Social Safety Theory: A Biologically Based Evolutionary Perspective on Life Stress, Health, and Behavior

Annual Review of Clinical Psychology, Journal Year: 2020, Volume and Issue: 16(1), P. 265 - 295

Published: March 6, 2020

Social Safety Theory hypothesizes that developing and maintaining friendly social bonds is a fundamental organizing principle of human behavior threats to safety are critical feature psychological stressors increase risk for disease. Central this formulation the fact brain immune system principally designed keep body biologically safe, which they do by continually monitoring responding social, physical, microbial in environment. Because situations involving conflict, isolation, devaluation, rejection, exclusion historically increased physical injury infection, anticipatory neural–immune reactivity threat was likely highly conserved. This neurocognitive immunologic ability humans symbolically represent respond potentially dangerous ultimately survival. When sustained, however, multilevel biological response can individuals’ viral infections several inflammation-related disease conditions dominate present-day morbidity mortality.

Language: Английский

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The association between loneliness, social isolation and inflammation: A systematic review and meta-analysis

Neuroscience & Biobehavioral Reviews, Journal Year: 2020, Volume and Issue: 112, P. 519 - 541

Published: Feb. 21, 2020

Language: Английский

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Social Connection as a Public Health Issue: The Evidence and a Systemic Framework for Prioritizing the “Social” in Social Determinants of Health

Annual Review of Public Health, Journal Year: 2022, Volume and Issue: 43(1), P. 193 - 213

Published: Jan. 12, 2022

There is growing interest in and renewed support for prioritizing social factors public health both the USA globally. While there are multiple widely recognized determinants of health, indicators connectedness (e.g., capital, support, isolation, loneliness) often noticeably absent from discourse. This article provides an organizing framework conceptualizing connection summarizes cumulative evidence supporting its relevance including epidemiological associations, pathways, biological mechanisms. points to several implications within solutions across sectors, where work, initiatives, research play a key role addressing gaps. Therefore, this review proposes systemic cross-sector action identify missed opportunities guide future investigation, intervention, practice, policy on promoting all.

Language: Английский

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Psychosocial Interventions and Immune System Function

JAMA Psychiatry, Journal Year: 2020, Volume and Issue: 77(10), P. 1031 - 1031

Published: June 3, 2020

Recent estimates suggest that more than 50% of all deaths worldwide are currently attributable to inflammation-related diseases. Psychosocial interventions may represent a potentially useful strategy for addressing this global public health problem, but which types reliably improve immune system function, under what conditions, and whom unknown.To address issue, we conducted systematic review meta-analysis randomized clinical trials (RCTs) in estimated associations between 8 different psychosocial 7 markers examined 9 potential moderating factors.PubMed, Scopus, PsycInfo, ClinicalTrials.gov databases were systematically searched from February 1, 2017, December 31, 2018, relevant RCTs published through 2018.Eligible included intervention, outcome, preintervention postintervention immunologic assessments. Studies independently by 2 investigators. Of 4621 studies identified, 62 eligible 56 included.Data extracted analyzed January 2019, July 29, 2019. The Preferred Reporting Items Systematic Reviews Meta-analyses (PRISMA) guideline was followed. Data investigators who blind study hypotheses analyses, then using robust variance estimation. Analysis (behavior therapy, cognitive behavior therapy [CBT], CBT plus additive treatment or mode delivery augmented the CBT, bereavement supportive multiple combined interventions, other psychotherapy, psychoeducation), outcomes (proinflammatory cytokine marker levels, anti-inflammatory antibody cell counts, natural killer activity, viral load, outcomes), factors (intervention type, intervention format, length, basal vs stimulated markers, measurement timing, disease state reason treatment, age, sex).The primary priori pretest-posttest-control (ppc) group effect sizes (ppc g) investigated.Across 4060 participants, associated with enhanced function g = 0.30, 95% CI, 0.21-0.40; t50.9 6.22; P < .001). Overall, being randomly assigned condition control 14.7% (95% 5.7%-23.8%) improvement beneficial an 18.0% 7.2%-28.8%) decrease harmful over time. These persisted at least 6 months following across sex, duration. most reliable 0.33, 0.19-0.47; t27.2 4.82; .001) 0.52, 0.17-0.88; t5.7 3.63; .01), assessed proinflammatory cytokines 0.19-0.48; t25.6 4.70; .001).These findings therefore viable improving immune-related health.

Language: Английский

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The Major Health Implications of Social Connection

Current Directions in Psychological Science, Journal Year: 2021, Volume and Issue: 30(3), P. 251 - 259

Published: June 1, 2021

The influence of social relationships extends beyond emotional well-being to long-term physical-health outcomes, including mortality risk. Despite the varied measurement approaches used examine within health literature, data can be synthesized using connection as an organizing framework. This review discusses cumulative scientific evidence links between various aspects and mortality, well supporting for with morbidity plausible mechanisms. fulfills criteria outlined in Bradford Hill guidelines establishing causality. strong currently available, several gaps remain will need addressed if society is rise challenge developing effective interventions reduce risk associated disconnection. has important broader implications medical practice public health.

