. Health. 21, 104. https://doi.org/10.1186/s12889-020-10070-3 (2021).
Toh, W. L. et al. Mental health status of healthcare versus other essential workers in Australia amidst the COVID-19 pandemic: Initial results from the COLLATE project. Psychiatry Res. 298, 113822. https://doi.org/10.1016/j.psychres.2021.113822 (2021).
Billings, J., Ching, B. C. F., Gkofa, V., Greene, T. & Bloomfield, M. Experiences of frontline healthcare workers and their views about support during COVID-19 and previous pandemics: A systematic review and qualitative meta-synthesis. BMC Health Serv. Res. 21, 923. https://doi.org/10.1186/s12913-021-06917-z (2021).
Blake, H., Mahmood, I., Dushi, G., Yildirim, M. & Gay, E. Psychological impacts of COVID-19 on healthcare trainees and perceptions towards a digital wellbeing support package. Int. J. Environ. Res. Public. Health. 18, 10647. https://doi.org/10.3390/ijerph182010647 (2021).
Cabarkapa, S., Nadjidai, S. E., Murgier, J. & Ng, C. H. The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review. Brain Behav. Immun. Health. 8, 100144. https://doi.org/10.1016/j.bbih.2020.100144 (2020).
Ching et al. Psychological distress among healthcare providers during COVID-19 in asia: Systematic review and meta-analysis. PLoS ONE. 16, e0257983. https://doi.org/10.1371/journal.pone.0257983 (2021).
Couper et al. The impact of COVID-19 on the wellbeing of the UK nursing and midwifery workforce during the first pandemic wave: A longitudinal survey study. Int. J. Nurs. Stud. 127, 104155. https://doi.org/10.1016/j.ijnurstu.2021.104155 (2022).
Luo, M. et al. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - A systematic review and meta-analysis. Psychiatry Res. 291, 113190. https://doi.org/10.1016/j.psychres.2020.113190 (2020).
Ornell, F., Schuch, J. B., Sordi, A. O. & Kessler, F. H. P. Pandemic fear and COVID-19: Mental health burden and strategies. Rev. Bras. Psiquiatr. 42, 232–235. https://doi.org/10.1590/1516-4446-2020-0008 (2020).
Pappa, S. et al. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav. Immun. 88, 901–907. https://doi.org/10.1016/j.bbi.2020.05.026 (2020).
Spoorthy, M. S., Pratapa, S. K. & Mahant, S. Mental health problems faced by healthcare workers due to the COVID-19 pandemic-A review. Asian J. Psychiatry. 51, 102119. https://doi.org/10.1016/j.ajp.2020.102119 (2020).
Mental Health America. The state of mental health in America – (2020). https://mhanational.org/sites/default/files/State%20of%20Mental%20Health%20in%20America%20-%202020_0.pdf (2020).
Kotera, Y. et al. Mental health of medical workers in Japan during COVID-19: Relationships with loneliness, hope and self-compassion. Curr. Psychol. 40, 6271–6274. https://doi.org/10.1007/s12144-021-01514-z (2021).
Lee, A. M. et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. Can. J. Psychiatry. 52, 233–240. https://doi.org/10.1177/070674370705200405 (2007).
Reynolds, D. L. et al. Understanding, compliance and psychological impact of the SARS quarantine experience. Epidemiol. Infect. 136, 997–1007. https://doi.org/10.1017/S0950268807009156 (2008).
Cacioppo, J. T., Hughes, M. E., Waite, L. J., Hawkley, L. C. & Thisted, R. A. Loneliness as a specific risk factor for depressive symptoms: Cross-sectional and longitudinal analyses. Psychol. Aging. 21, 140–151. https://doi.org/10.1037/0882-7974.21.1.140 (2006).
Heu, L. C. et al. Loneliness across cultures with different levels of social embeddedness: A qualitative study. Pers. Relat. https://doi.org/10.1111/pere.12367 (2021).
Luhmann, M. & Hawkley, L. C. Age differences in loneliness from late adolescence to oldest old age. Dev. Psychol. 52, 943–959. https://doi.org/10.1037/dev0000117 (2016).
Murthy, V. H. Together: The Healing Power of Human Connection in a Sometimes Lonely World (Harper Wave, 2020).
Office of the Surgeon General (OSG). Our Epidemic of Loneliness and Isolation: the U.S. Surgeon General’s Advisory on the Healing Effects of Social Connection and Community (US Department of Health and Human Services, 2023).
