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The effects of social isolation stress and discrimination on mental health

Bibliographic Data

ID23319355
AuthorsLasse Brandt (0000-0002-6873-9894, Charité - Universitätsmedizin Berlin), Shuyan Liu (0009-0002-2549-5954, Charité - Universitätsmedizin Berlin), Christine Heim (0000-0003-4716-9316, Charité - Universitätsmedizin Berlin), Andreas Heinz (0000-0001-5405-9065, Charité - Universitätsmedizin Berlin, corresponding author)
Year2022
Volume12
Issue1
Pages398-398
Publication date2022-09-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueTranslational Psychiatry (JOURNAL)
Journal identifiersISSN: 2158-3188 • E-ISSN: 2158-3188
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1038/s41398-022-02178-4
PMID36130935
OpenAlexW4296692877
LanguageEN
Citations received63
References cited187

Social isolation and discrimination are growing public health concerns associated with poor physical and mental health. They are risk factors for increased morbidity and mortality and reduced quality of life. Despite their detrimental effects on health, there is a lack of knowledge regarding translation across the domains of experimental research, clinical studies, and real-life applications. Here, we review and synthesize evidence from basic research in animals and humans to clinical translation and interventions. Animal models indicate that social separation stress, particularly in early life, activates the hypothalamic-pituitary-adrenal axis and interacts with monoaminergic, glutamatergic, and GABAergic neurotransmitter systems, inducing long-lasting reductions in serotonin turnover and alterations in dopamine receptor sensitivity. These findings are of particular importance for human social isolation stress, as effects of social isolation stress on the same neurotransmitter systems have been implicated in addictive, psychotic, and affective disorders. Children may be particularly vulnerable due to lasting effects of social isolation and discrimination stress on the developing brain. The effects of social isolation and loneliness are pronounced in the context of social exclusion due to discrimination and racism, during widespread infectious disease related containment strategies such as quarantine, and in older persons due to sociodemographic changes. This highlights the importance of new strategies for social inclusion and outreach, including gender, culture, and socially sensitive telemedicine and digital interventions for mental health care.

Isolation (microbiology) · Mental health · Psychiatry · Psychotherapist · Schizophrenia (object-oriented programming) · Social isolation · Social stress · Stress (linguistics) · Clinical Psychology · Employment and Welfare Studies · Health disparities and outcomes · Psychology · Racial and Ethnic Identity Research

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Unique citing works63
Citations per year21
Citation span2023 - 2026 (4)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 60

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