The impact of loneliness on mental and physical health outcomes: An umbrella review

Pub Date : 2024-06-01 DOI:10.1016/j.semerg.2024.102261

V. Gasull-Molinera , K.S. Khan , M. Núñez Núñez , M. Kouiti

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Abstract

Loneliness and related constructs associated with isolation are public health problems with increasing prevalence. The aim of this umbrella was to collate and grade evidence analyzing actual and subjective loneliness as a health risk factor.

Following prospective registration, a systematic search was conducted in Pubmed, Embase, Scopus, Web of Sciences, psycoINFO and Cochrane Library until August 2023. Systematic reviews assessing the association between actual and subjective loneliness with adverse health outcomes were selected. Risk of bias was evaluated using AMSTAR-2 tool. Data were tabulated and synthesis was narrative.

A total of 13 systematic reviews was selected (four included meta-analysis). The methodological quality was critically low in 10 reviews (76.92%) and low in 3 (23.08%). Results showed that loneliness was related to poor well-being and increase the risk of negative mental and physical health. The available data suggested but did not allow the confirmation of a causal association.

Most constructs of loneliness seem to be related to mental and physical health conditions. A preventive strategy ought to be recommended, especially for vulnerable populations.

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孤独对身心健康结果的影响：综述。

孤独感以及与孤独感相关的结构是日益普遍的公共健康问题。本研究的目的是对分析作为健康风险因素的实际和主观孤独感的证据进行整理和分级。在进行前瞻性注册后，我们在 Pubmed、Embase、Scopus、Web of Sciences、psycoINFO 和 Cochrane 图书馆进行了系统性检索，直至 2023 年 8 月。筛选出评估实际和主观孤独感与不良健康后果之间关系的系统性综述。使用 AMSTAR-2 工具评估偏倚风险。对数据进行制表和叙述性综合。共筛选出 13 篇系统综述（其中 4 篇包含荟萃分析）。10篇综述（76.92%）的方法学质量为极低，3篇（23.08%）的方法学质量为低。结果表明，孤独与幸福感差有关，并增加了身心健康出现负面影响的风险。现有数据表明存在因果关系，但无法证实。大多数孤独感似乎与身心健康状况有关。应建议采取预防战略，特别是针对弱势群体。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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