Cacioppo et al. Loneliness and health: Potential mechanisms. Psychosom. Med. 64, 407–417. https://doi.org/10.1097/00006842-200205000-00005 (2002).
Beutel et al. Loneliness in the general population: Prevalence, determinants and relations to mental health. BMC Psychiatry. 17, 97. https://doi.org/10.1186/s12888-017-1262-x (2017).
Fässberg et al. A systematic review of social factors and suicidal behavior in older adulthood. Int. J. Environ. Res. Public. Health. 9, 722–745. https://doi.org/10.3390/ijerph9030722 (2012).
Kuiper, J. S. et al. Social relationships and risk of dementia: A systematic review and meta-analysis of longitudinal cohort studies. Ageing Res. Rev. 22, 39–57. https://doi.org/10.1016/j.arr.2015.04.006 (2015).
Steptoe, A., Owen, N., Kunz-Ebrecht, S. R. & Brydon, L. Loneliness and neuroendocrine, cardiovascular, and inflammatory stress responses in middle-aged men and women. Psychoneuroendocrinology 29, 593–611. https://doi.org/10.1016/S0306-4530(03)00086-6 (2004).
Valtorta, N. K., Kanaan, M., Gilbody, S., Ronzi, S. & Hanratty, B. Loneliness and social isolation as risk factors for coronary heart disease and stroke: Systematic review and meta-analysis of longitudinal observational studies. Heart 102, 1009–1016. https://doi.org/10.1136/heartjnl-2015-308790 (2016).
Wang, J. et al. Prevalence of depression and depressive symptoms among outpatients: A systematic review and meta-analysis. BMJ Open. 7, e017173. https://doi.org/10.1136/bmjopen-2017-017173 (2017).
Cacioppo, J. T. & Hawkley, L. C. Perceived social isolation and cognition. Trends Cogn. Sci. 13, 447–454. https://doi.org/10.1016/j.tics.2009.06.005 (2009).
Peplau, L. A., Miceli, M. & Morasch, B. Loneliness and self-evaluation. In (eds Peplau, L. A. & Perlman, D.) Loneliness: A Sourcebook & Current theory, Research & Therapy 135–151 (Wiley-Interscience, (1982).
Downey, G., Freitas, A. L., Michaelis, B. & Khouri, H. The self-fulfilling prophecy in close relationships: Rejection sensitivity and rejection by romantic partners. J. Pers. Soc. Psychol. 75, 545–560. https://doi.org/10.1037/0022-3514.75.2.545 (1998).
Anderson, C. A., Horowitz, L. M. & French, R. D. Attributional style of lonely and depressed people. J. Pers. Soc. Psychol. 45, 127–136. https://doi.org/10.1037/0022-3514.45.1.127 (1983).
Cunningham, M. R. What do you do when you’re happy or blue? Mood, expectancies, and behavioral interest. Motiv Emot. 12, 309–331. https://doi.org/10.1007/BF00992357 (1988).
Hawkley, L. C. & Cacioppo, J. T. Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Ann. Behav. Med. 40, 218–227. https://doi.org/10.1007/s12160-010-9210-8 (2010).
Heinrich, L. & Gullone, E. The clinical significance of loneliness: A literature review. Clin. Psychol. Rev. 26, 695–718. https://doi.org/10.1016/j.cpr.2006.04.002 (2006).
Vanhalst, J., Gibb, B. E. & Prinstein, M. J. Lonely adolescents exhibit heightened sensitivity for facial cues of emotion. Cogn. Emot. 31, 377–383. https://doi.org/10.1080/02699931.2015.1092420 (2017).
Keltner, D. & Haidt, J. Approaching awe, a moral, spiritual, and aesthetic emotion. Cogn. Emot. 17, 297–314. https://doi.org/10.1080/02699930302297 (2003).
Monroy, M. & Keltner, D. Awe as a pathway to mental and physical health. Perspect. Psychol. Sci. 18, 363–378. https://doi.org/10.1177/17456916221094856 (2023).
Stellar, J. E. Awe helps Us remember why it is important to forget the self. Ann. N Y Acad. Sci. 1501, 81–84. https://doi.org/10.1111/nyas.14577 (2021).
Bai, Y. et al. Awe, the diminished self, and collective engagement: Universals and cultural variations in the small self. J. Pers. Soc. Psychol. 113, 185. https://doi.org/10.1037/pspa0000087 (2017).
