Neuroticism and extraversion mediate the association between loneliness and the dorsolateral prefrontal cortex

Loneliness is an unpleasant and distressing feeling that a person experiences when he/she perceives that his/her social relationships are lacking in someway, either quantitatively or qualitatively; this can be linked to anxiety, depression, and suicide risk. Previous studies have found that certain personality traits (which are temporally stable and heritable) are predictors of loneliness. However, little empirical evidence is available on the brain structures associated with loneliness, as well as how personality traits impact the relationship between loneliness and brain structure. Thus, the current study used voxel-based morphometry to identify the brain structures underlying individual differences in loneliness (as measured by the UCLA Loneliness Scale) in a large sample, and then, applied multiple mediation analyses to explore the nature of the influence of personality traits on the relationship between loneliness and brain structure. The results showed that lonely individuals had greater regional gray matter volume in the left dorsolateral prefrontal cortex (DLPFC), which might reflect immature functioning in terms of emotional regulation. More importantly, we found that neuroticism and extraversion partially mediated the relationship between the left DLPFC and loneliness. In summary, through morphometric and multiple mediation analyses, this paper further validates the influence of both neuroticism and extraversion on loneliness.