“…The level of loneliness reported by this sample is markedly elevated and requires further comment. Across several comparison samples available in past research, the level of loneliness in the present sample of MAPs is elevated when compared with that of university students ( d = 1.64, Russell, 1996; d = 0.95, Tan et al, 2020), community-dwelling adults ( d = 1.74, Knight et al, 1988), and adults over the age of 65 ( d = 2.35, Ausín et al, 2019), gay, lesbian, and bisexual adults ( d = 0.63, Kakoullis, 2001; d = 0.84, Martin & Knox, 1997), and even individuals with histories of sexual offending ( d = 0.64, Beggs & Grace, 2011; d = 0.86, Elliott et al, 2009; d = 0.53, Marshall et al, 1998; d = 1.01, Olver et al, 2014; d = 0.91, Wielinga et al, 2019); the lattermost being a population characterized as experiencing elevated rates of loneliness (Marshall, 1989). These comparisons, while not representing a systematic review of the available literature, suggest MAPs experience markedly higher rates of loneliness and may further emphasize loneliness as an important risk factor for mental health concerns in this population 6…”