Bai, Y. et al. Awe, daily stress, and elevated life satisfaction. J. Pers. Soc. Psychol. 120, 837–860. https://doi.org/10.1037/pspa0000267 (2021).
Keltner, D. Awe: the New Science of Everyday Wonder and How It Can Transform your Life (Penguin, 2023).
Yaden, D. B., Haidt, J., Hood, R. W. Jr, Vago, D. R. & Newberg, A. B. The varieties of self-transcendent experience. Rev. Gen. Psychol. 21, 143–160. https://doi.org/10.1037/gpr0000102 (2017).
Piff, P. K. et al. Awe, the small self, and prosocial behavior. J. Pers. Soc. Psychol. 108, 883–899. https://doi.org/10.1037/pspi0000018 (2015).
Shiota, M. N., Keltner, D. & Mossman, A. The nature of awe: Elicitors, appraisals, and effects on self-concept. Cogn. Emot. 21, 944–963. https://doi.org/10.1080/02699930600923668 (2007).
Anderson, C. L., Monroy, M. & Keltner, D. Awe in nature heals: Evidence from military veterans, at-risk youth, and college students. Emotion https://doi.org/10.1037/emo0000442 (2018).
Van Cappellen, P. & Saroglou, V. Awe activates religious and spiritual feelings and behavioral intentions. Psychol. Relig. Spirit. 4, 223. https://doi.org/10.1037/a0025986 (2012).
Tomasello, M., Dweck, C. S., Silk, J. B., Skyrms, B., Spelke, E. S. &, & Why We Cooperate (MIT Press, 2009).
Joye, Y. & Bolderdijk, J. W. An exploratory study into the effects of extraordinary nature on emotions, mood, and prosociality. Front. Psychol. 5, 1577. https://doi.org/10.3389/fpsyg.2014.01577 (2015).
Rudd, M., Vohs, K. D. & Aaker, J. Awe expands people’s perception of time, alters decision making, and enhances well-being. Psychol. Sci. 23, 1130–1136. https://doi.org/10.1177/0956797612438731 (2012).
Fredrickson, B. L. Positive emotions broaden and build. Adv. Exp. Soc. Psychol. 47, 1–53. https://doi.org/10.1016/B978-0-12-407236-7.00001-2 (2013).
Waugh, C. E. & Fredrickson, B. L. Nice to know you: Positive emotions, self-other overlap, and complex Understanding in the formation of a new relationship. J. Posit. Psychol. 1, 93–106. https://doi.org/10.1080/17439760500510569 (2006).
Lanser, I. & Eisenberger, N. I. Prosocial behavior reliably reduces loneliness: an investigation across two studies. Emotion https://doi.org/10.1037/emo0001179 (2022).
Gordon, A. M. et al. The dark side of the sublime: Distinguishing a threat-based variant of Awe. J. Pers. Soc. Psychol. 113, 310–328. https://doi.org/10.1037/pspp0000120 (2016).
Nezlek, J. B. An introduction to multilevel modeling for social and personality psychology. Soc. Pers. Psychol. Compass. 2, 842–860. https://doi.org/10.1111/j.1751-9004.2007.00059.x (2008).
Bates, D. et al. Fitting linear mixed-effects models using lme4. J. Stat. Softw. 67, 1–48. https://doi.org/10.18637/jss.v067.i01 (2015).
Kuznetsova, A., Brockhoff, P. B. & Christensen, R. H. B. LmerTest package: Tests in linear mixed effects models. J. Stat. Softw. 82, 1–26. https://doi.org/10.18637/jss.v082.i13 (2017).
Fredrickson, B. L. The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. Am. Psychol. 56, 218–226. https://doi.org/10.1037/0003-066X.56.3.218 (2001).
Lyubomirsky, S., King, L. & Diener, E. The benefits of frequent positive affect: Does happiness lead to success? Psychol. Bull. 131, 803–855. https://doi.org/10.1037/0033-2909.131.6.803 (2005).
Stellar, J. E. et al. Self-transcendent emotions and their social functions: Compassion, gratitude, and Awe bind Us to others through prosociality. Emot. Rev. 9, 200–207. https://doi.org/10.1177/1754073916684557 (2017).
Bauer, D. J., Preacher, K. J. & Gil, K. M. Conceptualizing and testing random indirect effects and moderated mediation in multilevel models: New procedures and recommendations. Psychol. Methods. 11, 142–163. https://doi.org/10.1037/1082-989X.11.2.142 (2006).
