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      Social isolation, loneliness and depression in young adulthood: a behavioural genetic analysis

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          Abstract

          Purpose

          To investigate the association between social isolation and loneliness, how they relate to depression, and whether these associations are explained by genetic influences.

          Methods

          We used data from the age-18 wave of the Environmental Risk Longitudinal Twin Study, a birth cohort of 1116 same-sex twin pairs born in England and Wales in 1994 and 1995. Participants reported on their levels of social isolation, loneliness and depressive symptoms. We conducted regression analyses to test the differential associations of isolation and loneliness with depression. Using the twin study design, we estimated the proportion of variance in each construct and their covariance that was accounted for by genetic and environmental factors.

          Results

          Social isolation and loneliness were moderately correlated ( r = 0.39), reflecting the separateness of these constructs, and both were associated with depression. When entered simultaneously in a regression analysis, loneliness was more robustly associated with depression. We observed similar degrees of genetic influence on social isolation (40 %) and loneliness (38 %), and a smaller genetic influence on depressive symptoms (29 %), with the remaining variance accounted for by the non-shared environment. Genetic correlations of 0.65 between isolation and loneliness and 0.63 between loneliness and depression indicated a strong role of genetic influences in the co-occurrence of these phenotypes.

          Conclusions

          Socially isolated young adults do not necessarily experience loneliness. However, those who are lonely are often depressed, partly because the same genes influence loneliness and depression. Interventions should not only aim at increasing social connections but also focus on subjective feelings of loneliness.

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          Most cited references26

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          Diagnostic and statistical manual of mental disorders.

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            Stress, social support, and the buffering hypothesis.

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              • Article: not found

              From social integration to health: Durkheim in the new millennium.

              It is widely recognized that social relationships and affiliation have powerful effects on physical and mental health. When investigators write about the impact of social relationships on health, many terms are used loosely and interchangeably including social networks, social ties and social integration. The aim of this paper is to clarify these terms using a single framework. We discuss: (1) theoretical orientations from diverse disciplines which we believe are fundamental to advancing research in this area; (2) a set of definitions accompanied by major assessment tools; and (3) an overarching model which integrates multilevel phenomena. Theoretical orientations that we draw upon were developed by Durkheim whose work on social integration and suicide are seminal and John Bowlby, a psychiatrist who developed attachment theory in relation to child development and contemporary social network theorists. We present a conceptual model of how social networks impact health. We envision a cascading causal process beginning with the macro-social to psychobiological processes that are dynamically linked together to form the processes by which social integration effects health. We start by embedding social networks in a larger social and cultural context in which upstream forces are seen to condition network structure. Serious consideration of the larger macro-social context in which networks form and are sustained has been lacking in all but a small number of studies and is almost completely absent in studies of social network influences on health. We then move downstream to understand the influences network structure and function have on social and interpersonal behavior. We argue that networks operate at the behavioral level through four primary pathways: (1) provision of social support; (2) social influence; (3) on social engagement and attachment; and (4) access to resources and material goods.
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                Author and article information

                Contributors
                +44 (0)207 848 0647 , louise.arseneault@kcl.ac.uk
                Journal
                Soc Psychiatry Psychiatr Epidemiol
                Soc Psychiatry Psychiatr Epidemiol
                Social Psychiatry and Psychiatric Epidemiology
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                0933-7954
                1433-9285
                3 February 2016
                3 February 2016
                2016
                : 51
                : 339-348
                Affiliations
                [ ]MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
                [ ]Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
                [ ]National and Specialist Child Traumatic Stress and Anxiety Clinic, South London and Maudsley NHS Foundation Trust, London, UK
                [ ]Sanford School of Public Policy, Duke University, Durham, NC USA
                [ ]Departments of Psychology and Neuroscience, Psychiatry and Behavioral Sciences, and Institute for Genome Sciences and Policy, Duke University, Durham, NC USA
                Article
                1178
                10.1007/s00127-016-1178-7
                4819590
                26843197
                a50dde1c-98a8-48e5-aa3e-64ca819301f1
                © The Author(s) 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 4 September 2015
                : 17 January 2016
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100000265, Medical Research Council (GB);
                Award ID: G1002190
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100000269, Economic and Social Research Council (GB);
                Award ID: RES-177-25-0013
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100000071, National Institute of Child Health and Human Development (US);
                Award ID: HD061298
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100003986, Jacobs Foundation;
                Award ID: Advanced Research Fellowship
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100000272, National Institute for Health Research (GB);
                Categories
                Original Paper
                Custom metadata
                © Springer-Verlag Berlin Heidelberg 2016

                Clinical Psychology & Psychiatry
                social isolation,loneliness,depression,behavioural genetics,young adulthood

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