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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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“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]
Experimental — accuracy not yet measuredIn the citing paper
“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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Reynolds, C. F., Jeste, D. V., Sachdev, P. S., & Blazer, D. G. (2022) · World Psychiatry · doi:10.1002/wps.20996 · Cited by 465
Self-citationKasar, K. S., & Karaman, E. (2021) · Geriatric Nursing · doi:10.1016/j.gerinurse.2021.03.010 · Cited by 368
Social isolation: an underappreciated determinant of physical health
Holt-Lunstad, J., & Steptoe, A. (2022) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2021.07.012 · Cited by 216
Czaja, S. J., Moxley, J. H., & Rogers, W. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.728658 · Cited by 235
Lin, L., Cao, B., Chen, W., Li, J., Zhang, Y., & Guo, V. Y. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.41714 · Cited by 214
Metadata
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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