2015
DOI: 10.1146/annurev-psych-010814-015240
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The Neuroendocrinology of Social Isolation

Abstract: Social isolation has been recognized as a major risk factor for morbidity and mortality in humans for more than a quarter of a century. Although the focus of research has been on objective social roles and health behavior, the brain is the key organ for forming, monitoring, maintaining, repairing, and replacing salutary connections with others. Accordingly, population-based longitudinal research indicates that perceived social isolation (loneliness) is a risk factor for morbidity and mortality independent of o… Show more

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Cited by 649 publications
(533 citation statements)
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References 127 publications
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“…Apart from being intrinsically rewarding and motivating, social interactions (or their absence) can also constitute an important stressor [71,72], which may be particularly true for individuals for whom positive reinforcement in social interactions is very important and/or for individuals who react strongly to signs of social rejection or inclusion [73,74]. Indeed, neuroimaging studies have found reduced brain activations in rewardrelated neurocircuitry during depressive episodes ( [75][76][77]; see tables 1 and 2), but social interaction-based rewards have not yet been systematically studied.…”
Section: (C) the Case Of Depressionmentioning
confidence: 99%
“…Apart from being intrinsically rewarding and motivating, social interactions (or their absence) can also constitute an important stressor [71,72], which may be particularly true for individuals for whom positive reinforcement in social interactions is very important and/or for individuals who react strongly to signs of social rejection or inclusion [73,74]. Indeed, neuroimaging studies have found reduced brain activations in rewardrelated neurocircuitry during depressive episodes ( [75][76][77]; see tables 1 and 2), but social interaction-based rewards have not yet been systematically studied.…”
Section: (C) the Case Of Depressionmentioning
confidence: 99%
“…For social species, the perception of being socially isolated even when in the presence of others signals danger and evokes a dysphoric state termed loneliness in humans (Cacioppo et al, , 2015a. A variety of biological mechanisms have evolved that capitalize on aversive signals to motivate people to act in ways that are essential for reproduction and survival.…”
Section: Introductionmentioning
confidence: 99%
“…An important question concerns the biological mechanisms linking childhood trauma, defensive programming of stress response systems, and health risk in adulthood. Stress-related alterations in immune response gene expression programs have been hypothesized to be one of the pathways through which environmental adversity influences disease processes (Irwin and Cole, 2011;Cacioppo et al, 2015). A growing number of studies in adults experiencing a range of current chronic stressors or adversities have shown that immune response genes are highly sensitive to social-environmental conditions.…”
Section: Introductionmentioning
confidence: 99%