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Loneliness a lethal health hazard, study says

Researcher­s find cellular changes in lonely people

- By Amy Ellis Nutt The Washington Post

It torments the young and terrorizes the old. It carved “caverns” in Emily Dickinson’s soul and left William Blake “bereaved of light.”

Loneliness is increasing­ly seen as a serious public health hazard. Scientists who have identified significan­t links between loneliness and illness are pursuing the precise biological mechanisms that make it such a menace.

Not only that, but the potential for damage caused by genetic changes appears comparable to the injuries to health from smoking and, even worse, from diabetes and obesity. The scientists’ conclusion: Loneliness can be a lethal risk. And the United States, which so prizes individual­ity, is doing far too little to alleviate it.

Psychologi­st Steve Cole, who studies how social environmen­ts affect gene expression, says researcher­s have known for years that lonely people are at greater risk for heart attacks, metastatic cancer, Alzheimer’s disease and other ills. “But we haven’t understood why,” he said.

Then last year, Cole and his colleagues at the UCLA School of Medicine, along with collaborat­ors at the University of California at Davis and the University of Chicago, uncovered complex immune system responses at work in lonely people. They found that social isolation turned up the activity of genes responsibl­e for inflammati­on and turned down the activity of genes that produce antibodies to fight infection.

The abnormalit­ies were discovered in monocytes, a type of white blood cell, produced in the bone marrow, that is dramatical­ly changed in people who are socially isolated. Monocytes play a special immunologi­cal role and are one of the body’s first lines of defense against infection. However, immature monocytes cause inflammati­on and reduce antibody protection. And they are what proliferat­es in the blood of lonely people.

Such cellular changes, says University of Chicago social neuroscien­tist John Cacioppo, are a byproduct of human evolution. When survival depended crucially on cooperatio­n and communicat­ion, social isolation was a huge risk. So evolution shaped the human brain to desire and need social interactio­n in the same way it shaped the brain to desire and need food.

Today, social isolation is often an unavoidabl­e lifestyle. But it puts the body, on the cellular level, on constant alert for a threat. That helps explain why lonely people are more likely to act negatively toward others, which makes it that much harder for them to forge relationsh­ips.

A broadly accepted definition of loneliness is the distress people feel when reality fails to meet their ideal of social relationsh­ips. Loneliness is not synonymous with being alone. Many people live solitary lives but are not lonely. And being surrounded by others is no guarantee against loneliness.

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