Language: Английский

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Promoting Successful Cognitive Aging: A Ten-Year Update

Journal of Alzheimer s Disease, Journal Year: 2021, Volume and Issue: 81(3), P. 871 - 920

Published: April 27, 2021

A decade has passed since we published a comprehensive review in this journal addressing the topic of promoting successful cognitive aging, making good time to take stock field. Because there have been limited large-scale, randomized controlled trials, especially following individuals from middle age late life, some experts questioned whether recommendations can be legitimately offered about reducing risk decline and dementia. Despite uncertainties, clinicians often need at least make provisional patients based on highest quality data available. Converging lines evidence epidemiological/cohort studies, animal/basic science human proof-of-concept intervention studies provide guidance, highlighting strategies for enhancing reserve preventing loss capacity. Many suggestions made 2010 supported by additional research. Importantly, is growing consensus among major health organizations mitigate promote healthy aging. Regular physical activity treatment cardiovascular factors all these organizations. Most also embraced cognitively stimulating activities, heart-healthy diet, smoking cessation, countering metabolic syndrome. Other behaviors like regular social engagement, limiting alcohol use, stress management, getting adequate sleep, avoiding anticholinergic medications, sensory deficits, protecting brain against toxic damage endorsed, although less consistently. In update, each offer practical advice behavior-change techniques help adopt brain-healthy behaviors.

Language: Английский

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A review on health and well‐being at work: More than stressors and strains

Personnel Psychology, Journal Year: 2023, Volume and Issue: 76(2), P. 473 - 510

Published: Jan. 6, 2023

Abstract Research in psychology and organizational behavior has made substantial progress understanding what affects employee health well‐being. In this review article, we describe how characteristics of individual workplaces (job resources, job stressors), interpersonal teamwork factors, leadership, specific behaviors contribute to We summarize findings from intervention research discuss well‐being, turn, predict perceived work at work. highlight emerging topics the field (job‐related well‐being during COVID‐19 pandemic, technology‐enabled connectivity work, micro‐interventions, dynamism well‐being). include a cross‐cultural international perspective address issues related diversity inclusion organizations. provide suggestions on can proceed future point practical implications that improve

Language: Английский

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Social connection as a critical factor for mental and physical health: evidence, trends, challenges, and future implications

World Psychiatry, Journal Year: 2024, Volume and Issue: 23(3), P. 312 - 332

Published: Sept. 16, 2024

Rising concerns about social isolation and loneliness globally have highlighted the need for a greater understanding of their mental physical health implications. Robust evidence documents connection factors as independent predictors health, with some strongest on mortality. Although most data are observational, points to directionality effects, plausible pathways, in cases causal link between later outcomes. Societal trends across several indicators reveal increasing rates those who lack connection, significant portion population reporting loneliness. The scientific study has substantially extended over past two decades, particularly since 2020; however, its relevance mortality remains underappreciated by public. Despite breadth evidence, challenges remain, including common language reconcile diverse relevant terms disciplines, consistent multi‐factorial measurement assess risk, effective solutions prevent mitigate risk. urgency future is underscored potentially longer‐term consequences COVID‐19 pandemic, role digital technologies societal shifts, that could contribute further declines social, health. To reverse these meet challenges, recommendations offered more comprehensively address gaps our understanding, foster

Language: Английский

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Psychosocial Vulnerabilities to Upper Respiratory Infectious Illness: Implications for Susceptibility to Coronavirus Disease 2019 (COVID-19)

Perspectives on Psychological Science, Journal Year: 2020, Volume and Issue: 16(1), P. 161 - 174

Published: July 8, 2020

For 35 years, our laboratory has been involved in identifying psychosocial factors that predict who becomes ill when they are exposed to a virus affecting the upper respiratory tract. To pursue this question, we used unique viral-challenge design which assessed behavioral, social, and psychological healthy adults. We subsequently these adults cold or influenza then monitored them quarantine for 5 6 days onset of illness. Factors found be associated with greater risk illnesses after exposure included smoking, ingesting an inadequate level vitamin C, chronic stress. Those decreased social integration, support, physical activity, adequate efficient sleep, moderate alcohol intake. cautiously suggest findings could have implications severe acute syndrome coronavirus 2 (SARS-CoV-2), responsible disease 2019 (COVID-19). This argument is based on evidence associations report replicable across multiple viruses pathways link colds may play similar roles COVID-19.

Language: Английский

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A Systematic Review of the Processes Underlying the Main and the Buffering Effect of Social Support on the Experience of Pain

Clinical Journal of Pain, Journal Year: 2018, Volume and Issue: 34(11), P. 1061 - 1076

Published: April 24, 2018

This review aimed to explore the processes that underlie main and buffering effect of social support on decreased pain experience.The systematic was conducted according PRISMA guidelines. Online databases PubMed PsycINFO were searched for peer-reviewed articles using keywords ("social support," OR "interpersonal," "social presence," "spouse," "couple," "marriage") AND "pain"). Articles included if they examined cognitive or behavioral linking any aspects reduced database search identified 38 studies, which 33 cognitive-behavioral studies 5 neurobiological. Cognitive-behavioral generated a total 57 findings analgesic influence support. further categorized as decreasing adverse pain-related stress (28/44 findings), reappraising (7/9 facilitating coping attempts (2/4 findings). Of neurobiological reduction associated with neural physiological systems in response painful stimuli.This presents evidence stress-buffering is more often able account relationship between experience. Moreover, suggest critical significance appraisal attenuated Findings implicate role integrating perceived intimacy support-oriented interventional trials chronic pain.

Language: Английский

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