Background Loneliness, the subjective experience of social isolation, represents one of the largest risk factors for physical illness and early death in humans. However, the mechanisms by which loneliness leads to adverse health outcomes are not well understood. Purpose In this study, we examined altered parasympathetic nervous system function as a potential pathway by which chronic loneliness and state loneliness may “get under the skin” to impact cardiovascular physiology. Methods In a controlled laboratory setting, vagally mediated resting heart rate variability (HRV), HRV reactivity to an induction of state loneliness, and HRV reactivity to a cognitive challenge task were assessed in a sample of 316 healthy women (18–28 years). Results Greater chronic loneliness in women predicted lower resting HRV, an independent risk factor for cardiovascular disease and all-cause mortality, after controlling for demographic, psychosocial, and health behavior covariates. Furthermore, women higher in chronic loneliness experienced significantly larger increases in HRV to state loneliness and reported significantly higher levels of negative affect immediately following state loneliness, compared with their less chronically lonely counterparts. Chronic loneliness also predicted blunted HRV reactivity—a maladaptive physiological response—to cognitive challenge. Conclusions The current findings provide evidence that chronic loneliness is associated with altered parasympathetic function (both resting HRV and HRV reactivity) in women, and that the immediate experience of state loneliness is linked to a proximate increase in HRV among chronically lonely women. Results are discussed in terms of implications for cardiovascular health and the evolutionary functions of loneliness.
Respiratory sinus arrhythmia (RSA) has been conceptualized as a biomarker of a neurophysiological system supporting social behaviors. Capitalization, the interpersonal process of sharing positive experiences with close others, has been associated with improved intrapersonal and interpersonal functioning. The present study examined whether RSA moderated the within-person associations of daily capitalization with positive affect and relationship quality. Participants ( N = 149) completed an electrocardiogram recording during a resting baseline and a worry induction period, as well as a 14-day daily diary assessment of capitalization, positive affect, and relationship quality. Results indicated that RSA reactivity moderated the within-person effects of daily capitalization on positive affect and relationship quality. On days when they did not capitalize, individuals with higher RSA reactivity experienced lower positive affect and poorer relationship quality than their counterparts with lower RSA reactivity. In contrast, no significant differences were observed between participants with lower and higher RSA reactivity on days when they capitalized. These results provide further evidence that RSA reactivity shapes sensitivity to social context, including one’s responses to the lack of usual capitalization interactions.
Residential mobility is linked to higher incidence of cardiovascular disease (CVD) and mortality. A mechanism by which residential relocation may impact health is through the disruption of social networks. To examine whether moving to a new city is associated with increased CVD risk and whether the extent to which movers rebuild their social network after relocating predicts improved CVD risk and psychosocial well‐being, recent movers (n = 26), and age‐ and sex‐matched nonmovers (n = 20) were followed over 3 months. Blood pressure, C‐reactive protein/albumin ratio (CRP/ALB), social network size, and psychosocial well‐being were measured at intake (within 6 weeks of residential relocation for movers) and 3 months later. Multiple regression indicated higher systolic blood pressure (SBP) for movers (M = 107.42, SD = 11.39), compared with nonmovers (M = 102.37, SD = 10.03) at intake, though this trend was not statistically significant. As predicted, increases in movers' social network size over 3 months predicted decreases in SBP, even after controlling for age, sex, and waist‐to‐hip ratio, b = −2.04 mmHg, 95% CI [−3.35, −.73]. Associations between increases in movers' social ties and decreases in depressive symptoms and stress were in the predicted direction but did not meet the traditional cutoff for statistical significance. Residential relocation and movers' social network size were not associated with CRP/ALB in this healthy sample. This study provides preliminary evidence for increased SBP among recent movers; furthermore, it suggests that this elevation in CVD risk may decrease as individuals successfully rebuild their social network.
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