Kenny, D. A., Korchmaros, J. D. & Bolger, N. Lower level mediation in multilevel models. Psychol. Methods. 8, 115–128. https://doi.org/10.1037/1082-989X.8.2.115 (2003).
Krull, J. L. & MacKinnon, D. P. Multilevel modeling of individual and group level mediated effects. Multivar. Behav. Res. 36, 249–277. https://doi.org/10.1207/S15327906MBR3602_06 (2001).
Bolger, N. & Laurenceau, J. P. Intensive Longitudinal Methods: an Introduction To Diary and Experience Sampling Research (Guilford Press, 2013).
Vuorre, M. & Bolger, N. Within-subject mediation analysis for experimental data in cognitive psychology and neuroscience. Behav. Res. Methods. 50, 2125–2143. https://doi.org/10.3758/s13428-017-0980-9 (2018).
Holt-Lunstad, J. et al. Loneliness and social isolation as risk factors for mortality: A meta-analytic review. Perspect. Psychol. Sci. 10, 227–237. https://doi.org/10.1177/1745691614568352 (2015).
Mehta, S. et al. COVID-19: A heavy toll on health-care workers. Lancet Respir Med. 9, 226–228. https://doi.org/10.1016/S2213-2600(21)00068-0 (2021).
Uchino, B. N. Understanding the links between social support and physical health: A life-span perspective with emphasis on the separability of perceived and received support. Perspect. Psychol. Sci. 4, 236–255. https://doi.org/10.1111/j.1745-6924.2009.01122.x (2009).
Wu, K. K., Chan, S. K. & Ma, T. M. Posttraumatic stress after SARS. Emerg. Infect. Dis. 11, 1297. https://doi.org/10.3201/eid1108.041083 (2005).
Mental Health America & S2i Mental Health Strategic Impact Initiative & The Education Fund—Empowering Potential SEIU-UHW & Joint Employer Education Fund. The mental health of healthcare workers: A survey of the concerns and needs of frontline workers as the pandemic entered its third year. (2022). https://mhanational.org/sites/default/files/reports/Mental-Health-Healthcare-Workers.pdf
Kok, B. E. et al. How positive emotions build physical health: Perceived positive social connections account for the upward spiral between positive emotions and vagal tone. Psychol. Sci. 24, 1123–1132. https://doi.org/10.1177/0956797612470827 (2013).
Oveis, C. et al. Resting respiratory sinus arrhythmia is associated with tonic positive emotionality. Emotion 9, 265–270. https://doi.org/10.1037/a0015383 (2009).
Horberg, E. J., Oveis, C. & Keltner, D. Emotions as moral amplifiers: an appraisal tendency approach to the influences of distinct emotions upon moral judgment. Emot. Rev. https://doi.org/10.1177/1754073911402384 (2011).
Sturm, V. E. et al. Big smile, small self: Awe walks promote prosocial positive emotions in older adults. Emotion 22, 1044–1058. https://doi.org/10.1037/emo0000876 (2022).
Capaldi, C., Passmore, H. A., Nisbet, E., Zelenski, J. & Dopko, R. Flourishing in nature: A review of the benefits of connecting with nature and its application as a wellbeing intervention. Int. J. Wellbeing. 5, 1–16. https://doi.org/10.5502/ijw.v5i4.449 (2015).
Yan, Z., Liao, J., Dale, K. R., Arpan, L. M. & Raney, A. A. The effects of awe-inspiring nature videos on connectedness to nature and proenvironmental intentions. Psychol. Pop Media. 14, 213–223. https://doi.org/10.1037/ppm0000521 (2024).
Horigian, V. E., Schmidt, R. D. & Feaster, D. J. Loneliness, mental health, and substance use among US young adults during COVID-19. J. Psychoact. Drugs. 53 (9), 1. https://doi.org/10.1080/02791072.2020.1836435 (2021).
Dunn, E. W., Whillans, A. V., Norton, M. I. & Aknin, L. B. Prosocial spending and buying time: Money as a tool for increasing subjective well-being. In: Gawronski, B. (Ed.), Advances in Experimental Social Psychology vol 67, 67–126 https://doi.org/10.1016/bs.aesp.2019.09.001 (Academic Press, 2020).
Algoe, S. B., Fredrickson, B. L. & Gable, S. L. The social functions of the emotion of gratitude via expression. Emotion 13, 605–609. https://doi.org/10.1037/a0032701 (2013).
