Loneliness and subjective physical health among war veterans: Long term reciprocal effects

Tsur, Noga; Stein, Jacob Y.; Levin, Yafit; Siegel, Alana; Solomon, Zahava

doi:10.1016/j.socscimed.2019.112373

Cited by 23 publications

(19 citation statements)

References 86 publications

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“…These findings align with the wider PTSD literature which has consistently demonstrated a decline in PTSD prevalence among adults aged 60 years and older (Gum et al, 2009;Kessler et al, 2005;Reynolds et al, 2016), and an association between loneliness and PTSD (Itzhaky et al, 2017;Kuwert et al, 2014;O'Connor, 2010;Shevlin et al, 2015;Solomon et al, 1991Solomon et al, , 2015Tsur et al, 2019;van der Velden et al, 2018van der Velden et al, , 2019, and adds to a smallbut-growing literature that loneliness is related to symptoms of CPTSD (Dagan & Yager, 2019;Zerach et al, 2019).…”

Section: Discussionsupporting

confidence: 86%

“…A wealth of data exists highlighting the association between PTSD, using the model of PTSD as outlined in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994), and psychosocial variables such as loneliness among adults (Itzhaky et al, 2017;Kuwert et al, 2014;O'Connor, 2010;Shevlin et al, 2015;Solomon et al, 2015;Tsur et al, 2019). Moreover, longitudinal research has indicated that loneliness both predicts future (van der Velden et al, 2019) PTSD (DSM-5 model; American Psychiatric Association, 2013), and is predicted by past (van der Velden et al, 2018) PTSD symptoms (DSM-IV model).…”

Section: Introductionmentioning

confidence: 99%

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Posttraumatic stress disorder, complex PTSD and subtypes of loneliness among older adults

et al. 2021

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Objectives: Research examining the relationship between loneliness and Complex Posttraumatic Stress Disorder (CPTSD) is scarce, particularly among older adults. CPTSD includes the core symptoms of PTSD along with additional symptoms reflecting "disturbances in self-organisation" (DSO). This study examined the cross-sectional relationships between loneliness (emotional and social loneliness) and CPTSD symptoms (i.e., PTSD and DSO symptoms) in older adults. Methods: Structural equation modelling was used to examine these relationships in a nationally representative sample of US adults aged 60-70 years (n = 456). Results: Controlling for covariates, emotional loneliness was associated with PTSD (β = 0.31) and DSO (β = 0.57) symptoms whereas social loneliness was only associated with DSO symptoms (β = 0.25). The model explained 35.0% of the variance in PTSD symptoms and 71.3% in DSO symptoms. Conclusion: These findings have important implications for treating and understanding PTSD/CPTSD and their correlates among older adults.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Posttraumatic stress disorder, complex PTSD and subtypes of loneliness among older adults

et al. 2021

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“…Moreover, as an acute signal of social threat, loneliness is robustly associated with acute physiological stress responses (Brown, Creaven, and Gallagher 2019). In support of these arguments, baseline levels of loneliness have been shown to predict subsequent declines in self-rated health (Luo et al 2012;Tsur et al 2019), and decreases in loneliness has have be shown to be favorably associated with subsequent self-rated health (Nummela, Seppänen, and Uutela 2011). Moreover, in a longitudinal study of households in Spain, Martín-María et al (2020) found that transient loneliness was associated with worse self-rated physical health scores relative to the never lonely, both crosssectionally at each wave and over time.…”

Section: Loneliness and Healthmentioning

confidence: 94%

Socially Distant? Social Network Confidants, Loneliness, and Health during the COVID-19 Pandemic

2021

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In the wake of the COVID-19 pandemic, many nations around the world instituted strict social distancing measures. Although necessary to deter the spread of the virus, these measures may also have had adverse health repercussions by increasing social isolation. Using a national longitudinal study from Canada, in which respondents were surveyed in March 2020 at the beginning of stay-at-home orders and again two months later in May, we show that, at baseline, loneliness was inversely associated with perceptions of self-rated health, and there was a beneficial indirect association between respondents’ number of social network confidants and perceived health through lower levels of loneliness. Between March and May, social network confidants decreased and loneliness increased; these changes were independent of each other and contributed to declines in self-rated health. Greater loneliness at baseline was also associated with declines in self-rated health. Our observations suggest that social distancing during the COVID-19 pandemic impaired social connectedness, thereby resulting in declines in perceptions of health. We conclude by discussing several policy-related implications of our findings.

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“…65,66 Studies have also revealed that these associations may be bidirectional, with loneliness and health conditions (e.g., depression, reduced cognitive functioning) exerting reciprocal effects. 67,68 Longitudinal studies are needed to disentangle temporal associations and biopsychosocial mechanisms underlying the relationship between loneliness and psychiatric, health, and functional impairments in U.S. veterans and the general population.…”

Section: Article In Pressmentioning

confidence: 99%

Behavioral Epidemic of Loneliness in Older U.S. Military Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study

Straus¹,

Norman²,

Tripp³

et al. 2022

The American Journal of Geriatric Psychiatry

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Loneliness and subjective physical health among war veterans: Long term reciprocal effects

Cited by 23 publications

References 86 publications

Posttraumatic stress disorder, complex PTSD and subtypes of loneliness among older adults

Posttraumatic stress disorder, complex PTSD and subtypes of loneliness among older adults

Socially Distant? Social Network Confidants, Loneliness, and Health during the COVID-19 Pandemic

Behavioral Epidemic of Loneliness in Older U.S. Military Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study

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