Social Isolation and Loneliness in Older Adults: Review and Commentary of a National Academies Report
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Highlights This article provides a comprehensive review of the recent National Academies of Science, Engineering and Medicine consensus committee report on Social Isolation and Loneliness (SI/L). The relevance specifically for mental health providers is emphasized.• What is the primary question addressed by this study?What are the physical and mental health consequences of SI/L? What are the current evidence-based interventions for SI/L which can be implemented by mental health professionals?• SI/L are significant public health problems and are clear risks for death, depression, anxiety, and cognitive disorders such as major cognitive impairment (dementia). The evidence based interventions by mental health professionals for SI/L are limited yet some have emerged which are promising.• Health and mental healthcare professionals may be the first to identify socially isolated and lonely older adults as these older adults are at significant increased risk for serious adverse outcomes. For this reason, these professionals should know how to screen for and to initiate interventions that can be helpful.
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Topics such as ageism, elder maltreatment, loneliness, attitudes toward older adults, and social participation appear to be relatively less represented in the identified literature despite their well-established importance in international research.
“Indeed, topics such as ageism, elder maltreatment, loneliness, attitudes toward older adults, and social participation appear to be relatively less represented in the identified literature despite their well-established importance in international research [106,107,108,109].”
From Toward Holistic Aging in Lebanon: A Mapping of Gerontology and Geriatrics Research Trends, Gaps, and Future Directions (2026) · cites this paper as [107]
The Epidemiology section (page unavailable) describes loneliness and social isolation as pervasive, significant problems, supporting their importance. The paper does not establish the importance of ageism, elder maltreatment, or attitudes toward older adults as a group. Its review also does not assess how well these topics are represented in the citing authors’ identified literature. (LLM, conf=0.84)
Experimental — accuracy not yet measuredOlder adults are at a particularly high risk for both loneliness and social isolation.
“Older adults are at a particularly high risk for both loneliness and social isolation 21 .”
From Mental health care for older adults: recent advances and new directions in clinical practice and research (2022) · cites this paper as [21]
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Loneliness and its correlates among Bangladeshi older adults during the COVID-19 pandemic
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An exploratory psychometric network analysis of loneliness scales in a sample of older adults
Thompson, A., & Pollet, T. V. (2023) · Current Psychology · doi:10.1007/s12144-023-04697-9 · Cited by 20 · see citing works
Effects of Psychedelics in Older Adults: A Prospective Cohort Study
Kettner, H., Roseman, L., Gazzaley, A. H., Carhart-Harris, R. L., & Pasquini, L. (2024) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2024.05.007 · Cited by 19 · see citing works
Park, J., Jang, Y., Oh, H. Y., & Chi, I. (2022) · Research on Aging · doi:10.1177/01640275221098180 · Cited by 18 · see citing works
Muntsant-Soria, A., & Giménez‐Llort, L. (2022) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2022.969381 · Cited by 19 · see citing works
- Authors
- Donovan, N. J., & Blazer, D.
- Affiliations
- Brigham and Women's Hospital (US)
- Duke University (US)
- Corresponding author
- Blazer, Dan
- Venue
- The American Journal of Geriatric Psychiatry
- Publisher
- Elsevier BV
- Published
- 2020-12
- Volume
- 28
- Issue
- 12
- Pages
- 1233-1244
- ISSN
- 1064-7481 (ISSN-L)
- PMC
- PMC7437541
- OpenAlex
- W3049583205
- Semantic Scholar
- d4432d78e1b8ba5d98d050e0dd231db50ba6bc4f
- Cited by
- 739
- References
- 96
- Citations by year
- 2026: 181 · 2025: 173 · 2024: 168 · 2023: 98 · 2022: 72 · 2021: 43 · 2020: 3
- FWCI
- 8.47
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Geriatric Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- social isolation, loneliness, older adults, social distancing, COVID-19 pandemic, interpersonal relationships, National Academies report
- MeSH terms
- COVID-19, SARS-CoV-2, Aged, Humans, Loneliness, Social Isolation, Pandemics
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