Goetz, J. L., Keltner, D., Simon-Thomas, E. Compassion: An evolutionary analysis and empirical review. Psychol. Bull. 136, 351–374. https://doi.org/10.1037/a0018807 (2010).
Holt-Lunstad, J., Smith, T. B. & Layton, J. B. Social relationships and mortality risk: A meta-analytic review. PLoS Med. https://doi.org/10.1371/journal.pmed.1000316 (2010).
Monroy, M., Garcia, S. B., Mendoza-Denton, R. & Keltner, D. The dynamics of coping, positive emotions, and well-being: Evidence from Latin American immigrant farmworkers and college students during a time of political strife. Emotion 21, 1599–1609. https://doi.org/10.1037/emo0001009 (2021).
Mathieu, E. et al. Coronavirus (COVID-19) cases. Our World in Data. https://archive.ourworldindata.org/20260204-063315/covid-cases.html (2020).
Hays, R. D. & DiMatteo, M. R. A short-form measure of loneliness. J. Pers. Assess. 51, 69–81. https://doi.org/10.1207/s15327752jpa5101_6 (1987).
Russell, D., Peplau, L. & Ferguson, M. L. UCLA loneliness scale [Database record]. APA PsycTests. https://doi.org/10.1037/t05974-000 (1978).
Badal, V. D. et al. Dynamics of loneliness among older adults during the COVID-19 pandemic: Pilot study of ecological momentary assessment with network analysis. Front. Digit. Health. 4, 814179. https://doi.org/10.3389/fdgth.2022.814179 (2022).
Van Bogart, K. et al. The association between loneliness and inflammation: Findings from an older adult sample. Front. Behav. Neurosci. 15, 801746. https://doi.org/10.3389/fnbeh.2021.801746 (2022).
Yung, S. T., Chen, Y. & Zawadzki, M. J. Loneliness and psychological distress in everyday life among Latinx college students. J. Am. Coll. Health. 71, 1407–1416. https://doi.org/10.1080/07448481.2021.1927051 (2021).
Shiota, M. N., Keltner, D. & John, O. P. Positive emotion dispositions differentially associated with big five personality and attachment style. J. Posit. Psychol. 1, 61–71. https://doi.org/10.1080/17439760500510833 (2006).
Srivastava, S., Tamir, M., McGonigal, K. M., John, O. P. & Gross, J. J. The social costs of emotional suppression: A prospective study of the transition to college. J. Pers. Soc. Psychol. 96, 883–897. https://doi.org/10.1037/a0014755 (2009).
Impett, E. A. et al. Suppression sours sacrifice: Emotional and relational costs of suppressing emotions in romantic relationships. Pers. Soc. Psychol. Bull. 38, 707–720. https://doi.org/10.1177/0146167212437249 (2012).
Shiota, M. N. et al. Beyond happiness: Building a science of discrete positive emotions. Am. Psychol. 72, 617–643. https://doi.org/10.1037/a0040456 (2017).
Cowen, A. S. & Keltner, D. Self-report captures 27 distinct categories of emotion bridged by continuous gradients. Proc. Natl. Acad. Sci. 114, E7900–E7909. https://doi.org/10.1073/pnas.1702247114 (2017).
R Core Team. R: A Language and Environment for Statistical Computing (R Foundation for Statistical Computing, 2021). https://www.R-project.org/
Cowen, A. S. et al. Sixteen facial expressions occur in similar contexts worldwide. Nature 589, 251–257. https://doi.org/10.1038/s41586-020-3037-7 (2021).
Acknowledgements
We thank all participants who committed to the 22-day daily diary study during the peak of the COVID-19 pandemic, especially the healthcare workers who participated during an exceptionally challenging time. We are also grateful to the NorthBay Health Medical Center for their support with recruitment and study facilitation. This study did not receive any external funding.
Author information
Authors and Affiliations
Contributions
Ö.U. led the data analysis and drafted the manuscript. Together, Ö.U., F.Z., M.M., and R.C. conceptualized and designed the study and contributed to data collection. M.A. and J.E. assisted with recruitment and provided feedback on manuscript revisions. D.K. supervised the project, offered critical theoretical guidance, and contributed to manuscript revisions.
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
About this article
Cite this article
Ugurlu, Ö., Zerwas, F., Monroy, M. et al. Experiencing awe in daily life is linked to lower loneliness. Sci Rep (2026). https://doi.org/10.1038/s41598-025-34864-w
Received:
Accepted:
Published:
DOI: https://doi.org/10.1038/s41598-025-34864-w